Loading...
HomeMy WebLinkAbout068-160-086`A.P.#068-160-086 MINOR` -USE PERMIT # 98-02 v 068-160-086 PERMIT#95-1940 HARRIS, Monty 1t/ / 465 Glen Df', Oroville �J 1 �' Mobilehome'Utilities IIc31 Cont; •Stanton Const, ELECTRIC OO GAS LINE {�( G}T1�2f� L . �� _ 50 COMPACTION TEST REQ TA 0 SUPPORT STRUCT REQ SIO 068-160-086'... Y PERMIT#95-1024 i� HARR,IS,�,Monty J6,57- Glen Dr.. , Oroville q7 Cont; Al Carl Mobilehome Installation I " 068-1'6=0-086' PERMIT#95V-2 HARRIS, MONTY q� 465 GLEN DRIVE, OROVILLE �� l (ADD`GARAGE & DECKS) QUALITY COS T 068-160-086 PERMIT#98=052, HARRIS, Robert F/Wz 475 Glen Dr., Oroville Cont: Integrity Homes MH Util-2nd Dwelling V, - ELECTRIC GAS COMPACTION TEST CJo SUPPORT STRUCTURE_;,- r 068-160-086! PERMIT#98-0523 HARRIS, Robert. - 475 Glen Dr., Oroville Cont: Integrity Homes MHI-2nd Dwelling 1/�G 71,�F �--Y_- �' _. _ � . �I � � ' � I F T 7W /1 3 OFFICE COPY 1 � Address Temp. Power 1 GAS Called PG MeteOB! DaELE Temp. Elec. S MeteDate i Called PG&E Temp. Gas Service .Called PG&E JOB FINALED (Date) Signature RESIDENTIAL . 068-160-086^ PERMIT#98-0522 PERMIT NO.. _ HARRIS, Robert 475 Glen. Dr . , Oroville+ PERMIT EXPIF;', Cont: -_Integrity_ Homes y .^ MH Util-2nd Dwelling OWNER ' , CONTR. ASSESSOR PARCEL LOCATION T 7W /1 3 OFFICE COPY 1 � Address Temp. Power 1 GAS Called PG MeteOB! DaELE Temp. Elec. S MeteDate i Called PG&E Temp. Gas Service .Called PG&E JOB FINALED (Date) Signature V=OK O = Not OKNot ` NotRepady MOBILE HOMES Lor ZorlutlfRequirements - Setbacks - Easements MH Support b ty; Location-Clearances-Gmd-/ /Amp -Concrete as; Location-Test-Wra YL i //fNat or_ /"L-tL/ /LPG earance & Disconnect tility Clearance nate Card B- Data Card B-1 Date Card - Date Card B-1 , Date MOBILrvHOME INSTALLATION lens OK except #'s �r Requirements- Setbacks Easements W-FFooyags; S'rxeSpacng-Marriage Line tit _ dy; MH Test -Crossovers -Breakers -Clearances D!_AO-MH Test -Fall -Flex Connector A�1Na -MH Test Regulator -Connector nd Sewer Connected -C/O to Grade -HD Approval Ga d Electricity Tagged boo'he _Type -Installation Cert. 444 -Cert of Occupancy .42 -Pe 1T1ffNhent Foundation Only: License Decal DateCard B-1 Date Card B-1 Date .' Card B- / Date Card B-1 MISCELLANEOUS Date DECKS, COUBRS, CARPORTS, GARAGES (P ns) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings; SailsSfne-Dep"pacing-ConrmctorsSteel 3. Decks; Girders and/or Joists-Decldng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectora Shthg.-Rfg:-Bracing S. Alum. Awn.; Columna�ConnectionsSplkx-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric - 8. Fang.; Sits-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-.Roofing 11. Ext; Steps-Doorslendings 12. Braced Wap. 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. PootStructure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and L ightng, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding: Metal w16 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir, Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 we = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist -Rt r. Ties-Puriin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. 4. Ftgq. Porches & Decks; SoilsSteel-/ p Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main;'Steel-Blockouts•Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors . Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped 56. 8. Piers -Fireplace Ftg.-Steel 57. 9. D.W.V.; Fall+Rng-Test-2 Way C/0 -Sewer Test Glazing Area -Glass Protection -Skylights -Plastic 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 60. Brace Interior / Exterior Wall Panels 11. Water Pipe; Test-Anchors-RegulatorService Test Infiltration -Walls -Windows 12. Electric Underground Date 13. Pienums & Ducts; Clearance -Material -Support -Ins. Card B-1 Date Card B-1 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies FINAL (Plans) OK except #'s 15. Access & Ventilation 64. 16. Insulation 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Date 67. Card B-1 Date Card B-1 Date Elec. Trim & Subpanei, Breaker Sizes & Labels Card B-1; Date Card B-1 Date 70. 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; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower LightSpa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist -Rt r. Ties-Puriin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanei, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: -rwn�l -1 � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION "J 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT q� -0 a ASSEWWRTeU33ERj��JJ .�86 ' ff,• ��JJ ZONING BUILDINGPERMIT OWNER ROBERT HARRIS TELEPHONE _.S22_5706 SQ. FT. OCC. BUILDING VALUATION DWNE56ILIL`ESDRIVE, OROVILLE 95966 HOMES, INC EPHODGNTNTUTTY 7533.4403 CONTNrd TfXffffZ RIVER BLVD, OROVILLE 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -461FF GLENN DRIVE, OROVITIE. Energy Plan Checking Fee $ '' `` ` -75— $ PERMIT FEE $ LOT NO.SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing P14 Oth.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities P Installation ❑ Other ❑ Describe Work: MH TTTTT,TTTE4/2 RR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G 920.00 0,UO PERMIT FEE S ELECTRICAL PERMIT Fling Fee "2 O V EL Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i f'ullJ force and effect. �j License Class � M Lic. NO. O% ? 58 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( g ACC. B.S. 3.5Q�; NEW CONS. NON-RESIDT ANC OCUTLu 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@'.00 BAL @ .SO Ex. Occup. OUITELEfSRES.ISI6 OR P .)1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63 , 00 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier U 1 CGL—VP MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number 5G TO — 039 — / 5/!7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 4=LQ Date Signature of Applicant - 0 Owner ❑ Contractor X Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee / $ occ CONST. TYPE OT FEE $ 6.0 Z. p. F IMP FLOOD CDF PAR PD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. n SAP ByfAi2k Dote Q d PERMIT EXPIRES ON ale ReceiptNo.23�16OA WHITE-D.D.S.-B. D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE Plot Plan Attached Floor Plan Attached --�— Sent to B.D 1 4 " 0 OK Owner Location AP# Plan Approved f r: wage Di osal� Water Supply: Public Private Well Clearance for mfAZA g OtherC 5��QP���A`� � 4,6 (7L AXG Hold final Final clearfance O.K. for: NOTF�'l _ Environmental Health Specialist 8/96 �'�'�! .tS.•- 'r.'..,... _.:-✓`..... _ •- ,. .n..A.�•' �r�'� . i.. �.�?�'v. ^ y..,� ye..+�.fi."^''b-�`�C�'�'--"'i.�-r�:.�+f"'�....��}...•i�-..w.N'�f�. COU ' iW BUTTE DEPARTMENT OF DEVE1,OPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLL;TALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 0,,6 rr4- A . r �_ ASSESSOR PARCEL NUMBER: 1_/ 1?" Proposed Building Use: WA/ Building Inspector: 213 _ Date: � — oG� � At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1.Cot" ems have been submitted.------------------------------------------------------------------------------------- plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ { , X� ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ �•, ❑ 9. anufactured Home data and installation instructions including Tie Down Specifications.------------------ ees of $ ----------•--------------------------------------------------------------------------- Impact fees as shown on the attached schedule. -------------------- ------------------------------------------- - 2. California Department of Forestry plan approval/fees. -� �l� ❑,,13. loud elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval O 111(4Health Department. ----------------------------------------- , o- 15. Ci of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 1 lot plan and business license approval from City of Biggs. ---------------------------------------------- 7. Planning approval for A Use: OILL (B) Parkin OIC y • 9$ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date)Q ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number.------------------------------------------------=---------- 023. -------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑OMail to contractor. Iontractor. ❑ Telephone 53 3 '-y N 03 and hold for pickup at dl 0 y ( ( --Qoffice. ❑ Deliver with inspector. ApplicantLU.- Date: J -_N "(IC Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, W er: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: > Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner wa&advised of the above data by ❑ phone, ❑ mail, ❑ B "ldin n co ter, by Date:, Plans reviewed by: Date: 3 •�8 Plans approved by: Date: H' Oq Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT (Rev.12/96) ASSESSOR PARCEL NUMBERKoZONING BUILDING PERMIT OWNER TELEPHONE 33 -C'7o[o SQ. FT. OCC. BUILDING VALUATION rib OWNER'S MAILING ADDRESS�� y n` r I CONTRACTOR'S NAME TELEPHONE INTEGRITY HOMES INC. 533-4403 CONTRACTORS MAILING ADDRESS OROV ILLE 95965 1740 FEATHER RIVER BLVD., CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS $ Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS T:: Plan Checking Fee , o_10 BUILDINGADDRESS /�; S V /e -I. ,/✓ Energy Plan Checking Fee $ $ _ () PERMIT FEE $ LOT NO. SUBDNISIONB NAME PARCEL MAP PLUMBING PERMIT Filing Fee - 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 SF ❑ Duplex ❑ Mobilehome)O Other Each gas water heater or vent 15.00 SPECIFY TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities X Installation ❑ Other ❑ sewer 15.00 —Building Mobile Home S W @20.00 .� Describe Work: _�� lel `Y[ � TI'P S PERMIT FEE S O + "2c( �� ELECTRICAL PERMIT Fling Feel -20.00 ,z, Main Service z�oo� LEss 23.00 Main Service -To +000A 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. owEtinac OCCUP. ( SO 3.5¢T. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADONS. 6 ACC. BIDS. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON -RES DT MULTI -OUTLET @7,50 and my license is in full force and effect.POWER AP PnRATU License Class C 4 7 Lic. No. 707958 E SINGLE OUTLET CIR. zo @ 1.00 OWNER -BUILDER DECLARATION Ex. Occup. OUTLET OR FDMRES BAL@ .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License OR Ex. Occup. OUTFIXED APPLNS.LETS EsID. EA 5.00 Law for the following reason: Temporary Service 23.00 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this _ PERMIT FEE reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 CR I have and will maintain workers' compensation insurance, as required by Section Ventilation 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 UNICARE PERMIT FEE S Policy Number SAbU—U397-15117 Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) Occ CONST. TYPE ❑ 1 certify that in the performance of the work for which this permit is issued, I shall TOTAL FEE $ not employ any person in any manner so as to become subject to workers' HAZ. D. FEES IMP FLooO COF PARCEL PO HD ISSUE compensation laws of California, and agree that if I should become subject to the I workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor b Agent . An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Data) PRAECT PROCESSING RWORD APPLICANT: Shy ✓''� OWNER: PERNM #: A. P. #: WORK DESCRIPTION: DATE DESCRIPTION OF STEP �"omwo C erIc4nr- c, oo s�:ac-iln9 3WCH UOIdWPHJ e�Uaw G3n0�'�d� Z15S CT Z T • 1912 X Itz • M 'Isdow • WOONQ29 7 N N20 .Q -.fl X .®i•.W 1 i 10 'd SZIC££S0£5[ ON XV. K IIA080-S=WOP ,U!S031N Wb 7c;01 I�. 5640-Edv v b'J a 11 AQ 0 y�1�y �� `•o�� � c ddb � N c .:. N ?mss X15 h� Hh f . a�oco 3�od -aae.Aocl 3hv MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE 4,OROVIL-LE;;CA 95965 ---PHONE (916) 538-7541 APN '. ' r'*" F�PERMIT N.O.: Owners: MftwName:` e— Owners: Address: Mobilehome�./� f ' . : ,.• S:•:. Year of Manufacturer ' ^,� , ' Manufacture: Serial number r es. �^ Insignia or `moi i�/� 3 74/ J (� or V.I.N. d._� HUD number: Official approving Date: �instal_ 'If the mo ilehome is moved or relocated, the mobilehome Installation acceptance shall become Invalid. This form shall not be used when the mobilehome is installed on a foundation system. g, 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor � xS � 4043490401 TIE DOWN ENGINEERING Notes; on Installation Soil Soil Description Test Recommended Anchors Class Value . Model # Stk # Description I. Sound hard rock. N/A MRA 59110 Cross drive rock anchor 2. Very Dense and/or cemented sands, coarse gravel/cobbles, preloaded silts, clays and coral. , 550 in. lbs M122518 59090 and up MI223/4 59095 . (and those listed below) II 3 Medium dense coarse sands, sandy gravels, 350 to 550 M12145/8 59080 very stiff slits and clays, in. lbs. MI2H3/4 59085 30" x 5/8" rod, 24" helix 30" x 3/4" rod, 2-4" helix 48" x 5/8" rod, 1-6" helix 48" x 3/4" rod, 1-6" helix 4• Loose to medium dense sands, firm to ' 200 to 350 MI2H5/8 59080 48"x 5/8" rod, I.6" helix stiff clays and silts, alluvial fill. In. lbs , MI2H3/4 59085 48" x 3/4" rod, 1-6" helix • Below these values, a Pm engineer should be consulted 5• Concrete Slab Tensioning devices for use in concrete pad, runner, ere. shall be tested (same as anchors) and specifications as to PSI and cure time of concrete reinforcement, size and thickness of concrete, size and depth of bolt hole, type and kind of shield if pemrissible. Minimum distance at which tensioning device can be installed from edge of end of slab, pad, runner, etc. shall be specified Installer/Contractor Certification I certify that I have installed the TIE DOWN ENGINEERINt3 anchoring system as per TIE DOWN's Installation instructions and that no modifications have been made to the ancho g system or building structure. Company Name: Contractoes Licensc Date: Signature: ✓n-6 P8ge4of8 Tie with Buckle luFrame I.Install strap by pushing the end between the inside of the frame "I" beam and the floor. 2. Position the buckle at upper end of the "I" beam frame. Wrap the end of the strap around the "I" beam. Thread the end of the strap thru the slot in the buckle as shown. Push the end of strap in-between beam and floor. 3. Pull the strap, making certain the buckle stays in position. Thread loose end of strap thru slotted tensioning bolt attached to ten- sioning head of anchor. Tighten slotted tensioning bolt a minimum of 3 full turns until all slack (Anchor must be properly in strap is removed. installed into ground before proceeding with this step.) Soil Soil Description Test Recommended Anchors Class Value . Model # Stk # Description I. Sound hard rock. N/A MRA 59110 Cross drive rock anchor 2. Very Dense and/or cemented sands, coarse gravel/cobbles, preloaded silts, clays and coral. , 550 in. lbs M122518 59090 and up MI223/4 59095 . (and those listed below) II 3 Medium dense coarse sands, sandy gravels, 350 to 550 M12145/8 59080 very stiff slits and clays, in. lbs. MI2H3/4 59085 30" x 5/8" rod, 24" helix 30" x 3/4" rod, 2-4" helix 48" x 5/8" rod, 1-6" helix 48" x 3/4" rod, 1-6" helix 4• Loose to medium dense sands, firm to ' 200 to 350 MI2H5/8 59080 48"x 5/8" rod, I.6" helix stiff clays and silts, alluvial fill. In. lbs , MI2H3/4 59085 48" x 3/4" rod, 1-6" helix • Below these values, a Pm engineer should be consulted 5• Concrete Slab Tensioning devices for use in concrete pad, runner, ere. shall be tested (same as anchors) and specifications as to PSI and cure time of concrete reinforcement, size and thickness of concrete, size and depth of bolt hole, type and kind of shield if pemrissible. Minimum distance at which tensioning device can be installed from edge of end of slab, pad, runner, etc. shall be specified Installer/Contractor Certification I certify that I have installed the TIE DOWN ENGINEERINt3 anchoring system as per TIE DOWN's Installation instructions and that no modifications have been made to the ancho g system or building structure. Company Name: Contractoes Licensc Date: Signature: ✓n-6 P8ge4of8 068-160-086„ p. ER HARRIS, Robert,,„ ' 475 Glen.Dr, Oroville 'ICont: Integrity Homes MHI-f2nd Dwelling q��©S COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •7P bo*ahty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541n �-j �� 9 (Rev. 12/96) APPLICATION AND PERMIT - > ASS ES=CJ ULf ZONING BUILDING PERMIT OWNEk0BERT HARRIS Z, — T53H3-5706 SO. FT. OCC. BUILDING VALUATION OWNT6VUtg,AQ� �$S DRIVE, OROVILLE 95966 CONTRACTORS NAME INTECRTTYu nen r TELEPHONE CONTRACTORS MAILING ADDRESS •' 1740 FEAT�MR RIM W—W), C *965 CONSTRUCTION LENDER - ' LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ � suILDlycjnpDR�sE DRIVE, OROVILLE Energy Plan Checking Fee $ 41's -PERMIT FEE _ LOTNO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomex Other —SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Y] Other ❑ Describe Work: MMI/9 Y 05-A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 2a0A OR LESS 23.00 Main Service e0ov oR LE:: 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.WER License Class �1 u � Lic. No. –7 _ '7 / � � � _.• � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46,00 NEW CONST. DwELLINc occuP. so OR ADDNS. ( a ACC. B =RESIDT' MULTI.OUTLET @7.50 APATUS a POSINGLPAR E OUTLET CIR. 20 p 1.00 EX. Occup. OUTLET OR FIXTURES BAL .50 Ex. Occup. ouTLEEDTs REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ED I have and Will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 1 11;1("( (f=_ Policy Number , • ,<' — (? , t 127, /1 7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. F. X i�'�`� t _l� tom_ Date, _� Signature of Applicant - ❑Owner [I Contractor Je9'Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. / MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ i • Energy Inspection Fee $ occ CONST. TYPE ,TOTAL FEE $ 143.00 HAZ. D. FE IMP ,• FLOOD CDF PARCEL PD H• 0. j/ IssUF,• /�/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /6�''" �iL� r� y Q By ` Date n 4 / �; PERMIT EXPIRES ON f4 /]' /�% / j Data ' Receipt No. jo4vo/�ia.L" /13 - —� `0 �=>J WHITE-D.D.S.-B.D. CANARY-ASSESSO-PINK-INSPECTOR GOLDENROD -APPLICANT • COUNTY OF BuYTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Couhty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�� PMIT o. (Rev. 12/96) APPLICATION AND PERMIT Ass ES66rC.€1�U13UUEfib�`JJ% ' 1 ZONING BUILDING PERMIT OWNE ROBERT HARRIS TELEPHONE 533-5706 SO. FT. OCC. BUILDING VALUATION OWNEr(,TILIZMS DRIVE, OROVILLE 95966 CONTR(A}CTOR'SI NAME INTF-C.RiTTY UQi S, iNG TELEPHONE ' CONTRACTOR'S MAILING ADDRESS 17/4 FLEATHER RIVER RUP, OROVILLE 9=5965 CONSTRUCTI(5NLENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 23.00 BUILD G DRESS GLENN DRIVE, OROVILLE Energy Plan Checking Fee $ $ 1+�! PERMIT FEE $ LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)R Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 10 Other ❑ Describe Work: MHT f G% Fr ©LSA --- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S dT—WT­ @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon oa mss 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,NON-REsND.T and my license is J9 full force and effect. ^' Q-� ` J �� License Class LIC. NO. lJJ 1 —1 y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'ompensation insurance carrier and policy number are: Carrier 1A care- Main Service 200A TO 1000A 46.00 NEW CONST. OWE LING OCCUP. SO OR ADDNS. ( a Acc. BLDs. 3.5QFr; MANLC I-OUTCLET 97,50 POWER APPARATUS a SINGLE .LETCIR. OUTLET OR FURORES 20 Q 1'00 Ex. OccupBAL @ .50 Ex. Occup. ouTLEETS (R SE.PLNS6.oEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number F35 �] — / �// (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� X p��� Date 3� Signature of Applicant - ❑ Owner ❑ Contractor ;CAgent �LE17, D� An OSHA permit is required for excavations over 60" deep and demolition or const,,uction of structures over 3 stories in height. - /0.9, a— Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 70TA EE $ 143.00 HAZ. D. FE IMP FLOOD CD PARC PD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic ted above for which fees have been paid. 1 Q (� By Da / Q PERMIT EXPIRES ON efe 19. ReceiptNo. 236408/43.00 +' WHITE-D.D.S.-B.D. CANARY-ASSESSO I K -INSPECT GOLDENROD -APPLICANT If ,. �7 •:.ci 7�M::r.,J'�.�.�'. ..- / _, .. ._.J{:..M�r+`�.�..,I}.-e.+ih �v^•n••...r�+...r'.�"tJ4�•ti� �. } ... .. .. .. CO �Y?�F BUTTE bD P RTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 BOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET ,✓ OWNER:�- GV /' ; S ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. �'tems have been submitted.------------------------------------------------------------------------------------- ./Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------- ---------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation.---------=----------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ VF actured Home data and installation instructions including Tie Down Specifications.------------------ eesof $ . QD • 6.0--------------------------------------------------------------------------------------(v � ❑ 11. Impact fees as shown on the attached schedule. ------------------------------------------------------------------ California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 111.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---• 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owne-Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. - 026 of intent on building use. ---------------------------------- U//WT Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------; ❑29•. 0433 A, []Grant Deed,,❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: -------- When you issue the t., process as follows ❑ Mail to owner, ❑�M�aiill to co actor. ❑ Telephon� �7 3 and hold for pickup at C/Iy V C �te office. 11 Deliver with inspector. (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department 13 Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, 13Ot� Date: By: 1. Index permit application for the above items numbered: p% 0 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail; ❑ Building Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail ❑ Building Contractor, designer, owner, was advised of the above required d,,b Shone, 1,j�8f& ding. Contractor, designer, owner w sed of the above required data by ❑ ph ❑mail, ❑ B� ildin� Plans reviewed by: Date: proved by: vY/ Sets of plans dn ho ❑ Plan Cabinet, ❑ A.13. folderts+ote'transfer by.—i Yellow Copy - Department of Development Services, Building Division. Check List 6e Date: by Date: by Date: by Date: —Date. Date: 'fi"."'�;'�"-c.y�^'.:''y„c-rsc3"�:�s�w.:.'.•--._ �r--v—.-.,-..-....,,.vv.,•.....,..-----.,o...._...r..-�+,.r^anew+--:c-.�'.•,=Nr..+.•,.-. �-� .. �. .�-_.,.- COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER r'f"-Gt r A.P. # PROPOSED BUILDING USE DATE 3 — 3 i—Jc��/ REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ 0.6 -- Additional Fees Due ............. $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ ;J 1�9 < 2. SCHOOL DISTRICT FEES v (paid at District Office)�ZS 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = �81 Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ nvuuo Allll. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) s 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) V, . 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 3/311$ 8. WATER TENDER FEES (Battalion # j $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of -the building permit. These fees may be changed during the plan checking process. APPLICANT }(e¢ C I Q , DATE Original -Owner Copy -Building Div. (Rev. 12/96) a 'COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL MDER� (� LVA W ZONING BUILDING PERMIT + rriS TELEPHONE -SX(, SO. FT. OCC. BUILDING VALUATION U Los ADDRE$_ l t_e_nn CC � (A qCS9W6 CONTRACTOR'S NAME TELEPHONE ' INTEGRITY HOMES, INC. 533-4403 CONTRACTORS MAIUNG ADDRESS 1740 FEATHER RIVER BLVD., OROVILLE 95965 -- CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ Plan Checking Fee BUILDING ADDRESS 14— Energy Plan Checking Fee $ PERMIT FEE $ 3 LOT No. sueoNsaNSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: `l �`j"�(�1(\�.L / Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 18.001 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service0008 OR LES9 2ooA oR mss 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 C 4 7 Lic. No. 707958 OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 ry P Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale,– ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000" 46.00 NEW CONST. OWEILMO�Up• s0 OR ADONS. ( y �. O s• 3.5¢FT. NEW CONST. MULTFOCUT @7,50 - NON-RESID. POWER APPARATUS 6 SINGLE OUTLET CIR. _ 20 Ex. Occup. OUTLET ORFO(TURES BA�01 o EX. OCCU MEDAPPLNS.OR ounETs EsID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 13t I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier UNICARE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number SAbU–U397-1 bil 17 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ 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 $ Occ CONST. TYPE TOTAL FEE $ O� MAz• 1 D- FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON Receipt No. 4.31 00 WHITE-D.D.S.-B.D. CAN" Y_ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A.P. # OWNER—/ aAo jZ:: P E R M I T # MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH aid '� -------------- i USE PERMIT - VARtAkE MINOR U.P. --ADKOERMIT.... PLANNING COMMISS. DIRECTOR OF DEVELOPMENT Qca%firce Ahs suf te, Plaia cma "crficutio"M MLtsj M copy' on th-a job at ON firnes and it is unicrAl h. Pori -nake any changos or alterations on come Wit hW C' ediften permission from the Departmorh CQ Faa L6CATWO \40AS. C89"tV al ouffcu 0 24 x 16(p ALL STRUCMURES AND EQUPME-INT- INCLUDING 0 V E P i C S Silr L B- E C L—E. C � F A L E A �* 3 Z. MI. Na x 4 0 A S* E T Z so fKH 60 ft" MA9696 RAMS 0 0 i-lje CJ Planning Division AUG 2 7 1997 BUTTE(XI01MM, alliorniz, BUILEff-M4 Mpg_ ARWE 24-APH-Ud 5HI Ud:44 H17 lNILUK11Y.HUMb UHlUU hAX NU. 9163433332 P.U2 a. - • a t w . .. .. J ...'r7'E'%.�:fi%?S•tr�:.:'}�,:.•:�.: LHER / :�". �:.: C'!'. ��-f�, `':..�~'��.t:t'� _ n.-� moi', �{'l •i :.'::'' :' :���, is i`:`;;�.�_: .;'�• YL q c m 17?D x }} jj -N1 Fr-, t� 00 r � x . •' AA o i "4"PROVED M.H.L- _2 Mobileh6me Manufacturer: -cHmpiw Manufacture Yeir:._ If otiierjtlian single wide, furnish -Setup Model Number:643 52' (ft;) Tagalong orE Width: 24- .:(ft:) Length: _��zpaiido Size' (ft:) x On' all m6bHehomes manufktured after- October 7, 1973, furnish "manufacturer's installation 'manual and structural -setup sheets. FOOTINGS: Wood pressure treated or foundation grader X1 Other: `Concrete block[x ]" Other: Provide Tie DoWin S iri " ns tio' '.Tor all Mobileh pec ca onies: Footings Sizes1ii*dLovation _, IV SINGLE WIDE AME Line 1 Lime 2 Line 2 . .............. ......... ............................................. ....... 4. am Bcanu '2 !N11 ................... 4.0, 6i ipw W ;4w Main Beai�s .......................................................................... ..........•..... u, J X,.�e R_t ............... 5 ................ Tag or Triple .................................. ............ )';�t"•at .Y` _.3#. T. 7fl 1 7 1it y>i4s" Z Q Line e Lifieliivpeffiffi-`js ��' r S 3 0' ize-minimum: r- 1-k r Size, mihimu=� paqwgimaximum: 4: A roilierfds m mu mi hW'Ith 6il 4 R iniie"rs Lin64Tiers:�:_- " (24 x SizeUM: S ize" um:-, x Spacing maximum: '�8 0i't Spa6irig ifidkiffium: From ends -maximum t 2 S_�m= 01 From ends=maximum Line 3 Roof Loads: Size minimum Location- (from=): Line 5 Roof Loads: Size minimum: , Location (from front): OVER BUTrk Onullry aa� r .ww illilit", , : 1. Owner's Name: �} .r 44Gl rn 2. Assessor's Parcel Number:' �g ^ Its 3. Installer's Name: __.]Xn 4e-0 r I *U Unr- e-SriL' . r' 4. Is the site currently under permit? Yes[ J No[)(] Permit No. 5. Is the site an existing site? Yes[_' J 'No[al] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehorrie? /O� Ariiperes. 7. What is the mobilehome site circuit breaker rating? X00 Amperes. - 8. What is"the_;electrical rating of the �mobilehome site? 00 Amperes: 1,.. .. _ ... _ ... 9. Is the main service remote from the m6bi,166. ie ­site? Yes[ No[x] If it is,.what .,-is the rating? Amperes. f., 10. Is there anyother electric.load to; bey.served b_- -the;mobilehome: site electric service 5�y (i.e. well, garage etc.)? Yes[ ] -N6*M Ifyes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The. main service: . Load-,..... Amperes - 11. Type of gas service of m6bilehome site:. Natural[ Propane[ ] 'None[ 12. Size of......gas''t'pipeO`iat`1 "the'-mobilehome._-.site from the meter ° ..or tank: inches: 13. What is the gaspipe Iengfh�from`the meter or tank to the mobilehome? ,S (ft.). 14. What. is. the mobilene gas demand? B.T.U.* *(This information is no-t-r—e-4 iced if -the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 4043490401 TIE DOWJ ENGINEERING 318 P01 JAN 02 197 17:06 � TIE DOWN ENGINEERING . Engineered'Tie Down System Manufactured home tie down calculations and schedules Design Loads for single/double/triple wides Wind 15 PSE ( Soil Bearing 1000 PSF Tie Down Straps 3150 # Working Load Seismic Zone 4 I . Tse down straps meet federal specifications QQ-S-781H for Type 1, Class B. Grade I strapping and be at least 1-1/4" x.035, zinc plated. I Earth Augers 2962 # (Thsted to 4750 # minimum) Cross Drives 1727 # (Calculated) Concrete Slab Anchors 1390 # (Calculated) Note: Maximum soil presure is 1000 P.S.F. without a soiLr report General Notes I. The charts shown herein are for the required number of tie downs on the sides of the Manufactured Home. 2. Tie downs are required at each chassis beam, each end of each transportable section of the Manufactured Home and can be any Of the types shown herein. 3. Combinations of the different types of tie downs can be used. i 4. In the event an earth auger cannot be installed due to an obstruc- tion, use of cross drive anchors is permitted, provided 2 cross drive anchors are Installed for each earth auger that cannot be installed. 5. For all tie down installations, the Manufactured Home chassis members aro shown as "I" beams for illustration purposes only. Chassis beams can also be "C" shaped or RFC shaped. 6. End tie downs can be located within 18" of either side of chassis beam axis as shown. One end tie down required 18" Chassis Beam at each 'I" beam end 7. Tire sizes, types, lengths, etc. of materials shown herein are minimum. Larger, longer, heavier materials supplied by Tie Down Engineering may be used at the same, spacing and locations shown, 8. Alternate devices may be substituted with engineers approvals. Page I of 8 Engineer Approval No. 15,1 CIVIL / �` ' Cf G Uii`���� vAr j97 State Approval b �NfiW44140 y7,44mV , o7;rW APPROVED SU81ECi TO CORRECTIONS NOTED App,o•el dM, net 00horlae or approve any , omirrlen •ieviollon 1.0m requirements of applicable Srale low. o '07vlol;Am Stare of CoWarnla Doportmenl of Housing and Cornnrvnily Development Div1SION CODES AND STANDARDS - (tignfitvre) SPA ►his Pian Approval Ex This tie down system meets the requirements of section 1336.3, subseatlon (a) TIE DOWN ENGINEERING 6901 Wheaton Drive Atlanta, Georgia 30336 404-344-0000 Fax 404.349-0401 4043490401 TIE DOWN.ENGINEERING •. Q TES GSE January 2, 1.996 Mr. Merrill Sutton Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Sutton: 318 P06 JAN 02 '97 17:08...1-:,. • I I LISTING NUMBER: TIE -942609 Having completed the in-house audit of quality control, quality assurance, procurement, welding Procedures, etc., Tri-State Testing Services In compliance with the rules and regulations a the Department of Housing of California lists the following products: Ili• ► u= C M121-15/8 59080 M121-13/4 59085 M1225/8 59090 M1223/4 59095 MIT2 59115 MIJ2 59120 MICS2 59125 59250 59250 MRA 59110 59292 69292 MGRS 59145 SCS 59175 MBU 59140 gIS6 59135 MS33 59149 6 7 S 6 BUCKLr.s COvrl DESCRIPTION MHMf'MIS, TN .38 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4 AUGERS 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR PATIO ANCHOR W/EXPANSION BOLT ,. 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD ' LATERAL STABILIZER PLATE -, GALVANIZED ROOF BRACKET CRIMPING SEAL FOR 1-1/4" STRAP "' GALVANIZED STRAP BUCKLE`' SLOTTED BOLT AND NUT 1-1/4" X 33' GALVANIZED STRAP ' 13 3 90 1 -385-1 199 rAx 90 1-386-66 1 4 ``` 4043490401 TIE DOWN ENGINEERING Tie Down Engineering Page 2 'January 2, 1996 MS35 MS37 MS42 MS60 MS600 MBU6 MBU7 MBU8 MBU10 MBU12 MBU15 MLFT 59150 59155 59160 59165 59170 59137 59141 59142 59138 59144 59143 59188 318 P07 JAN 02 197 17:08 LISTING NUMBER: TIE -942609 1-1/4" X 35' GALVANIZED STRAP 1-1 /4" X 37' GALVANIZED STRAP 1-1/4" X 42' GALVANIZED STRAP 1-1 /4" X 60' GALVANIZED STRAP 1-1/4" X 600 GALVANIZED STRAP 1-1/4" X 6' FRAME TIE W/BUCKLE 1-1/4" X 7' FRAME TIE W/BUCKLE 1-1/4" X 8' FRAME TIE W/BUCKLE 1-1/4" X 10'' FRAME TIE W/BUCICLE 1-1/4" X 12' FRAME TIE W/BUCKLF_ 1-1/4" X 15' FRAME TIE W/BUCKLE End Frame Tie (Approved 5-25-95) If you have any questions or if we may be of further help, please call us. Sincerely, TRI-STATE TESTING SERVICES, INC. PIC" fl%— William E. Jackson Manager rrr y. Fes., A! h l TRhQQQTESN2SRTLVCit,S ..k 4043490401 TIE DOWN ENGINEERING 559145 Roof Bracket 46 MIT2 Concrete Slab Anchor (Dry) G�7 MIJ2 Concrete Slab Anchor (Wet) 318 P02 JAN 02 197 17:06 TIE DOWN ENGINEERING Tie Down Anchoring System . o / D MLFT End Frame Tie MDU/59140 59292 Strap 6uckie MRA Lateral Stabilizer Plate Rock Anchor :1 M13U7 8158/59135 Duckle w/strap Slotted Bolt & Nut Max Length of 36' Manf. Home 54' 72' Minumum No. of 2 Side Tie Downs 3 4 One tle down Is required at each end of "I" beam. Side Tie Downs (5ee Note Delow) s A I L Evenly Spaced I I 2' Length Varies 2' 164 M122 (5/8" & 3/4") 30" Long Anchor kro M12H (5/8" d, 3/4') 48" Long Anchor Side Tie Downs (See Note Delow) n � SINGLE WIDE (I Evenly 5vaced I `D I 2' Length Variee 2' Side Tie Downs (5ee Note Delow) I I Evenly Spaced 1 1 2' Length Varies _2' 51de tie downs must be within 24" of the end of the chassis beam. End tie downs can be located within 18" of the center lino of each chassis beam, ons *tie down 16 required for each end of "I" -bei 'r -i.. Pnn�'l niC 4043490401 .TIE DOWN ENGINEERING 318 P03 JAN 02 197 17:07 i ALWAYS CHECK FOR UNDERGROUND UTILITY LOCATIONS BEFORE STARTING INSTALLATION OF ANY ANCHORING SYSTEM -•s unyo ancnors are used where hard or rocky soil occurs. If the ground surface is other than rock or mini- mum 2" asphalt, encase the cross drive anchor with concrete as shown In fig. I • Drill 5/8" diameter hole 5-1/2" deep In center of anchor location. Insert pilot stud into hole. • Drill two 3/4" diameter holes Into the rock at 45• angles, using the anchor head as a locating guide. • Place rod through top and corresponding bottom web flange and into 45° hole. Drive rod Into rock. Rod must be driven into rock at least 80% of it's length to achieve mWmum allowable pullout resistance. Earth Anchor 1. Partially install anchor allowing 14" to 16" remaining above ground level using constant downward pressure to minimize soil disturbance. 12. Utilizing oversize hammer, vertically install stabilizer plate, nesting anchor rod in between formed channels on outside of stabilizer plate (between anchor and frame). 3. Fully install anchor until tension head tests against stabilizer plate. rig. 1 Concrete Anchors MIJ2 • Concrete must be a 2500 PSI minimum slabwith 4" minimum thickness and 6/6 x 10/10 wire mesh installed. • Concrete slab must allow 4750 lbs of vertical ten- sion on anchor without lifting. This assumes that the concrete weighs 150 lbs per cu. ft. • Minimum distance from the anchor shaft to one edge of the slab is 12 in. and 5 ft. from any other edge. MIJ2 is designed to be installed into a concrete slab at the time it is being poured. • Slab must be 8 in. minimum thickness at location under any anchor to allow 5 in. embedment of"J" rod anchor. 1p MIT2 is designed to be inserted through a 3/4" hole MIT2 drilled or formed into an existing concrete slab.: 1 Page 3 of 8 Cross Drive Anchor Concrete 12" square x 12" deep MIC92 • Afterreviewin& restrictions listed to the left drill a 5/8 in x 3 in. hole in the siab where the an- chor head is to be located. •Place steel expansion sleeve over bolt and place into the drilled hole. • Place the washer onto the expan- sion bolt. S • Thread nut onto expansion bolt and tighten until maximum expan- sion of steel expansion sleeve has been achieved. • Remove nut and washer and place anchor head over exposed bolt. • Place washer and nut onto bolt to attach anchor head, tighten nuc. i 4043490401 TIE DOWN ENGINEERING Notes on Installation Soil 6,011 Description Class 1• Sound hard rock. 2. Very Dense and/or cemented sands, coarse gravcVcobbles, preloaded silts, clays and coral. , 318 PO4 JW4 02 197' 17107 Test Recommertcleel Anchors Value . Model # 9tk # Deserlption N/A MRS 59110 Cross drive rock anchor 550 in. lbs and up 3, Medium dense coarse sands, sandy gravel$, 350 to 550 very stiff slits and clays. in. lbs. M122518 59090 M122-3/4 59095 (and those listed below) MI2K5/8 59080 MI2E3/4 59085 4. Loose to medium dense sands, firm to ' 200 to 350 MI2H5/8 59080 stiff clays and silts, alluvial fill. in. lbs s , MI2H3/4 59085 "Below these values, a professional engineer should be consulted. 5. Concrete Slab 30" x 5/8" rod, 24" helix 30" x 3/4" rod, 2-4" helix 48" x 5/8" rod, 14" helix 48" x 3/4" rod, 1-6" helix 48" x 5/8" rod, 1-6" helix 48" x 3/4" rod, 1-6" helix Tensioning devices for use in concrete pad, runner, etc. shall be tested (same a! anchors) and specifications as to PSI and cure time of concrete reinforcement, size and thickness of concrete, size and depth of bolt hole, type and kind of shield if permissible. Minimum distance at which tensioning devlee can be installed from edge of en of slab, pad, runner, etc. shall be specified Installer/Contractor Certification I certify that I have installed the TIB DOWN ENGINEERING anchoring system as per TIE DOWN'S Installation instructions and that no modifications have been made to the anchoring system or building structLre. Company Name: Contractoes License it IL Date: Signature: Page 4 of 8 ��- ilk Frame Tie with Buckle I -Install strap by pushing the end between the inside of the frame "I" beam and the floor. 2. Position the buckle at upper end of the "I" beam frame. Wrap the end of the strap around the "I" beam. Thread the end of the strap thru the slot in the buckle as shown. Push the end of strap in-between beam and floor. 3. bull the strap, making certain the buckle stays in position. Thread loose end of strap thru slotted tensioning bolt attached to ten- sioning tread of anchor. Tighten slotted tensioning bolt a minimum of 3 full turns until all slack in strap is removed. (Mche[ must be properly installe i into ground before proceeding with this step.) Test Recommertcleel Anchors Value . Model # 9tk # Deserlption N/A MRS 59110 Cross drive rock anchor 550 in. lbs and up 3, Medium dense coarse sands, sandy gravel$, 350 to 550 very stiff slits and clays. in. lbs. M122518 59090 M122-3/4 59095 (and those listed below) MI2K5/8 59080 MI2E3/4 59085 4. Loose to medium dense sands, firm to ' 200 to 350 MI2H5/8 59080 stiff clays and silts, alluvial fill. in. lbs s , MI2H3/4 59085 "Below these values, a professional engineer should be consulted. 5. Concrete Slab 30" x 5/8" rod, 24" helix 30" x 3/4" rod, 2-4" helix 48" x 5/8" rod, 14" helix 48" x 3/4" rod, 1-6" helix 48" x 5/8" rod, 1-6" helix 48" x 3/4" rod, 1-6" helix Tensioning devices for use in concrete pad, runner, etc. shall be tested (same a! anchors) and specifications as to PSI and cure time of concrete reinforcement, size and thickness of concrete, size and depth of bolt hole, type and kind of shield if permissible. Minimum distance at which tensioning devlee can be installed from edge of en of slab, pad, runner, etc. shall be specified Installer/Contractor Certification I certify that I have installed the TIB DOWN ENGINEERING anchoring system as per TIE DOWN'S Installation instructions and that no modifications have been made to the anchoring system or building structLre. Company Name: Contractoes License it IL Date: Signature: Page 4 of 8 ��- ilk • Page 5 of 8 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 °:a ; • z4 &` ",7n - UA a 4043490401 'TIE DOWN ENG I NEER I NG 318 P05 JAN 02 '97 17:07: • S qf. ; i'. TIE DOWN ENGINEERING DMEPENDENT TESTING. RESULTS ULTIMATE • MODEL NO, DESCRIPON OF cT TI STRENGTH TEST DATE• :. :.,•. •. M12H VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133„ 9/15/92 (5/8-&3/4') TEST PROBE TORQUE VALUE BETWEEN (AVG.) ' 200-349 INCH POUNDS ::. y •• MI22 VIERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/1.5/92 (5/8'&3/4') TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) ' AND MORE-- MRA VERTICAL PULL-OUT IN LABORATORY FIXTURES 5,567# . 3/2/93 ' ..• ., i. . FOR SIMULATION. UNCONFIRMED ROM WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3124/94 CONCRETE. TEST S7f0PPED AT 5,200 POUNDS. MD2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200; 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,200„ 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MI2H64 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200& 10/6193 ' R; (39250) TORQUE VALUE BETWEEN 200-340 INCH POUNDSML 45 DEGREE PULL ON STABILdZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS. +tGiai NOTE: "ALL 'ABOVE 'TESTS "WERE 'CONDUCTED 'BY 'ATEC ASSOCIATES, PRODUCT TESTING, ' ' ''' ``'" •j iY INC: AND GALLET & ASSOCIATES. THE INDIVIDUAL.TEST RESULTS WILL BE `1'•" '-�( MADE *AVAILABLE UPON REQUEST. PLEASE FORWARD INFORMATION YOUR REQUEST FOR THIS TO: TIE DOWN ENGINEERING Page 5 of 8 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 °:a ; • z4 &` ",7n - UA a L., _ 4043490401 TIE DOWN ENG i NEER I NG 318 P08 JAN 02 '97 •�'��'< �; .. .. .... ....,,..v nvrNUy ' .•..,;.;.,,rk'1: mss. ' DEP PARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT RE iso ° o OVer ° ..••' : , •mrd r:y}�c�'( DIVISION OF CODES AND -STANDARDS ! 1800 THIRD STREET, Sufte 260 P -O, Box 1407 SACRAMENTO, CA 86812-1407 (916) 445-9471 FAX (916) 3274712 �"�`���•• �'' TDD 800.738-2929R nt, September 29, 1994 O L—T 0 William E. Jackson, Manager Tri-State Testing Services, Inc.1�-p (;p 6756 Buckles Cove —'"� •-------..._ Memphis, TN 38133 Dear Mr. Jackson: This is to confirm that the California Department of Housing and Community Development has approved your funis application to become an approved,testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. Please note the Department may require design calculations and test data be submitted t substantiate a design when the listed system or component does not appear to conform to ' your approved standard. We may also request this information for the purpose of routine monitoring or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes „ and/or regulations. Thank you for choosing to become an approved Iisting t t and testing agency. If in the future:. I ''''+`1' You have any questions or need to discuss a particular issue, you may contact either myself ' I , ••. f at (916) 445-9471 or Mike Rosenberg at (916) 255-2501, y Sincerely, = j Chris L. Anderson � ��t+•,,,•; ' is • , Mobilehome Parks Program M Manager cc: Mike Rosenberg tI`f PaSe 8 of 8 • 'k .: ter' I r L. ' USE PERMIT VARIANCE MINOR U.P. ✓ADM.PERMiT,,,,,,,,,, . PLANNING COMMISS. _ DIRECTOR OF DEVELOPMENT SERVICES __..._......._ ___ . 306 Itis CR platu and "cificutions MUST b► — on We job' Of ON times and it is unlawful tc mxako carry changos or alterations or tame Wit how. Rz Pow �. at terpermission from the Depoftoet td prig.%. CaCaTWO I r'lia. �.a µ ►� I .4xiG ALL STRUCTURES AND EQUIPMENT- INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF FT. FROM THE SIDE AND �-V FT. FROM THE REAR PROPERTY LINES A14D �� FT. FROM THc ROAD CENTERLINE SHALE~ BE CLEAR OF STRUCTURES AND EQUIPIIRENT' EXCEPT FOR A 2 FT. EAVE OVERHANG."' Li,4, A Permit %:;!I be rc ;u',r.cd foi the installation of th tno: I.10,hortre• 1MOr.riy MAS ;BAMS ELM fcc ccG ya �X Z so MN Planning Division AUG 2 7 1997 OravUia, Cnllsorrtio ♦ (y�•uR -;�P? xRsI) AV !-os--Z--a _1 - •I G[s SQ f` 6P11(o 4L AP# CDF FIRE SAFE REQUIREMENTS PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. ] 1273.03 Grade. Not to exceed 16 percent unless paved. I 1273.04 Driveway Radius [ ] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical. -curves in roadways exclusive // of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. } 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. �] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3. , AP # PERMIT # AME [i(] .1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�C] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [X] 1. All parcels 1 acre acid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. . [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction jr fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves b�4 s 16&/-7 NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic epri:zkler system per NFPA 13D - Glass area not to exceed 1-0t of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 2-0 ,� P Date Signature Page 3 of 3 24 -APR -98 SAT 08:44 AM INTEGRITY HOMES CHICO FAX NO 9163433332 P.02 � - .� G �- t,?,�;X'R�j'''� �Y�,�ydS'•,. •.l %�T'•�: �:ti� Y.iit :..r,•../i:. ... �.. _ Q `7) `: ,,.�^:. yam• �f..1�h. vyy7 � �'y � J, ... . Ak 9 ��:',•'�'.�'��,�':•..: " . . i:•••.'.,'.; t•'`,'<':t; •.• •: .!'•v _ it.vC ...M'`:•x r3:;s:cr•::d :/ a.,r•` cs �! �rx�� �=ai',i"- j�� '.'� •..:'-:'..:•�'`,•:'.'t:' .: T'.. ...{n. ALS. /•ft:�.{,r�.. ...� I W. 0 .I is- BUTTEr - Ar PRO, w School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 0�� glPiJs2.e'.,/ Building Department No. EL>�to Jurisdiction: �f City County 42 (o 14 a s - Property Location/Address 1,e _^0 A/ Aug= L_//o y < < �¢ • Subdivision � Lot No. y Residential Development � � Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior 'Roofed Areas) Building Department RepresentU e Date District Identification No b s (Street Address) u-ioor rians reviewea Dy acnooi. uisinci rersonneip School District certifies that RrA .� (Applicant) S 3 3 -gbE3 CL't-,ri (Phone Number) OraJ�l�p cls �Sqt.� (City) (State) (Zip Code) f has complied with the requirements of Resolution No representing fj '.-I, 'L 3 square feet. School D Paid by Check # Remarks: q S ; Q $ by ,payment of $ ;L 13 •\ . 0A �- B 2926 $ ULL MITIGATION S Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2i97)dmm V/ LAND DEVELOPMENT BUILDING / ENVIRON NTAL HEALTH - PERMIT CLEARANCE Building Peim&No. I, OWNERS ��/ A. P. c G NAME: 5 -Y9,�?P/ S n 6 ei2 f NUMBER: PFJNT LAST NAME FI T! / ADDRESS/ LOCATION: .'5 . G <71e,N 02, COUNTY ZONING DESIGNATION: ff/ FLOOD ZONE: FLOOD MAP:eC'J� f� APPROVED: CONDITIONALLY APPROVED: V RESOLVE =lOR TO APPROVALPARCEL CREATION BY DEEDS OR MAP Mvh1 8_O22 � 2005F VwEu.ati1C� DEED INFORMATION: I, SG he DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT 3 BOOK 4C PAGE COMPLIANCE WITH OLD SUBDIXV!0N0 N LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES . IF YES, MARK APPROPRIATE ITEM(S).BELOW: A. Construct road to S. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1.. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft -building setback from right-of-way/centerline of _ 3'. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield-setbackfrom all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. '_ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. — 11. Pay T.D.D. (Thermalito Drainage District) fee in the.amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A trWfic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning DAdskn. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions. of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person 'would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. - 'Ala 113 dp,33A33a 43Nyl SM £ t ddV a3N3338 LD 5197 RESIDENTIAL 4 068-16-0-08695-2004 B j HARRIS, Monty 465 Glen Drive, Oroville { (add garage & decks) Quality Const' m JOB FINALED) 5 Signature J A V=OK• O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy r t MISCELLANEOUS Date/Initi K -PECKS COVER$ •CARPORT 9 E8 Islans OK except #'s oning Requirements -Setbacks -Easements 2 otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. lectric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailir --veneer-Stucco-Mesh 10. Roof; g -Roofing 11. Ext.; Steps -Doors -Landings Z_- Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water *Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL,(Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth .4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post CaDs 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments st Final: �7► COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541��—� PF:R IT O. APPLICATION AND PERMIT Q ASSESSOR PARCEL NUMBER 068-160-086 ZONIN AR BUILDING PERMIT OWNER MONTY HARRIS TELEPHONE SQ. FT. OCC. BUILDING VALUATI 576 M 10 368.00 OWNER'S MAILING ADDRESS 300 C 3,900.00 CONTRACTOR'S NAME QUALITY CONSTRUCTION LME 1489 120 0 840.00 CONTRACTORS MAILING ADORE 59 OAKVALE AVE OROVILLE, 95965 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 15.108.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 171.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 465 GLEN DR PERMITFEE $ 302.15 OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE & DECKS SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home I S I GI IN 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 1 20.00 Main Service ' V OR LESS ( zooA OR LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f�j}I force and effect. ` ^ License Class (� Lic. No. 3� /oR .� 7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to. construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ( 8 ACC. BLDS. ) 3.S¢ FT. NEW CNS. CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUfLEr CIR. Ex. Occup. (OUTLET OR FOS. RES ) 20 9 1.00 BAL .SO EX. Occup. OUTLEEDTs RESD.)Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatioD inp rance carrier and policy number are: Carrier ( f– le MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the jw kers' compens ion provisions of section 3700 of the Labor Code, I shallhwith complythose provisions. X_ __ Date !J g a z � _ Si nature o Applicant - ❑ OwnerXContractor ❑ Agent An OSHA permit is required for excavas over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 302.15 HA2. D. FEES IMP FLOOD X COF PARCEL T_ PD H 5SU This permit is hereby issued under the applicable provisions ofth utte Coun,Code and/or Resolutions to do indi to a fo which fees have been paid. B C� Date96 PERMITEXPIRESON / - 6 - (Date) work /J Receipt No. 180983 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance MONTY H GLE-N Oq E.H. USE ONLY Plot PLM AuacW Floor PLM Attached i►�' Seat to B.D. /Qr— '�'1 ro-ca8(c� Owner Location AP# - . Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for tor Other GSA G 6 I VEnvironmental Health Specialist Date 0 /M r. f ' w ti i! . f - r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE GALIPGMIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERRaA. P. No. 06 8` 16 0 " 09-6 Proposed Building Use 9U Building Inspector _ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted......................................... 2 Plot 131ans. 3/4 sets, signed by preparer of plans . .......................... lete plans 3/4 sets,QneeML2 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees.,A�.k�,?��/�� ......... Flood elevation letter (100 year fic?gj by Cali rnia Engineer. . . 104Y,14. Sanitation and plot plan approval tl ealth Department . ............ 2 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . .Pre -Inspection reyu-ea- 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ......... .......... ............... 26. Copy of recorded deed of parcel creation and 60 right of.way to a public'road. :r . . 27. Letter of intent on building use . .................... .............. ..... . 28. Mobilehome utility clearance . .............::................:.....:.... . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone si3 4410-0(and hold for pickup at office. Deliver with inspector. Other e A Parcel Creation Acreage Applicant Date �-/ ) // S S Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). ontrac o esigner, owner, was advised of above required data by phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by C.r I a eo,Js Date Plans approved by (Jon,J Date 9 2- - Sets of plans on hold in >1 File cabinet :.._-AP folder Copy - Department of Public Works f ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO F . N .RESIDENTIAL 068-160-086 PERMIT#95-1940 HARRIS, Monty 465 Glen Dr., Oroville Mobilehome Utilities Cont; Stanton'Const. OFFICE COPY Address GAS Meter By Da�— ELECTR�l Meter By DaF5-�3/ JOB FINAL (Date) Signature v J=OK O = Not OK t = Not Readyable MOBILE HOMES Date ILE HOME UTILITIES (Plans) OK except #'s oning Requirements -Setbacks -Easements 2,Soils; Special MH Support Sketch {/3. er; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) Electricity; Location-Cleare s-Grn p -Concrete 6. Gas; cation -Test -Wrap 'L"ft. j /!/ at. or/ /"L"ft./ /"LPG / ell Clearance & Disconnect 8. "Utility Clearance Da S—' —1and B-1 Date Card B-1 v Date MOPILE HOME INSTALLATION (Plans) OK except #'s ing Requirements -Setbacks Easements > Flings; Size -Spacing -Marriage Line 3. GAsi f Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5 in; MH Test -Fall -Flex Connector 6. MH Test -Regulator -Connector 7. Wat and Sewer Connected -C/O to Grade -HD Approval Gas d Electricity Tagged xit sp.-Sketch l ert. of Occupancy Dat � --/ Card 6-1 to Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date • DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability . 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) _ = Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 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 -Bloc kouts-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------- ---------------------------------------- --- ------------- 25. Romex Installed Close to Edge of Studs & C.J. - -------------------------------- -------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water -------- ----------------------- ---- --- ------ ---- ---- ------ ------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------- - --------------------------------------------- -------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sizer ! ga. _ Cu or At ------------------------------------------ ------ --------------------------- 29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral -----------❑ Yes ------ -❑ No ----------------------- --- --- 30. Service -Riser Conductors & Ground -Main Disconnect - --------- ------------------------------- -------------------------------- ------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------- -------------- ---------------------------------------------- ---- - ----- -------- 33. Smoke Detector ----------------------------------------------- ----------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A. C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------------------------------------------------------- 36. -------------------------------- 36. Condensate Drain & Overflow: Size & Grade --- -- - --------------------------- - ----- ------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ------ ---- -- --- ---------------------------------------------- 38. Attic Access & Platform if Furnance in Attic Date--------- ---C----------------------Dateard----------------------Card--------- ----------- ----------------------- - - -- ---- --------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - -- - - - -- - ------------------------ ---------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ------------------------------------------------ ---- 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -- ---- -------------------------------------------- ----------------------- -------------- 43.. Fire ---Stops: Furred Ceilings -Stairs -Chases -Tub -- ------ ------------------------------------------- ----- 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Storv. 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protectiori 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- ---55.- Siding -Nailing Veneer -------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access, 57. Glazing Area -Glass Protection -Skylights- Plastic ------------- 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wails -Windows ------------------------------ - Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 " Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------- --- 62. Smoke Detector --------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------- 64. Bedroom Exiting ----------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels, __________ 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - --- - -- --- ----- ---------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; _Grnd -Air Gap -Cooking Clearance 71. Etec. Outlets & Receptacles at Kit. Counter ------------- -- --------- - ---------------------- ---- 72 -Garage -Fire Door; Swing -Landing -Closer -- 73.--A.C.-Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- ----------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- --------------- - - 78. Guard Rails & Deck -Co nst ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------------- - ------------ - - ---- 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing - -- ------------------------ ----- -- 83. Vents Above Roof: Plb9 _ A liPP ance-Fire p lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------ - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection - - --------------------------------- ---------- ----------- 88. Corrections from Previous Inspections - - ----------------------- ------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------- ----------------- 91. Energy Compliance Certificate -Other Certificates ------ - -------------------------- Date Card B-1 Date Card B-1 --- ------------------------------------------- --- ---- Date Card B-1 Date Card B-1 ------------------------------- Date ----------..----------------Date Card B-1 Date Card B-1 Comments at Final: 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's --------------- 1E. Water Htr.. Vent -Access -Combustion Air -Baffle ------------------ - ------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ----------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --- - --------- Date ---------------- Date --19. Shower Pan: Test. First Floor -Tub Access ------------- 20.-Test-Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------ ---------------------------------------------------- Card B_1 - Date Card B-1 -------------------------------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------- ---------------------------------------- --- ------------- 25. Romex Installed Close to Edge of Studs & C.J. - -------------------------------- -------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water -------- ----------------------- ---- --- ------ ---- ---- ------ ------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------- - --------------------------------------------- -------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sizer ! ga. _ Cu or At ------------------------------------------ ------ --------------------------- 29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral -----------❑ Yes ------ -❑ No ----------------------- --- --- 30. Service -Riser Conductors & Ground -Main Disconnect - --------- ------------------------------- -------------------------------- ------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------- -------------- ---------------------------------------------- ---- - ----- -------- 33. Smoke Detector ----------------------------------------------- ----------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A. C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------------------------------------------------------- 36. -------------------------------- 36. Condensate Drain & Overflow: Size & Grade --- -- - --------------------------- - ----- ------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ------ ---- -- --- ---------------------------------------------- 38. Attic Access & Platform if Furnance in Attic Date--------- ---C----------------------Dateard----------------------Card--------- ----------- ----------------------- - - -- ---- --------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - -- - - - -- - ------------------------ ---------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ------------------------------------------------ ---- 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -- ---- -------------------------------------------- ----------------------- -------------- 43.. Fire ---Stops: Furred Ceilings -Stairs -Chases -Tub -- ------ ------------------------------------------- ----- 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Storv. 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protectiori 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- ---55.- Siding -Nailing Veneer -------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access, 57. Glazing Area -Glass Protection -Skylights- Plastic ------------- 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wails -Windows ------------------------------ - Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 " Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------- --- 62. Smoke Detector --------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------- 64. Bedroom Exiting ----------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels, __________ 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - --- - -- --- ----- ---------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; _Grnd -Air Gap -Cooking Clearance 71. Etec. Outlets & Receptacles at Kit. Counter ------------- -- --------- - ---------------------- ---- 72 -Garage -Fire Door; Swing -Landing -Closer -- 73.--A.C.-Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- ----------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- --------------- - - 78. Guard Rails & Deck -Co nst ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------------- - ------------ - - ---- 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing - -- ------------------------ ----- -- 83. Vents Above Roof: Plb9 _ A liPP ance-Fire p lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------ - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection - - --------------------------------- ---------- ----------- 88. Corrections from Previous Inspections - - ----------------------- ------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------- ----------------- 91. Energy Compliance Certificate -Other Certificates ------ - -------------------------- Date Card B-1 Date Card B-1 --- ------------------------------------------- --- ---- Date Card B-1 Date Card B-1 ------------------------------- Date ----------..----------------Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT C> `7 ASSESSOR PARCEL NUMBER 068-160-086 AR ZONING BU I LD I NG P ER M IT OWNER MONTY HARRIS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME STANTON CONSTRUCTION TELEPHONE 533-4675 CONTRACTORS MAILING ADDRESS PO BOX 1856 OROVILLE Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS R PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 6 Installation ❑ Other ❑ Describe Work: 3 BEDROOM Mobile Home 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 91, 00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class y2 Lic. No. _ ��(�S� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Er'l as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 2U Q 1.00 e�'� 5° Ex. Occup. OUTLETS RES D.FIXED APPLNS. )EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c mply with th se provisions. -/O X _ Date / Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1.66.00 HA2. D. FEES IMP - FLOOD CDF PARCEL PD HD SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMITEXPIRESON G 6 fie) Receipt No. 8 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE t BUILDING DIVISION" DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt_ =Road; Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. _+ REV 10/92 E.H. USE ONLY Plot Plan Attached Floor Plm Attached a'�w Seat to B.D. A/ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M6N Owner � Location Q/Q D , � AP# Plan Approved for: Sewage Diispoossal Water Supply: Public Private Well rInvirunmCnuu nrsuui 2/07 Late rNrrt:+r h:7rii �rr"lr+r+titi Mr ,,,,; COUNTYOFBUTTE -DEPARTMENT OFDEVEMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF(.RNIA.95965 -TELEPHONE (916) 538-7541 o PERMIT APPLICATIONbATA SHEET OWNER ///* Y A/Q r r 1 S t 0 A. P. No. 06 "l C) J (96-6 Proposed Building Use ./iz,�, _ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............. X ........................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of $ . .............. . aQ+ ................ . V12. t fees as shown on attached schedule. . �?. . rnia Department of Forestry plan approva ees.. ... elevation letter 100 ear floo b Ca i orn n ineer..................( y y I g tion and plot plan approval i^O ���Health Department . ............ 15. Ctyof Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 1�. Contact Land Development about (A) Improvements (B) Drainage. 1�9 Driveway permit (construction approval required prior to occupancy).C'i,l'vd�... ZN relnspedion requ., 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) ......... . 22. Certificate of Workmans Compensation Insurance . ......................... . 23 Owner -Builder Verification (Given to owner , Mail to owner _)............ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner.��1 Mail to contractor. Telephone - land hold for pickup at ( Im I ; ! t +' office. Deliver with inspector. Other Parcel Creation j Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 1 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by G ( (3!3 o.J S Date 8:3'zq4&: 3 Sets of plans on hold in File cabinet b AP folder Copy - Department of Public Works Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Build:i!.,g Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this ; 95-028 — acknowledgement be recorded prior to issuance of a building a - _015 permit. NOT 00WA10D WiTM . The property described herein is adjacent to land or included ORPSW4AL DO[UM" + within an area zoned for agricultural purposes, and residents of this ' property may be subject to inconveniences or 1 % Q discomfort arising from 'the use of agricultural chemicals, AUG 1 ` �✓�� 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 zones which have as, a priority use for productive agricultural purposes and residents. within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL 3, as shown on that certain Parcel Map, Recorded in the office of the Recorder of the County of Butte, State of California, on April 9, 1974, in Book 49 of Maps, at page 55: BUILDING DEPT :AUG 1 ? 1995 Date: " >/ " J 5' PROPERTY OWNERS: `1 , \P�2.t��t.�...n '�.us•z-�e - �' �l �Gct✓z�� Luv� MONTY.R. HARRIS, TRUSTEE MARCOET HARRIS, TRUSTEE State of California ) County of wta) On - - 9s before me, U c ci o personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(i, d t by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of Signature Seal: OFFICIAL SEAL ^ 4 R/ ^ LPMViu n#%LJ%ULA NOTARY PUBUC CALIFORNIA FORNIA A. P. - NOTARY N W COMMISSION r 1057912 C BUTTE COUNTY -` 14 Commlaslon Exp. May 9, 1999 c w.:?+ t+�i+..ej�..vawrt:rr 4v4!e,►fr`'w;'t`"y'k'i'�:,iv `xse�+#r►c ^+.srraxr« r• Jtl 777 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Farm Per'Bu'ilding) School District (��! �`L��� Building Department No. COUNTY Og BUTTE BUILDING DEPT AUG 1 7 1995 A.P. Number,0 ���j-�� Jurisdiction: City County Property Owner 4 /tW 2 y �� Property Location/Address L-El/y ZIDA-- Cl)/( - y Subdivison Lot No. Residential Development N. vin, M 0 Sq. Footage co N 'HI Addition (Group R) Units Commercial/Industrial . ��:.:�n (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior RooGGd Areas) 7 Date District Identification No. .2_ 0.2- cru, School District certifies that A -' I 4Applicant) (Street (Phone Number) 9.-96 (Zip Code) has complied with the requirements of Resolution No. �.3- % �- / (� by', payment of $ representing / & %,�- square feet. Representative Paid by Check # Remarks: Bank Number Paid by Cash t AB 2926 $ PULL MITIGATION $V—/ // fP Date If, subsequent to the School-Qistrict Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm V.:- a LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. OWNERS A.P. NAME: 4CLy—'y-I' D NUMBER: �IUU 1p LJ` OU C2 PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: /A FLOOD ZONE: • n FLOOD MAP: 3 S APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO ' LEGAL ACCESS REQUIRED: COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITION MAP INFORMATION: YES NO A 5�5 4C &Le"j o,-. DATE OF RECORDING �J -14 LOT BOOK PAGE 55 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO.. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. /\ 1. Maintain a 50 ft. building setback from centerline of road. 6 t—ew YJ /Z 2. Maintain a ft.building setback from rig ht -of -way/centerline of _ 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a public sewer system. 9. Automatic fire suppression sprinkler systems .shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12.Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planting Division. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements..of.the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21 22. 23 24 25. NO iMdoiwa aw 3.08 30 AiNf100 5661 5 1 9nd ®3AI303a LD 8/95 - C1WP51\FORMS.K\BLDGPERM.CLR August 16,-.1995 ORO WLLE-WYAJK:DO,TU /RR/G47'/0# DISTRICT Monty R. and Margaret M. Harris 461 St. Florence Dr. San Jose, CA 95133 WATER and HYDRO -ELECTRIC Re: APN 68-16-86, Glen Dr., Oroville Dear Mr. and Mrs. Harris: 2310 Oro Quincy Highway P.O. Box 581 Oroville, CA 95965-0581 ,910 63`si-4578 I hereby affirm that OWID will provide treated water service to the referenced property subject to, and immediately upon compliance with all of the following conditions: • approval by LAFCo of the parcel's annexation to OWID; • payment of all OWID fees and charges (estimated to be $3,177.00); and • installation of water service facilities in accordance with OWID Rules & Regulations. Sincerely, OROVILLE-WYANDOTTE IRRIGATION DISTRICT U4 Michael laze, General IF:\DATA\ASSORTED%LTTRCUSTIHARRIS.895.8/16/95 (3:30pm)1 5 NCCE: Materials & Workmanship Shall Be 1n Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use in the Uniform wilding,Flumbins & Me h moat Codes and L118,MSC101tal EIGOtXtOal ode APPROVED ' Butte Co my Envir nment Health' This set of plans and speciScations MUST be kept on the Job at all times and it is unlawful to make any changes or kteration s on same without 7ntten permission from the Devartment of IN,hlin All. STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3 0 FT. FROM THE SIDE AND �(0 FT. FROM THE REAR PROPERTY LINES AND i FT. FROM THE ROAD .CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT. EXCEPT FOR A 2 FT. SAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEFY'. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions per attached sheet.5 �� - . r n.,,0 0 he 0 z�X 60 r> i 130 156 j 74 T�L COPY. qs-Myo 4, 1 6C_111f� AP# CDF FIRE SAFE REQUIREMENTS mss,, Gn v,/ 7 -y PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [54 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app -,rte -i -ant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. j 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [}�J 1. No roadway shall have a horizontal inside radius of // curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vert -i,_! -.;U curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [A 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minim foot traffic lane and unobstructed vert' f 15 feet along its entire length. Page 1 AP # Y PERMIT #. NAME [x] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts.shall be provided no more than 400 feet apart. (�C] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [x] 1. Gate entrances shall be at least two feet wider than .the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot.setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the.same practical effect. See Other Requirements below. [\*fi 1276.02. Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to.a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction -:Pr fi.ial inspection of a building permit. AP # PERMIT # NAME Other Reauirements [ ] if Building Setback is 15 to 30 Feet: Class A or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1_0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 BUTTE COUNTY BUILDING DEPARTMENT APPR®VED .y i -: TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit 12��Gc�� has been issued for the above property. s i ature �BU� IN%i G DEEPT�� date AUG 2 1 1995 +�lah ��?i4f d� ?C•Cii�i!i'T-ai .R .a4��Y�+',�F� �r. .1�: T%ry'.'^.��': u" � r`( �..t�3� _F� +; n�'"'r �Wv wrr�-"r..aC ;q'�'''t'�F. 4. ' 3 ,,r{x.=�"',�y� M�'}` T��,<„�it.. ti``,1°%��'!'�.'r^�!+:F'�'.'r°�"!d. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:0&8— )6 / PERMITNO�� / D Owner's: �l Name:4 Z) OP t4 A Owner's: Address: L2 Mobilehome 1 j _ Year of r 1 Manufacturer �" a/--, . Manufacture: Serial number � ®, Insignia or/ -7 PA or V.I.N. HUD number: ✓ Official approving i stallation: Date: / If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor .S1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovi@e, California 95965 - Telephone (916) 538-7541 PER MI NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER HffiKMKK 068-160-086 ZONING AR BUILDING PERMIT OWNER MONTY HARRIS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 461 ST FLORENCE DR SAN JOSE, 95133 CONTRACTOR'S NAME AL CARL TELEPHONE 4403 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS GLEN DR PERMIT FEE $ ' PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome)( Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 G Mobile Home S W @20.00 TYPE OF WORK New ❑ Addition O Remodel ElUtilities ❑ Installation Other O Describe Work: rl' 3 BEDROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 000V OR LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 SFTO- , CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason_. NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FI%TURES ) B20 @ 1.00 Ex. Occup.FIXED APPS. OR ( OW OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 - Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature 15f A licantwner ❑ Contractor O Agent An OSHA permit is r wired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ- D. FE IMP F10D CDF PAROL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �— BY � D e � �� n� PERMIT EXPIRES ON � IDs IJ) Receipt No. 176094 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •�+..j."'^T'^F'71.r.`".".7JL.A•'`1J�+i-^T-.':K'•`c•, ��.y,� h s r J! "r.t'rTt1�''1r n7'i:r'�cYT(•. s je I '-COUNTY OF BUTTE - DEPARTMENTORDE':ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALf-OR,NIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION' -DATA SHEET OWNER M D ry Proposed Building Use A. P. No. ©(OE-,/lS� 0 y Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1.� All items have been submitted. ........ ............................ . 2. Plot plans, 3/4 sets, signed by preparer of plant's . ............... `......... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings.. .................... . 8 Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data an anu a s a a ion instruc ions 2 sets. ........... t'5 10. Fees of $ .......................................... . Impact fees as shown on attached schedule. x.. f 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: "` 18. Contact Land Development.about (A) Improvements (B) Drainage."',......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Preanspection request 20. Pre -inspection for required. .. to Building inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner �. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 7. Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... !R 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired. permits . ...................................... 12. Plan check list . ..................................................... When you issue the permit, pjjocess as follows: Mail to owney,. Mail to contractor. _ f Telephone' ` 0_3 and hold for pickup at 10 office. Deliver with inspector. Other _ Parcel Creation' Acreage Applicant ` Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. Sf 2. Additional items required: ontracor, esigner, owner, was advised of above required data by ->C phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by - Date Plans checked by S GsnrS Date $ 2t' C r Plans approved by 1; (4 a o -s Date 8 36 r7 S Sets of plans on hold in File cabinet X AP folder Copy - Department of Public Works 9cuso I q3'-4 j BATH OPTIONAL MASTER BATH 0 _O,. I'-4.' IT -.3" ,_4 0,_8F, oPT[ouu Kua�oH Zvi DINING KITCHEN UTILITY I c q4, swum �Au I iv !� BREAKFAST i BEDROOM 3 - BATH r `= v uNnl T � fAAi NARDROBE I I I I I � I si MASTER BEDROOMI FAMILY LIVING BEDROOM 2 i I OPf10w1 NRm011 T-4' --IS'-8-�3'-4' Model# GV -661S2 1672 Sq. Ft. Page 7 GV 11/93 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 liV !� S A.P. # OWNER � PROPOSED BUILDING USE DATES =/ REC. # DATE REC SCHOOL DISTRICT FEES D -b 0 em . (paid at District Office) q11-7 S SHERIFF FEES (paid at Building Division) Residential...... '_x� =$ i _ lb unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. 1-1% ^ APPLICANT DATE�� Mobilehome Manufacturer: �Jo l4 e �' M'l Manufa re Year: 5 If other than single wide, furnish Setup Model Number: Gy b-l(,l Width:_2 P- (ft.) Length:�(ft.) Tagalong or Expando Size-- (ft.) x (ft.) On all mobilehomes manufactured 'after October 7,A973, furnish manufacturer's installation manual and structural setup sheets. - FOOTINGS: Wood pressure treated or foundation grade[x] Other: SUPPORTS: Concrete blocko Other: ' Provide Tie Down Specifications for ali'Mobilehomes: t4 ESC 012o55 , g U� Pier Footings Sizes and Location SINGLE WIDE 1 MULTI -WIDE Line 1 fi Line 1 Line 2 Line 2 ....................................................:........................................... Main Beams Line2 �w..................................................'............_.._....... ine 2 Line 1 Line 3 Line 2 ................................................. ............................ ................... Main Beams ................................................................................................ Line 2 Line 1 a Tag or Triple ine 4 rinel Line 1 Piers: Size minimum: r i x Spacing maximum: I L` From ends -maximum: ` Line 2 Piers: 01.SpSize minimum: U2 ] x [?01. - Spacing acing maximum: ` From ends -maximum] ` Line 3 Roof Loads: Size minimume� y Location (from): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x-[ ]. Spacing maximum: ` From ends -maximum: ` VA 719 J.Z r3021IX3o x Erb 1001f -soil of 3511 It Line -n Roof Loads: Size minimum: Location (from front): QsITTE COUNT• OVE0. FILE COPA. YA qj 5- P d c� 4.( 1. Owner's Name: 2. Assessor's Parcel Number: D / ) a0- 3. Installer's Name: 4. Is the site currently under permit? Yes(x] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No``[x] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /d0 Amperes. 7. What is the mobilehome site circuit breaker rating? o 0 Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ,�] If it is, what is the rating? Z l/ Amperes. 10. Is' there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ Yl If yes, please identify the load and size: a) The mobile home site: _ Load- Amperes- - - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[Xj None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 31V inches. - 13. What is the gas pipe length from the meter or tank to the mobilehome?/ lj (ft.). 14. What is the mobilehome gas demand? - B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO - - PROCESS THIS PERMIT APPLICATION t May 1995 8.5 NWZ: All Materials & Workmanship Shall Be In Accordance with Recognized Good Praotices and Of a Quality Prescribed for the 8peci8ed use In the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 13'-4" This set of plans and specifications MUST be kept on the job at all tgmes and it is unlawful to r401 0 make arip cllanges or 61terstions on mase without lwritten permission from the Department of public ------ works, County of Butte. BATH ■ OPTIONAL MASTER BATH 6' - O" Model# GV -661S2 1672 Sq. Ft. `S 0014 B q�'0 CO, 40 Y - Page 7 GV 11/93 i LL) I.1 iM T W Riiii AP P R MINOR USE PERMIT BUTTE COUNTY PLANNING COMMISSION OCT 4 1997 DATE: (Certified Mail Receipt) MUP 98-02 PERMIT NO. 068-160-086 ASSESSOR'S PARCEL NUMBER Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Monty & Margaret Harris is hereby granted a Minor Use Permit in accordance with the application filed August 27, 1997 to allow a permanent second dwelling unit on property zoned A -R, located at 465 Glen Dr., Oroville. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a condition to this Minor Use Permit, all.conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a Minor Use Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. FINDINGS: Section 1: Environmental Findings. A. This application for a Minor Use Permit to allow a permanent second dwelling unit is Categorically Exempt from environmental review; and Section 2: Zoning Ordinance Findings. 0 Butte County Department of Development Services 0 Planning Division 0 A. The proposed location, size, design, and operating characteristics of the proposed use is in accordance with the purpose of Chapter 24 of the Butte County Code, the purpose of the zone in which the site is located, the Butte County General Plan, and the development policies and standards of the County; and B. The proposed location, size, design, and operating characteristics of the proposed use will be compatible with and will not adversely affect or be materially detrimental to adjacent uses, residents, buildings, structures or natural resources, with consideration given to: 1. Harmony in scale, bulk, coverage and density; 2. The availability of public facilities, services and utilities; 3. The harmful effect, if any, upon desirable neighborhood character; 4. The generation of traffic and the capacity and physical character of surrounding streets; 5. The suitability of the site for the type and intensity of use or development which is proposed; 6. Any other relevant impact of the proposed use. C. The proposed location, size, design, and operating characteristics of the proposed use and the conditions under which it will be operated or maintained will not be detrimental to the public health, safety and general welfare, or materially injurious to properties or improvements in the vicinity; and D. The proposed use will comply with each of the applicable provisions of Chapter 24, Section 280, of the Butte CountyCode. Section 3: Action. A. Subject to the findings indicated in Sections 1 and 2 of this Exhibit A, Minor Use Permit for Monty & Margaret Harris on APN 068-160-086 to allow a permanent second dwelling unit is approved subject to the conditions listed herein. B. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant and only as to those conditions or requirements recommended by their respective departments. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. C. Conditions of Approval: The Second Unit shall not exceed 1,200 square feet. ❑ Butte County Department of Development Services 0 Planning Division ❑ 2 2. Provide two additional off-street spaces. 3. An attached or detached 'garage or carport with a maximum exterior dimension 20' by 24' is permitted. 4. Adequate septic and potable water facilities shall be provided under permit as determined by the Butte County Environmental Health Division. 5. Either the existing single family dwelling or the Second Unit shall be owner occupied. Certification of ownership shall be required prior to permit issuance and annually thereafter by submittal of a declaration in a form specified by the Director of Development Services or designee. 6. No permits for any additional dwelling may be approved unless the Second Unit is first removed, or a Use Permit be approved by the Planning Commission. 7. Construction, installation or development of structures or facilities on the parcels/lots shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits. 8. Building identification and/or addresses shall be installed in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 9. Applicant shall comply with all other applicable federal, state and local regulations. NOTE: Issuance of this permit does not waive the requirement of obtaining Building Division and Environmental Health Division permits before starting construction nor does it waive any other requirements of federal, state, and local law. , . 0-e� -,. :?� Bu County Planning Commission Chairman cc: Land Development Division Building Division Environmental Health Division California Department of Forestry ❑ Butte County Department of Development Services ❑ Planning Division ❑ 3 J November 4, 1997 Monty R. and Margaret Harris 465 Glen Dr. Oroville, CA 95966 CERTIFIED MAIL Re: Use Permit, AP 068-160-086 Dear Mr. and Mrs. Harris: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 Enclosed is your validated Use Permit No. MUP 98-02 to allow Mlnor Use Permit for a second dwelling unit. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry L A N D O F N A T U R A L W E A L T H A N D B E A U T Y CERTIFIED MAIL Re: Use Permit, AP 068-160-086 Dear Mr. and Mrs. Harris: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 Enclosed is your validated Use Permit No. MUP 98-02 to allow Mlnor Use Permit for a second dwelling unit. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry ' e 4 APPROVED Development Pie" r 5c1t.E I :--150, . � nT 4197 DATE �_. .............:. ' USE PERMIT ____✓VARIANCE *..... MINOR U.P. ✓ADM.PERMIT..,.... PLANNING COMMISS. ' DIRECTOR OF 306 DEVELOPMENT SERVICES �. L6CATIQ+J I 2� X 4ir 1 i i Gcs cu Eur scc coc o ti Zao - MH 1 a 7.(. (,0 M SQQ}� • L 2o -c -h ' 130 I 3Zo . mot. N Af O MA906 RA/.us LitS Planning Division ' MCI 7 1997 Jrovilie, Cmmlisorma. . 53� - 8o5 ,