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072-080-032
072-090-032 99-1523 BELOYED, Frank & Carol I old olive Hwy., Oroville ljo(e Contr: Unknown /10 MHU ELECTRIC �� 11� �210 GAS a—c'.3; COMPACTION TEST REQ - SUPPORT STRUCTURE REQ. A2 -a- 072-080-032 01-1262 BELOYED, FRANK & CAROL 5626 OLD OLIVE HWY OROVILLE CONTR: OWNER / /7 REPLACES BP#99-1526� 072-080-032 01-1341 BELOYED, FRANK 5626 OLD OLIVE HWY, OROVILLE CONTR: EXECUTIVE HOMES im-pms t - .. .r •...�r�p!a:•r .K. .._ "R":._:w:^o•• ..•rs ,o.s„y.s•.n""•�,�?�= c+l Y3.{':d3 �r:o.74e'�.�v.:r7�: crN. r•»�t•rl�T: s �-warts,:_.-n R.,�.�.._.. ��� { 072-080-032 01-1341 BELOYED, FRANK 5626 OLD OLIVE HWY, OROVILLE CONTR: EXECUTIVE HOMES UTILITIES FOR BP# 01-1262 0 IA - OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 ,• Telephone (530) 538-7541, PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT Cil ' 13H I--- ASSESSOR PARCEL NUMBERZONING 072-030-032 A -R BUILDING PERMIT OWNER, ., Lr.LUYt:1, tv'�t to TELEPy10N� �z�y-v311 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 527 SILVERL AF OR. 0RQVI i CA CONTRACTOR'S NAME EXLCU11V�. WMES TELEPHONE 1891-6992 CONTRACTORS MAILING ADDRESS 3042 LSKA� Ctil Ci CA 95973 CONSTRUCTION LENDER ' LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER • LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ q BUILDINGADDRESS 5626 OLD ULIVE H 1 • CRO` UE Energy Plan Checking Fee $ $ PERMIT FEE AIR LOTNO. 231 SUBDIVISIONS NAME PARCEL MAP IV/_y PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11, 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 ❑ Udlifies ❑ Installation lZi Other ❑ Describe Work: FOR UTILITIES 1 EMIT #01-1262 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 2001 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.full fore nd effect. / License Class •�► Lic. No. (A �1 G- •J 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELIJN(i OCCUP. OR ADO S. 3.5¢F0 EW CONST MUL�TCou�TLET NON-RES1D. ' @7.50 powEL APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1.00 @ .50 FIXED APPLNS. OR Ex. Occup. ouTLETs RZ. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION j 1 hereby affirm under penalty of perjury one of the following declarations:, I 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' c6mpensation.insuroc carrie%.and p y number are: Carrier—l:t /C_tcs. % Policy Number /e 15JV oh `f /!q � - J (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 forthwith comply with those provisions. ^ X - e'7 7C� Date ftp J ' 4 _ 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 in height.. — " ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100,00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ D FSEs IMP J X FLOOD x CDF '�•• PARCEL X PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - — i By i 4 x.. PERMIT EXPIRES ON' the applicable provisions Resolutions to do work been paid. Date //o2 Date Receipt No. _ � �y*IL4;' "" WHITE-D.D.S.-B.D. CANARY-ASSF�SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 61--1391 ASSESSOR l•`1391 ASSESSOR PARCEL NUMBER 072-080-032 ZNINR BUILDINGPERMIT OWNEt LrOY+D, FRANK ��y}�HZ311 FSQ.FT.00C. BUILDING VALUATION .OWNERS MAIUNG ADDRESS 527 SILVERLEAF DROROVILLE, CA CONTRACTOR'S NAME EXECUTIVE HODS TELEPHONE 891-6992 cG 304'2 ADDRESSS MAILING ESPLANADE CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5626 OLD OLIVE HWY. , OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 4,1 nn LOT °32 SUBDIVISIONS NAME iA$C�L y(AP � U// C� PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation IN Other ❑ Describe Work: FOR UTILITIES PERMIT i'#01-1262 Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service . 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 i ,full fore nd effect. ,// License Class Lic. No. �7 5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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: I 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' m ensation.insura carri number are: a Carri Policy Number `— n (The above sections need ndrbecomplefed 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 R I should become subject to the workers' ompensation provisions of section 3700 of the Labor Code, I shall forth omply with those provisions. X Date C� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionB of structures over 3 stories in heigh Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a C.sLDS. ppµgalpT MULTI.OUTLET @7,50 a O'WELEI. o �TUS IR 20 @ ''0° Ex. Occup.OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oFc S gESIp,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100-00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. F IMP FLOOD COF PARCEL PD HO ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have D Y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dae ry R t� / vz Dale Receipt No. "' WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK-19PECTOR GOLDENROD -APPLICANT • r T yr ou I I It: - DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING DIVISION 7 County Center Drive 9 Oroville, APPLICATION AND PERMIT95965 * hone (530) 538-7541PERMIT NO C)eo - ©� Z �NNO BUILDING PERMIT �'°� �a �► 1ONE ©3 I So. FT. occ. s ---- - v A DATION 040 1 I CONSTRUCTWri LENDER vvv ---� (Rev.12;'-'6.) ' NUMBER AIS FES801AL Fireplace ° AooREs . \ CONTRACTOR. POWER APPARATUS • r T yr ou I I It: - DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING DIVISION 7 County Center Drive 9 Oroville, APPLICATION AND PERMIT95965 * hone (530) 538-7541PERMIT NO C)eo - ©� Z �NNO BUILDING PERMIT �'°� �a �► 1ONE ©3 I So. FT. occ. s ---- - v A DATION 040 1 I CONSTRUCTWri LENDER � ---� LENOER'! MNtNO ADORESs EE[ LESS 23.00 Fireplace ARCHITECT «+ENGINEER Total Valuation i tx:ENSE NO. POWER APPARATUS Filing Fee = ARCNRECT OR lNONEEA9 MAUNO ADDRESS Ex. OCCu OUTIET OR FORURES 20 T 1.00 I 6A1 EX. OCCU � I Permit Fee = eua.DNOADORESS r Q� �o Temporart Service 23.00 Plan Checking Fee ___.—$ t i ` iN Energy Plan Checking Fee s Misc. Wiring 10T NO.•U bwsME NA IARCEL MAP PERMIT FEE S PERMIT FEE S PLUMBING PERMIT USEOFSTRUCTURE Each Tr SF O Duplex O Mobilehome t� Other Coolin Solar or hent um water heater Hood 8.50 Water 1 In eaecsr TYPE OF WORK Each gas water heater or vent New O Addition ❑ Remodel O Utilities ❑ Installation other ❑ es Gpiping stem t - 5 outlets Describe Work: C- (�i �©(� 26Z Building sewer I I ,�f yt�4 C Mobile Home S G W "PERMIT FEE PAID SRA •. SHERIFF OTHER AMOUNT RECEIVED ------------- $ � $---Z � 3 - *RECEIPT NVMSE;t _/1�43- "RECQPTNVMBER 3zqk"lr " TO BE PVT INTO COMPUTER 20.00 I =iling Fee 20.0o 7.00 23.00 15.00 15.00 15.00 15.00 jT20.00 — PERMIT ELECTRICAL PERMIT Flln Fee 20.00 Main Service °0°v� OR LESS 23.00 Main Service 200A TO IOWA 46.00 NEW CONST, D„��� OOOUV OR ADDNS. a ACC. etas. 3.SQF°. NON-REsfD. ' MULTFOUnU 97.50 POWER APPARATUS a SNOLE OUTIM CIR. Ex. OCCu OUTIET OR FORURES 20 T 1.00 I 6A1 EX. OCCU � I oun-rs Esso. EA. 5.00 I I Temporart Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 8.50 IPERMIT FEI: : Mobile Home Installation Fee Energy Inspection Fee = � occ coNsr. TMPE 1 TO AL FEE $ fLOO COF CEL 111 No VE This permit is hereeEy Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been pad. By Date PERMIT EXPIRES ON ..�.�� asy_ , e�4 , uy_w +.� . a �tdi:: �- ,— ��:`S i k '�^" `.,`...� VY r'X - �. ori .'?,?vie iL.�lf =t�'Yc ;"�: M' •t, v ��"_ 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: � 3e 6YASSESSOR PARCEL NUMBER: Z— O? O Proposed Bu_lding Use: IBuilding Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1 iiems have been submitted.------------------------------------------------------------------------------------- Plot plays, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. EnginecJl'plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered buss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- azardous Material Form.--------------------�} Manufai.tured Home data and installation`ir}5ffi c ❑ 1 . Fees of $-------------------- I 1. Impact fees as shown on the attached schedule. Specifications.-------; ❑ 12. Califoma Department of Forestry plan approval/fees.----------------------------------==- =' ----------------- 1113. Flood elevation certificate. ----------------------------------=- s 1 ;'h•'' ❑ 14. Sanitation and plot plan approval Health Department. ----------------- i------------------------- ❑ 15. 6City of Chico plumbing permit.----------------------------------------------------------------------------- ;- -? ❑ 16. Plot pian and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Rlanning approval for (A) Use: 0>IL (B) Parking: -------------------------- ❑ 18. Contact Land Development about El Improvements, ❑ Drainage,�egal Parcel. ----------------------- ❑ 19.'E croachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -ink,' tion for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). -- ----=- --- =---------------------- ❑22. Workers' Compensation carrier and policy number. -------- -----------:=-=----------------------------------- ❑23.Owne--Builder Verification (Given to owner ❑, Mailed to owner❑). --------- ---------------------------- ❑ 24. Letter -of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 6. Letter of intent on building use. ---------------------------------------------------------=-=----------------------- :: - �r 27. Manufactured Home utility clearance. --------------------------------------------- ----------------------------- ❑28. Existi.-i vio 'ons and/or a ed permits- ---------------------------------- ----------------------------------- ❑29. ❑433 A,'�7Crrant Deed, WH. Title, ❑ Check to H.C.D $ . --------------- -030. Other When you issue eG� �99cess as follows ❑ Mail to owner, ❑ ail to contractor. /� k 9 Telephone. i �' C _, and hold for pickup at �%r Mi' . ❑Deliver with inspector. e Applic Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departmen ,Pollution'• Date: By; Copy of plar-s sent ❑ Health Department, ❑ Fire Department, ❑ Ott A By; (Date) G -5---o/ 1. Index permit application for the above items numbered: Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, wav4rivised of the above regaiMtdata by,❑ phone, ❑ mail, ❑ Buildm* Division counter, by Date: Plans reviewed by: Date:: 1/ Plans approved by: Date: (p - 3 •O1 Sets of plans onliold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 rr SCHEDULE OF FEES DUE OWNER C' L `7 A.P.# O7Z-oko-03Z PROPOSED BUILDING USE r" 6 DATE (Q 0 f RECEIPT # 1. BUILDING PERMIT FEES —Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ &k--2. 4CHOOL DISTRICT FEESC�1 (?aid at District Office) 3. SHERIFF FEES (paid at Building Division) o Residential .................................... x $360.00 = $� Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $39.00 (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 DATE REC. �i 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 pla checking process. n a APPLICANT DATE 6'-S- d/ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner I(Rev. 6/00) A School District A.P. Number Property Owner Property Location/A( Subdivision BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) awl / Y Building Department No. ��V D4risdiction: City I / \I (County Residential Development .................................................................................................................. : No of Living Mobile Home Addition/ "Supplemental to Units Installation Conversion Permit # '(No foundation inspection): 0 0 New Addition Building Deparfhae-t Representative moor rians reviewed Dy acnooi uistnct rersonneil Sq. Footage 1-7 -� +- (Group R) Sq. Footage Date (Including Exterior Roofed Areas) District Identification No. School District certifies that (Applicant) J (Street Address) (City) has complied wi-h the requirements of Resolution No. representing /% square feet. District Paid by Check # Remarks: (State) 99-,D-0- 0S (Phone Number) gSyi� (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ & Lo J Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 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. 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) feeform.As 00/981dmm l FLEETWOOD D Suncrest Series Model 7563L OPT. OPT. CORNER WALK -I. BAY aoSErT OM DEN OPT. 10�4'X 12'-4" > VOL. DOORS CLOSET , --- ;,WC_H, BEDROOM #4 DEN 10'-2"X 10'-4" 101-6"x 12". L ------ F_ ALT. BEDROOM & DEN SU/17/AUG99 WALK-IN CLOSET BEDROOM #2 ----1 BEDROOM #3 10'-2"X 12'-4" I 10'-4"X 12'-4" WALK-IN CLOSET 07 ELVES DINING LL_ AREA 01, 3 Bedrooms - 2 Baths - 1 Square Feet LINEN O / OPT. CLERESTORY DORMER OPT. WALK-IN CLOSET LIVING ROOM 15-45"X 25-2" MASTER BEDROOM 14'-2" X 151-0" 101 ARCH OPT. CORNER BATH *Rendering shown is a typical elevation A.P. # ,� 7Z- O -, D— 032 OWNER 7� �.,o�� riv1a� -, �AN o PERMIT; # O / — / 2 2— MH MH UTIL. CLEARANCE DATE ?5/(5_,/0j INSPECTOR — 4 ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE SIZE OTHERi LOAD -TYPE PIPE SIZE LENGTH YES NO YES INO PG 2-L - .ems ✓ a '^�-R Y If NOTES RESIDENTIAL �072-080-032 _ _� _ — 01-1262 i BELOYED, FRANK & CAROL 5626 OLD OLIVE HWY, OROVILLE j CONTR: OWNER REPLACES BP#99-1523 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address r GAS •„.Meter By to .ELECT ~Me Y oy Date t JOB FINALED (Date) Signature f RESIDENTIAL �072-080-032 _ _� _ — 01-1262 i BELOYED, FRANK & CAROL 5626 OLD OLIVE HWY, OROVILLE j CONTR: OWNER REPLACES BP#99-1523 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address r GAS •„.Meter By to .ELECT ~Me Y oy Date t JOB FINALED (Date) Signature ,/ = OK DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 0 = Not OK 1. - = Not Applicable MOBILE HOMES Read =Not Ready Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date MOBIV HOME UTILITIES (Plans) OK except #'s 3. zpKi-ng Requirements -Setbacks -Easements . S ' ; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing S�✓er; Location -Test -Fall -C/O -Concrete 5. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas;Location-Test-Wrap;-/ "L'ft. 7. Electric / at. or /,24/Vft./ LPG Frmg.; Sills-Anchors-Studs-Rftrs-Trusses learance & Disconne 9. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME WSTALLATION (Plans) OK except #'s 9-2—oni Requirements -Setbacks -Easements oot' s; Size -Spacing -Marriage Line as: MH Test-Demand-Valve-Connentnr _4,-Efect ' 'ty; MH Test -Crossovers -Breakers -Clearances rain; Yri Test -Fall -Flex Connector -7-'Water and Sewer Connected -C/O to Grade -HD Approval 8. Gasand Electricity Tagged ie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . 0 4.? IZ.✓k t 3 3S l` CIS-�L(�1�4zc��69 �5c�z_, 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test . 11. Light Niche . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Readv 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral U Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 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-Roll 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 Ht. & 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-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 1 nfiltration-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 -Connector - 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 & Receptacles 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-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 O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout 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 94. Address Posted 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: VSTAEDTLER® No. 937 811 E Engineer's Computation Pad 0 (r -IM r1l I 'j 0 a J o 0 rl ( L) L Y C4 0 LA rb MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 012- opo• 0 3� PERMIT NO.: 0/-12(a . Owner's Name: oeAAl k 4 CA864- 96 Lo yEZ), Owner's Address: 56 26 ®LD OL/t/c i1q AA, oreG111c. &C , GA Mobilehom^e Manufacturer: F Year of Manufacture: .2 40o Serial Number or V.I.N.: �A�G//�A2�8�-1,sc/z A�giG' Insignia or HUD Number: 1e�a /3333/(0 /7 �l8 Official ap ro mg installation: Date:JC *44 If the mobilehome is moved or 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovill'e, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072- ZONING t BUILDING PERMIT OWNER FRI-VE R, CYRON TELEPAVINIE SO. FT. OCC. BUILDING VALUATION OWNERS MAKING ADDRESS - CONTRACTOR'S NAME Q�ZFE'R TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5626 OLD OLIVE 15ff OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 23,00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)(X 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 ❑ UtilitiesAX Installation ❑ Other ❑ Describe Work: 1112- LF;CES BNPL99-1 523 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TK W @20.00 60.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 Z 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 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. Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( 6 ACC. BLDS. SO 3.5 NEW CONST. MULTI.OUTLET NON-RESID. C 97.50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occu ounEr OR FocruREs 20 � '•0° BAL .50 Ex. Occup. ..FIXED ILrtErs AEs o OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ?0, QQ Misc. Wiring 23.00 PERMIT FEE $ j3.QQ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 forthwith comply with those preyisions. J.. X a _ Date �/) .�1%/j% Ignature o pp icant - Own rJO ConpJ tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ corsT. TYPE TOTAL FEE $ 166. 0 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD S 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. B I Date �� Q PERMIT EXPIRES ON 3a Date Receipt No. 324638 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COI;AITY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION (R 7 County Center Drive a Oroville, Cglifornia 95965 • Telephone (530) 538-7541 PERMIT NO. ASSESSOR PARCEL NUMBER APPLICATION AND PERMIT SSEP' zowNo BUILDING PERMIT OWNE pNE SO. Fr. OCC. OWN&BUILDING VALUATION F;ChNU ADADDjNSS 4 `� r 6/`/// CONTRACTOR'$ MAULING ADDRESS - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGWEEA'$ MAID 03 ADDRESS BUILDING ADDRESS. , LOT NO. I SUBDNISION'$NAME USEOFSTRUCTURE SF O Duplex ❑ Mobilehome is Other ePECIFY TYPE OF WORK New ❑ Addition ❑ Remodel O Util" Installation ❑ Other ❑ Describe Work: *PERMIT FEE PAIb SRA '- SHERIFF OTHER AMOUNT RECEIVEb *RECEIPT NUMBER -, c g * TO BE PUT INTO COMPUTER Total Valuation is Fling Fee 20.00 ervice Filing Fee S 20.0o Permit Fee y ervice f Plan CWZking Fee S 23.00 Energy Plan Checking Fee S 1 "^N CIRCET ) S 20.00 PERMIT FEE $ 23.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pum water heater 23.00 Water piping 15.00 Each 3as water heater or vent 15.00 Gas i in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 020.00 ,� r PERMIT FEE I t ELECTRICAL PERMIT Fling Fee 20.00 ervice 80.0V oR LESs �6 oEA SAL s0 xoR LEas 23.00 ervice f sow TO 10 A 46.00 23.00 610:A" CCP& ACC. SLOS. 3.50SOS•MULTI.OUTLETO. 1 "^N CIRCET ) 007.50 Ex. Occup. OUTLET OR FoaVRES 20 Ex. Occup.OUTLETS �6 oEA SAL s0 DD 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. "Firing 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 6.50 PERMIT FEE t Mobile Home Installation Fee $ Energy Inspection Fee E OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF I PARCAl This permit is hereby Issued under the applicable provisions i of the Butte County Code and/or Resolutions to do work a indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT ,OF DEVELOPMENT SERVICES -",BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE(530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: f5lo da ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: -.5-50-401 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 113. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 1:15. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown onihe attached schedule. --------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 3. Flood elevation certificate. ------- 4. Sanitation and plot plan approval( ❑ 15. City of Chico plumbing permit. -- Department. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- 1117. --------------------- ❑17. Planning approval for (A) Use: (B) Parking: -• ❑ . Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 19. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (dumber, Name Style, Classification). "` ❑22. Workers' Compensation carrier and policy number. --------------------- . 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124. Letter of signature authorization. ------------------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. " 1326. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. ------- ------------- 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue t p cues follows ❑ Mail to owner,VaMtrtcor. eand hold forpickup at"ffice. 11 Deliver with inspector. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire De�a ehf; o Air Pollu# Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:_ 1. Index permit application for the above items numbered: 2. Additional items required: (Date) ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ENCROACHMENT PERMIT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA, 95965 FAX: (916)-538-2140 APPLICATION IIWE, the undersigned, hereby apply to the County of Butte for an encroachment permit.to do the fol under or over the county roads and highways, all in accordance with County ordin nces and g ei information except signature must be typed or legibly printed.) )- NAME,11:t %R1 Q8Ad kS �^I T. SIGNATURE: L� MAILING ADDRESS: 25 -no So✓Ti-! I-' i r?N Vs %L I- C;, CA - --- - -- - -------- PHONE: (5- 30' C- 3.? - 3// DATE: LOC jTION OF WORK TO BE DONE: UEt-p E / q S c iZ L it i' e�S r i -nuc ,'s; e- 41d ORO Vi I- 1. Curb: ❑ 2. Driveway (List 3. Underground( 4. Other: TYPE OF WORK TO BE DONE Gutter: ❑ Sidewalk: ❑ (PLEASE CHECK) PERMIT GRANTED In compliance. with your above request,, and subject to all terms, conditions (including those printed on the back of this form) and. special conditions'written below, permission is;hereby granted. tor• SPECIAL CONDITIONS: X C 0 Ail work shall conform to accompanying Date Issued: 9 - Surety:. Yes No ❑ Expiration Date: Q%PR0JECW0RMSNENCR0ACH.WP0 o.;r Detail,Plans ❑ Speyal6 nditions ❑.. C CGYV( /)LW@ VmP I birector of Public.Works By NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE'DONE Phone: (916)-538-7681 PERMIT '# DISTRICT IIWE, the undersigned, hereby apply to the County of Butte for an encroachment permit.to do the fol under or over the county roads and highways, all in accordance with County ordin nces and g ei information except signature must be typed or legibly printed.) )- NAME,11:t %R1 Q8Ad kS �^I T. SIGNATURE: L� MAILING ADDRESS: 25 -no So✓Ti-! I-' i r?N Vs %L I- C;, CA - --- - -- - -------- PHONE: (5- 30' C- 3.? - 3// DATE: LOC jTION OF WORK TO BE DONE: UEt-p E / q S c iZ L it i' e�S r i -nuc ,'s; e- 41d ORO Vi I- 1. Curb: ❑ 2. Driveway (List 3. Underground( 4. Other: TYPE OF WORK TO BE DONE Gutter: ❑ Sidewalk: ❑ (PLEASE CHECK) PERMIT GRANTED In compliance. with your above request,, and subject to all terms, conditions (including those printed on the back of this form) and. special conditions'written below, permission is;hereby granted. tor• SPECIAL CONDITIONS: X C 0 Ail work shall conform to accompanying Date Issued: 9 - Surety:. Yes No ❑ Expiration Date: Q%PR0JECW0RMSNENCR0ACH.WP0 o.;r Detail,Plans ❑ Speyal6 nditions ❑.. C CGYV( /)LW@ VmP I birector of Public.Works By LAND DEVELOPMENT OROVILLE / CHICO BUILDING /-ENVIRONMENTAL HEALTH - PERMIT CLEARANCE OWNERS BELOYED NAME PRINT LAST NAME FIRST ADDRESS / LOCATION: OLD OLIVE HWY, OROVILLE COUNTY ZONING Building Pennit No. 99-1523 A.P. 072-0807032 NUMBER DESIGNATION: So FLOOD MAP: FLOOD ZONE: . APPROVED: CONDITIONALLY APPROVED: 11"RESOLVE PROBLEMS PRI TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP / • 15 / C DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: COMMENTS/CONDITION MAP INFORMATION: LEGAL ACCESS REQUIRED: YES NO YES . -NO DATE OF RECORDING: %-3 LOT / BOOK A07 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES _J/ NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. r CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIWSION UNLESS OTHERWISE NOTED. 1. Maintain"a 50 ft. building setback from centerline of roads 2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. X5. Maintain a /0 ft. leachfield setback from PrL- 6 O N 12La -7 114 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 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 Of 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) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —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 be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. —19. 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. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. —23. 24. 25. 26. AIa 1N3Wd013A30 311,1719 10 kINNY' ssst 6 o 1 n r WAI'30'ab LD 6/98 FORMS\BLDG PERMIT CLEARANCE A + 4648IN 4 4658 4658 4658 4640 t LINEN 1 -PC OVAL o - 28 60' T/S 36 TUB 2 HV T.pi3gg S TOVERPDORMER SHV.R, v c BATH BEDROOMCARPET BATH R BEDROOM' n L,� O9 ^ r LIN. 19' O MIR5R ROR 1 1 59B Qo 0 28 CORNER BATH OPTION 3058' 24 FOYER ARCH_ w BREAKFAST AREA a 4658 BAY -WINDOW OPTION 3058 T1RL WOODLAND # 17 ,SHT. UNE DROVING (REV) 1 JOSQT —_... SUNCaREST �1 ` 24' 1 RROR N OSA COOLER LOCATION 41'-4' a BATH 268 SHEARVALL ' L i BEDROOM g — W j� E3 DINING' AREA SHELFLgaIj OPT. OPT, S.D. APPRaVED °i UTILITY SINK rum CAB'S 30 Butte County ' - En ironmentW He UTILITY -- 4640 ENTRYL'RA — — 8teWATEZ..OPEN 24 FOYERARCAELEC. PORCHRCH BREAKFAST AREA a OPEN a — 6248 9'-6 22'-6' • REVISED DATE BY- DESCRIPTION LEGEND _ i A 11/06/68/96 V - D 02/197 1V._ _MOVED IK B"DRDCM DOOR: - - l Qo 0 28 CORNER BATH OPTION 3058' 24 FOYER ARCH_ w BREAKFAST AREA a 4658 BAY -WINDOW OPTION 3058 T1RL WOODLAND # 17 ,SHT. UNE DROVING (REV) 1 JOSQT —_... SUNCaREST �1 AND FMA.BIMG ,jGTE: AL Materj&Is U Wo.kwamhiP Sh&,,U Be In &000- Qncs p�,aosgwzsd Good PractiM3 and GXECKED 801ked used Ui of a �Jual* A�j t,,r rambj_ _g Nechaniem ,h ,:,�njfor _M E,�, ng: �dqs alid tie Zational Fzj6ztTjcal Code 'UST be ��*Of pj lad 0)Pzui-Acsti0AB IL `ul to A ti e_4 it is unlev APPROVED on seme rithOut BLej� ?%,)tintY DepartMcnt Of Public tnvi iiealih 'the attached Fire Saco requivements must b3 comply as specliod and approved by C.D.F. r tj �111 IT Ll� o 1� E .RID A CDF FIRE SAFE REQUIREMENTS 72-,09-32, AP# PERMIT # NAME Under authority of PRC.4290, the following checked items are required by the Butte County Fire Department and are made.a part of .this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will "be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant 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. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [`f.] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur'- face ur=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 vertial 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. 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. , p. Tl i" ' C" � a, �` bY Page 1 of 3, SUILUNG- DEPARW n' n 72 .v8 -3z t1 -is �--3 / F4yY,F-D, 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 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 shalliopen to. allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parvels 1 acre and 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. Q ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical ef.fect. 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 modificatior shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. UM E IOU�h Page 2 of 3 �'. r -7-2- AP 2AP # PERMIT # N.AIVIS Other Require: tints [ ]f Buildina Setback is 15 to 30 Feat: - Class A or B roof - Enclosed eaves [ ] 'Building, Setback is 1�ess Than 15 Feet Choose any 3 of the following: - Metal or no doc.rs on side toward property line with insuffi- cient setback - Class A 'or B roof twith enclosed eaves - Interior autnFiiatic eprinkler system per N'FPA 13D - Glass arra not to exceed 0% of wall area toward property line insufficient setback Siding fro:-, the following list stucco - 3 coat Hardi-Bv4-1rd or Plank Masonry Masonry veneer Metal Other Butte co-(Int1 Fire Department approved materials Inv! 01- 9 Page3 of 3 v I LU,iN 0, A9, ; cr 'A. AND WIZEN RECORDED MAIL TO: �a BUTTE COUNTY BUILDING DIVISION 7 COU1.<tY CENTER DRIVE OROVILLE, CA 95965 q�_ 16z3 C3Ct.._oytE> III IIII II II IIII I II i IIIII I IIIII I III 1 999-0033600 Recorded I REC FEE 10.00 Official Records I COPIES 1.50 County OfTE f CANDACEUJ. GRUBBS I Recorder I ROSEMARY DICKSON i Assistant I Vickie 10:24AM 06 -Aug -1999 I Page i of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT o y 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: ANGELA D. MAMOM CommWon 91199925 M* CPSI a Notary PabRc Butte County, CaBbmla My ConIff"on Exp. SEPT. 16, 2'Ot)2 Date — PROPERTY OWNERS: "ftl^ A./ a z�z P'9zvz�- State of California County of���� On 1�-k'Z\ before me, personally appeared cN �<Z "NK � e �(� � M:1e-\<:!!,\ jr-Ar--personally !mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) 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. ANWO-MA98M cmmn "011"Nsmire"I eat�.camom o C Iig COMMbrlooWER-16, moZ p A r.:( 1110 T "A" " :.hat real J',:0'-':cty situated it. S�.ctionc Ii' ant'. 19, .'��r;.c.1i• lq :•;arth, Ran,. -c 5 EasL, M.D.t1., hUttc, County Ca. Gnd t,e:rg t, p ,tv4ion of Lot 1E --I Jrovillc Wyandotte Fruit Lands Unii 110. 5 es i' i I.:6 in Vogl: ?. o: xaps at page 37A in the Office Of the n+!ttc Cvul—,t%. nororcic.r anc: r..ore particularly described a, follows: 3LCIMtIING at the Southwest corner of said Lot 166 said point bring on a curve con^.ave Northwesterly the radius point of"whicti Dears North 63° 57' 11" West;. thence Northerly and Easterly along the boundary of scid Lot 164 and along said curve having a ::ilius of 1000 feet, a central angle of 12` 51' 12", the arc length of whit). is 224.:.3 feet; thence North 131 11' •37" Fast 114.91; feet; thence along a tangent curve concave Southeasterly Loving a radius of 800 feet, a central angle of 34° 08' 15", the ::rc lenyth of which is 476.65 feet; thence along a compound curve concave southerly craving a radius of 200 feet, a cont:al ;.:nuIe oL 84* lU' .15" Lhe arc length of which is 293.84 feet; thence South 4ir' 4^':' 23" F.a3t 73.27 feet; thence along a tangent .-urve concave t:nrtherly having a radius of '300 feet, a central :11nrle of 39° 30' 00", the arc length of which is 20G.%2 feet; --henc& south 87° 59' 23" Fast 147.14 feet; thence leaving said -,nundary Sputl+ 090 29' 57" Yiest 30.26 fnet1 thence North 87° 59'' gest, 143.19 Leet; thence along a tangent curve concave :turtl+c:rly caving a radius of 330 feet, a central angle of 390 30' 00" the arc length of which is 227.44 feet; thence North 48 29 23" West 73.27 feet; thence along a tangent curve concave Southerly having a radius of 170 feet, a contral angle•. of 84" 10' 450, the arc lenyth of which is 249.76 feet, thence along a con+i,ound curve concave Southeasterly having a radius of 770 feet, 7 ,ventral angle of 340 08' 150, the arc length of which is 455.78 teat; thence South 130 11' 37" W6nt 114.90 feet; thence along a tangent curve concave Nnt•thwPstorly I+aving a raclius of 1030 fer:t, u central angle of 13° 09' 07", the arc length of which is 2:.6.43 foot to the South line of said hot 1641 thence alonq said South line No: tt+ 53" 40' 26" t -lest 30.46 feet to the Point of neginning. containing 1.05 acres more or less. END OF 00CUMEN7 :KYL7�f.VI/aX.�i ount LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3387 TELEPHONE: 1916) 538.7541 FAX: (916) 538.2140 RE: Attached Mobilehome Permit Dear Termittee: Attached is your mobilehome permit along with the approved set of plot plans and a job card. . Please post the -job card on the job site in a conspicuous location for the inspector to sign during the various phases, and also have the 'approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans a on the job at the time of inspection. re not Please review the approved set of plans before you start work and make note'of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office do not - proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should the insPector not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy the mobilehome for which this permit is issued without approval from this office. Please do not confuse gas or electrical service to the mobile as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector. Your permit expires one year from date of issuance. If .the work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this permitt please contact'this offi_e for final inspection Should you have any questions concerning. this letter or any other matter pertaining to the -installation of the mobilehome or utilities, please do not hesitate to contact this office. 4miha4el�C.eira, C.B.O. MCV:ahb Manager, Building Inspection Attachments or , , 1 E.H. USE ONLY Plot Plan Attached Floor Plan Attaeha Sant to 8.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �— Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public iC Private Well Clearance fog�elling. Other �r Hold final for: Final clearance O.K. for: NOTE: Environmental Health Speci ist 8/96 Qc-os,, Date e�e� SHEARVALL SHEARVALL - �(dunoJ 2 OJ1/�(j.` ° f0 -8 4'-0' "10'=8• V/ TOYER 16•-0' 5'-11'b8 .O� 60' 4648 `EWE 4 4638 4638 4638 4640 LINEN 5 2 28 6C T%S 36 TUB .o OPT. 3 BATH t �L TOVER DORMER CARPET S�T� BATH SHV — BEDROOM BEDROOM . ;6' MIRROR LIN. t9. O 34' ~ 8 '- O 598 O 12� 59BOMIRROR LIVING ROOM 28 2828 � 24• ROR 28 28 "CtCLER CORNER BATH OPTION LOCATION c 3058 28 SHEARVALL n BEDROOM - W. '�� e3 DINING AREA APPROVED ROVED SHELF UTILITY OPT F . Q!�iit3 County I fit SINK nw, CAB.S 30 n 'rc, ent31 eal N UTILITY 038 3058 / -- cA 4640 ENTRY --- ---- 1�:24_ WQiC2 OPEN REF. 24 FOYER Ji t�; JR29•ARCEL[C. .. KITCHEN =___ t. fit PORCH 1 RANGE SLANDqffr[,Ag L_lkm PORCH PORCH BREAKFAST AREA nt BREAKFASTJ29,SINKPANTRY OPT_ D OPENOPEN 6248 — 4658 9'-6' 22x-6' 12•-0' BAY-WIND❑W OPTION REVISED DATE Hri DESCRIPTION LEGEND ETVOOD "T� WOODLAND # 17 SHT. j A 11/06/ .uNE .—ING twvi 1 I 02/18M LV. MOVED K Ilr'DRZD, MOOR SUNCREST IF WA o.,o aene.n 7583L 1 N r �. ;_:: a a ai �� LAJ llbVED ile icounHealth nW Date Q�f MOQILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 071- 090- 0 32 PERMIT NO.: - off- 126Z Owner's Name: C4601, ge Lo / eb Owner's Address: 5(0 2& OLl� OLl vE 041 o/zolllL Lc , Mobilehome Manufacturer: WN Year of Manufacture: Serial Number or V.I. e,W7,//7g 8l�s��� �4��)C Insignia or HUD Number: 1eA� 1313 33 l7 Offici a in allation: ,r.�. E. Date: If the mobilehome is moveAr relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Cold -Assessor c 4 VSTAEDTLER® "- 937 811 E Engineer's Computation Pad v U) N T, O � V 1 1 � O N L7 � . I � O s v U) N T, 0W -- D 8D - D 3 �.- (LD . . ........ ... . PLANNING DIVISION -BUILDING PLAN APPROVAL Date: � Use: 4. Parking: Landscaping: I. Other: Signature: De om N; & 04 voIQ Mo ov- � opWo f ".1 As.. e l . O,wuer's 1`I;►plc: %. Assessor's I';Iruel 1"1u1111Jct-:- o z�t - `/ O -Q - D3 1. Iltstallcr's PJame:X �I. is the site cutrent.ly under permit? Yes( NuI 1'ctnlil Nu. 5. 1s the site alt eAsting site? Yesl I Noj-, ' (If yes, fiu-nish two plot j�lairs). G. What is the elect Iical rating of the tuobilehul"O Anrperes.. 7.What is the ntobilcllunu� silo citcuil. brc;dccr ratio);'? 100 — Amperes. 8. What is tllr, electl ical rating of the nlvbilchortte site'? —�D O /Amperes. 9. is tilt main selvice remote fionl the mobilehome site;? lees[ I Ncr j Ifit is, what is . the rating'? ---- -- /Amperes. 11.1. In there any ullter electric load to be served by the nulbilelloclle site electric service (i.c. well, gaunge etc.)'? Yesl I NOJ4I JI yes, plc;lsc idcrllify the load and size: a) L'llc ntobilc holuc silt: Load- �Anlperes- b) '1'Ilc plain set vice: I,oacl- 1 1. "type ufgas sclvice at nlobilehome silex Natm-nil I Propam-N I Nonc[ I 1Z. Size of was pipe al the mobilehome site lions the meter or r , tanlc: 3 ulc:hcs. What is tilt; Inas pipe Icng111 fiont the meter or tank lc► the tnobilehunlc?2'(11.). I/I. What is the nlobilehonle gas denlancl'? * (TI 1is information is nut requhed if Ilse pipe length is less than G feet on natural gas or Iess tlum 5t) feet on propane). TUE u'TUER SLUE Ute "I HIS IFUIUVt MUST BE COMPLETED IN 01WER TO ---- ---- - PROCE33 't HIS I'LttMl't' AI't'LICATIUN r\t:�y t99 INlobilehoiile Manufacturer: -'ee L'-)Oo CO Manufacture Year: p8 ° If other than srligle wide, furnish y etup Model Number:— ( 3L. Widih:39'L `i (ft.) Length: "Tagalong or 13xpalido Size (it.) x On all mobilchum es n1 nufactured after October 7, 1973, furnish thanufactin-er's installation manual and structural setup sheets. I_00'I INGS_ Wood pressure treated or foundation grade(" ] Other.- SUPPORTS: ther:SUPPORTS_ Concrcte.block-t-+J Other:-- Vrovide Tie I mvii Specifidiilions for all Mobilehomes: �a Iv-- r 1) 4:{T t �-•� Pier F oothigs Sizes and Locatioi+l SINGLK NVIDK NIIJIM-WID9 Line l ► '-- - +—Line 1 Line 2�Line 2 Main iieelrlt Line 2 I�Llne 2 Line 1 —� . �— Line 3 Line 2 ............ ............................................................... ......... ..... ....... Mein Dennis ............................................................ ,/ Line 2 Line t ................................................. Ing or Triple Line 4 ................................................. � J.iue I I,IIIC I Viers: Size minimum:p x Spacing nlaxinlunl: I�rotn ends-uiax.imunl:-----�..-- Linc 2 Piers: Size minimum: 112 I x [ -'I I. Spacing maximum: io � From ends-111axinnlnl:L �. Line I Openings Size minimum: Each side of openings W11.11 width over: Lille 4 Piers: Size mininnnrt: x Spacing niaxinitrtrl: b n From enc. s-nliixinnnn: i.,illc 3 Roof Loads: Lo Size tLtilLiluuni oation (From tnt):,vi.Z._._i�(xti3"_ p Hy._S K1 .3..._0 2H_ 6 . x 30 0 — - Lille 5 hoof Loads: Size minimill:: Location (froli ti oat): R•t:iy 1995 (Z-) H �3v _� x3o -cHK3o 3bk3o zti x3v --- -------- tf � `�`� ®• � tea tid; ����t��• FLAEM/Gi7D r nosE ----' I OPT. DEN ' IO' -4' X 12'-4' WALK-IN CLOSET i AM BEDROOM #4 DEN IO' -2' X 10'-4' 10'-6' X 12'• ALT BEDROOM & DEN C - CD (c, 2 -to OlD ct.�Use !- Sunerest Series Model 7563L 3 Bedrooms • 2 Baths • 1,724 Square Feet su; 17/AUG99 *Rendering shown is a typical elevation 0 C C I ; N. 2 two v 17 II cue / 3�! 1TLIEITY r oAr j � 4sLt 9 6iK .�Lr^9CT MR LU L. tos'D'L Volo } Ile MAXk)-z ZONE o ` n. — _ —, ''''S'' (o Z O L O l _� V�p' i-�tu LOADS Pcr I ' G T U .O �O-l9 : 1 l� ` �°�Pt� _ (LBS) ❑ LAAO N0. UP sT '%�' i ;�� ZJTt.I►�; �!► ; �Lri1D � �� -_ - - 5000 t 8'-4- 32' so. \ � 8700 2 t5*-4' 25 Tec„d uNvsfZstvr a� ��� � � 7500 3 13'-a- 7 rreso4aaon 4200 4 7-4-1 4 1�ra,at ► f : --G� 4200 5 T 4' 4 AM t = O FEDERAL MANUFACi ciR_=D- n 3800 6 6'-4' 1132 3uat• nF �W'vc+.4r;.tnt�ort Q HCUS!^=iy y, 4' j CCNRUCT!CN 3800 78 6•-22 see F•b►gb �tY' TA6 �Etir.,Trt •: G Sp STANDARD-,, � �i7/O'.L wito-, Aaoss. ! © l � � .p V -"�- 8800 8 iS 7' 25 T«-+nog r 9400 9 16'-8' 25 rrsalapan ' *4400 0 7-5' 23.E WINDOW/DOOR SCHEDULE 24i Cit -3' 24 Sam 06SCRlPr7oM • indicates 2" txaring awz vEMr NO. SME oescn,anor Cot A var LEGEND: cm ww oismftfrXM PAMM c�pj. .. res.2 '1. u .. 17 SEE ELECT. aR. macs 3 drir < 40�� =4, til.-47r - < +P1x — — (1 SUPKYAMan"Vot G r�wR��r� •yOJ� �7-: $HT 1 2 3 3t < �+oq S S ""TC" 4: ,o TYP I FLOO PLA t r < dp'I2.� 1 22 304x42-=�TT6Gw� — UGMTF�XTUNE Awsua*tr als!-Idac,,,d.� ;�� -OF 1 '+ 6i+ c rpn - 5 GAT}t.:pP TMERwpsrwr �- Z — : 2 3 < vol l .:. �►L.I T3Z =� Q 3.2 TNERm T A a ,L CAM ® CElUMC, REG,S-Ep ' SALES LOME. v S+�EaRwALL -44001,C r ..�.�r t-Z �. ® soon cc-.crop Q svFoom POST overt: r. ave E44-024 z'8r �^.3 :6 v.=•i� ��i °1. yLlt7'� - Q..7 ® DOOR aELL :.RAMSsORYER. .AGS RETURN Ave GRILLE SCALE St1' . r.(- - 7 I N v co GD : co M o- z. t: U ' D D cl ry 0 x ZONE f - PER ,ie• .• ItaX• m i uP•uFr C=D _ . i ci N v co GD : co M o- z. t: U ' D D cl ry 0 x C=D .. . 40. ;I LITS 7 ear_ 112.1 SR. --t III II _ �►.l `I. tip 9Q.F� I SG 8 tett WTNDCW/DDOq 3.zI mw Sn !=+_ suca;z Oq,zt f ' �sas••nor icuzry r 1 9 ao rCC�D f�a"LAX tR8 PD.St ZONE f - PER ,ie• .• ItaX• m (LBMS LCufO .va. uP•uFr C=D _ . i 8000 ,T T -i 0' 26 -to.:a vo t. ?{}7 tt6 12 t2 -r 26 see 4700 9 T-tp• 23 3 t 6600 73 Sl 24 fi400 f0 72-2' Z< T.ay..w 38W tt � C=) '.. CD 4r -W' 32 • Imo, C=D .. . 40. ;I LITS 7 ear_ 112.1 SR. --t III II _ �►.l `I. tip 9Q.F� I SG 8 tett WTNDCW/DDOq 3.zI mw Sn !=+_ suca;z Oq,zt f ' �sas••nor icuzry r 1 9 ao rCC�D f�a"LAX tR8 PD.St ZONE f - PER ,ie• .• ItaX• vvxo =ME (LBMS LCufO .va. uP•uFr Tf3a POST itsm . i 8000 ,T T -i 0' 26 -to.:a vo t. ?{}7 tt6 12 t2 -r 26 see 4700 9 T-tp• 23 Sh. t 6600 73 Sl 24 fi400 f0 72-2' Z< T.ay..w 38W tt ' fn6otr 3 2' beaig 4r -W' 32 • Imo, wK ntrs 2' b amv ner..l TR� ZONE t * Wd=es 2- tearirt �w 1 7l7 aoj i t rte- Oyes 1 to .31-- 9 s'.! � � f IT F CL SiV� 7-71 _ L'i �`E31K.:w 'U�-P�• � .. "�ttt1�VL� VTC 't� Thi iCcilT edlr �`�� FE G 9••' .52 A: � i :e E—Z TIE DOWN SYSTEM F.R,ESIIGN LOADS CHASSIS BEAM SUPPORT PIERS LOAD — 15 PSF SPACING AS RECOMMENDED BY THE HOME MANUFACTURER 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPCAITY OF 1000 PSF 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / t t' MAX. VARIES 10'-70' E EVENLY SPACZD BETWEEN I I I E 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO E -Z T(TYPICA IE ORT PAo 3 SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS FOR MANUFACTUED HOMES SEE NOTE # 10. L OVER 3 SECTIONS WIDE. 36" HT 40' 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. 4 4 ELECTROOES-370 PLATED -ASTM A36. BOLTS=ASTM A307. 50' 4 4 Dov SSld, 6 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HT HORIZ QQ t 4 VERT UPLIFT 8 66' 18" 2010 (lb) 6000 (lb) 891 (lb) F 6 21- 1825 (lb) 6000 (lb) 801 (lb) �L r1 28" 1419 (lb) 6000 (lb) 629 (lb) No. i79y8 10 X36" 867 (Ib) 6000 (Ib) 385 (Ib) Exp. 7, ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 1�' CF C, 'i 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #1. 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAM. S z co c) t zs O L!\ v \-- 4w ❑ ❑ ❑ ❑ Q rRIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ��❑ (TYPICAL) ❑ ❑ ❑ ❑ ❑^❑ ❑ - ❑ ❑ LENGTH HOME NUMBER OF E -Z TIES 18" HT 21" HT 28" HT 36" HT 40' 4 4 4 6 50' 4 4 4 6 60' 4 4 6 8 66' 4 4 6 8 70' 4 6 6 10 STATE APPROVAL ENGINEERED TIEDOWN SYSTEM,, APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission deviation from requirements of applicable Statel`Ws and, regulations. State of California ,� Department of Housing and Community Oevelo l ES AND STANDARDS' BY Date. (Signature) SPA NO _�S // 2 This Plan Approval Expires 11-4-2-00( _ THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (o). WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 1 or 3 r, r ' 0 2"x2"x3/16" STL. ANGLE 3/8" CAO PLATED BOLT. NUT do WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED 1/4" STAND BASE L = r /— ABESCO ASS PAD #503 DETAIL "A" CHASSIS FRAME 10.00 o BI 10.00 1 FO — 0 0 STAND BASE -TOP VIEW 01 112" SCH 40 PIPE RISER WITH 101/2" ADJUSTER HOLES . AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ASESCO ASS PAD #503 STEEL FRAME - SEE DETAIL "A" 3/4" DIA. x 18" LG. (4) REQUIRED /4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1 /2" DIA. HOLE (8) PLACES 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED —01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN 2" CHANNE 1/4"x1-1/4 TEK STS (2) REQUIRE( 1/4" GRIPPER BASE X 1/2" A307 BOL' M (4) REQUIRED 18.75 AME TOP VIEW 5. I" x 1"X ( "x( ) 095 x 3" T.S. 1(4) CCs SIDE VIEW / " H "C" FRAME " C -BEAM ATTACHMENT GROUND LEVEL COH "J" FRAME 1/4"xt-1/4" TEK STS (4) REQUIRED GRIPPER 'LATE .Ir/f,�,7.,,,(,li,�aRE9,UIREDBOLT 1 / GRIPPE: BASE Asti q ' 07 BOLT ('2) OE--OUIRr�� J-B`EAM ATTACHMENT' ' v�,rr E—Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 2 of 3 I ).50 i i $ $ $ + $ + $ j 30.00 STEEL FR 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED —01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN 2" CHANNE 1/4"x1-1/4 TEK STS (2) REQUIRE( 1/4" GRIPPER BASE X 1/2" A307 BOL' M (4) REQUIRED 18.75 AME TOP VIEW 5. I" x 1"X ( "x( ) 095 x 3" T.S. 1(4) CCs SIDE VIEW / " H "C" FRAME " C -BEAM ATTACHMENT GROUND LEVEL COH "J" FRAME 1/4"xt-1/4" TEK STS (4) REQUIRED GRIPPER 'LATE .Ir/f,�,7.,,,(,li,�aRE9,UIREDBOLT 1 / GRIPPE: BASE Asti q ' 07 BOLT ('2) OE--OUIRr�� J-B`EAM ATTACHMENT' ' v�,rr E—Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 2 of 3 INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSSMEMBER, OTHERWISE INSTAL 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3 THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. - WE9 SIIrr.NEP, ON CHASSIS BEAM. 4• REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HO LES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I— AM 5 REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REM ADJUSTMENT PINS, PIER CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN REMOVING THE COTTER AND _ RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE IS AS CLOSE TO' THE BOTTOM OF THE CHASSIS o. • PLACE THE GRIPPER PLATES OVER THE FI PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. F--SLAMSAND J—BEAMS 8• HEAD OF PIER REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THROUGH THE SIDE OF THE SIDE FO THE BEAM IN GRIPPER PLATE. ADDITIN TO ONE 0 FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THROUGH GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH � THE GUIDE. r GUS GUARD COMPANY J P.O-BOX 128 CATHEY'S VALLEY, CA. 95306 IPH: (209) 966-5540 FAX: (209) 966-5540 I ALTERNATIVE: (2) 112 S.U.S. OR WELD -'A (2) 11 Z S.W.S. ANGLE IRON r� 1Yt�ai�i't�s3A J NOTE.'' • USE 571FFNER IF OU7RIGCER `,, CROSS MEUSEP• 00 4'1-;T OCCUR WITHIN 24" OF STANCHION (i7Plsr TWEE I.. --T J I T ±1 DETAILT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District I 1� Q� Y Building Department No. A.P. Number 01 V �; V b3Lrisdiction: City County Property Owner Property Location/Ac Subdivision LOT NO. Residential Development No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # t # .rr� f_ ,X - ► _ .tx . ....... _....K .r c (No foundation inspection): aaxnt . .................... Comm cial/Industrial Sq. Footage i I New Addition (Including Exterior Building Deparj'hient Representative (Floor Plans reviewed by School District Personnel) Sq. Footage Date District Identification No. ep .a_„ School District certifies that C1 4 (Applicant) (Street \\Address) U I (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing /7j square feet. District Paid by Check # Remarks: Roofed Areas) O C?l q- d s by payment of $ t AB 2926 $ FULL,MITIGATION • Date 0 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (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) feeform.xls (10/98)dmm SITE PLAN REVIEW APPLICATION Date: b -11- D 1 AP# 0 ?-2'— 0,90 O 3 2 Permit Number (if apalicable) APPLICANT INFORMATION Parcel Size: `J 17 A C_ Owners Name:. �1- 0 y �� 4:(2.4 Y _ Owners Address: 31 Lv c-2L_r_,)q -P 1>2 ; ply I L 5 c) {� Telephone No.: S89- D31 Situs Address: 5�2 (o p(D 0L1 yC ."H , Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory El Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer . ❑ Multi -family ❑ Single Family Remodel Non-residential ❑ New Commercial Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other IN Septic ❑ We11 ❑ Agricultural Exempt Building ❑ Other: e Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ® Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY 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 !?lied) • Flood Zone: Flood Panel No.: 1 02S Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A `� Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ISD L Side 30 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Foimula ----=------------------------------------------------------------------------------------------------------------------- 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No ❑ Yes Legal Access. Required . ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply_ with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision MapTarcel Map: Map Date of Recording: S— %o" &-7 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 10-7 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 other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil _-construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 NOTES a. RESIDENTIAL. 072-080-032 99-1523 PERMIT NO. BELOYED, Frank& Carol ZY-Ol rve ,Contr: Unknown 'E CTRIC G S OMPA TIO TES UPPO TST UC 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS' VERIFY _ USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - JOB FINALED (Date) Signature J = OK 0 = Not OK - = = Not ReadNot Ready ab'e RESIDENTIAL (; Date Underfloor (Plans) OK except #'s FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 4. Ftg., Porches & Decks; Soils -Steel-/ r Fig. Depth 48. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6a. Hold Downs and Special Anchors 50. 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Garage Fire Protection Framing 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 52. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 12. Electric Underground 54. 13. Plenums & Ducts; Clearance -Material -Support -Ins. '4. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Access & Ventilation 56. -6. Insulation 57. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Shear Walls; Nailing -Bolts 17. Water Htr.; Vent -Access -Combustion Air Baffle 60. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Insulation -Walls -Ceilings 20. Shower Pan; Test, First Floor -Tub Access 62. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors Ext. Steps -Door & Sidelight Protection -Landings 2Z. Size Boxes & No. of Conductors Stapled 64. 26. Romex Installed Close to Edge of Studs & C.J. 2'. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 66. 2P. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No G.F.I. & Bath Fixtures & Tub Access -Spa 31. Service -Riser Conductors & Ground Main Disconnect 68. 32. Equip. Clearances Panels-Motors-Mech. Equip. 3:. Clothes Closet Light -Shower Light -Spa Light Stairs & Rails 34. Smoke Detector 70. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 3E Vent Fan, Exhaust above insulation 74. 37 Condensate Drain & Overflow, Size & Grade 38 Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet A.C. Duct in Garage -Damper 39, Attic Access & Platform if Furnace in Attic 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Insulation -Foam -Looked in•Attic 40- Sits Proper Materials & Anchors 80. 41 Walls Studs -Nailing Spacing & Braces -Plates -Sound 42 Bearing Walls over Girders & Floor Nailing Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 43 Draft Stop in Walls (rat proof) 44 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45 Headers & Beams -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll 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 Ht. & 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-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior 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 -Connector - 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 & Receptacles 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-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 ❑ Yes 82. Following Instld./Drive J Yes ] No/Walks J Yes :1 No/Planters ] Yes ] 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 Throughout 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 94. Address Posted 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: ✓ = OK 0 = Not CK � - = Not Appitn'Te' MOBILE HOMES = Not Ready 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./ /'LPG 7. Well Clearance 6 Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cent. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. 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- Bea ms- 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 FINAL (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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 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 C 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PEIT NO. (Rev.12/96) y APPLICATION AND PERMIT 4 ?9 h5a 3L ASSESSOR PARCEL NUMBER 072-080-032 ZONING AR BUILDING PERMIT OWNER FRANK & CAROL BELOYED TE589 -0311 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 527 SILVER LEAF DRIVE, OROVILLE 95966 CONTRACTOR'S NAAE UNKNOWN UNKNOWN 11VV TELEPHONE CONTRACTORS MAIJNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permlt Fee $ 23.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS' �- ` - Plan Checking Fee $ BUILDING ADDRESS OROVILLE Energy Plan Checking Fee $ \ PERMIT FEE $ LOT NO. SUBDNISIOM914AME -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 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Adddon ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Wo -k: MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I 1C I Gt W @20.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR IES: 23.00 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License the following reason: as owrer of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. Blas. SO 3.50 FT: T. NONypESID. ANICHOUTLET @7,50 POWEPUS b SINGLER AOUTLETPARATCIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'50 BAL @ .so Ex. Occup. GflxLIE°�A PEs GR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63..00 WORKERS' COMPENSATION DECLARATION 1 hereby affirrr• 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ ,Policy Number (rfhe above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) XXI certify -hat 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' compersation 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 provi ns. Z2 J X Date A/ V/J 14 _f _ ff nature of IICan - ner C ntractor ❑ Agent An OSHA perov required f r excavations ver 60" deep and demolition or construction of structures over 3 stories in height. of Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE T ` TAL FEE $ 166.0 ,10 HAZ. ` D FEES IM . _ FLOOD �— CDf� PARCH ✓ PD HD UE This permit is hereby issued under the app of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON Ica le provisions to do work paid. to ReceiptNo. 273324/$166.00 WHITE-D.D.S.-B D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ ��-low =TY OF BUTTE 'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 MIT NO. ,,Rev.t2AIQ APPLICATION AND PERMIT ! o A.""0�1PARM""`�O1 �—Czomm x BUILDING PERMIT °max fv( C�P_eL Toaptio"s_O . 1 SO. FT. OCC. BUILDING VALUATION ONMM, U41ILM AooM5-2 . 5/t,11 -4Z 4_96-r6A*-_' d oo"rMCTOIrs wus a1c➢1,1_ . _ "s 00114TI4LCTIM u mot • °° ew .w woors wluw AOORM Fireplace is Total Vsluatlon AN:HfMCT Ort EMINI 71 uetHce HO. Frina Fee t AACHIRCT oa USMUM7 WARM Ao0MS Permit Fee i Plan CheckingFee i suao�oosees L16 0� ( V iF-.AV.) �z Energy Plan Checking Fee i ani�TAPPLICANT i PERMIT FEE _ LOT la susavewtiwue r,AacEL rw PLUMBING PERMIT USEOFS UCTURE SF O Duplex O Nbbilshome Other ereor Each Trap Solar or heat pump water heater Water piping ' TYPE OF WO Now O Addition O Remodel O UtiRies hstskilon O Other O Describe Work: �� �-� Each as water heater or vent Gas piping stem 1 - 5 outlets Building sewer Mobile Home I S I G I W PERMIT FEE S ELECTRICAL PERMIT Mein Service oo OOAR Main Service ( 100A TO loos► 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Fee j 20.00 23.00 7j i 40.00 ; .50 Ex. Occu p. ouner OR FwnAn'" • °° ew .w EFMo'w°L M. 0" Ex. Occup. ovnETs ow.) rA L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina _ 23.00 PERMIT FEE I _ 1122' III MECHANICAL PERMIT I Fling Fee 20.00 PERMIT FEE I f Mobile Home Installation Fee I i Energy Inspection Fee I t occ COWT. TYPE TOTAL FEE S KAL 0. FEES W/ I Aoo0 I cOf ioAcm PO �O 6SNE This permit is hereby Issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. Date �-- ,n.1.1 __ -733 By ReceiptNo. PERMIT EXPIRES ON i WHITE .0. eno m.... .,eocerna ani�TAPPLICANT I .k 633 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: AE ASSESSOR PARCEL ER: f.J c.� \ Proposed Building Use: M. 4 tl Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received ``By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- t ❑2. Plot plass, 3/4 sets, signed by the preparer of plans. -- 03. - ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- -} ❑ 8. Hazardcus Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------------------------------- es. - -_ ____ Y �T ----- --- ----- - %1'�California Department of Forestry plan approvaUfees. ------ ----- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- Vo14. Sanitaun and plot plan approv;j)Ae�)' Health Department. ------------------------------------------- Ell 5. City ofChico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ Plannirg approval for (A) Use: (B) Parking: __________________________ Contact Land Development about' provements, ❑ Drainage, &&gal Parcel. ----------------------- �. Encroachment Permit for driveway (construction approval prior to occupancy). f�-�-------- Pg -❑20. Pre -inspection for required Request to Building Inspector on —ft (Date) ❑21. Contractor's license information. (Number, Ne'Style, Classification). ------------------------------------ 1122. Worker' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------- ------------------ 24. ,.. tt"er of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- r, ❑28. Existin€ violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ , --------------- 030. ______________❑30. Other: When you iss��t"pr� �� t llows 11 Mail to owner, ❑Ma� to contractor. elephone and hold for pickup office. ❑ Deliver wil inspector. Q q., Appli��.B fJ Date�� Copy of Haz-Mat form sent ❑ Health Department, 11 Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme ❑ ther Date: By: 1. Index permit application for the above items numbered: ? ❑ Plan Check List 2. Additional items required: - - ' I — Contractor, design owner was advised of the above required data by Aphone, ❑ mail, ❑ Building Division counter, by Date: :TE4 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Voll.,.,, f`.,.... _ To..,,.+..,o..t .,f llo..el.....-.,,..♦ r ......:...... n..:u:_ _ r�:_.:-: -- r� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: AE ASSESSOR PARCEL ER: f.J c.� \ Proposed Building Use: M. 4 tl Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received ``By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- t ❑2. Plot plass, 3/4 sets, signed by the preparer of plans. -- 03. - ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- -} ❑ 8. Hazardcus Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------------------------------- es. - -_ ____ Y �T ----- --- ----- - %1'�California Department of Forestry plan approvaUfees. ------ ----- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- Vo14. Sanitaun and plot plan approv;j)Ae�)' Health Department. ------------------------------------------- Ell 5. City ofChico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ Plannirg approval for (A) Use: (B) Parking: __________________________ Contact Land Development about' provements, ❑ Drainage, &&gal Parcel. ----------------------- �. Encroachment Permit for driveway (construction approval prior to occupancy). f�-�-------- Pg -❑20. Pre -inspection for required Request to Building Inspector on —ft (Date) ❑21. Contractor's license information. (Number, Ne'Style, Classification). ------------------------------------ 1122. Worker' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------- ------------------ 24. ,.. tt"er of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- r, ❑28. Existin€ violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ , --------------- 030. ______________❑30. Other: When you iss��t"pr� �� t llows 11 Mail to owner, ❑Ma� to contractor. elephone and hold for pickup office. ❑ Deliver wil inspector. Q q., Appli��.B fJ Date�� Copy of Haz-Mat form sent ❑ Health Department, 11 Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme ❑ ther Date: By: 1. Index permit application for the above items numbered: ? ❑ Plan Check List 2. Additional items required: - - ' I — Contractor, design owner was advised of the above required data by Aphone, ❑ mail, ❑ Building Division counter, by Date: :TE4 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Voll.,.,, f`.,.... _ To..,,.+..,o..t .,f llo..el.....-.,,..♦ r ......:...... n..:u:_ _ r�:_.:-: -- TO: Building Department FROM: Environmental Health • % ��'� SUBJECT: Sanitation Clearance / ia-le -f• E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. / 0-03a O n r / Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for , dwelling. Other 3 6 Jn-ew. m6fat ac,n Hold final .for: Final clearance O.K. for: NOTE: 'Environme'ntal IL 8/96 ' Specialist