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072-240-019
wmlll�' Y U w x U 072-240-019 00-1192/00-1193 BROOKS, DAVE & JAN ` HURLETON ROAD, ORO CON R: EXECUTIVE HOME MHU-00-1192 / MHI 00-1193 A NOTES '1 ! L� RESIDENTIAL 072-240-019 05-0141 FPERMIT NO.' BROOKS, DAVIT)%— 124 HURLETON .RD, OROVILLE sOFFI-T Igor STRuC'm2.AC.C.S/ ATTAcj r F -ice Cont: OWNER ADD DECK & COVERED ENTRY A t PERMIT RENEWAL DATE:A�wo� BP# a -0/ / EXPIRES ` _ 2/ ID % - - SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY ��ST PAST at - p 6c J Uc 140Y i JOB FINALED (Date v Signature State of California �/� Business, SING AND C and Housing Agency /v' 1 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT /q, • / Division of Codes and Standards - �� > iAiteration ❑ Addition or Conversion HCD 415 APPLICATION FOR ❑ Alternate Approval ❑ Technical Services CONTRACTOR/OWNER BUILDER DECLARATIONS Not requ/red for Speclal Purpose Commercial Modular I. LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of f;ta+tiycu ^fencing with Section 77000) of Division 3 of the Business and Professions Code and my license Is In full force and effect. License Class Uc. No. Exp. Date Contractor Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5). Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure. prior to Its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt there from and the basis for the alleged exemption. Any violation of Section 7031.5 by any oppticant for a permit subjects the applicant to a civil penalty of not more than five hundred dollors($500).): Os owner of the property. or my employees with wages as their sole c nsollon, en"I do the work, and the structure Is not Intended of offered for sole (Sec. 7044. Business and Professions Code: The Contractors Ucense Low does not apply to an owner of property, who builds or Improves thereon. and who does such work himself or herself or through his or her own emrUnvees. rvovided that such Improvements are not intended or offered for STATE OF CALIFORNIANc Department of Housing & Community Development Division of Codes and Standards a FIN(3 AL INSPECTION CERTIFICATION �T cgqhO��a BY: `$ Y ��o Lm DATE: (District Representative) (ID No.) LABOR DATA: ARREANorth// 13 South CountyNo: ; PCA/ACT CODE _','/ rg �/II,I, TR MILES TIME: INSP/ACT TRAVEL TIME INSPECTION DATA: Private Property ❑ MH PARK # HOME/UNIT FLOORS VIOLATION DATA: TOTAL CORRECTIONS: S_F_E_ M_P_G/O_NP_ FEE COLLECTION AND OTHER INFORMATION: f, FEES: $ CK# DATE ITEMS ISSUED: HCD 59 ❑ Gas ❑ Electric ❑ M.I.A. ATTACHMENTS: ❑ Tledown Cert. ❑q Other PERMIT NO: T� S . / T Q FILE CLOSED SECTION 3766'67F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for theppeerfomance of the work for which this permit Is Issued (Sec.3097, CN. C.). Lender's Name Lender's Address 5. CERTIFICATION I certify that I have read this application and state that the above Informotlon Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the obove-mentioned property for inspection purposes. Signature of Applicant or Agent Date ❑ Inspection To Obtain Insignia SECTION T - UNIT INFORMATION ]/We Are requesting services for the following unit(s): �n (Check Appropriate Box) DTNJ XManufactured Home/Mobllehome a Multl-unit Manufactured Home Fee O Commercial Modular (Occupancy Group ) O Special Purpose Commercial Modular l - O Date Decal or License No. AA No. Y Serial Number(s) r RT TO L/ lrW CA FLS/ 1715 445 75C 1 Manufacturer Nom FL.E�rit)o0D i1vM RT BY Model Name Insignto/HUD Label Number(s) Year of Manufacture VL000 SECTION 2 - OWNER/ APPLICANT INFORMATION Owner I ������/�; S //�� Address -2 ! �" Ok L r— s-� A) kb, City4, &2 AZ% 1—�tCo�un�ty�Ri 1 Location Address i1/`t7V1 A ,,7 Applicant Address Cit I Lp Telephone SECTION 3 - CONTRACTOR, ARCHrTECT OR ENGINEER INFORMATION t t. Contrc.tor's Name W riL-�� Address_ Architect/En,1ineer Name Registration No Address SECTION 4 - DESGIIPfION OF WORK/ACTlVTY AND VALUATION Describe the propasd work/activity In detoll. Attach additional pages If necessary. Where structural alterations cr additions are proposed. complete plans specifications. details and calculations are requ'red to be attached to this form. Provide the make and model of any appliance to be Installed and provide complete electrical calculations for any electric at alternations or oddlflons. T •� rSTtA VL a P Ltt�3 � � Inc4cate the Total Cost of the Work tc be Performed SEC' N 5 - SIGNATURE AND CERTIFICATION I/We iereby make application for :,he services designated above. Signal ••DEFARTMENT' USE ONLY" i . APPROVED CONDITIONS (see revers.) side) O •DISAPPROVED (see reverse side) �17U� Signatu t Rep esentalNe Date DISTRIBUTION: YELLOW - DEPARTMENT WHITE - AREA OFFICE PINK - OWNER/APPLICANT HCD 415 SIDE 1 (Rev 11 /2004) ♦� I MH RIDGE BEAM LAY 1X6 FLAT OVER EXISTING SHEATHING AND NAILTO EXISTING TRUSSES OR RAFTEf WITH 2-10d NAILS FULL WIDTH OF RAFTEF HEEL. VALLEY FLASHING TOP VIEW APAP RATED EXPOSURE 1 SHEATHING 16" O.C. 2X4 POST AT 16" O.C.. w/8d @6"EDGES 12" FIELD GABLE END RAFTER =_ ALL FRAMING DF #2 OR BTfZ:,.._TOE NAIL RAFTER .TO' RIDGE WITH 3-16d NAILS. TOE NAIL 2X4 POSTS WITH 2-16d NAILS: SIDE VIEW 2 - 16d @ EACH POST ALL MECHANICAL OR PLUMBING VENTS TO BE EXTENDED IN APPROVED MANNER State of -California Department of:Housing `and Community Development Division of Codes and Standards New 2/02 20/30 PSF GABLE ROOF TYPICAL J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements 6. 2. Soils; Special MH Support Sketch Electric 3. Sewer; Location -Test -Fall -C/O -Concrete 9. 4. Water; Location -Test -Easement Needed (Sketch) Roof; Shthg-Roofing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements F S l S; D th S C t 0o s, of s- ize- ep - pacing- onnec ors - S 12. Braced Wall Panels Datect-j -O5" Card B-1 Ctlo $ - Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 AeSecks, Girders and/or Joists-Decking-Bracin tairs-Rails igoofVood 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 Datect-j -O5" Card B-1 Ctlo $ - Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotOK Applicable - =Not Applicable RESIDENTIAL (Single & Duplex) s = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation 63. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yes U No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BALANCE OF FEES SIDE F DATE: PERMIT: fid �Ol L/ ASSESSOR PARCEL #: OWiVER'S NAME: FEES: (Amount and Purpose): 9b BALANCE OF FEES: $ %g_ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE: $ SRA , $ COPIES $ URBAN AREA FES $ CSA 87 (North Chico Spec) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ OTHER $ OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDMONAL VAL (Check one) COUNTY CTI'Y OF BIGGS l% (Check one) RESIDENTLA-L Z CO MERC_A-L t .I w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 he Business and Professions Code Dale:?_�62Z"U%� Own'. WORKERS' COMPENSATION DECLARATION I 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 willmaintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy PERMIT NO. BP050141 Issued Date: 03/21/2005 APN: 072-240-019-000 Site Address: 124 HURLETON RD ORO Map Index: Description: COVERED PORCH (360) Owner: BROOKS DAVID & JAN 124 HURLETON RD OROVILLE, CA 95966-8900 Applicant: BROOKS DAVID & JAN 124 HURLETON RD OROVILLE, CA 95966-8900 Contractor: License #: Architect: Engineer: Total Square Ft: 360 S.F Valuation: $5,760.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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. Date: Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: This peril Is hereby Is ed under the applicable provisions of the Butte County Code and/or Resolutions to k ' dicale bove for vyhich fees have been paid. By. Date PERMIT EXPIRES ON._ I ' V ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signaturz Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. NUiloing Nermil v1 -11i -u4 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER Last Name �O G 5 irst blame / Address� � City q� Sta�e� Zips Phone,5 v ,�7 v 33 o , Fax E-mail Name Address City Phone E-mail ARCHI.TECTIFA' 0 1`1 2Qp.0� U N ��V , O� 01 d�OxvLR O�ti�� 2 'N Cll�t O vC�_ CONTRACTOR Name U Address WORKER'S COMPENSATION City Carrier State Zip Phone Subdivision Name Fax Lic. # E-mail Page Name Address City Phone E-mail ARCHI.TECTIFA' 0 1`1 2Qp.0� U N ��V , O� 01 d�OxvLR O�ti�� 2 'N Cll�t O vC�_ APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name U Address WORKER'S COMPENSATION City Carrier State Zip Phone Subdivision Name Fax E-mail Page APPLICANT SIGNATURE X For office use only: AP#�7� ` D -D%q Zoning U Flood Zone WORKER'S COMPENSATION SRA Carrier No Occ. _ _ ...__.._ _ _.. _Type Const; Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. )5, 0141 LOCATION AP#�7� ` D -D%q Property Address City 0�o✓�L� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage 3 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiv d b ; Receipt #: X25 � Date: I I l6 ('66 Amount: Bldg O SRA IV Sheriff SMIP Other �-� Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a pe,rreit INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. * ❑.- 1,., Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ,complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑• 4. NPDES Form. ❑ 5. --Encroachment Permit for driveway from the Public Works Dept. (construction approval -prior to occupancy). - 0 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. - - - - - - OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\61dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 'UU� ASSESSOR PARCEL NUMBER 0 ',;2 Z_Iv. Proposed Building Use: 0" f)"'c `n Counter Technician: Date: Items required in order to apply for a per nit. All boxes MUST be checked OR marked NA in ord&b apply. ` 7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. '❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form /19 15. 'Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ Erosion Control Plan Required.................................................................; ...... ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .....................1.(„G' e ❑ City of Chico Plumbing permit...................................................................f...... 023. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: OL(B)Parking: (C) Parcel Check: 3 to v ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................................................................... El 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit app ication for the above items numbered: 2. Additional items re Plan Check Letter Contractor, design , owne was advised of the above data by phone, ❑ mail, ❑ counter, by Date: 3,4xi/GO Contractor, deKwed was advised of the above data by ❑ phone, ❑mail, ❑ co y Date: Plans reviewe Date: Plans approved by: Date _ Structural rev'. Date: Structural approvedy: Date - Note transfer y: Date: Z C1115- Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE If 1UILDING PERMIT FEES ---Balance Due ..................... $ --- Additional Fees Due........ --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A.P. #b"'V' qo.' �1 I DATE 1- RECEIPT # D TE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. A t. l0. OTHER ( l At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE_ y Q— Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) + M 4 DUO °{ Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES r-1 NO [ ]. 2. 1 HAVE �X] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS J PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ' Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your -immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Micel C. Vieirl, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. I Q1S_rMeN- � T T ° ° 0 < 0 < Ac0UN,�s AUC WO�� Department .0 o u n t J. Michael Crump, Director ®f Public ® f B U t VV ®rks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm -Water Permit from the State of California Regional Water -Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed:12�/������ Title: " Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 E.H. UE GAILY Piot Pian Anachod ` Floor Pian Anachad 1 Sona to S.D. 'TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP Plan Approved for: Sewage Disposals Dater Supply: Public Private Weli,� Clearance for dwelling. Other /a 3C) 0 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 r SITE PLAN REVIEW APPLICATION p Date: / �S AP# © 702 — Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: 6 t.CS Owners Name: Owners Address: Telephone No, , S� �— % T3 s , Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home /� � Residential Accessory — a4 ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): FT Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plana Stamped Approved By Date l0 0� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservatio i 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) In SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: _ V • Flood Panel No.: 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: f —k -'/0 P -/-P 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 .20 , Side /d Side Street Rear 69 r 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 Amount L �" �' Formula ❑ Fire ❑ School* ❑ Parks/Recreation. ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑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 .1$ Subdivision MV2arcel Man: Map Date of Recording: T (� �S Lot: l ❑ Use Permit/Minor Use Permit Permit Number: Book: I % Page: 'F7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.RC. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ 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. 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. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ 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. ❑ Property owners responsible for roa C Page 4 of 5 um 10, x 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. 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Q I RECORDING REQUESTED BY: COPY of Document Recorded 07 -Apr -2004 2004-0019576 Has not been compared with original AND WHEN RECORDED MAIL TO: BUTTE COUNTY RECORDER BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE TRIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAVID BROOKS AND JAN BROOKS REAL PROPERTY OWNERILESSOR 124 HURLETON ROAD MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-0704 530 538-7541 BU1Lr@NG EPRMT TELEPHONE NUMBER /` 5,b SIGVAOF LOCAL A CC OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") . NONE DEALER LICENSE NO. FLEETWOOD HOMES 2000 SUNCREST 342-3U MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER _CAFLY17 A/B 23457SC12 52'X11=9^ & 50*8"xl1'9 RAD125972 8/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) c •N AAIvaFAG"-91x1143"11.UN SEE ATTACHED ASSESSORS PARCEL NUMBER AP # 072-240-019 urn CnDTR RzveN ACv 2/01 LEGAL DESCRIPTION A.P. # 072-240-019 All that certain real property situated in the County of Butte, State of California, described as follows: , PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 18, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 87. wa wim o1olliffillol tic' .:�` _ BUILDING PERMIT NUMBER: 04-0704 Address or location of unit: 124 HURLETONROAD, OROALLE CA 95966 Legal Description of Real Property: AP # 072=240-019 SEE ATTACHED (x),Mobilehome/Manufactured Home O Commercial Coach. Has been affixed to the real property above by, installation on a foundation. system pursuant to Health and Safety Code Section 1855.1. Owner's name: DAVID BROOKS AND JAN BROOKS Owner's address: 124 HURLETON ROAD, OROV,ILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD12597:2 8/9', SERIAL NUMBER OR V.I.N.: CAFLY17 A/B 23457SC12 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2000 ' OFFICIAL APPROVING INSTALLATIO DATE:.. ` PHONE: (530)'538-7541 H.C.D.. k3C 'STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LBB4029 Manufacturer ID/Name 9534 FLEETWOOD HOMES CA INC Trade Name SUNCREST Model ! DOM 1352-3U 05/24/2000 DFS , 06/02/2000 RY I Exp. Date Serial Number Label/Insignia Number j Weight i Length Width SPC SCC I Exempt Use Type CAFLY17A23457SC12 RAD1259728 23,040 i 52' j 11,9" 04 SFD LPT CAFLY17B23457SC12 RAD1259729 19,460 50.8.. 11' 9" i I I Issued Total Fees Paid i I Jun 21, 2000 I $57.00 Addressee DAVE BROOKS 124 HURLTON OROVILLE, CA 95965 Registered Owners) DAVE BROOKS JAN BROOKS JTRS 124 HURLTON OROVILLE, CA 95965 Situs Address 124 HURLTON OROVILLE, CA 95965 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 101364 -LC Title Order No. 00101364 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. David Brooks 9102 Warm Springs Circle Stockton, CA 95210 Recorded Official Records County Of TE CANDACE J. GRIIBBS Recorder ROSEMARY DICKSON Assistant 09:80AM 08 -Feb -2000 GRANT DEED SPACE ABOVE THIS LINE The undersigned grantors) declare(s) Documentary transfer tax is $22.00 ( ] computed on full value of property conveyed, or [ X ) computed on full value less value of liens or encumbrances remaining at time of sale, [ X ) Unincorporated Area City of REC FEE 7.08 TAX 22.00 Myles Page 1 of I )R RECORDER'S USE FOR A VALUABLE CONSIDERATION, receipt of which is.hereby acknowledged, Edward Williams, An Unmarried Man hereby GRANT(S) to David Brooks and Jan Brooks, husband and wife as Joint Tenants the following described real property in the County of Butte, State of California: Parcel 1, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on September 18, 1985, in Book 99 of Maps,, at Page(s) 87. DATED: February 7, 2000 STATE OF CALIFORNIA COUNTY OF Butte � nIwCc.LoI%l.�l,! ON February 5 2000 before me, Edward Williams Linda F. Wilson, Notary personally appeared Edwards Williams personally known'to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature , C Q Linda Wilson MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED u MOBILE HOME DECALS A.P. # 072-240-019 H.C.D. ATTACH CHECK NAME: AN: DATE: NOTES no RESIDENTIAL 072-240-019 BP040704 PERMIT NO. BROOKS, DAVID - j 124 HURLETON RD., OROVILLE CONT: LIFETIME EXTERIORS EX MH ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALEDDate Signature CHECKED BY J � OK 0 = Not OK . =•Not Not Ready abTe MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date Card B-1 Date Card B-1 Dae % I - Card B-1 Date Card B-1 h \V 6. Gas; Location -Test-Wrap; -/ P' L'ft. / P Nat. or/ /" L "ft./ P LPG 1. 7. Well Clearance & Disconnect Footings; Soils -Size -Depth -Spacing -Connectors -Steel 8. Utility Clearance 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date Electric Card B-1 Date Card B-1 Date 9. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 11. 1. Zoning Requirements -Setbacks -Easements Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zo 'ng Requirements -Setbacks -Easements L2 -"Footings; Size -Spacing -Marriage Line 3. Blocking Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits icense Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Dae % I - Card B-1 Date Card B-1 h \V `4 Date 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 `4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining t 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Criooies Date 15. Access & Ventilation 47. 16. Insulation 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 59. Glazing Area -Glass Protection -Skylights -Plastic Date 60. Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Insulation -Walls -Ceilings 24. Fixture & Transformer Clearance -Ins. Protection Infiltration -Walls -Windows 25. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes Q No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 36. A.C. Ducts Insulation & Support A.C. Duct in Garage -Damper 37. Vent Fan, Exhaust above insulation Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 38. Condensate Drain & Overflow, Size & Grade Plb.; Elec. & Mech. Equip. Listed for Location 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Elec. Receptacles in Garage (F.F.I.)-Romex Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 83. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 84. 43. Bearing Walls over Girders & Floor Nailing 85. 44. Draft Stop in Walls (rat proof) 86. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 87. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks U Yes 0 No/Planters U Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: a .- � -—'a..�. �.r..-,-..... �. - r. ..-� �., t ....t�.w-.�?`ti-^'e . ._ :a.�f't�.. v++"'�'- f�-+r'•.'"+^*,r'�'..�`t . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751. —' 7 County Center Drive • Oroville� CA (530) 538-7541 CORRECTION NOTICE (2) 7 d Li OWNER PERMIT NO. K• A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Inspector lq//)— REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP040704 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/19/2004 APN: 072-240-019-000 the Business and Professions Code, and my license is in full force and effect. License Class : cg License Number: 7q6 2&cZ Site Address: 124 HURLETON RD ORO Date: Contractor: Map Index: Description: EX MH PERM FND EX SITE OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BROOKS DAVID &JAN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 124 HURLETON RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-8900 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BROOKS DAVID & JAN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor•' LIFETIME EXTERIORS not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6230 JACK HILL DRIVE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-228-3421 Date: Owner: License #: 746808 WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 2---1certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, 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. 3 Date: Applicant: WARNING: lure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s dework indicat d abov r whic fees have been paid. :. performance o, ,be o,k for :vb,�...bis pe, -i is issued (Sec 3097 Civ.) Name: '() BY Date: —( PERMIT EXPIRES ON: to Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official for or document of Butte County. I hereby authorize representatives of Buffe County to enter upon the above mentioned property for inspection purpos ,. Print Name: Signature: Date: (� . r ❑ Owner 8Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP �a DATE: 3— 12--c-)c4 APN: o-7 2 ^ � � -of �1 ZONING: /2 , / O OWNER'S LAST NAME: '3 R-C�Dr= OWNER'S FIRST NAME: A V I PHONE: �s-b � 5'3? -�o 33 STREET ADDRESS: (2-JXL F ®.v ' FAX: CITY, ZIP: ` L) t L-C-i�- E-MAIL: SITE ADDRESS: CITY. ZIP: 01L01)(1 -L,- NEAREST CROSS STREET: TRACT/LOT it. APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: ✓ E-MAIL: CONTRACTOR NAME:PHONE: rC.)R S ;� STREET ADDRESS: . 23f� ; ck LL D12. FAX, CITY, ZIP:�� /1 v v [ �� SPS E-MAIL: LICENSE NUMBER: 7 `' r `n U `� LICENCT4E7 ARCHITECT/ENGINEER NAME: PHONE: STREETADDRESS: FAX: CITY. ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: 57ALL F -,>,AD S YrK. ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: 3q 5 ' Amount Received: Master application 3-4-04 oQ-6�0 COUNTY OF BUTTE-DEPARTME OF DEVELOPMENT ERVICES-BUILDING DIVISION % 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6 /__/ A- SES,9OR PARCEL NUMBER L C/ - 0 / Proposed Building UseLW /A i l�� Counter Technician:9A Date: tems required in order -to apply for a permit All boxes°MUST be checked OR marked NA in yrder to apply. 91\11. Site plan ' 'r 4 sets, signed by the preparer of the plans. 2. Complete'p ans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Pla , ie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ .. ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ............................ ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permi forri�y e Public Works Dept ........................... d 28. Pre -Inspection for v vfro direquired....... ❑ 29. Contractor's licen information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance.............................................................. ❑ -35. pisting violation and/or expired permits ..................................................... ) ❑ 36. ed Restrictiort/.......................................................................... ... . ❑ 3 Fant De itle/Statement of Facts�l�e)r from Legal Owner, deck to H.C.D. $ 22 ❑ 38. Other: / ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the -above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit appl!cation forte above items numbered: Plan Check Letter 2. Additional items -required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owe , was advised of the Aove data by D phone, ❑mail, ❑ county Date: Plans reviewed by: Date: Plans approved by: Date: S-0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division s; OWNER: . JCO LOCATION: / CONTRACTOR: �PD¢0 70� SPECTION REPORT DATE: ✓ I � v A.P.# ZONING! REASON FOR PRA PECT ON DATE TO INSPECTOi� / ® PERMIT HISTORY( ) NONE (SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied ( es ( ) No 1f Abandoned/Vacant: Electric: ^ f r Electric Currently (• ( ) O(ff b Condition of Electric— Gas: Currently ( ( ) Off • t Condition Sanitation: Plumbing Worldng ( es Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: ISSUE Hold for permits or verify: Inspector: ( ) No ( No ( es ( ) No Date: ) "0 W Tf:H R1TTT,DTNG,9 ON REVERSE AND INDICATE LOCATION ON PROPERTY. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP '�4016# 1 DATE:APN: 3 r .z c -i a71 - Z � -o ZONING: /2 '/ a OWNER'S LAST NAME: 15 R_Cse OWNER'S FIRST NAME: DAVI r� PHONE: �5 � �o 33 STREET ADDRESS: i Z• Jc�-LF Gti FAX CITY, ZIP: �� iLc9l t LLr' E-MAIL: SITE ADDRESS: I CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT t/: APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E -MAIL - CONTRACTOR NAME: PHONE: STREET ADDRESS: .j; ck LL D2 FAX CITY, ZIP. QA�.>�,; �. �� C,s_- SPS 6 E-MAIL: LICENSE NUMBER: •� � LICENSE ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: AJ`7ALL (-T EA"t ��.✓v 5 5�r-• ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: Master aooliration 3.4-04 7 072-240-019 00-1192/00-1193 BROOKS, DAVE & JAN HURLETON ROAD, ORO/, �Y CO R: EXECUTIVE HOME MHU-00-1192 / MHI 00-1193 1 ELECTRIC GAS CO EQ SUPPORT STRUCTURE REQ 072-24-0-019 00-1827 BROOKS, DAVE & JAN 124 HURLETON RD., OROVILLE `- CONTR: OWNER GARAGE r -//U4& /o/ ,y, Building Pernut umber: 0 — b %Q Owner Name: ['-*Q0 e4 ' -J Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. • 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: mm Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. M. The following parcel map requirements shall be met: All structures aud equipment including overhangs shall be clear of all easements. A setback of ;Z feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's Name: �, - °S S'A"' �- do K S \ 2. Assessor's Parcel Number: 4` 12 — Z- 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[x] Permit No. 5. Is the site an existing site? Yes[ ] No[x] (If yes, furnish two plot plans). 6. What+ is'the Jelectrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Z Amperes. 9. Is the main service remote from the mobilehome site? Yes[u] No[ ] If it is, what is the rating? Amperes. - 10. Is there any other electric load to be served by the. mobilehome site electric service (i.e. well, garage etc.)? YesM No[ ] If -yes, please'identify the load and size: a) The mobile home site: Load- W �`- Amperes- 3� b) The main service: Load- Amperes - 11. Type of gas service; at mobilehome site: Natural[ ] PropaneV ] None[ ] 12. Size of as ,, pipe at the mobilehome . site from the meter or tank: _S 1 `A inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 4, Z (ft.). 14. What is the mobilehome gas .demand? rVA B.T.U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). "t im 1 "_ THE O'T'HER SIDE OF'THIS FORM MUST BE COM LE�� &.W'O aR .:0, PROCESS THIS PERMIT APPLIC ®PIPAn +-AuiL ! `°A %-UTTE COUNTY BUILDING ®EPARTENI May 1995 8.5 M.H.I.- 2 Mobilehome Manufacturer�;,�16-T-WQQ-b Manufacture Year: Z 4 If other thin single wide, furnish e�up Model Number: 35-X-3 t^ Width:23 6 (I{.) Length.'SM e It.) Tagalong or Expando Size (ft.) x—Gk, (R.) On all mobilehomes manufactured alter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade] Other: SUPPORTS: Concrete block[x] Other: Provide Tie Down Specifications for all Mobilehotnes: C -7-%-S 6v. FPL'n e po..�r• S '(viii'! C-�4 icfl Pier Footings Sizes and Location SiiVCLE WiDE MULTI -WIDE Line l —Line I Line 2 Line 2 Main Deana .......................................... Line 2 .................•--.....-•-----................... ine 2 Line I Line 3 Line 2 blain Deans ...---•.................•----................................................................... Line 2 Line i ................. .................:... >Tag or Triple ine 4 —L.inc Line 1 Piers: Line I Openings, Size minirnum: xSize minimum: [ IZ ] x rl ]• Spacing maximum: Each side of openings ER►o(t From ends -maximum: with width over: S n Line 2 Piers: .Size minimuni: [iz ] x Spacing maximum: From ends -maximum: " Line 3 Roof Loads: Size minintunt lz �c3 Location (front front): 61 Litre 5 Roof Loads: Size minimum: Location (from front): W') -.•,O 9, 30 hT�� I •_ civ -..N 43.0 DIF3 0 (t Linc d Piers: � Size mininium: ] x [ Spacing maximum: From ends -maximum: ` Cokjt4 w. - .%'u 3bk30 36 3 0 4 17" CI 29 N' 3 6' 30 May 1995 A P V F 11 SIM AW -AE ` --- --•.'LLC?% CHASSIS F'RANE. 1/4' GRIPI-tR PIATE (2) REQUIRED I /a" Gu1PPER VASE 1/2-13UNC• A307 x BOLI WITH NUTS (4) REQUIRED i - 3/5- CAD F i U E^u OCLT, Vr' S YlAS!! ro COUNTER (TONED (LUSH Willi BOTTOM AT 8" O.C. (8) REQUINED QUAIL—_X' 01 1/)- SCH 40 PIPE RISER WITH--', 012- AIIJUSTfR HOLES AND 3/8" THICK juil PLATE 12' SCII 40 PIPE SfA11t WITH TWO -� 01/7' ADJUSTER HOLES %1 Atil,.k0 ABS PAD /503 -� STEEL I'RA14L- Ur-TAI. -"A=? - 1 /4" STAND BASE - - AUESCO AUS PAD IS(1S i / 36" MAX i0 BOTTOM Of' PAD I 01/2"x 3' C.R. LOCK PIN WIT11 01/8" BRIDGE PIN 1 3 07 �� �® 1^v C'OAC!! '(:" ckeur- COAClI "J" f'kAMF: 2- CIIAHNEI � PLATE IEK STS 1/4'x1-1/4'•—� (4) NTQInREQ TEK STS (2) REQUIRED t `- 1/lam GRIPPER BASE RASE. 1/7" A.107 DOLT �� �•� I/Z' A3.)7 BOLT (7) RIAUIRED / i (4) REQUIRED STEEL PLATE t/?' A307 DtJu-� --EiEAM J_[iEA#1 (2) REQUIRLD ATTACHM NT TTACI !jCtj �- 10.00 —1 o - o 10.00 09/16 HOLE (TYP) STAND—Q `' T01' VIEW TUE= 1 PERMANENT FOUNDATION SYSTEM AB .9C0 -GUS GUA1tD COMPAW 5851 FLORIN - PEMINS kOAD tiACRAWW. 0. ICA 95823 H: (800) 382-8631 FAX: (916) 383-5201 T-,--+ 8`1/?^ not.. H(xE (8) PLACES STEEL F1tMA1C', TOP VIEW' STATE APPROVALL z AAE � P� } =`� J .. • 1 z ? � � A X �1 X • 1-. < � 1.� ••NCC � C' V C•: •. W H os o "' - o A w� WAYNE T. POLVADO, 131 --LISTING NO. 1-94249 su(CT t of s r t .J cr;rv_r_r;n[....I�4'iI� _Ul��4'Sllli.t�t._�luE=.S I. l►k:�IQt(_ IAAPI- LIVE LOAD — 30 LD. FEDOR LIVE LOAD — 40 F'SF WIND LOAD — RO IIPIl EXPOSURE SEISMIC ZONE "4" K S►IOW LOAD 100 PSF (SEL NOTE If!)) 2 THIS FOUNDATION SYSTEM IS DESIGNED TO DE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PP.09LEMS. t ` S S110WNAINS7 HETS SHALL OE LOCATED AND 517ED rOR MOBILENOME RISTALLA110N IKSTR C ON`s LOADS 4. IN ARLAS WULRE DIFFERF.NTIA1. SFTTi(UENT (D.S.) CAN OCCUR. FMANUTACIURLD HEMI* SMALL. BE REAILRLSTEO WHEN 05 EXCEEDS 1/4', OR WHCN Il WILL ADVERSELY AFFECT MOBILE NOME UNIT. 5_ CARRY ALL FOOTINGS DOWN TO FRM, UNDISTURBED SOIL. FOOTINGS ARC DESIGNED FOR 1,ODO NSF TOTAL LOAI) �cHL PRESSURE. ANO SNA11 BE COMPATIBLE WNN LOCAL SUL CONDIMNS. COMPACIFO SAND MAY K USED TO FILL LOCAL VOIDS UNDER PADS. 6. W If DCAOCOOADINCITO AWS SPFCLLICATIONS.RDEILCCTRODES 3 0 I'LAILS AS1M A56 BOLTS -'SAL CR 5=ASTM A449=ASTM A3725. 7. 11E (AFS GUARD ASSEMBLIES SHOWN 011 THIS PA,( SHALL DE US7I71 AFB LABELED BY BSK AND ASSDCULf S. FOR T11E I.OILEAWI4C LOADS: AT_ Ai WAF1U LOADS: NORTLOWAL YEICrICAL GUS GUARD TUF—I 2200] 6000j1 GUS GUARD MGP PAD 2200/ 60001 GUS GUARD E—Z TIE PAD 2200/ B. DURING PIICIIUINARY INSPECI ON, THE ESTIMATOR SHALL ENSURE MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. y, EXISTING COACHES MAY BE RETROFITTED TO RESIST SFJSMIC FORCES BYA INSIALLING GUS GUARD 1UF—T UNITS AS SHOWN ON THIS PAGE OF TYPICAL F4IUNIAATK)N W ANS. 16. HE USFD� INSTALLERS DISCREI ON FBLOW 16's 16*xl2' ITEI31ATWI f0 ('ADS. URED III PLACE AI GROUND lCYF1 HAY ;INCL£ WIhE COACHES DDIIHIE mull-TIPIF- CoACIils E= 2' MIN. / LT' MAX. E= 2' Mitt. ��MAMAX. . S= 6MIN. /16' MAX. S= 6' MIN. ------ VARIES 10•-7D' (SCE TABLE OH SlICET #3) 1 S._-...... C� RIDGE BEAN SUPPORT AS REWIRED BY MANUFACIURER_ _ O (— ► (TYPICAL) r-- O Fil 1:1 11 8' NOM. .1 E] I_.. 1 .n __ 7A P�AIDS IN ANY PAIR MAY BE f STANDARD M.11. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIFS OFFSET 70 OINCR SIDE f0 THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER, TYPICAL T1HROUGH0U1 ' PAD (iYP) 1f ,Y 10FS. THE CUS CUARD TUF-1 SYSTEMS ASAFE FOR BlSIAL1ATION IN FLOOD G tf•` , f '' PLAIN ARIAS WHERE UEPI11 01 FIOXjINC L*CS NOT EXCEED THE TIFICIIT t �� of TNREE FEET. T 1. MIJILTIPLE UNI f INSTALLATION IS ACCEPTA13LE PROVIDED dr,-!' 1" THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS V c..) THE SAME AS SIIOWN REQUIRED PER EACH UNIT, a'f;? _� ef`�'�'e- ."":' vz, ypGLE-wIm. UNITS REQUIRE ADDITIONAL RESTIWNF. ' (SFE SHEET �3) S f v��S fB _ Id"o_uTTAL CC4POILLNfS AND AIIACHYDITS 1`1111S SHAII. HE PROTTCRVE COATED_ '10�14a� Y��Na CONCRETE SLAB IS IN EXISTANCE. PAD IS NOT IREOLIRED. ANOfOR STAND TO CONCRETE SLAB WITH �F y 1 2% 3 1 2 EXPAN5tON ANCHORS. Y� -.(I / / 1S. CUS HARD IUF-1 FOLINDATTDN SYSTEM PROVIDES CLJS� IA$E SNOW LOAD 10 1DO PST WIZEN v6muFD WITII, [XIST1NC STANDARDS REQUIRED By COACH _MANUFk-AJRER OR REPLACE THEM ON A ONE TO TUF-• 1 PE ZMANE-NT FOUNDATION SYSTEM ABESW-GUS (WARD COMPANY 5851 T-' .ORIN - PPX. KIN3 ROAD SACRAMMM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL I of 3 n a.: O w c'pa Fr (u Q1 0 < t� U t^ "° O S ao w WAYNE 7. POLVADO. PE -LISTING NO. F94249 SITEET 2 of 3 . .I" o!,A. - !2" !_C.. AV) -(4) REQUIRED /2"x 3 1/2" 1/ CH 8� I.ON(iEXPANSION ANCIIUi< � ANCHOR BOLT 3/e' CAO PLATED BOLT, Nlll 8t WA.SIILH 4 REQ111RED (4) REQUIRED COUNIER BORED FLUSH WI1H 801TOM ( ) AT 8' O.C. (Ts} REQUIRED '�.!:1F1Sr.' CONCRETC PAD INSTAL tATIUN POURED 1N PLACE 16),16x12. CONCRETE- FOUNDATION INSTALLATION�kj a -{i T - �, CHASSLS FRAIJF —•.\ �� LIGHT IICAVY-WLIGIII j PLASTIC PAD INSTALLATION 1/4" GRIPPEk PLATE ' (2) 61fol ut I) 1/4' GRIPPER BASE " 1 /2--1 LUHC- ASO x 4"-' DOLT WI'111 IIUTS (4) REOUIREO 01 112" SCII 40 PIPE RISFR WITH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PIATE t2- SCII 40 PIPE STAND WIFII Two - ,- 01/2. ADJUSIEN HOLES ABESCO ALTS PAD 1505 \ �' 511111- FRAME --\ 1>/ 36" MAX MULTI-Mic UMM SINGLE TIDE UNIM 10 BOTIOM Of PAD i �.jl� L(K.-K 3- C.P. Locx Pw w1114 01/8' BRIUCE PIN I 11OIIE 24 26 8 44 e -1' b _a _ 1 12 12 la 1--20 da' -i= ro a 20 20 24— "OEM OF 1UF-1 REQUISED NUMBER OF TUF-1 REQIJIkC-U lIM- SINGLE WIDE UMTS REQUITE (4) E-2 71E PADS. GUS GUARD AIF -1 PIERS ARE TO BE PLACED AT APPROXFMATELY EQUAL INTERNALS ALONG EACH FRAME RAIL TUF— t PERt,AANENT FOUNDATION SYSTEM �Al3L'SCU-CRU la�T a�2"' / S GUARD COMPAN) ''O �"�� �\ `" / SRS 1 FT,ORIN - PMTNS ROAD 3ACRAlvRTf0, CA 951123 PN: (800) 382'-8831 FAX' (916) 3m3-5207 A d • `s TATE APPROVAL O Z 7' Z, Fa+ tA te L1 C ,• r a C) b a [n G U a ca E✓ - z 1 0 a h p < A co WAYNE T. POLVADO, FIE -LISTING NO. F94749 SHEET 3 or 3 0 I ENCTN OF WIDTH OF 110 11011E 10+ 12 _ 14Y 1 VV 6 B 6 6 b 80 10 10 1 D 10 "OEM OF 1UF-1 REQUISED NUMBER OF TUF-1 REQIJIkC-U lIM- SINGLE WIDE UMTS REQUITE (4) E-2 71E PADS. GUS GUARD AIF -1 PIERS ARE TO BE PLACED AT APPROXFMATELY EQUAL INTERNALS ALONG EACH FRAME RAIL TUF— t PERt,AANENT FOUNDATION SYSTEM �Al3L'SCU-CRU la�T a�2"' / S GUARD COMPAN) ''O �"�� �\ `" / SRS 1 FT,ORIN - PMTNS ROAD 3ACRAlvRTf0, CA 951123 PN: (800) 382'-8831 FAX' (916) 3m3-5207 A d • `s TATE APPROVAL O Z 7' Z, Fa+ tA te L1 C ,• r a C) b a [n G U a ca E✓ - z 1 0 a h p < A co WAYNE T. POLVADO, FIE -LISTING NO. F94749 SHEET 3 or 3 0 COUNTY OF -AUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 C&ntl Center Drive • Oroville, California 9596 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) . APPLICATION AND PERMIT 6" 1/!0 ASSESSOR PARCEL NUMBER 072-240-019 ZONING BUILDING PERMIT OWNER DAVE & JAN BROOKS 209 TELEPHO847 5493 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 532 DEL ORO CIRCLE, OAKDALE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAIUNG ADDRESS 3042 ESPLANADE, CHICO CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS HURLTON ROAD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNISION'S NAME 77—TFA MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LEss 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is fCe end effect. C' i 6 YDS 6' _ License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Occup. OR ADONS. ( a ACC. BLDS. so 3.5¢,T: NoµREOSIO. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FIXTURES so @ 1.00 BAL @ .50 Ex. Occup. PUT FIXEDTS P=.DEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' Gmpensatin nsurance carrier and policy number are: Carrier "OPtIVP {,tors,\ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number W01) _114 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wYIK' compe sation provisions of section 3700 of the Labor Code, I shall foh comp rwith those provisions. / X Date - (P ` UJ _ Signa'W61 Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excavat ts over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100-00 Energy Inspection Fee $ Occ CONST. TYPE TOT ,AL FEE $ 143.00 HA D IM FLOO COF I Pp HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above which ees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work een paid. D to 54Q�� Date Receipt No. 294622 _,$143-00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IIIFt, :�. •'.A d.'±T �!!s � � iK�sc '* � •j .'l^S�'�^f'"f,;i ,''-. �'v�n:j� -',y T�r'.n.�q`. �`�- � _'_,,j�; �R'�._L,�.�r+'�i '�L`��-�`:�.r�!.xri".,. ..<K. .. -CUkNTY OF';BUA;E - DEPARTMENT OF'DVVELOR ENT SERVICES - BUILDING DIVISION 1}, 7 COUNTY CENTER DRIVE - OROVILLE,I1-�Q AP 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: b�►� ASSESSOR PAR�C7 ER: 6? [ D Proposed Building Use: Building Inspector: Date: _ c t�J 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 -------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ E13. -----❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. 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! ------------------ 116. ----------------- ❑6. E ergy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. State M ent of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ i ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ , 0 ------------------------------------------------------------------------------------- ... 1,-s 4 .a: El 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.------------- 1113. ------------ ❑13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16 Plot plan and business license approval from the City of Biggs. ---------------------- � 7. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 0 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carriers and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑2o-Letter of intent on building use. ----------------------------------------------------------------------------------- 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑ 3 0. Other: ------- (Date) K�Wh you is _ t s follows 11 Mail to owner, si o contractor. `�Telephone�p and hold for pickup at � office. ❑ Deliver with inspector. Applicant: �r/ I—� Date: ✓ �l9 �UCi Copy of Haz-Mat form sent o Health Department, o Fire Department, ❑ Air Pollution Date: By: Copy of plans sent o Health Department, o Fire Department, ❑ Other: Date: By: 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 o phone, ❑ mail, o 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, o mail, ❑ Building Divisi n counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Buil ' iv' ion counter, by Date. Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. n COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE M 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........ $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq -ft.). x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) : x , = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt: 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) rA FIRE INSPECTION AND PLAN CHECK .00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) . 10. OTHER A.P. # DATE'"'"' RECEIPT # DATE REC S-- Py, -e -v At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT �' DATE S ' 2J Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) t School District A.P. Number Property Owner � " r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) //A, CF le 7, R ,,L �V Building Department No.y G Jurisdiction: City County Property Location/Address VA rOl-4 A C 11 Subdivision Lot No. Residential Development No of Living Mo ile Home Units Installation Commercial/Industrial New Addition ........................................................................................................... [ Sq. Footage �Q .. Addition/ Supplemental to (Group R) Conversion Permit # *(No foundation inspection)`:. .................................................................................................................... �� ✓� Z. Plans reviewed by School District Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. 11✓ / 9 J 2:: : School District certifies that (Applicant) 2 (Street Address) (City) has complied with the requirements of Resolution No. repfesenting ,30 / square feet. Representative Paid by Check # (State) 99-Ua -oS (Phone Number) 9S �'6 (Zip Code) by payment of $ —2 6(a Z4,57 JFA�B 2926 $ PULL MITIGATION $ S -x(0-.0 Date Remarks: /�41 11 00/ %/sY"(i 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 (CEQA1, 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) feeformAs (10/981dmm y.M (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER, y �,Q ., p ZONING ` '71 BUILDINGPERMIT OWNER LEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 5�- SEL �a G�Qc�► �A?�nA`� CONTRACTOR'S E TELEPHONE CONTRACTORS MAILING ADDRESS 3oL1 Z mss$ CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome/'< Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation)d Other ❑ Describe Work: }� Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS 2DOA 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 force and effect.POWER License Class L — �� Lic. No. -9 3 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNQ OCCUP. OR AD.NS. ( a ACc. Bins. s0 3.52FT. No RESDO MULTI -OUTLET 97.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMRES B20 @ I.00 Ex. Occup. ouiLEisPPLNS RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �1 I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work,for which this permit is issued. My workers' compensation insurance carrier and,policy number are: Carrier S..�? Ec -V9, r+4T-1 Q- ,A 1— MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number \14 2p Pi '3 '% % y Z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _\ Date S $ -"Od Signature of Applicant - ❑ Owner )Q, Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ D. FEES IMP FLooO CDF PARCEL PDHD 55UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M.H.I.-2 1. Owner's Name: T__3 r 1F I S,A, V� �L bo K S 2. Assessor's Parcel Number: _ 4`12 — Z-''1 — D 3. , Installer's Name: _ c�v�T;'/ Z ar,.V+-%. f S 4. Is the site currently under permit? Yes[ ] No[x] Permit No. 5. Is the site an existing site? Yes[ ] No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[--'] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? YesM No[ ] Ifyes, please1dentify the load and size: a) The mobile home site: • Load- \,) XA__ Amperes- 3� b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] PropaneV ] None[ ] 12, Size of as ,� pipe at the mobilehome ..site from the meter; or tank: 3 H inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?4,7- (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF'THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION BUTTE COUNTY BUILDING DEPARTMENT May 1995 8.5 A M.H.I. - 2 Mobilehome Manufacturer,�;ySIF--rWww Manufacture Year: Z'C�o If other then single wide, furnish ejup Model Number: 35 Z3 vN Width:23 h (ft.) Length5M�ft.) Tagalong or Expando Size --io- (ft.) x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade{?<] Other: SUPPORTS: Concrete block[x] Other: Provide Tie Down Specifications for all Mobilellonies: f–YTTO U}4 -v--fl Pier Footings Sizes and Location SIPICLE WIDE MULTI -WIDE Line I —Lina I Line 2 Line 2 Main Beams ... Line 2 ine 2 Line 1 Line 3 Line 2 ......................................:......................................................... Main Dennis ............................................................'. .................................. Line 2 Line I .ine S rag or Triple ine 4 I..inc 1 Line 1 Piers: Size nunirnum: x Spacing maximum: " From ends-nlaxununI: <, Line 2 Piers: ;Size minimum: x Spacing maximum: ,3 ` v " Froin ends-maxiinum: N " Line 3 Roof Loads: Size minir11un1 Location (front front) Line 5 Roof Loads: Size minimum: Location (frown front): May 1995 I2 �- Zh,,3o 01061 4° 1Z Lille 1 Openings Size nlininnlnl: [ IZ] x Each side of openings Q -r e4Z s %t with width over: *15o hT�� 43,0 OF -3 o- L Linc 4 Piers: Size nlininuull:. ] x [ Spacing maximum: From ends-nia,611ur11: ` 1 "! V) 413 1� e1 Sb' p' 1 I \ I 4;(,q 2-0 N R.� ALL STRUCTURES AND EQUIPMENT If 61NG OVERHANGS SHALL BE CLEAR O ALL EASEMENTS, A SET BACK OF ::5.0- . FROM THE SIDE AND O, FT. . FHE REAR PROPERTY LINES AND k\ > FT. FROM THE ROAD CENTERLINE SHALLVE _- EAR OF 'STRUCTURES AND EQUIPMENT EXQW FOR A 2 PT. EAVE OVERHANG. �K �` Lp6 \ vy B� A � HDm �+ori �'orzd D 1�iave. J�=� ��� foo ,, �� {��`� �• 0\9 BUTTE COUNTY P U AUILDING DEPARTMENT.-, 1-� v ►Z L -TON �_b o�z 0u 1 VL c � D n E) '(-) .n ` t.. E -Z TIE DOWN SYSTEM DESIGN LOADS: CHASSIS BEAM SUPPORT PIERS -- SPACING AS RECOMMENDED BY THE *WIND LOAD - 15 PSF 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. E—Z TIE SUPPORT PAD 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO TYPICAL 3 SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR SEE NOTE # 10. DESIGNS FOR MANUFACTUED HOMES OVER 3 'SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTM A307. TIES 28" HT 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: f1T HORIZ VERT UPLIFT 18" 2010 (lb) 6000 (lb) 891 (lb) 21 " 1825 (lb) 6000 (lb) 801 (lb) 28" 1419 (lb) 6000 (Ib) 629 (lb) 36" 867 (lb) 6000 (lb) 385 (lb) 7, ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 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 SH T. #1. 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAM. `0* vrl`L- "Z-%( -1D 1,5 F W110,11.71i�4t 1,7:18 Exp. 6�._.�. OF C GUS GUARD COMPANY P.O. BOX 128 CATHEY'S VALLEY, CA 95306 PH 209-377-8354 • PH 800-322-2479 FAX 916-383-5207 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. VARIES 10'-70' EVENLY SPACED BETWEEN E E 0 ❑ ❑ ,T_; 1_; 0 0 RIDGE BEAM SUPPORT AS REOUIRED BY MANUFACTURER (TYPICAL) o ❑ ❑ 0 0 O O LENGTH Pf HOME NUMBER 18" HT OF E -Z 21" HT TIES 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 CO E,C tMTCD OUNI I Approval does not authorize r appro a ,����ME deviation from require a $ Wo s end' regulations. 8 State of California VY n^ Department of Housing and' m i Rop0t� F EA STAhfDARDS Q BY Date - .3 -'9292 9 (Signature) SPA NO 6—TS //Z This Plan Approval Expires 11-4-2-00t THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 1 of 3 2"x2"x3/16" STL. ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED 10.00 T 0 I BI 10.00 O 1' 0 0 STAND BASE—'TOP VIEW 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/81" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES . ABESCO ABS PAD #503 SEE DETAIL "A" 1/4" STAND BASE ABESCO ABS PAD #503 1 3/4" DIA. x 18" LG. (4) REQUIRED 1/2" DIA. HOLE (8) PLACES 18.75 STEEL FRAME I TOP VIEW 1 " x 1 "x(4) R30t5. REQUIRED DT.S. (4) Ptcs \ / 1/4" GRIPPER PLATE \ (2) REQUIRED SIDE VIEW / 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED COACH "C" FRAME 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN GRIPPER 'LATE COACH "J" FRAME 1/4"xI-1/4" TEK STS (4) REQUIRED 1/2" A307 BOLT (2) REQUIRED 1/4" GRIPPER BASE x a . 1/2" A307 BOLT E COu / " A307 BOLT n (4) REQUIRED EPJ�I�tED D J --BEAM = A HMENT ATTAIC M T GROUND LEVEL N E -Z TIE DOWN SYSTEM POLVADO, PE—LISTING NO. SHEET 2 of 3 + + ).50 30.00 18.75 STEEL FRAME I TOP VIEW 1 " x 1 "x(4) R30t5. REQUIRED DT.S. (4) Ptcs \ / 1/4" GRIPPER PLATE \ (2) REQUIRED SIDE VIEW / 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED COACH "C" FRAME 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN GRIPPER 'LATE COACH "J" FRAME 1/4"xI-1/4" TEK STS (4) REQUIRED 1/2" A307 BOLT (2) REQUIRED 1/4" GRIPPER BASE x a . 1/2" A307 BOLT E COu / " A307 BOLT n (4) REQUIRED EPJ�I�tED D J --BEAM = A HMENT ATTAIC M T GROUND LEVEL N E -Z TIE DOWN SYSTEM POLVADO, PE—LISTING NO. SHEET 2 of 3 r INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSSMEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I—B AM 5 REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIER CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASSI`, BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C—BEAMS AND J—BEAMS 8. HEAD OF PIER REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THROUGH THE SIDE OF THE SIDE FO THE BEAM IN ADDITIN TO ONE GRIPPER PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THROUGH GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. BUM COUNTS 3UILDING DEPARif s �" pdP'0 ALTERNATIVE: (2) /12 S.M.S. OR WELD (2) 112 S.M.S. ANGLE IRON-"'�T NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER 00 NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER GUS GUARD COMPANY DETAIL P.O. BOX 128 CATHEY'S VALLEY, CA 95306 PH 209-377-8354 • PH 800-322-2479 FAX 916-383-5207 WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 3 of 3 r c t ef-80 Ill, 5" v►ticl�,►v� eF 10L c t m. m wrm,M6 T& G - WTF-5O HOUS;tZ a ..• rR)- ,T;CN1 t) This floorptalnlay babldt h zlexutmir BUTTE COUNTY � 3 SAFETYS�VZA M Ww about s11a laWh zWor *-ft a)". z) /1ctt,al trfut�ry a4dOwnf lal6sh has bmr 1.1 I LQI NC D E PARTME I� ��p MAR 2 � 1 y a � M� PROVED D A P P R O • � WINDOW/DOOR SCHEDULE P� — �l I I r _ i-43! I G1 RLZ%�- / tvd AIIN. pwq 30K_L.100 L f'Or MAX 5M Mn PIER 30rLL.IONO.L 11d' M". i 4 S 72 ' 1 r 11 1 ( I M111 1M' 5200 LOADS Q rna Fair WZ1 LOADS ❑ me P'1TT :NZ1 sa ph —I Bezrnq IS Mqu►_d • ina=att= 2.5tarina_ ,9 reotnred oescmr wK OLAt VVff "M •� . LOW MR VIFI 1 #AIM 01111>A+alRfoM PAMM auPPtT Ala C RILLEMG t=+o n'* .a suPPLt L(" wa t:lir SHT 1 OF 1 • C 1&II�iEi� 6 4•iGP.2 S41<T G' -0'r b S (,.O SA%:CTY 5:4 1 rt.wl.oerAr m exwust ► c�L row ® S#OaE OLieCt4►- si TRAM OMAEA o0a 1100 1 A 1'd 52 Awe 1100 f A 1'd 32 �' h 6 1 u�ecSO A da 3Y' :3 A 43002 43002 "34' 4 — - 7100 3 A 140' 8 7100 ] A 1 PC' B 7 Llytl,Itn gtoH aft `iT 13 e e I DR 1•'� EI�CtSSZ� 6100 4 e t t •t t tAi S 6100 4 8 IT -11 t!4 5 eF i F2,9.a1,�•' '• �� r J� awo S a 17�• 5 6100 g B 73•a• 6 �-� 1 Sb A A I 17 4800 6 vc• 3z +eoo e 04' 32 aQESS ® /� I B B ' 4v^•:xt� 2 �earfna is rraWsa ' lydictUS 2' Ddaero_ Is -ecvar..d v I 001. 4/12 Rod Z4�'Oj1 1314 MtK 2WLL.1000.L MIK 2041.L.t0,10.L ^ PER 108' MAX. PIER 114' MAX. ZX� 11#C6 a Tne tao PC41 wa. WZ1 trrttt InAM a Te P—T wZ1 fo to n rn tnsr KL� am t A.. t••Q' 32 ��; 800 1 A t._r 32 1r 0-2�m aaa� FEDE?AL?AAV".FACilir?.SQ i 13" ►1 �� �'0° A 2 8 r-0 W 'r-4 3w 3 32 3700 in 6'•. — — - WTF-5O HOUS;tZ a ..• rR)- ,T;CN1 t) This floorptalnlay babldt h zlexutmir BUTTE COUNTY � 3 SAFETYS�VZA M Ww about s11a laWh zWor *-ft a)". z) /1ctt,al trfut�ry a4dOwnf lal6sh has bmr 1.1 I LQI NC D E PARTME I� ��p MAR 2 � 1 y a � M� PROVED D A P P R O • � WINDOW/DOOR SCHEDULE � O CL Q j 12.-3 l� _� tq—b ��- � . -� ✓v �� app 3 � tvd 4 4 4 32 5M 3 A e 1410' i 4 S 72 47th 4 B t T•11 W 4= 4 B I M111 1M' 5200 6 B t3.. 6 6 B 13,' 1700 e Al r-0' 3700 e E sa ` idic.-tri 2~ Bezrnq IS Mqu►_d • ina=att= 2.5tarina_ ,9 reotnred oescmr wK OLAt VVff "M •� . 5= 0MRIrnon out Veit — — LEGEND- p 3*E ELECT. VA. 3VEM t swncrl uaw rRTUI1E m a ;; #AIM 01111>A+alRfoM PAMM auPPtT Ala C RILLEMG t=+o n'* .a suPPLt FLEETWOOD twtr1Mmxrf. Mc. TME: ��� ALT. FLO (9tlt-�ts1 h l Q' I'1 R PLAN i I `�I 114. w 514-8 SHT 1 OF 1 SL I I M- CAI i o 7 x 10• F xfsD' Z. Z — • (,' [ 0• � K H. 6; 'q."1 . 2 B G' -0'r b S (,.O SA%:CTY 5:4 1 rt.wl.oerAr m exwust ► c�L row ® S#OaE OLieCt4►- si TRAM OMAEA o0a ® p c] 4".` CEn tNa R[aRT�Jt SiEMWAt1 "*a" Post AtTWN •w amu[SC-ALA: sAtss uwe: a1uAw sT: SUI�GREsl ft50j-j�`� 35Z3U REV QAT�. • I �7 SLA: 3n� •� IN -024 m Y _7Z PERMIT # N j .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 5.0 feet of the.building. 1273.11 Gates 1. Gate entrances shall be at least two feet. wider than the roadway it serves. [ 2. The gates must be.located at least 30 feet from the roadway and shall -open to allow p 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 u11 property lines and/or the center of the road. [ ] 2.. For parcels less than 1 acre, local jurisdiction shall provide for the same practical.effect.' See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the.local jurisdiction, of flammable vegetation and - fuels caused by site development and construction, road and ,driveway construction and fuel modification. shall be completed prior to completion of road construction permit. �r f__lal inspection of a building . p. AP# CDF FARE SAFE REQUIREMENTS PERMIT # NAMEf 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 appurtenant 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 [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [N, 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . 2--, AP # PERMIT ,# Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof. Enclosed eaves [ ] If, Building Setback is Less Than 15 Feet Choose any 3 of the following: /- Metal or no doors on side toward property line with insuffi- /cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed' _10V of wall area toward property line with insufficient setback -Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer 'Metal Other Butte .County Fire Department approved materials Date Signature Page 3 of 3 Of 4 P 70 0 C m V. rf3t15 /S OF i3EGle/NGSJ ,o/'/7'089V Ja)fM}' 4. /O' dim �4 ' h" • 0 u u %4 1 z 4) " � Q sa 0 D m z n • 0 4) v►a � ���T�^� � � 1 � V C p `� 4i ' �► Oe 0 0 • E.H. USE ONLY Plot Plan Attached +� Floor Plan Attac d ;i Sent to B.O.;7-6 ICxD TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H 0 (- I e �, -\ k C) --<Dic� Owner Location AP# Plan Approved rrrrfor: Sewage Disposal Water Supply: Public Private Well,& r�K Clearance foiwelling. Other Hold final for: Final clearance O.K. for: NOTE: /?)�:-/WI Environmental Health Speciali 8/96 Date FILE No.363 05/12 '00 AM 07:50 ID;EKECUTIVE HOMES FAX:530 891 8753 } r y -- 2.c: ..� .. APPROVED Butte County Environmental Health !e Signature Signature :nvlronmental Healtr.., MAY 1 R 2000 county t;entei unvc rl►nvil�P. CA 36-3.6 PAGE 1 "L SUI' crest Series L iammi&� Medal 3523U AIL 1 0 0 i a�- CiJtGWR BAY ,nvironmental Heahi 9Y'7IJIN)B MAY 18 2000 (;ounry veno urwt. nrmidle. Ce ALL UrCHM 3 dooms - 2 Baths - 1,301 Square Feet om RECE56EP orm ` ewicriq sbown is a typirai &w4bm J Orr WALK -NM BAYS -r- 4- Zi .-L 6- C • J u Y 0 1 �� 0o 0 �l LU 1 t r rtrt� .. . n H O M; E S Suncrest Series Model 3523U Alt. 1 P714 ail — ;,; IT -TI �I;si� OPf!:iri M L - -1 KjTCHEN- ;-r BATH !; L Ob SHELF I WALK•IN'�y O' , ' I t 'CLOSET 23'-6" 3 Bedrooms • 2 Baths W/6LAU55 INSERTSI ON DINI WINOSIDE�M t - I I SNACK DINING BAR AREA L MASTER LIVING ROOM BEDROOM Z3' -&"X11'-5" OPT. '3n CORNER BAY L C e � ,(CCY C-- ALT. KITCHEN G.I CLOS Er I I I I I OPT.RECE55EV ENTRY "Rendering shown is a typical elevation SU/ 17/JUN99 1,301 Square Feet I I I 1 I 1 I I BEDROOM 10'-4" X 11'-3" i BEDROOM 10'-10" X 11'-3" I I I ENTRY< G•1 7 FLEETWCOD. Suncrest Series • Model 3523U Alt.. 1 ,OPT.I M. -TUTILITY� I ,-FKITCHEN=} BATH I I I i. 1 1 - SHELF 1 1 1 0--�- - I CLOS --- ---- 'r I -� E{ i PANTRY 23'-6" MASTER BEDROOM OPT. CORNER SAY ` y -0 Iq 3 Bedrooms • 2 Baths - 1,301 Square Feet I -� OHD I W/GLASS I NONSERTSR ON DWININS E - - SNACK DINING BARAREA ' 5ATHf BEDROOM -� ... O 1 I 10'-4" X 11'-3" i_i . i LIVING ROOM 23'-6"X11'-5" ALT. KITCHEN I I I- I I I I ENTRY G CLOSET G.I CLOSET I I I I I On RECE55EV ENTRY *Rendering shown is a typical elevation SU/17/JUN99 BEDROOM 10'-10" X 11'-3" III And when recorded mail to: Iluilding Division . #7 County Center Drive Oroville, Ca. 95965 COPY of Document Recorded '26 -May -2000 2000-0019518 ,Has not been compared with original BUTTE COUNTY RECORDER AGItlCUL'I'URAL S'I'A'FEMEN"I' OF ACKNOWLEDGMENT FOIL RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of ;a building permit. The property described herein is adjacent to land or included %villin an area zoned for agricultural purposes, and residents of (his property may be subject to inconveniences or disco►nfort from the use of agricultural chen►icals, including, but not limited -to herbicides. -pesticides, and fertilizers:. and frown the pursuit of agricultural operations including, but_J191 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 nonual. necessary farm operations. All that real property situate in the CorrnhV of Butte, State of California, described as follo%vs: arced 1 -s Show n . on •-�-ho-k eer kn 1�-ar�el ma>�, �► Iota, i n -ham o� `;ems a� +ham pec o rd�r t Ale, 0 ovun�, o� �3v��-fie j S�Q-ke, o� L°0 -k Dov non SQp�emW--' 1i�, k9l��s rsi boo'te� '(q -0 � fn O+Q-S, (ak VN�c (s) C5 Dale: PROPERLY OWNERS: Slate of Cal(�'forr is ) County of �Ju� ) On before nuc, LeJ�NZ)Y Ak personally appeared �HI/� 6R00K,S %IftlJL) Jf}!j 88,00 " personally known to me (or proved to nue on the has►s of satisfactory evidence) to be file persons) whose uame(s)-Y/arc subscribed to the within inslnunent and acknowledged to nuc that a/they executed the same in+isfi=r•/their authorized ca ►acil s Ilial by tax/their signature(s) on the instnnncnt, file person(s) or the enlify'upon behalf of which file person(s)acted, executed file instniniew. Wl'TNESS nn hand and official seal. WENDY M, A . j� L91MY Comm, N 1178379Signature u 1CNASc,rl,NOTARY PUBIIC•CALIFORNIAButte County Comm. Ezplrer Apr ll 3, 2002 AJJt o7&-& otq NOTES RESIDENTIAL. I J 1 072-240-019 00=1192/00-1193 PERMIT NO.R_O,�KS, -DAVE & JAN _ - _ ` 1 O HURLETON ROAD, ORO CONT . EXECUTIVE HOME i MHU-00-1192 / MHI 00-1193 r �y JOB FINALED (Date) r 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Dat ELECTRI Meter By Date ` Signature CHECKED BY . CONTRACTORS VERIFICATION Gus G I certifythat I have installed the Anchoring S System as per the installation instructions. I have made no modifications to the anchoring system or the building structure. Company Name: Executive Homes Contractors Lic# : 640583 Date,2, L,!, ,12000 Signature: !C MOBILEHOME.INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES '` 0 BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: oTz--� �-o�� PERMIT NO.: v®-r�5z Owners' --r Name: Owners: ` Ur, _ ( off Address: t t �f�- MobilehomeYear - of Manufacturer (ii. U, Manufacturer Serial • Z. Insignia or number _ / .SC u �~i` V r r�, HUD 47) J or V.I.N. ("' y number: Official approving installation: ► Date: w / -2 `---^' If the mobilehome is moed or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor „<'v„��*^+^n��w�t^,,.iia.•.y..y.a^-'^»r•-�vvy�l..r�`.�.�M`�•yk.y.,�ti.!`r-�[".'��Y„i,1{.�n`t"7*�ti'Y^�'�1 r,!"-y.�'�'a"�Y�.'�•�i%�"V-4"`�.^!^�""r�",. ..r^�..L" �-�-�,�.. -,- .� .� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: `'� PERMIT NO.: Owners:- , Name: Owners: _ Address: Mobilehome r r J Year of ,�. M Manufacturer Manufacture: Manufacture - Y Serial number _ r,• r t i Z _ n Insignia or r ` HUD ) r f or V.LN. :' number: 1 Official approving installation: ` ' ` Date: - - -_ - - < . - . Wit! I 10 . 'L — e v , If the mobilehome is movedor relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. y 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor N Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL E INSTALLATION (Plans) OK except #'s -1. Zoni equirements-Setbacks-Easements ootin s; Size -Spacing -Marriage Line as; HTest-Demand-Valve-Connector lectricity; MH Test -Crossovers -Breakers -Clearances rain: MH Test -Fall -Flex Connector v7. W and Sewer Connected -C/O to Grade -HD Approval G nd E oc4icity Tagged Tie ns-TVDe-Installation Cert. !Cert. of Occupancy 12. Permanent Foun ation Only; License Decal 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 ✓ = OK 1. 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready: 3. Date. MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning R irements-Setbacks-Easements 2. So' , Special MH Support Sketch . Sewer; Location -Test -Fall -C/O -Concrete 4,,m6er; Location -Test -Easement Needed (Sketch) -'r_5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L'ftij � /'LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL E INSTALLATION (Plans) OK except #'s -1. Zoni equirements-Setbacks-Easements ootin s; Size -Spacing -Marriage Line as; HTest-Demand-Valve-Connector lectricity; MH Test -Crossovers -Breakers -Clearances rain: MH Test -Fall -Flex Connector v7. W and Sewer Connected -C/O to Grade -HD Approval G nd E oc4icity Tagged Tie ns-TVDe-Installation Cert. !Cert. of Occupancy 12. Permanent Foun ation Only; License Decal 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 B. 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 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Fig., Porches & Decks; Soils -Steel-/ r Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No Guard Rails & Deck -Construction- Post Caps 31. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Insild./Drive U Yes U NoMalks :1 Yes 0 No/Planters O Yes 0 No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 86. 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 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Date 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 Ungle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf 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 r 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 Insild./Drive U Yes U NoMalks :1 Yes 0 No/Planters O Yes 0 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: COUNTY OF BUTTE - DEPARTMENT OF DEFLOPMENT SERVICES - BUILDING DIVISION i 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1� ASSESSOR PARCEL NUMBER 072-240-019 ZONING BUILDING PERMIT OWNER209 DAVE. ANT) JAN BROOKS. TE84ONE5493 SO. FT. OCC. BUILDING VALUATION OWNER'S MAKING ADDRESS 532 DEL ORO CIRCLE OAKDALE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER 77TLICENSE NO. Filing Fee $ y�nyL� Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 `'1 1®� Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU 99-87 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 920.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service 20.A OR LESS 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 '� ful 4�ce and effect. // L/ S� License Class " � ( Lic. No. (9 / (J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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: ❑ 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' co ensation ins�u�r'{e cd c��((rier and policy number are: Carrieria(IarLvr ;Uk uti41 Policy Number T twom 34tya (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwiA co ply with those provisions. X Date ^ C.� _ Sign to f 4plicant - ❑ Owner Contractor ❑ Agent An OAA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( a ACC. BLDS. 3.5¢F7_ . gO�lpT MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2BAL@ .50 Ex. Occup. ouneDs REESSIFIXPPD.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 20 00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166 0 HAZ. FE IMP :_LO CDF ARC This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab f which fees ha Ben paid. By Dat J . PERMIT EXPIRES ON ate Receipt No. 294622 / $166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I -. _ .. � - ` �!`.f t {-' '" .. Y r r .,���.�`' y'.'.-i+".`a.. • ate. `f ` +�- �1y: ,, ♦��. . ,., � t CQ `NTY OF BOTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION w� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530),538-7541 nn `` PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARCEL�� ER: Proposed Building Use: Building Inspector: \�2�C'/ Date: At time of permit application, h6s advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ r ❑ 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 4a, IInt for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------, ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 13 10. Fees of $ -----------------------------------------------------------------------=------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ------------------- ='-'------------------------------------ ❑ l�! Flood elevation certificate. ---------------------------------------------------------------------------------------- 14. Sanitation and plot plan approvopo- Health Department. = ------------------------------------------ El 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval m the City of Biggs. -----Z ----------------------------------- El17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----------------- --------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ~� ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- ,W,,h�en you issue the El/>; cess as follows Mail to owner, ❑Mail to contractor. `C'3 'r Telephone ! '(� / and hold for pickup at Q �J , of'ice. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 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, b mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required Eta by ❑ phone, ❑ mail, ❑ Building Division counter; by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisio unter, by Date - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ivi � n counter, by Plans reviewed by: Date: Plans approved by: Date: J Sets of plans on hold 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 (Rev.12/96) APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING 01Z-Z-"1� old BUILDING PERMIT OWNED/ ELEPNONE '—»AJ 1_]!�V"J K S `Z`, $'ti's 543 SO. FT. OCC. BUILDING VALUATION 7�A, n . OWNERS MAILING _S.7_ DR I E,► V flO 1r 9` G vy CL CONTRACTOR'S Nl�E , TELEPHONE CONTRACTORS MAILING ADDRESS _I Z �i� L 'A C-)4 7 C,0 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing F 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: /Y� 1 1 � 1 t�f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 U' PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service OoOv OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class C_—�'� Lic. No. j, V 5 g3 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 IOOOA 46,00.NEW CONST. DwEILING occuP. OR ADDNS. ( 8 ACC. BLDS. so 3.50Ft. NEW CONST NEW CONST. MULTI -OUTLET @7.50 PowER APPARATus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 100 so BAL 9 .NS Ex. Occup. outLEEDrs RESID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 d Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens ion instarce carrier and policy number are: Carrier -VN MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Policy Number tJ 0 A -1 —L (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certifythat in the performance of the work for which this permit is issued, I shall P P not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X \ _ Date 5 _V% _1D_:;Zl` Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL pp HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS ECTOR GOLDENROD -APPLICANT CDF FIRE SAFE REQUIREMENTS � 7� -a �o �o�� ,OD -113 ����•� ��� ��S 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. tj 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-arteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, iriclud- 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 1. No roadway shall have'a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100, feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical. -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. l�4 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. [�d 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . 1_ , D _-, �o l �� ' 11 _3 IDA V'-' JA') AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification .1276.01 Setback for Structure Defensible Space. J' 1. All parcels l acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ) 2. For pa'rcels'-less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. .DST 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a'landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r f__zal.inspection of a building permit. J Page 2 of 3 AP # PERMIT # NAME other Requirements [ ] If Buildina Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any.3 of the following: - Metal or no doors on side toward property line with- insuffi-cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed "10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials wp� i-VANIFF-dy-01 1! Da igna re Page 3 of 3 , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION A 1, R,1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-240-019 ZONING BUILDING PERMIT OWNER DAVE & JAN BROOKS 209 LEPHON TE 847E 5493 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 532 DEL ORO CIRCLE, OAKDALE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 coNTRAcroas MAILING ADDRESS 3042 ESPLANADE, CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS HURLTON ROAD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zowi oa "ss 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�n fL� rce and effect. 4 License Class l Lic. No. In 105 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bin S. SO 3.5dFr: NEW R61D MULTI.OUTLET 97,50 aPs,W,.E. P= c a. Ex. Occup.DUTLEf OR FIXTURES 2101.1 eAL p .50 Ex. Occup. O Ds 1D°E& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 11 PERMIT FEE S 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 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' ��eempensatign nsur Tic carrier and policy number are: Carrier �+we: ,,, Itk Policy Number w0 3814 all (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ' any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the worker ' compe sation provisions of section 3700 of the Labor Code, I shall fo -it h com with those provisions. f X 0C Date UJ _ Signa Applicant - ❑ Owner MContractor ❑ Agent An OSHA permit is required for excavat ons 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 $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ 143.00 D. IM FLoo cD PAR PD HD u This permit is hereby issued under of the Butte County Code and/or indicated above which es have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work een paid. Date G Date Receipt No. 294622 / $143-00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a (11-1-02 k\ o, �j �4a LPG 1� 0 � / �D Tf , REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted j apprcved with _con . ditions ALL MWD EQUIF'MEN''T i _ _ NQ OVERRAMOS- 03 IaILL C,E (31 -F -e, R ()°: AL EASEMENTS. A uL"'s'F -:;0 _ f 6=R��AJi THE' SIDE ANIS i ;FAi", PROP'.. LINES ANIS TIHF- ROAD l'-ENTERLINE SHALL BE .ice UREA AND EQUIPMENT EXQ&T 353. G� S5 Date l D 0, v� t� %I 0C)t�.i (Zb t ��-'off/ i VL C ✓oy'k Od BUTFE COUANRIFY N Q) l 1 _ .. . _ - . -.. And when recorded mail to: Building Division . t/7 County Center Drive ` Oroville, Ca. 95965 X000-00 1 95 1 8 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON. Assistant 11:31AM 26 -May -2000 REC FEE 7.00 CONFORM .00 Kristy Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of;a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort front the use of agricultural chemicals, including, but not limited -to herbicides, -pesticides, and fertilizers-,. and from the pursuit of agricultural operations including, but -'1191 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 properly should be prepared to accept such inconvenience or discomfort from normal, necessary faun operations. All that real property situate in the Coun(y of Butte, State of California, described as follows: 1 as shoLon . on �� ce,r4dkn1�-aree( m�:� ► IQt�, in -the, ® �%ee a� Ae Vcco rhe r o� 0 Y1 k ck�S I 'k o, boy ",9 o h m , o. -F I Ar e, 0-ou0NI o� Date: '7 —v2ff= OD PROPERTY OWNERS: AJ X)q��td rooks i6re)o'eS State of Califoqr_nia ) County of 4r.fi� ) On J/-A'I— 00 before me, LeJ�/U�Y personally appeared �/��/I a 6R0_K5 *,IftA)D JCA) ! ooKS personall�' known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose uame(s)-Y/arc subscribed to the within instrument and acknowledged to me that Alley executed the same in4c /their authorized capacity(ies), and that by Its/their signalure(s) on the instrument,. the persoo(s) or the entity upon behalf of which the lice-son(s) acled, executed the instnrment. WITNESS my hand and official seal. Signature :A:P.r'i O 9 a -- () 1 WENDY M, Au -0 Low, Comm, # 1178379 Seal: NOTARY PUBLIC •CALIFORNIAButte County Comni. Expires April 3, 2001 NOTES I RESIDENTIAL 072-24-0-019 00-18271 PERMIT NO. ' BROOKS, DAVE & JAN _ 124 HURLETON RD., OROVILLE CONTR: OWNER GARAGE 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) / 3 d o Signature CHECKED BY ✓ = OK DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 4. 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 & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onty: License Decal 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 b Zoning Requirements -Setbacks -Easements 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. Carp indows-Doors e ''c 1V 8 16 10. rmg.; Sills-Anchors-Studs-Rtirs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; -Doors-Landings r l40 i raced Wall Panels Date Card B-1 Date Card B-1 Date 1r Date ®•m Card B-1 Date Card B-1 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-GF1- 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 C) VPdy ble RESIDENTIAL (; Underfloor (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blackouts -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 jingle & Duplex) Date 16. Insulation Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date Garage Fire Protection Framing PLUMBING (Permit) OK except If's Property Line Firewall & Openings 17. Water Htr.; Vent -Access -Combustion Air Baffle 54. 18. Water Pipe; Test & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 19. D.W.V.; Test Fittings & Anchor -Nail Protection 57. 20. Shower Pan; Test, First Floor -Tub Access Glazing Area -Glass Protection -Skylights -Plastic 21. Test Tub & Shower, Second Floor -Tub Access 60. 22. Gas Pipe; Sixe & Anchors Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date 74. ELECTRICAL (Permit) OK except It'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 All 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes El 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 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. MECHANICAL (Permit) OK except If'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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except If's 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 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 If'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.1.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 60. 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 J No/Planters 0 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7, CoSty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.i2/96) I APPLICATION AND PERMIT w .&7 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 480 8,640.00 . OWNER'S (LING ADDRESS C MRA R'S NAME TELEPHONE CONTRACTORS MAILING AD RESP CONSTRUCTION (ENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 86 0-00 ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ 108-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �� Energy Plan Checking Fee $ OA0L L PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other �-� f} ���C' 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 J� Addition ❑R�emodel ❑ Utilities ❑ Installation ❑ Other ❑ Desc`rib`e Work: ( /D 24 F 20x24 —_ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Z0.A 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 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 astheir sole compensation, ill do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting wish licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200AWEE TO ,000A 46.00 NEW CONST. DWELLINGOCC. So OR ADDNS. ( 6 ACC, BUDS, 3.50FT. ONST NEW ONRESID. MULTI.OUTLET 97.50 8PSIOWENGLE R AOUTLET CIR.PPA US 20 Q'.0° Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. ouTE REs o.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.80 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date 7- 2=8'— L9 O Signature of Applicant - Aowner ❑ Contractor ❑ AgeAt An OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.TYPE TOTAL FEE $ A36�'66— HAz. o. FEEs IMP x I FLOOD CDF PARCEL x Po HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above or which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. 302348/$225.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Cou,-,ity Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PIERMIT NO. (Rev. 12/96) ' APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER ZONING alD BUILDING PERMIT OWNER I rTELEPHOW E So. FT. OCC. BUILDINGV LU TION OWNERS WUNQ ADDRESS L� C MRA R'S NAME TELEPHONE CONTRACTORS MAULING AD KESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ !_ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS —72 ) &2 k4u"GJry Energy Plan Checking Fee $ $ L L PERMIT FEE $ ADT NO. SUBDNISDN•SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other �-� /�} �/!� ��t=' SPECIFY Solar or heat um water heater Water piping 5.00 Each gas water heater or vent .15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: f` -F 0— 6 Gas piping system 1 - 5 ou 15.00 Building sewer 15.00 Mobile Home I §<G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2oloYe op "ss 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 Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ill 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. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for'workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO t 46.00 WEL200A NEW CONST. DWEWNG OCCUP. SO U OR ADDNS. ( a ACC. S.3.5¢FT. NO"OWROE4.D OUTLET @7.50 POWEPPARATUS 8 SWGLER AOUTLET CIR. .00 Ex. Occup. CUTLET OR FIXTURES BAIL @'.500 FIXED APPINS. OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ c MECHANICAL PERMIT Fling Fee 20.00 Heating Cooliri Hood 8.50 Ventilation PERMIT FEP_ $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date -• —00indicated Signature of Applicant - Owner ❑ Contractor ❑ Age6t An OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE �d4 TOTAL FEE $ HAZ. D FEES IpAP FLooD COF PAfCJL PD Lin This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. C3 C.7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR G DENROD-APPLICANT 3 OGU�: - /0, 00 V J e. .. _, \� ..t - r. . s �4 r - iJ / f[ i, 1 7 . ..... -r . . r .�V+.: , v •,,✓ti.�l^t �rr�y' 42, .-yti1+�...1� . Y. COUNTY OF B(ITTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:, P100/Z Z -5 ASSESSOR PARCEL� ER: �Q� — `'�'Q d l Proposed Building Use: _Q Building Inspector: Date: At time of permit application, I was a ' ed the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 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. -------- Aj fY 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. Hazardous Material Form. --------------------------------- *EEDManufactured Home data and installation instructions including Tie Down Specifications.------------------. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -----------------------p--- � 01f, California Department of Forestry plan approval/fees. 4--_11�7��� ❑ 13. Flood elevation certificate. --------------------------------------------- 61-K Sanitation and plot plan approval � Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---- 0 22. Workers' Compensation carrier and policy number. --------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ------ ❑ 24. Letter of signature authorization.------------------------------------------------- 025. -----------------------------------------------.❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------ 026..Letter of intent on building use. --------------------------------------------------- 1127. Manufactured Home utility clearance. -------------------------------------------- 0 2 8. ------------------------------------------.❑28. Existing violations and/or expired permits. -------------------------------------- ❑ • . 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 3b, Other: A -C � ' 6 U / c o /ly cr------- ti— (Date) W jen you iss _W-tj7rces_ flows ❑Mail to owner, ❑ 1 to ontractor. Telephone �� and hold for pickup at office. ❑Deliver with inspector. Applicant Date: U _JF �o Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Dep"nOther: Date: By: 1. Index permit application for the above items numbered: AW ❑ 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 Divi 'on counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B 1 ' ivi iQn counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ ui iv on counter, by Dale: Plans reviewed by: Date: Plans approved by: Date: 8 Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: l• TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance i E.H. USMAY Plot Ran Anachad Floor Ran An h Sant to B.O.fcrQo Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance �0 NOTE: Environmen 8/96 for: alth Specialist Date CJ - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # D - 1 1- ,Oe' 10 OWNER: l¢U / DR ,wok_-' PHONE: t8c� `-1 a n; MAIL ADDRESS: Iz !J L�7DA-) GA. SITE ADDRESS: PROPOSED USE: ��'PLl�'G '� (% 7_r &I PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: _�_ No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No:. 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: _ SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: _ L 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: L 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: �. 18. Will this building have a water heater? Yes: No?._ 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? . 42b A.) ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. WNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE i AADtTWUI -1A COMMENTS: DATE: CDF FIRE SAFE REQUIREMENTS 7 Z - Z�-( -05 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. (I 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 Y_Z 1273.02 Surface. All driveway surfaces and .structures (bridges, 1273.07 culverts and other app-arteaant 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. I 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius LL [ 1. No roadway.shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet.to those from 100-200 feet. [�]2.. The. length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to -hold or divert water shall be not less than 100 feet. ] 1273.05 Turnarounds. If -required, will have a minimum turning radius of 40 feet from the center of -the -road. ( Y� 1273.05 -Turnouts. Shall -be a minimum. of 10 feet wide and -•30 I feet long with a minimum 2.5 foot taper on each end.' 1270.10 Width. All driveways shall ;provide a minimum 10 foot y traffic -lane -and unobstructed vertical clearance of. 15 feet along its entire length. Page 1 -of .3., r AP # PERMIT # NAME J 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide�a turnout near the.midpoint of the driveway. Where a driveway exceeds 800 feet,.turnouts shall be provided no more than 400.feet apart. 1273.10 Turnaround. A turnaround shall be provided at all (_ building sites on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the II roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification' 1276.01 Setback for Structure Defensible Space. �] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal -of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction,_ of flammable vegetation and fuels caused by site development and construction, road and driveway- construction -and- fuel— modification shall ba completed prior to completion -of road construction �r f__ial inspection of a building - permit. - Page 2 of 3 oma. AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback -is Less Than 15 Feet. Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic spr-4nkler system per NFPA 13D Glass area not -to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer _ Metal Other Butte County Fire Department approved materials ❑ APPROVED ❑CONDITIONALLY APPROVED - ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT'CLEARANCE Permit #: �-� f� Date: •��'� Genera/Informat%on AP#: Owners Name: 1���/C �/7 i� cd C A - +V Parcel Acreage: Owners Address: Building Site Address: u, 0 l �6j-('j Proem 1J7f0rmaN0,7 Permit Tvoe: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic ❑ Well ❑ Other Zone District: r '" ( Q" Zoniog Code I Street & Hi hwa s Date of. Zoning. Ordinance 1W Front L General Plan: Side Development Agreement: Use Permit: Side street 0 C (; Variance: Parcel Is In: Land Conservation Agreement No ❑ Yes, check use Minimum Acreage: _ Nitrate Action Plan No ❑ Yes - Violation Area 10 No ❑ Yes Specific Plan Q� No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone ® No ❑ Yes, check use Floodplain W No ❑ Yes Zane: No ❑Yes Watershed Protection Zone Proposed Use Complies With: • General Plan Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Familv Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown - ❑ Other Road and Drainage Improvements Required: []No. ❑ Yes Aoolicable Setbacks: ❑ Cohasset Panel Number: 6) S C ❑ Accessory Building Use Zoniog Code I Street & Hi hwa s Fire Prevention Subdivision Ma Front L Side Side street 0 C (; Rear (. Heiqht Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: ❑ Deeds Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes Map Date of Recording: ! — �(J j " qq a 7 Lot: ` Block: Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/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 EHD requirements. Other General Comments: SITE PLAN Assessor's Parol Number �_ 0 El — Z� © M Scale: 1" _ Owner Name 12A V C * :5.*a b ntno Address /Phone No. v (L L E raN R 0 1- 'V i r.A (5 -3 �8S- 9D3 3 Site Location Contact: Name :tj s I:. - Lo Rp-t s -re- A Phone ( a j ZZ -d — .3,y-= od w42x, FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.Oo" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 9�1 S-1 GN, 40 3ON :-3 `�-)v VC. V S4 .r y., t ,'0 r 4*2,0 e�A�, il%Af!�) ./-Vp G - - kt - - C7` I Fo�ndat�o_ I. 4. •, : 'U Ij APPROVED N Butte Coun ty �' o �bN • • ..gyp �L� {--� A P7 0� GCOOT Environmental ealth _ oa nature - 1 T cel- y�,0,11 �,ot1 + 1 oli , ... t .ti :o I. 4. •, : 'U Ij APPROVED N Butte Coun ty �' o �bN • • ..gyp �L� {--� A P7 0� GCOOT Environmental ealth _ oa nature - 1 T cel- y�,0,11 �,ot1 + 1 oli , ... t .ti f Assessor's Parcel Number. -�. � - a a F21 — a ©M Scale: 1 - Owner Name Address / Phone No. v R LE -rby R In /-,oy��u Site Location Contact Name s s T'�R Phone C LZ S. - 30--11 — 0dobw23.Z, (5 30 ) -58?- ?&3--3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 400" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: ,7-H SITE - SITE PLAN m .. _.... _ ._ ... . _ ... - . ................ _ .....:........ ...... ............ ...... ............ ...... ............ .................... ...... ............ ................... ... a•y i c i i i .. ... .. .. .. .. ............. .. ............ .. .............. ...... .. .. •........................................... .. ...... .. .. .. .. .. L �7 .. ... .. ........_. ......... .. .. ......../� }� i a .,i 1 •� .:.. ..:.. ..:.. ,j .. - .. ... ,., ... n. c.. c.p�-y..i.. r...�. -, Ff 6Ltj ..... .. .. .. .. 0: ............:......:...................:. 9 .. .. .. .. ... .. .....................• ............ ... . . . . . . . :............:...;....: >...;...._............ .. .. .. .. .. .. .. .. S• ... _.. _.. .._.. -r= �. ... .. .. .. ._...................... .. .. .. .. .. .............................. Q.. ._ .. .. .. :i !J. f�' u 1 CT R .. .. Mian! .F►�. D ............ .... ... ._ .. .. .. ... ..:....:... Ir _ - .....................t1,k ............. .. .. .............. .. N .. .. .. .. . . . . . . . . . . . . . . . . .. ' .. .. .. .. .. .. .. oP® d' .I z(..1. r ........................................ - . ............. .....................8u4te.C�a�iti ! 8�,..... .- •.............. ............ I ! :h 'ro erita F1�,. En 'i nim �? ..... 1 .. e =. ................ ............... .. .. ... .. .. .............. _ f _ �............ .. .. .. .. ;. ��<.......................... ..:.....: .:.....:. •�_ .. ,... .................... .. ............ .. .. ................................. _ _ .......................................................... .. .. .. ............ t^'f �...................... O. t ......;...........:......;.....................; . ...................... .. .. .. ............. .. .. ... .. ............ ............. .. .. ............. .. .. .. ............ ................ ... .......... .. .. .. .. .. .. ............ .. ............ .. .. ............ .. .. .. .. ... ..................... ............ .. ............ .. ... .. ................ .. .. .. ............ .. .................................. .. _ ... .. .. t .. .. ... .. .. ... .. .. .. .. ... .. .. _. .. ... .. .. .. .. .�r..T....x - ............._..... _.t..A....... +l•0a ....._............._....._..........._........................................._.....:......:........ . .......`....._ Assessor's Parcel Number. 0.0 0 = a. a o — ® 0 ® Scale: 1" _ i O Owner Name J0AVi D tc.0 P-0016` _ ---Address-/ Phone No. b- OLLC-�&3 P-0, 00.00 LLC Site Location _ - ContactName W IG=r- Phone !1!3D -56`1 •--10.5 Octobior 23, Z03 FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General.P_Ian.Desig:_,.;-.-- - ---- - -�- ~ZONING: -- ` Size, Acres GEN PLAN: a.00r USES: . -.-....... 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Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max. and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-1Q 1.114- 3-112 Max. n • Max. 2' 1 -1Min. 2.12 •\- i 4- Max. Intermediate rails 4" Max. spacing shall prevent 1-,a• the passage of a 4" 3-1rz - Max. diameter sphere. 1-114• 36" Min. 2-,l2 Yk- 4" Max. HANDRAILS 1 .12' Min. Te'sf 4" Max. Te' of Deck V Handrail -T Jsist ®height 34"-38" Anchor stair stringers to the 4"- E"Min. Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and $"Min screws, lags, M.S. Min. clear width (--� •• Girder at stairs shall Pier posts greater i"Max be 36" than 3 feet in height need to be diagonally Post Min. 2 - 1/2" braced between dia. thru Posts. An approved post cap connection or bolts required connect girder & post with 1/2" ply -d gussett & 3 - 16d nails top & bottom 4 - 16d nails or an approved 3 - 2 x 12 Min. pressure post base 6" Min. Stringers treatedd sill plats connection , If using ! -----------1 precast piers, 8" Min. embedment 12 x 12 footing Attach wet set precast pier stringer to into concrete sill plate with footing. angle clip TYPICAL PIER FOOTING Handrail 1997 UBC.Xls Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -6-1. ' Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4' Max. TV36" Min. a rn - To' of SIDE VIEW 4" Max. Doek T7Min.x pressure treated ledger - 3/E" x 2-i/2"lag botsor screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Min. 4 x 4 post @ 51- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. To' of 3/4" clearance Joist to the edge of i-�he wood —t- member joist Min. 2 - 1/2" dia. thru bolts required GUARDRAIL An approved post cap connection Girder •• or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom -'1 6" Min. i I F-----------4 12" x 12" Footing) 8" Min. embedment TYPICAL PIER FOOTING Guardrail 1997 UBC.xls c -- •. �� .-.,....�...... nw �uwn a.a.cwnrnm i� - _ _ � i i I I, -- •. �� .-.,....�...... nw �uwn a.a.cwnrnm i� - _ _ � i i I I pRzpc)sc-b �D x 2-4 GrtPAGC- 9 b Poo -6 aco k,5 U LAE716� Q, -o At) ((- C--,, CA. � 5-9 6 ,6„ 13 EXIST -It,)& —, PF --'5l bENCE FA c. T P J- 1 -rm • F,077 urc -61 aFFp.ry,,-cd S' -7 L ),4 5 7-.2j. --oo