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LAND DEVELOPMENT SHEET 69iD TT PERMIT#96-2577 BARNES, Wellman 2390 Lumpkin Rd., Feather Fal Mobilehome Utilities 11'311 ELECTRIC 4 Lr pis e. h� GAS LINE 5 �i 3111 lj� _- COMPACTION TEST REQ y D SUPPORT STRUCT REQ h U @ii-05 677PERMIT#97-0812 BARNES, Wellman 2390 Lumpkin Rd.', Feather Fal , Mobilehome Installation3�y I 12- 5 RESIDENTIAL 971-050-077 PtRMIT#96-2577 'BARNES, Wellman 2390 Lumpkin Rd., Feather Falls 1, Mobilehome Utilities 411 f AOB FINALED (Date) i -- (Signature III COUNTY OF BUTTE is BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891.-2751 7 County Center Drive,,Oroville, CA - (916)' 538-7541 747 Elliott Road, Para9se, CA - (916),872-6307 CORRECTION NOTICE 160, OWNER ! f PERMIT NO. w WA routinesinspection indicates that the following violations of Butte County Ordinances exist at the above=address and should'be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, "please contact this office immediately. } Date /G Inspector , REV 10 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Rumboldf Road, Chico, CA - (916). 891-2751 7 County Center Drive, Oroville, CA - (916)-538-7541 747 Elliott Road, Paradise, CA - (916)'872=6307 CORRECTION NOTICE " OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete¢'. If you have any questions pertaining to this matter, or need additional explanation, please coact this office immediately. Date 5--9- 91 Inspector f 14 653e REV 10/92 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: �] PERMIT NO.: Owners: ( I Name: 1 %a,,� e- t l Nv 16 4- r r✓ Fv Owners: / Address: 3 90 � � •-V41lr ; A -K C) ro t/ • l' � Mobilehome Year of Manufacturer iyv1 d r i e n -•./ Manufacture: j 4' Serial number Insignia or / B or V.I.N. U-1 4/ — 3 3 a —I HUD number: b o k 1 `^i t Official approving installation: Date: 9-7 If the mobilehome is moved relocated, the mobilehome installation acceptance shall become invalid. 'This form shall not be used when the mobilehome is installed on a foundation system. 5136 White -Owner. Yellow -Installer, Pink -Bldg., Gold -Assessor a�� , • w Al 011r'� t 1 M '� h�1TS-Mgld ANCi S r 14C. TIM 692 �w-as�ss� is rs wean. Ina. NYAftJ'TY•7lM� A]tCyiON�i INO. Efi0lilmyElED '1' � D0118iA state of California 9PA No. 8.T.9. 119 x certify that I have insttlled Eh4i' Minute, lean Anchors, In®., anchoring systeR ;as per the inttallation instxuolotene. z have,, Mido no Modifications to the anchoring system ose to the building structure, company Nexe s' Contractors tt se Nos • lsr�� signaturs • 4 b NQS 11tl®It YYillrtr �ir®ot • j%tt lilt Rock, Horth Ciorellos 25726 'Eeiapbor+a 6i V =OK ' O = Not OK Not • = NotRepady MOBILE HOMES Requirements - Setbacks - Easements pecsal MH Support Sketch L,pcation-Test-Fall�C/O-Concrete Location.Clearances-Gmd-/ Jon -Test -Wrap; / ^:ft. (a^ell Clearance & Disconnect _ MISCELLANEOUS I I Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s t 1. Zoning Requirements -Setbacks -Easements M �nry �.ianrninx ! Da /&//, Card B- Date Card B-1 Date Card B- Date Card B-1 Date MOBIL OME.INSTALLATION Plans OK except #'s i tefoni equirements- Setbacks Easements ti s; SizeSpacing-Marriage Line 47,66 Der;WrdA1Ah9ZonqWAer h9Zon e ectricity; MH Test -Crossovers -Breakers -Clearances 1 Test -Fall -Flex Connector' 4. ater• H Test -Regulator -Connector A-ITaXand Sewer Connected -C/O to Grade -HD Approval as_2pd Electricity Tagged t9. ee Dow -Type-Installation Cert. Insp.-Sketch i Lly2ert of Occupancy Date 4�cf7 Card B-1 / :7,Date Card B-1 l Datej—/3—7 Card B-1 Date Card B-1 E W'a, � VA U N L4 pQ''a- - A-A"e G o=N - a IC71 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 V = No OK RESIDENTIAL (Single & Duplex) - = Not,&p licable P Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / PFtg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 49. 4. Ftg. Porches & Decks; SoilsSteel-/ P' Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card E-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes p No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underffr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1 t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville,,California 95965•- Telephone (916) 538-7541��1��0�� APPLICATION AND PERMIT 2yMc u Z°') p-10 BUILDINGPERMIT `Lh1AN BARNES T"132 SO. FT. OCC. BUILDING VALUATI OPN16S nM 182rESS FEATHER FALLS CONTRACTOR'S NAME4 OWNRFR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE 4300 S ' PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ] Other ❑ Describe Work: (OKAY PER STEVE LUCAS FOR OLDER MH) Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service50aV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division. 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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 NEW CONST. DWELLING OCCUR OR ( &ACC. BLAS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. (oFII ELETS RES APPLNS..OR EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) JO I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. 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 hw' comply with those provisions. / X 9 > �Q Date�� �� �10 Z S' nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43.00 D. FEE I F P HD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY 14A PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. 7 Date (Date) rR,ceiptNo. HITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCELUMB ,7 f ZONING _ M BUILDINGPERMIT OWNER N r TELEPHONE SO. FT. OCC. BUILDING VALUATION 77r=4, Qfa4 �'Q VST V\ELEPHONE RACTOWS NAME CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENCER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (_0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describ Work: Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service EOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. 3.5¢ FT. CNS. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 tsnl so FIXED \ Ex. Occup. ( OUTLETS(RES D.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities _ 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 3. HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under t!Le of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. �aTD`q WHITE-D.O.S.-B.O. CANARYIASSESSOR PINK -INSPECTOR GOLDEN 800 -APPLICANT ..j�.�,,..r,,...w..,r.,•,�,i."rYi:•N'+"'i•r+r^-.' �-.+y;y:�iiv^1:f".;+�� ��">"i�.'��Yr+u�''w `�'�h.�'.,:�'i,:..r �t � � ��`} .,..' ;y, _. ,� � BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM . (One Form Per Budding) School District -0 ODV IB iiu ldld ng Department No. AP. Number (`j'1 j -pSp Q7% Jurisdiction:/ 'City County Property Owner VIM CLIN S Property Location/Address Subdivison Lot No. Residential Development I No. of Living MHI Units /09- ooa -14 0 Sq. Footage,c; aa- Addition (Group R) Commercial/Industrial 0-, 0 Sq. Footage •� .� New Addition (Including Exterior ii Ro fed Areas) ilding Department ep esentative ADate (Floor Plans reviewed by School District Personnel) i D'' 'ct Identification Flo. 970135 _4 U16 chool`District certifies thati'I2Q/fi J (Applicant) (Street Addre-) V U (Phone Number) 4 (City) (State) (Zip Code) has complied with the requirements of Resolution No. & by payment of $ /§/0? representing 8 square feet. As 2926 $ ` FULL MITIGATION $ School District Representative Date Q Paid by Check # Remarks: / Bank Number Paid by Cash 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 the school district's schools. White (applicant), Yellow (building department), Pink (school district) leeiormmk, (11/94)amm ww,•...W4ihW�-•e.G��`lA(+n-:�;""(%+c�;r+�t'QF,�."'�ir�S::f1.�''�+a:t�'?I'4"�!i T:��ls��. ,, `. , ryapw►r+Y7w..'.�i.�5.+++»....,vY-1aw-w,�t+�%-.^'"r.. Y'ti. "rtit«-:.:rti .i,AJ::=- �...� COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 Viw, OWNER Proposed Building Use PERMITAPPLICATION DATASHEET I-13 _A-d4PNo 7I -o o / Date Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: z DATE RECEIVED BY 1. All items have been submitted. �...... . 2. Plot plans, 3/4 sets, signed by preparer of plans ........................... / 3. Complete plans, 3/4 sets, signed by preparer of plans. ...... 4. Engineered plans and 8-alcs;:3/4 sets, with wet signature on plans. .... 5. Hazardous Material Form. ................... ... . 6. Energy Design Compliance and supporting.,`documentation. .......... „ ..... . 7. Statement of Intent for Non -Heated and A/C Buildings. 8. -Engineered truss'details and layout in duplicate (required prior to plan ch ck). . 9. Mobilehome tt�� an anufacturer`s installation instructions, 2 sets. 10. Fees of . ..... I'; {{ Q ........ 11. Impact fees as shown on attached scle hedus!•-'!`^'!�\....... b... 12. California Department of Forestry plan.approval/fees............: . 13. Flood elevation letter (100 year food) by, California Engineer. .....:..%........ . �-+ 14. Sanitation and plot plan approval Health Department. ` `:.`........ 15. City,of Chico plumbing permit . ............ ... ....... 16. Plot -plan and business license approval from City of Biggs/Gridley. ............. f 17. Planning approval for (A) Use: (B) Parking: ... 18,NContact Land Development,about (A) Improvements a•(B.),Diainagg 19; Driveway permit (construction approval required'p(ior to occupancy)#).. . j Y' "'d' r} ' Preanspecfion requ - 20. Pre -inspection for 4 W. �.--t~ t% hrequired. . .toBuildingInspector (Date) 21. Contractor's license information..(No., Name SCyle, Classific'ationrl.............. 22. Certificate of Workmans Compensation Insurance . ........................ . 23. Owner -Builder Yerification (Given to owner _", Mail,to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . . .............. . 25. Letter of signature authorization. ...`.. ` 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . . 27. Letter of intent on building use. . . 28. Mobilehome utility clearance . ........................................ . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ...... '................................................. 33. 34. i When you issue the )erm'L process as follows:'It to ova Mail to contractor. r' Telephone-'Dr�and hold'for pickup at 5 1 office. Deliver with inspector. Other Parcel Creation _J V Acreage ` Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date +- Plans checked by Date Plans approved by 70� Date dl,�✓ 1`7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE 1 REC. SCHOOL DISTRICT FEES DOD (paid at District Office) A.P. # — ©SC DATE t # DATE REC 2. SHERIFF FEES (paid at Building Division) Residential...... x = $ D • dD 9n-;!1 0Q unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq. ft. amt. 4.- RECREATION DISTRICT FEES" (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK -- $89.00 (paid at Building Division)lP 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE O.B.- I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return. this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ' 1. I personally pVrty o provide the major la�ior and materials for construction of the proposed proimprovement : YES[ NO ]. 2. I HAVE[V] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated. NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 199; 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and"you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks* for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 COUNTY OF BUTTE -DEPARTMENT IIF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754/ _ PERMIT NO. APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER 071-050-077 ZONING FR10 BUILDINGPERMIT OWNER WELLNiAN BARNES TEL q�e 0983 3 SO. FT. OCC. BUILDING VALUATION L 1' OWNERS MAILING ADDRESS p0 BOX 84 FEATHER FALLS s CONTRACTOR'S NAME OVV IVER 1V 1� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 93 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING R s LUi`'1PZIN RD PERMITFEE $ r EATIER FALLS PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X3 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer _FqG 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities d Installation ❑ Other ❑ Describe Work: Mobile Home @20.00 00 .40 PERMITFEE $ 0.60 Contractor ELECTRICAL PERMIT Filina Fee 20:00 R LESS Main Service ( 200VA OR LESS ) 200A O 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ 3700 of the Labor Code, for the performance of work for which this permit is issued. Carrier 1 have and will maintain workers' compensation insurance, as required by Section My workers' compensation insurance carrier and policy number are: NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BUDS. ( ) So. 3.50 FT.NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. FIXED PPLNS. OR PES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those provisions. Date�: / 2- & gnature of Applicant - I0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE I TOTAL FEE $ 14,6.00 HAZ. D. FEES IM FLOOD MPD HD SSU This permit is hereby issued under the of the Butte County Code and/or Indic e v f r which fees have B _ — ` PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. %� Z S G� Date 7 h/Z 5/17 (Date) Receipt No. 206758 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I, A -S COUNTYOF BUTTE - DEPARTMEWOF "'DEVELOPMENT SERVICES - BUILDING DIVISION 114 k'4,TCOUNTY CENTER DRIVE - OROVILL CALIFORNIA 95965 -TELEPHONE (916) 538-7541 RMIT APOLICATION DATA SHEET OWNER 01-050,-0:77 Proposed Building Use Building lnspe�&V_ A AP Date At time of permit application, 1'%yas advised the following data must be submitted prior to permit'processing and/or issuance: DATE RECEIVED BY 1. All items have been'submitted . ........................................ 2. Plot plans, 3/4 seti,'�igned by preparer of plans . .......................... 3. Complete plans, 3/4 i6&, signed by preparer of plans . ...................... 4. '+Ics, 3/4 sets, with wet signature on plans . ............. Engineered plans and ca 5. Hazardous Material Form:N� .......................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation in-structions, 2 sets . ........... 10. Fees of zb ........... 11 Lmnact fees as shown on attached schedule. Ca�lifornia Department of Forestry,plan approval es 13. Flood elevation letter (100 yea*r f*lo* o* d')* by* Ca*1if*ornqiangi*neer.� ............... 14. Sanitation and plot plan approval Health Department . ............ 15. City�of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. .17. Planning approva*l for (A) Use: (B) Parking: . ......... 'Contact,.Land Development,a bout (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. to Building Inspector Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ,1`22. Certificate of Workmans Compensation Insurance . ............................ 23. Owner -Builder Verification (Given to owner Mail to o"wrier ............ XVI -4 24, -.Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27. Letter of intent 6n building use . ......................................... 28. Mobilehome utility clearance . ............... * * * * * ....................... 29. Documentation of legal access . ..................... ; .................. 30., Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list / ......... 33. Ar ....... -- 34 WVou issue the?%it ess as follows: MaiLto owner Mail to contractor. Telephone blff- and.h,old for Ickup at UrM I office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By The following data must be submitted prior to parmit issuance- (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by — Date Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by — Date Plans checked by Date Plans approved by Date _t J-?_r�j a Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE:. Driveway Clearance owner location _Z�a - o AP # Driveway permit �`l 57� '�' has been issued for the above property. Itl lZ si ature Idate TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance Plan Approved for: Sewag Clearance for dwello Hold final for: Final clearance O.K. for: NOTE: E.H. USE ONLY Plot Plan Attached Floor Plan Atth d ac Sent to B.D. l tocation ' Environmental Health Specialist Date 8/96 COUNTY OF BUTTE- DEPARTMENT OF,DEVEL-OPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 05� - 0 ZON1NO�e D BUILDING PERMIT OWNER TELEPHONE 3- SO. FT. OCC. BUILDING VALUATION NERSADORES CONTRACTOR'S NAME TELEPHONE ONTRACTOR'S MAULING ADDRESS _ - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS Q .� PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARtIEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomek — Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSo. OR ADDNS. ( a ACC. BLDS. ) 3.5¢ FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 RAL FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 LM Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ .Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES I IMP I FLOoo 1 CDF PARC PD HO ISSUE This permit is'hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) sii-n7 ReceiptNo. WHITE-D.O.S� AR -ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT .-8t. C 96-704281 1 Rec Fee 6.00 _ 1 COP 1.00 Recorded 1 Cash 7.00 Official Records I County of I And when recorded mail to: Butte I Building Division Candace J. Grubbs I #7 County Center Drive. Recorder I Oroville, Ca. 95965 11: 16am 12 -Nov -96 I PUBL XX 1 AGRICULTURAL STATEMENT- OF ACKNOWLEDGMENT - FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 2, 1976, IN BOOK 55 OF MAPS, AT PAGE(S) 63. Date: NOVEMBER 12, 1996 PROPERTY OWNERS: State of California County of BUTTE On NOVEMBER 12, 1W6re me, PENNY C. ENGLAND personally appeared WELLMAN -T. BARNES FAITH C. CRUZ personally {mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknuwledeed to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their sibnature(s) oa 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. P�>YC ENGIA ^ eco ;n;lo;, 10791rC ';.���� �'I Signaturi_ 4 ' ( . - ,� _ �' eal: WIN ccw-�y n WCOira nE�F� C[C 3. t44� . 91 A.P.# (')-7 �C- `. -- - Ki7cF�7 FRM r, co A4Pi'PRbVEb FBotte C6Un+IJIth iOnviron�ehtjl ' Y LAND DEVELOPMENT ��rt�i-ai?=:•ars . - .. BUILDING / - PERMIT=CLEARANCE euflagiy PeermitNo. _-- ..aY" OWNERS_. SiogS tlG�aSUnu a0A:P.novx bbr, eo watt rfns . tiof i nnFsF ilirsi i4 R ` NAME: CYiL.l7P L�1/i%LC�1 �co'�S7�el [?" . � ttA.�►. MXT LABT NAMS FRMT • • , ?:txtxrAa t., +vtrlxlcT r.>�otinU td 1t0 *.I %rl)*tit. of b4f7 rt7 4V f rt't 40- sCOUNTYrZONIN i1 tw rri = V 4 pi x�ur,Zrtoa t+tf Il rf� ,►, Apt, s.,.i zn:�. �,�.,pr O U tr , DESIGNATION• I- 2 1;0� �° MS7zVn FLOOD.ZONE:- .... •. -••. _.___ _ .fl.�d TFLOOD MAP:' (3 4'lb'�ifli%%ri dY.tL V•c+- +`yew -. .o tx7llSbil43 IYi1tl'liitlt s.+� ate. APPROVED: CONDITIONALLY APPROVED:y RESOLVE PROBLEMS PRIOR TO APPROVZ-1111- .r .vc:+v t�qu . 7Q rnEt drTIJ03 911:.6 0111 till b--1gLh& nasst avr2rf 8P�' • tt tyiC+k+•d PARCEL CREATION BY DEEDS OR MAP _ DEED INFORMATION:r 1 .8»9: nC::Is 11 m 1Z50f:'., 7.7(R+_Z yGS ..'C t jX.-- "DATE OF CREATION ' :9SQf rt-) }.% DEED REFERENCE: vit..•.E.p {j. N'0171gtyMV. jT A .� I•.,Mi LEGAL ACCESS PROVIDED: YES ' NO LEGAL ACCESS REQUIRED: ^ 4YES Yti11e60 NO ^ e.t.itoidt).3 �frf7 i.4 efns e�9u lat notaairts est; ]"tt" O br nhlxb brim bet of fl AQ1 COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION:q YES'' 'NO'�alsal.sr.volzc+lf.fit .+vwMI �>;i'SSer 10ZAdA •wrV�� `? i,y r. ... COMMENTS/CONDITIONS: }rl„Gy +Jiiw S. ssst�t.r:.... ..: +.....•{ , MM .V M.w-ovwVa01 a)iujiw yne 11 :Os BJiE W7 EE3?ZS 03,5;& ed nedi Ht;ow W,2i0q 2istT .7gigDlo;arfaiS isnoia?sloiq is 411 !illi. erl7 �O noflarimax9 rtib+tgQ ' ..-•+•••e•+�t.y•• .tib,Ltait. LUAU 5.^.=1t�0fTtr1ll$. . MAP INFORMATION:.. DATE OF RECORDING /yAgeN 2, /97C LOT 4 BOOK s"s PAGE 3 -•-COMPLIANCE.WITH OLD,SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT,'" PAGE 23): YES ✓ NO.. IF YES, MARK `APPROPRIATE'ITEMIS) -BELOW: -- ------ _ , . A. Construct road to ~~ _ B Meet parcel size eiquired by zone. -----C.— Meet current E.H.D.. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO'MAP:— ALL'FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building `se$iack-from centerline of road. - ---- --- --- - . _ X 2. Maintain a 15_ ft. building setback from right-of-way/cer;lEeAne of Lvr�/ti.v ,�UA-D _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. - - 5. Maintain a ft.-le'achfield setback from - — _ 6.+ Pay water tender fees in the amount of $ ' - -" to Battalion Number of the Butte County Fire Department. X 7. Meet the Fire Safe Regulations of Butte County and P.R.C.-4290.-- - --- - -- - _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ • _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) �-..i i Irk **•^-. U.F3 �.r3Q C'r�.il. , , • . • - —" 13: Obtain approval from the'Department 6-f*Fish and:Game'for;,vegetationiremo�vra�.; Conga i fj Ra�t,916-355-7010:."w'# _ 14. A traffic mitigation fee for each new or additional, living unit shall be paid. Pay the amount of $ as stated,. in the Oroville Area =Traffic•Mitigation,Fee Agreement. Payment to bs nodsLhs „lt13�4t'Y{7,' " 4, to 15. All new, residential buildings shall be constructed to comply with the requirements of the Uniform Building code forI --t Imic safety -Mobile homes shall be constructed on.a.permanent .foundation system which,complies,with the See mikc Zo requirements. ;of. the rUnnif army it J Code. _ 16. Deer Mitigation fees are to be, paid if�such �fees have been adoptedbythe Butte County Board of'Supervisors. ��33..0 ASP) n- Z".1A9 X 17. Pay school impact mitigation fees. �'-CIT�••'..�'G�. r33fl 18. A development impact fee for sheriff facilities shall be paid pursuant to the,provisions of Chapter 3, Article II of�the Butte' : Y t}LS County Code. V33R3UO3A i.r4', :DAIAu ! t�i9 :...�...,;,;; 3Y ,; ,.03G1'1C: Z43D✓A �nP r t . 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the Californi9 p z.., ,� G.1Y. �.: ,,,.. :14UiTA3AD 034 tt04 2c;fA4%1A-r,' AUC 1 #Tf�11/ 2 I i9Ml� ' �`�1 Clean Air Act of 1988 as amended: _ 20. If any cultu—rai'Y sources-are'encountered during ground -disturbing. activities,.all work shall cease.in the area ofithe nod :1 pending examination of the site by a professional archaeologist. This person would then be able to assess the site b significance and suggest -appropriate mitigation measures.-----------___ _ �•� >', 21. Aec&ws oyyx 3sCe1-cJ s s��✓,✓ oy✓ .A-r,*i>-11AIX1//7WIf (' 6,r- .9 ms.Di 1 t ���^n •�'� -. .iS '� i t� •'.i�1 �' -^i.� •. r. n s 17 n� srfZ2- TA 2riANI 10 Cr ;MS OT ROU19 030KI-099AM) SQ3MUOaq � £3 TQ1 _ 22. ... 'Y.aa :let 5t'?A9 t1i]tlfr}=,� r _... �„ „a +ur••:a,e iaoTtsq fy7ivt ... F A _ 24. 25. 26. 'Na 1N3Wd013A30 4NYI 311(18 30 AN= 966 9 0 100 a3A1333a - Ya " r• , -, •,. .r• , , LD 7/96 CAW P51 �FORMS.KkSLDGPERM.CLR O.B.- I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the proposed improvement provement 2. I HAVE[VHAVE NOT[_ proposed work. 3. I have contracted with the construction: major labor and materials for construction of the YES [1,1' NO[ ]. signed an application for a building permit for the following person (firm) to provide 'the proposed NAME: ADDRESS: Com: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: % % DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1991 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project,_ and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and'you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of.Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 �a 0 APPROVEDr n Zr Butte County `o 'd n 8.0 Environmental Halth O g � ---14OX�' �sr- m O Signature Co Cn-in b . U C Y _ V rn m (3 V) L REVIEWED BY V BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY g' c I [] approved as submitted _ ' ! Erj approved with conditions per attach'ild sheet. W I6 M ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF ?V FT. FROM THE SIDE AND �U FT. FROM THE REAR PROPERTY a !N[-.,:; AND FT. FROM, THE ROA© CENTERLINE SHALL BE CLEAN OF STRUCTURES AND EIQUIPNiENT EXCEPT fORA 2 FT. EAVE OVERHANG. e J4 7 / -0S-72 AP# CDF FIRE SAFE REQUIREMENTS 9� -2--S-77 Nis GUZLLIYVI� PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space -provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards �] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-_,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.' [p] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [Y] 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�(] 2. The length of vertical. -curves in roadways exclusive II of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�(J 1273.05 Turnarounds. If required, will have a minimum turning I radius of 40 feet from the center of the road. [Yj 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 II feet long with a minimum 25 foot taper on each end. 0 1270.10 Width. All driveways shall provide a traffic lane and unobstructed vertical feet along its entire length. BIJVE COUP ' Ww 8WLDMG 1. jkqpRo� E minimum 10 foot clearance of 15 Page 1 of . 3. , 1 AP # el� -ZSR -2 W E-u.�,J PERMIT if NAME -[X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than .the roadway it serves. [�(] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. ,Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [x] 1. All parcels 1 acre arid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ ] 2: For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. {�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel •modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 BUTTE COUNTY BU1L,D#jG DEPARM-W APPFt' VED 7 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: .mss ��cJ NAME 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 BUTTE COUNTY BLoLDW., DEPAR'TMEW APpROED M.H.I.- 2 Mobilehome Manufacturer: F�9/!% Manufacture Year:!n � If other than single wide, furnish Setup Model Number: Width:, /D (ft.) Length: c (ft.) Tagalong or Expando Size /6 (ft.) x�(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treat;d or foundation grade[ti] er: SUPPORTS: Concrete block[�J�Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location Line 1 Line 2 Line 2 Line 1 Line 1 Piers: Size minimum: r I x Spacing maximum: d ` From ends -maximum: o ` Line 2 Piers: Size minimum: [/Z ] x DO ]. Spacing maximum: 1 5 ` fHl From ends -maximum. Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): ane i Line 2 sne 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I 7, Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER OPROVED I 1. Owner's Name: I/V e `l ym aaJ ���•� �---5 2. Assessor's Parcel Number: 6 — 7 7 3. Installer's Name: 4. 'Is the site currently under permit? Yes[If/No[''rPermit No. (o ~ 5. Is the site an existing site? Yes[ ] Nop,�f' (Ifyes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? DZr Amperes. 7. What is the mobilehome site circuit breaker rating? Z�� Amperes. 8. What is the electrical rating of the mobilehome site? Z 0 .a Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ flit is, what is the rating? Amperes. 10. Is the any other electric load to be served by the mobilehome site electric service (i. we garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- 2 ZU J Amperes- 7� _ b) The main service: Load- Amperes - 11. Type of as service at mobilehome site: Natural Pro ane V None yP g � [ ] P [ ] [ ] 12. Size of gas pipe at the mobilehome site from - the meter or tank: It inches. AA I ' 13. What is t e gas pipe length from the meter or tank to the mobilehome 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 s of Chapter ssions Code, ;tors License Impensation, e. I contractors 'ode for this for workers' ode, for the d by Section 'mit is issued. )f a valuation ssued, I shall to workers' subject to the ,ode, I shall construction D -APPLICANT Main Service ( 200A TO 1000A �� 46.00 NEW OCCUR OR ADDNS.T D LLIBE ACC. BIDS. / - 3.50 F°. 0•3 NEW CONST.LTI.OUTLET \ NON-RESID. BRANMU CH CIRCUITS / /�1 97 .50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 ® I'00 BAL SO APPLNS.Ex. Occup. ( OUTLEEDTS R D.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PER ITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Y ,00 GZ cc IMP' TOTAL FEE $ 8 ,SS HAZ. I D. FEES IMP I FLOOD I COF I PARCEL I ;3T;;7 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date)