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HomeMy WebLinkAbout069-210-078o _. 69-21-78 .A. FARRELL �. 1 had Court, lot 285, KR�� Oroville CRntr. Oro Ridge Properties, Inc. P rmit#1 2., -83 E(util, MH) ELEC G-��= 3 O GAS !o - COMPACTION TEST RE J:ioQ l — SUPPORT STRUCTURE REQ —{ 69-21-78 Permi�#732/-83 I�J�'nst:�l, MH) I��TED Lo//�/ X69-21=78 2182-91B,E .o r FARRELL, John Q 10 Shad Ct, Oroville / 7 .,(garage, deck, porch/mh r 069-210-078. 7 04-2854 METZ 10 SHAD CT, OROVILLE ` + Cont: RELIANCE PROPANE GAS PIPING � PF-� e - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042854 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/29/2004 APN:i the Business and Professions Code, and my license is in full force and effect. 2 G License Class: License Number: J� Site Address: 10 SHAD CT ORO Date: Contractor: Pr op Map Map Index: Description: c OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the U Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: METZ JAMES L & DOROTHY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 10 SHAD CT signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RELIANCE PROPANE Code: The Contractors' State 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, 6426 SKYWAY provided that such improvements are not intended or offered for PARADISE, CA 95969 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-872-9200)(206 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. RELIANCE PROPANE not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6426 SKYWAY ❑ 1 am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-872-9200 x206 Date: Owner: License #: 734318 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: 4--t have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of / the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier: _V-141- F11 Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Policy #: / �J 7.7 2- z — G Z ❑ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor f 2lot84- �sS ,^ q , Zel . O'� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permi 's hereby issued under the applicable provisions of the Butte County CodR ?nrUor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)Q�- Name: By: Date: PERIT XPIRES ON: c1' 29 •O'$- Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned properly for inspection purposes. Print Name: 11_/ <1114' �%�'n G Signature: Date: Z"% /� ❑ Owner ❑ Contractor ❑ Agent for Owner ent for Contractor `1l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVH LE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name J Rrre, pUfief-Z Address �U '56 � (oar City Gre ✓ id < Zip Stat Zip' '57& Phone 5o9_ .577,5 E-mail Fax E-mail Class APPLICANT NAME CONTRACTOR Name Address 6426 SKYWRV Sorb City PARADISE,- Zip State Zip Phone 872._9200 Zip Fax E-mail Fax Lic. #734:31, Class APPLICANT NAME ARCHITECT/ENGINEER Name Sorb Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name S box— Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X 'Io4�' For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP a4205+- BIN # LOCATION API /_ q2j (/ / L5 Property Addres U Cross Street 4 ,q< 6 e WORKER'S COMPENSATION Policy Number Carrier /(o / 772- Z- ci Z If hiring anyone otherthan license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc Page 1 of 2 Description or Scope of Work: G A -'s -p , v ► ...1 C_ y t_ , ••l o Erz 5 E -7 - Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds canonly be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 5 Bldg SRA Receipt #:A- 2 ��4' Sheriff Date: 1.2'� 04 SMTP Other S s • Total REV 4-30-04 n RESIDENTIAL 69-21-78 2182-91B,E FARRELL, John 10 Shad Ct, Oroville (garage, deck, porch/mh) .T? JOB FINALI Signature J=OK O=Not OK Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /•'Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS COVERS, CARPORTS, GARAGES, (Plans)OK except #'s • . Zo g Requirements -Setbacks -Easements . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 5cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car orts; Windows -Doors Electric ks,rrm—g; Sils-Anchors-Studs-Rftrs-T%sses iding; Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing xt.; Steps -Doors -Landings Date ' Card B-1 Date Card B-1 Date / and B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning-Setbacks-Easemen ts-Flogd-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /': Ftg. Depth 3. Ftg., Garage; Soils -Steel -Elect Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection --------- ----- ----------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------------- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower. Second Floor -Tub Access ---------------------- ---------------- 21. Gas Pipe: Size & Anchors ---------- ---------------------------------------- -------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------ -- - --------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------------------ 24. Size Boxes & No. of Conductors-Stapled -------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas- & Water ---------- ------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------- -------------------- - - - - ---- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! / ga. Cu. or Al -------------------------------------- --------------------------- -- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No - ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------ -- 31. Equip_Clearances Panels-Motors-Mech. Equip. ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - --- ------ - - - --- - ----- - --- ----- --------- 33. Smoke Detector ----------------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ---------------------- ---- - ------ -- ------------------------------- - - -- --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34.--A.C.-Ducts Insulation & Support 35 Vent Fan: Exhaust above insulation - --- - -------------------------------------------- 36. -------------------------------36. Condensate Drain & Overflow: Size & Grade -------------------------------------------------------------- --- ----- 37. Furnance-Vent:---Access-Comb.-Air-Return -Air Vent -1--15-5 outlet- - --------------------------------------- - 38. Attic -Access-&- Platform if Furnance in Attic ------------------------------------------------------------------------------- DateCard -B-1 Date Card -B-1 ---------------------------------------------------------------------- --- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors --------------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------- ----------------------------------------------------- 42. Draft Stop in Walls (rat proof) --------------------------------------------- - --------- - ------------------------- 43 ------ --------------------------------------------------------------- 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------- -------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties.or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---------------------------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- 55. Siding -Nailing Veneer -------------------- - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - ------------------- Date Card B-1 Date Card B-1 -------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exi 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------ ---------- ------ - 67. Stairs& Rails 68. Fireplace or Stove: Clearances -Hearth ------------ -- ------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70 Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing-Landing-Closer ---------------------------------- ------- ------------------------------- - - 73. A.C._Duct in -Garage -Damper 74. Wtr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & M_ech._Equip. Listed for Location ----------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------- ------ 7;. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive 0 Yes 0 No; Walks 0 Yes 0 No: Planters 0 Yes 0 No ------------------- 81. ------- 81. Stucco; Brown -Finish --------------------------------- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- 83. .------------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - - ------------ ----------------------- 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec Trim; G.F.I. Receptacle -Underground ----------------- --------- - --- - 86. Ventilation Throughout House . -- ..... --- ---------------------------------- 87. Glass Protection - --------------------------------------- 88 Corrections from Previous Inspections ...... --- ------------ ---------------------- 89. Gas Test -Meters Tagged; Gas -Electric _...-- ..... ---------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------------------- --- 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 PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 A APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 069-210-078 ZONING _ BUILDING PERMIT OWNER John A. FArrell TELEPHONE 989-1155 SO. FT. OCC. BUILDING VALUATfON 336 M 6,048.00 OWNER'S MAILING ADDRESS 10 Shad Ct., Oroville 95966 192 Cov 2,496.00 CONTRACTOR'S NAME Ownpr TELEPHONE 96 0 en 672.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN NoneLENDER'S Total Valuation $ 9,216.00 Filing Fee $ 10.00 MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER Nont- LICENSE NO. Plan Checking Fee $ 40.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 130.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 285 SUBDIVISION NAME Unit 3 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 10.00 ea TYPE OF WORK New ❑ Addition ❑M Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Garage, Porch & Deck (Built w/o Permit) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service a°oV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCC R �d921 OR AODNS. ( ACC. SLOGS. , M /20sgft 13.20 NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 201150, eALO 30 FIXED APPLNS.�. Ex. OCCUp. OUTLETS (RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 23.20 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment sts, and expenses which may in any way accrue again t said ounty ' co iaerrce-of�the-gr ting of this permit. %� Date S' n ure of Applicant — OwnerX Contractor ❑ Agent ❑ I n SHA permit is required for excavations over 5'0" deep and demolition or construct- 1 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 153.95 HAz. CUA PARK SCHL — FLD -' CDF PAR PD I HD. ISE. This permit is hereby issued unaer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated a ove for which fees have been paid. R TOR F PUBLIC WORKS By Date �! PE MIT EXPIRE Date Receipt No. 94424 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT .�.. ,.,,y„„nom. ' w(tva �f•• s ... ....%y' i� . � r ..ti -.•_n ,ti , ' •' ��+e � ..i...,.T y ftp` Wit` �. r'..' ,� :a► r :.T' r�'[s?S.. .. _ , '2.s --, , ti .. . � i CO TY OF BUTTE -DEP AUNT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVYw="OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 -.PERMIT APPLICATION DATA SHEET l' Permit No. J OWNER - Q Vtf^ �l Y ,_ A. P. N 069-C)1-0 -0/V Proposed Bu Iding Use Ga ra o. Bui (ding Inspector 6 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed b" preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ...................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5"IR9-1155anrjl hold for pickup at office. r Deliver w/inspector. Other - a v rk? 3 ApplicantDate Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: ,(Circle new item not checked above). 1. Index permit for above items No. r' 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone._maiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date ( Plans approved by ftj Date -7(131 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95985 - Telephone: 918/538-7541 r APPLICATION AND PERMIT AanESnOF4� — — 2±1 BUILDING PERMIT ow r r- P t a H NE -1 SO. FT. OCC. BUILDING VALUATION CLrJ CO RAC O 'S NAM TELEPHONE Q CONTRACTOR'S MAILING ADDRESS Fireplace O RUCTION LENDER C71; C71; UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ACT I ECT OR ENGINEER 77�` LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ CHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING Ag ESS t ©� Permit fee $ 0. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTp.NO. O SUBDIIVISION NAME PARCEL MAP Um � Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome(g Other SPEC Fr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition Re de ❑ Utilities ❑ Ins lation Other ❑ Describe work: © IAC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 lcl © rW) t Main service 600V OR LESS100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC OR ADONS. ( ACC. SLOGS. 21/2 Osq ft NEW CONSTRULTI.OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 2ALOt eL930t FIXED APLNS. Ex. OCCUp. OUTLETS IPRESID )OR EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONSTTYPE - __ TOTAL FEE$ HAZ. CUA I PARK SCHL FLD CDF PAR PD j ND• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date PERMIT EXPIRES Date Receipt No.By .`/NIT[•D. P. W., Y[LLOW-ASD[SSOR, PINx-INSPECTOR, GOLDENROD -APPLICANT F COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity.to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) t: 2. I (have/have not) IIAlIL-- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner �1 Social Security NpmVer Date`a� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 4. Exterior plaster - weep screeds (Sec. 4706). 5. _Proper roof pitch for roof covering (Chapter 32). 6. Roof covering type - (fire hazard).. 7. Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. 9. Adequate bracing. 10. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 11. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 12. Attic access and ventilation (Sec. 3205). 13. Underfloor access and ventilation (Sec. 2516)... 14. Combustion air for fuel burning appliances.. 15. Noise requirements on duplexes. - 16. Adobe soils --special foundation design. 17. Retaining walls requiring design. - 18. Unusual shape, size, or split level. house requiring lateral design. 19.. Flashing at all exterior openings. -�. � . RivL�kd>�"-- Su�oYw�9� ►�s-u ��cn�-�� �1�:c�,c�v� ��/�cM!v�- G�MM.e�ow� -. (AtAi-tca) wee . RESIDENTIAL PLAN CHECKING GUIDE 5/89 (S.F., DUPLEX & MISC. ONLY) - _ ... Bldg_. GENERAL 1. Zoning requirements: (sideyards and number of permitted living units). 2. Valuation. 3. Plans signed by designer. 4. Energy Design and Compliance. 5. Existing violations on property. 6. Items on data sheet. - PLOT PLAN 1. Complete parcel size and dimensions.' 2. Setbacks, sideyards, easements, etc. ' 3. Other buildings or structures. 4. Grading, fills, drainage. 5. Flood hazard.6. =' Special conditions on creation map or compliance document. 7. FAU & FAS road setback. 4 ;, FLOOR PLAN 1. Complete to scale plan with dimensions. ' 2. Required windows for light and ventilation (Sec.. 1205).'.'' 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207).. . 7. GFCIs in baths, garage, and exterior outlets-.(Ar-title 210-8). 8.. Light fixtures, switches,- receptacles, and exterior receptacles for maintenance of mechanical. equipment. 9. .Locations of water heater, heating and cooling equipment, other. electrical or gas equipment, and plumbing fixtures. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (Sec. 3304(e)). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j)). 3. Brick or stone veneer (Chapter 30). Ca Oa/� 9diS 1-7b M 2ta/Z�3t" ivp vn I uiyy 9 _4 ao Poo.��a� .,"�aiP Ave er,pv Q01 1 I I 7( X,7 .�1 t/Q CLvej� Coor+�?'��d Z1a/ y a�.rv,� a�nssa✓�-- �v 'trod / W a l "eiv X-31 Pd�9a•-1 a�nssa�d. . .i 0 P o mlHPa� X ts:/ va ytv.2LAC„op /� Il d'O� V-(21- Z �7�Z a_ § 1424 MOBILEHOME PARKS ACT , TULE 25 (p. 300.18) (Register 85. No. 36--8`7.85) 1424. Regulated Structures. (a) Mobilehome accessory buildings or structures shall comply with the provisions of this article. (b) Mobilehome accessory buildings which do not comply with this article �(c) A private garage maybe located immediately adjacent to o6ilehome if the4riterior of the garage wall adjacent to the mobilehome is constructed of ,' materis approved for -one-hour fire -resistive construction .If;there=are open ings in.the mobilehome wall adjacent to_ the garage wall, a minim of'tiuee feet separation shall be maintainedJA minimum of siz feet=separation_shall-be: maintained between the mobilehome and a private garage which does not meet the requirements for_ one-hour_fire-resistive construction. Athree-foot, (d) Miscellaneous structures such, as -lath houses g nhouses;.storage•build- ings, etc., may be erected on a mobilehome lot, provided- they Tare -:located minimum-of•six-feet-from-any mobilehom"b and three feet from any mobile - home lot line which does not border on a roadway, and the occupied area of a lot does not exceed 75% of the lot. (e) A permit shall be obtained from the enforcement agency to erect a miscellaneous structure as required by Article 1 of this subchapter. (f) All miscellaneous structures shall be designed and constructed as is re- quired for permanent buildings. (T25-1424) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18254, M300,18500, 18552, Health and Safety Code. 1426. Responsibility. (a) The operator of a mobilehome park shall not permit a mobilehome accessory building or structure to be constructed, installed, used or maintained in the mobilehome park unless constructed, installed, used and maintained in accordance with the requirements of these regulations. (b) Any person obtaining a permit to construct or install a mobilehome accessory building or structure shall be responsible for the construction or installation of such building or structure in accordance with the requirements of these regulations. (c) The owner of a mobilehome accessory building or structure shall be responsible for the construction, use, and maintenance of such building or structure in compliance with the requirements of these regulations. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18400, 18401, 18500, 18552, Health and Safety Code. 1428. Location. (a) A mobilehome accessory building or structure shall not be located closer than three feet from any lot line which does not border on a driveway, except: An awning, carport, fence or windbreak, storage cabinet, and stairway may be installed to the lot line. The awning, carport or storage cabinet shall be con- structed of material which does not support combustion and is not less than three feet from a mobilehome, a mobilehome accessory building or structure on an adjacent lot, or any other building or structure. An awning, carport, or storage cabinet shall not project over or beyond a lot line. Other than fences and windbreaks, accessory buildings and structures and miscellaneous struc- tures shall not encroach in a greenbelt. TITLE 25 MOBILEHOME PARKS ACT § 1432 (Register 85, No. 36-9-7-85) (p. 300.19) (b) A mobilehome accessory building or structure may be constructed or installed to enclose an emergency exit window from a sleeping room within a mobilehome provided: (1) The required mobilehome exit doors terminate outside the mobilehome without exitway through the structure. (2) The room within the structure adjacent to the emergency exit window shall have a door not less than 28 inches in width and six feet two inches in height provided as an exit to the outside. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1430. Occupied Area. The occupied area of a mobilehome lot shall not exceed 75 percent of the lot area. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1432. Construction. structures -shall comply with the structural requirements for permanent b'uild- rigs, except as otherwise provided by this article. The enforcement agency may require that mobilehome accessory-buildings,and.structures-be=designed-and constructed_to_withstand_live loads, vertical uplift or horizontal forces from any direction in excess of the minimum loads specified'by-these-regulations; based on localgeographic, topographic, climatic, or other special conditions, when approved by the department. (b) Mobilehome accessory buildings and structures constructed of a alumi- num and aluminum alloy shall be designed to conform to the requirements of Appendix D of this chapter. (c) Except as provided in this article, every mobilehome accessory building or structure installed on or after the effective date of this regulation shall have ; the capacity to resist the applicable minimum snow load of the region in which it is installed or as is provided by this section. TABLE 1432-1 General roof live load requirements for mobilehome buildings and accessory structures Region I Region II Region III Roof Live Roof Live Roof Live Elevation Load Elevation Load Elevation Load All 0-3000 ft 20 psf 0-2000 ft 20 psf Elevations 20 psf 3001500 ft 30 psf 2001000 ft 30 psf 3501-5000 ft 60 psf 3001-4000 ft 60 psf 4001-5000 ft 80 psf Table 1432-1 shall apply except where either greater or lesser snow loads have been established through survey of the region, and approved by the depart- ment. Region I includes the following counties: Alameda, Butte, Colusa, Contra Costa, Del Norte, Glenn, Humboldt, Imperial, Kings, Lake, Los Angeles, Marin, Mendocino, Merced, Monterey, Napa, Orange, Sacramento, San Benito, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, .Santa Cruz, Solano, Sonoma, Stanislaus, Sutter, Ventura, Yolo. . TITLE 25 MOBILEHOME PARKS ACT § 1470 (Register 85, No. 3&--37-5) (p. 300,25) (b) The requirements of this section shall apply only to a cabana constructed or installed adjacent to a mobilehome manufactured on or after October 7,1973, when the mobilehome is required to bear insignia of approval issued by the department. (T25-1464). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1466. Awning—Permitted. An awning may be erected, constructed, or maintained on a mobilehome lot only as an accessory structure to a mobilehome or travel trailer located on the same lot. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1468. Awning—Design and Construction. (a) An awning and its structural parts, except cloth, canvas, or similar flexible materials, shall be designed, constructed, and erected to adequately support all dead loads plus a minimum vertical live load of 10 pounds per square foot except that snow loads shall be used where snow loads exceed this minimum. Such awnings shall be designed to resist minimum horizontal wind pressure as given in Title 24, California Administrative Code, Part 2, Basic Building Regula- tions, Chapter B49, Section B4900, applied to twice the area of the vertical projection of the awning, if the awning is not enclosed, and to the gross tribu- tary area if the awning is enclosed. Such awnings shall also be designed to resist a minimum wind uplift pressure equal to the horizontal wind pressure. The wind uplift pressure shall be assumed to act upward normal to the roof surface. (b) Awnings with a roof structure weighing more than one pound per square foot, awnings exceeding 12 feet in width (projection), and awnings required to be designed and constructed for live loads in excess of 10 pounds per square foot shall be completely freestanding considering vertical loads. (c) Appropriate flashing or sealing materials may be used to provide a weather seal between a freestanding awning and a mobilehome. No separation is required between a freestanding awning or carport and an attached awning or carport located on the same lot. (d) Awnings exceeding 12 feet in height shall comply with the structure requirements for permanent building (T25-1468) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1470. Awning—Dimensions. (a) An awning supported in part by a mobilehome shall not exceed 12 feet in width (projection) as measured from the wall of the mobilehome to the outer edge of the awning roof. () A freestanding awning is not limited as to width or length, except that the occupied area of a mobilehome lot shall not exceed 75 percent of the lot area. (c) A window awning shall not project more than 42 inches from the exterior wall of the mobilehome. (d) The minimum clear height of an awning shall not be less than six feet two inches. (T25-1470) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. § 1472 MOBILEHOME PARKS ACT TITLE 25 (p' 30026) (Register 85, No. 36-8.7.85) 1472. Awning—Foundations. Concrete slabs may be considered to have an allowable load bearing capacity of 350 pounds per column. The enforcement agency may accept a loading not to exceed 500 pounds per column, provided the slab is not less than three and one-half inches thick and in good condition. The weight of individual poured concrete footings shall be one and one-half times the calculated uplift force. The weight of concrete shall be assumed to be not more than 145 pounds per cubic foot. (T25-1472) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1474. Awning—Enclosures. (a) Awning enclosures shall be used only for recreational or outdoor living purposes and shall not be used as carports or storage rooms nor shall they be constructed or converted for use as a habitable room or a cabana. (b) Awnings may be enclosed or partially enclosed as follows: (1) Awnings may be enclosed with insect screening or removable flexible plastic material.. (A permit is not required.) (2) Awnings may be enclosed with rigid readily removable, transparent, or translucent materials. (Permit required.) (3) Awnings may be partially enclosed with solid panels, provided the solid panels do not exceed 50% of the total wall area. (Permit required.) (4) Ventilation and exiting requirements meet the requirements for a ca- bana. (c) Where an awning is erected immediately adjacent to or over a perma- nently constructed retaining wall of fire resistive material, there shall be not less than 18 inches clear ventilating opening between the underside of the awning roof and the top of wall extending the full length of the awning. (d) An awning shall not be enclosed unless the enclosure is designed and constructed as a freestanding structure or unless the awning is designed and constructed to withstand the additional forces imposed by the enclosure. (e) Awning enclosures constructed of rigid materials shall be designed and constructed to resist the minimum horizontal wind pressures as provided by Title 24, California Administrative Code, Part 2, Basic Building Regulations, Chapter B49, Section B4900. ( An awning may have drop or side curtains of cloth, canvas, or similar flexible materials. Awning drop or side curtains shall not be permanently fas- tened at the sides or bottom. (g) Heating or cooking appliances or facilities shall not be installed within an awning. (h)Drop ceilings may be supported by the mobilehome provided the com- bined weight of the ceiling and the awning does not exceed one pound per square foot. (T25-1474). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1476. Carport and Awning—Location. A mobilehome lot may accommodate either an awning or a carport or a lot line, provided the awning or carport is constructed of material which does not support combustion and is not less than three feet from a mobilehome, a TITLE 25 MOBILEHOME PARKS ACT § 1486 (Register 85, No. 36--37.85) (p. 300 .27) mobilehome accessory building or structure on an adjacent lot, or any other building or structure. No part of an awning or carport shall project over or beyond a lot line. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1478. Carport—Permitted. (a) A carport may be erected, constructed, or maintained on a mobilehome lot only as an accessory structure to a mobilehome located on the for the use . (b) A freestanding carport, or a common freestanding carport of the occupants of adjacent mobilehome lots, may be erected on a mobilehome lot line, provided that such a carport is constructed of material which.does not support combustion, and provided that there is wminimum°of three feet -clear- ance from a mobilehome or any other structure on the adjacent lots. Such freestanding carports may be connected to a mobilehome or other accessory building or structure by an open covered walkway not exceeding six feet in width. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1480. Carport—Design and Construction. A carport shall be designed and constructed in accordance with the structural requirements for awnings. (TM -1480) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1482. Carport—Dimensions. A carport shall conform to the dimensions specified for awnings. (TZ -1480). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1484. Carport—Enclosures. At least two sides or one side and one end of a carport shall be maintained at least 50 percent open and unobstructed at all times. (b) A carport which is partially enclosed shall be designed and constructed to withstand the additional lateral forces imposed by such an enclosure as required for awning enclosures. (c) Where a carport is erected immediately adjacent to or over a permanent- ly constructed retaining wall of fire resistive material, there shall not be less than 18 inches clear ventilating opening between the underside of the carport roof and the top of wall extending the full length of the carport. (T25-1484) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections M552,18610, Health and Safety Code. 1486. Ramada—Permitted. A ramada may be erected, constructed, or maintained on a mobilehome lot only as an accessory to a mobilehome located on the same lot. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. w hate 1n cmn subrrulr PION 9k" . �Qk Cpm v�.c koy\,o —qui w TITLE 25 MOBILEHOME PARKS ACT § 1470 (Register 85. No. 36-37-M) (p. 300.25) (b) The requirements of this section shall apply only to a cabana constructed or installed adjacent to a mobilehome manufactured on or after October 7,1973, when the mobilehome is required to bear insignia of approval issued by the department. (T25-1464). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1466. Awning—Permitted. — — An awning may be erected, constructed, or maintained on a mobilehome lot only as an accessory structure to a mobilehome or travel trailer located on the same lot. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1468. Awning—Design and Construction.tb cG�t� a1 o (a) An awning and its structural parts, except cloth, canvas, or similar flexible materials, shall be designed, constructed, and erected to adequately support all dead loads plus a minimum vertical live load of 10 pounds per square foot except that snow loads shall be used where snow loads exceed this minimum. Such awnings shall be designed to resist minimum horizontal wind pressure as given in Title 24, California Administrative Code, Part 2, Basic Building Regula- tions, Chapter B49, Section B4900, applied to twice the area of the vertical projection of the awning, if the awning is not enclosed, and to the gross tribu- tary area if the awning is enclosed. Such awnings shall also be designed to resist a minimum wind uplift pressure equal to the horizontal wind pressure. The wind uplift pressure shall be assumed to act upward normal to the roof surface. (b) Awnings with a roof structure weighing more than one pound per square foot, awnings exceeding 12 feet in width (projection), and awnings required to be designed and constructed for live loads in excess of 10 pounds per square foot shall be completely freestanding considering vertical loads. (c) Appropriate flashing or sealing materials may be used to provide a weather seal between a freestanding awning and a mobilehome. No separation is required between a freestanding awning or carport and an attached awning or carport located on the same lot. (d) Awnings exceeding 12 feet in height shall comply with the structure requirements for permanent building (T25-1468) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1470. Awning—Dimensions. (a) An awning supported in part by a mobilehome shall not exceed 12 feet in width (projection) as measured from the wall of the mobilehome to the outer edge of the awning roof. (b) A freestanding awning is not limited as to width or length, except that the occupied area of a mobilehome lot shall not exceed 75 percent of the lot area. (c) A window awning shall not project more than 42 inches from the exterior wall of the mobilehome. (d) The minimum clear height of an awning shall not be less than six feet two inches. (T25-1470) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. § 1472 MOBILEHOME PARKS ACT TITLE 25 (p. 300.26) (Register 85, No. 36-37-85) 1472. Awning—Foundations. Concrete slabs may be considered to have an allowable load bearing capacity of 350 pounds per column. The enforcement agency may accept a loading not to exceed 500 pounds per column, provided the slab is not less than three and one-half inches thick and in good condition. The weight of individual poured concrete footings shall be one and one-half times the calculated uplift force. The weight of concrete shall be assumed to be not more than 145 pounds per cubic foot. (T25-1472) . NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1474. Awning—Enclosures. (a) Awning enclosures shall be used only for recreational or outdoor living purposes and shall not be used as carports or storage rooms nor shall they be constructed or converted for use as a habitable room or a cabana. (b) Awnings may be enclosed orpartially enclosed as follows: (1) Awnings may be enclosed with insect screening or removable flexible plastic material. (A permit is not required.) (2) Awnings may be enclosed with rigid readily removable, transparent, or translucent materials. (Permit required.) (3) Awnings may be partially enclosed with solid panels, provided the solid panels do not exceed 50% of the total wall area. (Permit required.) (4) Ventilation and exiting requirements meet the requirements for a ca- bana. (c) Where an awning is erected immediately adjacent to or over a perma- nent)y constructed retaining wall of fire resistive material, there shall be not less than 18 inches clear ventilating opening between the underside of the awning roof and the top of wall extending the full length of the awning. (d) An awning shall not be enclosed unless the enclosure is designed and constructed as a freestanding structure or unless the awning is designed and constructed to withstand the additional forces imposed by the enclosure. (e) Awning enclosures constructed of rigid materials shall be designed and constructed to resist the minimum horizontal wind pressures as provided by Title 24, California Administrative Code, Part 2, Basic Building Regulations, Chapter B49, Section B4900. (f) An awning may have drop or side curtains of cloth, canvas, or similar flexible materials. Awning drop or side curtains shall not be permanently fas- tened at the sides or bottom. (g) Heating or cooking appliances or facilities shall not be installed within an awning. (h) Drop ceilings may be supported by the mobilehome provided the com- bined weight of the ceiling and the awning does not exceed one pound per square foot. (T25-1474). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1476. Carport and Awning—Location. A mobilehome lot may accommodate either an awning or a carport or a lot line, provided the awning or carport is constructed of material which does not support combustion and is not less than three feet from a mobilehome, a ?,"A V- k- _lam V\0_� a. CCYVlWIOLQ- - COJUpM n"" �D mobt4 o n� a \n TITLE 25 MOBILEHOME PARKS ACT § 1486 (Register 85, No. 36--9-7-0)(p. 300.27) mobilehome accessory building or structure on an adjacent lot, or any other building or structure. No part of an awning or carport shall project over or beyond a lot line. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1478. Carport—Permitted. (a) A carport may be erected, constructed, or maintained on a mobilehome lot only as an accessory structure to a mobilehome located on the same lot. (b) A freestanding carport, or a common freestanding carport for the use of the occupants of adjacent mobilehome lots, may be erected on a mobilehome lot line, provided that such a carport is constructed of material which.does not support combustion, and provided that there is a minimum of three feet'clear- ance from a mobilehome or any other structure on the adjacent lots. Such freestanding carports may be connected to a mobilehome or other accessory building or structure by an open covered walkway not exceeding six feet in width. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1480. Carport—Design and Construction. A carport shall be designed and constructed in accordance with the structural requirements for awnings. (T25-1480). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. 1482. Carport—Dimensions. A carport shall conform to the dimensions specified for awnings. (TM -1480). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1484. Carport—Enclosures. At least two sides or one side and one end of a carport shall be maintained at least 50 percent open and unobstructed at all times. (b) A carport which is partially enclosed shall be designed and constructed to withstand the additional lateral forces imposed by such an enclosure as required for awning enclosures. (c) Where a carport is erected immediately adjacent to or over a permanent- ly constructed retaining wall of fire resistive material, there shall not be less than 18 inches clear ventilating opening between the underside of the carport roof and the top of wall extending the full length of the.carport. (T25-1484). NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. 1486. Ramada—Permitted. A ramada may be erected, constructed, or maintained on a mobilehome lot only as an accessory to a mobilehome located on the same lot. NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Sections 18552, 18610, Health and Safety Code. i 73 PERMIT NO. 1124-83P,E(MH) PERMIT EXPIRES / /Fzl OWNER J.A. FARRELL CONTR. Oro Ridge Properties, Inc. ASSESSOR PARCEL 69-21-78 LOCATION 10 Shad Court, lot 285, KR#3, Orovill i e+ 6 c p sg a A R n i t Temp. Power Pole Called PG&E v� Temp.. Elec. Service et, — 3 I Called PG&E Temp. Gas Service Y Called PG&E a JOB FINALE[ Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOB( OME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Vs Zon' g Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements of ; special MH Support -Sketch 2. Footings' Size -Depth -Spacing -Connectors ewjpy-rLocation-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4 -Oa -ter: Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg,.-Rfg.-Bracing_ ectricity; Location-Clearances-Grnd.-/ mp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ovation -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG ---- 6. Carports; Windows -Doors - tility Clearance 7. Elec. C I atezp " and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI ate Card -BI Date Card -BI Date Date MOBILFHOME INSTALLATION (P OK except k's Date POOLS (Plans) OK except N's oning Requirements -Setbacks -Easements 1, Setbacks -Easements oot' gs; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability - - 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining lect 'city; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI Zelll'r_ain;,WTest-Fall-Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI ate�;,UH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Zv-17'a—ter nd Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater d Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 'Sketch 10' -'Cert. of Occupancy 9. Health Department Approval Tr% G 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 - Not OK = Not Applicable :{� Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soiis-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Steniwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel _ 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _ 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection _ 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date 54. Glazing Area -Glass Protection -Skylights -Plastic 67. Date FRAMING (Continued) Date Card -BI Date 48. 49. 50. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs;. Width -Headroom -Rise -Run -Landing -Fire Protection Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 51. Plywood bri goof Overhang -Attic Vents -Rafter Outriggers Date Card -BI Date ,52. Siding -Nailing -Veneer 66. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Card -BI Date Card -BI Date 54. Glazing Area -Glass Protection -Skylights -Plastic 67. 55. Shear Walls; Nailing -Bolts ELECTRICAL Perrr.it OK except #'s 68. A.C. Duct in Garage -Damper Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ _ Garage Fire Protection Framing 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- - 21. Card -BI Date Card -Bl- Date Card -BI _ Date Card -BI Date Card -BI Date -Card-BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -.Door & Sidelight Protection -Landings 23. 57. 58. Smoke Detector-� Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 71. 59. Bedroom Exiting 24. 60. G.F.I. & Bath Fixtures & Tub Access 72. 61. Elec. Trim & Subpanel; Breaker Sizes -Labels - 25. 62. Stairs & Rails - 73. 63. Fireplace or Stove; Clearances -Hearth 26. 64. Elec; Outlets at Wood Panel; Int. & Ext. Card -BI Condensate Drain _& Overilow; Size & Grade Date Card -BI Date 34. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Attic Access & Platform if Furnace in Attic Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. -Counter Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Proper Material & Anchors Comments at Final: 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Perrr.it OK except #'s 68. A.C. Duct in Garage -Damper Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ _ Garage Fire Protection Framing 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- - 21. Elec. Receptacles Spacing -Lights &Switches at Doors (NOTE: An entry must be made each time you visit job site) In Garage; Above Floor -Meth. Protection _ 22. Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. _Size Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked ❑ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, under Floor Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; __ Insulated Neutral Dyes ❑No Planters ❑Yes CJ_ No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _-- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------- --------------------- 79. Water Well; Disconnect, Electrical, Plumbing --_-_-.- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI ___ Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection 83. _ Corrections from Previous Inspections Date MECHANICAL (Perrnit) OK except #'s 84. Gas Test -Meters Tagged; Gas -Electric 31, A.C.-Ducts: Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain _& Overilow; Size & Grade 34. Furnace-Ve_nt;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI - Date - - Card -BI_ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Proper Material & Anchors Comments at Final: 37. 38. 38. 39. 40. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) -v_`7;� �'ri�•�.....-T'%r.i T�pv...waA �'r•'"a'C p.�.,� -t. _ %r err➢'.' "1;,Wi...,..,.,.-v„rt+s -. y, ,. North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRI.CTAPPROVAL AND. VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533.2000 30-83 This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. =Prior to .final approval. by.Butte County of a Building or. -an Occupancy.. Permit, a copy of this verification form, signed off by North Burbank Public Utility District, - must be submitted to Butte County. Applicant. o JOHN A. FARRELL (Doyle Carter) Applicant Address: _ 6130 Monterey Rd., Space 117, San , Jose, CA 95138 Applicant Phone ao.: 589-0152 Property Location (s): 10 Shad Court Kelly Ridge Estates - Lot 285 - Unit 3 A. P. No. (s): 069-21-0-078-0 Fees Paid: N.B.PLU.D. Connection Fee paid - SC -OR Facility Charge waived if connected by 11/10/83. Application for service �/ " co April 20, 1983 North Burbank Public Utility District Inspection(s) made and successful test(s)`observed: Location: % �g� � .� c� Date: z' —Fj"� 1p. North Burbank Public Utility District release to close permit: Date: — / - �3 By: , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California. Administrative Code, Title 25, Chapter 5, under permit number-,�for the following location: Owner Owner's Address Mobilehome Mfg = Model ` Year Insignia No.,'. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway,and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. T Ctrl ri//lam �n7 �� r 4,/,/, Inspector. Date /-� •.�' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES OR , R!D NU ZONING BUILDING PERMIT OWN E /,A�` fri / , Farp_ / TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAIL I (.130 G A RESS Rid S- - S' CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ,p ` UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee q $ ocJ BUILDING ADORES PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �- Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE�TRUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK ,_ New F-1 Addition RRemodel[:]Utilities❑ installatione/ Other❑ Describe work: 1� :22 �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 J� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &' NON- R RESID. SINGLE OUTLET CIR. I Ex. Occu 20®$0` P�oX OR FIXTURES SAL@30 FIXEEDD APPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t sai oai9ty i•n-eorf9equ c of the granting of this permit. �(A::Z" � _x,33 Date Sig at re of Applicant — Owner R Contractor ❑ Agent ❑ An'IYSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.a Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 170 .0 OCCu P. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS p Date r ���1 Receipt No. 0—�� � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t COUNTY OF BUTTE RD..E A,9TMENTjQF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE.4CA'L'�IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Buiifding Use. Permit Fee B((a//sed Upon Building Inspector Permit No. A. P. No. Complete Contract Price DPW Valuation plain) Date K, -- 2- F 3 At time of permit application, I was advised 4e following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED t/1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , ... , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . , . , , 16. Mobilehome Installation Data. . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector 18. Other Date) When you issue the permit, process as follow Ma' td owner. Mail to contractor. Telephone hold fo pickup at •office. Deliver w/inspector. Other - Applicant y`I �(. Date Copy of plans sent Health Dept., Fire Dept.,V/ Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, wrier) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy -DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit'will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of,the proposed property improvement (yes or no) 2. I (have/have not) /-{A ✓r` signed an application for a building permit for the proposed "work. 3. 'I have contracted with the following person (firm) to provide the proposed construction: Name' Address. City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following ' person to coordinate, supervise, and provide the major work: Name Address City Phone - Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security ri mber \,,r -Vg'-��-��f�� NOTE: This Owner -Builder Verification is sent to you 'as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. b&41-- b6'rlb[ furnish Setup Model No. Year Width(ft.) Box Length •.C3 (ft.) Tagalong"or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation i manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. '. • FootinRa (check one). Single r� 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support _ Center support locations* ly footing sizes Supporta (check one) (in.) ® 1: Concrete block. & ❑ -L Other. (specify) x (ft.)(in.) (in..) (in.) r E --tagalong or Expando,' show supportdetails. (ft.)(in.) (in.) (in.) 2im x®-- Typical Support p a (in.) (in.) Footing Size a e- 0L I x so 11 (ft.)(in.) (in.) (in.) ! (p -- Max. Pier Spacing x -- Max. Overhang (ft.)( (in.) (in.) (in.) 1 BUTTE COUNTY aUILDING DEPARTMEN"1 APPROVE � *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: =,T4 )q, /-:A C L is the mobilehome site gas pipe size? ---------------------- 2. Installer's name: • 3. /=/���C�t� What is the 3. Is the site currently under permit? Yeh /. / No 11. What is the (If yes, furnish permit number ir ) OR s What Is the site an existing site? Yes / / No / / (BTU)' (If yes, furnish two (2) plot plans.) (This information not required if pipe length less than 6 ft. on natural 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and than 50 ft. on LPG.) clear of all setbacks.and easements? Yes / / No ( If no, clarify ) ( ) 5. :What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- e © Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 0 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes (I£ yes, identify the load and size: (Load) No (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU)' (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) AP # -tel OWNER A. ELL PERMIT'S# MH UTIL.CLEARA CE DATE INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test Re . Service .Size Other. Load Type Pipe Size Length YESI NO YES NO O`GD ENGINEERING ARCHITECTURE SURVEYING PLANNING Mr. Jim Glander Assistant Director of Public Works County of Butte 7 County Center Drive Oroville, CA 95965 69-01/-�2-11 463 ORO DAM BLVD., SUITE M OROVILLE, CA. 95965 (916) 533-2068 June 14, 1983 RE: COMPACTION TEST, Kelly Ridge Estates, Unit #3, Lot 285, -Shad Court Dear Jim; Enclosed please find two (2) copies of the compaction test results taken for Mr. Doyle Carter, Kelly Ridge Estates. Results indicate that the fill has been constructed in excess of 90% relative density. Also attached is a location map of the site. Please call if you have any questions. Sincerel , G. . Engineering, Surveying, and Planning Enclosures CC: Mr, Doyle Carter Oro Ridge Properties 5263 Royal Oaks Drive Oroville, CA 95965 GDA# 043-83 WILLIAM W. GEDDIS - DAVID R. DRISCOLL - JOHN D. CHRISTOFFERSON - KENNETH C. LENHARDT COUNTY Or 13UTTc DEPT. Or PUBLIC WORKS AFA JUN 15 1983 718,9110,11,121,3 P1.7 ► ►�►U►s LOT .285 UNIT 3 . ........... � ,8- i o �� � - o, I wo .o G wo � G P- . ........... LOT 285 UNIT 3 Oro C o I N•S I � r SCS � I SST B.9C�� 6, Zoo .e,Yt�� .i7Cl�STAL / �\gT � 0 , O . W t8' ,I i ENGINEERING 463 ORO DAM BLVD. IVUGL EA R d SURVEYING SUITE M D PLANNING A -OROVILLE, CA. 95965 EX.51 T Y TES T (916) 533-2068 MODE ASTM D-2922 ASTM n-1557 % EST %%/GTE f- HATERIAL ;;O/ST WETREL DRr % MA XD R Y 910, - REPTH CONT. HENS P.CF PC.F DENS PC.r .4101S r DENS PC.F opr Afols r T1 VE DENS TEST . LOCATION 6K1 / 75 r r -1 -Al mor:. /Zo /1/7,1 ic A/.21.E-,4-S-r 7-.,9 1214"1 2, 7 11*z - — A/. 3 Imo/ e �,.,�. I I 1//7• / 5 129,:3 91, z Fall /V; /,57, 41 5F- 7,* 4.o In.3 Al, A/ Alo rZo-f 4 4-1 &'y 4" /39.z-1 12?.S 13,3 Tzz-r -r#A:,C. cvr*,? ci Pw"o 115- /4-79 /32.3 //-6 /ZS. 10 0. 14 15 CORHEA'r o. /6 IV6 oe2 L Etv r Z, o yz Alpc PROJECT S#,p n, Z,, 'os t5 .10,6 No. 4,3 -8 ? OPERA TOR ZE_��Zl G I ) 1 NUCL EA R ENGINEERING 463 ORO DAM BLVD. ee. , SURVEYING GDSUITE M PLANNING � A � OROVIILE, CA. 95965 /� /'''A r' {,- Si T y T�-S T ► (916) 533-2068 // L� r MODE ASTM/ n-2922 ASTM n- /557 % EST NATE / RELMAX-DRY% r/vE I'fATER/AL / ;;01ST wEr nRr /, o M� DEPTH CONT. P. .F HENS P.C.F HENS PCF No/Sr HENS P.C.F OPT MD/ST. DENS TEST LOCATION / G ; S o� '��� / 12.3 1,E3 /ZS 3� F7°� y✓E I - 1 TF ST TAtF✓ /Z' W t 3 °S Cop 4/6 ax, / 1 I I j ¢ ST Tf}iG /2' x 12' S- 4 L✓ i � r. 3 c �, I 5 /AI 3/• g� /6 16,4 /19-0 //7 114-.0 128.3 9116 o W, cot, o� ra9�rz L 7#-srT.'0� 4 9`,/ Qy 4Q S 7611 /lo• 3 139, L /22.8 13,-3 3 957 � j 3 Bey � - T�.s•r T�� G✓ rr c F v�7 � S � S' c� r,.f i✓oa ,--- r� 7.9 /32 3 !/• 8 / 28.3 ; 73. / 9 /O /4 /5 COAINEA'r A1910. /s A10 (,LJ a Sg,-jC Z2,0v CLIExr �oYL� (_s4?TES Alp .vc,r �a1.�� ZJFVFt, PROJECT S#AD r -r. Lo*'Z55 JOB /l'O. Esr S . c'o 7 �.v,s .i Wiz• r�7i�� /� OPERA TORE" i' a r/TCL ENGINEERING 463 ORO DAM BLVD. EAI SURVEYINGGn ,= SUITE m PLANNING � H OROVIIIE, CA. 95965 /'� �� /'� S/.T Y TES T - lL.�� (916 533-2068 •� M MODE ASTM D-2922 ASTM n-/557 % ST HATE / REL/- "'WER/AL / 110/57 wEr DRrM,CX.DRr % /)E/'TH CONT /TENS P.C.F DENS P.C.F A/D/ST DENS OPT D7/vE ENS TEST LOCATION P. F P.C.F MT. O/S 6� / /✓oJc•� . 7S7 _ -- Te F a i o I r T `' 1140.9 /Z/. 0 /G, i J ,✓.�. Gore. /o,..i�r`'. hii �, N G.l riy p F G e w+ v j �✓ l l 1zle. ��0. c Jd. 4? Al eF ,4./Z9.9:j;L 88. / Non 0-i 1138.� i l T* 71AKfc./� /S 2 S ' Si � Zl. 9 2 of 0 AmEAr r CLIENT PROJECT JOB No. X43 " F, OPERATOR'S"i".'C'. �. Gill -I.IO Gly+ o,lcl ENGINEERING 463 ORO DAM BLVD. UCLEAR SURVfrINGG SUITE ti! DQ PLANNING , OROVILLE. CA. 95965 • /S T Y T / TEST T (916) S33-4068 •0EN ` " MODE ASTM n-2922 ASTM n-/557 % ST n,�T£ / REL/ PLATER /AL :;oisr wE r nRrL-A-1,01ST MAX..DRr % DEPTH CONT DENS PC-F DENSDENS PC-FPC.F oPr TEST LOCA T//Ol P. .F Mo/S TDENS 6/ / �•�O l/9 • L�-I /4o. 9 1,,-71-0 RA /I 'TAic7_iJ �.IJrQ' OF Gow•! i •'F.: i, >/ d-° s. o� N. R . TEST 7-,9,cx. = s S y 4 .1.4 /Z9.91.''I. ,�. h'GHr,2 PAD'S N" E. GOP �p /✓O;I?.�; I`-E5 T/ i-xL,#-n/ 15 S B;,' /o= rJ y / O/�?�' lLo' /1/38-81 ��l.9 3,' �ZBJ. �j �✓� `} OF iii6 K�2 �f1l�S /✓.E. ��. 7 t - _ 9 � 9 P 3 OI�IHEMT'/ CL/ExT PROJECT 7- Z5` ✓OB No. OPERATOR Gly+ o,lcl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calif2rnia'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER 69 - 21 - 78 ZONING �j BUILDING PERMIT OWNER TELEPHONE J. A. Farrell SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6130 Monterey Road, Space 117, San Jose, CA. 95138 CONTRACTOR'S NAME Oro Ridge Properties, Ilr. TELEPHONE 89-0152 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive, Oroville CA. 95965 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ Filing Fee $ -} LENDER'S MAILING ADDRESS N/A Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N/A Permit fee $ BUILDING ADDRESS 10 Shad Court PLUMBING PERMIT Filing Fee 10.00 Oroville, California 95965 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 285/3 SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[—] Mobilehom,5,& Other SPECIFY Building sewer 4 5.00 Mobile Home GiM 110.00ea<90 .0(73 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ '30.00 Q00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 aS� NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): © I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and Professions Code and my license is in full force and effect. License No. 295666 Classification B.—.Gen.^ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW -CONSTR ULTI.OUTLET 2.50 e8 NON RESID. BRANCH CIRCUITS)NEW CONSTR. POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. Occu 20@50a P.OUTLE FIXTURES BAL030C FIXED A (OR EX. OOUTLETSRESID )LNS REA.) 2.00 CCUp. Temporary service 10.00 Mobile Home Facilities 15.00 IS -,00 Misc. Wiring 15.00 Permit Fee $ li'u Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all lia4ies,gmen , costs, and expenses which may in any way accrueV/againsy i seq ce f the granting of this permit. Date i-�-?Z-�S� Si tuof Asst4W1 eti�t' ctor ❑ Agent ❑ An OSHA permit is require dr cavations over 5'0" deep and demolition or construct- ion of structures over ren st0ri n/ height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PAY Lr I Noi 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1y��_ Receipt NO. R1.2 / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � II COUNTY OF BUTTES DEPARTMENT Pl9BLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE=CN6FORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1 A. P. No. W -i- a..t-'I Proposed Building Use tY\/ Imo. Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ✓ 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. `. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . Pre-Inspec. request to . 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -��`� "��� and hold for pickup at OrL-0 office. Deliver w/inspector. Other AppIicant(YN -Njz� �-) w Date` Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail B)4 Date Plans checked by Date Plans approved by Date Other: Copy—DPW Other T AGRICULTURAL STATEMENT OF AMIOWLEDGEPiENT 83130 FOR RESIDENTIAL DEVELOPMENT OFF101AL RECORDS . Section 26�S.l of the Butte County Code requires this- acknowledgement SUTTE, COUNTY -GALL be recorded prior to issuance of a building permit. .cnop.bs `RE The property described herein is adjacent to land or included ArR ZO 3 35 PM�983 within an .:area zoned .for agricultural purposes, and residents of this prope-'ty may be subject to inconveniences or discomfort arisingELEANO �.BU ERR from the aae of agricultural chemicals, including, but not limited to nerDicides, [PH pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not li-tlited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally &_-nerate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 285, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT NO.3", which map 'as filed in the office of the Recorder of the County of Butte, State of California, -July 26, 1974 in Book 43 of Maps, at pages 44, 45, 46, 47 and 48. Subject tc 311 easements, rights of way and restrictions of record. Date: December 14, 1982 / J. 'A. Farrell State of _ California County of Butte NOTW CM-1PAP;ED W1T 6RIVNAL DOCi 1,*: -f31° PROPERTY OWh-ERS : 4� Donna M. F rrell On this the 14tl ay of December �g , before me, SS. ***Nina.J. Dunn*********************** the undersigned Notary Public, personally appeared ***J. A. Farrell and Donna M. Farrell************* NINA DUNN NOTARY PUBLIC-CALIFORNIAj Butte County My Commission Expires March 2, 1986 GENERAL ACKNOWLEDGMENT FORM 7110 052 ❑ personally known to me XX proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) are subscribed to the within instrument, and acknowledged that they executed it. WITNESS my hand and official seal. �i � . L� • /V .1L i1•t tir . Notary's Signature Oaks DOM OrovlUe CJI. 95965 NATIONAL NOTARY ASSOCIATION • 23012 Ventura Blvd. • Woodland Hills. CA 91364 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533-2000 30-83 This verification form must be submitted to the Butte County Department of Public Works - Building Department prior, to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): JOHN A. FARRELL (Doyle Carter) - 6130 Monterey Rd., Space 117, San Jose, CA 95138 589-0152 10 Shad Court Kelly Ridge Estates - Lot 285 - Unit 3 069-21-0-078-0 Fees Paid: N.B.P-X.D. Connection Fee paid - SC -OR Facility Charge waived if connected 4y 11/10/83. Application for service approved: April 20, 1983 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: This se# d plans and specificafloris MUST kept on the job of all times and it is unlawful to make any changes or alterations on some without written permission f rem the Department of Public Works, County of Butte. 500 SO. FT. MINIMA FOR MOBILES X permit will be re installation of the 2 0 6—AbAP-11'a PIS A 15, 1 0 6 "z5 tyll 0y I/ ire1 for the obi el gme- 0 S C), 0 LOT 285 UNIT 3 S C. A L E /_." 2 0 -1 . N. Utility connections shall be within t,\14 ft. of the mobilehome, either \1 clirectly behind or within the rear half of the roadside (left) of the mobilekome. Uzi A setback of ft. from from ae a a se ad 'of ! Property lines and a se ac WILDING DEPA'RTMEN1- n k from h 0 Fr of 56ft. from the road d I r f centerline shall be cl' APPROVED ear f structures or t axe ent except - ----- ft. 'eriv- NOTE.—All Materials & Workmanship 0 Accordance -with Recognized Good Practices and of a quality. prescribed for -f he Specified use in the Uniform Building, Plumbing & Machanica! Codes and the National Electrical Code.