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069-170-042
m i i r I 69-17-42 ARTIN-CONLEY -- 85 Montrose Drive,ldt 42, KR#4A, Orovil Cantr: Better B1drs.Const, Oroville P rm'.t#503- 3B P E M(new sin le famil lEt 069-170-042\Oroville 528 FROGGATT, J 85. Montrose Av C6ntr: IntegrityMHUELECTRIC - --�� GAS 1=toc 3 y,\,>< - COMPACTION j r COMPACTION TEST REQ. a SUPPORT STRUCTURE REQ. /�lO 069-170-042 99-1529 FROGGATT, John E. 85 Montrose Avenue, Oroville Contr: Integrity Homes D MHI (MHU 99-1528) •3�'� p 4 069-17-0-042 99-� 62 B,E FROGATT, JOHN %' lq 85 MONTROSE AVE, OROV E (NEW GARAGE) INTEGRITY HO 0 9-170-042 04-224 FROGGATT, JOHN & HAZEL 85 MONTROSE DR, OROVILL Cont: SIERRA MHS EX MH PERM FND INALE� �p C 069-170-042 05-1150 NEWFER, JANET y 85 MONTROSE, OROVILLE T AL Cont: HANSON & SONS CONS �i NEW DECK t Fm i =C� RESIDENTIAL r 069-174-042 PERMIT NO. FROGGATT, JOHN & HAZEL 85 MONTROSE DR, OROVILLE Cont: SIERRA MHS EX MH PERM FND J SPECIALCONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK = NotReadyabte MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s MISCELLANEOUS 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) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 6. Gas; Location -Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 7. Well Clearance & Disconnect Carports; Windows -Doors 8. Utility Clearance Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 12. 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 POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector Setbacks -Easements 6. Water; MH Test -Regulator -Connector Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval Pool Structure; Steel -Connections -Thickness Dead Men -Lining 8. Gas and Electricity Tagged Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert. of Occupancy 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. Date Card B-1 _Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 12. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 to king Card B-1 Date Card B-1 . 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 1 D. License Decals 11. Verify #'s with Office Date(�V Card B� Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 O = Not = NotAApplicable RESIDENTIAL (Single & Duplex) p . = Not Ready t Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation 63. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 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 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 24. Fixture & Transformer Clearance -Ins. Protection 75. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 26. Size Boxes & No. of Conductors Stapled 77. 27. Romex Installed Close to Edge of Studs & C.J. 78. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 79. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 80. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 81. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No 82. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 83. 34. Clothes Closet Light -Shower Light -Spa Light 84. 35. Smoke Detector 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 89. 36. A.C. Ducts Insulation & Support 90. 37. Vent Fan, Exhaust above insulation 91. 38. Condensate Drain & Overflow, Size & Grade 92. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 93. 40. Attic Access & Platform if Furnace in Attic Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date Address Posted Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Comments at Final: 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 (FF.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 ❑ Yes 83. Following Instld./Drive ❑ Yes O 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: COPY of Document Recorded 13 -Aug -2004 2004-0049566 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 , SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, Recording of this document at the request of the local agency, indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOHN E. FROGGATT SR. AND HAZEL J. FROGGATT REAL PROPERTY OWNERILESSOR 85 MONTROSE DR. MAILING ADD -USS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2248 530 538-7541 BUH,D F${vBT NO. TELEPHO ER L§MAYURE OF LOCAL AGEN F CIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DELAWARE WESTERN HMS 1998 WESTWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 1730634OAlB 56'X 13'6"/56'X 12'10" HWC257841/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-170-042 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. FOUNDATION SYSTEM . ' CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 04-2248 Address or location of unit: 85 MONTROSE DR. OROVILLE CA. 95966 Legal Description of Real Property: AP#: 069-170-042 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: JOHN E. FROGGATT SR. AND HAZEL J. FROGGATT Owner's address: 85 MONTROSE DR. OROVILLE CA. 95966 INSIGNIA OR HUD NUMBER: HWC257841/2 SERIAL NUMBER OR V.I.N.: 1730634OA/B MANUFACTURER'S NAME: DELAWARE WESTERN HOMES YEAR: 1998 OFFICIAL APPROVING INSTALLATION: ..„, DATE: 8 • • ®4 - PHONE: (530) 538-7541 H.C.D. 513C 07'28/04 .1:1:01 FAX 534 533 1569 BIDWELL TITLE OROVILLE Z 004 STATE OF CALIFORNIA • BUSINESS, TRANSPORTAWN AND HOUSING AGENCY ARNOLD SCMARZENEGGER, Governer DEPARTMENT OF 140USING AND COMMUNITY REVELOPMENT 51NG Division of Codes and Standards �0 rte. to W Title Search o Datc Printed : 07i20/2OO4 DL4�y Decal #: ' .LBB1182 Maaiufacturer: DELAWARE WESTERN HOMES CO Tradenfaine: SIi.VE1tCREST Model: WESTWOOD Manufactured Date: 03/17/1998 Registration Exp: First Sold On: 08/10/1999 Serial Number 1^306340A 17306340I4 Registered Owner: HUD Label 1 Insignia HurC237841 HWC257842 JOFNt E FROGGATT SR Use Code: SFD Original Price Code: APT Ratirig Year: Tax Type: LP T Last ILT Amount: Date ILT Fee Paid: PLT Exemption NONE Length Width 56' 13'6" S6' 12'10" RA7EL• J PROGGATT Trustees 85 MC7A"TROSE DR OR.OVTLLE, CA 95966 Last Title ]Date: 10/11!2000 Last Reg Card: 10/11/2000 Sale/Transfer Info; Price S.00 Transferred oB 09/28,12000 Situs Address: 85MONTROSE DR ORO'VILLE, CA 95066 Situs County: BUTTE Title Searches: BIDWELL TITLE 1835 ROB INI SON ST PO BOX 811 ORO'VILLE, CA 95965 Title File No: 217835 -JC *** END OF TITLE SEARCH *** ATTACHED ARE THE DECALS FOR AN C(y^-� • 110 -042- r-f- d4Zr-f-CY-{' 2!2-4g FAX 530 533 1.588 BIDIVELL TITLE OROVILLE 1� 003 RECORDING REOUIESTEO 13Y: Fidelity National Title coroany When Recorded Mail Document snd Tax Statement To: Mr. and Mrs. Froggatt, Sr. 841 Gat: Street Wast Sacramento, CA 95605 ESCsow No. 1649o5 -CW TRIe Order No. 1 -64905 -CW !11 i111 it l l iII! 111 !�I! ll I !!!III III Recorded I REC FEE 7.00 Official Records I TAX 01. 60 Caur Of I BuCANDACE J. GRUBBS I I Maureen 0%830 16 -Apr -1998 1 Page 1 Df 1 SPACE ABOVE TH19 UNF FON RECOROER3 L,,E ONLY APIA:069-170-042' GRANT ®EEO ipba The undersigned grantor(s) declare(s) Documentary transfer tax is $ 17.6o City tax $ [ xx I computed on full value of property conveyed, or [ j computed on full value, less value of liens or encurnbrances remaining at time of sale, [ xx1 Unincorporated Area City of FOP A VALUABLE ,CONSIDENATION, receipt of which Is thereby acknowledged, 31M D. 'ARESL6, a married man as his sole and separate property hereby GRANT(S) to J044 E. FROGCATT, Sr. and TTAZ i, J. PROGGATT, husband and wife, as Joint Tenants Y the `oltowing described real property in ft)CWL of the unincorporated area of y County of Butte State of California; Lot_ 42, as shown on that certain map entitled °Kelly Ridge Estate unit No. 4 -All, filed in the Office of the County Recorder of Butte County, California, on April 23, 1976, in Book 43 of Maps, Pages 97, 98 and 99. DATED: P_pril o2, 199e STATE OF CALIFORNI COWN-Y of _2? ij$ ON��— before rne, ,.�;1.�,11� �� porson$i!y appeared personally known to me (or proved to me on the basls of setiEfactory evidence) to be the person(s) whose name(s) Is/&,e subscribed to the vA%hlr. Inst�ument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(iss), and that by his/-rer/their slgnature(s) on the Instrument the person(s). or the entity. upor behalf of which the person(s) ecte,J, executed the instrument. wfTIJESS mynd nd lelal al. 7- S1 rature •G.. ' — i D. Dresler C. WILLIAMS yCOMM. 0 1092339 COUNTY OF 8 TTE W Illy comes. EVIr13 March 24, 2060 MAUL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 3/94) GRANT DEED 07;2:9101 13:02 FA1 530 5.33 1589 BIDWELL TITLE OROYILLE 1002 OROVILLE PARADISE GRIDLJEY 500 Wall St. 1835 Robinson St. 145 Pearson Road 560 Kentucky PO Box 5173 120 Box 811 PO Box 490 PO Box 949 pqCMCO Chico, CA 95927 Oroville, CA 95965 Paradise, CA 95967 Gzidlev, CA 95948 (530) 894-2612 (530) 533-2414 (530) 877-6262 (530) 846-4005 PAX(530)894-07L3 FAX(530)533-1589 FAX (530) 872-5129 FAX (530) 846-0584 Since 1913 Y July 28, 2004 • County of Butte * Building Dept a 25 County Center Drive Oroville, Ca. 95965 Re: Escrow 217835, 85 Montrose Drive, Oroville, Ca. 95966 This letter will serve to inform you that Bidwell Title & Escrow Co. will pay the lienholder in full. at close o scrow. The lien is on the real property as well as the inanfactured home, decal #LBB 1182. /� any q estions, please call. &-ager Encs 1835 Robinson St' PO Box 811 Oroville, CA 95965 P:Yone; • (530) 533-2414 • Fax: (530) 5,3-1589 Butte County Department of Developmen erc4kes YVONNE CHRISTOPHER, DIRECTOR www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile )04 John E Froggatt Hazel J. Froggatt 85 Montrose Drive Oroville CA 95966 RE'- HCD 433A (mobile home on a permanent foundation) 85 Montrose Drive, Oroville Ap# 069-170-042 Dear.John and Hazel Froggatt; The County of Butte, Department of Development Services, Building Division, is requesting a check for $22.00, payable to H.C.D (Housing and Community > : Development). Please submit the check to: Department of Development Services Building Division 7 County Center Drive i Oroville CA 95965 "'A The recorded 433A, check, and supporting documentation must be mailed to the State of 31 California, Housing and Community Development, Manufactured Housing Department before the mobile home can be removed from state license rolls and the Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Gwyn or Myles at (530) 538-7541. Thank you. Sincerely, Gwyn Benedict Office Assistant II �0,BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION w, unty Center -Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96), i : �, ; APPLICATION�AND PERMIT 99-152,9---tf ASSESSOR PARCEL NUMBER 069-17 04^ ZEy7MOLNNIIpNG RT 1 BUILDING PERMIT OWNER JOHN E. F80GGATT SR. 916 TJ/,l19831 SQ. FT' OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 841 OAK STREET W. SAC 95605 CONTRACTOR'S NAME INTEGRITY HOMES, INC. 33V9643 CONTRACTORS MAILING ADDRIS240 FEATHER RIVER BLVD., OROVILLE 95965 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENQINEER'S-MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS MONTROSE AVENUE, ORO 95966 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:,, MHI . %MHU 99-1528) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ' ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service 20.A 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 force and effect. r� License Class C41 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. s0 OR ADONS. ,Ate, gtDS. 3.5¢FT: �" N.R°.,MULTI.OBRANCH UTLET 97.50 POWEPPARATUS 8 SINGLER AOUTLET CIR. �" @ ' 00 Ex. Occu ourLEr OR FIXTURES BAL @ .w Ex. Occup. OimEEDrs AE�sID.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number r'>D '.• C�3 "' j�/ (The above sections need not be completed the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Cl—of X v Date Signature of Applic nt- 0 Owner Contractor ❑Agent1 99 An OSHA permit is required for excav ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation' j " PERMIT FET= $ Mobile Home Installation Fee % $ID 0 Energy Inspection Fee occ CONST. TYPE TOTAL FEE$ , z © 0 HAz. IMP FLOOD „-„_ cDF f pgficEl PD ,,. H issue V This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _X5;;;4 be $ t3 9 By Da PERMIT EXPIRES ON °Dela GrJ. Receipt No. U73750 WHITE-D.D.S.-B. . CANAR •A E SOR jP K -INSPECTOR GOLDEN ROD-APPLICAiTT I , RESIDENTIAL 069-170-042 99-1528 PERMIT N0. _ FROGGATT, John E. 85 Montrose Avenue, Oroville- CHi :: IntegrityiHomes M SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY p Address 1 GAS Meter By D e ELECTRIC Meter By D (f 5 JOB FINALED (Date) f Signature f�. ./ = OK 0 = Not OK , - = Not Applicable =Not Ready MOBILE HOMES Date OJM E HOME UTILITIES (Plans) OK except #'s >gecial MH Support Sketch Location -Test -Fall -C/O -Concrete Location -Test -Easement Needed tion-Test-Wrap;45/S/"� Nat. or / /-L"h.//'LPG Well Clearance & Disconnect A. Utility Clearance Date / " Card 13-1 Date Card B-1 Dat `Q14 _ qCard B-1 ; Date Card B-1 Date moBitf. HOMErNSTALLATION (Plans) OK except #'s Requirements -Setbacks -Easements f✓ mgs; Size- Spacing-Marriaae Line V ' as; MH Test -Demand -Valve -Connector 4. lectricity; MH Test -Crossovers -Breakers -Clearances Zoning Requirements -Setbacks -Easements ain; MH Test -Fall -Flex Connector 2. Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. G4s and Electricity Tagged L&6". Downs -Type -Installation Cert. 0.. Exits;,lnsp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 7. Dat Card B- Date Card B-1 Dat Card B Date Card B-1 •.t 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- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes ] No/Walks J Yes , No/Planters Yes 7 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: A.P. # OWNER PERMIT # MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES. NO . YES NO a- r� .—�.-- -.—�� ��q`r`':. �— ".ti71y;..•"��'lt- x� �.;��-:%v.'"x'+r.RW(rii^:;rY.r'.-�.r.� _ -.. .'..5 ..:+•`'s t►�.S.: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530)891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE GA OWNER PERMIT NO. A routine inspect' indicates that the following violations of butte county Ordinances exist at the above address should be corrected. Please notice this office when correction of work is completed/If y have any questions pertaining to this matter, or need additional explanation, pleasikconta this office immediately. `u G REV 10/92 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: `� ;_ PERMIT NO<:�? A Owners: Name: W Owners: Address: Mobilehome / � 1 //� � �) , > � "jam— V 1 / Year of Manufacture) Manufacture: Serial number + Insignia*or Imo? r or V.I.N. Official approvin stallation: Date. ( / 97 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor e MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE r DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN:PERMIT �' I �� �'• NO .,)It Owners: ) Name: I ,! � f Owner's: g-) Address: `! Mobilehome, f � r • � "A— L Year of Manufacturer "7 Manufacture: !! Serial number Insignia or or V.I.N. i i f �'> HUD number: Official approving installation: ,ri Date: �. ff If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive • Oroville, Ca ifotbia 95965 • Telephone (530) 5 -754 �, `PERMIT (Rev. 12/96) APPLICATION AND PERMIT If ASSESSOR PARCEL NUMBER 069-170-042 ZONING RT 1 BUILDING PERMIT OWNER JOHN E. FROGGATT SR. 916 T�Tr11831 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 841 OAK STREET, WEST SAC., 95605 CONTRACTOR'S NAME INTEGRITY HOMES INC. TE _9643 CONTRACTORS ,"IUNG ADDRT74O FEATHER. RIVER BLVD., ORO 95965 1 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 85 MONTROSE AVE., ORO 95966 Ener Plan Checking Energy g Fee $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU MHI (99-1529) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Fling Fee 20.00 'MOVOR LE Main Service za.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS force and effect. Q Q License Class Lic. No. ��� I�U OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier I. o!"M Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � Do Signatu�Applica t - ❑ Owner Contractor - ❑ Owner Contractor ❑ Agent An OSHA permit is required for exca tions over 5'0" deep and demolition or constru on of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. BLDS. 3.5QFT. REOSINEW D. T. MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 .00 EX. OCCU . OUTLET OR FIXTURES SAL O 1. 0 Ex. Occup. pUTg Rp °pp E. Temporary Service 23.00 Mobile Home Facilities 20.00 20-00 Misc. Wiring 23.00 PERMIT FEE = 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. p. FEES IMF ` FLOOD .,,r CD 11 PAR FD ,� HD S This permit is hereby issued under of the Butte County Code and/or indica bove for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4 D to o Z 0w Receipt No. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR NK -INSPECTOR GOLDENROD PLICANT M'"V& Vii. 'Z �'.i'y,A('i�."s^ -. -N[`;A °`�' `tiiJl i.; ;-' 's�;. .1�'-- "z. Yr r. `y�S .}J ,*'.•4�a r -�' y 4i �., f•^ . _ .,r-•..s'aA*'.4. 4yy rW'L ` 7 -CO.L'NTY OF BUTT'Ef=--D.EPARTMENT OFA 4 rPMENT SERVICES - BU VN'jffiVISION' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (5 01 PERMIT "PLICA TION DATA SHEET OWNER: F O (, c, ASSESSOR PARCEL��- Proposed Building Use: Building Inspector: Date: -7-7 — q� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 41. All items have been submitted -------------------------------------------------------------------------------------- 1:12. Plot plans, 3/4 sets, signed by the preparer of plans ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation.---------------------------------------------------- •` 117. Staten gent of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑8. azardous Material Form. ------------------------------------------------------------------------------------------ anufactured Home data and installation instructions including Tie Down Specifications .----------------=1 ;naotfees s of $ ---------------------------------------------------------------------------------- �1. I as shown onAhe attached schedule. ------------------ ----- -- n-= jj jj/_f ____ I d f2. California Department of Forestry plan approval/fees. �—1�.�J.� VE— ----------------------- I -------------- ------- �' t ❑ 1 ' elevation certificate. -------------- ----------------------------------------------------------------- anit'ation and plot plan approva4OA PO aalth Department. --------------------------------------- ❑ 15. City cf Chico plumbing permit.------------------------------------------------------------=-------------=--2 ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------- 1117. --------------------------------------^❑17. Planning approval for (A) Use: (B) Parking: ______________________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------. t s (Date) . ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). *-------------------------------------- 24 tter of signature authorization. ---------1 ------------------------------------------------------------=---- 02 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 0 26. Letter of intent on building use.--------------------------------------------------------------::------------------- 027. Manufactured Home utility clearance. -------------------------------------------- 5 ------------------------------ � 028. Existir_g violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- E130. Other: ;Pe1'ep`hon'e sle the ermit, ro`s follows ❑ Mail to owner, ❑Mail to contractor. ''t and hold for pickup at © office. ❑ Deliver with inspector. Applicant: 07 54-� Date:' 99 "'Copy of Haz :.Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:.. By: .Copy of plans sent 11Health Department, ❑ Fire Department, ❑ Other: I Date:OC By: 1. Index permit application for the above items numbered: O Plan Check List 2. Additional items required: ` on ac or esigner, owner, was advised of the above required data bypQhone, ❑ mail, ❑ Building Division counter, by Date:--�—_� Contra -615r, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: ' Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: :;: ' . ' Date: 6 ' a r� 1- Il COl"JNTY OF BUTTE DE L0 (IP PAR TMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r County Center Drive • Oroville, Ca!ifoi nia 95965 • Telephone (530) 538-7541 PERM NO. (J�( ik.12/96) APPLICATION AND PERMIT G%9'' /5d ASSESSORPARC LIMB / 1 �O(' .a zo T ` 'CTELEPHONE BUILDING PERMIT OWNER • -, 9t l--8831 SO. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS .SR 5 COOR'S NAME TELEPHON CO TO LUNG ADDRES CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee . $ Plan Checking Fee $ BUILDING AD Ess I�1�E Energy Plan Checking Fee $ 0�;O\ALLE OR PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PMCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesXr Installation ❑ Other ❑ Describe Work: h Uzh �I LPA Each as water heater or vent 15.00 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 00 .A OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY P J rY P Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. , ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BIDS. 3,5¢SO. FT. NEW CONST. MULTI.OUTLET NON-RESID. @7,50 POWER APPARATUS 3 SINGLE OUTLET CIR. Ex. Occu OUTLET FaTUREs BA� @'.50 Ex. Occup. FlXED APPLNs. OR ounETs PLNS Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 cert' that in the performance of the work for which this permit is issued, I shall certify P p not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' .compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE Bcy TOTAL FEE $ HA2. D. FEES IMP FLOOD OF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -A SESSOR I PINK -IN ECTOR GOLDENROD -APPLICANT nL I ,ml n 1'TZo�p � ra m a v U Fra cx u Q.C-o HOAE. oIf g p ALL GTPUC'; 2", Jq� �� ��I �y L �Mj�t IP80 m y a� C o m CD o� C0 p O Csa 5 S 0m C, CO CD CD a�rl�yb ID r, ® R! ce c, o i -or CD CD l! � r a � ham+ • ,S SDW -n c` ,, _ 0, N - =_ �Mj�t IP80 m y a� C o m CD o� C0 p O Csa 5 S 0m C, CO CD CD a�rl�yb ID r, ® R! ce c, o l! � � ham+ • �Mj�t IP80 m y a� C o m CD o� C0 p O Csa 5 S 0m C, CO CD CD a�rl�yb ID r, ® R! ce tr t 6f' -r )-L-�z AP# CDF FIRE SAFE REQUIREMENTS gq, �s PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded. by Butte County. local 'regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [} 1273.02 Surface. All driveway. surfaces and, structures (bridges, 1273.07 culverts and other app-artezant structures which supple- ment the roadway bed cr 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 [Y,] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet.to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum.of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3- SU I � E UU ILDIG DEPARTMENT �ED J_ 2� Q _J6 rf.� AP # PERMIT # N ( 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. [.7�] 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 [�l 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 aild larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requiremerits -below. [] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction,. of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be. completed prior to completion of road construction )r fi_ial inspection of a building permit. P L \J 7 Page 2 of 3 B W J1LDN �"L' AP # PERMIT # NAME Other Reguirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves If Building Setback -is Less Than 15 Feet. Choose any.3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not -to exceed '_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--�3 -5 Date Signature _ , U?F-' C Page 3 of 3 11 I �UNA U AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 ,, COPY of Document Recorded 12 -Jul -1999 1999-0029259 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, plowm& spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lon- sNco N oma v%vocr c vsA%V'.A � �-c anEo `' � Y � e-sT>m LAKLM No. q -A° pit; to I*w CST` p CE o T-fte REc-M0E12:'-l�" &u." I eAL.AFoR^taA, 94 L- a3, lc1`lto. i►.► i• b�K 4S oP APs' -PAhE5 On, q$ Rn10 99. Date State of California County of -BBA-- TF- MIMMWOMIUVAN PROPERT OWNE —" ttnl rG . F�toCa4RZ-r', Sr. A-rr personally appeared Z -5->h r' E CRnc j:�a -rt S '- a^ cl NA S Fie 0&&'4 T -r personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the perso qfs) whose names iWare subscribed to the within instrument and acknowledged to me that be/ebe/they executed the same in hiso%er/their authorized capaci ), and that by hieAmr/their signatumW on the instrument, the persoaW or the entity upon behalf of which the persQuW acted, executed the instrument. WITNESS my hand and official seal. Signatut Ste; KAREN CAGWIN �\ Comm. / 1110180 A.P. # CUR - O 44 k NOTARY PUBLIC CAUFOANIA Butte County MA 9My Comm. Upkes Jan. 21, 2002 1 PERMIT NO: 35-99 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: July 12, 1999 Applicant: John Froggatt (Integrity Homes) 841 Oak St. (1740 Feather River Blvd) Applicant Address: W Sacramento 95605 (Oroville, CA 95965) Applicant Phone No.: (533-9643) Property Location (s): 85 Montrose Dr. Oroville, CA 95966 Kelly Ridge Estates Unit 4A Lot 42. A. P. No. (s): 069-170-042-0 Fees due: All fees paid. Application for service approved: KE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: A Date: Lake Oroville Area Public Utility District release to close permit: Date: By: �/'nra'?t..''�, iryr"'tr'IYi++���^;ft:.�J}'�i.:rr�!l.'l:��r!•,j.]`r.jA'la_'l^�'�t�'�'y�'1.i1"h+�1'f%f��lirw�'+,/•111�y.5r'•Yltil'isV��'�,••.f"M..y1+R.'N.f�"�vC�..�Y'i�1S"�Tiw:.�-1�-•i il'n.I•'!.'1'.r3�y�•y�,.. �i'4 .� r. t•i..y�.. .. �R a.m BUTTE COUNTY SCHOOLS'IMPACTrFEE'CERTIFICATION FORM (One form per Building) School District �(( I �. Q�%/3/j guilding Department No. A.P. Number r X10 f—/-70 V ""07 Jurisdiction: City County Property Owner J Le,Property Location/Address m n.QC� J Subdivision Lot No. .................. ........................................................ �...................................... : Residential Development Sq. Footage I No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '+ } I '(No foundation inspection)' j ................................................................................................................... Commercial/Industrial New F. A r y A Representatke 4 Sq. Footage (Including Exterior Roofed Areas) Date trroor Hans reviewea Dy acnooi uistrict rersonneo District Identification No.Q l School District certifies.that • (Applicant) (Street Address) ' (City) - ;r2has* complied with the requirements of Resolution No enting / 44�� square feet. ct Representative Paid by Check # Remarks: (State) (Phone Number) (Zip Code) Z0 by Payment of $ AB 2926 $ FULL MITIGATION $ -,116 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent io the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency;that.this project is being reviewed under the California Environmental Quality Act (CEQA), i this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ' teeform.x1s (10/98)dmm X 1. Owner's Name: O(YrAKA E, fi Q -Z) 6 64-'Y T- �:. Assessor's Parcel Number: C��OcI 0 3. Installer's Name:::4-mC-1 2m -U aim, -nlc 4. Is the site currently under permit? Yes[ ' ] No[y] Permit No. 5. Is the site an existing site? Yes[ J No [ X] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? CSO Amperes. 7. What is the mobilehome site circuit breaker rating? c .Amperes. 8. What is the electrical rating of the mobilehome site? SSL�n Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[xl None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 2Q inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?9(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION N bey 1995 7 8.5 •e :n Mobilehome Manufacturer:. SILVERCREST Manufacture Year- q� , If other than single wide, furnish Setup •Model- Number: W-62 Width26 (ft.) Length: 56 (ft.) Tagalong or Expando. Size (ft,) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish 'manufacturer's installation manual and structural setup sheets. FOOTINGS:.. Wood pressure treated or foundation grade[x ] Other: r SUPPORTS: Concrete; block[ x ] Other: r. r k ProvideTie Down Specifications for all Mobilehomes:_ -PI ui_s W .Pier Footings Sizes andLocatiop SIIYCLE WIDE , MULTI -WIDE Lme 1 ne I L•me 2 ,. Line 2 .............................................................. • Main Beams Linc 2 .... ` ................ .t ............................................. c,Z Line 1 Line 3 Line 2 ................................................................................................ Main Beams ......................................................................................... Line 2 Line 1 ............................................. e5 Tag or Triple e 4 ' el Line 1 Piers: Size minimum: J24 1 x 3 0 1. Spacing maximum: L8 ` 0 ` From ends -maximum 0 ` 0 ` Line 2 Piers: Size minimum: [24 ] x [30 ]. Spacing maximum: ` 0 ` From ends -maximum 2 ` 6 ` Line 3 Roof Loads: Size minimum Location (from fM rear Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [1 2 ] x [30 ]. Each side of openings with width over: 1 2 ` 6 Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: I` From ends -maximum• ` '!��'��!l�1��.��1.��1�.���1!i■�!*!!■lel 'OVER FILE COPY 0 V 2 UGC �TCHN "OAC1�C���®�!•l�tJV� bLAM Wj- ,��? PIERSIMODEL UM£:W 7W00p T(Nf+ ►bM(t GOAtOAw�ION DATE: F5 -2a-�(o APIA APPROVAL I W/o pow oP T If b PZ44 .A I j FP- z� - �9 At J011liS PLAN LOCATE SUPPORT PIERS FROM REAR OF FLOOR BETWEEN NO (DEAD LOAD 8 P.S.F.) Y UNITS i 2 3 4 S 6 7. 8 9 10 W-�o2 LOCATION �-%� �0-O' �I=o''_�" ri�o�_O LOAD AT 20 P.S.F. '; Q 01 C41 4850 3261 -A-;[LOAD 6AT 30 P.S.F. 419 8�h�� r057� 44 19 e 00 Di Ak LOAQ AT 40 P. S.F. --- -- .� MAY 2 y 1995 � ._._ --- it ���.►LC•) ..L�-L� .�����J .A I j FP- z� - �9 At J011liS PLAN LOCATE SUPPORT PIERS FROM REAR OF FLOOR BETWEEN NO (DEAD LOAD 8 P.S.F.) Y UNITS i 2 3 4 S 6 7. 8 9 10 W-�o2 LOCATION �-%� �0-O' �I=o''_�" ri�o�_O LOAD AT 20 P.S.F. '; Q 01 C41 4850 3261 -A-;[LOAD 6AT 30 P.S.F. 419 8�h�� r057� 44 19 e 00 Di Ak LOAQ AT 40 P. S.F. --- -- _-- ._._ --- ' LOAD AT 60 P.S.F. W/Off LOCATION r01 X f81' o' ''jl'. O' '�°1 °. �' S(olrp' � t o - n , P° M=. LOAD AT 20 P.S.F. $ o o t4 40� _ $ 4b5o 4833 16 D LOAD AT 30 P.S.F. Fi 19 (Oi 7' 6 t'n5F,3 2IDc}- - LOAD AT 40 P. S. F. LOAD AT 60 P.S.F.-- ` LOCATION l.OAO AT 20 P.S.F. ., C LOAD AT� 30 P.S.F. LOAD AT '40 P.S.F. LOAD AT 60 P.S.F. Inicctes IQnj tudlnat bearing wall between these supports, �eCu�red vn er ase �lrs. Additionol PIERS oro SET-UP StIPPI!mFNT Wn 1 04/01/1997 17:49 9166623158 SILVERCREST PAGE 01 Iz r Ip` 13� �■ .1 Piro 0 �a�aa�aa�aaal�aa�ar;��'.t•1'• „" Igo a � lel , i C �ea,tpill r �-li � / 1: • r fit• Sig jj.+ � � � I 'ocu=M'al� � " lig ♦ (1� i =iss�1u�# Ct 0 Me g roc w -••� f a �, lit• � it `� `i T � r - �• r� •� ars. �< .r � �. Y JJ 1. F _ M no. ;'arr :`[, F �{ Oji'; 1•= „ f 1i yob o, �. rL; h , - AN tA r 1 0 gni N• 0 . ,� � ,,. � � COUP Y OF BUTTE .DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE. OF FEES DUE OWNER /�+ %f (e� Co �-�%'�' . PROPOSED BUILDING USE 1. BUILDING PERMIT FEES l -- Balance Due ................. - Additional Fees Due ........... -=.Additional Fees Due ........... - Revised Plan Checking Fee ....... 2. SCHOOL DISTRICT FEES '--(pouf District Office) A.P. #0 �lj�`f 7O`-o�,/v�� DATE RECEIPT # DATE REC 2 7 3 ? 10 T 3. SHERIFF FEES (paid at Building Division) !! 1 Residential ........ �_ x $360.00 = $ -:3b 2- 73 &3 Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. w URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ � #Units Amt. Coinmlercial (sq. ft.) .. x =$ - � Sq. Ft. Amt. l RECREATION DISTRICT FEES (paid at District Office) _ 6. THERMALITO DRAINAGE DISTRICT FEES 510.00 -(paid at Building Division) SRA FIRE INSPECTION' AND PLAN CHECK $89.00 (paid at Building Division) t _ 8. WATER TENDER FEES (Battalion # ) 5200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) .0. OTHER At time cf permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. �? APPLICANT DATE 1-1 ` ���) AC), Pursuant t:) Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). ; 1 Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) ' "�'-u'1-.�^'".'`wrt� t�-� +."`w'�. ��Y�4�``r`"u° �as'�al'�y�}kw4r �;'C+DRi.O'(..li$�S'�iirr`1..��r.r'r ��i� +;;.: ,r;,.,.:�::,ta.;�,y >f+.�;.•vi:.: - r .. �." COUNTY OF BUTTE -DEPARTMENT O,�' DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL.-1 CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PAR ER: 4 Proposed Au ding�e: Building Inspector: Date: At time of permit application, was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------- =---------------------------------------------- ❑2,Pl t clans, 3/4 sets, signed by the preparer of plans.----------------------------------------- 03. ----------------------------------------❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------=---==--=------------ -----------. ❑4. Engineered plans, 3/4 sets with wet signature gm p on plans. All.'engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate .(required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- tatcment of Intent for Non -Heated and A/C Buildings ---------------------------- dous Material Form. ---------------------------------------------- -=------- =- -- -- ---------- l�- anifactured Home data installation instructions includin own Specific "tic .------------------ _ -of $ ° pact fees as shown on the attached s hedule--------------------- 3 o------------------? !] 12. Ca:ifornia Department of Forestry plan approval/fees. ------------`==------------------------------------------ lood elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval Health Department. ---------=-------------------------------- 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plct plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, E3 Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on - (Date) D2 1. Contractor's license information. (Number, Name Style, Classification). ------------------------- 7 Workers' Compensation carrier and policy number. ----------------------------------------------------------- 02 Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑ 2 J C Iter of signature authorization. -------------------------------------------------------------- ==---------------- ❑ 25. Reworded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑2 iter of intent on building use. ----------------------------------------------------------------------------------- ca7. anufactured Home utility clearance. --------------------------------------------------------------------------- 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0 43 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - --------------- 030. ❑30. Other: ------ en you issue the �r;e�flows ❑Mail to owner, ❑Mail t actor.�1Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Cl Date: `71?/92 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air P llution Date: , By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index perrnit application for the above items numbered: ' ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building'Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: 40 Date: _ ."Plans approved by: i Date: r —z< Sets of plans onholrMo Plan Cabinet,!6A. . folder. Note transfer by: o`a, Date: vott,....ir,...... r�e.....-�...e...,.cT,...,,t,......,....C...,..:.."... D..:1J:__TG_.]_]_� ♦, .. 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. JOHN E. FROGGATT SR. AND HAZEL J. FROGGATT REAL PROPERTY OWNER/LESSOR 85 MONTROSE DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE - ZIP SAME UNIT OWNER cif also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2248 530 538-7541 BUILD IT N0. TELEPHO ER E$jN�R .L fitald 8, (§ONAYJRE OF LOCAL AGENC F CIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DELAWARE WESTERN HMS 1998 WESTWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 1730634OA/B 56'X 13'6"/56'X 12'10" HWC257841/2 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPER -Y LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-170-042 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. RECORDING REQUESTED BY:, 2 4— 0 0 4 9 5 C� 6 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 Count Of I CANDACEUJ.. GRUBBS I Recorder I AND WHEN RECORDED MAIL TO: ROSEMARY DICKSON I Assistant I Alyce 11:27AM 13 -Aug -2004 I Page i of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOHN E. FROGGATT SR. AND HAZEL J. FROGGATT REAL PROPERTY OWNER/LESSOR 85 MONTROSE DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE - ZIP SAME UNIT OWNER cif also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2248 530 538-7541 BUILD IT N0. TELEPHO ER E$jN�R .L fitald 8, (§ONAYJRE OF LOCAL AGENC F CIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DELAWARE WESTERN HMS 1998 WESTWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 1730634OA/B 56'X 13'6"/56'X 12'10" HWC257841/2 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPER -Y LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-170-042 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. 07/,V /* 04 113:02 FAX 530 533 1.588 BTDWELL TITLE OROVILLE I?1003 - RECORDING REQUESTED 13Y: ridelity National Title Company When Recorded Mail Document and Tax Statement To: Mr. and Mrs, Froggatt, Sr. 641 Oak Street West Sacramento, CA 95605 EBcrow'No. 164905 -CW TItIe Order No. 1 -64905 -CW !111111 !1Mil! 111 Il!! 11111lil!#I 4�3c-: —00 1 f+ED, W8 Recorded I REC FEE 7.00 Official Records I TAX 17.60 Corm Of f Bute i CANDAC£ J. GRUBBS I f I Maureen 09:03AM 16-Ppr-1998 I Page 1 Df 1 APN: 0 6 9 -17 0 - 04'1 SPACE ABOVE TH19 UNF =0N RECQgMM3 L'9E ONLY JPN GRANT ®ESD The undersigned grantor(s) declare(s) Documentary transfer tax is S -7.60 city tax $ [ xy, I computed on lull value of property conveyed, or [ j computed an full valve less value of liens or encumbrances remaining at time of sale, [ xx ] Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, JIM D. DRESLER, a married man as his sole and separate property hereby GRANT($) to :JOHN E. FRGGr3AIT, Sr. and HAZ21, J. FROGGATT, husband and wife, as Joint Tenants the following described real property in *m)Cftnf the unincorporated area of County of Butte State of California: Lot 42, as shown on that certain map entitled "Kelly Ridge Estate unit No. 4-A°, filed in the Office of the County Recorder of Butte County, California, On April 23, 1976, is Book 43 of Maps, Page9 97, 98 and 99. DATED: April 0"l, 19ge STATE OF CALIFORNI COUNTY OF. ONL4 -1- _, before me, , personally appeared �¢ r personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the wlthlr, Instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(iss), 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. wrTNESS mynd nd rcial al. � Signature D, Dresler (17 C. WILLIAMS NCOMM. 11092339 tt*my WARY FUSU6�r MUk r) COUNTY OF OU'rTIE w Comm. Expkoe Miroh 24, 2000 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Hav 3/04) GRANT DEED c ur OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO16 .. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ,F APPLICATION AND PERMIT 99-•1529 ASSESSOR PARCEL NUMBER 069-170-042 ZONING RT 1 BUILDING PERMIT OWNER JOHN E.FFBOOG�GAATT S_R• T�/- M SQ. FT. OCC. BUILDING VALUATION ��(�916 OWNERS MAILING ADDRESS 841 OAR STREET W. SAC 95W5 CONTRACTORS NAME INTEGRITY HOMES9 INC. 3.iV4643 CONTRACTORS MAILING ADDR1140 FEATHER RIVER BLVD., OROVILLE 95965 ` CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS` MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS MONTROSE AVENUE, ORO 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ L-4 Z5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IMI 0HU 99-1528) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 vR Main Service 20AORLESs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class t �j' �r41 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �f7 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ( i 1\I I CA C r Policy Number A:Z;.T> Gt -+ n"?t`-S `1 "' """ / / 7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X L 1�.���% ��,li,_ I, Z� � ( Date - C) Signature of Applicant - ❑ Owner . 1% Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction ures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW EwNG UP. SO OR ADDNS. a ACC. S.3.5¢FT. NEW CONS. ►NON RES DT MULT.1 IRCUTITS @7,50 POWER APPARATUS a sINGLE ourLEr cw. 20 @ 1'50 EX. Occup. OUTLET OR FDTTURES BAL O .SO Ex. Occu ,ouxE' AM'.oE5.00 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 FEE $ Mobile Home Installation Fee $ ID Q Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ L(„3to,...._. HAZ. FEes IMP' 1V FLOOD ,_ CDF PARCEL i �. PD „� HD ISSUE V This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. �' %� , }�� r�_, t— Q ��!` By +�i" f r, I cw I-DatenNo. PERMIT EXPIRES ON r/r.i/D.S.-B. Dale a ' 777 �7 �=+ CANARY -A ESSOR P4 K -INSPECTOR GOLDENROD -APPLICANT t - w 069-1701042 99-1529 FROGGATT, John E. 85 Montrose Avenue, Oroville Contr: Integrity Homes MHI (MHU 99-1528) i t f } k t - � - w 069-1701042 99-1529 FROGGATT, John E. 85 Montrose Avenue, Oroville Contr: Integrity Homes MHI (MHU 99-1528) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION V 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99-1529 ASSESSOR PAROL NUMBER 069-170-042 ZONING RT 1 BUILDINGPERMIT OWNER JOHN E. FROGGATT SR. 916 TITP1831 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 841 OAK STREET W. SAC 95605 CONTRACTOR'S NAME INTEGRITY HOMES, INC. 53379643 CONTRACTORS MAILING ADDRIS�40 FEATHER RIVER BLVD. , OROVILLE 95965 CONSTRUCTION LENDER Fireplace LENDERS MAIUHG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS MONTROSE AVENUE, ORO 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 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: MHI OYM 99-1528) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 500VOR UE Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comme.icing with Section 7000) of Division 3 of the Business and Professions Code, and my license is n fpjl force and effect. ..�p�Q License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for tha 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. ❑ I 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 heve 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' a jnssationn insurance carrier and policy number are: Carrier _ Po icy Number (TFe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date T 1 Signature of Applic nt - ❑ Owner ontractor ❑ Agent An OSHA. permit is required for excav ions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO iOOOA 46.00 NEW CONST. DW I]IING CUP. OR ADDNS. a ACC.3.5QFT: SO ,pµpalp T. MULTI -OUTLET @7.50 FOWER APPARATUS SINGLE aunET cIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I'00 BAL- @ .so Ex. Occup. oLrt Ers , D.OERA 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 FEE $ Mobile Home Installation Fee $7/7 Energy Inspection Fee $ occ coNsT. TYPE 7 TOTAL FEE $ J HAz. F MP FLOOD cD� i/11. PARCEL PO H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Q By Da U 13,1 PERMIT EXPIRES ON 11310b Dete Receipt No. E—V WHITE-D.D.S.-B.D. CANAR -A E SOR PINK -INSPECTOR GOLDENROD -APPLIC COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovillp, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4 -/5�t q- ASSEssORP C N ER ZONING BUILDING PERMIT SQ, FT, OCC. BUILDING VALUATION N 5 MgLjNG ADDRESS :�F`�r('yi�� �I�r• TELEPHONE CO TORS ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ W$ I ^ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeA Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other 13 ( Describe Work: v�� � (�1� Gas i in stem 1 - 5 outlets pg 15.00 sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 110.0,V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. G 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. Q I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DW°ELLINCUP. ( moG OCo' e�S. s0 3.52FT. NEW CONST. NDN Ralp MULTI -OUTLET BRANCH IRCUITS @7.50 POPARATUS a SrwGLE ovTLEr CIR. Ex. OCCu OUTLET OR FIXTURES B20 @ 1.000 Ex. Occup. OUTLETS R D.DEA 5.00 Temporary Service _ 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ _ Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy. Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES 1. IMP FLOOD CDF PARCEL p0 HD ISSUE This'permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Dere Receipt No. J — a. O WHITE-D.D.S.-B.D. CANARY-ASSESSCYR PIN -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 , PERMIT NO. BP051150 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/13/2005 APN: 069-170-042-000 the Business and Professions Code, and my license Is in full force and effect. License Class : License Number: Site Address: 85 MONTROSE DR OHO Date: Contractor: Map Index: Description: deck(144) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following, reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a .Owner: NEUFER, JANET permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 85 MONTROSE DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of lhe•Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the 'structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: NEUFER, JANET Code: The Contractors' State License Law does not apply to an 85 MONTROSE DR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sae.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article.3 of the Busi ess and Professions Code -6/ " dJ Owner: Date License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by .Section 3700 of the Labor Code,.for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 144 S. F. Policy #: Valuation: $1,440.00 Census Code: ,2<certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' / rr compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: - - Q� •' Applicant WARNIN : Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i erebyjssue nde thea plica provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolutio to do ork indica ab o or w fees ha a been paid. 2 1 performance of the work for which this permit (Sec BY Date: ,���>^� 4 Name: PERM XPIRES ON: -s— Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials: ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information Is correct, and that I am the owner or the duty authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr�ejse'�nntatiives CCounty%topnt`err upon the above mentioned property for inspection pur ses. " -7' Print Name) /7,A E/ /� �� /V r�/'�G Signatu e: Print Date: /Own 0 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER all IM 4`1 On City04.0 vf' E0WA., Zip 9 b�_ . _ : / E-mail Lic.#� ��� CONTRACTOR Name H,,+7v-54ffl/ 4W's Cow Address S7 0, lr�- x 16 City04.0 vf' Statt Zip 9 b�_ Phone SzJ `116 Fax E-mail Lic.#� ��� Class W[^ ARCHITECT/ENGINEER Name Address City 0 "71a YOM State Zip Phone Type Const. Fax E-mail Map Book State License Number W[^ APPLICANT SIGNATURE X For Yffice use only: A- Zoning Flood Zone SRA I 0 "71a YOM I No Occ. Phone Type Const. Subdivision Name Address Map Book APPLICANT SIGNATURE X For Yffice use only: API > GI_ / `7r� l Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION API > GI_ / `7r� l Propert Address/ Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: % L/ y Sq. Footage O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by- P2 VA Receipt #:Ur "� t,�26 Date: Amount: Bldg Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. p 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER. FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE D&—j- 1. BUILDING PERMIT FEES 90� --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.). Sq.Ftg. X $0.03 = $ 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES J3ATTALION # $200.00 (paid at Buil in ivision) x 8. SMIP I 9. OTHER 10. OTHER 11. OTHER A.P. # �U / ' /%® DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed ging the plan checking process. APPLICANT DATF.,4Y-1'2oP Pursuant to Gover `rb+(ient Code Section 66020, you are here)5y notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) OWNER: 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 NL9Vf�Z 1 � �" ASSESSOR PARCEL NUMBER �� / ^ /70 Proposed Building Use: (/ C'`Gf C Permit Technician: 69216 Date: ^� \Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �p ► h1 2.. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -sinned by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. HazardourMaterial Form ❑ 13: Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 0 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... s ❑ 19. iErosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. :,alifornia Department of Forestry plan approval ❑ paid. Sent by: ............ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ......... heck:........ ❑ 25. Contact Land Development about _ Improvements, D _ rainage........................ / N 26. NPDES Form......................................................:...............:...................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner)... .......... wner)..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits ....................... ............................... ❑ 34. Ceed Restriction........................................................::....::.......................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Cther: ❑ 37. Other: .f N��� g Zya) When issued Telephone and hold for pickup. I have been informed of the above ite and requirements for obtaining a building permit. Applicant: Dater_" O o2 - 62� 1. Index permit application for the above items number,94: Plan Check Letter ! 2. Additional mems required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter; by Date: a Plans reviewed by: Date: Plans approved by: Date: Structural reviewea by: Date: Structural approved by: Date: , Note transfer by: Date: Yellow: Building Division i r iI : '. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE '(530)538-7541,.FAX (530)538-2140 SCHEDULE OF RECEIPT. OF FEES Website: www.buttecotinty.net/dds �t/�wf=2 .c -t7- . OWNER / A. P. # PROPROSED BUILDING USE �L`ZI� DATE 2'~ RECEIPT 4 DATE REC. 1: BUILDING PERMIT FEES �O - - Balance Due....: .......... : ...... $ -- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available. after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 $ 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES . COUNTY WIDE (per dwelling)$ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE 5204.98 (paid at Building Division) 7. RATER TENDER FEES BATTALION # 5200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised'the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT t'% DATE 3 19,i -OSS Pursuant to Gove � ent Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) 40� j COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)5387541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.butte'county.net/dds OWNER /�' L .� /�''�✓ A.P. # 069 /?� ~ �� PROPROSED BBUILDING USE L' 1. BUILDING PERMIT FEES' --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ............. X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8., SMIP 9. OTHER DATE r �' RECEIPT # DATE REC. 10. OTHER r 11. OTHER At -time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees' • may be changed during the plan checking process. i Ifs /! E .r` c �C �. �° t ,a #� / DATE/.-, - ( APPLICANT C:,, Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may Have been imposed on your project. You: ` have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you'may protest. The requirements for a." protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) 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 / www.buttecount-y.net/dds OWNER: " ��/ I J � � ASSESSOR PARCEL NUMBER (,6'9 - l70 10"1/ Proposed Euilding Use:��� D�`�L� Permit Technician: Date: \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. OU 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4 Engineered truss details and layouts in duplicate. No faxes! ❑ 5 Letter from Engineer or Architect for truss design review. ❑ 6 Energy compliance design and supporting documentation in duplicate. ❑ 7 Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8 Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate must be stamped and wet -signed by the engineer. ❑ 11). Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings. ❑ 12. Hazardous Material Form. ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other All of these � Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers ❑ 1; . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 18. Soils Report and/or Engineered Foundation required. \ ❑ 19. Erosion Control Plan Required. �E7 20. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 2'. City of Chico Plumbing permit. ❑ 22. Site plan and business license approval from the City of Biggs. \❑ 23. California Department of Forestry Ian approval ❑ paid. �] 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 2E. Contact Land Development about Improvements, -Drainage. P - P ,- e. 9 �]I N 2E. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). �E7 2E. Contractor's license information. (Number, Name Style, Classification). O 2S. Worker's Compensation Carrier and Policy Number. 3C. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 31i. Letter of Signature authorization. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ❑ 33. Existing violations and/or expired permits. ❑ 34. Deed Restriction. ❑ 34. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO / ❑ 36. Other: ❑ 37. Other: a1WE-7- /Uc,1-_ S S ��� 3 When issued Telephone and hold for pickup. I have beem i formed of the above items and requirements for obtaining a building permit. Applican Date EXPIRATION OF APPLICATION Applicatione for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds car only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work ha een ne. Filing fees, plan check fees, and other department costs are not refundable. �j,, PAC / �/�0� Original -Applicant l4'i'L1?;.3'id:'b :.0 ':'M.:�J._: - - > M .y oR. V:2 i.w:?-'n�:a"Fe-iCa+1:e:!•.' ....: i i Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [�,/] NO [ ] �2. I HAVE] HAVE NOT [ ] signed an application for a building permit for the proposed work. -� 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: _ 4-= D-:? NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION t BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieir4 C.B.O. Marl ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ik I t f F� It t fLp i 1 ASCRITECTURAL COWROL t en RY•�Off'--------- 507na11;t wlrovot* l to AY► o f � lf. A N at"$6 orl- 1 Al fr t a 'C, �p This could be approved and I rec- ommend approval based on the following: 1) Appuraeneeceo t1:e main structure in the 20 ft. set back can always be removed. 2) Deck and roofs on Mobile Homes are alvays deemed free standing with separate foundations. PLANNING DIVI ION - BUILDING PLAN APPROVAL } _ Use. Date: J "�('� ii Parking: Landscaping: Other. Signature - I `T E COUN I t PPF1.0V �� rq G� y • i y(j o 6' TYP. 449 �.. 1 G PLYWOOD CC W. � 1 8� `NIT • �X T Z ' •of FRMIUf�. . • • CLIP= _ r• - �� ' r m ' 28 x 12" STAIR STRIWGEIZ. hS'o.c. MNX- ' . ' 4�,'x IT PITS '' C&. �F le Ni.n. outti,4 'TOP VIEW • H AIIDQIIIL :NOT SNOu) N •FOR CLARITY. LOULLA DF*2•• 2.xV DECKING '(ALT) -3/16°. BOLT ' 6 pa-cecl so 4hcL+ a. GIRDERS _ — _ It y'( Sphzre canno� 1'le' TZ G PLYWOOD CC E1R: ,. 2",cq• w ,� +h!4. MOBILE 110ME = M:=! , OR DECK ' ' do 4W MTL. FKHIJ ' . I I MAX. CLIP (EA. DE 9"MIN. v ' 4'K4' POST' • ' 2'x 12' �'21]F.._ ( S 2"K4" PRESSI RE•�,GUARDRAIL Ito • ` .� e"MIN. DOLTS RFDWoov'P/.A7 -' t j � w DECY I I,I G' GIRDER • zo W PRECAST 494' POST " � IER ADF4U4TE DIpGONAI. I3RFICING. Rim T'rPlo �FS1 DiAIAW nQ ,FCK e I� 0 PU ARKS BOUNTY OF BUTRtm ' ' " ' ` ' ' 14"xl G• 'r�N, 1''007'11 6 7 CounIV C ntar [F a or e, a1 rorr��e5s ' Tr!/ ephon G� y • i y(j Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-1/2 1.114• 3-12 • Max. ro ' Max. 1 -12 • Min. 2-12 4" Max. Intermediate rails 4" Max• spacing shall prevent 1.1rz the passage of a 4" 3-12 -max diameter sphere. 1.11x' 36" Min. 10 2-1/2- 4" .124" Max. HANDRAILS 1 _12' Min. Top of 4• Max Top of Deck W Handrail Joist ® height 34"-38" Anchor stair stringers to the 4'• s"Min. Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and 9'Min screws, lags. M.B. Min. clear width r10 ••Girder at stairs shall Pier posts greater 6'Max be 36" than 3 feet in height need to be diagonally Post Min. 2 - 1/2" braced between dia. thru posts. An approved post cap connection or bolts required I connect girder &post with 1/2* plywd �---! gussett & 3 - 16d nails top & bottom 4 - 16d nails i or an approved 3 - 2 x 12 �Lx pressure post base 6" Min. StriAg /J rate connection , 1 If using i---=------- precast piers, 8" Min. embedment 12 X 12 footing Attach wet set precast pier „_ stringer to into concrete sill plate with footing. angle clip TYPICAL PIER FOOTING Handrail 1997 UBC.Xls Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX . GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) . and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4" Max. TM436" Min. R U) Top of DeckZ� 1777771 0777")n 077771 SIDE VIEW Min. 2x pressure treated ledger Min. 2 — 3/8" x lag bolts or:screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.xIs Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4" Max. Top of 3/4" clearance Joist to the edge of -- �he wood member joist Min. 2 - 1/2" dia. thru bolts required. GUARDRAIL ------------ An approved post cap connection Girder •• or connect girder and post with 1/2" plywd gussett W's I* nails P6.. i (). V 12" x 12" Footing I 8" Min. embedment TYPICAL PIER FOOTING i SITE PLAN REVIEW APPLICATIOfN Date: ` 1 0, S' AP# Permit Number (if applicable) 0, Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: ew Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary - Travel -Trailer -F] Multi -family Novi -residential ❑ New Commercial ❑ Commercial Addition F1 New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Parcel Size: 0 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel el ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary): Alei,-, 40&� DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 'Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ' Site P n Stampe proved By Date �� o 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: �C • Flood Panel No.: Index Date: 6 — 8 A ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------- ------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit - Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: B` r " ( (L p12) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. a CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 t Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � Side �v Side Street Rear 57' Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. a CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 t -tom Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------ ------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 j..k Subdivision ME/Parcel Map: �e�� � 1W Map Date of Recording: i76 Lot: L( z ❑ Use Permit/Minor Use Permit Permit Number: Book: Date of Approval: Page: (7- ?J_ Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: .❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 r^ 9 I_ 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 o�PWTME Nr �UT7" 0 1 \ o Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE1 Project Description: Project Location an(Vor Parcel Number: X69--/ 70 r-41 5) Yz By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. , Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 NOES RESIDENTIAL PERMIT NO. _069-17U-042 � 05-1150 _ . NEWFER, JANET 85 MONTROSE, OROVILLE { Cont: HANSON & SONS CONST NEW DECK -- SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT N0. BP051150- PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penally of perjury that I am licensed under = provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/13/2005 APN: 069-170-042-000 the Business and Professions Code, and my license Is in full force and effect. License Class : License Number: Site Address: 85 MONTROSE DR ORO Date: Contractor: Map Index: Description: deck(144) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following. reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: NEUFER, JANET permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pe-rmit to file a 85 MONTROSE DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the -Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the 'structure Is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: NEUFER, JANET Code: The Contractors' Slate License Law does not apply to an g5 MONTROSE DR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sa e:). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Bust ess and Professions Code r ' (IJ Date. Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by •Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:' Carrier Total Square Ft: .144 S.F. Policy #: Valuation: $1,440.00 Census Code: 'p""'Ice rlify that in the performance of the work for which this permit Is �f issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' �� �/ . C, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: J Applicant` �v kA WARNIN Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit !p,,Kbre byjssuedltinde thea plica provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency. for the Resolutlo s to do work indica ab or w fees ha a been paid. to do performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date: Name: PERM ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, aterials_O handling and use of hazardous materials. - 0 Notification in accordance with Section 19827.5 of California Health S Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte nlerpupon the above mentioned property for inspection puLses, jlo /County �lV Si natu e: Print Name -3 9 ti Date: Own❑ Contractor ❑ Agent for Owner 0 Agent for Contractor J=OK 0 = Not OK • =, Not Applicable =Not Ready ®B I L E 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 "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. F ngs; Soils -Si e -Depth -S ing-Connectors-Steel ecks, Gir and/or J s -De g -Bra ' g -St ' -R 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /' 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 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler•, Test 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 AI Insulated Neutral 0 Yes 0 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. Aft -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 -Meth. 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 -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-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 (3 Yes 83. Following InstkIA)rive 0 Yes 0 No/Walks 0 Yes 0 NO/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: `* 3 -SL L J0� ��i9RR� ou,,veR /3�?E�«����s C.e�•siiaa C�io� wisJ /As IBD By N t a PERMIT NO. _ 503-83B P E M PERMIT EXPIRES OWNER MARTIN CONLEY CONTR. Better Bldrs Const, Orovllle ASSESSOR PARCEL 69-17-42 +I } LOCATION 85 Montrose Dr, lot 42, KRAA., Oro Ate` Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E JOB FINALED (Date) Signature l J=OK 0 = Not OK - = Not Applicable MO g I LEHOM ES * = Not Ready 'rut MISCELLANEOUS Date' MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall &Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers-Firepiace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ ___19._ Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. 74. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 23. Romex Installed Close to Edge of Studs & C.J. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water - 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At -_ _ 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, r r� Neutral Yes No Service -Riser Conductors & Ground -Main Disconnect 75. Following mstld.: Drive ❑ ❑ ❑ g ❑ Yes No; Walks Yes No; Planters El Yes [_J No 76. Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light -- 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- -- Card B-1 -- J ---------------- -----.- Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection _- __- Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval - - 31. A.C. Ducts; Insulation &Support _ 32. 33. Vent -Fan; Exhaust above Insulation _Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Card -BI - - --------- Date---- __Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors_ - 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailin_g-- -_ Draft Stop in Walls (rat proof) _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat At Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensio_n_s_- - Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orouille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES OR ARCEL NUMBER i ZO - Gi BUILDING PERMIT OWNER I TELEPHONE SQ. FT. OCC. BUILDING VALUATION j� O t/ OWNER'S MAILING DRESS c Qg R C,50 F I S NAS C - � CONTRACTOR• AILIN ADDRES r Fireplace CONSTRUCTION -LEN[DeR UNKN w Total Valuation Is _ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1&0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINP ACIDRESS y e- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME �• !4A LZL I L 2, A. S PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 US OF STRUOfURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 W Mobile Home S G 10.00 e l TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other [:J Describe work: Permit Fee $ zc"Ocl Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,& OR ADDNS. ACC. BLDGS. 27/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): el am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. .'�a?s�'� Classification �.uUe-Rn) ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. //POWER APPARATUS & NON.R ESID, lSINGLE OUTLET CIR. Ex. Occu 2D@s0a • p�o OR FIXTURES BAL®30Q FIXED A Ex. OCCUp. OUTLETS PLINIS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): e permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department V a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Z 9,0o Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X Date 7-�5 83 Signature Applicant — Owner El Contractor � Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OcCUP. ROUP _? J TYPE OF CONST. PARC P H ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By. l PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date e "I Receipt No.�(1� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT =-j Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 9-83 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 North Burbank'Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: MARTIN A. CONLEY (BETTER BUILDERS CONSTRUCTION) 6254 Woodman Dr., Oroville 589-2539 Property Location (s): 85 Montrose Drive, Oroville Kelly Ridge Estates Unit 4A, Lot 42 A. P. No. (s): 69-17-42 Fees Paid: ALL FEES PAID Application for service approved: North Burbank February 25, 1983 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: &wd* 4 33uffe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Better Builders Construction ADDRESS: 6186 Beckwourth [day CITY & STATE: Oroville., CA 95965 IMPORTANT: April 4, 1986 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to-do work. (Bldg Permit Appin. #503-83B,P,E Receipt #81905, dated 2/25/83, A.P. #69-17-42). Owner: Martin Con M, Ley Building permit fees paid --------------------- $385.00 Retain i ing ee---------------10-00 Retain plan checking fee -------- $125.00 Amount retained----------------------------- $135.00 Refund due ------------------------------------------------ $250.00 Plumbing permit fees paid --------------------- $ 36.00 Retain filinR fee ---------------------------- Refunddue ------------------------------------------------ $ 26.00 Electrical permit fees paid -------------------- $56.10 Retain filinp fee----------------------------- 1Q.99 Refunddue------------------------------------------------ $ 46.10 _ Mechanical permit fees paid ------------------- $25.00 ng—£ee-------------------- --------- $L0.00 Refunddue------------------------------------------------ L15.00 Subtotal — Retain in 15-00 TOTAL REFUND DUE ---------------------------------------- TOTAL $322. 10 1, fte undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this cle:m is true andcorrect correcJt as stated. ee Dated this ............. day of ........................ • 19(1O r'! +s .4., at...Calif. ....... ...................................................................... Sign lure or Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above ve been performed or de- livered and that there is a Budget Appropriation❑ asame. or Specific Board Approval (Checkone) for Dosed this 4th .................... day or ............. April 19,.86 at' ......Or.o...vil....le... Cali .... ......... C ......:... ................. ................. ............................. /Department Head or Autho Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. 8 SUB. PROJ. SUB. OBJ. CLAIM NO. INV. N0. INV. DATE ENCUMB. GROSS AMT. A.P. # —b o OWNER PERMIT # -- MH UTIL. CLEARA E DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH J NOTES RESIDEN AL 069-170-042 99-1662 PFRMIT Nn FROGGATT, John ti 85 Montrose Avenue, Oroville Contr: Integrity Homes Garage SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) i Signatur CHECKED BY 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 A- CORRECTION NOTICE 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,y6u have any questions pertaining to this matter, or need additional explanation, pleasq-,co�takt this office immediately. C �-' r14 Date Inspector REV 10192 ✓ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Shthg.-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete EI ctric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Si -Ans-S� rs-,Tyy ws 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels DateM Date Dat Card B-1 Date Card B-1 Date l Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE F , CARPORTS GARAGES (Plans) OK except #'s Zonin equirements-Setbacks-Easements ootings; 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. EI ctric Frmg.; Si -Ans-S� rs-,Tyy ws 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels DateM Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 l Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval j 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 7. / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7. County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 R ITO. (Rev. 12/96) APPLICATION AND PERMIT q ASSESSOR PARCEL NUMBER 069-170-042 ZONING BUILDING PERMIT OWNER FROGGATT, JOHN TELEPHONE SO. FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS $41 OAK STREET, WEST SACRAMENTO, CA $,0 CONTRACTOR'S NAME INTEGRITY HOMES, INC. PNE TE.733-9643 CONTRACTORS MAILING ADD`1140 FEATHER RIVER BLVD., OROVILLE 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ $ 640 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan CheckingFee $ 70 BUILDING ADDRESS $5 MONTROSE AVENUE, OROVILLE Ener Plan Checking Energy g Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE 20 X 24 RE: BP# 99-1520 Gas piping systern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 VO RLES Main Service 200A 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 iiss�in��full force and effect. /�•�p, Q' License Class (1"T 1 Lic. No. �V 1 r�JU OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier V,W C"04,c• Policy Number Spm— Cj3 �! �� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X `�1^(\q 0 1L1 Q Q . Date 121 L�fi Signature of Applicant - ❑ Owner M Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To Io00A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BIDS. `3.50FT. 16.80 pale T. MULT I.OUTLET @7.50 POWER APPARATUS .ET CIR. a sINOLE 0 '. OUTLET OR FKTURES 20 p 1.00 Ex. Occup.BAL o .50 Ex. Occup. DUTLE,DTS R='.)0& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.80 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 235.00 HAZ. �..— D FEES IMP FLOOD TDF AR �_ PD H ISS 1;%/ �/ This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indica fo hich fees have been paid. �� 7- 99 By Date C�zvoo PERMIT EXPIRES ON / �� Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR r GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_ P R IT O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL N(xTBER — ZONING BUILDING PERMIT OWNER z -by- TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1u K S- . w. soL CONTRACTOR'S NAME INTEGRITY HOMES INC. TELEPH _q 1 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD., OROVILLE 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $60 Plan Checking Fee $ BUILDING ADDRESS Q TIS Energy Plan Checking Fee $ l �l e- $ PERMIT FEE S c LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeJ.9 Other C-,C.t.rCtq=�, s IFY Each Trap - 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I � Describe Work: ��e'i^_CI ,Q, 2 �-` _- 4A _ Gas piping system 1 - 5 outlets 15.00 Building sewer i 15.00. Mobile Home . S � G W1 920.00 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service zoOA oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Secon ovision oe usness anroessions oe, ( g ti7000 )f Di3 f thBid PfCd and my license IS In full force and effect.P License Class _ C 4 7 Lic. No. 707958 OWNER -BUILDER DECLARATION I hereby affirm under penaliy of perjury that I am exempt from the Contractors License Law for the `following Reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To IIOOA 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BUDS. SOk J•501. / oV NEW CONST. B MULTI -OUTLET NON-RESID. ANC CIRCUITS J — Ia7.50 OWER APPARATUS a SINGLE OUTLET CI R. Ex. Occup. OUTLET OR FIXTURES SAL @':50 PP Ex. Occup. o, EDTs RESID.OEA 5.00' Temporary Service _ 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier UNICARE Policy Number SA5U-UJ9-/-1511 7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date___ Signature of Applicant - ❑ Owner ❑Contractor �& Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 5a HAZ. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date) Receipt No. a 1733!�� WHITE-D.D.S.-B.D. CANAR -AS SSOR MK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: &__0!2)0,0J+ ASSESSOR PARCEL ER: 0 C(q— —D I Proposed Building Use: Building Inspector: Date: At time of permit application, was a ' ed the following data must be submitted prior to pe p essm and/or issuance: ,�,J�i ------------------ Date Received By l�l . All items have been submitted .----------------------------: -------------------------------------- -- Plot plans, 3/4 sets, signed by the preparer of plans. ---= ------------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form------------------------------------------------------------------------------------------- anufactured Home data and installation instructions including Tie Down Specifications.------------------ Feesof $ v ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---------------------=------ ------ -- ------------------ 1112. California Department of Forestry plan approval/fees. -l�'� -Ki L--------------- ------- Ell 3 . Flood elevation certificate. ----------------------- ------------------------------------------------ 0-14. Sanitation and plot plan approval JANIealth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). --- 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ---------------------------------------------- 1127. Manufactured Home utility clearance. ----------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ------------------------------------------------------ El 29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: (Date) When you issue the roo/c!e as follows 11Mail to owner. Mail oi c_ontractor. �elephone 5 'C and hold for pickup at�l' 1*— office. ❑ Deliver with inspector. Applicant: Z q ��Date: 21 a{ i Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ' Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2 dditi al items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, Wail, ❑ Building Division counter, by Date: Con ac r, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D' 's ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ELECTRICAL, MkHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED � SHALLCOMIDLY WITH CURRENT EDITION NQn:.All Materials & Workmanship Shall Be in OF NEC, UMQ AND UPCz Accordance with Recognized Good Practices and °`' x U >' w Of a Quality Prescribed for the Specif5.ed use 0 H : in the Uniform Building, Plumbing & Mechanim' z Codes and the National Electrical Code N w This set of plans and speciftoations MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. O a w °o x w O U a >+ Ur N ��- iq' C, X —� N FILE COP a :., C z z q H H Q �` U C U IT'y nBUILDING E RVAENT N0 S P _0 1D 0 0 za O H H W H 0 CV q H U W N 1s: wH w N V) H �r r.; s0_ to„ Nr -1 W G1 U) n � as 0 \ FILE COP a :., C z z q H H Q �` U C U IT'y nBUILDING E RVAENT N0 S P _0 1D r - - - BUILDIi�G DEPARTMENT - - rA.PPROLwED garage aftc :ice hold -d&" 7 s 7 A x� 90 f� 0 L %A 0 ac f ALL STRUCTURES AND EQUIPMENT INCLUDING ®VE I IHANGS SHALL BE CLEAR OF ALL EASEMENTS, A SET BACK OF �a4FT. FROM THE SIDE AND 5 5WOUAIFT. FROM, THE PEAS PROPER -1 Y LINES AND .50: F.T. FROM THE ROAD CENTERLINE SHALL BE CW,R OF STRUCTURES AND EQUIPMENT EXCEPT I FM A- 2 Fr. SAVE OVE§. SANG. 20 OSE COUNTY CDF FIRE SAFE REQUIREMENTS 6'T --r >-L-�Z gq, /S�.s AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�} 1273.02 Surface. All driveway surfaces and structures (bridges, .1273.07 culverts and other appurtenant structures which supple- ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. ] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet.to'those from 100-200 feet. [] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum.of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. BUTTE CUUNTY Page 1 of.l. ryp9{��®� J _ AP # PERMIT # NAME ( 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway.. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. (�] 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 [�l 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 aild larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See 1c Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi_,al inspection of a building permit. Page 2 of 3 i ry � 4. AP # PERMIT'Y # N � 9-_ .a_ - i[ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [�J If Building Setback is Less Than 15 Feet. Choose any. 3. of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not,to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature a 0440 D.EPA.RT"" Page 3 of 3 August 9, 1999 Integrity Homes Inc. 1740 Feather River Blvd. Oroville, CA. 95965 John Froggatt Assessor Parcel Number: 069-170-042 Building Permit Number: 99-1662 BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Indicate braced wall panel types and locations. 2. Show the fire wall construction between the manufactured home and the new garage. 3. Balance of Building Permit fees = $124.80. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042248 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/03/2004 APN: 069-170-042-000 the Business and Professions Code, and my license is In full force and effect. 1�7o 3-9 6 Site Address: 85 MONTROSE DR ORO License CI ss :_ License rnber -+ Map Index: Date: 3 Contractor. Description: EX MH EX SITE PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: FROGGATT JOHN E SR 8r HAZEL J permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 85 MONTROSE DR the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SIERRA MOBILE SERVICE owner of property who builds or Improves thereon, and who does BILL REID such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 466 CIRCLE DRIVE sale. If however, the building or improvements, are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-534-0599 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor- SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). BILL REID CIRCLE DRIVE ❑ I am Exempt under Article 3 of the Business and Professions Code OR OROVILLE, CA 95966 Date: Owner: 530-534-0599 License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self4nsure 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier. q7 Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t Dale: Applicant: WARNING:' Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one dollars in addition to the cost of hundred thousand ($100,000), compensation, damages as provided for in Section 3706 of the Labor code, Interest; and attorney's fees. CONSTRUCTION LENDING AGENCY This per it here i u nd r t applicable provisions of the Butte Cnun y Code 2nwor 1 hereby affirm that there is a construction lending agency for the Res u o to do o i 1 b e r hi fees h ve been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY , Data: Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827:5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with . all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of B tte County to enter upon the above mentioned property for Inspection purposas Print Name: G f J Signature: Date: El owner onlractor 0 Agent for Owner ❑Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Name Jc�itN tjAlck Feb 66 AT 1 Address 5 s M E P 2 City 4& r State C,9 Zip (:F Phone Class B Fax E-mail Planner CONTRACTOR Name Sierra Mobile Service Address466 Circle Dr. City O r o v i l l e State C A Zip 95966 Phone 534-0599 Fax 534-0709 E-mail Lic. # 470386 Class B APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name 7'tz- /G 1,0 Address L�6 E C 1R e_4 E D K City vr/-l- L State Zip Phone E7 `( 0,5-9q Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name 7'tz- /G 1,0 Address L�6 E C 1R e_4 E D K City vr/-l- L State Cry Zip gs166 Phone E7 `( 0,5-9q Fax may_ 7 0 E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPo4zzA8 LOCATION AN O G 9 17 2 - Property Address e s- T -A o -S p e Cross Street WORKER'S COMPENSATION Policy Number 4257 Carrier State Comp Ins If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Foundation under existing M/H Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMSBUILDING FORMS\BldgAppiSubRgmts.doc Page 1 of 2 Received by: Amount: S`9 -`td Bldg SRA Receipt #: 2 Sheriff Date: -7. ?.q , c,4 SMIP Other 541-9-0 Total REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER G A17- / ASSESSOR PARCEL NUMBER B 6 `T ' r 70 • !n)4 2 - Proposed Building Use: Ex M I -I C x S r TE P[ r' Counter Technician: Date: 7' ' a 4 Items required in order to apply for a permit. All boxes MUST beichecked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, -(fl Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... '❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... El36. Deed Restriction......................................................................................... ❑ 37. *Grant Deed,41M.H. Title/Statement of Facts, IjLetter from Legal Owner; ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 5.34 . 4!55-7!�) and hold for pickup. I have been informed of the above t.` ititems and requirements for obtaining a building permi Applicant: `""` r l i Date: 712 9 1. Index permit application for the above items numbered Plan Chec Lett r (Prevontracto�, signer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: designer, own wa advised of the aOve data b ❑phone, ❑mail, ❑count by Date: iewed by: Dater 2 ' C� Plans appro� ed by'Cf : Date Structural reviewed by: Date: Structural'approved by: Date: Note transfer by: Date: Yellow: Building Division (A �k C Building Permit Number: 64R'_� q S Owner Name: F rp q p Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All'materials and workmanship shall be in accordance with recognizedgood practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: D -aa y8 Owner Name: Fro Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and uipment including overhan s shall be clear of all easements. A setback of�b�t from the side and Gly 9tee from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. . Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's Name: LJ(YrAKJfi enb68--1 1- 2. Assessor's Parcel Number:Q� `t a 3. Installer's Name: �►�1�-.t� RJuTL-1-� dS�lC'- - 4. Is the site currently under permit? Yes[ " J No[>4] Permit No. 5. Is the site an existing site? Yes[ ] No[X] (If yes, furnish two plot plans). 6.. What, is the electrical rating of the mobilehome? 1 CSO Amperes. 7. What is the mobilehome site circuit breaker ratin 8•?� Am eres. P 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- - Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[] None( ] 12. Size of sas pipe at the mobilehome site from the meter or tank: 2Q inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?Q6 -(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION Y q LTTE TV _LUNGSITAR IE . �tYtaJI rYi:� May 1995 8.5 M.H.L- 2 Mobilehome Manufacturer- S ILVER6RES-'T_ Manufacture Year_9_9,_.. If other than single wide, furnish Setup Model Number: er: - W-62 WidthL6�'(ft.) Length: 6. ft.) Tagalong or E'xpando. Size (ft.)'x 'On all 'mobgehomes manufactured after October 7, 1973, furnish 'manufacturer's installation manual and structural setup sheets. F60'T'I"NG'S*:-,. Wood pressure treated or foundation grade[k J Other: SUPPORTS: Concrete. .block[ x] Other: Pro*v'ide Tie Down Specifications for all, Mobilehomes: Pier Footings Siz6s and-Locati on SINGLE WIDE MULTI -WIDE 'Line I '.Line 2 Unne 2 ................................. ................................................. -Main Be&= . ................................................ .............................................. Line 2' Line 3 I Line 2 Main Beams ................................................................................................. Line 2 Line I ................................................. C 5 Tag or Triple e4 . ................................................. fine I Line 1 Piers: Size minimum: J24 1 x r30 1. Spacing maximum: 8 0. From ends-maximumi Line 2 Piers: Size minimum: [24 ] x [30 Spacing maximum: 0 From ends-maximumt_:2- 6 Line 3 Roof Loads: Size minimum Location (from fM rear Line 5 Roof Loads: Size minimum: Location (from front): Line I Openings Size minimum: [12 ] x [30 Each side of openings with width over: 2 _7 Line 4 Piers: Size minimum: I , Ixf I Spacing maximum: From ends-maximumi 02TWOW"Re 1�11 ��M � U I A JIM. - Ila, - MI NIVAMIN MINEME -mom WA M.—W-0-04m OVER IL..- C Y q � - K 4 N IJGI ,VMY S&6 K-lUbt ULA SU�J. 1 MODEL LINE: W-T(M/I MO�Iti GOA/QAA BION�1 PIERS 1 c�OO}� DATE: F, —'jam - OAPIA APPROVAL 4 5 I(0, 1110PofuN or T p ' 1 b PZ4, LOAD AT 40 P.S.F. _ LOAD AT 60 P.S.F. - - �:�� Inicctesr Ipngltudinat bearing woll between these supports. Additionoi PIERS oro [SET-UP required undder ese wells. PI, StIPAI.l.6lE'faT MrsMrs1 frltA" : W FP- � AT TWEE PLAN BETWEEF( NO. (DEAD LOAD 8 P.S.F. SUPPORT PIERS FROM REAR OF FLOOR Aw UNITS ;LOCATE 2 3 4 5 6 7. 8_ 9 10 W-&2 LOCATION ►- DI0'O' " �J°I�-� �' �w'_O LOAO AT 20 P.S.F. v>hgo .&01 A¢I 4850 32g ( -a-` 8 LOAD AT 30 P.S.F. x'71 � ""� A7l.l-Af LOACt AT 40 P.S.F. LOAD AT 60 P.S.F. tJS LOCATl%l a<8 -D , ! - O '�°! - ( 5(ol„p' (�.}to. .P LOAD AT zo P.S.F. , o loo 14- 404 f 4b5o 4833 16 F52 B s C :: fi 4 ; LOAD AT 30 P.S.F. `i 9� ti 19 (06 6 &r:'63 z 1,04- �� S LOAD AT 40 P.S.F.--- LOAD AT 60 P.S.F. : LOCA TION .• ; �.OAO AT 20 P.S.F. `L0A0 AT••30 P.S.F. — LOAD AT 40 P.S.F. _ LOAD AT 60 P.S.F. - - �:�� Inicctesr Ipngltudinat bearing woll between these supports. Additionoi PIERS oro [SET-UP required undder ese wells. PI, StIPAI.l.6lE'faT MrsMrs1 frltA" : W 34/01/1997 17:49 9166623158 SILVERCREST PAGE 01 • � '• � 12 - la' . 131_ � M Ld Rift s `� I _ + Q a wif jt ij g'a �� � ■ � � � ��� �: -� , SCO � �- 1-4 � � • � aa�axl,a„a,a�aa.a.b� ' , '• N��{� ;,' Asa •• s vp 1 0 wil- Sig OCIA-A"°I, Vo �— .mac •. `.� ._ 4-k .. Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX 'Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/MOBILEBOMB FOUNDATION SYSTEM HBALTH AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 .9/2/03 GENERAL INSTALLATION 3 9/2/03 9UB7BCT TO CORRECTIONS'NOTED k"ROvAL DOES NOT AUTHORIZE OR APPROVE ANY PARTS LIST 4 & 5 9/2/03 AESSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS State of California PIER HEIGHTS 7 912/03 t e a and Community Developmemt SET-UP INSTRUCTIONS 8 9/2/03 N ODES AND STANDARDS DATE r (eigorture) ' SPA FOOTER SIZES WoP An APProvalExpires WIND ZONE I - SINGLE 9 9/2/03 y� L ,- DOUBLE- - 10. ^ " "9/2/03 - TRIPLE 11 9/2/03 . - HIGH PIER 12 9/2/03 _ WIND ZONE II - SINGLE 13 9/2/03 �DQKOfEs$/p,�91 - DOUBLE 14 9/2/03 M. Wil Fac - TRIPLE 15 9/2/03 No.6 245 � P. (pjc/o9- V -DRIVE & PIER SYSTEMS 16 9/2/03 srA�0Fc IL�Fo\P SOIL CLASSIFICATION 17 9/2/03 .CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST RUILDING DE't:'ARTME...." ' P 0 V $:. Wo ti co L CQ O N O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudi.nal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewails,with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone. I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. e� c Page 2 California GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads: One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PUC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 1.6". When using METAL PIER STANDS, measure. center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor. to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Oc" Page 3 California 9/2/03. Longitudinal Stabilizer Devices The use of LSD systems on a . single or multi. section home replaces longitudinal anchors, stabilizer plates and straps. ' The Longitudinal Stabilization Dey;ce (LSD) ;s vacc1 +I, +hc Vae+o'- Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is. shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 Per system) 4. Yle Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts -1 L.S.D. Can be used on one Pad or e opposite ends of the home. Exa m pies of possible Placement: (Contact TIE DOWN for piacment in other Wind Zones) Wind Zone I 5ingle 5ection I I -I I I I I I I I I I F I I I 1 I I I I I I I Wind Zone I Double 5ection 18 Ft. Max. 32 Ft. Max, Forgreater widths use triple section design. Wind Zone Triple Section 1 T I I min 48 Ft. Max Wind Zone I Tag 5ection Page 6 California A-- 4\M—r---- 9/2/03 50 in Max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zoned, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California, 9/2103 Set -Up Instructions for Vector System #59018 0 Long U -Bolts 1. Set Vector Pads Clear all vegetation where pads will rest. Place - a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, -resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. . Page `8 ✓ /` M Ih 71 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. k Califor 9/2/03 CD C3 w 0 W WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Secfion Homes (Materials Required) a X21 dOub _ e ...s. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of home. Pier spacing must be consistent with I manufacturers' Instructions and/or state requ No anchors required. For Pier heights up to 46" for WIND ZONE 28'•36' wide, 38"for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Bearing Capacity: 1,000 PSF minimum And Ors Reouireri"•- Hnnc MA=", -„e ,.....f, Home Length Vector Systems' Required -any UU Icyuneu Anchors Required Per Side uy flume L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 catofl vector oysiem .requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) manufacturer) Note: L.S.D.= Longitudinal Stabilization Device . See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 413 as described in the table below: SOIL_ CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 1 6x1 6 = 256 sq. in. ' 20x20 = 400 sq. in. - - or 1 6x1 8 - 288 sq. in. r'�- "b�yi or 17x25=425 sq. in. - _ - EQUALS EQUALS - - 2 -Vector Pads # 59275 1 -Vector Pad # 59271 ` 288 sq. in. or 432 sq; in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bone, "Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engin tar with site condi(ons Page 17 California 9/2/03 PRE -INSPECTION REPORT OWNER: F 2e>CS .4 i t DATE: 7• sg • a 4 - LOCATION: -455 LOCATION: 8 5►� o N r�2cs 5� 1� Q o 2a A.P. # o ��i • ►70. 0 4� CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION C -Y- M i -t Ex -- re PE -2!1 F,*4 D DATE TO INSPECTOR _7 3a `o4— PERMIT HISTORY ( ) NONE (v) -SEE ATTACHED Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied Abandoned/Vacant: Electric: Electric Currently Condition of Electric Gas: ,. BUILDING INSPECTOR'S REPORT Mobile home # of Units: ( ) Yes O No ( On OOff' Currently () On Condition Sanitation: Plumbing Working () Yes Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: ISSUE Hold for.permits or verify: ( ) Off ( ) No . ( ) No ( es (. ) No A Inspector: Date: V. - ~ cu�rru RrrrT.nTNr_c nN RFVF•RCF. A" TNT)T(`ATF, 1,0CATTON ON PRnPFRTV_ f±. 69-17-42 k'ARTIN CONLEY 85 Montrose. Drive, lot 42'9. tm#4A-,, Orovil'1 ,Coritr Better Bldrs Const, Oroville P rm't��503- 3B ,P E'M(new sin le Vly � t'-_i.i•zvzf"R•,•-z�`e�'xxx 4a" .,.^". b�, .,.5�`r y --..',;"lam- -- -,b.,. .. :_' #a^r•.i>"' �ga.y _ �....a F'eS'i: '2s va:..- t tr z ;. 069-1,-,i>x rir70-042 >.4. a. = .. a r�� •��� ,„� ,... 99-1528 _gY�.,� ; y�a I FROGGATT Jo `y.�� _ mP fit �`x ,S �.i :nr ....vc: ^ c '` ,=''�' t ...,i.: ay .•� q -.,z ., :...a ;:..,ls _ _ _x..:85. 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