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HomeMy WebLinkAbout069-190-039069=190-6.59 —43,4092' PUNSETH, RICHARD ,.15,1'kO"NEt,'OROVIL'LE Cont.; f) & A CONST' ST' ;ADDITION TO BP#'W-0145 * n _p �.I �ro3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P NP. (Rev. 12/96) APPLICATION AND PERMIT �4' ASSESSOR PARCEL NUMB _ Q MmMONOWNER ,QI{�� ZONING BUILDING PERMIT WNSMt RIWARn (70 ELEPHONE 442-0567 SO. Ff. OCC. BUILDING VALUATION OWNER'S MAILING ADD,�ESS W Im 3/1 CAL,CA. 94515 122 D OO CONTRACTOR'S NAME D& ACLORVON TELEPHONE 533-9643 CONT ,UIUNG ADDRESS RAVER BLVD. [lUl�illTOROVIL E CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 854.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee' $ 20.00 Permit Fee' $ 23,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRES451 KO DR. ORNIME 11 Energy Plan Checking Fee $ $ PERMIT FEE S 66.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other SPECIFY Each Trap A 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: ADDITION SQ. FT. TO BUIMI14G PM1IT # 03-0145 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 MobilelHome ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.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 i111 (force and effect. License Class (_4 1 Lic. No. 0 S� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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. �P] 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' comgensa�ign inpZrAnce car f and policy number are: Carrier k._A[ '1'C t'L Policy Number , (The above sections need not be comple ed 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 c omply with those provisions. } )-^� n X �1 LLCL Date" / /`CJ Signature of Appliclant - ❑ Owner 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 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.5¢Fr: NEW CONS MULTI.OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OURET CIR. Ex. Occup. CUTLET ORFIXTURES 20Q1 BAL Q .5050 ED UNS Ex. Occup. OFlXur RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD fljl ISSu This permit is hereby issued under of the Butte County Code and/or indicated above for w ich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate `1 . W Receipt No. 3/t7V��w WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Q�— P,�$+�j 2�•(Rev.12/96) APPLICATION AND PERMIT (/`�J � ASSESSOR PARCEL NUMBER ZONING 9 BUILDING PERMIT 7�� OWNER DUNSETH RICHARD (70 )442-0567 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS PO BOX 371 CALISTOGA CA. 94515 122 D 854.00 CONTRACTOR'S NAME D & A CONSTRUCTION TELEPHONE 533-9643 CONTRACTORS MAILING ADDRESS 1740 FEATHER RIVER BLVD. OROVILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 854.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1.00 BUILDING ADDRESS 151 KOKANEE DR. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 66.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX 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: ADDITION SQ. FT. TO BUILDING PERMIT ;;` 03-0145 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service zo.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 i irLTII force and effect. IS-1 License Class Lic. No. LLL ILO �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TOING 46.00 NEW CONST. DWELL EL OCCU CUP. OR ADDNS. ( s ACC. BUDS, SO 3.5QFT: IpµRMULTI. ESID OUTLET 97,50 POWER APPARATUS b SINGLE OUTLET CIR. �(, Occup. OUTLET OR FDCTUREs 20 @ I.00 BAL @ .50 Ex. Occup. OFlxDs R D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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' c p nsa .o inWrqrice carr'e and policy number are: Carrier YC- L MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections nee not a comple ed 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 LiUADate_ Signature o Applic nt - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile'Home Installation Fee $ Energy, Pnspection Fee $ OCC , CONST. TYPE TOTAL FEE $ 66.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD 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 w ich fees have been paid. By Date PERMIT EXPIRES ON S ate Receipt No. 376059 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES - RESIDENTIAL 069-190-039 03-0145 ' PERMIT N+�DUNSETH, RICHARD'" 151 KOKANEE, OROVILLE D & A CONST NEW OPEN DECK i r SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f JOB FINALED (Date) *6�b-3 Signature CHECKED BY J ='OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 8. Utility Clearance Fo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel (3 ecks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Braced Wall Panels 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card r� Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-11 ' Date Card B-1 10'. Exits; Insp.-Sketch 11. Cert. of Occupancy 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Elec.; Receptacles and Lighting, Distance=GFI Card B-1 Date Card B-1 Date Elec.; Pool Lighting; 15 Volts-GFI 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 Date 8. Gas and Electricity Tagged Date 9. Exits Card B-1 Date Card B-1 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC ;COVERS, CARPORTS, GARAGES (Plans) OK except #'s g R oirements-Setbacks-Easements Fo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel (3 ecks, 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 h Card r� Date Card B-1 Date 7 Card B-11 ' 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 - =Not AAppplicable . = Not Ready 47. RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 18. Water Pipe; Test & Anchor -Nail Protection 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 21. Test Tub & Shower, Second Floor -Tub Access 5. Stemwalls, Main; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped ELECTRICAL (Permit) OK except #'s 8. Piers -Fireplace Ftg.-Steel 70. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 26. Size Boxes & No. of Conductors Stapled 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Elec. Outlets at Wood Panel, Int. & Ext. 11. Water Pipe; Test -Anchors -Regulator -Service Test 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 12. Electric Underground 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 13. Plenums & Ducts; Clearance -Material -Support -Ins. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 32. Service -Riser Conductors & Ground Main Disconnect 15. Access & Ventilation A.C. Duct in Garage -Damper 16. Insulation (Single & Duplex) Date FRAMING (Continued) 47. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 24. Fixture & Transformer Clearance -Ins. Protection 70. 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. Elec. Outlets at Wood Panel, Int. & Ext. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 73. 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 Elec. Outlets & Receptacles at Kit. Counter 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 75. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. A.C. Duct in Garage -Damper 34. Clothes Closet Light -Shower Light -Spa Light 77. 35. Smoke Detector 78. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Insulation -Foam -Looked in Attic 36. A.C. Ducts Insulation & Support 81. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Ventilation Throughout House 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date_ FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive Cl Yes 0 No/Walks Cl Yes Cl No/Planters O Yes D 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT'SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C23 0/V " ASSESSOR PARCEL NUMBER 069-190-039 ZONING ; , BUILDING PERMIT OWNER DUNSETH RICHARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,. aX/v ,ea D .eZ> CONTRACTOR'S NAME DSA CONSTRUCTION TELEPHONE 533-9643 r� : CONTRACTORS MAILING ADDRESS 1740 FEATHER RIVER BLVD. ORO. 95965 CONSTRUCTION LENDER ff Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2300 BUILDING ADDRESS 151 KOKANEE DR. ORO. 95966 Energy Plan Checking Fee $ $ PERMIT FEE s 64.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other10' x 10' d P c -.k SPECIFY 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: 10' X 10' deck (Oven) for PTP 02-2453 & 02-2452 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 500VMain 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 is in full force and effect.I '� License Class tC-4-)Lic. No. ` tufo WoLI 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 zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢Fr. NPN R6,OT. MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 100 BAL Q .50 Ex. Occup. oflxuTLEEDTSA R D 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' coWgnsatjonirysurancce carrier and policy number are: Carrier Gl j t.t Policy Number 1 01'1085— 2 (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. �__ "_ "- ' ^ - X1�Kt4�,Cl[ Date Signature olf App canes t - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 64.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte Coun Code and/or indi for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 2 Date �3 O Date Receipt No. WHITE-D.D.S.-B.D. CANARYASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;�,�.i �`� _? � r:-„+i�'T� .. .".r �:1 .,, �f �,�=�ii ,;s.���',e �'�.. -x �i�I �'�F ��.�V�`.�''{p. r _�y�}3���.. : .ti•.� � _ � d' y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 0 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 n PERMIT APPLICATION DATA, SHEET OWNER: ,ct / ! W... ASSESSOR PARCEL NUMBER / /39 Proposed Building Use: �.Q�(�1 /�� [1 .� Counter Technician: / " Date: 7 Items required in ordeiF to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. P3. Plot plans, 3 or 4 sets, signedty the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND,2 . ets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 1 ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other i Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings ..................................... Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2 I Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5 3 -3 ( and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. pli a-)✓. 1-1�--n3 A ant: 1. Index permit application for the above items numbered: Plan Check Letter 2.A nal items required ontra , designer, owner, was advised cf the above data by phone, ❑ mail, ❑ counter, by - Date: _ 0-03' ontractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: Plans approved by: & .� . Dat . 1q.0? Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yrllnw• Rnilrlina rl�v�c7.... i COUNTY OF BUTTE !{ j . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • OrovilleI CA • (530) 538-7541 CORRECTION NOTICE D'i L4 S"..'PA -c OWNER PERMIT NO. ! A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,{ nioncc rnnfnnt thic n/fire i...... A;d # I- i r _ 1- S� , Date - Inspector -4 REV 1042' Z`-2063 __: ; PLAN'RE"VISION Please complete the following information in order to process.you.-'submittal. If this form is not complete, comer and legible. it may cause a delay in processing. Owner's Name: LJ U-111 Received By: Date: 3AL3 A.P. Permit #: Time:• 0j J 03-0/x{5 ContactPhoneNumber. Purpose of submittal: O Permit Application Data Item ❑ Engineering Plan Revision etl(_� ❑ Requested by Building Inspector or Correction Notice.. Inspector's Name: ❑ Requested By Plan's Examiner- Examiner's Name: 0 Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings_ Include two (2) sets of wet signed engineering. Revised dradeafly shho When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: O Call . and hold for pickup at the ❑ Chico Office O Oroville Office ❑ Deliver with neat inspection. Revised Plan Check Fee: %PS46.00 Receipt #• 3 %y O Add'iti 1 F N t Re aired oma ees o Is Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt 1: c i 53. (PQ I u"co-aH 151 Ka�e� kokc�ne� F -'t, v 0 5 t a nJ •'J/� -/o3 BUTTE C® MU M. DEQ" A . . APPR 1� 53. c,Pa' �1G Yeo Y, 44SE � ORDvtUL I CA W mgt G00 6 `0N H o ro r O No 6D (�- 0 za - 1 B x za' FaacsTpwJ aw.LIAcc, 4' 0a CA2Poe.T S+a.+e i# a q -r d a - q �ok X03 - 0 cz e -e. 13U i TE COUNTY WILDINO ®EPARTMEN' tc cce 7 m r • .�� 7OOo �a CA rri V � 4Vf l MAX, _ r 3 • • • . 9 I_ iNti T` a 4 N I I •- o .• � z N .c► --� m I I t 9• • .1 % i� 34. o . J/HMORAIL HF-16HT A MAX. c 34o"MIN. STAIR -f�� � W I DTI+ 6• o y A �. 0\ R A O•�n't c V6.5 May 1995 \• I m r • .�� 7OOo �a CA rri V � 4Vf l MAX, _ r 3 • • • . 9 I_ iNti T` a 4 N I I •- o .• � z N .c► --� m I I t 9• • .1 % i� 34. o . J/HMORAIL HF-16HT A MAX. c 34o"MIN. STAIR -f�� � W I DTI+ 6• o y A �. 0\ R A O•�n't c V6.5 May 1995 . _ / \'c.-�buLAg� SCP bta�t kcw- ©-q o - oiy5 VARIES 36 MIN. o S • v � n A? M mo N N 6' N Y. s v m c,> z ca c a X � � /V • x Rib m C� P U c b z �o 7 0 q C C r� n ;� O so ID 0: \ m I m o f m 0 z m� a o' OT 2 � o i �C � n • O N Jp C D D_ r 0 n ti 7p T 7a 41.1 tt N K N Y 11 -P_ J/04JORAIL REIGHT CA_ a3 0 q e2✓ MAX. MAX. 36"MIN. STAIR' :33 -f rn A W I DT4 A X May 1995 6.5 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: D&A Construction ADDRESS: 1740 Feather River Blvd. IMPORTANT: CITY & STATE: Oroville, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 8/18/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for they Ovuner€decided not�to build _ r Rerund: :.. =- -- ' - € i ---.._.. _._ ? . �. Elld...... <_,..x ,.:-:x? € :::::I.€n' �. , ar.. sx::x,,; ; .::.xx.:,.x:.a.:_,x, .,:vxssxz -x,:xzsszvn: �,_z� z!€••r 9 , _ x,zz.x»> rsx-zxxxx::::v.:!;z.x x�,. <. ...ii:<'in.;€nY€€•a€t€4€'di�€*Sxn,�!K€`.'�'€5'i€€N .. < .. ,r:_- " : ,� :F..!?€€€rw<zi':.J . re .,�u",>.F z. !` ::. -_. R.�x_ss _.>:xx.iv;�ec;x::x:':,,k:e::e? No.: 02 2453 ;€:: AP No.;Q69 190 039 €...: r x _ . �xxx _,x.xxxxxx,xx,.... s .x x_ x x ., .. i• a€s:€ €.xxx::::xx,xxxxxxx .s€:;a_ :-_,:,. gp . •�:- = Receipt t Date.-.-�x�:�:�.,..,,-9/-•./.�2.1. Bld Permit Fees: � ..I..4� 4,'._<�!�.'I No.. 36;1€.1,,.:.8...4;�;:u 'x"" Receipt p <„xxa.,�xxk„x,_...,...:..,,_..._..<� x.<,.,.,,.,x.,,, .x!..,x„xxxxxx,xxa_,<xxx.,. _ _ ,n?::rn:zr': v.zve,xi!;i€'in€1!sxLl.�iii ;N,`?_€y?'X?€;ui_yi€,•>'-x?n:x€,zxxz,x .x-...<aa€+:w Owner's Name: R1CUyf1.S'2.t1=::x, x TOTAL FEES PAID: $138.80 ::::::�..€a€€..xx:x;,<<r€€L. TOTAL FEES RETAINED (Breakdown Below): $91.80 .i:`?:avu:,".vv�i�li€'..',Biu.'-:i=x.,�i�vii.xi-�.'•c'i!x: x:,,k€•_z_`:`€€•,.tx:::e�i�,![,€::zx€i iS� _ _ _ v€€h_� € € Building Permit Filing Fees1011";11,V2_000` Plan Checking Fee: _ . € $460; ti=C€F•ii€'y;€€�livir_!:x• - €it"."it _ __ - 9-€ix:€€°€4€��x€€€€'}.xvFii'i€.`.ami-'ii''�i€'',�i€±€'.€�:€€•€_€€€in�xcezzr'xxzaviu�. ,.,?x,xx€..x-,>:_ ;:., € v€r€in;=--'x'�•ss€€€€rr€Gx -•.•-•x.1€€€zn€x€€€z]L"n€':":x€€:€€€,x,_:iivsi,•i{�vyRx€€x?•,ss€Fzi'!% Ener Plan Checkin Fee: =€°•.n �•=-,xx .x,:=•�€<R:;xx::; 9 9 n..: Plumbin Permit Filin Fees: - _= = = ..€ ,2€:::Y€ '.!:::€=�....k....;l�i'r'€'res4€€: i€:•:•s-nex ,x `�,- .0€€:Mv€"' _ _ 1-11€ u€MIiii.€ ''z' _ ss::xz.:::::!e::::xx. "L:uxxxxx,x r ....xx�- MON. ' 2501, x; IBM.... :: �..x..:...x. x.:::._.> €; xx. Refund Processing Fee _. € € .. €„.,;: Electrical Permit Filing Fees: ,:: <„ €; ,. 9 .x::::..x,x==xati....::......:x _ - ' x:.lz �.?aii:::•••a••zx}<r..+:!'v,xuxz,xs _ nffi - _ .xF.h.:,..ni �€uv`ss:-F."iz:=iv,•i€z€.<:.: _ __ _ €€€€_zx€€i Mechanical Permit Filing Fees =U & Inspection Fee: a € m . .:. .. . �g ' °n'xa Hssissx ....i ..:; ;!. x,_€€.. SRA Fee: =.;I ,;u €€..;€:.x $47.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated ,, ��,�..� ���,pp , A _ co Dated this -O&P day o ��1 , 2003, at I�I.C� Calif. _L' �j0 U Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day ofa. 2003, at_Oroville Calif. A A>A]lJ Department Head or Authorized Deputy Dept Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB . GROSS AMT. County of Butte Oroville, California GENERAL CLAIM CLAIMANT: D&A Construction ADDRESS: 1740 Feather River Blvd. IMPORTANT: CITY & STATE: Oroville, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 8/18/2003 " SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES .` DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT E - n.x.x..xx...... x.xx.mxxxx .. Reason for the E E .E k E_� . E E.., Owner decided not to build' EE .h .EE• E •S EE", E ,.E...E € E E' E d EE EE.Ex... E EE S E - E E •E ', I S E EC EE'E.EEEEE€EEE. E E _ Refund: _.. _ _ _. , € E E EE _- . x - ..x..x... x., _.._._ _. x..,.x,.,,,x..,,.. ...x.,.,,. .xxx. 81ag Permit App EEE :E ..E E:I xEEEE .E. €E, Y E•E EEE•• No.: 2453 = a E�..x. AP No• :,0;69 190 039Tx EEE EEExEE€=EEE"_EE'EE€.."E."€."EEE:Ei EQ2 x_.....x........ x., ,..,...xx.......xE • :E.:E.=EEx:E.EEE.... a.: ....E€`�.xxx:E:�.E.E=lQ�` : .E. "; ::...'E.EE..-x....E..' Receipt Date: t N BIdg Permit Fees... ...........-X..Recei ..x.�.:�,�_ ..E, E....:.E€E ..E... - - -:F% �^Y ..._..r__,.:.....:...x.E:. ;•.E••......:::�€E€E•E M, .€x.E .E ...E ,E: ; .,...:.•..,... , "EEEEE`::`x..E...EEEEEEE::xEE.�..,,•x,,,-x.xx...,... " •: •:.,€'_- Owner's Name: xR'ICxD'unsethxxf Ex=it sf 3 a e<E"9�I?xxxx TOTAL FEES PAID: 13 $ $ $0 ...... ... H.x.. E _. .,.. Ex. ;a: TOTAL FEES RETAINED (Breakdown Below): $91.$0 _ EEEEE E.G.: i EEEEE ?1---x `EE.... .,x.x.EE . ::.x' :;.xEE.xxxE. •E.i .xi'e _ W. ::::u:Y'::E.� .:Ei3< ^"'^`% 'I>e....E^-"^.; .E.. Building Permit Filing Fees: :;:i: $2Q E00 Plan Checking Fee: 'ENN .„'E."`E:.x•• xe.,x.xxE.:"xEEEi :: .EENNN.0 x,.i "• s.'.�.E; ::.•„ ix:. :::C"=xE:.C' "ECE:.:..Ex...€E, ...E:=:.:Et.xxmu:m E. •"EE;."E ::', PlumbingPermit Filing Fees: wx '€ E::-:;x:<um., Ener Plan Checking Fee: EEE E fi g.<�,.. 9 9Y 9 x :i . .,E..E..•.....::,::.:...:,....; € .:..EE•.EC::'€Efi• .S7.EFi€.E:> :::t`:;:E;B;:ER:::::: ....x...............x.Ex. CCr:::i:::`.'r- Electrical Permit FilingFees: E. EEEEE€...EGEEEEG..E Refund Processing Fee: xx:.......G_.._...xx: EE,EEEEEEE€EEx.E EEE.xx.; 9 x.,xx.x.........,.E .,x.xx. x.. x...E..x.xxxxxxx�;.;. ...:E..,.E E.EEw,...E..=EEE; .Ss ..x.x.. ......EE.Ex.xxx.xx.E...,...Exx. Mechanical Permit Filing Fees E EE < ::; E E Inspection Fee: y E•EExE::::.. SRA Fee:,..x $47.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of , 2003; at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO.. INV. NO. INV. DATE ENCUMB GROSS AMT. REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). 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 are not refundable. Fees paid to other County Departments are not covered by this claim CLAIMANT'S NAME: r_ 1 v v�S 7� 7 MAII.ING ADD SS: �__ ��-_J T o /� C ASSESSOR'S PARCEL #: t BUILDING PERMIT #: RECEIPT NUMBER(S): / A request for refund of fees paid on he above receipt numbers is for the following reasons: () g ons. c: 7 - Please Please refund any applicable fees in the ollowing categories: (Check those fees 'ch you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire PI g) ( ) Other (specify): Disposition of Plans: vlans returned to mea counter ( ) Please mail plans to a at above address PDV Please dispose of plans Signature 1c, Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. FOR BUILDING DIVISION USE ONLY: Receipt Information: ' Number: Date: Issued To: ,V c: Af do os-' Amount: " tod � S Fees Retained: /Processing Fee: $ a ; /Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ �an Check Fee: . $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $ 1 . ,Ob TOTAL REFUND DUE: $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE (Rev. 12/96) APPLICATION AND PERMIT ;Q7�7�� ASSESSO P CEL ��0MBER039 ZONING - BUILDING PERMIT OWNER TELEPHONE DUNSETH RIC 707-442-0567 SO. FT. OCC. BUILDING VALUATION '160 C 4680.00 OWNER'S MAIUNG ADDRESS P.O. BOX 371 CALISTOGA CA 94515 CONTRACTOR'S NAME D & A CONST. TELEPHONE 533-9643 CONTRACTORS 0 MAILINGADDRESS RIVER BLVD. OROVILLE CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: Qir7NI_NG_���T_ Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R LES Main Service 200AORlESS 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,fu11ll force and effect. ��J/l License Class ( L4 � Lic. NO. � �Y/ 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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' coen ti iurance carrier and policy number are: �'o– Carrier � {,t Kd Policy Number We, �I S— (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. n X Date �I IS' o% Signature of Applicaht - ❑ Owner XContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or c truction of structures over 3 stories in height. Main Service TO lOooA 46.00so WEE200A NEW CONST. DWELLING UP. SO OR ADDNS. ( a Acc. Bins. 3.5¢Fr: NEW RESID T.CIRCUITS MULTI -OUTLET @O 7,50 POWERAPPARATUS a sINGLE OUTLET CIR. 20 @ 100 Ex. Occup. OUTLET OR FD(TURES BAL @ .50 Ex. Occup. o„xEDA RLESN.I� DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 $ HAZ. I D. FEES IM OD CDF PARCEL PD HD ISS _ This permit is hereby issued under the of the Butte County Code and/or indicated ove for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /D122 Dale T� ReceiptNo. 36118 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 0 -4ev I2/96) APPLICATION AND PERMIT AZ. SES`'DAPARCEL ""o / _ D m""° - BUILDING PERM IT `wNER T- � SO. FT. OCC. BUILDING _ 'Ric. Jlun-s e-'� Q�p� VALUATION 17OWEAS uN0 ADOAESS _ o e)6x B-] ( CL 9L4Sl5 CONT;ACTOA S NAME I TELEPHONE .X61 t^-nn-,Z�truc-t;619 I 'S3 -q(cg3 COPITRACTCAS I AA1N0 AOOAESS _ IC OPsS rauc TIoN LEND Ep a l'OEA S k"UNG ADDRESS ARCHITECT OR ENGNEER ARCHITECT OR ENGINEERS MAAING AOOAESS &.-LOQ4G AOORESS . . LICENSE NO of o -V I (e C CL. LDQ j'Y� TNO._39 I Sus"Ns""NSNAME 4!?,- H 3 IS / -26-_°qc EL MAP USEOFSTRUCTUnRE SF ❑ Duplex ❑ Mobilehome ❑ Other Atm rl 1 11 q SPECWY TYPE OF WORK `e•N 9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ / Describe Work: Inc,+& t/ IS' X LlJ f re-eal a%��+ (7,LD 0 l n q cL./i2p r+ L � = .X) o g _2_15c� s2� "PER.AIIIT FEE PAI t.> SRA _ SHERIFF OTHM AAk6VNI'T RECEXWt> " WA= A -W 1 NV�+�s 361131 " TO N RM ZN TO COMA Fireplace I I Total Valuatlon S Filing Fee 20 C Permit Fee Plan Checking Fee S S O - Energy Plan Checking Fee S I 23.00• Main Se ice 200A TO .000A I b NEW CONST. DW'111N0 OCCUP. OR ADONS. t ACC. ELDs. I PERMIT FEE S AC PLUMBING PERMIT Fling Feei -0 Each Irw Ex. Occup. O SAP O� 7.00; - Solar or he ump water heater 23.00 23.00i Water piping Misc. Wiring ! 15.00! Each gas water heater or v I I � 15.001 Gas piping system 1 - 5 outlets MECHANICAL PERMIT 15.00! Building sewer I 15.00: Mobile Home I S I G I W j @20.00' PERMIT FEE I S ELf CTRICAL PERMIT I Filing Fee' 20.0 Mai Service mwo mss I I 23.00• Main Se ice 200A TO .000A I _ j 46.00: NEW CONST. DW'111N0 OCCUP. OR ADONS. t ACC. ELDs. I 3.SC SO' --.. I Fr.: Ntw CO 51 NON -AES D YULi40UTLET I Ci0 7.5()1 POwEA AAATUS t SINGLE O CIA EX. OCCU OUTLET OA 20 7 1 9A. -w Ex. Occup. O SAP O� I 5.00! Temporary Service I 23.00 Mobile Home Facilities 20.00 Misc. Wiring ! i 23.00: ' I � PERMIT FEE S MECHANICAL PERMIT Fling Fee 1 20 00 tin i Coolin I Hood 6.50 ; Ventilation I i PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee S D`c I `DNST TYPE TO AL FEES 1.3 moo I c I wee. 1 - 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. I By Receipt No. PERMIT EXPIRES ON wHITE•O.0.3.•6.0. CAMARY•ASSE330R PINK -INSPECTOR GOLDEN ROO-APPLICANT hal�oS Date __ 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: ASSESSOR PARCEL NUMBER G '7- 19- 39 Proposed Building Use: /%7 L r Counter Technician: Date: 9 J Items required in order to apply for a permit. Ali boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. C� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. --Ci 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 21 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other' a ipg;i*&& Deeded to issue the permit. (May require additional plan review upon receipt of the fol wing items.) 4. ees as shown on the attached Schedule of Fees Due Sheet ....................................... / DO 5. Statement of Intent for Non -heated and A/C Buildings .......................................:.... 16. Sanitation and plot plan approval from the Environmental Health Department in (� _ ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (31< (B)Parking: (C) Parcel Check: (5) _Q,_D2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. /A icant: Dom: 1. Index permit application for the above 'ems i 2 items required ontractor, designer, owner, was advise cf the ontractor, designer, ow er, was advised of the Plans reviewed by: ,al Date: Structural reviewed by: Date: Note transfer by: Date: by ❑ by ❑ Plan Check Letter phone, ❑ mail, ❑ counter, by ff-_6 LDate: phone, ❑ mail, ❑ count r, by Date: Plans approved by: O 2. Date: _Structural approved by: Date_ Yellow: Buildine Division 02- COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA, 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. X.- F v D ILDING USE t B ILDING PERMIT FEES �} --Balance Due ........................................................ $ / o --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ................... Sq. ft. 4. URBAN AREA FEES Residential ............................ x # Units . Commercial (Sq. ft.) ............. x Sq. ft. 5. RECREATION DISTRICT FEES x $0.03 = $ Amt. Amt. 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # r 3 DATE RECEIPT # DATRREC. JqMl-a Y -a - -- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APP CANT A` rsuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, , nd 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Pi.f+NNING, 91VISI®N• BUILDING PLAN APPROVAL b D' Date: Landscaping:�..�. y, Omer. bio Y) RWISE ®RmiuL, CA i ©-Sq 00 Co 4 BUTTE COUNTY BUILDING DEPARTMEN7 QED COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,o 7,County Center Drive - Oroville, California 95965 - Telephone (530) 538-754lr PlER (Rev. 12/96) APPLICATION AND PERMIT J `-j ASSESS° P ° MSER ZONING —Ey§M39 BUILDING PERMIT OWNER TELEPHONE DUNSETH RIC 70 —442-0567 SQ. FT. OCC. BUILDING VALUATION 3W C 4680.00 WNL ESS OWNERS P.O. BOX 3710 CALISMA CA 94515 CONTRACTOR'S NAME D & A OONST. TELEPHONE 533-9643 CONTRACTQRS MAIUNO_ ADDRESS ;[17tt�,ip\L� -r• RIVER BLVD., ORUV CA 9596 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 4MO. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.0© ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSKOKANM DR., ORMITIR Energy Plan Checking Fee $ $ PERMIT FEE $1j LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _ Describe Work: _ANI: CARPOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 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 in full force and effect. t� / License Class —C 41 Lic. No. "/ 3to y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 T° 46DWELLING NEW CONST. DWElEL OCCUCU.00 P. OR ADDNS. ( & Acc. BLDs. SO 3.5¢x. NON.ROSID SRANCH MULTI-OUTLETRCUr 97,50 POWER APPARATUS 8 SINGLE OUTLET CIS. EX. OCCU OUTLET OR FIXTUREs 20 @''00 BAL @ .50 Ex. Occup. °,�,��°rs R.16OEA 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. 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 (-�tAY1C� Policy Number \A C. 1 (0!J T, (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`7T workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � ,il'�_c_R.kk N- Date q1S. OL _ Signature of Applicaht -- ❑ Owner JW Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction2�A of structures over 3 stories in height. 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 $ HAZ. D. FEES IM D CDF PARCEL p0 HD ISS gfm This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By PERMIT EXPIRES ON applicable provisions to do work been paid. Date //J�? f C r IOle-z/, P Date Receipt No. 361184 $49.75// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A. \,JOtY Coun of Butte Oroville, California GENERAL CLAIM CLAIMANT: D & A Construction ADDRESS: $68 W. Onstott # J IMPORTANT: CITY & STATE: Yuba City, CA 95993 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 5/29/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Reason for the Charged a revision fee vuhen: a new perrr'It was needed Refund: Eslag erml pp No.: 01 AP No Q69 1,90 Receipt No.: 376036 Receipt Date: 4/16/03: Bldg Permit Fees: Owner's Name: U:r1S2:ti1 TOTAL FEES PAID: $46.00 TOTAL FEES RETAINED (Breakdown Below): $0.00 Building Permit Filing Fees: : Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: _. $46.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of_, 2003, at Calif. y LU_ Qu-Lv Claimant Sureof Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above ha ee performed or deliv a and t t there is a Burd/get Appropriation or Spec1 c Bo rov ec nee) forthesame. Dated this Z day of `• uN C� , 2003, at _Oroville Calif. "6 "� \ Departme t Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROhy Constructi n Permits FUND Dept. Code Exp. Code PAYABLE FR6m FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. REFUND CLAIM APPLICATION Y REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the#e of permit issuance for permits issued, however, on issued permits refunds can only be made if no construction work has leen done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim CLAIMANT'S NAME: I GDn-,-i ' uekk i ck e u er �Fr-ee_ I MAILING ADDRESS:�(()g tn� . nS I �?4-�c j Y to �1-� q�jc1C1� ASSESSOR'S PARCEL #: C)((2 q j QO OCG BUILDING PERMIT #: CO - 1 L4 5 -� RECEIPT NUMBER(S): 3 -"6� yA request for refund of fees paid on the above receipt number(s) is foraWIR9-realeng. Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) , (`NJ Building Permit Fees ( ) Sheriff Fees ( SRA Fees CDF Fire Planning) 1 ) ( g) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address 0 Please dispose of plans Signature Zo, ti Date `A — A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. A FOR BUILDING DIVISION USE ONLY: Receipt Information: Number: Dat • Issued To: — - ft icG Amount: Fees Retained: Processing Fee: $ Bldg Filing Fee:. $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $- TOTAL REFUND DUE: $ ' Fj f_ O Amount from 440-001 $ Amount from $ Amount from $ Amount from $ 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: 1 ' J / ASSESSOR PARCEL NUMBER (/ j�q-1 `CJ � Proposed Building Use: /9A- 1Jn Counter Technician: _[fHDate: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,16y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................... S itation and plot plan approval from the Environmental Health Department in 1 ❑ 17. City of Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: ...................... r ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: vl ,�� Date: V/ 17-C3 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abov dat by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: �t Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Divi6nn PLAN -REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: Received B . _ Date: -2/3 A.P. #: to n r_:� 9 Permit #: 3 ��� �� Time: / . 'O Q T ContactPhoneNumber: Purpose of submittal.- 0 ubmittal:O permit Application Data Item ❑- Engineering ''2� ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner- Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: 13 Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call . and hold for pickup at the O Chico Office O Oroville Office ❑ Deliver with next inspection. Revised Plan Check Fee: � S46.00 Receipt #: � 7��) 'A (n O Addt'ti 1 F N t Re wired ona ees o q Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: __ Receipt #: `"' 26-02 10:00 PACIFIC CONSULTING ENGINEERS I D=91 65646029 L I •7.Ar 'Gm/l?bir2.tGt - wg D 2 W (10, RNA.. ----- MArc AACruR90 xaN.r /-WA4Wr'r0AJS' D COIQ JOINTS vrar�CA. L Cooc2ra ca y1gacEoCe Hop l soon." WAR V4ePy 70 AcmOvO AUL 400a,a 1AtD401AAe4urs. . .rCAb7- torr ro pt Av'-6 Z -L" F0L#A,�0 , rye GO cp 70e 4d -r SaA*04cooe 04PU40 /N ft -t4 -CAS .16AIlA.26r / Sr Po 14A /ZZA2FroACO 1.4&V7' rO $, �X� vO,EO /A.)10 Z;41L l-bcep. TD #U/01A c[4S 5*900- RjO/ . CA BU,tt MWING 'i1CiF10 1� ENOBd� ^ . DEPAMi "r Y P.02 a NOTES RESIDENTIAL 069-190-039 02-2.152 PERMIT NO. — DLTNSETH Ric — 151 Kokanee Drive, Oroville Cont: D & A Construction _ MH on Perm Fnd _--F THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I OFFICE COPY Address GAS I Meter By Dat V—A—T I LECTRIC Meter By Dati� I JOB FINALED (DA atte) Signature J=OK 0 = Not OK . - NotReadya- MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6 s; Location -T s. -Wrap;-/ �, , " L 'ft. / P Nat. or/ /" L"ftJ/' LPG 7. Well Clearance & Disconneaft 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zon!2g Requirements -Setbacks -Easements / J solings• Size -Spacing -Marriage Lin -4> 1 Electricity; MH Test as MH Test -Demand -Valve -Connector Water; MH Test ectricity; MH Test -Crossovers -Breakers -Clearances Water and Sewer Connected rain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Footings; Soils -Size -Depth -Spacing -Connectors -Steel I ing j as; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. and Electricity Tagged Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Exits 10. License Decals Roof; Shthg-Roofing Verify #'s with Office -0 Date b CC Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o/c, -:) �') 7 os�� �- eAA� 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 MDate Card B-1 Date Card B-1 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 1 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 Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Date 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped Date 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped Date 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation 16. Insulation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 61. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Insulation -Walls -Ceilings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. Infiltration -Walls -Windows 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 66. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Bedroom Exiting 26. Size Boxes & No. of Conductors Stapled 68. G.F.I. & Bath Fixtures & Tub Access -Spa 27. Romex Installed Close to Edge of Studs & C.J. 69. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Stairs & Rails 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 71. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 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 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Hangers -Post Caps -Anchors -Connectors 34. Clothes Closet Light -Shower Light -Spa Light 48. 35. Smoke Detector 49. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 36. A.C. Ducts Insulation & Support 52. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Property Line Firewall & Openings 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 54. 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 57. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection '67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes 0 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 Openirgs 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: COUNTY OF BUTTE - DEPARTMENT OP'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NA jJR@v.1.?1W) APPLICATION AND PERMIT ('a - �y S ASSESSOR PARCEL NUMBER 06-9-190-0-19 ZONING RT -1 BUILDING PERMIT OWNER M, RIC 70�n447-0562 TELEPHONE SO. FT. OCC. BUILDING VALUATION R 77 112.00 OWNERS MAIUNG ADDRESS P.1428 -A , CA 94515 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS QS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 77 M ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 540. $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $313.25 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 S TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1T Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15 00 Mobile Home I S I G I W @20.00 PERMIT FEE $ RQ ELECTRICAL PERMIT Fling Fee 20.00 600V 0Main Service zo..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.tt License Class & 4-N Lic. No. "44.;-1 �u OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200. TO lOooA 46.00 NEW CONST. OWEWNG OCCUP. SO OR ADDNS. ( a A.C. P.3.5¢x: T. NON -RID. MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @''00 Ex. Occup. CUTLET OR FIXTURES BAL @ .50 R 5.00 Ex. Occup. DUT,Er°TS Es o.DEw 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Skim V;Aaa Policy Number N41 Ji lofts'— 02 (The above sections need not b— e�feted 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. or) Q 5 �Z X • Date Signature of Applice nt - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 393. §25 HAZ. I D. FEES IMP I FLOOD CDF P CEL PD HD 5 U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By � ij 1 Date - PERMIT EXPIRES ONT-..S.-B.D. Date rRece,ip,01o. 361184 $"3.25 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT State of California ,qty Business, Transportation and Housing Agency J Department of Hfusing and Community Development Division of Codes and Standards APPLICATION_ FOR: Drs •...�., .J..l1.. ..,.' - OfAlteration/ConversionOApproval to Remanufacture O Alternate Approval O.Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTORIOWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1.1ICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. (� License Classt- ' /� Lic. Not Exp. Date Contractor 'j) Fwn�' Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($ 500).): 1 11, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale (Sec. 7044, Business and Professions Code: The Contiar• - ' ---- - -•-• Ann- — -nnty rn an nwner of orooertv who SECTION 1 - UNIT INFORMATION I/We are requesting services for the following unit(s): (Check Appropriate Box) Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group -� Special Purpose Commercial Coach Decal or License No. � Serial Numbers) lJ tl..l 1 11 ✓ ! I �Ir• COL NO. • Z 9 FEE RECD -` _ DATE 1 2 '7 —0?) AA NO. O FIT To RT BY Manufacturer e/ �} Model Name rn ` jn(�' r So 1 Year of Manufacturer �v v O Mao e` l 9 Q 1My1 a n uR o L Insignia/HUD Label Number(s) rRA LI -14'9 3o c ��� •�� v�� N 2 - OWNER/APPLICANT INFORMATION -D , p JLL build•` th or '�r 1 �' L, n Se` Telephone No. STATE OF CAUFORMA ^O• are n DCp3:ltn@n! Of H -,uS-ing & C.Om1M-,1ni %f Deve;"PTPot 15 I Kct-1 Ck11 ef. imps will 1 ')i ri;ion OT Codes and S;3r.t;afds z �` \ = -MAL s -� n Grow I le Bui.4- GP— Zip � for tl 1 INSPECTnJN CERTTHCATION 'Jy° County —zip I it, to of Unit if Different lbove�r(L cont cont� byV --Tl ATS:o ProG .J— (D -strict Re .r=sentatioe! antNo.cU r' own for Com _ _ --- ------ LR301t DATA: A,- ,: ' 140 -ill `r.J South Ccun;y flo: , ( 4{� 1,, I 's �� " `� �� , r` r � � U e r �" V (I I I I PCi✓A!:T COCr_d �/'� ,,/ ,OTelephoneJam\ `�33 L•1(r. Cell �e Zip No. /��_ TR `A:L=; -_ _ _' Owl TIInE; INSr'Jf.'; f L TIt.1E—_----- -- --' -- T� - --- - ------------ - ON 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION 3. V - --- !::3PE:TICN Ua'ra a . ot�r:. - •/ - r� „. aM I tctor's Name S, , `� �ih �i `j t n_T GSC I he! ,OR% I II k hKMc/UIW1 --r- i LOORS ss wor—act/Engineer Cod %i;GLI�rioNOf. TA: .OTALCO:IRL'C-iE;•N�: Name License No. )<I -- ss reqs wo! : _ _ F = FJ! _r inst -'-- ---` -----'----- - ---- —_ -- ION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION FEE COLLC:710h :iJDvTH�.R:XFJ'r:"l:;.TIOti; 1 $ ibe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations "E;& Cf;# DA7E nanufacturing are proposed, complete plans, specifications, details, and calculations must accompany ITh __ ITEMS I;:SiIED:r.:;i; Sg Gas C I -i Eleetri.: I� ].A , Mi arm. Check box 0 if plans accompany this application. Provide the make and model of any appliance doll ATTACHMFNIS: [] TiudownCe. t.l-) 0 -Ther installed and provide complete electrical calculations for any electrical alterations or additions. -e cc o ino� ele cA al is l isst PERMIT NO: 4?- � � f7 ;!LF CLOSED on 12G sut she oe 370 Applicant Date WARNING: PEN$AT(6FT— COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propertyfor inspection purposes. bignatulre of Applicant orgent HCD 415, Side 1 (02/96) DISTRIBUTION: Indicate the Total Cost of the Work to be Performed 8 I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department. (If alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature (Owner of unit must sign, when a Date COND I�ireverse side) ❑ Dist of Department Representative =A OFFICE PINK - OWNER/APPLICANT oved (see reverse side) Date Feb 18 03 03:06p LOAPUD 5305331750 p.1 ti PERMIT NO.: 81-02 Lake Oroville-Area Public, Ut lity District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form mustbe 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: September 3, 200 _ — — - Applicant: Richard Dunseth'(D&A Muni. t4onaest H xc 371 (1740 Feather River Blvd' Applicant Address: li toga GIS 94515_ _ (Orov-46119 Cay 95965) A001icant Phone No.: (707)442-0567 (533-9643 Property Locations(s): . 151 Kokanee aY Oroville CA 95966 V KRE Unit 3 Lot; 39 A.P. No, (s): 069-190-039 Fees due: All leas Paid. Application for service approved: SROVILLE AREA UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location:_A�_ Dater By: Lake Oroville Area Public Utility District release to close,permit: Date: -Z� By: State of California ns'4. business, T4ansportation and Housing AgencyDepartment of Housing and Community Development Division of Codes and Standards V APPLICATION FOR: " c�S, Alteration/Conversion ❑Approval to Remanufacture ❑ Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. 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 the Business and Professions Code, and my license is in full force and effect. License Classcq� Lic. No. Exp. Date Contractor F�lX1 � tyt4jto n Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 the Contractors License Law (Chapter 9 (commencing with Section 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).): 1 11. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law.). I I I am exempt under Sec. , B. & P.C. for this reason Owner Date 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 II 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. Y• I 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy nb�er are: Carrier '1�Tt TL,tI.1d Policy Number V�� l✓ �J^ ' /'� (This section need not be completed if the permit is for one hundre dollars ($100) or less). I I I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant Date WARNING:A L MPEN�ATfb� COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. o Signat0re of AOplicant or Agent Obte DISTRIBUTION: YELLOW . SECTION 1 - UNIT INFORMATION [/We are requesting services for the following unit(s) (Check Appropriate Box) Manufactured Home/Multi-Unit Manufactured Housing ❑ Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group Special Purpose Commercial Coach Decal or License No. Serial Number(s), Manu facturedf'':: e/ Model Name l_1 ISO COL NO. !� ` L 1 FEE RECD `� l DATE AA N0. �y RT TO F -ti• RT BY t� L a• - Year of Manufacturer `Y\e6e t l CA q T (q� n�1 C` In lU r, C+W( ' i Insignia/HUD Label Number(s) -r"QA LI -14 2 30 i Owner 1 C. -DL4n n'e+L` Address � ars Telephone No "� City Gravy I L9councy GLA zip Location of Unit if Different ! Than Above r\ ! o— fir_ I, _.. . �• �� l f Applicant Address • � •- City rT) I (�/ 1 I :. Zip Telephone No. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION Contractor's Name e, Address Architect/Engineer Name Address SECTION 4 - DESCRIPTION OF WOR K/ACTIVITY AND VALUATION License No. Describe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations or remanufacturing are proposed, complete plans, specifications, details, and calculations must accompany this form. Check box O if plans accompany this application. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or additions. ' - - A Indicate the Total Cost of the Work to be Performed I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department. (If alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature of unit must sign, when a replacement insignia. is DEPARTMENT USE ONLY reverse side) ❑ of Department Representative Date CANT oved (see reverseside) Date 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 71c,t/L, �P 4, OZ_ 2— 'IS OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. C— %yes- . Inspector '&-4— REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �z - ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 A I— ( I vl .fit r . � c_ L� !- 1.� A. r Date % 12 ? Inspector-- REV nspector-REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date z, Inspector A1(14 - REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i -` ✓ d \ i ! C Date = Inspector REV 10/82 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 PERMIT NO A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or ed additional explanation, please contact this office immediately. J , ' Lt JZ /7 n , v75 .—e r4 c- 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date �.. REV.tU/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 a ,EPEE MI N� kRev.12/96) APPLICATION AND PERMIT ^ � ASSESSOR PARCEL NUMBER ZONING 069-190-039 IRTzl BUILDING PERMIT OWNER TELEPHONE DLJNL'; 70 - -0967 SQ. FT. OCC. BUILDING VALUATION 1428 R 770112.00 OWNERS MAILING ADORE S P.Q. BOX .371 CALISTOGA, CA 94915 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation $ 77. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 540 • $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93 00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 313.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: A 16' m Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 15 00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LE Main Service zo.AORLEN 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER t 1S 3] D) IJ' -1 I License Class Lic. No. �T-i (! �-� 31DLI OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OW ELLING Occup. OR ADONS. ( a ACC. BLD S. s0 3.50FT. NEW T, MULTI -OUTLET H CIRCUITS @7,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES p ,.00 SAL .50 Ex. Occup. OUTUEDA REWSID.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. 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 5)r5Ae3a&n4 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number N C %� 7/7g S'- O� (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. Wof � t X _ r 0 I— l QKU JQ Date 19-s-07- _ Signature of Applic nt - ❑ Owner g Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ j. �HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I CJ applicable provisions Resolutions to do work been paid. Date ZZ OZ L O Dal ReceiptNo. 361184 $393.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L. LC dL COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE DOA 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ t l --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .......................... :...... $ SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) /, Residential .................................... x $360.00 = $ �36o- Ov Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _>_ 7 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE �' 1� 02 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965,Phone (530)538-7541 Fax (530)538-2140 y 4. PERMIT APPLICATION DATA SHEET )Q OWNER: J ASSESSOR PARCEL NUMBER -- 1 J/ /� " U 3 Proposed Building Use: ]�1 Counter Technician: LVV Date: 2 Items required in order to apps"ly for a per-". kil boxes MUST be checked OR marked NA in order to apply. L. Plot plans, 3 or 4 sets, signed y the preparer of the plans. � 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ZV I. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.......... ❑ 9. Plot plan and business license approval from the City of Biggs .............. ❑ 10. Letter of intent for non-residential buildings .................................... ❑ 11. Detached Accessory Building Form filled out by the owner ................ ❑ 12. Hazardous„bberial Form.:: ...................................................... ❑ 13. tOthe ( I I1aining items needed to issue the permit. (May require additional plan review upon receipt of/he fo (o�wiin/g items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... / v v Statement of Intent for Non -heated and A/C Buildings ................................... Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit ........................................... . �j 18. California Department of Forestry plan approval paid. Sent_ by. ................ ❑ 19. Planning approval for (A) Use: OK (B)Parking: (C) Par el Check: rL , ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). / p -//- 0,_� 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... O 30. ant Deed,I.H. Title/Statement of Facts, ❑Letter from Legal Owner, ❑Check to H.C.D. $ p ❑ 31. Other: When issued Telephone S 9 and hold for pickup. v I have been informed of the above items and requirements for obtaining a building permit. AS A licant: kk-0— \� l 1. Index permit application for the above items numbered: 2. Add' 'oval items required C g - on racto , designer, owner, was advised If the above d ra , designer, owner as dvised of the above dat Plans revid deli d5 Date:_ Structural reviewed by: Date: Note transfer by: Date: Yellow: Buildine Division q, AS -0a Date: Ld ate: )ate: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, •California 95965 - Telephone (530) 538-7541 PER.mi-, v 12/96) APPLICATION AND PERMIT 0 A PARCEL Nu _ _ i 2Oi"° BUILDING PERMIT aN�eR C TELEPNON a -� SO. FT. OCC. BUILDING VALUATION w"ER S NA. NO AOOAESS `7 _n! I _ ... y _ �f) C -2)M 3-7/ 61 67`lvgci' 91JSt ! 1 _ CONTRACTOR S NAAAE I TELEY ONE AC COTRAtGRS MA+UNO AOOR SS i, j I -- CONS tAUCTION LENOEA LE"+OER SS kWUNG AOORESS Fireplace I Total Valuatlon APC.•RECT OR ENGNEER LICENSE NO Filing Fee I S 20 C ; ARCNITECT OR ENGM.EEAS MA+LING ADDRESS &.ILOI.+G ROOTLESS -PL Y f U'e Permit Fee D, S Plan CheckingFee b Energy Plan Checking Fee S 23 -0 l & V_P_U-` R✓t&6 t-cvwg S PERMIT FEE i 3' LOt NO. ^y SUEON6DNSNMAEr + , ���`� a PARCEL MAP V t-/] PLUMBING PERMIT Filin Fee 20.00 g USEOFSTRUCTURE SF O Duplex O Mobilehome P Other SPECIPt Each Trap 7,00; Solar or heat pump water heater __ 23.00i Water piping 1 5.001 D _ TYPE OF WORK -New O Addition ❑ Remodel ❑ Utilities O Installation Q7_ %Otthherr 0 Describe Work: �1l h � n� �r� . Y/(U %�i�(N J/7L Each as water heater or vent ( 1 5.00! lS - n0 Gas piping system 1 - 5 outlets 1 5.001 Building sewer 15.00: Mobile Home I S j GI W I @20.001 I PERMIT FEE I S (J ELECTRICAL PERMIT I I Fling Fee: 20.00 Main Service 000" OR LEss tow oR LEss I i 23.00' I✓ = X>g "L C, "PEPAIT FEE PAID s 3,7.3 - a__�-- �j SPA - — v SHERIFF �T�ER AAkbVN'T REGEIWO _-- 1-f �- ;2, — "RE+CEZlT TOOcowvm / C( /1-7/02, 96, e0A1 J-fAe4ei j r4gK Z. 6e4-1 (((( Q y D� A NS 1 1 Ma ervice x�A ro +000A I j 46.00: —_ NEW CONS �. Owaloac OCCUP. OR ADONS. ( L ACC. aLDS. I So 3.5c FT.: NON-RESO UULTI-00 I @7.50; APPARATUS S+NOL IRLET CIA 1 I N= EX. Occup. OUTLET OR 2L V I Ou j �` so Fl%EO ADPV4, OR I EX. Occup. OUTLETS AESIO EA 5.00' Temporary Service i 23.00 Mobile Home Facilities ! 20.00' Misc. Wiring ! 23.00. i PERMIT FEE S ECHANICAL PERMIT Fling Fee 1 20 00 Heatin I _ I Cooling Hood 6.50 Ventilation ' PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee S °C `°I' 1" TOT L FEE $ i NAZ. P O CO EL I .o I This permit is hereby issue under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. By ReceiptNo. PERMIT EXPIRES ON WHITE •0.O.3.-8.0. CANARY•A33ESSOR PINK -INSPECTOR OOLOENROO•APPLICANf Date __ J�, 9/25/02 Ric Dunseth 151 Kokanee Dr. Oroville, Ca. 95965 4kepartment of DevelopmOnt Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 069-190-039 . Building Permit Number: 02-2453 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1.Provide mobile home support data sheet that corresponds with engineered foundation plan. STRUCTURAL COMMENTS: 1. Mobile home manufacturer's pier foundation plan indicates a roof beam support post located at 32 ` 9 13/16". Engineered foundation plan indicates a location of 32' 6". Please correlate. 2. Mobile home manufacturer's installation manual indicates pier blocking at mating line at 4' o.c max. Please provide engineer's calculation for 8' o.c. spacing. 3. Manufacturer's installation manual indicates mate line pier blocking is 2 x perimeter capacity. Please provide engineer's calculations for size of foundation on plans. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner Philo Hunt, P.E. Plan Check Engineer 1 of 1 �S/20_22 08:57 53053:__301 25 INTEGRITY Hi MffS IFIC. PAGE 02 ° ;, I, 0 Department of Development Services Al °Buil.di.n.g Division ° — ° 7 C�,unty Center Drive o �'- o Oroville, CA 95965 Dov N�� o (530) 538-7541 (530) 538-2140 FAX 9/25/02 \ C _ Ric DLniseth 151 Kokanee Dr. Oroville, Ca. 95965 Assessor Parcel Number: 069-190-039 Building Permit Number: W-US3 0;1- C)4/6 Z Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE )k! ORIS.. Your complete and clear response will expedite the re -check and approval of this project. ;Q i, 4,44' NON-STRUCTURAL COMMENTS: la -/v+o� 1.Provide mobile home support data sheet that corresponds with engineered foundation plan. STRUCTURAL COMMENTS: 1. .Mobile home manufacturer's pier foundation plan indicates a roof beam support post located at 32 ` 9 13/16".Engineeredfg}lndation plan indicates a location of 32' 6". Please correlate. 2. Mobile home manufacturer's Installation manual indicates pier blocking at mating line at 4' o.c max. Please provide engineer's calculation for 8' o.c. spacing. - 3. Manufacturer's installation manual indicates mate line pier blocking is 2 x perimeter capacity. Please provide engineer's calculations for size of foundation on plans. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday, To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner Philo Hunt, P.E. Plan Check Engineer I� 1 - 1 of l 10-08-02 10:04 RECEIVED FROM:5305330125 p.02 PERMIT NO.: 81-02 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. 011 Applicant: Richard Dunseth (D&A Manf. Homes) PO Box 371 (1740 Feather River Blvd) Applicant Address: Calistoga CA 94515 (Oroville Ca 95965) Ao�licant Phone No.: (707)4.42-0567 (533-9643) Property Locations(s): 151 Kokanee Dr Oroville CA 95966 KRE Unit 3 Lot 39 A. P. No.(s): 069-190-039 Fees due: All fees paid. Application for service approved: UkbROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: 0 Lake Oroville Area Public Utility District release to close permit: Date: By: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Disti;'4�1' . , . rict - Q. `y) b Building Department No. A.P. Number to 9 —/9 Jurisdiction: City X / County Property Owner Property Location/Address Subdivision Lot No. ................................................ ...................... ........................................ Residential Development No of Living I $ileme Addition/ Supplemental to Units Installation Conversion Permit # '(No foundation inspection) ................................................................................................................... Commercial/Industrial Building Department 0 New Addition moor rlans reviewed by bcnooi uistnct rersonnel) Sq. Footage i. •���- J�`•� (Group R) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. 1._J( O V Cuw Q� School District certifies that +' • `Y` tn. �� C1rU- t)�' (Applicant) 1 j 1 \L.o kc". -A.,`. (Street Address) (.hone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 1- V �,� by payment of $3 OS 5 . 9 a' representing 1 %-i �11 p School District Representative square feet. Paid by Check # ( - Remarks: AB 2926 $ FULL MITIGATION $ 1() I1-1 � 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(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm I .i J- SITE PLAN REVIEW APPLICATION Date: 9 S- o rL AP# ®6� 9 Q 3 Permit Number (if applicable) 02- 2-y ��- APPLICANT INFORMATION Parcel Size:e- Owners Name: i C l< Owners Address: D aO x CA U �>To CSA CA Telephone No.: _76-7- LJy 2. - 05 C % Situs Address: (SI KO K A i'J ee Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel '❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 0 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By 112 Date C�t - "2— Page 1 of 5 . ti 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) 9 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attc gd) • Flood Zone: • Flood Panel No.: O Index Date: ❑ 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 ------------------------------------------------- ---------------------------------------------------------w��. ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: PT -- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5O qL— Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula -----------------------------------------------------------------------------------------------------7------------------- 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation Comments: ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a. Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map:)Getty �) t� (`� _ 3 Map Date of Recording: i—c276--7�/ Lot: 2�,1 Book: 3 Page: L4S A E ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on -'site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 r. ❑ C 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documentsk1hilding Permit Site Plan Reviewl.doc Page 5 of 5 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecbunty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number 1 0 2 Z �Jio Distric / APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information exce t signature must be typed or legibly rinted. 1. Applicant's Name:_�, _ :1). C 0 r 1 .� (u'� +-t 1 a. Company Name: 2. Address: •.—_— V 1 x-10 i -e. &+he r Q-tve r t3 v n C> >icM l I e- 3. Phone: ��3- ���3 �4: Assessor's Parcel Numbe ��p-O� 5. Location of Work to be Done _ 5 / 6. Applicant's Signatige �• 7, Date: 9- 33.0 CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number.13. '7310 q Certificate of Insurance: 1. Yes No: ElYS 14. Contractor's Signature: .V z. 0�_c:. 14a. Date Signed: �� a3� &t, 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Garb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): t C7rc'Z-xme, r— 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions / *� v .2 'o n Jv 'lid,{. rrs Ale C i ' O Q d Gh S 1 6 c e o r6 To ro erfi e. Underground Service Alert .S.A must be notified two working days prior to any excavation. 800-227-2600 20. IC All work shall conform to accompanying: Setail St-- Plans 0 Special Conditions 21. Date Issued w �/G 22. Expiration Date: 03 23 Surety: Ye .5 Mike Crump, Director of Public Works By: •' Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to 90 week. Page 1 of 2 General Conditions – See Page 2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 .'900.3 — 0D /63/ 7 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. RICHARD L. DUNSETH AND LINDA L. DUNSETH REAL PROPERTY OWNEWL.ESSOR P.O. BOX 371 MAILING ADDRESS 95965 CALISTOGA NAPA CA 94515 CITY COUNTY STATE ZIP 151 KOKANEE DR. rG p INSTALLATION MAILING ADDRESS, IF DIFFERENT SIGNATURE OF LOCAL G CYCYOFFICIAL OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER LICENSE NO. SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MARLING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 02-2452 (530) 538-7541 13UH PERMIT NO. TELEPHONE NUMBER rG p 3 SIGNATURE OF LOCAL G CYCYOFFICIAL DATE DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 1999 CONCEPT 2000/OC150-3 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 0900-150-11541 A/B 50' 8" X 26'8" TRA474830/31 SERIAL. NUMBERS) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 069-190-039 SEE ATTACHED 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: 02-2452 Address or location of unit: 151 KOKANEE DR., OROVILLE CA 95966 Legal Description of Real Property: AP # 069-190-039 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: RICHARD L. DUNSETH AND LINDA L. DUNSETH Owner's address: P.O. BOX 371, CALISTOGA CA. 94515 INSIGNIA OR HUD NUMBER: TRA474830/31 SERIAL NUMBER OR V.I.N.: 0900-150-11541 A/B MANUFACTURER'S NAME:CHAMPION YEAR: 1999 OFFICIAL APPROVING INSTALLATION: \ i��- &Lz DATE: 3-14-03 PHONE: (530) 538-7541 H.C.D. 513C 03/14/2003 09:40 5305330125 INTEGRITY HOMES INC PAGE 02 r �R,{N�ORTA 64959 _� t b9 -?'• ItAMJF/yG'��A/101JfINOORCKsRA/1'�� •� , F•. . MANUFACTURER' -CERTIFICATE-Of PRIG1 1 .._. . O CtCCK IF.1"6.18 A DUPLICATE MCO- NM ORIOWAL NCO.NO_ MANWEACTURIED AWE OR MULTI -&)NIT MANUFACTURED HOUSING NUMBER OF O.MUW4 HOUSING TRANSPORTABLE SECTIONS 2 6FO (SIA GU,FAMILY. owELLIW) . r (STI -UNIT MMUFACTURED. F b rl ,`'� �Nl\1G0,`J�1 rl'ii Ari�� ..,. t-__.'6•l_:-Ly=�:3`_-. i_ ... ��.-_w:W�+.�_.:.> •Y.��:::« ._ __ _::G:_3`GY �. .....-_....-:�:�_"=lli::1C.' • . ..-....:,�:f1� �•:: OOCl1PA "1r`i3itOlM` :r, F.iL, ag F.. r ... : ,•. ,• nI yr: -„ ,,. , e _ : • .. CTUR LICENSEtJt{ABER: . '(•.1190�/7': .. {1F :.: .... rl C11A fW,U' .. ° F. ✓ _ ,: 1 `-i\:.,. .,D:i •• r,.qA -:-:1(1UFA:. f1MeL''' CBaaplon Baan Builders Co. 7V1/Vfi SUO ESTER RETAIL PRICE: MANUFACTURER ADDRE8S: P.O. Box 429 Lindsay CA 93217 531584.00 3 MANUFACTURER TRADE NAME: MODEL NAME ANMR NUMBER: DATE OF MANUF TUBE: 2000 OC156-3 11-24-99 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CAllf. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION; ...-Duper and 'AMel r - Inci 112-03-991 DEALER OR NSF •EE ADDRESS' River Blvd. ville Ph—ft CA 5 sen.{ 1740 Peather INVENTORY CREDITOR NAME: INVENTORY CREDITOR ADDRESS. 4 Hutton Center Drive, Suite 400 nta Ane IB CA 9 707 s I s SECTION MANUFACTURER SERIAL NUMBER "Co INSIGNIA OR HUD LABEL NUMBER LENOTH WIDTH WEIGHT ,d INCHES(INCHES) (POUNDS) 1 09.00-150-11541E TRA474830 608 160 20825 0980 608 160 22316 D i R Transport TRAKWORTER ADORE6B: P.O. Box 179 Durham CA 61.1. JW938 Of.6TNATION FOII UNIT DESCMBED ABOVE. .. _ . ... - _ .. ••. . �• .•.• ...� _ . • - INAME) EmslNlw _ -►enD►rlArl>� I�:>f.ro'•A.w.r..�tiwra�www.+a.e.r..r.w► ewa... ... .._ ..,.._..... _.. :__.. .: _ . _ Y710j''tA09f1R}iPVI�FJ 11 ,c1'r :1=iT41 :►SAF: a Elwabren 610NATUREOFAUi11011(MDAOEIIT: 1�i7:.1'•IID!'3i1!i=,h F :� pt iii MIO'�r"�ORMBIRD �MNTORYORIOIRIf:tlNI�M�AtfoNErTNENFORw111W'D QR7RAN bOPY t IrtE) FORVYARD TD TE DE/ARTMEIR AT P.O. BOX IRM iACJ1AMENTO. CA 66ti4 1171 NI{:}MN FIVE (6I ClAV6 11EL EJ1�EI� AIi ;J .11' cows 110M1) ' DELfvmTO"=U*PORYM TO AOCQWMY THE LDHT f'O rrs DEal*"TIM. . • (OOLQIMOQ) ''TO A! NETAM BT THE W^WAC URM Sep 23 02 10:31a RLD PROPERTIES 707 942-6774 p.3 SXHIBIT "A" Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 39, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY, OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. APN 069-190-039-000 STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) 090- /gn-/�s4 alQ I/ We, the undersigned, hereby state that the unit described above: `hc placed an e -L /5/ gat,9-171 01 C r-svi (te � ,CTYHXCfl 015 cltab .4P" . " l [n 9 - V r q - 0 3 q hN Cru -44t4 r t � mac.- o - - tntL.S V A( 40 m15 Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on $�)' ©a at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Michelle Freel, Office Manager Address 1740 Feather River Blvd. City Oroville State California HCD 476.6 (Rev 11/86) - RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. A.ND WHEN RECORDED MAIL TO: RICHARD DUNSETH .. LINDA DUNSETH P. O. BOX 371 CALLISTOGA, CA. 94515 92 10 Recorded Official Records i REC FEE 13.00 I TAX 19.80 Of I _County CANDACEUJ.rEGRUBBS i Recorder I ROSEMARY DICKSON 1 Assistant ! Myles 09:00AM 25 -Jun -2002 Page 1 of 3 Above This Line for Rerarder's Use Only A.P.N.: 069-190-039-M Order No.: 198591CB Escrow No.: 198591CB/ORO-C GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAXIS: COUNTY S i9- 21) X ] computed on full value of property conveyed, or 11 computed on full value less Value of liens or encumbrances remaining at time of sale, X] unincorporated area; ( J City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, DARLOU J. ERNST, SUCCESSOR TRUSTEE .OF THE W1LLAfER H. ERNST AND DARLOU J. ERNST REVOCABLE TRUST DATED JANUARY 29, 1998 hereby GRANT(S) to RICHARD L. DUNSETH and LINDA L. DUNSETH, Husband and Wife as Joint Tenants the foltowing described property in the Unincorporated Area of the County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. �-D GRANT DEED CONTINUED ON NEXT PAGE Mail Tax Statements to: SAME AS ABOVE or Address Noted Below I Sep 23 02 10:30a RLD PROPERTIES 707 942-6774 p,2 A.P.N.: 069-190-039-000 CONTINUATION OF GRANT DEED DARLOU J. ERNST, SUCCESSOR TRUSTEE OF THE WILLMER H. ERNST AND DARLOU J. ERNST REVOCABLE TRUST DATED JANUARY 29, 1998 (` By: I 4' \ DARLOU J. E T, SUCCESSOR TRUSTEE Document Date: J e 13, 2002 STATE OF C.AVFORNIA AS COUNTY OF -c I, rkrY%edjZ ) before me. IUrUYI� {— . �fYv��1 S�ICifu L personally appeared fP FY nST - — (or proved to me on the basis of satisfactory evidence) to be the person whose named Wem subscribed to the within instrument and acimowledged to me that he/shakhey executed the same in4r Vher,'dwjr authorized capacity(WO and that by.14Vherkheir signatureXon the instrument the personW'or the entity upon behalf of which the personpajacted, executed the instrument. WITNESS my hand and odic I seal. Signa J" L' riu. This area for official notarial seal. TYRONE L. 'DA—M-0N� COMM..* 1336546 O NOTARY PUB! ICCAUFOFNiA SACRAMENTO COUNTY 0 COMM. EXP. DEC. 27.20X5 - Sent iVy: CHAMPION HOML BUILDERS CO.;* 209 562, r,502 Feb -j' - OO 2:47PM; Page 1 .2000.... . Ow CJ Dining Room Kitchen -6 Bedroom #.I wal'-;. Niasteredroom I (4 p ,1,!*.(.* , Living Room -chil Ro 2 FREE 7. r- StandirdExt or Elevation A14ite-Ov-wite ApplaiKej Tfutell. ExterkxRcx)f0tdi -20CLI)k-Foo lkli;ol tSide-Ov-SdePeifigo-�lt.(,r%-,-/k-e&.%,\;,ite-inthe D( -Dekxe C el Tapc.&"cxttxeW�jjStxfj ;as Rarvp U N'T'vv 4-L;kfL'ti-x is R-30 Cc*i& R 19 WAS & R 22 FW sc(f5n r(sigi i-wlxcept kovet Arp..-jj) gcj�6t if C --i W. s %v"' %&t al 'wi-m Avi TME" wwalcl ,-dt Witeoj%t4x)a:dmL4dV & Ckxw 7: Tki;k. \A PPROTED --- J (-'-"AMP10N HOW FKXDERS cb. OF L110SAY, CALIFORNA MOBILEHOME INSTALLATION DATA 1) Owners Name: j�( (t Q /jai, 2) Assessors Parcel Number. /(p g — 01 Q _ ':� q 3) Installers Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No [x] Permit No. 5) Is the site an existing site? Yes[ ] No [)e ] (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? / p0 Amperes. 7) What is the mobilehome site circuit breaker rating? -D 13n Amperes. 8) What is the electrical rating of the mobilehome site? 000 Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [X] If it is, Mat is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [4 No [xj If yes, please identify the load and size: a) The mobilehome site: Load- Amperes - b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [X] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" . 13) What is the gas pipe length from the meter or tank to the mobilehome? C j I (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 then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION Bul I.ECOUNTY BUILDING DEPARTMEW APP R 0 ED �MOBILEHOME SUPPORT DATA 1 y Mobile Manufacturer: r ham `j r pn Manufacture Year: 20� If other then single wide, fumishSetup Model Number. ISO Width: alcr'%" (ft) Length: ft Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [ v] Other. SUPPORTS: Concrete block [,--] Other: Provide Tie Down Specifications for all Mobilehomes: �2YMektr Vin o4 Line 1 Piers: Size minimum: Spacing maximum: From ends -max: Line 2 Piers: _ Size minimum: Spacing maximum: From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: Each side of openings with width over: Line 4 Piers: Size minimum: Spacing maximum: From ends -max: 1-2-) ` IJ x 911-0 0 r rn O 0 0 %. 0 y a x U ELEC 8'-7' O WATER 6'-GI,— WRSTE 19'-3' G 5'-9' 32•-101/16- PIER PLfICEIfTdT CEN Rfi IgiES ® 0 e ■ 30•-I 1/16'I 2. piers located no more than 2-0 from each end of the I-Bes. ® 3. See installation manual for pier configurations. f. Alternate methods of foundation and tie down construction may be used in lieu of the Champion Installation Manual provided the method has been designed and stamped by a Architect or Engineer and the method heats local and/or state building codes. -----------------?9sOr'-t950r-- ----- 1 SITIML> r---------------- I—_ --- —' 5100 5100 5100 1—-5100 II —y J 1 5100 o J I 11 I E LJ ! � i I I II I 1 1� 1 6 o i i9•-� i 1 1 li I i I ::F i 151x1-1 cc 1-fEfM > SIOO.,yr.— __5100— — —.—►SIOD— ._.—�_ 5100 .�.—, L � J — J I r—�— 48tt1-•^---------.—^ --------------------- -----"910♦----Ii9lAf fl00 -- --- RATING LITE I z - 1 I � '—' � r•-5100—.�.—.—.�.-5100__.�y—�----5100--i .--x5100—r---t--•—x5100 —`—.—I L � I L —' � � J 1 Z I_ a en� 5100—t--.— r--SIW IL _ J j I I4 — I W 1 j i 11 32.9 13116 1 1 ��-15100 1 1 --►5100--_.---►--5100---- 5100 ---4 L_J 1 — - L_.' 1-BERI � 5100•+--.—.—._5100—�-=•— L—� L_, L—J 1 L_J r—n r —.__--19501-1950---------- ---- CHAMPION DOME BUILDERS CO. 840 PRIM AVE, P.O. BOX 429, LINDSAY, CR 93247 1 08,23/ 2 11:04 N2TE5: SIIIIES Infiniti 911111 BT Curtis nTtr Sm u, PIER FOUNDRTION F-2 O 29'-2' PIER PLfICEIfTdT CEN Rfi IgiES ® 0 e ■ 1. This plan has been calculated with a 20 pound roof load. All I -Beam have a maximum spacing of 9 feet o/c with end piers 2. piers located no more than 2-0 from each end of the I-Bes. ® 3. See installation manual for pier configurations. f. Alternate methods of foundation and tie down construction may be used in lieu of the Champion Installation Manual provided the method has been designed and stamped by a Architect or Engineer and the method heats local and/or state building codes. registered 5. Ail dimensions taken from rear edge of floor. CHAMPION DOME BUILDERS CO. 840 PRIM AVE, P.O. BOX 429, LINDSAY, CR 93247 1 08,23/ 2 11:04 N2TE5: SIIIIES Infiniti 911111 BT Curtis nTtr Sm u, PIER FOUNDRTION F-2 I 641'-19 -1i AP# CDF FIRE SAFE REQUIREMENTS PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. �) 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards W 1273.02 Surface. All driveway surfaces and structures (bridges, / 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius �(] 1. No roadway shall have a horizontal inside radius of I_ 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. [�y2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3 AP # PERMIT # NAMt ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates ] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [�] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from u1] property lines and/or, the center of the road. [ 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi.tal inspection of a building permit. Page 2 of 3 q -/9 - 3% D 2--Z�J�L J����i7-� `' AP # PERMIT* NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 PACIFIC CONSULTING ENGINEERS;`: 2150 BELL AVE., #145 SACRAMENTO CA. 95838 Ph. 916-564-6028 FAX 916-564-60291 VERTICAL DESIGN RIDGE BEAM SUPPORTS D and A CONSTRUCTION 1740 FEATHER RIVER BLVD. OROVILLE CA. 95965 PH.(530) 533-9643 FAX (530) 533-0125 DATE: 8/27/02 JOB No. 02-1165 �� ;:CHAMPION 150 ICK DUNSETH ®'c Ca R51 KOKANEE DR. ORVILLE, CA APN 169-019-039 Input Data: Roof Live Load RI = 20 psf Roof L.L. @ Trib. Area Over 200 sq. ft.: R2 = 16 psf Roof Dead Load: Rd = 10 psf Floor L.L. FI = 40 psf , Floor D.L. Fd = 10 psf Building Module Width: D = 27.67 feet - H.C.B. SET: P = 5,000 lbs Soil Bearing Pressure: SI = 1,000 psf Calculations: r - U :1 A Ot"I'd d V . F' 0 e Vertical Floor Load at Mod -line: W =FI+Fd x D/2 = 692 plf Max. Spacing Required Sp=P/W = 7.23 Ft. Vertical Load at Mod -line: Trib. Area 200 sq. ft. or less W =RI+Rd x D/2 = 415 plf Trib. Area Over 200 sq. ft. W =R2+Rd x D/2 = 360 plf Max. Support Spacing: No. Location Loads Footing Size No. of 2"x12"x24" No. of Piers & (ft.) ( Ibs.) (in. sq.) P.T. BASE PADS PIER RATED LOADING REAR 1 0 1,245 13 Fnd. Fnd. 2 6.00 2,265 18 1 1 -5,000 lbs 3 10.92 1,563 15 1 1 -5,000 lbs 4 13.53 4,530 3 1 -5,000 lbs 5 32.75 7,774 3 5 2 -5,000 lbs FRONT 6 51.00 3,787 23 Fnd. Fnd. r - U :1 A Ot"I'd d V . F' 0 e LATERAL DESIGN ., D and A CONSTRUCTION �' 1740 FEATHER RIVER BLVD. 11 OROVILLE CA. 85865 PH.(530) 533-9643 FAX (530) 533.0125 Input Data: Design Wind Pressure ( 75 mph exp. C) ✓/ Seismic Load Factor Roof Dead Load Wall Dead Load Floor Dead Load: Exterior Wall Hehgth Roof Heigth: Building Length: Building Width: Anchor Bolt Working Load, 5/8" x 10" SHEET No. 2 OF 2 JOB No. 02-1165 28 x 51 Mfg'd. Home P = 20 psf SI = 0.186 Rd = 10 psf Wd = 10 psf Fd = 10 psi Ht = 8 ft. Rht = 4 ft. L = 51.00 ft. / W = 28 ft. AB = 1,130 lb's CALCULATIONS: Wind Load: Vw=P x (Rht + Ht) = 240 plf Seismic Loud: Vs=SI x (Rd+Fd+Wd) = 5.58 plf Seismic in Longitudenal Direction: V long.= Vs x L = 284.58 plf Seismic Controls Seismic in Transverse Direction: 4 No. of 5/8" x 10" AB req'd. at side wall = bolts (MIN.) Typ. ® 6'- 0" V tran.=Vs x W = 156.24 plf Wind Controls No. of 5/8" x 10" AB req'd. at end wall = 6 bolts evenly spaced / TOTAL No. OF VENTS: Min. underfloor venting is 150 sq. ft. of vent for every 1,000 sp. ft. of underfloor area. Total underfloor area = 1,428 sq. ft. Total No. of 6 " x 14 " vents P AND WHEN RECORDED MAIL TO: Q1 — 0 0 5 3 6 6 BUTTE COUNTY BUILDING DIVISION Recorded 1 REL FEE' 7.00 7 COUNTY CENTER DRIVE Official Re.-ords I CO ORM 1.00 OROVILLE, CA 95965 Go Burr.: Gf I Burr:. I CANDAC:E: J. BRUBBS I R order I V ROSEMRRY DICKSON I Assistant I 1-isa V 01:01PM 11-Dct-EOer' I Page i of 1 © L V AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent -to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LoT 39, cts show r7 on 44.cx.+ Cer}�n rneAp en cd, V\Vetly r2Ldge •r t>*o#Q,S un"*. *. ►-10. "` �h;C_h nr.0.p WaS jQ; 4Q c( 'r r, -h,e 0��t _Rccarder OC -,fie. CaA� o� t3�+fie Sete, a QOLk v' C-ni0, (A (I ala, Il -14 fn (�,o o K u 3 o jC M e - (Os , a-* e ci R_s L4 q,%4 S t H LP �I-1 o,V-Vd L4'�;• Date / 2 9 4 Z PROPERTY OWNERS: �4� 4 r -d fynse� T State of California ) County of ) On ala Qo 2 before me, _ personally appeared d v , h personally known to me ( o be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my nd and o ficial sea Signature " ` Seal: CATHY L. BIRLUR Comm. & 1365834 ►A NOTARY PUBLIC • CALffORNIA NOR$ County OA-P#L���— � ®— 9 My Comm. Expires July 22, 2006 17► QI4 F rt 200 Ar out fa out % X/oXd=/Q'3%eI'PLc�CF_ -Sfx/ si a /o S tom— I C r . J � 1.HdC.�d-.niM09G. Fn0•. _ �j. p Deck Akan / / 1Car .. 't _.Fn of.. Bea.» �/ (r , d_P.e. 2� • �r Steet 0013 m V 2.B �►'/a"C4 total) /B"$ eo way UE CMN. C OIN-- 5w haze 'n J/e6 . .) �' �Q _ /nserta.bos B fleinil , EO�Lase_ pG':scc Ins/o2 ++ a �:4GE'BoseZ"on '- I i i. • �; J . ` f .9 Ser mm 6'A � e _ I Wi7/�Co'icPetb Vba-rcut�s/o6'fo I r ,:'��@ K1i'!kb-olfii,s QL .. BASEL'U v<v� : i I i �i %• 1-nri i enibrd. oC /CBO _ . CC �+ C �-' CROSS:'SECTIpN p 7iENERAL'NOTES saerernro';e- I o! f4/ WiT�LCoyCIl -=-F B,SN.S a rwe�(,p�lec�! -------- l� - -y_.. �B.SHSC9cra�@Tle /o ' S?uB 6c.-DGci psf I L. OC9r n 1 Reil/out'- . B4o% ' - ' ' - Decking pone/ - •- = Decx 2 Deck 9 _Optidne/'FYa6r.slew! - Enb�Fo-Sci-T=sDsivse9�na Deck ne /000dd /O C4 : foto/J .. _.._ a 7s � .... d /, /Opsf honrontol• v '-�`( �k:+e>Y•.oB� - .,Geek; : _ { __oEspMed io Twice the lam c6on area of a# the.. I j Yemen/S Vic -one face - up/�{t /o psf - �• Svwciil..Es_'s4 I' t - - Z. 'Etch srrucfure gho// hove atfochecl _thereto -ism o ris'b/e location on oPProvew .. 10 zs 2' �¢"Befs i T'I Beam cBxi sees�6cr1dentitieatron 9nlo• i o ' .fo oto'/'4 L13bi 2°oe - 3; A/uminum design and SfressPS are �- ?,00l ASO Oso 3,00 _ - Corner An fe �c�k ysC.5 c- s - d r occord�n to A/um. A oC. /9B6 Spx's NFfh foc7Tor S�tS nrax-OccE 2 of safe>� tia% bui/ding products. s Loo .each' leg Focio GuHer 4. Hor�zonto/ titer s}rPn9fh of beam. /5os - DECV CIIJG PANEL- .# 2 2 -#•sells been em aled by test O eria • .. oo4"H 6--A/u'n_:- • __ •• ... ..-B�BeI�' : �� - 1 9 Ay' v -DETAIL_ —01 %SECT/O/J B� . s. eoncrc fP.mix l: z : sz �v f/i a% weter i '100 s Ce/umn.Cop-- I _pew sock, Mor, 2oo0Psi eomPrnJs/re strength .27 •` .73 :0 G. All framing shall be a/uminum unless v;. I '.17 ' // 'Tn v, ELEV. seer• o>`herrrise 's/iown.: 57=ee/ oris shall be go/voglied ' base per; seri - m I "•p �. h N ° ''O - - ='LATERAL" BR -ACING - or in ted with sHe/brirner # enomel fih/sh/ - A/r ebsc.G'onn. wir9j cot oc�c'ordin Ats secs I concrer>: "ffy': _ D' :. - - - _ - - - - i _ Pet 41 s c sYprec:s . y6 C2=9 deep`fty . . p' DEtALL A AT 4` 7�I' BEAM'SP.4N fa�ri' a ? �/6 - SYee% fasteners shall be95E sto/il/ess, ELs� h . o/uminum 'br cadmium p/W`ed, toj DE e0, `1 '' 8• SMS ror roof ponel slwl have Y2 -d/4, neoorene washer, N ' 1 :oes T : .060 Fes. , "Ho% fer 3/9'� Belt c 9• Footinys are des/yned fqr overage so// .70 - c • . _ •such' as' toA7jooet fine Sandr me am cloy, tevnPoel• 2., e- sondy /o4m cv /case 'coarse and ond9rerve% 'Tr;. °o a m ryp• Uerfr'co/ sai/ p=/000.p_s�'mvx• :.. .048 n. o : ___Latero% sai/ /SOpsf er.' feat of depth. c ` M ryp. __sfio//not 6c &WC sed. G ..OBS .065 D t71, . ' o a, D' � ..So ,00 •50 .06S T 1 .060. • I N-3,00. •.ns 3.00 .rzs - a g 4 •' a. c Sleet. WA.t-:A446/es. >°! Belts n l N - M�� . Y. P. 4o XSi - - • •/p9. . •: .I50 O.D.:7S 4.00 ' -- ' - 1- /x / x 4 r 0'060 A/um. o ��L(JtifN 'CAP 7 I EANI a •�'�C7:q.:`GUTTER -=- Eis"D FACIA - COL.UMN.: _ - - 6063: 5/um- 6063: rTS -Alum. --:ZO737 7G : - /um • -6061,- r.6-_ Alum ' - e'S'ide lap - .. _ . CORNER' ANGLE- .;/ I \ --606 - r Alum. in MOBREHOME ACCESSORY BVWM OR �45• . r R..Izs,ryp. NI I N .R .11 ,Q,.!/ /,3o wxTHHAND SAFETY COM DM9011ia,PPDX zAPPROVE D 12.00 -'QE-CTS-WG-•PANEL #i o '-'0 30 - 3G /um'. /,00 •30 Lwide. x 0•.5Go "-m- �iDE_.LAP_ - CLIP M e 37-62r.sit@ -6063 6 Aluni. VXPECT.TO CORRECTIONS NOTED . App .J a- --4-4. a cpp,.w o, a.b.M > ri.,w, DMSION OF CODES AND STANDARDS E By SPA NO. 98'-7 1 n rrJ. Plan App'o.al 6oim 10111ZQ 3 :. + , EaL C 3 t&Ty U E TII/oCC:VR,-.0,c T.�EESTAiY0 WIrAf UILBI PA9 ERHANB lroR MOB/LsHom_--/O'RL.L L% -_ �' ... .. . :MQOR-L' 1'' . 'W� . CAL/F 95826 D_ F�20-/O. �APPR®1► Q .�� 2-/8-76 73/7-E 03 Na Me PACIFIC COMSOLTIMAN6IAEM 94-1�6 • 7a.SD adJ. de.. 114, nl -71 V� _ ,�. a mm n.. r"3 Ll