HomeMy WebLinkAbout073-170-001073-170-001 �} PERMIT#95-2562
KING, Laura 7�,�;� 3 /1/2-7-/? j
21frSquaw Flat Rd., Forbestown
Mobilehome Utilities
ELECTRIC ?-00 4 d/W£LL
GAS LINE L P6 3/4 Geo
COMPACTION TEST REQ &0
SUPPORT STRUCT REQ o
073-170-001 PERMIT#95-2563
KING, Laura
210.Squaw Flat"Rd., Forbestown
Cont; Karsten Company �/ �2
Mobilehome Installation
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RESIDENTIAL
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073-170-001 PERMIT#95-2562
` KING, Laura
210 Squaw Flat Rd., Forbestown
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Nlobilehome Utilities
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OFFICE COPY
Address
GAS Date {
Meter By I
a
ELECT Dat
Meter
i`
JOB FINALED (Date)
i
P
Signature .,Zzl
J=OK j
O =Not OK
-= Not d�icable' MOBILE(HOMES
= Not Ready •" }"' ""' E -,
l�
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Zjl Soils; Special'MH Support Sketch
ewer; Location -Test -Fall -C/O Concrete
ater, Location -Test -Easement Needed (Sketch) y
L' ectricity; Location-Clearences-Grp y xmp-Concrete
s;
Location -Test -Wrap: //''/'L"ft. '
l / / "Nat. or P L'ft./ LV -
We earance & Disconnect,
Utility Clearance -
Dat CardB-1 Dam% Card B-1
Y. Gas H Test-Demand-Valve—Connector
tricity; MH Test -Crossovers -Breakers -Clearances !
Drakn; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
;,415—ter and Sewer Connected -C/O to Grade -HD Approval
8. GasAad'Electricity Tagged
of
Date/ rd B= Date Card B-1
Date Card 13 Date Card B-1
-MISCELLANEOUS
1
Date..--- • DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements -- • -
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel w
3.. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors --
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-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.
_
Bo xes-Enclosu res-Panelboa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card 8-1 Date Card B-1
',/=OK
O = Not OK
- = Not Applicable RESIDENTIAL`
= Not Ready
Date UNDERFLOOR (Plans) OK except It'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 -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric: Underground
13. Pienums & Ducts: Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except p's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
---------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
--- ------------------------- ------------------
19. Shower Pan: Test. First Floor -Tub Access
----------------
20.-Test-Tub & Shower. Second Floor -Tub Access
----------------------------------------------------
21. Gas Pipe: Size & Anchors
----------------------------------------------------------------------------- -
Date Card B-1 Date Card B-1
------------------- ----------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except it's
22. Fixture & Transformer Clearance -Ins. Protection
-------------- -------- ---------------------------- -----------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------- - ----------- - ----------------------------------------------------
---
----------------------------------------- 24. Size Boxes & No. of Conductors -Stapled
------------------------------------
25.-
-- -- - ------------------ - ------ ----
25. Romex Installed Close to Edge of Studs & C.J.
---------------------- -------------------------------------------------
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
--- ------------------------------------------ ------------------
27. 2 Appliance Circuts in Kitchen & Conductor S zerGFI
----------- - - ------------------------------------------------------------
28.
------------------------------------ - ------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ' % ga.
Cu or At
----------------- ----------------------------------------------------------------
29.
---------------------- ------
29. Range Circ. r r ga. Cu or AI -Oven Circ. r r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
---------- -----------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------------------------------------------------- ---------
31. Equip. Clearances Panels-Motors-Mech. Equip.
------------------------------- --------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
---------------- -------...-----------------------------------------------------
Date
--------- ---------------------------------------
Date Card B-1 Date Card B-1
- -- -- -
. . --- . _ ._..._.. -------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
---- ----------------- ---- ------- ------- ------- ------- ---- ------ --- ---- ----------
35. Vent Fan: Exhaust above insulation
------------------------------------------------------ ----------
36. Condensate Drain & Overflow: Size & Grade
--------- --------- .. .. . ....... .........._
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
------------------------------ --------- --- --- --- -----------------------...--
38. Attic Access & Platform if Furnance in Attic
-------------
Date
- ---------------------
---- - - - - ._....-- ..--- - ---------- ---- - -----•---------_._..
Card B-1 Date Card B -i
-----------------
Date
. - .....
Card B -I Date Card B-1
Date
FRAMING (Plans) OK except it's
39 S Is. Proper Material & Anchors
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
. ... .. .... ... ------ ---
-
41 Bearing Walls over Girders & Floor Nailing
4.1
42 Draft Slop in Walls (rat proof)
43 Fire Stops. Furred Ceilings-Slairs-Chases-Tub
44 Headers &Beam -Size & Bearing
Single & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ - 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
_ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
---------------
__ _ _ Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. I of i Itration-Walls-Windows
---- ---------------------
Date Card B-1 Date Card B-1
--- ----------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except It's
61. Ext. Steps -Door & Sidelight Protection -Landings
--• --------------------- ---
62. Smoke Detector
------------
63.
-----------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-
----------------------------
66._ Elec. Trim & SubP anel: Breaker Sizes & Labels
67. Stairs & Rails _
68. Fireplace or Stove: Clearances -Hearth
----•--•-----• -------------------------- ___
69. Elec. Outlets at Wood Panel: Int. & Ext.
---------------------------------------- ----
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
-------------- --------------------
73. A.C. Duct in Garage -Damper -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
-------------- - -- ------ ----------- --
76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection
- --- --
-------------------------
7;. Insulation -Foam -Looked in Attic ❑ Yes
---------------------------------------
- ----------------------- -
78. Guard - Rails & Deck Construction -Post Caps
---------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
..--- ------------------------ -----
81. Slucco: Brown -Finish
- ----------------- --- -
82. A.C. Unit Disconnect. Electrical, Plumbing
------ --- --------------------------------- _-
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings _
84. Water Well: Disconnect, Electrical, Plumbing
- -
-•------ - ---------------------------------- --
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
_........._. -- ------------------------------------ -----
86. Ventilation Throughout House
_----------•------------------------------------ --
87. Glass Protection
_. ... -- ----------------•---------------------------
8d. Corrections from Previous Inspections
--- --- ------------------ --------------------- ----
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected-C'O to Grade -HD Approval
----. ------- -------------------
91
.---------------- 91 Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
- ...... ... ....... . .- ----------------------------------
Date Card 8-1 Date Card B-1
..... .. ..-- -- ---- ---------- --------- -------
Date Card Card 8-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
- APPLICATION AND PERMIT 9�-�
ASSESSOR PARCEL NUMBER 073-170-001
ZONING U
BUILDING PERMIT
OWNER LAURA KING V (WORK)T
TELEPHONE
4069
SO. FT. OCC. BUILDING VALUATION
OWNER'S "AILING ADDRESS PO BOX 309 FORBESTOWN, 95941
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER NONEUNKNOWN
Total Valuation Is
Filing Fee
$ 20,00
LENDER'S MAILING ADDRESS
Fee
$
ARCHITECT OR ENGINEER NONE
NONE
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2/ 5SQIJAud FLAT RD
PERMITFEE $
FOR13ESTOWN
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 6 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑
Describe Work: 2 BEDROOMI
Mobile Home
@20.00 0.00
PERMITFEE
$ 30.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 120.00
Main Service ( EOOvA200A OR OR LESS LESS )
23.00 P3. 00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class IL No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Laayor the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR NS. ( 8 ACC. )
sO.
3.50 Fr.
CONST. MULTI -OUTLET
NEW CT
NON.RESID. ( BRANCH CIRCUITS )
@7.50
( 8 SINGPOWER APPARATUS )
LE OUTLET CIR.
Ex. Occup. (ourtFr OR FIXTURES
20 Q 1.00
BAL SO
Ex. Occup. ( OUITELETS (I(RESID.) OR)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
PERMITFEE
$ 63.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, 1 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
work ' compensation p ovisions of section 3700 of the Labor Code, I shall
forth ith omply with th s provisions.
a� I� ` �oL
X _ __ Date
Signature of Applicant - ❑ Own r ❑ C ntractor ❑ 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 $ 166.00
HAZ,
-�
o. FEES
—,
I P LOOD
XX
Cof ARC PD NO ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
l� j
Date �J
(E61.)
Receipt No. 135984
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r < + is COUNTY OF BUTTE
D'UILDIM.G DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
``• 1469 Humboldt Road, Chico, CA - (916) 891 2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747'Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER / PERMIT NO.
k
i
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, of need additional explanation,
please contact this office immediately., ()
' F
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h gate ( Fj�inspector
REV 10/92
` H.H�USE ONLY.
er Pla PI. aM.W t J
PbwMachaa It
Seat to E.D.
TO: Building Department .
FROM: Environmental Health
SUBJECT: Sanitation Clearance '
"SGO W I i- Qct, NA -00—(10)
Owner Location AP#
Plan Approved for:. Sewage Disposal X Water Supply: Public Private Well X
Clearance for ca bedroo mobile home. ther
Hold final for:
Final clearance O.K. for:
"NOTE:
Environmental Health Specialist Date
Qro�
..C,A:.�{r.,�.'r��(i'����F'„�i,�T��+'r^.r+�.vi':+t:.`f�Si�`ti`i^YHl�y1�,�.�r'.iTUT��r+r�ni�:HS'e=�="�Y; Sr`•�i'�,e'1'(s'fi'N1.iTRCrFev 1�s * �s�Nt ra�f � !�A-i..�"s'�,:er1�*-b'k: ��
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COUNTYOF BUTTE -DEPARTMENT QF�DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 /
V
PERMIT APPLICAFTION DATA SHEET
OWNER 12ai r0 A. P. No. ` 00
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
r' DATE RECEIVED 6%
1, All items have been submitted . ..........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ............
.
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ............... ................... .
11. Impact fees as shown on attached schedule. . .
12. California Department of Forestry plan approva fees � i.?0
13. Flood elevation letter 100 year floo b CaM-Health
r ineer. ................. .
14. Sanitation and plot plan approval )roV' Department . ............
UID 15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A),Improvements (B) Drainage. .......... .
jj,/ 19. Driveway permit (construction approval required prior to occupancy). .. :.. .
F4,;4ASW tion requ�
'120. Pre -inspection for required. .. to Building lnspeetor (Date)
21. Contractor's license information. (No., Name Style, Classification). ...............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner )........... .
`24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ..........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ......... ................ ........... .
28. Mobilehome utility clearance . ........................... ............ .
29. Documentation of legal access . ..................... :...................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan check list . ......................................................
33.
34.
When you issue theermit, process as follows: Mail to owner. 11 Mail to contractor.
Telephone and hold forpickup at / ✓ ; office. Deliver with inspector.
Other it
Parcel Creatio��
Acreage Applicant �/ Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date 10'2.3 -YPlans approved by Date
Sets of plans o.n hold in File cabinet AP folder
Copy - Department of Public Works
Attention Property Owner..
An "owner-binder" building permit has been applied for in your name and bearing your
.....�::._ signature..... information at your earliest opportunity 'avoid
Please complete and return this `
unnecessary delay in processing and issuing your binding permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction. of the
proposed property improvement: YES(g NO[ ].
2. I HAVE[HAVE NOT( ] signed an application for a building permit for the
proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of .this work, but I have hired the following person to
coordinate,, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAIylE ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:�
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety. Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
p.
i
Dear Property Owner. .
An application for a building permit has been submitted in your name listing yourself as the budder of
property improvements specifie& u are the responsible party of record
For your protection, You should be aware that as "oaraer-builder'' you
permit. Building permits are not required to be signed by property owners unless they are personally
on such ntheawork is being performed by someone other than yourseM you may Prow
performing their ower work- If your tin his or her name.
yourself from possible liability if that person applies for the proper Pe the State of California and to have a
Contractors are required by law to be licensed and bonded by
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. tion of various trades that you plan to subcontract, you
If you plan _to do your own work, with the excep
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work ('including
materials and other costs) is 5300 or more for the entire protect, and such persons are not licensed as
contractors or subcontractors. then you may be an employer.
0 If you are an employer. you must register with the State and Federal Governments as as employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract- the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allow to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
quiied to be signed by property owners unless they are performing their own
personally. Building permits are not re
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
< SLnc rel
!Au
,Q -
Michail C. Vieiia, C.B.O.
G Ntanager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
9r -
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No.
NAME: �� NUMBER: 'I'. 'D`7
PRINT LAST NAM T
COUNTY ZONING
DESIGNATION: T% FLOOD ZONE: FLOOD MAP: 40c/
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP t�
DEED INFORMATION:
G✓�s 37 - / 9 — 3 od 7—
DATE
DATE OF CREATION: c>� DEED REFERENCE: 41'I/<.
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: _� YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION YES NO
COMMENTS/CONDITIONS: 'h/(
&
zt�t0, G &Z g� �GGEss
MAP INFORMATION:
610
_ �. c
DATE OF RECORDING ^�' ► LOT � BOOK (S.. PAGE 7/
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to
B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
— 2. Maintain a ft.building setback from right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
4. Maintain a ft. leachfield setback from
— 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
— 7. Connect to a public water supply.
_ 8. Connect to a public sewer system.
— 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
►., r f
- -- r
10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
— 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish &;Game at 916-355-7010.
_ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be mmk to the Planing Diwskw.
_ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 15. Deer Mitigation fees are to be paid; if such fees have been adopted by the Butte County Board of Supervisors.
X A 6. Pay school impact mitigation fees.
X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 18. 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.
_ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
20
21.
22.
23.
24.
25
A10 imd0iwa aw
3W.S 40 kiNnoo
9661 E Z 130
a3nam
LD 9/95 - C:\WP51VORMS.K\BLDG PERM. CLR
'Xa g—' a -Z
ZA
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION ---7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
-7/7 �J:7_
PERMIT NO..
YX)
Owner
Name:
Owners:
Address: 6�111;
Mobilehome
Year of
Manufacturer
Manufacture:
Serial numberInsignia
le
�tHUD
or
,`' �V !
f
orVAR
L number: . 7
Official approvin, installation:
Date:
If the nrilehome is moved or relocated, the mobilehome installation acceptance shall become in/valid. This form shall
not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor
• COUNTY OF BUTTE -DEPARTMENT OF, DEVELOPMENT SERVICES-BUILDINGDIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT NO.
APPLICATION AND PERMIT 7&2-
ASSESSOR
&2
ASSESSOR PARCEL NUMBER 073-170-001
ZONING U
BUILDING PERMIT
OWNER LAURA KING
TELEPHONE
SO. FT. OCC. BUILDING VALUAT
OWNERS MAILING ADDRESS -
PO BOX 309 FORBESTOWN ,. 95941
CONTRACTOR'S NAME
KARSTEN COMPANY
TELEPHONE
CONTRACTORS MAILING ADDRESS 9998 OLD PLACERVILLE RD SACTO 95827
Fireplace
CONSTRUCTION LENDER NONEUNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Fling Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER NONE
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$ "
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2/ 5 SQUAW FLAT RD
PERMITFEE $ 43.00
FORBESTORIN
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome CK Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities✓❑ Installation 1XXOther ❑
Describe Work: J ' O`
Mobile Home I S I GI W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.'00
Main Service000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
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
NEW CONST. DWELLING OCCUR
OR NS. ( 8 ACC. )
so.
3.5¢ FT.
NEW CCONST. MULTI-OUUTLETLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q I.
BAL .5000
Ex. Occup. (oOUTLETS PLNS. ) Ea )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
S
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 2'00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' co ensation provi ns of section 3700 of the Labor Code, I shall
forthwith c m ly with those r visions.
X _ Date
Signature of Applicant - � Owner 0 Contw6tor ❑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 Is
OCC
CONST. TYPE
TOT L FEE $ 14 .
HAZ.
_
D. FE
I
FLOOD
—
CDF PD HT;
CD — V
ISsu
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
krk7q
PERMITEXPIRESON du
applicable provisions
Resolutions to do work
been paid.
Date�(1�3 9Y_
/
I(Dte)
Receipt No. 185984
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
' CERT[FtCATE OF ANCHOR INSTALLATION
4j�•
Tide 25 CCR Moblehome Parks Act Section 1326 (bN3)
I certify those portions of the tiedown system installed'. below grade were not. damaged prion to or as a
_result of the installation, were not modified prior to or during the instal_ lation, and were installed in
accordance with the manufacturer's installation instructions, plans and specifications of the engineered
tiedown system referenced on this certificate. -. -
Tledown System:
Manufacturer.
Model:
/ ,(J !%l 1/
Installed by: Date: f
Contr./Owner. �'U/ e /e License No.:
" �COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISI
V"'
t .
O
7 COUNV CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET v
OWNER r K A. P. No.
Proposed Building 0'se 14 V Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted. .......................................
2. Plot!plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . .......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss `details and layout in duplicate (required prior to plan check)
9. Mobilehome data and manufacturer's installation instructions, 2 sets. . . ..... .
10. Fees of $
11. Impact fees as shown on attached schedule ...............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department . ............
,:.
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy)........... Pre-Inspectim r. .
uest
20. Pre -inspection for required. . to Building Inspector. (Date)
21. Contractor's license information. (No., Name Style, Classification) .............. .
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. off . `........... "......................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... .
27: Letter of intent on building use . ...::.::::::::::::::::::::::::::::::::::
Mobilehome utility clearance. ..........................................
Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list. ......................................... ' .... .
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at r , office. Deliver with inspector/
Other f
Parcel Creatio
Acreage Applicant t�` Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items N .
2. Additional items required:. - L 2.
1o��ofas
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, w s advised of above required data by _phone _ mail Counter by _ Date
Plans checked by Date -,23- ' Plans approved by G l 13 ur($N 3 Date 14.'
Sets of plans on hold in File cabinet %0 AP folder
Copy - Department of Public Works
COUNTY OF BUTTE .�
DEPARTMENT OF DEVELOPMENT SERVICES --BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER U LCA I 1 i v
PROPOSED BUILDING USE
A.P. #0 M -/ 90 -OO
DATE /0//P 9
REC. # DATE REC
CT FEESXel rSCHOOL DISTRI i�
(paid at District Office)
2. SHERIFF FEES (paid at Building Division)
Residential,(� -� — C /a c e S
....... x =$ (� 1fC� h1
unit amt. @ n i S ► ( • �.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.).. x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
0„00 (paid at Building Division)
1� S INSPECTION AND PLAN CHECK
9.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.-'.-,,
IA
DATE , : ;� - •,
APPLICANT
74
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a t•�•'-,
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LODE-.":CLAIM.:
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elf
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k 9 45l / '1/ . \ gyp`
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02 h 20.0 fi. Setback line.
•~' ' _.��/�� "2-•'(".. - ' a. ..n. `. .ter.... ;� :.' -s �.�'-�':.;:
r 20.0 ft.. Setback. Ine
�b '.• '.::,:, S�;
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p ' �� •tc9..l'-�•:Fi {� .:w';�G.� ..'.-...• ..'i;L: �':'. r .. _ +: t....• ...
pQ,/Df N PARCEL NO. 3 'Cc . _ L N�O. 4�• -
PARCEL r _
m ¢ Y 10.30 Ac. 0 10.27 Ac.
749.15 CY
749.15
,q'JS •
N 470 30 41 E 1 498.30
j- epi • . � --."'"•' - - r _ .-- .... —•�•!` _ _� ._. •_ �.•
G0 Fay`
7R•3ItFS �L 073-170- po3,06e
.:..0 170 -0 03 - CVk.
ALL STRUCTURES AND EGUIPMENT INCLUDiNQ
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
REVIEWtY
PT A SET BACK OF i--T. FF�.'�i+rl THIS SZE•AND
' �� — I
BUTTE'CO. FiF3�:
CALF. DEPT.�of FOIRESTRY 3 (7 F i'. FROM THE � x:3 t P 0?�=r"?�' Ll� fES•AND
;.. ) t T. FRO, i THE F-K)AV
,(r1 app�ol,eu.a�. s'. ; t CTi)�iES
F^�.�fOVB'.� lydltll C 0 `:i,� JfiS FL'-(r' ,A.21-.r .E.F VE OVERWtDING
D`PAn ruE
r`Of nttaCFi`c. S, i Vit.
Io L�
A ppR-0� E�
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m
tt
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to
l0c:>
c(D v
( m 71
n0
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m
_ S4
0 1/2" 1 tt'-10"
l _ 1T
N 1 NfD1
0 _
BATH J .� FAu o,� ,
O ---------------
w.0 n w. aooe 1
N
W MASTER BEDROOM
-
® 14'-9 3/4"—
0 rn
�-1
THE KARSTEN COMPANY
9'.4"
—9'-3 3/4'` '-4" 11'-1 3/4'
DNW
BATH
M�17STLIDY
WIIaune
0
(WTD L DMADOM 3)
5 1/2"1_13'-8 3/4"
8' 0"
KS49004A
CATHEDRAL THROUGH -OUT
't
i
t`
t`
M.H.I.- Z
Mobilehome Manufacturer: a,r�n l,0 . Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: _(ft.) Length:_50 (ft.) Tagalong or Expando Size _(&)x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[(] Other:
SUPPORTS: Concrete block[ ] Other:
Provide Tie Down Specifications for all Mobilehomes:. A/5615 Co
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 Line 1
Line 2 Line 2
................................................................................................
Main Beams
Line2................................................................................................ ine 2
Line 1 Line 3
Line 2
Main Beams
Line 2
Line 1
.................................................ine S
Tag or Triple ine 4
rine 1
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: `
From ends -maximum: `
Line 2 Piers:
Size minimum: [ /2 ] x 1301.
Spacing maximum: S `
From ends -maximum: `
Line 3 Roof Loads: a
Size minimum / 2X30
Location (from front): 0
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: `
From ends=maximum: `
3y.3,1
OVER A PPFt 01 �
M.H.I.-2
1. Owner's Name: Laura- K11? D
2. Assessor's Parcel Number: Q rr3' /0,-/— 0C /
3. Installer's Name: PholnCed
4. Is the site currently under permit? Yes[Kj No[ ] Permit No.
5. Is the site an existing site? Yes[ ] No[K] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome?_LJAmperes.
7. What is the mobilehome site circuit breaker rating? ;00 Amperes.
8. What is the electrical rating of the mobilehome site? 2-0O Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[,K] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
;..:.,.
(i.e. well, garage etc.)? Yes[K] No[ ] If yes, please identify the load and size:
a) The mobile home`site:
Load- Amperes- /0-0
b) The main service:
Load- Amperes- /02 5
11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ]
12. ' Size of as pipe at the mobilehome site from the meter or
tank: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?--L(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
May 1995
8.5
STANDARD CARPET
OPTIONAL CARPET
20 " ROOF LOAD ONLY
® MIDDLE ZONE ONLY
(30# ONLY)
A.
■ SOUTH AND MIDDLE ZONES
(20#/30# OR ABOVE)
PIER
FOOTING SIZE REQUIRED (SO. IN.)
PIER
SIZE REQUIRED (SO. IN.)
PIER
FOOTING
SIZE REQUIRED (SO.
IN.)
PIER
FOOTING SIZE REQUIRED (SQ. IN.)
N0.
COPIER
(LBS.
N0.
CAPACITYPIERFOOTING
(LBS. )
N0.:
CAPACITY
(LBS.)
NO,
CAPR PACITY
(LBS.)
1000 PSF 1500 PSF 2000 PSF
. 1000 PSF 1500 PSF 2000 PSF
1000 PSF 1500 PSF 2000 PSF
1000 PSF
1500 PSF 2000 PSF
01
2000
288 192 144
3Q
4000
576 384 288SQ
6000
864 576
43270
10000
1440
960 720
{
Q
2500
1 360 240 180-
4
5000
720 480 3606
8000•
1152 768
576
®
12000
1728
1152 864•
•;.n
"'`; "� - - -
DRAWING
TITLE
CARPET
T '
& j
PIER
PRO DUCT
KARSTEN
SERIES
MODEL NO.
KS4.9004A
rf
;: THE KARS.TEN COMPANY
-
9998 OLD PLACERVILLE RD-..
SUPPORT T
LOCATIONS
S0• FT.
DATE 10/9/95
SACRAMENTO. CA. 95827
p�tz
,151
'DRAWING FILE INFORMATION
�.
:= :;
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SHEET
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REVISED
.(9161 363-2681 Phone
(916) 363-4537 Fax
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to-�a-95
rv� elati9.a m�t�..�.�Dc� � �n Plarr�
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-06-1995 17:46 FROM t':�LTF''1h1S RAAI� I.-.', TO
� � rI l•V� i f'!IS r a •
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95382140 P.03
,
LWTD 19, STWIIAI. MD 1,)0KUT11Y C.. sjr,,zjw_, 41 d tri ff•,
m JOINT TEXANTS a tut tml prrep& j, gil,ate im tht ;
�soal�tj� 1➢4it .30tl�OE'CLWbFh4L dascAhtd Psfollamov-
1► Martian -1 tht? �e�ratts,ta CorssolidatOd ;�urtc . latn� Claim tansl,ttag vt the f;,..Ystanh
Ounrlx and Cal4 FiBG$ 0=rt3 Loja Claiz.s• deal4aategl by. t311 5uerdyor. 6c1Lc at at the
tiHlta4t L�Less ss ;.>SC .Xq, C9tbra:l+f{! a patLiotl or Seetloh 3 Jr, Township 19 Kojit.
i:$sga fs i:yatf,, ;r1>ba�i ttitiL8a :`arlQlr�n, 4r. dose rlB03 lit :>dQ hA6s�6 lY'gAb`-tlt0 t:rtl eho
"`Stot*A at .acridz, 0 Lewis K. ftaa:onor and bisQ1e,e kcLOLeln, datWI Septaaur 1c4
1000. and r4airdod 9;,y 10, ;4";p !a+ 11"ok "1' al ht"ts, AaV% a-'3+ roeo l= otr C,tta
County, C81lj*0rn;a, SrfT@ pi::iCntnrl� t;elcCf_�ed 21 folltt�s;
Ctu-NMCbc149 mt :be $ ;&Umdst Puriser or 3ucttu-, 3,, wCurcrsAtEpnoa: Llia%co lejvtir� tkty
poigt tir ceauzr.^p�pt �Ad thL- 5aiwicast CQrh,:T O.f i_�ld $oct1a, 3 a>tir# rranfvljr.0 \mrth�.aaQ
46' 00" Wcst a J451unfe ®i "`J25-12 fcvt Ld t,.sna: Hai_ 1 d1 gaystp+�o .oda GZ4la;
teaTinsj eurq.-r .4�, 1 of satd geyi3one Laic ztain? and VURR3®g berth 42& 25' 00'
jist;2na4 0� ::a.a7C C:at alontJ tbv aLnrtj S i>SQ ieP s�t,1 :cYsRgvs Lobe C13Im to earrac
NO, 2 of es°•= l:6y3"'so L644 Ctalsp said foarar:t :!,;,. ;' of xaid Waystatto 1.03c CLafa gang
Sino evrnus Xa. I !it t;m;d Fineb C:ulm; tke"ce 1001np Lha corovr r,Q,pp� tv
}scystaµa Lads Cidria W dad Gait Finch Lal., Ci:ils AO, 1 3os :�sctpQ SQUEN or 39*
5a` est - ltstaaco ct 7S9 7h traet •'
peq the isnrr cor.�aq to i(eytcoao L04C Claim jad
Awn -POM' aGl,'. Finch Lil:l�• C�]in t4 the faun �alTtt of b`rdsnniag rar thls �4sCtiptian; Lt.Cl,ca
;s' :iSrIP1 t3,. eruu paict 01 bgtnttfhq for this 403criptlbn asd ozltisW SbMLb .179
Fest a dtstancd as ?9.73 root 210mo At lino comor1 to lieys~:arn Lade C1SS�a
arm Co;i Ft<��h L&44 Ciato Lo the tarso .azxu,a to S
t?y9lo,zo Lada C1oi eerbcrY. :!a,
and CCU t'inrb L+oag Clain, &crner 4o. 4: thrr,ae !eayinq laid egrQet' GCa.009 to
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job Z o� y
01"j.2 G d IV 0 c%c vs r vc� GyJtL ►���
7-0
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1 rai W.110"I mil! WN
c'40 'd r c6131 all"11109
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NIDV-0 -1995 13:47 FROM CALTRPNS R/W U-5 TO 95.332140 P.04
A"wI n
11 r
T
r ' ioaa Lao Ctel# . C07"r NO. -Ott 'Bald ,Cur191- rimb, wwo;grant
M Se �tr�rpe°4,u�'��cti � d2' 0D!'�aP�, t`,d�=otaaas *� fibk' . i0;st-0taaq tho{�laaLcrlr li6a at
,., : ° �pid; 40 id Lada Ctlla •er �'hOteitaac,'lro� pt i�o3t9`Gt1a it;nai dr'o+A@;ClosmI taLKb !»
f :l` Zaln�rdaQ t'm ns,r 2 of lbtd'Goj,� ele ch Loge C11alM UxU TxmWoq .�Drik 479 44' 26'
dtstanco•ot. TUAT r®oi �o!-i'odr,n-11srlhurly Lina' of 'pfd Gold Cinch Lode. "a3
Claim to 4 palst an the' Nortbarl 11so of lila 14414 Masi � Claim; Lhana! El.
iaarfr�t the Xgrtlarlf link of Said Cold 1illi1 Lado MoN amd rasslo9 South d=° 20'
diltqn�ncz of 599x0240t_te Iho Lkyt4 paint Qa wolbAlao; for ably dastri,ption.
.. e,a'Si.le•$$�id8l�j ;'�pJ'! SI�.'�$IGOi�'Y�O; ;!!!a b _'rrK. ,,, rw+�
t
°.wr�•�iif8 rf1i:- a right er.�ar.lmf:,"saai!`yu7lyp+►ccs'oear i lrttip of 1a0 bID foot lei oath ►
hOratimff tavrll �o1'�is4C-d'���4,�lta L�d�y•Cfs �lr_,�1�: :.,;,,,�,t.rel ;
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,y � :!�.i P• ,.J ,,�.; :ls,,r4'�".�r..Jr, . �j. rl^,i'Ir��'tr.:'�•r T ;�.- .t,. x,ti• .'t':= u•(•r r - ,n ii .
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r @e 018 mom sd Os pap *0 — 40.. doMI Mi � wwq
ren.%_.!+�.�.1s '
"re AIL ed "M .
• � f< <,I�q �!-L�, :.9�.=��r�".enta� ;,:,I i. '"rpt `: �
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TOTAL P.04
(2,1OV-06—ic-95 172-:45 FROtl CALT .A.Ha R,/�J D-7, TO 95382140 P.01
,y
-t**}* FACSIMILE COVER SHEET '"'t'k
THIS COVER SHEET IS USED AS A ROUTE SLIP SO PLEASE FILL OUT COMPLETELY.
IT. IS TO BE PLACED IN FRONT OF MATERIAL TO BE SENT BY FACSIMILE_ RETAIN
COVER SHEET FOR YOUR RECORDS WITH MATERIAL SENT.
TO:
D E P T:.
r, a
U`
FROM: �� `C ✓�-" ..
DISTRICT 3 RIGHT OF WAY
a..f
OVER SK PACES
I
FACSIMILE/TELECOPIER OPERATOR
If you wish to
confirm
receipt of
material or have any. questions call ATSS 8-
457-42-26 OR
PUBLLC
n 916
741-426
J
1,10V-06-1995 13:46 FR011 C-'ALTRAHS PA) D-3 TO 95382140 P. 02
t -1
y
Y N'"',
MEMEL ATHONAL TITLE
BU= CC. LNTY TITLE
535 WALL STUET. CHICO,
,, CA 95928
(916) 3433716 PHONE (9 1,6)343-4410 FAY,
"FMELrrY,VAx"
From the desk of Jeff Vwzdermate
To: Uum- Kina
G
Attn:
Re: Creation Deed
Your Fax T'r: 741-4490
NuEriber of pages, including cover page: 3
Date- November 6,1995 Time: 10:40am
Message: Thank youl!
Jeffery L. Vandia-mate
PIM(TY NATO NAL TIMS 435 WALL STREET- CMTCQ, CA'9992@ (91f)343,3716 PWY,'%P- (A)116)143-4410PAY,
Ka ice( 863, CHICO. CA 95927
"You'll appreciate Me difference"
Pt 1P2 916:131 AINION 311H 6f;
And when recorded mail to. -
Building Division
#7 County Center Drive
Oroville, Ca. 95965.
•✓"r
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
0*1%6M,yC�� rV1Tfg
. AftvT,
Section 26-8 of the Butte County Code requires this acknowledgment to .be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the useof agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real propem, situate in the Counn- of Butte. State of California. described as follows:
KLC =Keystone Lode Claim GFLC =Gold Finch Lode Claim
A portion of the Keystone Consolidated Quartz Mining Claim, Lot 3600 embracing a portion of Sec 3 in Township 19 N, Range 6 E, Mt. Diablo
Meridian, recorded. 5-18-48 Bk I, pg 320. Commencing at the SE corner of Sec 3 leaving the point of commencement and the SE corner of Sec
3 N24o 46'00" W a distance of 2925.12' to corner No 1 of K LC; leaving corner No 1 and running N 420 15"00" W a distance of 595.80'
along the Easterly line to corner No. 2; said corner No -2 of KLC being also corner No 1 of GFLC; leaving corner common to KLC No 2 and GFC
No 1 running S 470 38'54" W-749.76' along the line common to KLC and GFLC to the true point of beginning of description; leaving the true
point and continuing S 47o 38'54" W a distance of 749.75' along the line common to KLC and GFLC to the corner common to KLC, corner No
3 and GFLC, corner No 4; leaving said corner common to these and running N 42o 22'00" W a distance of 601.03' along the Westerly line of
said GFLC to corner No 3 of said GFLC; thence leaving corner and running N 47o 44'26" E a distance of 750.07' along the Northerly line of
GFLC to a point on the Northerly line of GFLC; thence leaving the Northerly line of said GFLC and running S 42o 20'03" E a distance of 599.82'
to the true point of beginning. TOGETHER with•a right of way for road purposes over a strip of land 60 ' crossing the Westerly 1/2 of KLC.
Date: ' �1 3a�
1Y OWNERS -
i
AA ka...
State of California
Countv of Yuba
On 10-18-95 before me; Kathryn A. Wilkins, Notary Public
personally appeared Laura King ----------------------------------------------------- personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s*whose name( is/aye subscribed to the
within instrument and acknowledged to me that Jm/she/Mft executed the same in hh/her/dmic authorized capacity(k4, and
that by hki/her/tWir signature(4 on the instrument, the person(.ij or the entity upon behalf of which the person(?) acted,
executed the instrument.
WITNESS my hand and official seal. r4p Wp�j
AWN B 9700
YUBA COUNTY
Signature /� ,, a (.✓ Seal: My Conmhailon Lip. Oat 2L 1996
OCT
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
0*1%6M,yC�� rV1Tfg
. AftvT,
Section 26-8 of the Butte County Code requires this acknowledgment to .be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the useof agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real propem, situate in the Counn- of Butte. State of California. described as follows:
KLC =Keystone Lode Claim GFLC =Gold Finch Lode Claim
A portion of the Keystone Consolidated Quartz Mining Claim, Lot 3600 embracing a portion of Sec 3 in Township 19 N, Range 6 E, Mt. Diablo
Meridian, recorded. 5-18-48 Bk I, pg 320. Commencing at the SE corner of Sec 3 leaving the point of commencement and the SE corner of Sec
3 N24o 46'00" W a distance of 2925.12' to corner No 1 of K LC; leaving corner No 1 and running N 420 15"00" W a distance of 595.80'
along the Easterly line to corner No. 2; said corner No -2 of KLC being also corner No 1 of GFLC; leaving corner common to KLC No 2 and GFC
No 1 running S 470 38'54" W-749.76' along the line common to KLC and GFLC to the true point of beginning of description; leaving the true
point and continuing S 47o 38'54" W a distance of 749.75' along the line common to KLC and GFLC to the corner common to KLC, corner No
3 and GFLC, corner No 4; leaving said corner common to these and running N 42o 22'00" W a distance of 601.03' along the Westerly line of
said GFLC to corner No 3 of said GFLC; thence leaving corner and running N 47o 44'26" E a distance of 750.07' along the Northerly line of
GFLC to a point on the Northerly line of GFLC; thence leaving the Northerly line of said GFLC and running S 42o 20'03" E a distance of 599.82'
to the true point of beginning. TOGETHER with•a right of way for road purposes over a strip of land 60 ' crossing the Westerly 1/2 of KLC.
Date: ' �1 3a�
1Y OWNERS -
i
AA ka...
State of California
Countv of Yuba
On 10-18-95 before me; Kathryn A. Wilkins, Notary Public
personally appeared Laura King ----------------------------------------------------- personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s*whose name( is/aye subscribed to the
within instrument and acknowledged to me that Jm/she/Mft executed the same in hh/her/dmic authorized capacity(k4, and
that by hki/her/tWir signature(4 on the instrument, the person(.ij or the entity upon behalf of which the person(?) acted,
executed the instrument.
WITNESS my hand and official seal. r4p Wp�j
AWN B 9700
YUBA COUNTY
Signature /� ,, a (.✓ Seal: My Conmhailon Lip. Oat 2L 1996
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
State of
County of
California
Yuba
On oat -cher 18 igar; before me, Kathryn A. Akins, Notary Public
Date , Name, Title of officer - e.g. 'Jane Doe, Notary Public'
personally appeared Laura King------ -
Name(s) of Signer(s)
❑ personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the person(s) whose name(jj) is/ace sub-
scribed to the within instrument and acknowledged
to me that WsheAW executed the same in Vis/
her/fir authorized ca-pacityW), and that by hW
her/tom signatures) on the instrument the
person(R), or the entity upon behalf of which the.
ofgp�g�, person(s) acted, executed the instrument.
VAXW
3 ��NE1lRIgli 0978ow WITNESS my hand and official seal.
YUSACOUNW
Nh ilk tf�
Signature of Notary
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
DESCRIPTION OF ATTACHED DOCUMENT
®
INDIVIDUAL
❑
CORPORATE OFFICER
Agricultural Statement of Acknowiedcment
For Residential nP_ zei n= ent•
TITLE OR TYPE OF DOCUMENT
TdWs)
❑
PARTNER(S) ❑ LIMITED
❑ GENERAL
TWO
❑
ATTORNEY-IN-FACT
NUMBER OF PAGES
TRUSTEE(S)
❑
GUARDIAN/CONSERVATOR
October 18, 1995
❑
OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
0
Name of Person(s) or Entity(ies)
SIGNER(S) OTHER THAN NAMED ABOVE
_ n► ` 7 /:. .may w',: .�'• �• •i..� ..Kf�•''•': _ �llq•_
:.•..�. ,`'N 47044'2`6"E'=i1SOO.i7'
750.07. ,, �„ ."750.01)
�'.... yPARCEL NO '2-..� "'.PARCEL z~
14 ANO..;
0.3c.
�'.. f �.v i.: :�4�..;t'c. _.fYjyw.fn,�•�r i{•_. ':" 10.32 Ac.
4 row's
uj
• -S'v �. .:. •a... i'. A,r. _ f t :.Y, Cup
C .,• , 0 ': •.A/'•. .. .. 1- �� _..
w'.�. '�•r,;ody �w . .',► .!•t'It/yi , �r �� a .a 1. 0 n � '�. +:- `• ••�
�.�lD t NCY
-i k-0,44
" GOLD /N�ro-LODE CLAIM
S-..- N `
Ltv
_ ms's. N 3�- C _ ..'.;;:•y` �-•;�.;��` ,,,_�� ,'�• .• <�". - . �` "•: .
''rr�.,,.AtJ.t�, • , •� . •..leap , ��A'i 47� 3a'!54"
1499.5 4 ti. ....
?: ! Co:;:5�.►j:.q.: �, _ co Z49 6 -
x Oof
0.0_it. Sef 800 Une L: , �.i::..;�j.'' Nolo
t" ...•.�`-:Tw ^C-•a•.�'1Ft::Mii7'1C':►1 7 ..\�:r'J.:..z..�•�:--zo
CY
N :...:.�^„•.,„,,:;.w.`1a:.: �i j� _ t.,. O� , Z. ��a�
to / �, '�.6,5
CY
15
z 12
N}}O}9 _<v 9.74
h 20.0 f t. Setback Line.
��s ..i 20.0 ft.. Setback .Line:...:
: KEYSTONE 'W ..�; LODE ' . -CLAI M
°°d�' % N _; __' PARCEL NO. 3 Co _PARCEL NO. 4;.:..-:
%/o �..- m - a � 10.30 Ac. 0 10.27 Ac.
749.15 N 749-15
N 470 30 41 E 1 498.30
- Oo3 - c4p
ALL STRUCTURES AND EGIUIPMENT INCLUDING
V1F�1; E� L'Y. ;r` OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
Ftp'-:i{�=��'t
BL��C GL. ; ��,_ , ��.; ,.. �. rROP�7 THE S1bC APlD I...
C p- C/�,c� rr; �1 ST SACK OF
C AL,F. O.PP i- _ �� Er FFtOM1,I THE ;�E,�R ?r C-PER i '/ L'IME-S At4b i
^r !y v jl:'.)i�' �� ` R��'il � '�y C•)»i�L!t�E Cii�it,�:.° 'JL
(� a P,�� . i~ FROOM THE i'.-' �� T
' al !• '1 `i"i0)'1� _...-�.Y•a'•E n' 7'• i T L..+.::1: 1
CLEAR OF STFAUC :JRES AND E.ZiJi!"i�i N
atta 't�a�i 2�l O Z3 FOR A 2 FT. ERVC: OVE IANGa
f.
E COUNTY � o ti
13UILDIM OEPAPTMENI
APPROVEDAI
CDF FIRE SAFE REQUIREMENTS
L0.Lj-v-c,.r
AP# PERMIT # AME
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.
~1]. 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 apFirte-iant 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.
[�1 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 SO -
feet radius; 2 feet to those from 100-200 feet.
[
2. The length of ver':i:%U 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 : 3 -,
1
oo 5
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.
[Al 2. The gates must be located at least 30 feet from�the
// roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with'a single traffic lane
provides entrance, a 50 -foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
] 1. All parcels 1 acre acid larger shall provide a mini-
mum 30 foot setback for buil-dings and accessory
buildings from 411 property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 -acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below. I
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior.to completion of
road construction or fi_ial inspection of a building
permit.
Page 2 of 3
AP ##
15�25�Z
PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
NAME
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal.or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
Glass area not to exceed 'At 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
ELECTRIC
GAS
Support
Struc.
Compactior
Test -Req.
Service
Other
Pipe
YES NO
YES NO
Size
Load
Type
Size
Length
C7e—'WiA 46
tai?.
OT 6
rj .
_
r�rt"
,.:
m.b
P �ec�antsu#�ircd��-
____ ,
-180' --
_...._.. _._ . Y_.t_..._:..
—77
..---- - - - - - -- - - -� 1 Psis ?-Pof W "C'—'2 u
t °i :..
make arrTor:
`160'Lriffea-f $r�rari iDE
i WiDticB _
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120'-�_._��_�_ _-__ .____._.__ _._.._._................ -__ __..__ -: _ _ _ _........._..____�T-._
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;'100 —--------- _ ; __ _ - - -
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ALL STRUCTURES AND EQUIPMENT INCLUDIINO
. OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
REVIEWt 1(PT A SET BACK of � FT. FROM THS s:Dc AND �
" 6UTTE CO. } IPE: -
CALIF. DEPT of F;;RESTFiY 3 (7 FT. FROM THE F''-" R ?RIOP•. Ei�Ty- i.IHES•AND
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THE KARSTEN COMPANY
TWO BEDROOM OPTIONAL FOUR BEDROOM . 1,150 SO. FT.
CATHEDRAL THROUGH -OUT
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_ ALL STRUCTURES AND EQUIPMENT INCLUDING j
RE)V IEWED BY:. `' = OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS• ..
BUTTE CO. FI1F.Ei:.._ FT. FROM THE SIDE AND. '_�. '
A SET BACK OF —
CALIF. G,EPT. 01 �ORE�' 'r. `::� .
ohmitted • . �� FT. FROM THE REAR PROPERTY Li€�I+S A�l� ,
0 approvbd as s - FT. FROM THE ROAD CENTERLINE SHPT LL BE ...: .
•th conditions 'i'l1i?ES AND,4lJIF�Il+YENT
IVI approved w1 CLEAR OF STRUc
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OT?) — Iqv — DD 1
AP#
CDF FIRE SAFE REQUIREMENTS
LcL.LLrw
PERMIT # AME
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 apFirte:iant 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.
2. The length of verti %.l 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
I` 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.
[�] 1270.1.0 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--,
01-3-1-4-o - co � - - -q5 -Mee'
AP # PERMI,T #
NAME
[�(1 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 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�J 2. The gates must be located at least 30 feet from the
// roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall'be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
] 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback'for.buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than l 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 Dr fi_ial inspection of a building
permit.
Page 2 of 3
0T3--I--D-O0I
AP #
15'25�v`L I� La U-rc�
PERMIT # NAME
Other Requirements
[ ] If Buildincr Setback is 15 to 30 Feet:
- Class A or B roof
Enclosed eaves
[ ] If Buildincr 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 10t 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
r
iY*•; 1l•'ty arty►Y'y"'S,'/"wi}j�a'.}`'�'i`j'i.A.+4- a ;rte ✓i.r+ii{:•t-`= 3f:r„: i1;t fi�+�c ` as: -ter+ �s• r.�: fiw-�»-
�
Marysville Joint Unified School District
CERTIFICATION. OF • COMPLIANCE
SCHOOL DISTRICT DEVELOPMENT IMPACT FEES
To be completed by applicant and taken to: Marysville Joint Unified School District
1919 B Street, Marysville
Part I
Property Owner's
Owner's Address:
Project Address:
Parcel No: O P3 ' V- ' 06 / Lot No:
Building Dept: �� /a f/i� POO 01 V Permit No:
City or County: A
TYPE OF CONSTRUCTION:
Residential Construction Single Family Dwelling
Residential Reconstruction Multiple Family Dwelling.
+ t Commercial Construction No. of Units
' Commercial Reconstruction Mobile Home
Total Number o Habitable Square Feet: RCS A 0 �I + _0''-'
THIS CERTIFICATION -COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI- ,
jTIONS,OR CORRECTIONS TO THE SQUARE.FOOTAGE FOR THE,PROJECT' REQUIRE EQUIRE AN AMENDMENT _- - - -
i?.-_:,-,-TO
L • ,--iTO..THE CERTIFICATION OR COMPLiAN&E: FALSWZCATION OF, SQUARE FOOTAGE'AND/OR TYPE OF CON-
STRUCTION IS CAL/SE FOR REVOCATION OF CER77FICATION OF COMPLGWCE'
Applicant's Name: I �') c� e f? '' n E,. Date: a
Applicant's Signature: 1 �"
Part II TO BE COMPLETED BY BUILDING -DEPARTMENT
F
Total Number of Habitable Square Feet �l _ ii' City of Marysville
County of Yuba
Signature County of Butte
Part III {, -TO BE COMPLETED BY SCHOOL DISTRICT °
C• I
ertification of Compliance No. (Receipt No.):
Fees Collected: No. of Square Feet
No. of Square Feet
x's $.27 for Commercial = $
x's $1.04or Residential = $
Exempt from Fees: '� Reason: F y ;. -� tc. G.� �. cr.r-'•.-C-( , �-l�.r '-t.
AS THE AUTHORIZED SCHOOL DISTRICT .OFFICIAL', I BEREBY CERTIFY THAT THE REQUIREMENTS OF
GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT.
5
Signature Sandra Davini, Director of Business services Date /0 J,;,, S"^
White: - School District a1 SD:CO
Yellow: - Applicant
Pink - Building Dept 7/92