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069-090-053
t NOTES RESIDENTIAL. PERMIT NO. —_069_090-053,--- 2,26 84 XANDER, FRANK gayREENBRIER, FRANK, CONT: FLEETWOOD RETAIL DETACHED GARAGE x i i t- ,F t � r SPECIAL CONDITIONS CHECKED BY _/ASR FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) L`a Signature J=OK 0 = Not OK able : = otReady MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10: Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with C Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s fifo.-,honing Requirements -Setbacks -Easements Footings; Soils-Size-Depth-Spacinn-g Connectors -Steel 3 s-Bectcs GlydbYsand/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- RftrsConf ectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal=Enclosures C rts; Windows -Doors Elec rie r ; Sills-Anchors-Studs-Rftrs-Trusses �jding•, Nailing -Veneer -Stucco -Mesh hof; Shthg-Roofing Ext.• -teps-Doors-Landings raced Wall Panels Date Card B-1 Date Card B-1 Date v Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GF] 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotOK Applicable =Not Applicable . = Not Ready d RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation (Single .& Duplex) ;0 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance -50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52 -Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56.. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers + 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access `59. Glazing`Area-Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts „ ' z • - 61. Brace Interior/Exterior Wall Panels ' IOU 62. Insulation -Walls -Ceilings ' 63. ' Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date - Card B-1 IDate 11' Card B-1 Date FINAL (Plans) OK except #'s f 64. Ext. Steps -Door & Sidelight Protection -Landings •65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails I - 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance - 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper I 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic t' 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ' ❑ Yes + 83. Following Instld./Drive 0 Yes Cl NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish I 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House j 90. Glass Protection j 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date j Card B-1 Date Card B-1 Date ( Card B-1 Date Card B-1 Date j Card B-1 Comments at Final: i 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors ' 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing ;0 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance -50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52 -Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56.. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers + 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access `59. Glazing`Area-Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts „ ' z • - 61. Brace Interior/Exterior Wall Panels ' IOU 62. Insulation -Walls -Ceilings ' 63. ' Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date - Card B-1 IDate 11' Card B-1 Date FINAL (Plans) OK except #'s f 64. Ext. Steps -Door & Sidelight Protection -Landings •65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails I - 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance - 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper I 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic t' 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ' ❑ Yes + 83. Following Instld./Drive 0 Yes Cl NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish I 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House j 90. Glass Protection j 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date j Card B-1 Date Card B-1 Date ( Card B-1 Date Card B-1 Date j Card B-1 Comments at Final: i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 y 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE \)�ae4 Lie c>2-. "!4t; �/ OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con t this office immediately. f -..ref � l l � . A / • - �� r' U i Date ` 2 Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _ y OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please c4qntact this office immediately. �. Date G -7 Inspector "�%` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�(J n�� 1Rev.1246*3 , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER o ZONING BUILDING PERMIT OWNER feCti-HIINE SO. FT. OCC. BUILDING VALUATION w w OWNERS MAILING ADD SS 141 ANDALUCIA CT, SPARKS, UPTADA R-9-636 CONTRACTOR'S NAME FT FMU(Y)T) -PETATI TELEPHONE 1532-330i CONTRACTORS MAILING ADDRESS RIVER - 2243 FEATHER GR(AqLLEGA 95965 CONSTRUCTION (ENDER 9 9 Fireplace LENDER'S MAILING ADDRESS Total Valuation $" ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 -Filing Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 87.75 BUILDING ADDRESS 69 Energy Plan Checking Fee $ $ PERMIT FEE $242.75 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V0LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 isjn full force and effect. 7�c.� �� License Class Ts-t(? Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project, ! ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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' ompensation insurance carrier and policy number are: Carrier Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADONS. ( a ACC. BLDS. SO 21.85 3.5¢x; O IpµREOSIID. MULTI-0CY.T 97.50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. ovTlEr OR FIXTURES so p 1.00 BAL p .50 FIXED APPLNS. OR Ex. Occup. our. REBID. En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 41.85 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number b 2 .0Cc> (The above sections need not be completed if Ithe 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 works ' compensation provisions of section 3700 of the Labor Code, I shall forth th c ly with those provisions. X Date %/- / - G Signature of A cat - ❑ Owner ❑ Contractor ❑ Agent An OSHA perm- ' required for excavations over 5'0" deep and demolition or construction of structures o Per 3 stories in height.d4Uk'Data Mobile Home Installation Fee 1 $ Energy Inspection Fee. $ OCC CONST. TYPE TOTAL FEE $ RZ,; HAZ. IMP FLOOD CDP I PARCEL I PD HD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. () ate ReceiptNo. 363807 $284.60 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V I"r17��.'9ttf�!1t�1��"c�"�lF�" st�'"'A`^»/I�'i,�'M°'F'r ''++1Ppt+�f�l�t �+G`'?i'i�� • c r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .. 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PE IT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMB Proposed Building Use: Counter Technician Date: Items required in order to apply for a permit. All boxes MUST be checke O marked NA in order to apply. f3. lot plans, 3 or 4 sets, signedty the preparer of the plans. omplete plans, 3 or 4,se�ts, signed by the preparer of the plans. ngineered plans, 3 or 4sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ngineered truss detailsad layouts in duplicate. No faxes! nergy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ned by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑/�0. Letter of intent for non-residential buildings..................................................... I .... ��j 1. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 0115. Statement of Intent for Non -heated and A/C Buildings..................................l. �O *6. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. tCity of Chico Plumbing permit......................................................................... •. alifornia Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: D K (B)Parking: . (C) Parcel Check: p—I— 0r2_ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... .\� ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. 1 ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.............................................................. ❑ 29. Existing vid' ,ons and/or expired permits........................................................ ❑ Grant eed ❑ tle/ t to t f t �1 r al Owner, ❑ Check to H.C.D. $ 1 31. Other: I l a When issued Telephone 10 - and hold for pickup. I have been informed of /a eine ' e an equirements for obtaining a bui7o;2-11 ermit. 2, Applicant: Date: 1. Index permit applies ion A�for the above items numbered: A Plan Check Letter- 2. etter2. Additional items required r. Contractor, designer, owner, was advised cf the above data by ❑ phone, Elmail, ❑I counter, by Date: _ Contractor, designer, owner, was advised of the aboe d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: oT/ Plans approved by: Date" Structural reviewed by: Date f Structural approved by: Date., ,t Note transfer by: —Date:i ;! Yellow:.Buildine Division Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: Phone: Mailing Address 6AA2� - ^ Site Address: Assessor's Parcel Number: o - �cJ ` b� ? Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL INFORMATION: Yes No ❑ 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or under notice of code violation? Yes No� 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No ER 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE 6. CONDITIONS: Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes No ❑ 7. Is any portion of the structure located closer than 20' to your front property line? Yes Nq,R 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes a No ❑ 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No ❑ CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes 0 No ❑ 11. Will this building be heated or cooled? Yes ❑ No Eff 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? 16. What type of wall covering will the building have? 419,.�w ®� OVER 1 of 2 PROPOSED USE: (check only one boa) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirelv open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library, ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy' ❑ Other - Use = 1. Descn%e type of Work" 2. Must be appmcd by the & ae Coumy PlarffL4 Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. . Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print Owner's Signature: 2 of 2 Date: ANP WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 10 -Oct -2002 2002-0053376 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which =Wio�ly generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date_ PROPERTY OWNERS: State oF;evMb nia loco County of UO�h� On / -/— 6_�7_ ^ before me, rr. auuauy appeared 7` h 2ersonally 9 7 CZ• ��. known to me (or proved to me on the basis of satisfactory eviden to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that be/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature 14.....................GLORIA J11BYRNE..,.,,,..,,. �. Seal: ;� Notary Public •State of Nevada Appointment Recorded in Washoe County No: 92.0185.2 - Expires March 11. 2004 A.P. 4 06,C1 - 0iU O.;`�............................................................. • ORDER NO.: 00203642-001 - CAC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 26 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "RESUBDIVISION OF KELLY RIDGE ESTATES UNIT NO. 2A", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 38 AND 39. AP NO. 069-090-053 EXEC! COMP --T- PRELIM FN• BUILDING PLANAPPROVALDate:) D-1— a / 2— LaMsmOng:— 1 � attached Fire S,.{q �\\ requinsments must be comploW S C.D.F. fled and aPProved \\ NQ 4 9 l O N q 9pgpRA,�Ro4f �N 4.4gyp Lik "X CDP- See See the attached Residentral I Re uirements ' 0�.___...... t _ . 0_x.9_........... /oHs..9g BUN. NG DEPA y ®i M. 11 i fi BVI.DW DEPARTIY NT APPROVED Z ri AAk 3 R � I I i i fi BVI.DW DEPARTIY NT APPROVED LKI ;�z AFU, V EV I LONGFELLOW'LUMBER CO. INC. Quality Truss'Design a Roof & Floor Systems (800) 678-0112 (530) 893-0112 0FAX (530) 893-0140 89 Loren Avenue Chico, CA 95928-7434 Customer: �� �� 2.0 _Ovist' Address: �s e 9,1"C\ -, CL. \r (� 40 U r AM Job No: Mitek Industries, Inc. Redong (Ray) Yu 7777 Greenback Lane, Suite 109 Citrus Heights, CA 95610 (916) 676-1900 Timber Products Inspection, Inc. P.O. Box 20955 Portland, OR 97220 (503) 259-0204 LONGFELLOW LUMBER CO. INC. Quality Truss Design • Roof & Floor Systems (800)678-0112 (530) 893-0112 • FAX (530) 893-0140 89 Loren Avenue Chico, CA 95928-7434 Important Information for Users of Wood Trusses Longfellow's goal is to supply superior quality trusses. Sensible truss designs, the best available lumber and exacting workmanship are the key ingredients of our quality control program. (Once trusses arrive at the fob site, quality control becomes the responsibility of the builder.) For best results we suggest: DO'S DON'TS ❑ Do review your field copy of truss engineering for important bracing, ❑ Do Not cut, notch or drill chords or webs of trusses. bearing and connection details. (Exceptions will be clearly marked on engineered drawings.) ❑ Do review the HIB -91 Summary Sheet's recommendations for handling, installing and bracing of wood trusses. ❑ Do install roof sheathing ASAP. Trusses hold their profiles best when they have been plumbed and braced with roof sheathing. Especially in hot weather, we recommend sheathing be applied over as much of the building as possible before installing outriggers and gable -end siding. ❑ Do inspect trusses for missing plates or broken lumber. Report defects to Longfellow immediately. ❑ Do secure tails with fascia board. In recent years, the production of lumber from second -growth timber has resulted in an increased tendency for unrestrained tails to twist. We recommend a sub -fascia be installed behind gutters. ❑ Do call Longfellow if you have questions or need additional information. ❑ Do Not cut or remove plates. ❑ Do Not overload single or groups of trusses with plywood, roofing, tools or other construction materials. ❑ Do Not make field repairs without written approval from Longfellow I Lumber Co. ❑ Do Not load HVAC units, solar equipment, fire sprinklers, etc. on trusses unless truss engineering has been designed to accomodate the specific point loads. BEFORE INSTALLING: Make certain truss sequences and end -for -end orientation are correct. . STANDARD GABLE END DETAIL, WIND SPEED 80 MPH, MEAN WALL HEIGHT .15 FT. C-Xp. G eWARE) BY-rwva.DFFBC. DIAGONAL OR .L -BRACING TRUSSES AT 29' O.C. REFER 'TO "TABLE ..BELOW 2x4-► o.2 o12. I L SHEATHING Iold pQ •9X9 12 E�•r.DTiirl:-i 2X3 •TYP. I --zzz::::]-VARIES 'TO COMMON TRUSS X ..XE j -1 A A 12/2. r3 2X4 LATERAL BRACING AS REQUIRED. p TAGZ W40))3X5` eZND WALL-, / TYPICAL OPTIONAL T.C. NOTCH DETAIL @ ZC O.C. MIN. l;Erl� NO LUMBER DEFECTS ALLOWED AT OR ABOUT NOTCHES. ,�.'�__,I CONT. BEARING. LUMBER MUST MEET OR.EXCEED VISUAL GRADE tit LUMBER . j�T; A 'A�C� f012 -Srrdkc�u� AFTER NOTCHING. Elf_ b , SPAN TO MATCH COMMON TRUSS. TYPICAL 2X9 L -BRACE NAILED 'TO 2X9 VERTICALS Wi8d NAILS, 8. O.C. VERTICAL STUD SECTION A -A. LATERAL BRACING NAILING SCHEDULE. VERT. HEIGHT. # NAIL AT O END UP TO 7'-0' 2 - 16d 7'-0' - 8'-0• 3 - 16d OVER 8'-6' 4 - l6d MAXIMUM VERTICAL STUDS HEIGHT. SPACING OF VERTICALS WITHOUT BRACE WITH LATERAL BRACE WITH L -BRACE 12 INCH O.C. 5-7-2 14-3-12 I0-4-14 16 INCH O.C. 5-1-0 12-4-12 24 INCH O.C. 4-5-4 10-1-7 NOTE: INERT. HAD BEEN CHECKED FOR &0 MPH WIND LOAD, EXP.G � MEAN WALL HEIGHT OF 15 FT, AND L/240 DEFL. CRIT. 2CONNECTION BETWEEN BOTTOM CHORD OF GABLE END TRUSS AND WALL TO BE PROVIDED BY PRO.:ECT ENGINEER OR ARCHITECT. 3FURNISH COPY OF THIS DRAWING TO CONTRACTOR FOR BRACING INSTALLATION. 4.BRACING SHOWN IS FOR INDIVIDUAL TRUSS ONLY, CONSULT BLDG. ARCHITECT R ENGINEER FOR TEMPORARY AND PERT",4te01NG OF ROOF SYS MINIMUM GRADE OF LUMBER �n o . T.C. 2x4 No. 2 9'1 GF -L TPI -SS Crlt. U B.C. 2X4 No.'Z 91 DF -L UBC -9_ - Webs 2x9 STUD'DF-L LOADING L (PSF)D STR. INCR.: 15 '/. TOP 40 I b DRAWN BY .: JB BOTTOM 0 10 CHECKED BY :JAI SPACING: '3(n Inch O.C. REP. STRESS: YES O o o a �f MtTek Industrias Inc. Approv EXP9 �o 04 V OUNINIvu PA J U l 0 3 2002 APP V E D ustrles Inc. BUTTE COUNTY 13 ]BUILD1114C.7'' .ztz.�d A P P E D ;Job i Truss Truss Type Oty 'Ply DECANN / 24 X, a ! I I R7511866 D,ECA0918 'Al j FINK 1 12 1 �._._�_..._.. .... ... ... ...-- 1---------.—.—.... ._.—L_...._.J. ---I Ioaiioneq• - - Longfellow Lumber Co., Inc„ Chico, Ca. 96928.7434 4,201 SRI s Jul 26 2002 MITek Industries, Inc. Wed Sep 18 07:47:58 2002 Page 1 - oo . 66 a 12 0-0 n -se _ --..__..�..........---.._....._...250.0 --r --1 143.0 65 8 5-5-85 5-B 6-" 1-0-0 Scale = 1:42,3 3.00 12 4x4 = 4 3x6 = 10 9 8 3x6 = LOADING (psf) TCLL 20.0 TCDL 10.0 CCLL—O 0 SCOL 7.0 3x4 = 3x4 = 3x4 = 645 157.11 8.45 7-35 B•f�5 SPACING 2-0-0 CSI DEFL in (loc) I/deft PLATES Plates Increase 1.25 TC 0.48 Vert(LU -0.18 10 >999 M1120 Lumber Increase 1.25 BC 0.71 Vert(TU -0.34 8-10 >647 Rep Stress )ncr YES WS 0.23 Horz(rU 0.07 6 n/a Code UBC97/ANS195 1 at LC LL Min Udell = 240 Weight: 88 Ib GRIP 220/195 LUMBER BRACING TOP CHORD 2 X 4 OF No.1-G TOP CHORD Sheathed or 3-7-7 oc purlins. BOT CHORD 2 X 4 OF No.1-GBBOT CHORDS Lfu c iii , --6—r 10 0:0'oC_ bracinga WEBS 2 X 4 OF Std -G REACTIONS (Ib/size) 2-946/0-3-8, 6-e 946/0-3-8 FORCES (lb) First Load Case Only N 0 5 )r, e e ry AJ TOP CHORD 1-2=7, 2-3=-2514, 3-4=-2190, 4-S=-2190, 6-6=-2514, 6-7=7 BOT CHORD 2-10=2433, 9-10=1688, 8.9=1688, 6-8=2433 WEBS 3-10=-400, 4-10568, 4-8-568, 5-8--400 1 NOTES 1) This truss has been checked for unbalanced loading conditions. 2) This truss has been designed for a 10,0 psf bottom chord live load nonconcurrent with any other live loads per Table No. 16-8, UBC -97. 3) A plate rating reduction of 20% has been applied for the green lumber members, 4). This truss has been designed with ANSI/rPl 1-1995 criteria, LOAD CASE(S) Standard BUTTE COUNTY v RAW IV • . �� 8 . -- , sem. '•, ��r/.�►_,�—� A WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE September 18,2002 Design valid for use only with 6tiTek connector:. This assign is based only upon parameters shown, and is for an individual building componenl to be Installed and loaded vertically. Applicability of Design parameters and proper incorporation of Component Is responsibility of building designer– not truss designer. gracing shown is for lateral support of Individual web members army. Additional temporary bracing to insure stability during construction is the reeitonsiblllty of the erector. ,N Additional permanent bracing of the overall Structure is the responsibility of One building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consuh DST -80 Quality Standard, b811.89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Trues Plate Instituto—rum o•nnnfrto DfiVA 111- icnn wt 53719 – AA1T-1, 61C. 99/9 'd-9Z00'ON S3181SHNI N311W Wd61:Z _ZOOZ '61'daS This safety alert symbol is used to attract your attention! PERSONAL SAFETY IS INVOLVED! When you see this symbol - BECOME ALERT - HEED ITS MESSAGE. JACAUTION: A CAUTION identifies safe operating prac- tices or indicates unsafe conditions that could result in personal injury or damage to structures. HIB -91 Summary Sheet COMMENTARY and RECOMMENDATIONS for HANDLING, INSTALLING & BRACING METAL PLATE CONNECTED WOOD TRUSSES ° c Itis the responsibilityof the installer (builder. building contractor. licensed contractor. erector or erection contractor) to properly receive, unload, store, handle, install and brace metal plate connected wood trusses to protect life and property. The installer must exercise the same high degree of safety awareness as with any other structural material. TPI does not intend these recommendations to be interpreted as superior to the project Architect's or Engineer's design specification for handling, installing and bracing wood trusses fora particular roof or floor. These recommendations are based upon the collective experience of leading technical personnel in the wood truss CAUTION: The builder, building contractor, licensed contractor, erector or erection contractor is ad- vised to obtain and read the entire booklet "Com- mentary and Recommendations for Handling, In- stalling & Bracing Metal Plate Connected Wood Trusses, HIB -91" from the Truss Plate Institute. DANGER: A DANGER designates a condition where failure to follow instructions or heed warrf- ing will most likely result in serious personal inj''dry or death or damage to structures. WARNING: A WARNING describes a condition where failure to follow instructions could result in severe personal injury or damage to structures. O TRUSS PLATE INSTITUTE 583 D'Onofrio Dr., Suite 200 Madison, Wisconsin 53719 (608) 833-5900 industry, but must, due tothe nature of responsibilities involved, be presented as a guide forthe use of a qualified building designer or installer. Thus, the Truss Plate Institute, Inc. expressly disclaims any responsibility for damages arising from the use, application or reliance on the recommendations and information contained herein by building designers, installers, and others. Copyright © by Truss Plate Institute, Inc. All rights reserved. This document or any part thereof must not be reproduced in any form without written permission of the publisher. Printed in the United States of America. CAUTION: All temporary bracing should be no less than 2x4 grade marked lumber. All connections should be made with minimum of 2-16d nails. All trusses assumed 2' on -center or less. All multi -ply trusses should be connected together in accor- dance with design drawings prior to installation. TRUSS STORAGE CAUTION: Trusses should not be unloaded on rough terrain or un- even surfaces which could cause damage to the truss. CAUTION: Trusses stored horizontally should be A supported on blocking to prevent excessive lateral bending and lessen moisture gain. ®WARNING: Do not break banding until installation begins. Careshould beexercised in banding remov- al to avoid shifting of individual trusses. CAUTION: Trusses stored vertically should be braced to prevent toppling or tipping. ®DANGER: Do not store bundles upright unless properly braced. Do not break bands until bundles are placed in a stable horizontal position. JA WARNING: Do not lift bundled trussesbythebands.IlAprohibited. DANGER: Walking on trusses which are lying flat Do not use damaged trusses. is extremely dangerous and should be strictly Frame 1 MONO TRUSS TOP CHORD TEMPORARY BRACING SPAN MINIMUM PITCH TOP CHORD LATERALBRACE SPACING(LBJ TOPCHORD DIAGONALBRACE SPACING(DBd [#trusses] 1' Up to 24' 3/12 18' 17 12 Over 24'- 42' 1 3/12 1 7' 10 6 Over 42' - 54' 3/12 1 6' 6 4 Over 54' 1, See a registered professional engineer Note: Bottom chord & web member temporary bracing also required - refer to Frame 4. DF - Douglas FIr-Lerch SP - Southern Pine HF - Hem-FIr SPF - Spruce-Pine-FIr Diagonal brace also required on end verticals. Top chords that are laterally braced can buclde together and cause collapse If there Is no diago- nal bracing. Diagonal bracing should be nailed tothe underside of thetopchord when purlins are attached to the topside of the top chord. PLUMB 24' / Or/ess =46° 12 3 or All lateral braces lapped at least 2 trusses. Continuous Top Chord Lateral Brace Required WARNING: Failure to follow these recommendations could result in severe personal injury or damage to trusses or buildings. I I I Truss D/50 Depth 12" 0(In) 1' I I Lesser of 2' D/50 or 2" t 1/4 3' Maximum Plumb Misplacement Line INSTALLATION TOLERANCES D(In) D/50 D(ft) 12" 1/4" 1' 24" 12" 2' 36" 3/4" 3' 4811 ill 4- 60" 1-1/4" 5' 72" 1.1/2" 6' " 96" 2" S. 108" 2" 9' OUT -OF -PLUMB INSTALLATION TOLERANCES 10" or Greater Attachment Required Bow Length L (In) T ±1/4 Lesserof L/200 or 2" L (in) L (in) T .......:::::::::::::::::::::........ t y4 Lesser Of L/200 or 2" L(in) U200 L(ft) 50" 14" 4.2' 100" 112- � 8.3' 150" 3/4" 12.5' L(In) 1./200 L(ft) 0" Ill 116.7- 6. '250" 250" -1 20.8' 300" 1-1/2" 1 25.0' OUT -OF -PLANE INSTALLATION TOLERANCES DANGER: Under no circumstances should JAWARNING: Do not cut trusses. ® construction loadsof anydescription be placed on unbraced trusses. Frame 6 ['AWARNING: Do not attach cables, chains, or hooks WARNING: Do not lift single trusses with spans . to the web members. 11A greater than 30' by the peak. / Approximately Appro m ely\ /1/2 truss length 1/2 truss length \ Tag Truss spans less than 30' Tag Line I Line Spreader Bar Toe In Spreader Bar Toe In Toe In Approximately 1/2 to 2/3 truss length Less than or equal to 60' Toe In Approximately 1/2 to 2/3 truss length Less than or equal to 60' Tag Line MECHANICAL INSTALLATION Lifting devices should be connected to Strongback/ the truss top chord with a closed-loop Spreader Bar attachment utilizing materials such as slings, chains, cables, nylon strapping, etc. of sufficient strength to carry the weight of thetruss. Each truss should be set in proper position per the building designer's framing plan and held with the lifting device until the ends of the truss are securely fastened and tempo- rary bracing is installed. Tag Line At or above mid -height Tag Tag Line Line 10' 2/3 to 3Ya truss length Greater than 60' CAUTION: Temporary bracing shown in this summary sheet is adequate for the installation of trusses with similar configurations. Consult a registered professional engineer if a different bracing arrangement is desired. The engineer may design bracing in accordance with TPI's Recommended Design Specification for Temporary Bracing of Metal Plate Connected Wood Trusses, DSB-89, and in some cases determine that a wider spacing is possible. GROUND BRACING: BUILDING INTERIOR GROUND BRACING: BUILDING EXTERIOR Typical vertical attachment Frame 2 d 2x4/2x6 PARALLEL CHORD TRUSS TOP CHORD TEMPORARY BRACING DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir l�gl 5 The end diagonal brace for cantilevered trusses must be placed on vertical webs in line with the support. All lateral braces lapped at least twotrusses. Top chords that are laterally braced can budde Continuous together and cause collapse If there is no diago- TOPCHORD nal bracing. Diagonal bracing should be nailed Top Chord TOPCHORD DIAGONALBRACE attached to the topside of the top chord. MINIMUM LATERALBRACE SPACING(DBS) SPAN DEPTH SPACING(LB) [#trusses] SP DF APF/H Up to 32' 30" 8' 16 1 10 Over 32'- 48' 42" 6' 6 1 4 Over 48'- 60' 48" 5' 4 1 2 Over 60' See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir l�gl 5 The end diagonal brace for cantilevered trusses must be placed on vertical webs in line with the support. All lateral braces lapped at least twotrusses. Top chords that are laterally braced can budde Continuous together and cause collapse If there is no diago- nal bracing. Diagonal bracing should be nailed Top Chord totheunderside ofthetopchordwhen purlinsare Lateral Brace attached to the topside of the top chord. Required 10,11 End diagonals are essential for stability and must be duplicated on both ends of the truss cvstPm_ =45° Attachmer Required 'a 1pT�SPFM�21oc ot\eo slt rr - WARNING: Failure to follow these recommendations could result in severe personal injury or damage to trusses or buildings. 4A ° 4x2 PARALLEL CHORD TRUSS TOP CHORD TEMPORARY BRACING Top chords that are laterally braced can buclde together and cause collapse If there is no diago- nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purlins are attached to the topside of the top chord. M "1111114 c All lateral braces lapped at least - two trusses. =45° End diagonals are essential for stability and must be duplicated on both ends of the truss system. Frame 5 Continuous TopChord Lateral Brace 7 - Required 10" or Greater Attachment Required - 30" or greater Trusses must have lum- ber oriented in the hori- zontal direction to use this brace spacing. PITCHED TRUSS TOP CHORD TEMPORARY BRACING TOPCHORD LATERALBRACE SPACING(LBS) SPAN TOP CHORD MINIMUM LATERALBRACE PITCH SPACING(LBS) TOPCHORD DIAGONALBRACE SPACING(DBS),, f#trusses ' SP/DF SPF/HF Up to 32' 4/12 8' 20 15 Over 32'- 48' 4/12 6' 10 7 Over 48'- 60' 4/12 5' 6 4 Over 60' See a registered professional engineer Note: Bottom chord & web member temporary bracing also required - refer to Frame 4. DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir WARNING: Failure to follow these recommendations could result in severe personal injury or damage to trusses or buildings. 4A SCISSORS TRUSS TOP CHORD TEMPORARY BRACING MINIMUM PITCH SPAN DIFFERENCE TOPCHORD LATERALBRACE SPACING(LBS) TOPCHORD DIAGONALBRACE SPACING(DBS) #trusses SP/DF I SPF/HF Up to 28' 2.5 T 17 12 Over 28'- 42' 3.0 6' 9 6 Over 42'- 60' 3.0 5' S 3 Over 60' See a registered professional engineer Note: Bottom chord & web member temporary bracing also required - refer to Frame 4. DF = Douglas Fir -Larch SP = Southern Pine HF = Hem -Fir SPF = Spruce -Pine -Fir Continuous Ton Chnrri Lateral Brac Required 10"orGi Attachmen Required Top chords that are laterally braced can buclde together and cause collapse if there is no diago- nal bracing. Diagonal bracing should be nailed tothe underside of the top chord when purlins are attached to the topside of the top chord. All lateral braces lapped at least 2' trusses. Frame 3 =45° 12 X 5F 4460 n X12 4 or greater Bottom chord diagonal bracing repeated at each end of the building and at same spacing as top chord diagonal bracing. BOTTOM CHORD TEMPORARY BRACING SPAN MINIMUM PITCH BOTTOMCHORD BOTTOMCHORD DIAGONALBRACE LATERALBRACE SPACING(D13s) SPACING (LB) [#trusses] Up to 32' 4/1215' 20 15 Over 32'- 48' 4/12 1 15' 10 7 Over 48'- 60' 4/12 1 15' 6 4 Over 60' See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir , �— All lateral braces lapped l at least 2 trusses. >�r SAV ,AV BOTTOM CHORD PLANE WARNING: Failure to follow these recommendations could result in severe personal injury or damage to trusses or buildings. Temporary cross bracing at each end of the building and repeated at WEB MEMBER PLANE Frame 4 O—o -/ AP# Under authority of by the Butte County These requirements local regulations inspections will be compliance. DZ --X4,83 CDF FIRE SAFE REQUIREMENTS _Uer�_ YAAJA��,- C -7,9&4K, PERMIT # NAME PRC 4290, the following checked items are required Fire Department and are made apart of this permit. are minimums and will be superseded by Butte County which equal or exceed these standards. Field made by the Butte County Building Department for (� 1272.00 Maintenance of Defensible Space. To ensure continued I 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.-,rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of SO - 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. t] 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 I 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 -1--. Page 2 of 3 2� .6 l q - 6q -53 AP # PERMIT # AME 0� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 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 azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 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 ba completed prior to completion of road construction ..)r f_:zal inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Rectuirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof 1� - Enclosed eaves I�] 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 _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 �7-3a�-o2 Date Signature Page 3 of 3 I '.RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Jun -2003 2003-0040788 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of.the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK XANDER AND MARYANN XANDER REAL PROPERTY OWNERILESSOR 141 ANDALUCIA CT. MAILING ADDRESS SPARKS, WASHOE, NV 89436 CITY COUNTY STATE ZIP 62 GREENBRIER DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT ' OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2683 5 538-7541 BUIPIVIS R$IMT NO. HONE NUMBER 06/20/03 I OF LOCAL AGENCY DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. FLEETWOOD 2002 SUNCREST 4513B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFL217A/13 26079-SC13 501711X267" . PF 0789460/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 069-090-053 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.P. # 069-090-053 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 26, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "RESUBDIVISION OF KELLY RIDGE ESTATES UNIT NO. A", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 38 AND 39. T o ter+ t+ xA' r _•3 r�,,.. �i,,� ,.k2,,..enry.7° t^r d'�4"'v,.�'"� i,y8'4x¢ aiy:.d� �$� 4 tIM;e'""' hy: y.� " �,� s 1 a�'rJ)a:�� �FOUNDATI,OO SO N}SYSTE�M�* k' ya ij� HY'� k '�j `^ ° H.[ ,+ fr�,g .'' r �y b -,;A .,�ts."R�,k .tr.k rqY,� `i�C �i. -t�, a /,,,, r * "i.. _,• 1 h' ��{ERTIFaI of AT -,b CUP ANCY ,t a s'. Wy fi�wr. rr G 'int 'yc nv `.k' "s,r. S " t .. t 0? i" ".t ^ } _ +`k- a 4 . , rr r t ` , �l mr �tw,�, . az « ''. rt s' L tt y BUILDING PERMIT NUMBER: 02-2683 Address or location of unit: 62 GREENBRIER DRIVE, OROVILLE CA 95966 Legal Description of Real Property: AP # 069-090-053 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: FRANK XANDER AND MARY ANN XANDER Owner's address: 141 ANDALUCIA CT., SPARKS NAVADA 89436 INSIGNIA OR HUD NUMBER: PFS0789460/1 SERIAL NUMBER OR V.I.N.: CAFL217A/B 26079-SC13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2002 ' OFFICIAL APPROVING INSTALLATION• ,:�u DATE: 06/20/03 PHONE: (530) 538-7541 H.C.D. 513C r' ,.. _ � • • ., STATEOPCALIFORNIA = �' NUMBER:' BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT'' ! DIVISION•OFCODES'ANO STnNOARDS' �. MANUFACTURED:NOUSING PROORAN( +t MANUFACTURER -CERTIFICATE OF•ORIGIN ; Q CHECK IF THUS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. i . MANU MIRED HdiE Oit M 11-t1_rtNIT MAN ICp TURED HOUSING It ENUMBEEROF RTABLE SECTIONS I�Y.DWELLI•NG)„_�AgUMH(yII,ILTI-UNIT-MANUFACTUREOHOU$JNG ''—COMMERCIAL COACH .._ , OCCUPANCY -GROUP,: •. MANUFACRIRERTdAME" -" _. . " � MANUFACTURER'CICENSE'NUMBER:" FLEETWOOD HOMES OF CALIFORNIA; LMC•. 9534' eF IdTU�IC^t?P�SVB. .... ... .... .. • SUGGESTED RETAIL PRICE: ! •PO BOX 1308. WOODLAND CA ''9'9776 _ street . ...+z • ., 'r ' :MANUFACTURER TRADE NAME; MODEL NAME ANDIOR NUMBER DATE OF MANUFACTURE: —. 913MCREST 1 45138 2003 _ •3 Z/06/2002,_,•_ •— _ NAME OF DEALER --OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):CALIF. DEALER•NUMBER �'OR ' • DATE OF TRANSFER: FLEE=- OD R•ETp IL-CORPWATIOLt. OF. CALZI"JRNIA TRANSFEREE DESIGNATION: DBA: FLEETWOOD HOMES OF OROVXLLE 1061581 11/08/20.02 �DFIALER OR TRANSFEREE ADDRESS: Str2ee 43 FEATHER RZV8R OROVXLLE CA INVENTORY •CREDITOR NAME (city) (Stato) (Zipy RSTAILZORP =Sit�'22450--WEST—I'STU: Dj.MR/1 DRESS:.: &'-2.,DBPT MgO' DESK ST.- SL'T:'E --3.00 City) HOIISTON !State ZID) 77008 SECTION "UFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL HUMBER LENGTH WIDTH VrEiGHTf t$ •. ,• INCHES INCHES POUNDS) 2t- 26079-SC13 PPS0789460 608 160 22,9007. . PPS0789461 608 160 23;440 TRANSPORTER NAME; .. ')I'. ... .... ... TRANSPORTER ADDRESS: -.... ._... _... . _ , (611421 O. BOX 179 ca DURK M State CAzI -95938 DESTINATION FOR UNit DESCRIBED ABOVE: T NAME Stroel , CII) ' • 81a19 Z ..Itertlryuntlar•panexT d•parjwrundar Itle Ieireol.Ina-Swe.a•caiBomlpplai iheaoorerem ammo and comeu Eweauleaa,_11l1l6/2002 I of YOLO CA ' (Oaea) .. ) (County) (State) 1 SIGNATURE OF AUTKORI7EDAGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARDME-INVENTORY-CREDITOR, UNLESS THERE 16 NONE, THEN FORWARD TO TNF PUACHASER (DEALER OR TRAMSFC•RFF). COPY i (WHITE) FORWARD THeOEPARTMENT AT P.O. BO% 1628, SACRAMENTO. CA 95612.102a, WITHIN FIVE (5) OATS OF RELEASE. tOP'I2•(YELLOWI OELNER TO TME•741ANSPORTER TO ACCOMPANt(•T119UNIT TO J1'S'OFsTINATI@L•• - -{ r• •' • ,• COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 463.0 • Side T - (7/97) 7AAi7nna W1 777TAAVA RAAUT77?.1 %nee 7PC APP VVJ 7T•PT TVJ TA/PT/TT OF DEPART N' OF HOUSING ' AND CUMUmITyCALIFORNIA DEVELOPWNT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION PYA NT OF FACTS This unit ft a: LPobilahome Cooiercial Coach petal (License) Moa(s) Trade:Hame. Serial woe(s) Floatiflg Hoye 1/Wev the undersigned, heieby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Commu Oevelopment, State of California, and subsequent purchasers of said unit, for any loss may suffer resulting from registration of the above-described unit in California, or fr issuance of a California certificate of title. covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on - - d '2- at Date •�. , Cit 4i(State) (City) Signature of each affiant Pr ted name of each affiant "-ILA Address -City HCO 476.6 (Rev 11/86) State 07/02/02 10:00 BIDWELL TITLE 4 530 532 3304 r RECORDING REQUEMM BY MID VALLEY TITLE & ESCROW CO. AND VVW RWDP M MAII. TO: FRANK 7lANDER I DER 141RAANDANN LUM SPARKS, NAVADA 89436 NO.605 P002 ILII IIII�IIIIII�fiIIIIIIIIUIgI aw0 1 -00 7.5lca8t3 Recorded Official Records CoR�ty _Of CAN m J. GRUBBS Recorder ROSARY DICKSON Ass09MAMi23—A; -2001 RE FEE 17.01 Vickie Raga 1 of 1 Above This line for R=wdcr's Use Oats+ A.P.N.: 069-490-053 Order No.: 19659M Escrow No.: 186597PE-NOR0-C GrRAW DEED 4b tJNDHRS[@l� GRANTOR(s) DHCLAttB(a) THAT DOCUM8TT['ARY'R MSFM TAX IS; CAmY $19_80 competed tm full value of pm conveyed, or computed on full value less value of fleas or emunbrances iemaming at time of sale, ] unkBoipm*ed ama; C ] City of _ and FOR A VALUABLE CONSIDERATION, Receipt of Whiob is hereby acknowledged, MAURTCE F. MATTTODA AND BARBARA M. MAIMODA, TRUSTERS OF THE MAURICE AND BARBARA MAI',l',IODA LIVING TRUST hereby GRANT(S) to FRM RANDIER and MARYANN XANDER, Husband and Wife as Joint Tenants the following described property in as UNINCORPORATED AREA, County of Bane Stabs of California; Lot 26 AS SHOWN ON THAT CERTAIN MAP ENTTTLRD "RU SUBDIVI ION OF BELLY RIDGE ES'T'ATES UNIT NO.2.A', WMCE MAP WAS RECORDED IN THE &6m OF THE RECORDEg OF THE COXIM OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, L074, IN BOOK 43 OF MAPS, AT PAGE(S) 38 AND 39. MAURICE AND BARBARA MATTIODA LIVING TRUST LMXURICE F. MATTIODA, TRUME Document Dale: Am it 10, 2001 STATE OF COUNTY( on '4 • ),5S MAURICE AND BARBARA MATTIODA LIMO TRUST By: 621,6 BARBARA M. MATTIODA, TRUSTER guy appmtd or pmvcd m mo on the bamw of ad'b =zy ) to inaM=W and aalmowtedged W me that �r/ ft � m >� dw kmrmumthe pemn(s) or the eodry u oP wHid the petsm(s Wi47QM uu' baud and of6 W earl. Si�nauaea �`J���1 pe,son(s) whose Mats) � to ft whb4n �({ie6im) by I�j# eu tt w on ® KAREN J.51,4181 B Cbmt�tfsston i� t 144674 2 -a Notcuy Pubffc - CQgkr11iq Plocercouny My Comm�lun30r.�00t Mail Tax S tments to; SAME AS ABOVE or Adtfrrse Noted Below 4 NOTES RESIDENTIAL_ 069-090-053��- �02-2683 PERMIT NO. :_XANDER,FRANK _ 6;—GREENBRIER, OROVILLE CONT: FLEETWOOD RETAIL NEW MH PERM FND NEW SITE ' HE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS ! BEEN TURNED IN TO THE BUILDING DIVISION: I (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERITY SERIAL & LABEL #'S. SPECIAL CONDITIONS 1/ RA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER a OFFICE COPY Address 4 y 11 ELECTRIC Meter By Date ,--'-,JOB FINALED (Date): Signature CHECKED BY J=OK 0 = Not OK . = NoottReadyable MOBILE HOMES Date MOB!HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch /3._5ewer; Location -Test -Fall -C/0 -Concrete -I,_Wafer; Location -Test -Easement Needed (Sketch) ricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap;-/ /" L 'ft. /4 P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date. Card B-1 Date Card B-1 Date f PEWdANENT END SYSTEM (ONLY) Line MH Test-Demand- ricity: MH Test t,?- Water and Sewer Connected Gas and Electricity Taqqed . 1e-bcanTe- eecals erify #'s with Office. Date A e -? Card B-1 Date Card B-1 Dam -T - Card B-1 Date Card B-1 � FL z z6 0 7 `7 -5'C a . �I -S 7 C Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors=Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements { 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK = Not Applicable Applicable . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Date 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 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 Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 32. Service -Riser Conductors & Ground Main Disconnect Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Date FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: FLEETWOOD HOMES OF CALIFORNIA, INC. 18 N. PIONEER AVE. PO BOk 1308 ' , " WOODLAND, CA. 95776" MC# 17 Date of Manufacture HUD label No.(s) G G 2 PFS789460 PFS789461 Manufacturer's Serial Number(s) and Model Unit Designation SUNCREST 4513B CAFL217A26079—SC13 CAFL217B26079—SC13 Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home Is designed to comply with the federal manufactured home constructionand safety standards in force at time of manufacture. (For additional information, consult owner's manual.) The factory installed equipment includes: Equipment Manufacturer Model Designation For Heating COLEMAN DGAT070 For Cooking WHIRLPOOL RF364P Refrigerator WHIRLPOOL ED5CH Water Heater RHEEM 21I40T Smoke Detector RIDDE 1275E Dishwasher WHIRLPOOL DU890S Garbage Disposal MONARCH 820XL HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specified for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended in manufacturers printed instructions. Design roof load zone map: North 40 psf X South 20 psf X Middle 30 psf _ Other psf COMFORT HEATING ..,. This manufactured home has been thermally insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo value Zone 1, 2 , 3 . (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of — 12 1degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97 %%) is not higher than —64 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING F]Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an indoor temperature of 75°F when outdoor temperatures are °F dry bulb and °F wet bulb. The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this home. 1KAir conditioner not provided at factory (Alternate 11) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioning system of up to 5 7 , 0 0 0 B.T.U. /hr. rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to cool a home efficiently and economically, a cooling load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity Closely approximates the calculated cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors) .................................... "U" • 06 Ceiling and roofs of light color ......................................... "U" . 03 Ceilings and roofs of dark color ....................................... "U" . 03 Floors........................................................................ "U" . 05 Air ducts in floor........................................................... "U" . 05 Air ducts in ceiling......................................................... "U" NA Air ducts installed outside the home ................................. "U" . 2 5 The following are the duct areas in this home: Air ducts in floor........................................................... 90 sq. ft. Air duds in ceiling.......................................................... NA sq. ft. Air duds outside the home ............................................... 56 .5 sq. ft. U/O VALUE ZONE MAP WA NH MT NO VT ME OR MN ID WY SD WI MI NY MA gv -1 0 1, 8-m► TIN 14M OK AR' ` r 'sc' ZONES U•VALUES a1 MSL:. GA'• 0 0.116 i AK; TX - LA 2 FL ® 0.096 3 F j 0.079 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i A DateAy-0Inspector. r REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 - - 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE bla..1 oQ.e,,. 0 2--2- f 9,3 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office Iimm a y. Date Inspector /—/ 0— REV -�_ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 --County Center Drive • Oroville, CA • (530) 538-7541 0 CORRECTION NOTICE X ,t OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. W r ��� Oil? Crt-t a dYe55 rS -4- 4,L ( G—ci [A l e5 ori k+y.. sf Date Inspector REV 10/92 - - U COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ZEn (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-090-053 IRT ZONING -11 BUILDING PERMIT OWNERV Ma FP.M L i�iLVL� AS TELEPHONE SO. FT. OCC. BUILDING VALUATION t 72900.00 MAILING D .OWNERS MAILING ADDRESS 141 ANDALUCIA Cr.,SPARKS NEVADA 89436 CONTRACTOR'S NAME ITELEPHONE FLEETWOOD RETAIL 32-3301 CONTRACTORS MAIUNG ADDRESS 2243 FEATHER RIM, 0R0V1=,, CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 72 900.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 518/2 $ 259.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ M 168.0 BUILDING AD DRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 447.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater •P Water piping ing 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM END NEW SITE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 15. Mobile Home I S I G I W 920.00 PERMIT FEE $ 80.00 8990)0 ELECTRICAL PERMIT Fling Fee 20.00 Main Service aon 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, and my license is i fu 1 force and effect. 7 ? �� s License Class Lic. No. 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 0� 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cc pensation insurance carrier and policy number are: Carrier G:_` Policy Number (The above sections need not be competed 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' co ensation ns of sec' 3700 of ttt�Lab Code, I shall forthwith c ly with se provi ion X Date Z1' Z Signa ure of Applic ❑ Ow r ❑ Contractor O Agent An OSHA permit is squire excavations over 5'0" deep and de olition or construction of structures ove es in height. Mein Service TO 1 46.00 NEW CONST. DWEWNG OCCUP. SO WE U OR ACDNS. ( a ACC. BLDs. 3.50' NOµpESID T.MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLtT CIR. 20 @ 1.00 EX. OCCU OUTLET OR FDCTUREs BAL @ .so Ex. Occup. OFED R.,D)ER.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 570.'-5 HAZ. __ D FEES IMP X X FLOOD x CDF `� PARCEL �� " PD _� �' HD SUE 1r ' This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ate PERMIT EXPIRES ON Date provisions to do work paid. ReceiptNo. 1AIRDh $570- 35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S' t 1 d COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 )0 //� PE IT APPLICATION DATA SHEET OWNER: (( ESS R PARCEL NUMBER Proposed Building Us .),uA.HI 60�ounter Technicians v( Date: �- Items required in order to apply fora ermit. All boxes MUST be checke O marked NA in order to apply. �.. Plot plans, 3 or 4 sets, signed ty the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance de ' n and supporting documentation in duplic ❑ 6. Manufactured homes ( ata sheets and installation instructions �I mage line informatiok loor Plan, (D) Tie down or foundation plans, all Ruplicate. P n ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) .-Y 6 «�4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... X5. Statement of Intent for Non -heated and A/C Buildings ................................... `= 16. Sanitation and plot plan approval from the Environmental Health De artment i i`p�" r Q 17 City of Chico Plumbing permit......................Zp ..............M California Department of Forestry plan approvalaid. Sent_ b �^ ❑ 19. Planning approval for (A) Use: DK (B)Parking: (C) Parc 1 Check: 116. 1— e) 0❑ �0. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre Inspection for required ................ —�— ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... W26. Letter of Signature authorization.,..�...................................:.............................. 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 1 �. gm - 0 28. Manufactured home utility clearance......................................................4.-... ..... ❑ 29. Ex' ting violatio�ns nd/or expired permits ............................................ ❑ 30. rant Deed, LI M.H. Title/Statement of Facts, Letter from Legal Owner, ck to H.C.D. $ v ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed the abov ' ems and requirements for obtaining a building permit. i Applicant: Date:2- 1. Index permit a p ca ion for the a e mere : o�Id✓ Plan Check Letter 2. Additional items required Contractor, esign ', owner, was a ' e e ove data by ❑ phone, ❑ mail, ❑ counter, by _Date: �7 eZ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 121 Date: AV/ 1/07-- Plans approved by: Date: D t� Structural reviewed by: Date: f f Structural approved by:P. Date: 3 �2 Note transfer by: Date: ��• Yellow- Rnildinol)ivicinn..__ . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNERxcbndplA.P. # qeNM63 i PROPOSED BUILDING USE min DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ...... *Yvm� SCHOOL DISTRICT -FEES LMV�13 (paid at District Office) f3. SHERIFF FEES (paidMuilding Division) �/�!� D Residential ...................... x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE - $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was dvised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan ecking proce APPLICANT DATE < G !� Pursuant to Government Code S 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and0 above ay have been imposed on your project. Yo e 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100) 104-02 PERMIT NO.: Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification. form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: November 1,2002 Applicant: Frank :& Maryann Xander Fleetwood" Retail (owner) 2243.Feather River B vd Applicant Address: Oroville, CA. Applicant Phone No.: 532-3301 Property Locations(s): 62 Greenbrier, Oroville Kelly Ridge Unit 2A, Lot 26 A.P. NO.(s): 069-090-053 Fees due: Total $2551.00; Capacity. Chg of $1551.00 and $1000.00 LOAPUD RFC Application for service approved: J LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date: By: Date: A A School District. A. P. Number Prop" Owner �w/ Property Location/Address I Subdivision I Residential Development Commer al/Industrial BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. u, scliction, city County �71 A IV' T /"-,/ )Idl V f Department Representative 7=1 Lot No. No of Living Mobile Home Units Installation Department Representative 7=1 Lot No. .................................................................................................................... Sq. Footage Ad dftiord Supplemental to (Group R) Conversion ................................................................................................................... Permit # (No foundation inspection;,!, t Sq. Footage S f (including Exterior Roofed?A7:�_ L N9 I V e JU (Floor Plans reviewed b�-Vchool District Personnel) District Identification No. chool District certifies that Kel(—-�' (Applicant) _;A (Street Address) (Phone Number) (0" (city) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing 136 square feet. AB 2926 $ 11FULL MITIGATION $ .......... School District Representative Date Paid by Check # Z -Z Remarks:. Notice: You may protest the imposition of the u mitting 4fied 6 ' * a writtejn: protest to thii-District, in compliance with Government Cod6 Section 66020(a), within 90 davVf�hezdat(i fees are, paid. to submit a timely written protest will prohibit X - you from. challenging the imposition of the fees in any court*action. 1 If, subseque-nt–fo the School District Representative signing this Butte County Schools Impact Fee Certification, Form the, School i s pfgirict isobeing reviewed under,th California Environ ental Quality Act (CEGA) notified by the applicable Local Planning Agency that this project is �;hiskpro'J�ect may be subject to additional school fees to fully mitt ate its impact on,the school'district' White (applicant), Yellow (building department), Pink (school cllitkt) I j feeform'jx!s 11'0/98wM' r�—' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541��, �E�r (Rev. 12/i6) APPLICATION AND PERMIT G{ AssEssoRPARce.NUMSEIt/) /_ �^ D /�D _ 3 Iowa BUILDING PERMIT 0' LENDER'S ►WLWG ADDRESS ARCNRECr OR ENGINEER ARCWECf OR ENONOMI MAUNO ADDRESS EULDNO ADDRESS 7 LOT NO. I SUBMISIONSWA9 13 .3�I39 J- USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other es TYPE OF WORK N Fireplace PERMIT FEE s Total Valuation b Filing Fee 20.00 Main Service Filina Fee E 20-.6-0 Permit Fee,JTI Plan Checkina Feel Energy Plan Checking Fee S b ` OMELLING OCCUR i ACC. BIDS. b NDN.RESID. PERMIT FEE $ PERMIT FEE PLUMBING PERMIT MECHANICAL PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater Hood 23.00 Water piping 15.00 Each gas water heater or vent PERMIT FEI_ 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 I �- Mobile Home I S i G I W Q20.00 PERMIT FEE PAID SRA SHERIFF PERMIT FEE s ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2006A 00R tLss 23.00 Main Service 20" To 1000A 46.00 NEM CONST. OR AODNs. OMELLING OCCUR i ACC. BIDS. 3.5¢ 7. NDN.RESID. MULTFounzr wnuru cornrty /1 @7.50 PERMIT FEE PAID SRA SHERIFF $ $ $ /� `/U J i S OUTLET d0. Ex. Occup. OUTLET OR RDnNREB 20 y� 0 I.so APPUIS Ex. OcceeErs Eslo 0.0. 5.00 Temporary Service 23.00 ff Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ S OTHER $ y Mobile Home Installation Fee = Energy Inspection Fee = 1111111111111111110 Occ CONST. TYPE PY�L EE $ . •. NAz 0. dx 6SuE This permit is hereby issued rider the applicable provisions of the Butte County Code and/or Resokrtlons to do work Indicated above for which fess have been paid. AMOUNT -RECEIVED .. $ By Date RECEIPT # PERMIT EXPIRES ON SITE PLAN REVIEW APPLICATION Date: i D ' l O 2 AP# Permit Number (if applicable) D 1 APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: , Li I Telephone No.: FLCI;T kV &Db S 2 - 3301 Situs Address: 61. &rZ 0 A) 3 R_d 9 n Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ® Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ' ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ -Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: /� • Flood Panel No.: D8 2 C_ Index Date: (::;>-9-98 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 2T — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front _50 L Side Side Street Rear ' J -0 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable. Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain' a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: KeLL j 2) Map Date of Recording: Lot: 2 �0 Book: L43 Page: 38 3 l ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4of5 .)k t r ❑ 0 0 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B ILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone 30) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03 - 1,61D ASSESSOR PARCEL NUMBER 069-090-053 ZONING RT -1 BUILDING PERMIT OWNER Frnnk Xnndpr 1-77 TELEPHONE -352-2117 SO, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 67 l 160 en 1120.00 CONTRACTOR'S NAME Plii 11 T)PC.,qnn 9-14-7670 TELEPHONE CONTRACTORS MAILING ADDRESS 6900 Lincoln Blvd Oroville CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1120.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23,00 BUILDING ADDRESS 67 -Greenbrier Energy Plan Checking Fee $ $ PERMIT FEE $ 70.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: open deck Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800R LESS Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full rce and effect. License Class Lic. No. -% OWNER -BUILDER DECLARAT N 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 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' co pensatio insurance arrier and policy number are: Carrier O Policy Number (The above sections need not -be completed if the-perthit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that i e performance of the work for which this permit is issued, I shall not emplo an person in any manner so as to become subject to workers' compens tion ws of Californ' nd agree that if I should become subject to the workers' co ensatio pr isio s of ion 3700 of the Labor Code, I shall forthwit cc ply with o provi i X Date i pplicant - ❑ O ner ❑Contractor ❑Agent An OSHA permit is required f exc ations over 5'0" deep and demolition or construction of structures over 3 stories i hei t. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. So OR ADONS. a ACC. BUDS. 3.5QFT: NO"ON.pESID. MULTI -OUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. FIXTURESEx. Occup. OUTLET OR FIXTURES BAS @';50 OR Ex. Occu . ouTLEEDTs A= I E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc corsT. TYPE TOTAL FEE $ 70' �� HAZ. D IMP FLOOD CDF PARC PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate ve for whjch fees have been B i Date PERMIT EXPIRES ON f (Date) provisions to do work paid. 0 Receipt No.zo r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO sv12/961 APPLICATION AND PERMIT 03,- G6� AS SESSOR PARCEL RJYBEn ZO"I _ • BUILDING PERMIT ow"ER TeLErla"E •352.210 SQ. FT. OCC. BUILDING VALUATION owNERS MAILING ADDRESS - CP- �e//� I�Ir CONTRACT ? L piC- 010_ V `.v�_ i TEI�PIID"E CONrRAcroRS WUUN3 ADDRESS U CONSTRUCTION LENDER Fireplace LENDERS Mvu"c ADDRESS Total Valuation 5 i ARCHITECT OR ENGINEER UCEWE NO. Filina Fes S Permit Fee S. �j20.00 (i - ARCMiECT bR ENOWEER"S MAILM ADORESS Plan Checkina Fee 8 WLDPIG ADDRESS 1 �t �J Energy Plan Checking Fee S S PERMIT FEE S 7 LOT NO. SUBDWISONS NAME .. ._ PARCEL IMP _...—.._ ._. _. ...... ..... PLUMBING PERMIT Firing Fee 20.00 ..._..... ._...._. ....... .- -'-'—'-----'--- Each Trap -- -- ' 7:00 --- USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JK1 Other BPECFY Solar or heat pump water heater 23.OD Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Add'Ibon Remodel ❑ U5969s/IAA13 Installation ❑ Other ❑ Describe Work: )I©� (� '1{�` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S I' D, 26 G3 Aj/v / � � ELECTRICAL PERMIT Firing Fee 20.0D Main Service pp�1� pR = 23.00 ' m1i � d Silk )k ! • S�,erMamie, ` (7 AedOCC Mamie Maur Service 20" TO too" 46.00 NEW CONST: OwE11JN9 OCCUP. OR ADONS. a ACC. &DS. 3.5¢F° MW QQN51.ML4TFOVrLET RAW CiRcam @7.50 POWER APPARATUS a SINGLE OUTLET Cut T Ex. Occup. OVET OR FIXTURES eni ®I .SC . FIXED Ex. Occu ro o� 5.0D Temporary Service 23.00 Moble Home Facilities 20.00 Mlsc. Wiring 23.DD PERMIT FEE s MECHANICAL PERMIT Firing Fee 20.00 Heating Cooling Hood Ventilation PERMIT FEt S Moble Home Installation Fee t Energy Inspection Fee S CDNsT. TYPE TOTAL FEE S —%c7 "AZ D. FEES IMP FLOOD GDF j< PM�PD i 6S JE t4 km This permit is hereby issued u dew• 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 Palo) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: J�R��y` /t��G^� ASSESSOR PARCEL NUMBER 0 61' o90 - Ori Proposed Building Use: c/�'�'� 4eC( Counter Technician: Date: /0.J Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in or er to apply. ❑ L. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7._ Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and/A/C Buildings•,(9 .!�.................................... sanitation and plot plan approval from the €9^vi'�`onmental Health Department in L ✓ r7 City of Chico Plumbing permit .................................... �,�. p. t '4-1r ............. ❑ 18. California Department of Forestry plan ap rov4l)�ai j Sgnf b¢ ...................... ❑ 19. Planning approval for (A) Use: - (B)Park1 g: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Imp"rovements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. ❑ 31. Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Other: When issued Telephone and hold for pickup. • I have been informed e a e items and requirements for obtaining a building permit. Applican `��-� Date:y� 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cfthe'above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑, mail:n ;l7 counter, by Date: ❑ phone, ❑ mail; t;0: counter, by Date: Plans.approved Date: Structural approved 6y. Date_ Yellow: Buildine Division /0 1 Z' -7 -7 -57 -.4 5' l L Cove UTTE COT_ '>= o a BUILDING f�- � G DiV • APPROVED 1•._ TE G PLYWOOD CC EXT. b' TYP. FRMMGz CLIP_ %n I,. 'F+�it �P� ctltl� •. MOBILE HOME OR DECK i MfL. FRMIJ �___ 48" MAX. CLIP (EA. DE 4%V 4'x4' PO5T— 2'X IV z GUARDRAIL e � -4 q MAX. �-DECKIIJ6' • GIRDER � • e MIN. W PRECAST 4x9' POST jER A BRAC E" D"ONAL e I►1• TYPIC, cnI N�• . , tOUN 9 to r S 14° x "MIN. FOoT 1 NC, ♦ _f T �C z 2'x 12 STAIR STRI g6ER. 48 o.o. MAX. ?OP VIEW H AMPgAIL NOT 5HOW N • FOR CLARITY. 3/g BOLT " .Mi a • 9'Mlid. �a• tox: 2'x4" PRESSURE' Vous RFOW00D"A1ATE :' ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number CZ l5SIT E District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in ac rdance with Coun ordinances and eneral laws. All information exce t si ature must be ed or le bl ted 1. Applicant's Name: •_ i �� f Comg�ny ane'— c . 2. Address: 3. Phone: 4. Assessor's Parcel Number - 5. Location of Work 6. Applicant's Signature / 7' ate' A, •- % — CO�— CONTRACTOR'S INFORMATION 8. Contractor's Nam t 9. Address 10. Phone: .,,53 © 11. Fax: . 12. Contractor's License Number. 07 13. Certificate of Insurance: YesNo' 11 ' 14. Contractor's Signature: 14a. Date Signed: _ —2- Z15. 15.Authorizedt: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter. ❑ Sidewalk: ❑ 17. Driveway (List Type): Tff.-0-7t,-er . PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ted. 19. Conditions Undetground Service Alert .SA. must be notified two working days prior to any excavation. 800-227-2600 20. @1 All work shall conform to accompanying: Detail X Plans ❑ Special Conditions t 21. Date Issued" Q GZ 22. Expiration Date: 1/ G / 0 23 Surety. es [Mike Crump, Director of Public Works By: ZI ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to oi(e week. Page 1 of 2 General Conditions — See Page 2 01 9 a A F-AM-O'All A/ I -A