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Home My WebLink About069-230-025Kenneth Omer 69-23-25 171 Apache' Circle, Oroville Permit # 1127-82P E' (MH util) Electric (Support Structure rc 4'-. (Compaction test re - 069 -230-025 2-2564 •CHRISTENSEN, JAMES & ADC -s ;APACHE CT., OROVIL CONT: FLEETWOOD NEW MH PERM FND NEW S 069-230-025 05-1272 ,..-' CHRISTENSEN, JAMES - 171 APACHE CIR, OROVILLE CONT: COY KISSES CONST ENLRG EX.PORCH,OPN DECK - C. z �,� � �� --- --1 -------1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES•.'•.••....,•,. BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 4 ' PERMIT'NO. BP051272 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS'DECLARATION I hereby affirm under penalty 'of perjury that I am licensed. under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2005 APN: 069-230-025-000 the Business and Professions Code,' and my license is In full force and effect. License Class : License Number: Site Address: 171 APACHE CIR 'ORO ' " Date: Contractor: Map Index: _..... ............. .. .. �__..,. - Description: NEW DECK 287 SQ.FT., COV. DECK 7O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the' Contractors' State License Law for the following reason (Sec. 7031.5 SQ.FT. Business and Professions Code: Any city or county which requires a ' permit to construct, alter, improve, demolish, •or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: CHRISTENSEN'JAMES R & ADA signed statement that he or she is licensed.pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section t 7000) of Division 3 of the Business and Professions Code) or that he or PO BOX 2132 she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant fora permit subjects.the' applicant to a civil penalty of not more than five hundred dollars ($500).): 95965-2132 yM+ 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, 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, Applicant: CHRISTENSEN JAMES R & ADA provided that such improvements are not intended or offered for, sale. If however, the building or improvements are sold within one, year of completion, the owner -builder will have the burden of: PO BOX 2132 proving that he or she did not build or improve for the purpose of, OROVII_LE CA sale.). _, _ d 1, as owner of the property, am exclusively contracting with: 95965-2132 . licensed contractors to construct the project (Sec. 7044, Business; and Professions Code. The Contractors' State License Law does' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed, pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article f the Business and rofessions Code. Contractor: KISSEE COY CONSTRUCTION COMPANY -0 S Dat6 Owne . 625 HURLTON SWEDES FLAT ROAD_ WORKERS' C 96PENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: OROVILLE, CA 95965 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the (530) 679-2479 Labor Code, for the performance of the work for which this permit is issued. License #: 627510 ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier Engineer: Policy #: .,.. .. certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Total Square Ft: 389 S.F. and agree that if I should become subject to the workers' Valuation: $6,224.00 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Census Code: Date:D s .4 Applic WARNI Failure to secure workers' compensation coverage is `` unlawful, and shall subject an employer to criminal penalties and oneWee* �,/� /S��%� Amaelrit6l hundred thousand dollars ($100,000), in addition to the cost ofI ! (J i compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This,permit is ereby issued under pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) _ Re�olutions;ibdo work indic8ted ove or which fees have been paid. Name: By. Date: EXPIRES ON: ~" CJ ^0 657 Address: PERMIT 4/ Dale ❑ 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. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subs a any official form or Ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection urpos t� //%"ZFS Print Name: K, if/L/S nfws�k% Signature: , Date: '•6 -30 US I> rOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Nam N,, S T E N S C.) First Name 3-,,, 3-,,, Address j -7) yq (o City AZO J r LU`f State CA Zip '55C16 6 Phone s- 3 cd 76 7 5 Fax E-mail � c),v�S4ehse _ hLt tfecu(, +y'e APPLICANT NAME ARCHITECT/ENGINEER CONTRACTOR City �64'-')V\l_L` t Name anl VtsseeY Fax Address atk_vx�CO_ar _ -� Phone City �� E-mail State ip S Phone Fax E-mail Lic. # 5A Class APPLICANT NAME ARCHITECT/ENGINEER Name City �64'-')V\l_L` t Address Zip 1,5 S6 6 City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name � w..` 5 C ri•�2 f S i t` r.15 �� Address t I d��cnE Ct 2 City �64'-')V\l_L` t State C c+- Zip 1,5 S6 6 Phone S 3 2, 76 7 7 Fax E-mail W5+e-s E"A )OU 'f e co a %A+Y, rl e �- APPJ4CANTSIGNATURE X or office use only: Zoning I Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. >155. ( "�"J\ 72p BIN # LOCATION AP# 06 j- z3v� vzs Property Address I� I ��a'+C&E C t2 City DpoulL.cC Cross Street Looe CT WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: If 4l LR 26-L'F C actsTrn/ 6 Po j4 PC, C-oJE-2 A/\Jv O('EA) 0 C_K Sq. Footage ❑ Structure Built without Permits �� ❑ Proposed Change of Occupancy (0, (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: <:�R� Receipt #: Date Amount: Bldg SRA Sheriff Ja Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd .plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING:DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA` 95965 PHONE -(530)538=7541, FAX (530)538-?,� SCHEDULE OF RECEIPT OF FEES Website:,. www.buttecounty.net/ ds �eG� OWNER �s 3 • PROPROSED BUILDING USE ES 1 3 o5 . RECEIPT # DATE REC. _FJ 1. BUILDING PERMIT FEES c` --- Balance Due ..................... $/ --- FEMA Flood elevation review... $ --- Additional plan checking . Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ ' EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Buildin Division) ' 8. SMIPcPZSYu 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d ring the plan checkin proc s. , APPLICAN DATE Pursuant to Gooment Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner I (rev. 3/05) r Y. COUNTY OF.BU,TTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION k.* 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ��.�/ " ASSESSOR PARCEL NUMBER 6(2G 4�3L co Proposed Building Use: �"6 �Q �-- Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord to apply. ]. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) NA 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ -; ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ . 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required......................................................:................. _ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ ❑ 23. 24. California Department of Forestry plan approval ❑ paid. Sent by: ........../. Planning approval for (A) Use: OL-{B)Parking: (C) Parcel Check: ......V .. 5 /1 `l /_ 8 5- ❑ 25. Contact Land Development about _ Improvements, _ Drainage ....................... :a. 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number ..................:....................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization ................................................ :................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... O34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: , When issued Telephone -Iu `15 --� ) �� and hold for pickup. I have been informed of the above items and requirements for obtaining -a building permit. Applicant: 4, ��=,_ Date: S' / 3 O S 1. Index p r it application for the above items numbered: Plan Check Letter 2. Additional items re ed Contractor, design owner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: 4=4 Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Department of Public Works ® ®0 C o u n t y o f� B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program �\0 CO �y ®/ 7 County Center Drive V Oroville, CA 95965 C1C WOF�S (530) 538-7266 (FAX) 538-7171 National Pollutant Disch-ai•ge Elirnination Sys.tenn (NPDES) Phase 11 Construction Storm Water" Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN' ACRE1 Project Description: C OU. C K Project Location and/or Parcel Number: 1 -7 1 (r�-(2&I-c ttC By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs, of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit, from the State of California Regional Water Quality Control Board. .I am aware that submitting false. and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: less than.I Acre NPDES & SWPPP Compliance Certification ' Butte County Stone Water Management Program Revised 5/24/04 } M �13Tr Department'of Development Services IN \'''`A f°' o Building Division o `'�-===� 0 7 County Center Drive, o . r.._ o oroville, CA 95965 (530).538-7541 (530).538=2140 FAX HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 1 a";.(UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater,. risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-1/2'4 3 -12 4" Max. 36" Min. Top of 4, Max Top of Deck NV Joist Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags, M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using, precast piers, wet set precast pier into concrete footing. Intermediate rails 4" Max. spacing shall preven the passage of a 4" diameter sphere. 4" Max. 7 4'- 8'Min. 9"Min •• Girder s•n Post An approved post cap connection or connect girder & post with 1/2' plywd gussett & 3 - 16d nails top & bottom A 3- -11 Max. to • Max , -12 • Min. A t 1 •trz 3-12 Max. • 1-114' to 2.12 HANDRAILS 1 -12' Min. Handrail height 34"-38" Not Acceptable 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 -'1/2" dia. thru bolts required 6" Min. • Striv ^ '" D ° t VtAai'edaSTate I. 1 12 x 12 footing' 8" Min. embedment TYPICAL PIER FOOTING Attach stringer to sill plate with angle clip Handrail 1997 UBC -XIS 0,13 Tr Department of Deve c lopment Services o C Building Division o "y4�ry C 7 County Center Drive fir...- - Oroville, CA 95965 o = C (530) 538-7541 (530) 538-2140 FAX lui GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table IJBC 23 -II -13-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18' (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required.. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) a' Max. Min. 4 x 4 post @ 5'- 0" o. c. 4' Intermediate rails ! Max. 36" Min.- spacing shall prevent the passage of a 4" diameter sphere. U) Top ofTop of 3/4^ ClEarartCe • Deck SIDE VIEW 4' Max. Joist to the edge of --he wood Min. 2x pressure treated ledger member joist Min. 2 L 3/8" x' lag bolts or screws. Min. 2 - 1/2" dia. thruIX ' • bolts required TYPICAL LEDGER GUARDRAIL An approved post If the deck/porch is 30" Pier posts greater / cap connection or greater above the than 3 feet in height Girder or connect girder finish grade a guardrail is need to be diagonally and post with required. braced between posts 1/2" plywd gussett Post and 3 - 16d nails 4 - 16d nails or top & bottom an approved post base connection 6" Min. If using precast piers, 05iNGnPl iF8MV t1 °�&ent wet set precast pier , /� into concrete footing�C TYPICAL PIER FOOTING' Guardrail 1997.UBC.xls RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE INSTALLATION MAILING ADDRESS ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON MARCH 5, 2003, UNDER SERIAL NUMBER 2003-0013831. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. IIII III III I IIII I II IIII II II III I IIII 20 120 3-4DCD 1 E6986 Recorded I REC FEE ' .00 Official.Records I CONFORM .00 Countyy Of, I BUTTE' i . CANDACE J. GRUBBS I .Recorder- I ROSEMARY DICKSON I Assistant I MaryR 01:37PM 18 -Mar -2003 I Page 1 of 3 NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE INSTALLATION MAILING ADDRESS ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON MARCH 5, 2003, UNDER SERIAL NUMBER 2003-0013831. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. e RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAMES R. CHRISTENSEN & ADA CHRISTENSEN REAL PROPERTY OWNER/LESSOR 4 SEGURA DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 171 APACHE CIRCLE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, -CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") - MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7. COUNTY CENTER DRIVE .MAILING ADDRESS OROVILLE, BUTTE, CA , 95965 CITY COUNTY STATE ZIP 02-2564 530 538-7541 BUl P�RM:IT N0. TELEPHONE NUMBER zfu�? h(& 03/05/03 NATURE OF LOCAL AGE IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO.. " FLEETWOOD 2003 SUNCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER CAFL217AB26091-SC13 60'X 25'8" PFS0789483/4 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER #069-230-025 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. ti , ORDER�NO.: 00203592-001 - CAC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: a r LOT 168, AS -SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS 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. AP NO. 069-230-025 r x PRELIM RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 COF)'Y of Document Recorded 18 -Kar -2003 '2003-0016986 Has not been compared with r original BUTTE COUNTY RECORDER 1 NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF. A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE INSTALLATION MAILING ADDRESS ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON MARCH 5, 2003, UNDER SERIAL NUMBER 2003-0013831. THIS . PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA'95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ' JAMES R. CHRISTENSEN & ADA CHRISTENSEN REAL PROPERTY OWNERILESSOR 4 SEGURA DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 171 APACHE CIRCLE . INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA. 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2564 530 538=7541 B PALRMITNO. TELEPHONE NUMBER 03/05/03 1IGNATURE OF LOCAL AG IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. CITY COUNTY STATE ZIP - UNIT DESCRIPTION FLEETWOOD 2003 SUNCREST MANUFACTURER'S NAME DATE OF MANUFACTURE _ ' MODEL NAME NUMBER CAFL217A/11326091-SC13 60'X 25'8" pFcn7Q4aQ1/a REAL PROPERTY LEGAL DEc Rr MON ASSESSOR'S PARCEL NUMBER 4069-230-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept BUILDING PERMIT NUMBER: 02-2564 Address or location of unit: 171 APACHE CIRCLE, OROVILLE, CA 95966 Legal Description of Real Property: A.P # 069-230-025 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JAMSE R. & ADA CHRISTENSEN Owner's address: 4 SEGURA DRIVE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: PFS0789483/4 SERIAL NUMBER OR V.I.N.: CAFL217A/B26091-SC13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2003 OFFICIAL APPROVING INSTALLATION: DATE: 03/05/03 PHONE: (530) 538-7541 H.C.D. 513C ORDER NO.: 00203592-001 - CAC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 168, AS.SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT N0.3", WHICH MAP WAS 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. AP NO. 069-230-025 Y •, ,, � O : ` .._ _,.,.._. _..,.. ........._STATE'6F-CACIFORNIA , _., : , .... f'• NUM$ER ` '•,' _ BUSINES , TRANSPORTATION.AND HOUSING AGENCY- . _ f. r. i _ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT�•-- *� DIVISION OFCODES AND'STANDARD3' :- MANUFACTURED HOUSING PROGRAM: MANUFA•C'TU'RER` CERTI.FICATE"OF• .OR GIN _. ..I: t `` CHECj<IF LHIS �S-A.DUPLICATE, MG4ENTER9RIGINAL -, r ,- .MANUFACTURED HMEOR-MUL"TCUNIf'MATIUFACTURED HOU81�1G ' a c, NUMBER OF 'KLUTRANSPORTABLE SECTIONS GS 2 ` D (S1t�iGLE AN�ILY DWELLINO h (MUCTI.•UNIT MANUFACTURED HOUSING :: -fl—COM COACH: - - -'OCC(9PANCYGROIiP '< :.._. y 1 . f r MANUFACTURER NAME:; ; _. � ,, ...'. N MANUFACTUREWLICE SENUMBER- FLEETW60D`.H0b06 OF CALIFORNIA. INC:. 9534 ?'MANUFAq-TURER ADDRESS: SUGGESTED RETAIL PRICE: _ 18 N PIONEER AV8 `(fit BOX 13Q8 City) r CA. ,� 95776.. _ {State` Zip).. MANUFACTURER. EENAME: fi ., MODEL NAME AND/OR NUMBER: ..DATE OF MANUFACTURE: SbD48 �D 0 �c3 JID .NAME OFDEALER'OR'TRANSFEREE OWNERSHIRTRANSFERRED•TO):` `- CAL1F: DEALER NUMBER' 0R' :DATE OFTRANSFER. ^• f _e, [TRANSFEREEDESIGNATION: FLEETWOOD:RBTAIL CORPOAATION"OF CALIFORNIA ` OR "OR03FT".1Z 11 13 2D02- a D -Offt READDRESS: FBATHER..:RIVER: ` Ci OROVILLE State CA (Zi 95965} =,INVENTORY CREDITOR NAME r - - t i � jr � '.'�,ll�. -, �, ! ` -i} ,� r•.a �iF,F, x - , - - Z r F ' C NATT'lN & I DEPTH MSa4t DSS�i (St1 0 '.WEST .18TH' ST;-'SIIITB;;:3 p p, . • _ _.... (City) HOIISTON State TX' (zip) '' 77008 . f F SECTION i MANUFACTURER SERIAL NUMBER _ . , HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1� 77 INCHES INCHES(POUNDS). i r ..,> .� .. :. '.�•�" .w � ._ .._ •...A .sy:.�u_.. u,�it.�a+wn•M �.i.t-... ....I�rn`...- ,-.!•� •<:� ... — - Y . _ s... - .. i,... TRANSPORTER NAME _ E (city) (State Zi DESTINATION F.OR UNIT,DESCRIBED_ABOVE - (NAME) Street'. Ci Slate Zi I certify under' penally of pertury•under the lawsof the State of California: that the above facts are.true and correct. Executed on at', ' JV:A .. - ... ..._... ., ,. _ °i .... Y) (Counts IS :. SIGNATURE :OF AUTHORIZED',AGENT: DISTRIBUTION.-- ": ORIGINAL (PINK),: T-: • ;FORWARD'TO H -INVENTORY CREDITOR; UNLESS THERE IS NONE, THEN FORWARD TO THE.PURCHASER (DEALER OR-TRANSFEREE)... •. COPY.? f(WH)TE)., F.ORWARI),T T E DEPARTMENT.AT P.O..BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE '- ,,,.y • ,, GQP 2c{yElhOV111 ..� ` pEL7YER.TQ. ETRANSPORTERSQACCOMPANY,TNE UNIT TO. IT.S:DESTINATION.. . COPY 3.(GOLDENRODr Tp BERETAIhED BY.THE MANUFACTURER. HCD 483:0.-Side 1.- 0/97) STATE OF CALIFORNIA Bt . • , ,;�SS, TRANSPORTATION AND HOUSING AGENCY i-PARTMENT OF HOUSING. AND COMMUNITY DEVELOPMENT � DIVISION OF CODES AND STANDARDS REGISTRATION AND TITrLING.PROGRAM STAT IV ENT OF FACTS This unit is a: Mobilehome 0 Commercial Coach Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name - Serial No., (s) I/We, the undersigned, hereby state: THE ABOVE DESCRIBED'MOBILE HOME HAS BEEN INSTALLED•ON AN APPROVED PERMANENT.'FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, of California, and subsequent purchasers of said unit, for any loss they may suffer resulting g from re ist atio of State the above-described unit in California, or from issuance of a California certificate of title covering the same , I/We certify underenalty of perjury that tt e' foregoing is true and correct. y T Executed on (D te) (City) ty) (Sta ) City. HCD 476.6 (REV 9/91) x Printed name(s) STATE OF CALIFORNIA COUNTY OF BUTTE _}SS: On before me, the undersigned, a Notary Public in and for said County and State, personally appeared Mildred Seibert Pe r.proved•to me on the basis FOR NOTARY SEAL OR STAMP of sa isfactory evidence) to be the person(4) whose _ name($) is/ark subscribed to the within instrument and acknowledged to me that IA/she/they executed the same _ in h's/her/their authorized capacity (iels),.and that by h0 ner/the!/r signature(s) on the instrument the U . 4.. GAYLgyy)LDER person(.4), or the entity upon behalf of which the 0.comm.#1211418 person (b) acted, executed the instruments. , c NOTARY PUBLIC -CALIFORNIA �/) ` SUTTERCOUNTY WITNESS my hand an_d Z ficial/seal. L__�'+ ` comm. EXP- rda Signat MAIL TAX STATEMENTS TO: Same as Above BTECGMIltdee ` 2��2--QJ�491 82 RECORDING REQUESTED BY Bidwell Title & Escrow CompanyRecorded I REC FEE Official TAX 10.00 AND WHEN RECORDED MAIL TO +Records I BUTTEOf ' 19.25" James R. Christensen CANDACE J. GRUBBS+ Recorder sr' P.O. BOX 2132 ROSEMARY DICKSON I OROVII,LE, CA cnr, sere 95965 Assistant Assistant I Fay 20-Sep-2002 I Page 1 of 2 ztV , order N o. 00203592-001 SPACE ABOVE THIS LINE FOR RECORDER'S USE PareelNo. o69.2s0-025 GRANT. DEED THIS FORM FURNISHED BY BIDWELL TI= & ESCROW COMPANY The Undersigned Granto*) Declare(s) 13ityOf Documentary Documentary Transfer TeX is $19.25 O Unincorporated orpo Area p computed on full value of interest or property conveyed, or D full value less value of liens or encumbrances remaining at the time ofsale O Monument Fee of $10.00 v�,( FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mildred Seibert an unmarried woman hereby GRANT(s) to James R. Christensen and Ada Christensen husband and wife, as Joint tenants the following real property in the O City of 0 Unincorporated Area County of Butte, State of California. SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Dited: Sentember 16, 2002 01 Mildr d Seibert i STATE OF CALIFORNIA COUNTY OF BUTTE _}SS: On before me, the undersigned, a Notary Public in and for said County and State, personally appeared Mildred Seibert Pe r.proved•to me on the basis FOR NOTARY SEAL OR STAMP of sa isfactory evidence) to be the person(4) whose _ name($) is/ark subscribed to the within instrument and acknowledged to me that IA/she/they executed the same _ in h's/her/their authorized capacity (iels),.and that by h0 ner/the!/r signature(s) on the instrument the U . 4.. GAYLgyy)LDER person(.4), or the entity upon behalf of which the 0.comm.#1211418 person (b) acted, executed the instruments. , c NOTARY PUBLIC -CALIFORNIA �/) ` SUTTERCOUNTY WITNESS my hand an_d Z ficial/seal. L__�'+ ` comm. EXP- rda Signat MAIL TAX STATEMENTS TO: Same as Above BTECGMIltdee ORDER NO.: 00203592-001 - CAC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL -THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 168, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO.'V, WHICH MAP WAS 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. AP NO. 069-230-025 a . r NOTES RESIDENTIAL C 9-230-025 < 2-2564 PERMIT NO. _CHRISTENSEN, AMESL&,;,ADA ..—..._ APACHE CI..QQROVILLE COT: FLEETWOOD NEW MH PERM FND NEW SITE 7.`HE HCD FORM 433A FOR THIS MH CANNOT BE ' iECORDED UNTIL ONE OF THE FOLLOWING HAS DEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). STATEMENT OF FACTS (ONLY ON NEW MH'S)• L.ISPECTOR:TO VERIFY SERIAL & LABEL #'S.• I L� A SPECIAL CONDITIONS CHECKED / BY I� SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS I VERIFY. s USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I I OFFICE COPY3 x Address } GAS • Meter By Date`/3 i ELECTRIC Meter By Date ny `- LETRITRIMeter By lew-Date%� JOB FINALED (Date) Signature -�_ I I J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test-Wrap; -/ /" L 'ft. / P Nat. or/ /'• L "ft./ P LPG 10. 7. Well Clearance & Disconnect 8. Utility Clearance . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. ,Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH.Test-Regulator-Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PER ENT END SYSTEM (ONLY) Line LA -Gas; MH Test- Demand-ValveT ectricity; MH Test 6. W r; M H Test ater and Sewer Connected 8. Oas and Electricity Tagged 9. -5xits 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date T- Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 134 Date Card B71 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3: Decks, Girders and/or"Joists= Decking -Bracing-Stairs-Rails 4. Wood Awn.; Posts- Beams=Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing _ 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability t _ 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining i 4. Elec.; Receptacles and Lighting, Distance-GFI _ 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/51 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card 134 Date Card B71 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ,ERIN :Rev. 12/96) APPLICATION AND PERMIT !' ASSESSOR PARCEL NUMBER/ ZONING OWNER --�-- TEL`.EPHONE . OWNER'3'MAILINO ADDRESS CONTRACTOR'S`NJ1ME'-----`- -�': TELEPHONE Funvom -R M-33, 15'2!2_1.7Q1 BUILDING PERMIT SO. FT.' _ OCC. BUILDING VALUATION 1 R 1.539-- ys.( y y y ' CONTRACTORS MAILING ADDRESS 1'4 PTAPTAWI BLW., ngz--,965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee 567.50/2 $ 284.OU ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDIN AD RE S tAPAi E 0 Energy Plan Checking Fee $ PERMIT FEE $ 311. LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.001 .UU Each gas water heater or vent 16.00 TYPE OF WORK - New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM MD NW SITE Gas piping sy2tem 1 - 5 outlets 15.0015-00 Building sewer 15.0017. 00 Mobile Home I S I G I W @20.00 PERMIT FEE $ VU ELECTRICAL PERMIT Fling Fee 20,.00o Main Service zoOA OR LESS 23.00 4:5•vv LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isjin full -force and effect. r .i (, 7 y 5- / S5 License Class L... C 1 Lic. No. t) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ;,u /�`.�/� J Policy Number n 3, 1 1 Q rti ,\ $.. / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. lof Xt t"""""""� Date % / d 2 Signature of Applicant/ ❑ Owner ❑ Contractor ❑ AgeM 7 An OSHA permit is re4uired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST, owELUNo OCCUP. s0 OR ADDNS. ( a ACc. BLDs. 3.5QFT: T. P1OµgESID. MU LTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Zo @ ,.ao Ex. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. O rnFTs Rap) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 4.3.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ RM 435.00 HAZ. .. p; ES IMP j° OD CDF pgRCEL PD X HD SSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �} _ ('`"-�W� "�' f7 " ��/Q By KJ Date PERMIT EXPIRES ON l rDefe Receipt No. -%1268 14355 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i t - F+> t^„ rJ,da•-', ` y r .i , •ty. •"te:JS.. x :;a is .J .=�rG .:fir': ' P• ,]{ r .efe` s ''.' 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'�` !� .4 a �`-'f .i°`... �F'S`.: The artact-,,ed Pire Sge requkemer?ts must be corfojeW as sped iced 'VW MPPrcved bY C.D.F. 97 AdC&E 9A, �Q`5eow 6 7/.41 ry v LU LU M 5 > approved with conditions COLu 0 Mr. 11- atta d sh bt- 0 a= h LU 0 00 LL Date LE 'Iture 0 0 LL wature u- < .co cc _j lu ijj cc > r4 -_j 0 1�ro < tic-) U 6 B Q2- 56 c gTy P SUILDINd pART�l y% SHWA/Z 04411nefli M 'OTE - ae the aftached 0 Vi 2 0 Z a Ly Z MQ_ JCoW .< 2:0 OW cc Pa RS 2U. L M L 0 ® ca, ZO LU W REVIEWED BY ' 0 C q: z BUTTE CO. FIRE DEPT. W Lu :0 Z CALIF. DEPT. of FORESTRY CO 3: 0 M 3* U_, r ❑ approved as submitted �Q`5eow 6 7/.41 ry v LU LU M 5 > approved with conditions COLu 0 Mr. 11- atta d sh bt- 0 a= h LU 0 00 LL Date LE 'Iture 0 0 LL wature u- < .co cc _j lu ijj cc > r4 -_j 0 1�ro < tic-) U 6 B Q2- 56 c gTy P SUILDINd pART�l y% SHWA/Z 04411nefli FLEETWOOD HOMES OF CALIFORNIA, INC. 18 N.,PIONEER AVE. PO BOX 1308 WOODLAND, CA. 957-A MC# 17 Date of Manufacture HUD label No.(s) PFS78948 02 XPFS789484 Manufacturer's Serial Number(s) and Model Unit Designation SLNCREST 5604B CAFL217A26091-SC13 CAFL217B26091-SC13 Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home Is designed to comply with the federal manufactured home constructionand safety standards in force at time of manufacture. (For additional information, consult owner's manual.) The factory installed equipment includes: Equipment Manufacturer Model Designation For Heating COLEMAN DGAT070 For Cooking WHIRLPOOL SF387L Refrigerator WHIRLPOOL ED5CH Water Heater RHEEM 21I40T Smoke Detector KIDDE 1275E Dishwasher WHIRLPOOL DU890S Garbage Disposal MONARCH 820XL HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1 500'of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specked for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended in manufacturers printed instructions. Design roof load zone map: _ North 40 psf X South 20 psf X Middle 30 psf Other T1 psf COMFORT HEATING This manufactured home has been thermally insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo value Zone 1, 2 , 3 . (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of —44 degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97 54%) is not higher than —10 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING F]Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an indoor temperature of 75°F when outdoor temperatures are °F dry bulb and °F wet bulb. The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this home. X❑ Air conditioner not provided at factory (Alternate II) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioning system of up to 6 3 , 5 0 0 B.T.U. Mr. rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to cool a home efficiently and economically, a cooling load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity closely approximates the calculated cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors) .................................... "U" .06 Ceiling and roofs of light color ......................................... "U" .03 Ceilings and roofs of dark color ....................................... "U" .03 Floors........................................................................ "U" .05 Air ducts in floor........................................................... "U" .05 Air ducts in ceiling......................................................... U. NA Air ducts installed outside the home ................................. "U" .25 The following are the duct areas in this home: Air ducts in floor........................................................... 89 sq. ft. Air ducts in ceiling.......................................................... NA sq. R. Air ducts outside the home ............................................... 56 .5 sq. ft. U/O VALUE ZONE MAP WA 1 NH MT ND VT ME OR MN ID SD WI NY MA WY MI RI NV NE IA IL IN OH PA CT NJ CA UT CO KS MO VA DE KY MD AZ OK TN No NSA AR SC, ZONES U -VALUES �� AL GA 1 0.116 LA AK TX"i. LA d€.r: 2 ° FL ® 0.096 HI [� 0.079 ��' --� �p"�'^�+` „y,.Z �Sr4+tiee+,s�t_r"'.r +r. '�-�' `+-•rs��.•k .* COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 89172751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is L completed. If you have any questions pertaining to this matter, or need additional explanation, L please contact this office immediately. REV 16/92 r COUNTY OF BUTTE u ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA a (530) 891-2751 ;-.- 7 County Center Drive • Oroville, CA • (530) 538-7541 r.. CORRECTION NOTICE syn r OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the .'kt above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or"need additional explanation; please contact this office immediately. • e +f� Date = _ Inspector REV ,10/92 _ ;s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 / (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ./�T77� - TECEPHINE M, IS'?ENSir-,LN, JAMES. AD .OWNERS MAILING ADDRESS.1�•--:--i - #4'S NAME R�'. DR;. 0 , TELEPHONE CONTRACTOR'S NAME FT EETWOM RETATT 5q, SO. FT. OCC. BUILDING VALUATION ' 106.00 ' CONTRACTORS MAILING ADDRESS 99/-1 FEARM ]RIVER BLVD. I 0R(AqJhLEGA 95965 CTIO CONSTRUN LENDER 5 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee 567.50/2 $ 284.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 eulLDl D s Energy Plan Checking Fee $ PERMIT FEE $ 3G • �� LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIPv Solar or heat pump water heater 23.00 •p Water piping ing 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: NEW MH PERM EM NEW SITE Gas piping sy2tem 1 - 5 outlets 15.0015.00 Building sewer 15.00 1b. 00 Mobile Home I S I G W F @20.00 PERMIT FEE S 65.00 ELECTRICAL PERMIT Filing Fee 20.00 OR LE Main Service zDOA OR LESS 23.00 23. UU LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license jsjin .f I�f. Ice and effect. �/ �./ License Class Lic. No. J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( d ACC. BLDS. so 3.5¢FT. NEW T. rNO";.REOSID. ANCHOU CUT @7,50 POWER APPARATUS & SINGLE OUrLET US Ex. Occup. OUTLET OR FDMRES 20 Q 1,00 BAL @ .50 Ex. Occup. ouTLSE°rs ASD°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c�oQmpensatioP insurance carrier and policy number are: Carrier IN A , , Policy Number () 2=/ 1 0 n 0 A (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' mpensation provisions of section 3700 of the Labor Code, I shall forthwith mply with thos rovisions. X Date �� d 2— Signature of Applica - ❑ Owner ❑ Contractor ❑ Age t An OSHA permit is r quired for excavations over 60" deep and demolition or, construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ MM 435.00 HAZ. – D EEs � IMP X FLOOD X CDF X PARCEL X PD X HD ISSUE S This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By /t� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date p 1 O ®3 Dwe Receipt No. ;(0 96 CL��S nn WHITE-D.D.S.•B.D. CA A •AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT `�ev.12/96j , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754,^ R IT NO. APPLICATION AND PERMIT A/SEssoRMACKNu.eew ��? ^0z� ` 1 BUILDINGPERMIT V J owNER / A T0.001O 61-- /WSQ. OCC. BUILDING VALUATION nr 8ULDNO ADDRESS C. KELLJ 15S1 4:r�5 LOT NO. SUeONSCNS NAVE. Lj 3 — LJ 3 y V ` U: `-� �I PARCEL MAP D USEOFSITRUCTURE w SF O Duplex O Mobilehome O Other sPEesv TYPE OF WORK New O Addition O 77, ❑ "�L)bW s ❑ etslation pOther ❑ Describe Work: l w \ ✓� S R A / 0004 x' 41ptrv";l c O� kY1A "�o kwoo g4 �h�a Fireplace a -.eo Ex. Occup. un o °RE,L LENOER'S MNUNO ADORES! Temporary Service 23.00 ARCHITECT OR ENOINEER $ ARCHITECT OA ENGINEER'S I 8ULDNO ADDRESS C. KELLJ 15S1 4:r�5 LOT NO. SUeONSCNS NAVE. Lj 3 — LJ 3 y V ` U: `-� �I PARCEL MAP D USEOFSITRUCTURE w SF O Duplex O Mobilehome O Other sPEesv TYPE OF WORK New O Addition O 77, ❑ "�L)bW s ❑ etslation pOther ❑ Describe Work: l w \ ✓� S R A / 0004 x' 41ptrv";l c O� kY1A "�o kwoo g4 �h�a Fireplace a -.eo Ex. Occup. un o °RE,L Total Valuation = Temporary Service 23.00 Filing Fee $ 20.00 Permit Fee :P07 S Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE I S 6-6 ELECTRICAL PERMIT I I Filina Feel 20.00 Main Service ;;-i &i a—n 1 23.00 Main Service — TO .— I 4e.001 I .50 Ex. Occu . ouTuT OR FKrjm a -.eo Ex. Occup. un o °RE,L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heatinfl 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee y $ D"OONST. TYPE TO AL FEE $ HAZ I D. Fml 40 1 FLOOD I CDPMN43�q This permit Is hereby Issued under the appecable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON XWN COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET //--�� OWNER: ( �/1 (/ i,S �r�5 ta.✓1 ASSESSOR PARCEL NUMBER Q 6q- Z3 V 02--'> Proposed Building Use: V 1 P,-( V" • r.- �- Counter Technician: a V , Date: 6). 1 h . o Items required in orderito apply for a permit. All boxes MUST be checked OR marked NA in order to apply. O'Complete lot plans, 3 or 4 sets, signedty the preparer of the plans. plans, 3 or 4 sets, signed by the preparer of the plans. 3.Engineerplans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! V0 5❑ 5 Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (W—'r/ie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 04.. Fees as shown on the attached Schedule of Fees Due Sheet..... . :5c�.05-d ................. tol .13 iD. W5 Statement of Intent for Non -heated and A/C Buildings ............................... /6 Sanitation and plot plan approval from the Environme tal Health Department in ❑ 1;.ity of Chico Plumbing permit ............................ Parc .......... 8. California Department of Forestry plan approval paid. Sent by��............ ❑ 19. Plant3irtg approval for (A) Use: O 1L (B)Parking: .(Ceck: . 0) -)-7-0q_ ❑ 20. ntact Land Development about ❑ Improvements, ❑ Drainage .............................. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). J❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... 0127. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29Existing violations and/or expired permits............................................Ad- 0. ❑ Grant Deed, ❑ M.H. Title/Statempn6f Facts, ❑ Letter from Legal Owner, to H.C.D. $ IQ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed f ttie above iteem's andel-requirements for obtaining a building permit. Applicant:- G'-�C-Y/�� Date: %A 1. Index permit applicationaor-Che above items numbered: f i ,1 / re✓�' Plan Check Letter 2. Additional items required �— designer, owner, was advised cf the above data by ❑ phone, ❑ mail, counter, byLI'� Date: /a Contractor, designer, awner, was advised of the abo e d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: ,PJ, Date: D do D Plans approved by: 03. Date: 0 d d?� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow Rnildino Divkinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. !� t �ve "a A.P. # � ' Z3 ® — 0Z - PROPOSED BUILDING USE //—f DATE • 16. o Z n� RECEIPT # DATE REC. — 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .......................... :...... $ 2. SCHOOL DISTRICT FEES/ c" ✓B 1 (paid at District Office) 1 0 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the p an hecki rocess. �3�-330 � • APPLICANT DATE `L . Pursuant to Government Co e Sec ' 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. ave 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest: The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 1 , SITE PLAN REVIEW APPLICATION Date: �- O 2 AP# f 069- ISO ®2- 5 Permit Number (if applicable) YL - ZS to APPLICANT INFORMATION Parcel Size: i b A +� Owners Name: 1-4 fz'1 ST' .j�1'S Y S A bA Owners Address: IT.9 SE&O rZ _ pf2v 1 L.L.61 CA Telephone No:: S`33 ' �� -L7'1�/29'►� 53 3� Situs Address: : AP -d4 Ufa Proposed Use: /a . Residential ❑ New Single Family. Residential » Fj Single Family Addition ❑ Single Family Remodel` Mobile Home ❑ Residential Accessory ❑ Permanent, Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑. Multi -family 1 Non' -residential < ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial Industrial. Addition ❑ Industrial Remodel Other < ❑ Septic ❑ ,Well - ❑ Agricultural Exempt Building , ❑ Other: Brief Explanation (if necessary): 'DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Us,0 Approved - ❑ Coriditionally'Approved []',.Resolve Problems Prior to Approval ' ® Site Plan Stamped Approved By Date - l "7 -- ®2 _ » Page 1• of 5' ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: El Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) 11 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See att�gh�c) • Flood Zone: ( • Flood Panel No.: Q629 d— Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: IZT ~ / Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S G) t, Side Side Street Rear S 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ' �ii'�ei��zf��itvl�{�'"s 4fij?� �� t�,. x,• .t ;r it Applicable Development Fees,.. _ Standard Fees Amount _,.Formula ❑ Fire School* ` ❑- Parks/Recreation ❑ Roads R ❑ Sheriff ❑ Drainage . ❑ NC.SP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other .F ----------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender, ❑ Road Improvement. ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By p . F-1 Deeds: Date of Creation: Legal. Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required❑ No ❑ Yes . Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes,'Road Name - Complies with*Cot,inty Standards for Deed Creatio`n:, ❑ No ❑ Yes Comments: Parcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain .a. Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book. 17 of Maps Page 23). ❑ Construct road to:.. , ❑ Meet Parcel size required by zone . L.. , ❑. Meet'current Environmental Health. Department requirements Page 3 of 5 ® Subdivision Map/Parcel Map: G�t,�J r,1_CX-,(5 GS -r -CV ?� Map Date of Recording: Lot: I t 8� ❑ Use Permit/Minor Use Permit Permit Number: Book: L) 3 Page: 4 3 L% Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. 10 ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 AND -WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 1 16 -Sep -2002 2002-0048135 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dam, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: J E t= C Date ' -36 U "L— PROPERTY OWNERS: State of California ) County of /30 On X13 old Z before me —� �_ , personally appeared_ 7TRMe5 C 1 ADA Cir"S4PfJS?1J - personally {mown to me (or proved to we on the bass of satisfactory evidence) to be the person(s) whose name(s) h/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(,) on the instrument, the pereon(s) or the entity upon behalf of which the person(s) acted, executed the instrument. " WITNESS my hand and official seal Signature ` Seal: KARY J. BiDWELL - cort m"W 01201/70 W CP51 Notary Pboc o 0027 A.P. #Qio 0 Btte County. costomro MY conr."on E.P. N PERMIT NO.: —85-Q2 Lake Oroville Area public Utility -District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING, SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable.. °Prior to final approval, by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date:Septeembe r? S .?no Applicant: Jame G' rhrj-,tPnGen (F1 PPtwnncl RPta`i 1 ) 171 Apache Cir. (22::43 Feather River Blvd) Applicant Address: �OroviTlCA 95`J. b`b (Oroville CA' 95966 ) 4 Applicant Phone No.: .(533.-3301) Property Locations(s): 171 Apache Circle Oroville CA 95966 Kelly:Ridge Estates Unit.3 Lat 168, A. P. No.(s): Fees due: All fees paid. f d ` Application for service approved: O LE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: 1 Location: Date: B . Y� Lake Oroville Area Public Utility District release to close permit: Date: By: 1 School District A.P. Number Property Owner Property Location/Address BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form phi Building) Al Building Depart en;'No. .rr�r Jurisdiction: City �WCounty,,. '--Subdivision i Residential Development .................................................................................................................. . Sq. Footage No of Living No of Living Mo I e Home M05,e Addition) *Supplemental to Gro p R) Units Installation Conversion Permit # ` *(No foundation inspection): ................................................................................................................... Commercial/Industrial Sq. Footage New Addition I (Including Exterior Roofed Areas) Building De ent Representative .vZ Date \ moor rians reviewed oy 5cnool uistnct versonneo District Identification No. - - 47�Q,— e�School District certifies that / .� C (4-pplic ant) !J. n •n n 1 4– 1.(Street Address) (City) has complied with the requirements of Resolution No. representing square feet. f ct'ftepresentative ' Paid by Check # (Phone Number) (Zip /6) by payment of $ 7 Cj / -'T.�, .moi a AB 2926 $ FULL MITIGATION $ Date 9► Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. �-- If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm O' Not OK =Not Applicable MOBILEHOMES ; MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES' (Plans) OK except,#'s 1. Zoning Requirements—Setbacks-Easements . .Date. DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1; Zoning Requirements-Setbacks—Easements. 2. Soils; Special'MH Support—Sketch .2. Foot ings;'Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking—Bracing—Stairs—Rails < 4. Water; Location—Test—Easement Needed (Sketch): 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd,—/ /. Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice*Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft.% /"Nat.or/ ./"L'•'ft./ P, LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elea Card -BI - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector +' 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances=GFI' 5. Drain; MH Test—Fall—Flex Connector - i . 5. Elec.; Pool Lighting; 15'volts—GFI' 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed. 7. Water and Sewer Connected—C/O to Grade—HD Approval 7,-Elec.; Bonding;'Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 4 8. -Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards -Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy r 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test. Card B -I Date Card -BI DateCard-BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date a } i . ' 1• r i } = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'S Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 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 Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -BI 19. Gas Pipe; Size & Anchors Date Card -BI Date 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except k's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks [:]Yes ❑ No; Planters ❑Yes ❑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. 80. Water Well; Disconnect, Electrical, Plumbing 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 Date MECHANICAL (Permit) OK except H's 83. _ Corrections from Previous Inspections 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 & Overflow; Size & Grade 34. Furnace -Vent; 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 q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing11 (NOTE: Anentrymust be made each time youvisit jobsite) �g-23 zS C 13 13 ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) - 533-6457 Up�y Y CALIFORNIA P. E. NEVAOA P. E. OREGON P. E. July 6, 1982 James Glander Department of Public Works 7 County Center Drive, Oroville, California 95965 Re:': .82552 Dear Jim; We are pleased' to submit the enclosed Report on Controlled Compacted Fill for: Omer K.R.E. Unit 3 Lot 168 If you have any questions, please do not hesitate to contact us. Very truly yours, COOK ASSOCIATES an J. C ok Civil Engineer No. 13062 DC/cab Enclosures cc: Kenneth Omer DR. LLOYD M. COOK ED. D. JOE E. COOK M. E. DAN J. COOK C. E. 91211"919111911It10I16181Z Qd ?86l - S*'440M 0110nd dO 'ldoe Bung 10 n1Nnco TESTING Field dcnslty Les is ;sere taken at frequent intervals near the fill surface. Representative samples of the soil were takerL to the*laboratory for compaction tests. The compaction tests were performed in accordance with the laboratory staindard. ASTM 1557 Method C The relative density of the -fill was determined from -the compaction tests. Where tests indicate.insufficient compaction the material was removed, recompacted and retested. The location of the.field density tests are shown on.the attached drawing. The results of the tests. are given on the table "Summary of Tests" CONCLUSIONS .Based on intermittent observation:,' it is concluded that the structural fill was placed in an orderly and efficient manner and that the field density tests are representative of the structural fill placed. It is our opinion that all portions of the structural fill are compacted to at least 90% of the maximum density, in accordance with the requirements of the County of Butte. COOK ASSOCIATES By OtJ ban J . Nook C ivi 1 `engineer : SUMMARY OF TESTS PROJECT: Kelly Ridge Estates - Unit 3 Lot 168 Kenneth Omer. T= a, FIELD DENSITY TESTS; Field Test Density Percent Maximum 'Degree of -!No. Date Elev. pcf Moisture Density Compaction Remarks - 1. 6717-82 1' .84.8 19 102 83 -...,..Fail- ..Fail 2 - 2 6-17-82 1 84.6 23 102 ..83 .. ' Fail 3 6-17-82 1' '80.25 22 .102 77 Fail.. 4.: 6=25-82 1' 96.5 16 102 95. Retest 5: 6-25-82 2.5' 91.9 26 102 90 Retest. 6 6-25-82 l' 94.8 25 102 '93 .; Retest ; • 'Note:. Tests 1, 2 & 3 were taken in insufficiently compacted material. Fill"was removed then recompacted. Tests 42 52 & 6. were . then taken. COMPACTION TEST: Maximum dry density, pcf: .102 Maximum. size. tested; 3�4„ Optimum moisture, percent: 20, :VISUAL CLASSIFICATION; Soil type:. ,Brownish red Palermo.import S1 PROJECT: Kelly Ridge Estates Unit 3 Lot 168 Kenneth Omer FIELD DENSITY TESTS; Field Test Density Percent Maximum Degree of - No. Date Elev.: pcf Moisture Density Compaction `. Remarks -7 6-25-82 4' 86.5 24 102 :84 Fail. 8 6-25-82 3' 85.7 29 102 84 Fail 9 •6-25-82 3' 86 29 102 . 84 Fail 10: 6-25-82. .5 105.15 21 102 10'3 Taken., in O.G. 11 6-25-82 4' 89.4 23 102 .88 Fail 12 6-25-82 4: 96 20 - 102. -94.: Retest 13 6-25-82 41. 95. 18 102 93 ' .. Retest 'Note: Import contained some clay; reason for low results in tests 7,8'and 9.' Contractor removed material down to elevation of first test then redid with new material. Test,.11 was taken, did not..pass• so worked more. Test 12 .and 13 taken, -compaction passed so contractor continued. COMPACTION TEST Maximum dry density,' pcf : .102 Maximum size tested: 3/4„ Optimum mo.isture,.percent: 20 VISUAL CLASSIFICATION: Soil type: Palermo Import SUMMARY OF TESTS .PROJECT: Kelly Ridge Estates Unit 3 Lot 168 Kenneth Omer FIELD DENSITY TESTS: Field Test Density Percent Maximum Degree of No: Date Elev. pcf_ Moisture Density .,.Compaction Remarks:' 14 7-1-82 6' 90 24 102. 88 Fail. 15 7-1-82 '6' 96.5 21 10`2. 94 Retest Note: Test 14 taken in edge of cut material, feel reason. for lower.. results. Test 15 taken in northwest corner. COMPACTION TEST: Maximum dry density, pcf: 102 Maximum size tested: 3/4' Optimum moisture, percent: 20 VISUAL CLASSIFICATION: _ Soil type: Palermo Import Co ale o 06,'\ _ NIV /W APAG H C'%RCL SCALE: COUNTY OF BUTTE - DEPARTMENT`OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AA 5An ASS SUR PARCEL NUMBER — as— ZONING UIL G PERMIT OW tern!' N �I_' (Z TELEPHONE SO. FT. 0 BUILDING VALUATION OWpp ER'S MAILING ODRESS , �`�IG� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C ONSTRUCT ;ON LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 77 LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ©� BUILDING ADDRESS f4 ler PERMIT Filing Fee 10.00 PubL LC' Each Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping �© LOT NO.SUBDIVISION NAME o -- PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] MobilehomeY Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesoi!M Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee Main service 600V OR 100 AMP ORLESS5.00 /-10.00 / Main service EA. ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING OCCUP.01) OR ADDN.S. ACC. BLDGS. 22 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 NON.RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS .&) NON.RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 (FIXED APPLNS. OR \ Ex. Occup.OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Misc. Wiring 7.50 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. P?(1 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 Filing Fee 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 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, judgments, costs, and expenses which may in any way accrue agai aid County in cgtlusequence of the granting of this permit. �- Signature of Applicant — Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over/p3' stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 6.3'Butte OCCUP. GROUP I TYPE OF CONST. PAR CE PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC BY PE T EXPIRES Date_. the applicable provi- Date resolutions to do fees have been paid. WORKS Datek—/o-8"Z-- _v --L •-� Receipt No. ��- t13 3� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT teturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ' ' S2-12344 FOR RESIDENTIAL DEVELOPMENT OFF Section ` 26-8.1 of the Butte County Code requires this acknowledgementiL;�'r be recorded prior _to issuance of a building permit. SEC='n�' The property described herein is adjacent to land or included��, ►�.�► 23 N within an area zoned for agricultural purposes, and'residents of CLE�JjCR NECK�K L'this property may be subject to inconveniences or discomfort arising gEER{;_RECORDER `from the use of agricultural' chemicals, including, but not limited to herbicides, EE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing,'spraying, pruning, and harvesting which occa- sionally generate 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 169 as shown on that certain map entitled, "Kelly id[- e • :states Unit No. 3°, which map was filecl in the office of the Recorer of tCouty of Butte, State of -alifornia, `July.26, 19,j4 in tdine n Book 43 -Naps, Naps, at rage 44, 45, 4b, 47;, 46. Date: -�L�� PROPERTY.OWNERS: State of C�,, j L, l r-51CA11,41 On this, the YTH day of "19 I2- , SS. before me, the undersigned Notary Public, personally County of f (STI E ) -Appeared. XEIVIV ETNE 9fln t9 OM L /Y1 c lZ ,41�17� ,G ?C1AL SEAL i NOTARY PUBLIC - C.-ILWOP.NIA P Ul;c COUNTY Sly cornm. ex-pires MAR 9, 1984 Present A.P. NO. �GfZ13_ known to me to be the person(s) whose name(s) subscribed to the within instrument -and acknowledged that 14E executed the•_same for -the purposes therein contained. IN WITNESS WHEREOF,%% hereunto set my hand and official seal. 6No ary Public Telephone 533-2000 North Burbank (Public Utility District,, 1960 Elgin Street'" OROVILLE', CALIFORNIA 959,65 25-82 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte_ County Department of Public Works -;Building Department prior, to. issuance of a building or occupancy 'permit, whichever is applicable. Prior to final approval-by Butte County ofra 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- KENNETH OMER Applicant Address: -6175 Lakeview Circle, Paradise, CA 95969 Applicant Phone No.: 916-877-7425 'Property Location (s)* 171 Apache Circle Kelly Ridge Estates Lot _168 - Unit 3. A. P. No. (s): 069-23-0.025-0 34-75-25 Fees Paid:A11 .Fees, paid in advance. . - Application for service approved:, May 41, 1982. 7North Burbank Public Utility District Inspection(s) made and successful test(s),;observed:' Location: Date. By: North Burbank Public Utility" District release td close, permit: Date: By: N J t _ `v (I b4N oar f r IVY ;01 4A ' f; - '- _ •m.,K. \!� � ' � j � � 1. IN /* _ r � ♦ r � i r � � s � d V " � S -''� - • -.. � • t -_.,....... rte;_-• -•--,� --� . _ - ' � • P ` I . �' �- .`"--`, .=• f��-moi' "i" z. ``"" .�•,,- -' �., '._ - `�7 ',r'. , � .� to i.--• • � 7 •'�} `. � -` i . I . .. ,,,. . ` Vii'. • ryf� - � � ;! 3 ,:��. � - b O s -c. _ _ th„ s �.Prs.srs'."�-°` '�"'•'• "°' .iy•'y_ ^ 's:e f cs��'+ i1i7._:+ �'+.weV.+i-�+�-�-'. r-;, � `e' :'t�,iti:�3a36�•..._.aur.r.,..ev,rae.c, This set of plans and specifications`MUST be,. kept on the job at all times and it is unlawful to. POTE:--All Materials &Workmanship Shall Be in make any changes or a lterationsbn.same with Accordancewith Recognized Good Practices and wt written permission from the Department A� ' . of a quality prescribed for.the Specified use in tPr Pu�blacWorks, oirntyof 8ufite. Uniform Building; Plumbing & Mechanical and the National Electrical Code. �ck of 5 il• irom th cue: . detb l ries and a setback pt°p®rty the road APACHE m °f 50{t. fro shall be dear of . centerline ent exc structures or ecku 9 r'r ft, eave overhang. �?u. ZA SEMEN 7' , o V / :3q connections shall be with 4,ft. be mobilehome, either . / direct) behind or within th8 "read half of t roadside.(left mobilehom , -o o 30, a 7► N\M�'' r 1 eq <e e °i�� is i `p` _- p i S�TaACiC set 8ACX APA c HE. CIRCLE BLJT G COUNTY BUILDING DEPARTMEN ' APPROVLD', NOTES RESIDENTIAL tjPERMIT NO. 069-230- - - -- 05-1.1272+`; f' ( CHRISTENSEN, JAMES 171 APACHE CIR, OROVILLE CONT: COY KISSEE CONST N ENLRG EX PORCH,OPN DECK i 1 SPECIAL CONDITIONS x CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ,SPECIAL INSPECTION ITEMS - F VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER + g t 4 u ' r. ,JOB FINALED (Date) { � Signature z r - 5, J J 1 , t 4 u ' r. ,JOB FINALED (Date) { � Signature z r - J=OK 0 =Not OK = Not Applicable =Not Ready MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ P' L "ftJ P LPG. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements .2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4.. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage One 3. Blocking , 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits - 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r,' n MISCELLANEOUS )Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s [ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors i 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh J 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting: 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater • .. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r,' n J=OK 0 = Not OK = NotApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Gmd.-/ r Fig. Depth 3_ Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped _ 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks O Yes O No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I % 7 24 X 38 PRINTED ON NO. 1000H CLEARPRINTS u A FuA) RPCLCr L? , P F PAD C?5X9'C---, I -T- K/ 2. L J L L 4- S 4 op A,,> 0 -t -R) LAa 4"04 L ti 13C V -e 0 4 P -S iz, A s7 rYP, rii-T yj I .. I A,' 16 9/6xj L p T -M I P8!tq,/A 13A (Typ). eK6 0 -0" 19 1L Z41" Ole, OF I WV41KI& or 0 01- 10 ........... . 7/4" ry A 1-0 ILA 0 /= 'foil �O el / O VAT 10 k) 4s"f /to ef I -fi—fl Poe/ X9 m o rs I L qXy- UF -;6V (1p -q z1- it, CT y P-) clX;P OF 411 i3�AM bt, ayG D r Z�a C. p S COAX. L0 4L r ADHE510E. POLLD PQC)j=INC, IZOOF FKAfAG //Z///.= /,D It AWLALOU0 amums BUTTE CO U111-T411- RUILUNG DEPAR-MA-Urr A 4 p p mri 0 v REVISIONS I BY 13 a I Scale Sheet I Of Sheets OJ 0 Q. a I Scale Sheet I Of Sheets