HomeMy WebLinkAbout071-400-010NOTES , RESIDENTIAL
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071-400-010 Y p2-zg2g
PERMIT NO. &L URTON, Wayman -
Middlefork Ln., Oroville
Skycrest Enterprises
i MH on Perm Foundation
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL, ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
SPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
--NEW MH'S).
INSPECTOR TO VERIFY SERIAL &.LABEL'#'S. ,
SPECIAL CONDITIONS
CHECKED
ZSRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
s
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
i SUB -STANDARD HOUSING LETTER
0
ULI 5N1 � 25
OFFICE COPY
Address
GAS Date 7
Meter jBy
ELEC
Date
Meter
f ��
JOB FI
Signature
..ten•!' T . ,
J=OK i
0 = Not OK
able
. = 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-Grnd-/ /Amp -Concrete s
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
' . Footings; Size -Spacing -Marriage Line p1iLg
99,;A, z •,1i eMckin
rricity; MH Test
�- 6. V rater; MH Test
(
_nVejFV.,Water and Sewer Connected
8.,as a��Eleetricity Tagged
is
10 ense ggLals-
IA_��#'s with Office
DateCard B-1 Date Card B-1
Date Card B-1 Date Card B-1
a
. MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
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)
' . Footings; Size -Spacing -Marriage Line p1iLg
99,;A, z •,1i eMckin
rricity; MH Test
�- 6. V rater; MH Test
(
_nVejFV.,Water and Sewer Connected
8.,as a��Eleetricity Tagged
is
10 ense ggLals-
IA_��#'s with Office
DateCard B-1 Date Card B-1
Date Card B-1 Date Card B-1
a
. MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns. -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date . Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s.
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip: -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
I Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. 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 Ftp. -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 Stabled
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter..
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
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 ❑ Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. 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 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 ❑ Yes
83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
INER
COUNTY OF BUTTE
BUILDING DIVISION �`
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
-Z"S2
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
3 please contact this office immediately.
Inspector
REV
t
Inspector
REV
COUNTY OF BUTTE -DEPARTMENT OF.DEV�,.;OPMENT 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
YELEPHONE
SO. FT. OCC. BUILDING VALUATION
2919 R 135,972-00
. OWNER'S MAILING ADDRESS
P-011 Bal 52777 ORQVIUE9 CA
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
13468 WY 99E. QHiW GA 95973
CONSTRUCTION LENDER > >
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$382-75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23 00
BUILDIN DRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
LOT NO.
SUBDN610NS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15 00
Each as water heater or vent
15.00,
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: NEW MH PERM FND NEW SITE
Gas piping system 1 - 5 outlets
15.0
Building sewer
15.0
Mobile Home IS I GI W1
920.00
PERMIT FEE
$ 65-00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noon OR mss
23.00 2_1 00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is full a and effect. A//�
C . j�( ��(/
License Class LIC. NO. (/ `LL Lf
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 astheir 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 worker ' In in in rance carri r and policy number are:
Carrier 'N-,,, IT a
Main Service TO
46.00
NEW CONST. OWEWNG OCCUP.
EE CU
OR ADDNS. ( a ACC. Bins.
SO
3.50FT;
NON•RESIIDD. MULTI.OUTLETUITS
@7,50
POWER APPARATUS
6 SINGLE OUTLET CIS.
FJC, OCCU OUTLET OR FDRURES
BAIL p 1.00 0
Ex. Occup. o XunFTsRESIo.DEX
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be 6-omFMeted 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
hwith comply with se provisions.
�}
Date L/ �i�
Sign of Applicant - ❑ O er 2 -Contractor ntractor ❑ Agen
An A permit is required for xcavations over 60" deep and demolition or construction
of s ructures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 533.75
HAZ. D. FEES IMP FLOOD
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which ees have
By . ,
PERMIT EXPIRES ON
CDF PARCEL PID HD SU
applicable provisions
Resolutions to do work
been paid.
Date 2 3
De
Receipt No. 163948 7S
WHITE-O.D.S.-B.D. CANARY -AS S� PINK -INSPECTOR GOLDENROD -APPLICANT
INCGiW �7.�?i�li'�1�1'C'v�+�f.-ii'�4P+'-'+�`.r7..�...�...,s----s r•�p+.rr.�vr'yw�Trp.-.y.. ,. �+{_i � � o�+rT.�rtv.•,�•..�iv,-`"'�i���nR. Ad�'tt �tr.�kf�h
i�
¢' 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: ' f �Y A.
ASSESSOR PARCEL NUMBE � I `
Proposed Building Use: SZ1rJ Iy , 1 1 �"" ' ` �) Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR m r ed NA in order to apply.
%7. 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. t
Complete plans, 3 or 4 sets, signed by the preparer of the plans. b
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate. _��
6. Manufactured homes(.0i) Data sheets and installation instructions Marriage line information; ( Floor PI ie down or
foundation plans, all n 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 ................................ �1
❑ 9. Plot plan and;business license approval from the City of Biggs .................................... ,
,`❑x,00. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remainingitems needed,to issue the permit. (May require additional plan review upon receipt of the followin items.
14., ees Xhown on the attached Schedule of Fees Due Sheet .......................................
Statement of Intent for Non -heated and A/C Buildings .................................//.,,. ......
anitation and plot plan approval from the Environme tal Health Department in
❑ City of Chico Plumbing permit ......................................... .
California Department of Forestry plan approval paid. Sent_ by�:.............
lanning approval for (A) Use: De— (B)Parking: (C) ar Check:
20. Contact'Land Development about ❑ Improvements;-❑ Drainage ............................... 06 D Z
encroachment Permit for driveway from the Public Works Dept. (construction approval prior to o upancy).
❑ 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) .....................
Letter of Signature authorization ....................... c....................................
Recorded copy of Agricultural Acknowledgment Statement ... k.t......-D.. ��, •.
.......................
28. Manufactured home utility clearance...............................................................
13 29. Ex' ting violations and/or expired permits ............................................. _
❑ 3.0.' [Want Dee .H. Title/Statement of Facts, ❑Letter from Legal Owners, eck to H.C.D. $
❑ 31. Other: I — ,
When issued Telephone - and hold for pickup.
I have been informed of the above
Applicant:
s and requirements for obtaining a building permit.
Date: ---
1. Index permit application for the above iteins numbere : Plan Check Letter
2. Additional items required
Contractor, designer, owner, was adv se c the abo a to by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the ab ve data by ❑ phone, ❑ mail, ❑ counter, by _ ` Date:
Plans reviewed by: . Date: /0 Z�' #7, Plans approved by: .*,/` Date: p
Structural reviewed by: Date: Structural approved by: f Date:
Note transfer by: Date:
Yellow: Buildine Division
....,� ._ Y. �-�., -rte � w .yvF•Y.i. • L .�y.,� h-ir' .... ..�.. Lam.-,.� e.: � +v'�r. '^..�... �-�-.r . � . -Y _�• _ _�..rr-.-.•]y.�r-_-.�..r .� ... ... N 1r... � .C. _ ti 1,i V'.!r -✓ .. -�.ry .. ti .w ♦ • ..«y,�..`.
.rt E.H. 8E ONLY
roi Fiat Plan Anacho�
moa Man Attached
Sant to B.D. I n ! r`2
TO: ' Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
1_1 _0 bIA
�^ Owner I Location AP#
Plan Approved for: Sewage Disposa Water uppll Public Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
OWNER
COUNTY bF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OF FEES DUE
PROPOSED BUILDING USE
1
BUILDING PERMIT FEES
Balance Due ....................... $
Fees Due ................. $
Fees Due ................. $
3n Checking Fee .............$
DISTRICT FEES Y)
rict Office) (Available after Plan Check)ds y /�
FEES (paid at Building Division)
U. O
...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... —x—=$
# Units Amt.
Commercial (sq. ft.) ............ —x_=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P.#
DATE
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLIPhyour
DATE O Z—
Pursuaernment Code Section 66//20', you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
impose 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner * (Rev. 6/00)
... '�'rT �.,..`. yam.+ .. i r .. .�.�.. ..yn,.:� ,`.,TY' •..-•,ilt",:11Y'A`.r�,.�._�.�7Y'.ti'4.nr�^..t+r'�"!r"^^..r.r�w...p�•+v-ro'�n�Cw.w.-, ... �....-�.+'.:. r -e-. r:... r....�..�n��,re. -...w
woeBUTTE COUNTYSCHOOLS II1�PA ME CERTIFICATION FORM ' �1— 9/
(One form per Building)
Cxc,�'
School District �,/�1 � Building Department No.
�+
A.P. Number ��J V Jurisdiction. City County
Property Owner
Property Location/Address
e
Subdivision Lot No.
..................................................................................................................
Residential Developments Sq. Footage
No of Living MoXieome Addition/ *Supplemental to (Group R)
Units, ' Installation Conversion Permit #
............. '(No foundation inspection):
.....................................................................................................
En
Commercial/Industrial
School District
I V V u v 0171
District Identification No.
►i/Y t '� T
1�
uv 'o I • II School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
Date
b'L4 �'14_
n
/ (Applicant)
A
(Street Address) J (Phone Number)
4A
(City) (State)
(Zip Code)
t'
Rhas complied with the requirements of Resolution No. 1e -110 by payment of $
representingsquare feet. AB 2926 $
FULL MITIGATION $
� F
School District Representative[' Date
Paid by Check # --er Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protesvto the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit'a timely written protest will prohibit '
you from challenging the imposition of the fees in any court action. I
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 (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on ttre school district's schools.
White (applicant), Yellow'(building departm@nt), Pink (school district) feeformAs (10/98)dmm
_ s
e y
J
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date 16101 Z-- PROPERTY OWNERS:
State of California
County of
On OW:2 " `y/ a �Z before me,
personally appeared Y V r,GL /< • Q//i ,rxc r li(/ C� (` personally
known to me (or proved to me on the basis of satisfactory eviden e) to b the persons) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature ) Seal: D. STAFF�RD 3
COMM .91369998
J--7)/--- NOTARY RJAUC-CIWFORIA
k #— %p -- )ID COUNTY OF BUTTE
Comm. Expires Aug. 13, 2006
low
AND WHEN RECORDED MAIL TO:
ti 2 10
BUTTE COUNTY BUILDING DIVISION
Recorded
I REC FEE 10.00
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
Official Records
County OfBUTTE
I CONFORM 1.00
I
CANDACE J. GRUBBS
I
Recorder
ROSEMARY DICKSON
I
I
Assistant
I Cheryl
12:12PM 15 -Oct -2082
I Page i of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date 16101 Z-- PROPERTY OWNERS:
State of California
County of
On OW:2 " `y/ a �Z before me,
personally appeared Y V r,GL /< • Q//i ,rxc r li(/ C� (` personally
known to me (or proved to me on the basis of satisfactory eviden e) to b the persons) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature ) Seal: D. STAFF�RD 3
COMM .91369998
J--7)/--- NOTARY RJAUC-CIWFORIA
k #— %p -- )ID COUNTY OF BUTTE
Comm. Expires Aug. 13, 2006
08/08/02 14:03 FAX 530 877 34,43
. r
DESCRIPTION
fA 019
ORDER NO. BU -181503-3
THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
A PORTION OF THE NORTHEAST QUARTER OF SECTION 21, TOWNSHIP 20
NORTH, RANGE 5 EAST. M-D.g- & M., MORE PARTICULARLY DESCRI8ED AS
FOLLOWS:
COMMENCING AT THE SOUTHWEST CORNER OF THE NORTHEAST QUARTER OF SAID
SECTION 21; THENCE NORTH 00 DEG. 38' 56" WEST, ALONG THE WEST LINE
OF THE NORTHEAST QUARTER OF SAID SECTION 21, A DISTANCE OF 737.5
FEET; THENCE NORTH 89 DEG. 13' 59" EAST, 904 FEET; THENCE NORTH 00
DEQ. 38' 56" WEST, A DISTANCE OF 482.0 FEET TO THE POINT OF
BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE NORTH 0
DEG. 38' 56" WEST, A DISTANCE OF 482.0 FEBTI THENCE NORTH 99 DEG.
53' 02" WEST AND PARALLEL WITH THE NORTH LINE OF SAID SECTION 21,
A DISTANCE; OF 455.0 FEET, MORE OR LESS, TO A POINT ON THE WEST LINE
OF TIM LAND DESCRIBED IN THE DEED TO DAVID D. MACKEY, ET AL, DATED
AUGUST 15, 11967, AND RECORDED SEPTEMBER. 8, 1967, IN BOOK 1485, PAGE
613, OFFICIAL RECORDS; THENCE SOUTH 00 DEG. 38' 56" EAST, 482.00
FEET, MORE OR LESS, TO A POINT THAT BBARe NORTH 89 DEG. 53' 02^
WEST, AND PARALLEL WITH THE NORTH LINE OF SAID SECTION 21 FROM THE
POINT OF BEGINNING; THENCE SOUTH 89 DEG. 53' 02" EAST, 455.0 FEET,
MORE OR LESS, TO THE POINT OF BEGINNING.
AP#: 071-400-010-000
i
Description: Butte. CA Document Year.DoclD 2000.33339 Page: 2 o12
Order. Wendell Comment
J
SITE PLAN RI&VIEW APPLICATION
Date: I O -� I �a AP#.
• Permit Number (if applicable) U2- 2 e
APPLICANT INFORMATION Parcel Size:.�
Owners Name:
Owners Address: -O . clX S 2_'7 7 y V i (GL C
Telephone No.:
Situs Address: ) K-7 Adlb R-uK �e K
Proposed Use: 44.
Residential
[� New Single Family Residential '
❑ Single Family Addition ❑ Single Family Remodel
Mobile Home s
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑
Temporary Travel Trailer
❑ Nfulti-family
• tion -residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel o
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
Septic Well
Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):- d(r,) WZI-2 Vk, j2a,V-,oX CZIUA ted ?
DO NOT WRITE BELOW THIS LINE
DEVEL OPjVEiVT SERVICES INFORMATION (For Staff Use)
❑ Approved Conditionally Approved 1
❑ Site Plan Stamped Approved
• Byl D 19-072
— )ate
Page 1 of 5
Parcel Is In: .
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑- 100 -Year Flood Plain: (See attaphed)
• Flood Zone: `�(
• Flood Panel No.: 0825 C= Index Date: (� �'- g
❑ 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)
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: U
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for ieEffnEciri&aicents into SRA setbacks.
o..,... ,
Zoning Code
Streets & Highways
Fire Prevention
Su 'vision Map
Front
Sa
Side
C)
Side Street
Rear
—5
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for ieEffnEciri&aicents into SRA setbacks.
o..,... ,
a Applicable Development Fees: �.
Standard Fees i Amount
Formula
• ❑Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSNCSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
---- ------------ ------------------------------------------------
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
• ❑ Deeds:
Date of Creation: Legal Access Provided: []No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel Verify Legal Access 11provide Deed of Creation
❑ Obtain a Certificate of Compliance
1
❑ 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
❑ hfeet current Environmental Health Department requirements
•------------------------------------------------------------------------------------------------------------------------------
Page 3 of 5
El Subdivision Mav/Parcel Map: ,`
r }tf
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
Page: •
❑ Automatic fire suppression sprinkler systems shall be installed 'in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance on slopes steeper than
30%. The Erosion Control Plan must be prepared by a registered civil engineer or o
qualified professional and be submitted to and approved by the Department of Pu
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.
❑ ivleasures 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
y9
E
-------------
Summary of Specific Requirements:
r�
U
This information provided in this summary is based on the application information and on the best available data at the time
of review.
• CANly Oocuments`Budding Permit Site Plan Reviewl.doc
Pace 5 of 5
a
Summary of Specific Requirements:
r�
U
This information provided in this summary is based on the application information and on the best available data at the time
of review.
• CANly Oocuments`Budding Permit Site Plan Reviewl.doc
Pace 5 of 5
/-I /-;, 1� t-- I .CJ &t f / C_/ I j / "7
V o
The attached Fire Sa#e
re . quiremerts must be compleWd
as specified and approved
by C.D.F.
NOTE:
See the attached
P
Widembal QonstrucfQn
ftgireiments
--�Pages.
-T
ALL STRUCTURES AND EQUIPMENT INCLUDING
SHALL BE CLEAR OF ALL EASEMENTS.
OVERHANGS
A SET PACK OF FF. FROM THE SIDE AND
F -T. FROM THE REAR PROPERTY LINES AND
vFT.
FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STPIUGI'URES AND EOUIPMENIT EXCEPT
AOR A FT. EAVE OVERHANG.
JT -7
REAFD 13Y
BUTTE CO. FIRE DEPT:
DEPT. Of FO
CALIF.FORESTRY
�u
. .. .... .. f -i assubl-pirted
E]-apprOve
.
x o .p__...
_ _ - - [_approved with conditions
llllr
acl sh-el.
pe itr.
2-,
_Z Dale
Sid-n4lu—re
0z
F \'\
BUILDING1PLANA
.
PLANNIN G DIVISION
0!e )_N,B
_APPROVAL
Use:
Parking:—Landscaping
-,411E COUNTY
PARTMEM
_W60'
. M.K.I.-2
Mobilehome Manufagturer: y �, SKYLINE Manufacture Year 2000
If other than single wide, furnish Setup Model Number: 553OCT
Width: 38'6" (ft.) Length: 66 (#.) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or *foundation grade [X] Other:
SUPPORTS: Concrete block [X], :Other.:
Provide Tie Down Specifications for all Mobilehomes:
Line 1 Piers: ' Line 1.Openings-
Size minimum: I ]XI I Size minimum: [12] x [30]
Spacing maximum: Each side of openings
From ends-maximum:;!with width over:
Line 2 Piers:, Line 4 Piers:
Size minumm: 12 x 30 �' Size minimum: x
Spacing maximum: 1 7' 0"1 Spacing maximum: I"
From -ends -maximum: 2' 0" '0 t .,n From'end's-maximum: In
Line 3 Roof Loads:
Size minimum:
Location (from rear):
Line 3 Continued
Size minimum:
Location (from rear):
Line 5 Roof Loads:
Size'miniinum: h' .
Location (from rear):
Line 5 Continued
Size minimum:
Location (from rear):
36Y.%
12X30
Pier Footings Sizes and Location
12X30 124X3014LOMI
36X30
SINGLE WIDE MULTI -WIDE
12X30
Line 1
1 4b" 1 87
Line 1
Line 2
,. ,
Line 2
Line 2
Main Beams
....................................................... .•- ---................................
Line 2
Line 1
Line 3
Line 2
Main Beams
................................................ ............................................
Line 2
Line 1
.............................................
Line 5
Tag or Triple
Line 4
Line 1
Line 1 Piers: ' Line 1.Openings-
Size minimum: I ]XI I Size minimum: [12] x [30]
Spacing maximum: Each side of openings
From ends-maximum:;!with width over:
Line 2 Piers:, Line 4 Piers:
Size minumm: 12 x 30 �' Size minimum: x
Spacing maximum: 1 7' 0"1 Spacing maximum: I"
From -ends -maximum: 2' 0" '0 t .,n From'end's-maximum: In
Line 3 Roof Loads:
Size minimum:
Location (from rear):
Line 3 Continued
Size minimum:
Location (from rear):
Line 5 Roof Loads:
Size'miniinum: h' .
Location (from rear):
Line 5 Continued
Size minimum:
Location (from rear):
36Y.%
12X30
12X30 12X30
12X30 124X3014LOMI
36X30
12X30 12X30
12X30
07
1 4b" 1 87
1 12'0" 1 13'4"
1 291" 473"
1 505" 1 53'4"
1 59'2"
112X301 12X30
63'4"66'0"
12X30
12X30
12X30 12X3Ar 24X30 24X30
12X30
12X30
12X30
12X30
MI.,
j4'0" ; • : <,8O i 1 I 12'0"; :1;6'0"•. ,129'Y .131'4"
535"
333"
1 372"
40'8"
12X30
12X30
12X30
24X30
124X30
12X30
427"
1 473" 1
50'5" 1
535"
1 65'8" 1
66'0"
MI
COUNTY
APPROiEQ
I . Owner's Name:
HALLIBUjZTON. "M
& B.4RAiRA
2 . Assessor's Parcel Number: 071-400-010-000
3 . Installer's Name: SKYCREST ENTERPRISES
M.H.I. -2
4 . Is the site currently under permit? Yes" No X Permit No.
5 . Is the site an existing site: Yes, No X (If yes, furnish two plot plans).
6 . What is the electrical rating of the mobilehome? 200 Amperes.
7 . What is the mobilehome site circuit breaker rating? 200 Amperes.
8 . What is the electrical rating of the mobilehome site? 200 Amperes.
9 . Is the main service remote from the mobilehome site? Yes No [X] If it is, what is
the rating? Amperes.
10 . Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage, etc.)? Yes X No If yes, please identify the load and size:
a) The ihobilehorft6 site:
Load - GARAGE —Amperes 20
b) The main service:
Load -
Amperes -
11 . Type of gas service.at mobilehome site: Natural Propane X ] None
12 . Size of izas Dive at the mobilehome site, from the meter or tank: 3/4 inches.
13 What is the gas pipe length from the meter or tank to the mobilehome? -30-
14 What is the mobilehome gas demand? BTU.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THISTORM, MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
(ft.)
O
0
0
O
z
I
12'-0• ;�
11001
r
53'=4 59'-2' �, �' <r4}c;•,,, j'99q °Or
21401
V.
1
1
16
50'-5� 63'-4"
14901 1670/
r - --- 14'`
N ; X2.01. 14501 t8tof 12201- -----,
5
31-4' 42'-2" 47"-3- SS -5-
".501 19.501 19501 42101 \ 4801 16101 2010# 37201
' L
CENTERLINE SUPPORT REQUIREMENTS
THIS SHEF.I IS 10 bf INSERTFD WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR
.50 -ROOF ZONL SNOW LOAD. SEE ABO`/E PRINT FOR LOAD REQUIREMENTS A10D LOCATIONS. 301 Rory---____ItESCRP
LIVE ( DAD 662$-YK--28'-CA7H
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53'=4 59'-2' �, �' <r4}c;•,,, j'99q °Or
21401
V.
1
1
16
50'-5� 63'-4"
14901 1670/
r - --- 14'`
N ; X2.01. 14501 t8tof 12201- -----,
5
31-4' 42'-2" 47"-3- SS -5-
".501 19.501 19501 42101 \ 4801 16101 2010# 37201
' L
CENTERLINE SUPPORT REQUIREMENTS
THIS SHEF.I IS 10 bf INSERTFD WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR
.50 -ROOF ZONL SNOW LOAD. SEE ABO`/E PRINT FOR LOAD REQUIREMENTS A10D LOCATIONS. 301 Rory---____ItESCRP
LIVE ( DAD 662$-YK--28'-CA7H
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1
#3 Cousin Gary Circle
"Bidwell Mansion"
3 Bedroom 2 Bath, 2518 Sq. Ft.
1�AQTm IA�1m
am IAW
j
Plan 5530CT
�r,
Features in this Model include:
* Elegant Tiled Kitchen
* Glamorous Master Bath
* Walk-in Kitchen Pantry
* Architectural Shingles
* Natural Maple Cabinetry
* Ceramic Tile Entry
* Pavillion Dormer in Family Room
* Exlusive Safease Package
* Master Bedroom Retreat
,/ CDF FIRE SAFE REQUIREMENTS/
411XU,9�W, 1V4-1,(,,, &J
AP# PERMIT # NAME '
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made apart 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
'Pq 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app-rteaant 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.
M 1273.03 Grade. Not to exceed 16 percent unless paved.
r`• 1273.04 Driveway Radius
[�] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
] 2. The length of vertical.curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
�([] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
rfj 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
�] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of . 3--.
AP # PERMIT # 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.
i
[1 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 parvels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
ofthe road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
f
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi_ial inspection of a building
permit.
Page 2 of 3
z
y1V 4
(— 5F.✓
#
PERMIT #
NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
-.Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
Metal or no doors on side -toward property line with insuffi-
cient setback
Class A or B roof with enclosed eaves
Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco -'3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
APPROVED
S41,11-1
#3 Cousin Gary Circle
"Bidwell Mansion"
3 Bedroom 2 Bath, 2518 Sq. Ft.
ro
Features in this Model include:
* Elegant Tiled Kitchen
* Walk-in Kitchen Pantry
* Natural Maple Cabinetry
• P%�,illion Dormer in Family Room
Master Bedroom Retreat
1.
* Glamorous Master Bath
* Architectural Shingles
* Ceramic Tile Entry
* Exlusive Safease Package
Plan 5530CT
O"TO fain
AN"
Q
8742FOR
'
,
'
`
^
FOUNDATION :SYSTEM
CERTIiFICATE O.FOCCU�PANCY ,
Y? t i � •t �"i M : 7 l'i t--'.., f� �.- L � � + a... 4 ^-r i. { "t' � � �, �, a v
BUILDING PERMIT NUMBER: 02-2828
Address or location of unit: 167 MIDDLE FORK LANE
BERRY CREEK CA 95916
Legal Description of Real Property: 071-400-010
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: WAYMAN S. HALLIBURTON AND
BARBARA R. HALLIBURTON
Owner's address: P. O. BOX 5277, OROVILLE CA 95966
INSIGNIA OR HUD NUMBER: ULI 541724 / 5 / 6
SERIAL NUMBER OR V.I.N.: D3-70-0344-R-C/B/A
MANUFACTURER'S NAME: SKYLINE YEAR: 2002
OFFICIAL APPROVING INSTALLATION:
DATE:4-21-03
PHONE: (530) 538-7541
08/06/02 14:02 FAX 530 877 3443
RECORDING REQUMED BY
MID VALLEY TITLE & ESCROW CO.
AND WIMN RLCORDDII:U MAI TO:
WAYMAN S. HALLIBURTON
BARBARA R. HALLIDURTON
19 SPENCE WAY
OROVILLE, CA. 95966
181503®/ORO-C
0 012
(III I II III I f iii I II I Qil l i l Ilii II lil
Recorded I AEC FEE 19.08
Official Records I TAX 24.75
CaB_ TTE
ON= JrrEMBBS 1
Recorder l
R0M(ARY DICK9W I
Assistant I Cindy
89:wo a -Aug -2m I page 1 of 2
Above This Line for Recorder's Use Only
A.P.N.: 071-400-010000 Order No.: 181503CB Escrow No.; 181503CR-3/0RO—C
GRANT DEE®
THE UNDERSIGNED GRANTOR(s) DECLARE(a) TXAT DOCUMENTARY TRANSFER TAR 13; COUNTY2S 4.75
X J computed on full value of pro erty conveyed, or
computed on full value less va�ue of lives or encumbrances Minaining at time of talc.
unincurporated area; I I City of_, and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
DIANE L. METCALF, an unmarried woman AND CHARLES MCDONALD, a widower
hereby GRANT(S) to
WAYMAN S. HALLMURTOPI and BARBARA R. HALLIBURTON, Husband and Wife as Joint Tenants
the following described property in the Unincorporated Area of the County of Butte State of California;
See Exhibit "A" attached hereto and made at part hereof.
Document Date: August 27, 2000
VMS
DIANE
Co NTOY oPro
LtRNla BUTTE As
)
On AUGUST 28, 2000 Won nv, CHIkRITY E. BERRY, NOTARY PUBLIC
porsonally appeared _ CHARLES _ MCDO ALD AND DIANE L. METCALF
personally known to nre (or proved to me on the baai:i of astiofaetory evidence) to be the parsun(s) whose name(s) Islare subscribed to the within
instrument and acknowledged to oro that hdsbe/they executed the same in h1alharitheir audtnri:ed capscity(ies) and that by his/herltheir signatures) on
the Instrumeni dte parson(a) or the entity upon behalf of which the petson(s) acted, executed the insimmem.
WITNESS my hoed and official seal.
CHAW D.
0=01MM091793N Il&CM
&dIa tL10�lq• OisOlamla
N11r Cot9�On6�A�l. 9, i�Gt
Mail Taff Statements to: SAME AS ABOVE or Address (voted Below
Description: Butte, CA Document -Year. DoCID 2000.33339 Page: 1 of 2
Order: wendeN Comment.,
STATE OF CALIFORNIA
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES ANO STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF FACTS
ii -s unit is.a: Mobilehome Commercial Coach Floating Nome Truck Camper
!cal (License) No.(s) Trade Name Serial No.(s)
/We, the undersigned, hereby state that the unit described above:
MtA.y f i e P )cc e i ma.n CK+
o ur-dwfio�
iffiant further agrees to indemnify and save harmless the Director of Housing and Community
)evelopment, State.of..California, and subsequent purchasers of said unit, for any loss they
nay suffer resulting from registration of the above-described unit in California, or from
issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
17
Executed onat 1 GO
'a a (City) (State)
Signature of each affiant
Add
ti
City
HCO 476.6 (Rev 11/86)
Printed name of each affiant
�Du,Sin C'c�r�`�l S ��omeS
State
1'L/ tlz/ L1717'z b�J: l7ti nJI7.i42y1 /4 UHIUU 8LUO 5YS 1 LM5 F'AUt 04
BUSINESS, TRANBPORTATIKANd MOJLQINaACTENCV • :; ,.
Soo/
DEPARTMENTOFMOV31NOMlQ§60M(I�fYO VEllyPdtENT1-MAN ... ..:. :. UF.ACTUR£Q NOU�IN QRQORAM
MANUFACTURER CE"RITBFICATE. OF ORIGIN.
CHECK IF TyIS.JS A OUPLICATE YPOC LATER ORICINAL.MC,O NO.
MANUFACTURED HOME OR' MULTI -UNIT MANUFAf-Tl I h10USING
��yy
NUMBER OF
U $FD.(SINGLE FAMIL:-y MEWNG). O MUMH.(MULTI-UNIT MANUFAC,TUIiED hipUSING TRANSPORTABLE SECTIONS 3
OCCUPANCY GROUP: 7:.. •.
MANUFACTURER
MANUFACTURER -LICENSE NUMBER' '
SKYLINE HomES INC
1720 EAST BEAMER STREET WOODLAND
CA 95776
JUGGESTED RETAIL PRICE:
Sire (CI
sum z
$ 144,477.05
MANUFACTURER TRADE NAME: MODEL NAME ANUMBER
NDJOR
OAT E OF MANUFACTURE:
FAIRVIEW DESIGNER
5530—CT
11/21/2002
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):•
CALIF, DEALER NUMBER OR '
DATE OF TRANSFER:
SKYCREST ENTERPRISES/COUSIN GARY'S hUciES
TRANSFEREE DESIGNATION:
11/22/2002
DEALER OR TRANSFEREE ADDRESS:
(Skl#68 HWY 99
CHICO CA
95973
INVENTORY CREDITOR NAME:
(State) zl
TEXTRON FINANCIAL -CORP
INVENTORY CREDITOR ADDRESS:
seel'XENIA AVE -SOUTH -SUITE 300
GOLDE cl LLEY MN
55416
sum
21
SECTION MANUFACTURER SERIAL NUMBER
/{
MCD INSIGNIA OR HUD LABEL NUMBER
LENGTH WIDTH WEIGHT
•
(INCHES) INCHES POUNDS
1
D3-76r0364-R—C
ULI 541724
'792 156
26,.815
2
1 D3-70-0344—R—B
ULI 541725
792 156
26 565
3
D3-70-0344—R—A
ULI 541726
792 156
TRANSPORTER NAME:
D & R TRANSPORT
TRANSPORTER ADDRESS: --
P.O. BOX 179 DURHAM CA 95936
(Street) (CIIY) (91010) (z•D)
DESTINATION FOR UNIT DESCRIBED ABOVE;
(NAME) COUSIN GARY'S HOMES Isu„g 13468 HWY 99 (chy)CHIC0 CA (stale) 95973 (zip)
1 C"lry weer P$ne1y of Pauly ur14er we Iewe Of Uw Siete Of Ce1ROMLO Ut01 QIe 8DOve 10c1e me true and meed.
exacumon 11177/7AfS� at WOODLAND YOLO CA
CP(Cly) (County) (State)
SI?NATt ff OF AUTHORIZED AGENT:
ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER UN IKANSrrKCc).
COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOA 1428, SACRAMENTO. CA 95812-1828, WFTHIN FIVE 15) DAYS OF RELEASE.
COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 8 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. '
MCD 489.0 `� (7/97)
r �✓ v
l
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Skycrest Enterprises
ADDRESS: 13468 Hwy. 99
IMPORTANT:
CITY & STATE:
C:hir_n_ CA 95973
DATE OF CLAIM: 2/13/2003
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
SEE INSTRUCTIONS
ON REVERSE SIDE
DATE I DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY
AMOUNT
Reason for the Ouer charged:.
Refund:
BRIg Permix App
No.: 02.2829::.: AP No 0.71.-400
Receipt No.: 363949 Receipt Date Z/3/O3' Bldg Permit Fees
owner's Name: Waynlan Hallbultotl.,_ TOTAL FEES PAID: $177•40
TOTAL FEES RETAINED (Breakdown Below): $136.10
Building Permit Filing Fees r, Plan Checking Fee
i
Plumbing Permit Filing Fees Energy Plan Checking Fee
Electrical Permit Filing Fees Refund Processing Fee
Mechanical Permit Filing Fees: Inspection Fee:
SRA Fee:
$41.30
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated
Dated this day of �, 2003, at / Calif.
,' _
Signature of mant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above h tenerformed or delivered and tha ere isaBudget Appropriation or Specific ov V 0 o ) for the same.
Dated this 13 day of _, 2003, at _Oroville Calif.
Deparimen Head or Authorized Deputy
Dept. Code 440-001 Exp. Code4210500 PAYABLE FROM Construction Permits FUND
Dept. Code Exp. Code PAYABLE FROM FUND
Dept. Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT & SUB.
PROJ.
SUB. OBJ
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB
GROSS AMT.
FOR BUILDING DIVISION USE ONLY:
Receipt Information:
Number: ez(
Dater
Issued To: K 0_,A�
Amount:
Fees Retained:
Processing Fee: $
Bldg Filing Fee: $
Plbg Filing Fee: $
Elec Filing Fee: $
Mech Filing Fee: $
Energy P/C Fee: $
Plan Check Fee: $
Inspection Fee: $
SRA P/C Fee: $
Other: $
Total Amount Retained:
TOTAL REFUND DUE: $
Amount from 440-001 $ Amount from $
Amount from $ Amount from $
REFUND CLAIM APPLICATION
REQUEST FOR REFUND
Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years
from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on
issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan
checked are not refundable. Fees paid to other County Departments are not covered by this claim-
CLAIMANT'S
laim
CLAIMANT'S NAME:
MAILING ADDRESS:
ASSESSOR'S PARCEL #:
BUILDING PERMIT #:
RECEIPT NUMBER(S):
CIp'; co
A request for refund of fees paid on the above receipt number(s) is for the following reasons:
Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.)
( ) Building Permit Fees ( ) Sheriff Fees
( ) SRA Fees (CDF Fire Planning) ( ) Other (specify):
Disposition of Plans:
( ) Plans returned to me at counter
( ) Please mail plans to me at above address
( ) Please dispose of plans
Signature
Date
A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR
SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL.
�?j
1 COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION /
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 ERMIT NO.
(Rev. 12/96) . APPLICATION AND PERMIT _h2-2
ASSESSOR PARCEL NUMBER ;�
071-400-010
ZONING
IT
BUILDING PERMIT
OWNER
HAT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1? 0 BOX 5277,OROVILLE7 CA
CONTRACTOR'S NAME
1q1?Vr.REST__EDMMa_TSF_S
TELEPHONE
1342-2694
-
CONTRACTORS MAIUNG ADDRESS
13468 HW 09 E.7 CHIC01 CA 95W3
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 7920.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$99.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$23.00
BUILDIN AyoR
(�
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 142.00
LOT NO.
10N5 NE
SUBDIV6AM
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
❑ Duplex ❑ Mobilehome ❑ Other
SPECIFvEach
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
as water heater or vent
15.00
TYPE OF WORKGas
IF
�76&
1.10 ARemodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GARAGE
i in stem t - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
1100V OR LESS
Main Service za.AO.LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Bus'ness and Professions Code,
and my license ifUI O e and effect.
License Class Lic. No. :
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain, a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker ' Aen on insurance card r and policy number are:
Carrier
Policy Number o
(The above sections need not be competed 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' compensatio provisions of section 3700 of the Labor Code, I shall
forthwith comply with pro provisions.
s7
X Date 1Z
ure of Applicant - O Ver F]-216fitractor ❑Agent
SHA permit is required for' xcavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To I000A
46.00
NEW CONST. DWELLING OCCUP, SO
OR ADDNS. ( a ACC. BLDS. 3.5¢Fr: 15.40
NEW ' MULCTI.OU. @7.50
NON
POWER APPARATUS
E SINGLE OUTLET CIR.
Ex. Occup. CUTLET OR FIXTURES zp I.
BAL@ .5050
Ex. Occup. E_
TS R.16OEA.
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
L - TOTAL FEE $177, 40
HqZ., D FEES IMP FLOOD CDF PARCEL PD ND_
This permit is hereby issued under the
of the Butte County Code and/or
indicated indicated above for rhich ees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date
Dele-�
ReceiptNo. 363949 $218-70
WHITE-D.D.S.-B.D. CANAR-ASS&SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
NOTES RESIDENTIAL
PERMIT NO. `F071400,010\6z-2829
LIBURTON, Wayman - - -
t � Middlefork Ln., Oroville }
i ont: Skycrest Enterprises
New Pri Det Garage . x
i
i�
i'
SPECIAL CONDITIONS
CHECKED
BY
SRA
/e
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) k
_jl Signature
II
J=OK
o = Not
= Not AAppplicable
. ='Not Ready
RESIDENTIAL
Date
UNDE OOR (Plans) OK except #'s
onin - etbacks-Easements-Flood-Slope
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
Soils-Elec. Grnd.-/ /" Ftg. Depth
49.
g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Date
6. Stemwalls, Garage; Steel- Blockouts-Wra ed
Date
6a. Hold Downs and Sp chors
Date
7. -Slab, Steel -Wrapped
53.
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
55.
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
13. Plenums & Ducts; Clearance -Material -Support -Ins.
57: Siding -Nailing Veneer
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
15. Access & Ventilation
59. Glazing Area -Glass Protection -Skylights -Plastic
16. Insulation
Date
Date
Date
Iq 17r
d -1 Date Card B-1
rd B-1 Date Card B-1
PLUMBING (Permit) OK except #'s
61. Brace Interior/Exterior Wall Panels
17. Water Htr.; Vent -Access -Combustion Air Baffle
(Single & Duplex)
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
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection I
t
20. Shower Pan; Test, First Floor -Tub Access
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
21. Test Tub & Shower, Second Floor -Tub Access
49.
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
53.
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
26. Size Boxes & No. of Conductors Stapled
55.
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
57: Siding -Nailing Veneer
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
59. Glazing Area -Glass Protection -Skylights -Plastic
32. Service -Riser Conductors & Ground Main Disconnect
60. Shear Walls; Nailing -Bolts
33. Equip. Clearances Panels-Motors-Mech. Equip.
61. Brace Interior/Exterior Wall Panels
34. Clothes Closet Light -Shower Light -Spa Light
62.
35. Smoke Detector
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
Ext. Steps -Door & Sidelight Protection -Landings
38. Condensate Drain & Overflow, Size & Grade
65.
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 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 ❑ Yes
83.
Following Instld./Drive O Yes O No/Walks Cl Yes ❑ No/Planters O Yes O No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
. = NotReadya6le
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
0
1
12.
0 Shthg-Roofing
xt.; Steps -Doors -Landings
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card 13-1. • Date Card B-1
POOLS (Plans) OK except #'s
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
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
8.
Gas and Electricity Tagged
Health Department Approval
9.
Tie Downs -Type -Installation Cert.
Plumb.; Cir. Test -Water Supply Test
10.
Exits; Insp.-Sketch
Light Niche
11.
Cert. of Occupancy
Enclosure; Fencing -Alarms
Date
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date . Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carpo s; Windows -Doors
7.
ct is
rmg. Sills -Anchors -Stud ftrs-r.
idi g; Nailing -Veneer -Stucco -Mesh
0
1
12.
0 Shthg-Roofing
xt.; Steps -Doors -Landings
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Date
Card 13-1. • Date Card B-1
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date • -Card B-1
Date
Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES'- BUILDING DIVISION
e _ , f7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) xt,x°i APPLICATION AND PERMIT.€
AS SESSOR PARCEL NUMBER
071- M- 10
ZONING
BUILDINGPERMIT
OWNER
A,r
TELEPHONE
�'
SO. FT. OCC. BUILDING VALUATION
�t�� r�
r OWNER'S MAILING ADDRESS ,.
nit V
_ _
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTORS MAILING ADDRESS
• L1
R Q !D5:1_2
__..
CONSTRUCTIONLENDEA
LENDERS MAILING ADDRESS -
[Fireplace
otal Valuation $ 7920.OU
ARCHITECT OR ENGINEER LICENSE NO.
-
♦+-ARCHITECT OR ENGINEERS MAILING ADDRESS
Fllin Fee
$ 20.00
Permit Fee
$99.00
Plan Checking Fee
$23.00
BUILDING ADDRESS
MIDDLE
Energy Plan Checking Fee
$
PERMIT FEE
$ 142.00
LOT NO.
SUBDIVISION'S NAME
'
PARCEL MAP
PLUMBING PERMIT
Fling fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
- SPECIFY
Each Trap
"'7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.010
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _GMAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and. Professions Code,
and my license is,in ful .force and effect.
/ /�
License Class t ` �,% Lic. No. S�/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
'J❑ I, as owner of the property, or my employees with wages as their sole compensation,
f 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 oflthe,Labor..,Code, for the
performance of the work for which this permit is issued. �r
❑ 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 worker'compensation insurance carrier and policy number are:
Carrier "'" / I -/
Main Service noon To ,000A
46.00
NEW CONST. DW
.EWNG OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
SO .{
3.50FT. 1.5.30
NEW CONST. MULTI -OUTLET
NON -REBID. BRANCH CIRCUITS
@7.50
'POWER APPARATUS
8 SIN°LE OUrLE7 CIR.
Ex. Occup. OUTLET OR FIXTURES
20 g� ,.00
BAL o .50
Ex. Occup. OFIXUTiFrs A� °.°
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
•
$ 35.40
MECHANICAL PERMIT
Filing Fee 20.00
Heating
_
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number O, 'S"..' .:.�
(The above sections need be completed if the permit'is for work of a valuation
of one hundred dollars ($100) or less.)00
❑ 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'A2.
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.
a� 1 ��
X Date f ,.� _
S gri�mtL7re of Applicant - ❑ O,,w��ner p�Contractor ❑ Agent/ /
LAn 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 $
CO T. TOTAL FEE $177.40
' D. FEES IMP FLOOD
CDF
PARCEL
,,.�,,..
PD
HD Ut
This permit is hereby issued under
of the Butte County Code and/or
indicated above for hich fees have
By �9Date
EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
--�
G./i Igv
/
Dale •
Receipt No. 353949 $218.70PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR r'� GOLDENROD -APPLICANT
3
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75RER�T NO.
(Rev. 12/96) . APPLICATION AND PERMIT ��=�-
ASSESSOR PARCEL NUMBER
.4
ZONING
BUILDING PERMIT
OWNER
14
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
187 /920.00
. OWNERS MAIUNG ADDRESS
CONTRACTOR'S NAMELEPHONE
=42-26-9-4
CONTRACTORS MAILING ADDRESS
13468 LAJ5Z 99 E.) CHiW7 CA 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 7920.00
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$99.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$23.00
BUILOIN AyoR MIDDLE FORK IN, DROVITIE
Energy Plan Checking Fee
$
PERMIT FEE
$ 142.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
0OR LE
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license i fUI � e and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 To
46.00
CCU000A
WEE200A
NEW CONST. DWEWNG OCC.
OR ADDNS. & ACC. BIDS.
SO
3.5¢Fr. 15.40
T.
NOON-RESID MULTI -OUTLET
97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU . OUTLET OR FIXTURES
.50
BAL @ I
Ex. Occup. oFIx�LEED�ARa oEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers,': ens on insu1knce carri r and policy number are:
Carrier GGA 1
Policy Number
(The above sections need not be competed 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 f I should become subject to the
workers' compensatio provisions of section 3700 of the Labor Code, I shall
forthwith comply with ose provisions.
la
Date l/
eofApplicant❑Oerr ❑Agent permit is required for xcavations over 5'0" deep and demolition or construction
OStHA
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
PE
t<A1 TOTAL FEE $177.40
!.A D. FEES IMP FLOOD COF PARCEL PD HD__
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for hich ees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date /4�v
�/OV
0.4
ReceiptNo. 363949 $218-70
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
ERMIT APPLICATION DATA SHEET
OWNER: b(5'* 1 " / V1 1 � ` ASSESSOR PARCEL NUMBER Uy LJ
Proposed Building Use: �C \ ' �^ Y c
Items required in order to apply for 4ermit.
-• Counter Technician: Date:
jes MUST be checked OR m r ied NA in order to apply.
. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
9. Plot plan and business license approval from the City of Biggs ....................................
Letter of intent for non-residential buildings......................................................:..
Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
tStatement of Intent for Non -heated and A/C Buildings .................................. . ..........
Sanitation and plot plan approval from the Environmental Health Department in ��� I 0
16.
17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ......................
— '"0 `19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the ab ve items andrequirements for obtaining a building permit.
�
Applicant: Date: `W5C
m
1. Ind permit application for lie above items numbered: Plan Check Letter
2. Ad 'fional items required
Q—Designer, owner, was advised c the above data by phone, mail, ❑counter, by ate: 7e Z
ractor, esigner, on , was advised of the above data by ❑ phone, ❑ mail, ❑ counter by _[L.� Date: /Al /
Plans reviewed by: Date: l0 2Z c .� Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Buildine Division
Department of Development Services
Building Division
• 7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for• residential use. Exception: Garages and Carports.
Owner:
Mailing Address U Xogx , - 2
Site Address:
Phone:
Assessor's Parcel Number: Zone:
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 -of
this form.
A15 ap IJ -4
for-
ur
GENERAL
GENERAL INFORMATION:
�e1 r•+
1. Is there a primary dwelling on the property?
Yes ❑
No
2. Is the structure already built, under construction, or under notice of code violation?
Yes ❑
No
3. Will items produced in this building be offered for sale?
Yes ❑
No
4. Will the public have access to this building?
Yes ❑
No
5. Will any advertising, on or off site, be associated with the use of this building?
Yes ❑
No
SITE CONDITIONS:
6. Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes ❑
No
7. Is any portion of the structure located closer than 20' to your front property line?
Yes ❑
No
8. Do you plan to add a driveway or modify existing access to a county maintained road?
Yes ❑
No
9. 'Will the proposed structure encroach within any recorded easement?
Yes ❑
No
CONSTRUCTION FEATURES:
10. Will this building have insulated floor, walls, or ceiling?
Yes ❑
No
11. Will this building be heated or cooled?
Yes ❑
No
12. Will this building have a water closet/toilet?
Yes ❑
No
13. Will this building have a sink?
Yes ❑
No
14. Will this building have a water heater?
Yes ❑
No
15. What type of floor covering will the'building hale?
• �L�'lli� tivL
16. What type of wall covering will the building have?
OVER
1 of 2
PROPOSED USE: (check only one box)
I. ❑ Residential Storage Shed — I will be storing in this building and it will
not used for any other purpose (no bathroom and no heating or cooling).
2. Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by
exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept." A garage door is required.
3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport.
If you checked #4, please check the uses below which best fit this building.
❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-lawuarters
El Recreation Room [I Game Room q
El Bonus Room Study ❑Library
❑ Playroom ❑ Den ❑ Studio
❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room
❑ Private Office ❑ Workshop I ❑ Home Occupancy Z ❑ Other.— Use =
1. Describe type or Workshop
I Must be approved by the Butte County Plamting Division.
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question
number before the explanation.
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearby affirm. under penalty of perjury that the above information is true and correct. I understand that any changes
to the use, or character of use, of this building will r e permits from the permitting authority. I understand that
Real Estate Disclosure laws require disclosure s information if or when the property is offered for sale.
Owner's Name: Please Print VA/AZ x-41;11 /i`.���'!� s�✓��/7
Owner's Signature: Date:
2 of 2
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: SkycreSt Enterprises
ADDRESS: 13468 Hwy. 99
IMPORTANT:
CITY & STATE: Chico, CA 95973 SEE INSTRUCTIONS
ON REVERSE SIDE
DATE OF CLAIM: 2/13/2003
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
Refund:
pP
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO A'
e Over charged
No.:
02-2829
Receipt No.:
363949
Owner's Name:
Wayman Haliburton
Building Permit Filing Fees:
Plumbing Permit Filing Fees:
Electrical Permit Filing Fees:
Mechanical Permit Filing Fees:
II. the
AP No: 071-400-010
Recei
pt Date: 2/3/03 Bldg Permit Fees:
TOTAL FEES PAID:
TOTAL FEES RETAINED (Breakdown Below):
Plan Checking Fee:
Energy Plan Checking Fee:
Refund Processing Fee:
Inspection Fee:
SRA Fee:
> or articles claimed have been Derformed or delivered. and ti
AMOUNT
$177.40
$136.10
1 $41.30
true and correct as stated
Dated this day of , 2003, at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a
Budget Appropriation or Specific Board Approval (Check one) for the same.
Dated this
day of , 2003, at _Oroville Calif.
Department Head or Authorized Deputy
Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND
Dept. Code Exp. Code PAYABLE FROM FUND
Dept. Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. I INV. NO. I INV. DATE I ENCUMB GROSS AMT.
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HC)M E Sf M N oTdS / • /' V N 1 T ' , ' / ' '• x x x ','t• 1. ne'silrp loads: •gam• 'w Lsad: 20.30 P.S.F.,
/ ; �F cxcutis : • . J i N Roof 1Aad: 10P.S.F. .
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•,. ' �r ' , ..• •, j •. I rsoting 4a1i'be ph on fm» tuid,sturbed soil or soaq►astli ssuinset+iii !elf. Ma.; 84D issip
,•'r/ i .• f / �' r 101;A'GE SIMPSON NPAV 22 HOLOOWPS � • boodnSprtwalwof 1000 �P .•- •. ;
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minirouen of 2000 !S1 btwkin= strsadth at 28 dsys. .. .
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- d • , .• / , / / 1 4. . i4 Dons. $npan:ion snciiohr msy bs used at occaalonal PtMr inak iastsad sf A.S.
q LONG PAID • ' / . • �' t �/' • / '�/ /.71� o/e• �� (S•abjist t3 Arprovat of lwsal Enfolrcement A=easy)0.
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Pkf> t~ R 20 P5 •.,• ...i . S. All co.utnction diaU by �n accltrdancs with t,haptsi 23.1994 UBS
_ '.� ' ,; ,� .y / j ' / /f / s �•• • ' 6 • Nsilia�:tiir'll aoafotm to sib- ' of the(• calsis otherwi h'owa.sraa:
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3:' �. /..,, r /• / Z`f � F� A T • 'The Interior face of dwismage wall stjswnt to **,=fje .'tioms dull bs shneW with mWwum
of rJit • st b�o*4 nailed �Vuh dd soder tacit t - _
- _ VAKI" tr•S - _ - - , _ _ . _ . - - - tYRc x a'i: � ;: a 4 cs. an:f at all e�dis, . At? shall - -
'2 COM'T _._..._ u 4 it ,k d It 1. R,� b4r. .- , .
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M GAVS StOL MrN• S. Wall •adjswnt •to the mf d• home #ball not have any opsninp, excspi s. deer. TDs +door shelf be, V
of
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frtao'r+NL•t5 6AEMr: poolcs
/'� / ./•• , • • •1 . " . 9• !lash lnstatlation shatf ti s'at •idsntifisatios tot» W61,66 alms cid address of
• plan number and desioMad� ' • ' ' ..
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QARA!QE "���� F�AN t.OGdTL� ATOPeQ51T� NALtto A r'rvate.•tarmdsmy 'lcated iamedably�djaatts'dismfddHomsifqn1nNlosf s_.• [.r,l �
,i, pnlN wall iajacent to t mfk% hams i coiiitnWd'of mstW*1s spprs wd for onahoar 6*-MWV4
��11 r I'. Aft c"aftwoon• if then am 4s p 1b die nod. bewall adjacent to the pos=e wi11, & minimum of em� � • .,.�
fist separation :ball be m fined. A minimum of mix first sspustion shsli bi niatnbined Iiit the. ,
• mfed. Moms and a•pdvsts daragi which does iot aieet'ths mWim rents for one-hour ' 'vs
1 tl 2 x �'S ; • , p cauanlction.` A tlut�s•foot aration siu l.bo m;lilusined frodi oprivals par sad.uty lot duce which dons
A.P•A. R1+'tf'p �H r;x N J PRE FA B IK05505 PhY�JD. ROiOt= h10'TCFI TOP P1.1!+'f E t +' a I Z not border om a ioidway. E Nt7Pt l l; i � • X1.1
e5ep. 32/14 NIA1� �Y/d l e IV OR t4'r O.G. 2 A. P. RA''ow �H�I,'f a a -'-�• PfC'�P'�>OCp YRVSSds
O F Gf3t. PLA•rE y E�tP. i 3 j G N N L v/ / to j �- 11.One-hour firi4wl w action be: SW type "X" gyp• bd. spplW to dw int#dw fans of duilva�J;
&"40.41 Eo E t2'' o.�. Ft �W BxleG,M R'J►f'ftsR M„ 11 M
of o owTL�Ko� G o. �. ut�>~ y• iZ a.G. t'I�t,p •�
. 3. t b d s law with G•1 C44M narb 7" ss., +111 ed=is blocked, all joint taped. or Ill" gyp• • A sbss%4applied
' to tI o anterior cd of t1u aq_, gaited with 64 sooler naiU it td ex and owrlsid with mat. 3/4" sacterior
cvMPoS�•fION SW + Lliy ,,•-- DG'rJltl. r i .M
sidinS needed ae ahorm
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ROOF RMTER FRAMING MEMBERS AND sxsir
jj
• 0VL5RHANh PREFABRICATED TRUSS CALCULATIONS AND SPACINGS SHOWN TO BB USED FOR ALL
o DETAB.S SHALL BE ON SI'.l'B AT THE TIME GARAGE WIDTHS: 20' TO 24' MAXnVIUM
• A I L E N zall T LOOKER Pf5 jkl L CROSS St. ,, f I ow, kk of TIS FRAMONG WSPECTION oo , .
• NOT • -rO 640 L >✓ �GAt,.ar' �jt " =t -� �•i*e -.--. ......_._._._. 4�' it 1..oN AL�.7: 44 055 -S�'i io N a R
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