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Home My WebLink About071-040-03194-136PE(MH) s-. 071-040.—'031 g- �s,. ,,,VEERKAMP r „ r. "LONG POINT . RD . , . FEATHER' FALLS',j F MOIBILEHOME "UTILITIES r •; u�<'.:'"': ":ELECTRIC:. GASyLINE ' � VCOMPAftION 'TEST RE � SUPPORT'''STRUCT -•REQ u• ,'; >r a 0 b D 0 V� 11 Q��;D 1. qqr ;S COUNTY OF BUTTE - DEPARTMENT OF DEVEL SERVICES - BUILDING DIVISyION 7 Couhty Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. _. .. APPLICATION AND PERMIT 2�_ /.3 1,3 ASSESSOR PARCEL NUMBER I 071-040-031 ZONING FR40 BUILDING PERMIT OWNER ROBERTA V. VEERKAMP TELEPHONE 589-3627 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 66 FEATHER FALLS 95940 CONTRACTOR'S NAME OWNER ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LONG POINT RD PERMIT FEE $ FEATHER EALTS, 9994n PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pu water heater 23.00 Water pipin 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas,4ater heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome EK Other SPECIFY ' ing system 1 - 5 outlets 15.00 ding sewer jobile 15.00 Home @20.00 @ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities C1 Installation ❑ Other 1:1 Describe Work: PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600VORLESS 200A 200AOR LESS ) 23.00 Nin Service ( 200A TO 1000A ) 46.00 NEW ONST. DWELLING OCCUP.O. OR AD S. ( & ACC. BLDS. ) S 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Divis( Division 3 Of theLiness 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 compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CO MULTI -OUTLET -NON-RESID.T. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup.I OUTLET OR FIXTURES ) SAL. 20 @ 1.0`00 Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.► EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. XI have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter u e ove mentioned property for inspection purposes. I agree to ave, indemnif ke p rmless the County of Butte against all Illtles, jud ants, COS, d ns� es hich may in any way accrue against said CO t nseq en ting of //is permi . N� Date Ig ature of Applicant - ❑ Owner EIContrac r ❑ Agent AlSHA permit is required for excavations over 5"0" de/an/demolition demolition or c struction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE $ E 66.00 HAZ D. FEES I IMP I F100D X CDF PARCE % PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON (Date) provisions to do work paid. Date Receipt No. 162662 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 4- A 3RA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE O PARCEL NUMB I _ O ,/ ZON BUILDING PERMIT OWNER P,rtV /10 11 . r' p rn TEL "E ,S SO. FT. OCC. •BUILDING VALUATION OWNER' AIUNaDORES3 `"/) r S g CON?OWS NAME P TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER , UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O h i t PERMIT FEE $ / PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1.5.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G TYPE OF WORK New ❑ Addition ElRemodel O Utilities Installation ❑ Other O Describe Work: —Je@20.00 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 �� Main Service ( 200A To IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. I a ACC. BLOs. ) 3.5C FTSO. , NEW CONST. MULTI -OUTLET NON.REslo. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. - License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) zo @ 1.00 BAL. .50 Ex. p' I Occup. FIXED APPLNS. OR OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 3 (� Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEEA /4 I J."AZ. 1 O. FEES I IMP I FLOZ CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON (Date) / Receipt No. (r/ WHITE•D.D.S.•S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT ., .Tn i�, `resyl�� , 1ii"�S•Yh t.��'`�r�Vhi+7�"r�'y'iA COUNTYOF BUTTE - DEPARTMENTOF DEVEL'OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /S (� r �GL �/ e e f ko M lio _ A. P. No.D � / -Q To - 0 3 / Proposed Building Use /// /* (A Building Inspector (D"') Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ..:.................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule. . . 12. California Department of Forestry plan approva ees.�G 13. Flood elevation letter (100 year flo ) by C_ I)fornia ngineer. ............... 14. Sanitation and plot plan approval ('Dd /CHealth Department. ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development,a bout (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). ... . rr rr 20. Pre -inspection for P`��"�De�'°" `�Q� w required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ..... 22. Certificate of Workmans Compensation Insurance ...........................6 23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... IL29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When you issue the permit, rocess as follows: Mail tooner. Mail to contractor. Telephone - and hold for pickup at (I rn office. Deliver with inspector. Other Parcel Creation / 9 Z 6A17141 - Acreage Applica t ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by - Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f COUNTY OF.BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "myner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne Social Sec . ity u er Date NOTE:- Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed .and returned to our office before we are permitted to issue the permit. L Return r:: •- AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT • 94 -21 3 4 l • -I2:-,11d ng Division FOR RESIDENTIAL DEVELOPMENTAD Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building , t - permit.94�02ii • 347.1 Rec_ Fee The property described herein is adjacent to land or included ,, . "'i •I Check... wid in an area zoned for agricultural purposes, and residents y Recorded, 1 • ' of this property may be subject to inconveniences or r Official ;Records I ' discomfort arising from the use of agricultural chemicals, County ` •o f I including, but not limited to herbicides, pesticides, and. Butte I ` ,• fertilizers; and from the pursuit, of agricultural operations Candac"e '•J.,��Grubbs 1�' '• .��'; .� including, but not limited to cultivation, plowing, spraying, Recorder �t.Y• pruning, and harvesting which occasionally generate 10:01am` 18 -May -94 I:' PUBL-XX' ' 2 dust,smoke, noise, and odor. Butte County has established agricultural 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: SEE ATTACHED DESCRIPTION w. i 1 Date: OPER�(O"E , �22� �berta Virgin'a Veerkamp Y d State of California ) County of�, �t ) On J� 1 before me, personally appeared�o"�� ,{��\�i�� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), andat by his/her/their signature(s) on the instrument, the person(s), or the entity u on behalf of which the person(s) actuted the instrument. WITNESS mand offici sealOFFICIALSEAL GAIL MORRISON 0-- A.P. NOTARY PUBLIC - CALIFORNIA .BUTTE COUNTY SignatureA ' Seal.Mp Comm. Expires Nov. 18,1996 .. 071-0_4.0--03,1 f . 94-2134;1 i' A. P. 071-04.0-031 Described as follows: The North 1450 feet of the West half of the East half of the West half of the Southeast quarter of Section 10, Township 20 North, Range 6 East, M.D.B. & M. EXCEPTING THEREFROM the North 660 feet of said parcel of land. TOGETHER WITH a right of way for road'and public utility purposes over the Southerly 60 feet and the Easterly 30 feet of the South three fourths of the Southeast quarter of said Section 10. ALSO TOGETHER WITH a right of way for road and public utility purposes over the South three fourths of the West 30 feet of the East half of the East half of the West half of the Southeast quarter of said Section 10. ALSO TOGETHER WITH a right of way for road and public utility purposes over the South three fourths of the East 30 feet of the West half of the East half of the West half of the Southeast quarter of said Section 10. RESERVING THEREFROM a right of way for road and utility purposes over the Eastern 30 feet of said parcel. ALSO RESERVING THEREFROM a right of way for road purposes 60 feet in width over the existing road. ATTACHMENT TO: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL_ 4EVELOPMENT EN® OF DOCUMENT M� STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE .MAY -:11.-1994, POLICY NUMBER: CERTIFICATE EXPIRES: F COUNTY. OF: BUTTE BLDG. INSPECTION DEPT. #7 COUNTY, CENTER DR' OROVILLE. CA 95965 L 1319372--l-94 =95 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policyOperiod indicated. This policy is not subject to cancellation by the Fund except upon XeXI days' advance written notice.to the employer. 30 We will also give you'TkJ4'days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the . policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. PRESIDENT ENDORSEMENT #206.5 -ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05/11/94 IS -ATTACHED TO AND FORMS A PART OF_TAIS POLICY. Individual Employers and HLs!3.and and Wife Employers are not eligible for benefits as employees under this polity. EMPLOYER ,� ,EERICAMP� JAMES ERNEST. ��iD _ VE.lRKAMPr_ ROBERTA V.IR.GINIA.`.�-- DSA: JAMES ERNEST VEERKAMP P P 0 BO—X`66`_F-ETHER FALLS CA 95940 L SCIF 10262 (REV. 10-86) COUNTY OF BUTTE - DEP kRT4IENT OF DEVELUFN1h1N'1 bkKV1%-c0, ov....,.,.v ... a.,,%,,, 7 County Center Drive, oroville CA .95965 Phone: 916-538-7541 ROBERTA V VEERKAMP PO BOX 66 FEATHER FALLS, CA 95940-0066 RE: BUILDING PERMIT APPLICATION #94-1313 A.P. 0 071-040-031 With reference to the above subject: DATE: 5/11/94 Attached is: Mobilehome utilities Installation Sheet Application for permit Building Plans Mobilehome Installation Information Sheet ical Plan Sheet Engineered Calculations Typ Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of Spayable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer.. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for ' Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. XXX Documentation of legal access. Documentation of 50`s subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Should you have any questions concerning the above, please contact of.this office. Y rs very tr ly, SCOTT RUTHERFORD Mic ael C. lieira, C.B.O. MCtl:ahb Man ger, Building Inspection 'eftOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Mpg QApV 7 County Center Drive - Orovijle,, California 95965 -Telephone (916) 538-7541- PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-040-031 ZONING FR40 BUILDING PERMIT OWNER ROBERTA V.•VEERKAMP rELEPHONE 589-3627 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 66 FEATHER FALLS 95940 ; CONTRACTOR'S NAME OWNER TELEPHONE _ ' CONTRACTOR'S MAILING ADDRESS F.replace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS 4 QUI 11 Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER / NONE LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LONG POINT RD PERMIT FEE $ FEATHER FAILS, 9994n PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CKOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I23.00 200A OR LESS Main Service ( 200A To IOOOA 46.00 NEW CONST. DWELLING OCCUP. Oil ADONS. ( a ACC. BLDS. SO. 3.SC FT. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) U I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) Q I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW crINST, MULTI -OUTLET NON RF.SID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATUS ' __ a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES / 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance. or a Certificate of Consent to Self -insure. Q I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter u e ove mentioned property for inspection purposes. to ave, indemnif {��p�rmless the County of Butte against all encs, cos d enses hich may in any way accrue against said gt' / nsequen ting of Is permi iv 11/I! Date ly ature of Applicant - ❑ Owner ❑ Contrac r Q Agentof AlOSHA permit is required for excavations over 5"0" de an demolition or cofistruction of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Ucc coNsr. TYPE TOTAL FEE $ 166.00 IIAz. o. cEfs 'MP FLOOD cOF PARCEL PD HD 1ssuE This permit is hereby issued under the the Butte County. Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON /De tel applicable provisions to do work paid. Date - eipt No. 162662 E rE.O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A. P. # 071-040-31 ` Section 10, Township 20N., Range 6E. Six (6) Acre Parcel MAP SCALE One (1 ) Inch = One Hundred ( 100) Feet -330 FEET -- -- s 0 FEET-- MAP LEGEND Existing Roadway & Driveway Mobile Home Pad REVIEWED BY, BUTTE CO. FIRE DEPT. CALIF. DEIN. of FORESTRY ❑ approved as submitted approved with conditions per attached sheetS, -� ;0'1 9,�re Date EQUIPMENT INCLUDING _EAR OF ALL EASEMENTS. FT. FROM THE SIDE AND AR PROPERTY LIMES AND AD CENTERLINE SI`IALL BE AND EQUIPWaZINT (EXCEPT E-4 w C14 0 i One (1 ) Inch = One Hundred ( 100) Feet -330 FEET -- -- s 0 FEET-- MAP LEGEND Existing Roadway & Driveway Mobile Home Pad REVIEWED BY, BUTTE CO. FIRE DEPT. CALIF. DEIN. of FORESTRY ❑ approved as submitted approved with conditions per attached sheetS, -� ;0'1 9,�re Date EQUIPMENT INCLUDING _EAR OF ALL EASEMENTS. FT. FROM THE SIDE AND AR PROPERTY LIMES AND AD CENTERLINE SI`IALL BE AND EQUIPWaZINT (EXCEPT A. P. # 071-04Q-31 , Section 10, Township 20N., Range 6E. Six (6) Acre Parcel MAP SCALE One (1) Inch = One Hundred (100) Feet --330 FEET -- dc ' ' M 4) Ole— MAP LEGEND - Existing Roadway {+J & Driveway �'• '�� Mobile Home Pad I w REEBY / w BUTTE CO. FIRE DEPT. �• 0CALIF. DEPT. of FG�iESTRY approved as sui~rniited OW — ; [ approved With conditions per attached sheel.s, 7- Gt a�✓ S� i �r i nature Sg Date ALL STRUCTURES AND ECUiPit OVERHANGS SHALL BE CLEAR OF A SET BACK OF -�; D FT. FRO 32D Fi-. F -Rom -Tv:1 REP:s _(Q - F7. . Fi" OP -ti! T HE IROAD CEN't CLEAR CF•'STRUCTURES AND W FOR A 2 F3. EAVE. OVEzti• Anka. 4T INCL UMNIG .L EASEMENTS. THE SIDE AND r55�?xssee q/,�� 4 IU, �MENIT EXCEPT A. --330 FEET--' r CDF FIRE SAFE REQUIREMENTS '7/ -D L(- 3 / AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are .required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building. Department for compliance. r4 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards T-4 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apP srte-tant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. txj 1273'.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ Vi --1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. rVi LN 2. The length of ver`:i ,%�l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. 3 Page 1 of :2.-. AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates ['�(] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [>(] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect.- See Other Requirements below. [xj 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or fi_ral inspection of a building permit. Page 2 of 3 .4{ 7/- DL�-.? f AP # e)q--(313 PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: — Class A or B roof - Enclosed eaves ✓c, 6 " e- Z, q�4 9 6,9� NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date. O�. Signature Page 3 of 3 CDF FIRE SAFE REQUIREMENTS '7/ -Dr AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app irte-hant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds.. [xl .1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [Vi 1. No roadway shall have a horizontal inside radius of curvature of less than 50.feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [}(] 2. The length of ver:i ,: l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold. or divert water shall be not less than 100 feet. [X1 1273..05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 'feet long with a minimum 25 foot taper on each end. l 1270.10 Width. All driveways shall provide a minimum'10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of , 2. , .$� AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [,(] 1273.10 Turnaround. A turnaround shall -be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [jC] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] .3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from u11 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [x] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation. and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or fi.ial inspection of a building permit. Page 2 of 3 AP # PERMIT # Other, Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NE [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri.ikler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date W Page 3 of 3 ture A. P. # 07.1-040-31 Section 10, Townshi.p 20N., Range 6E. Six ( 6) Acre Parcel MAP SCALE One (1) Inch = One Hundred (100) Feet --330 FEET -- MAP LEGEND - - - - Existing Roadway & Driveway --330 FEET-- Mobile Home Pad