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HomeMy WebLinkAbout073-180-027A.P.�73-18 STANLEY T._FOLSOM w/s Brownsville cutoff app. 200. soE Oroville -Forbes' wn Rd., 1 . -, OIN&W Forbestow_n//d 1 Permit 2924-73P; E -, (utilities for mobile home) - 73 -,18,27 r 73--,'-18-27 _ _ _ 3198-900 MACGREGGOR; Violet A ,_,_,_19163 New .York Flat oad;k For/bestown .. (gas Piping) 1� � r 'i C� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#: (530) 538-4365 OFFICE #: (530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds DBMSC Patio/Porch Covered 09 PROJECT "INFORMATION i Site Address: 19163 NEW YORK FLAT RD DBOMSCF Permit Renewal Fee Owner: Permit No: B06-2403 APN: 073-180-027 SMIP - Residential MACGREGOR, REVOCABLE F Permit type: MISCELLANEOUS PO BOX 3 Issued Date: 11/2/2006 By: KCG Subtype: Patio Cover/Cvd Pch FORBESTOWN, CA 94941 Expiration Date: 11/2/2009 Description: 2 COVERED DECKS(336) & (120) (530) 675-0411 Occupancy: Zoning: U Contractor Applicant: Square Footage: THE HOME SPECIALIST THE HOME SPECIALIST Building Garage RemdVAddn P O BOX 24 P O BOX 24 RACKERBY, CA 959720024 RACKERBY, CA 959720024 Other Porch/Patio Total " (530)370-0866 (530)679-0806 mon mon DBMSC Patio/Porch Covered 09 $63.00 DBOMSC Permit Renewal Fee 1 Yr $118.98 DBOMSCF Permit Renewal Fee $115.98 Patio Cover/Porch $150.00 SMIP - Residential $0.50 +: , r 'LICENSED CONTRACTOR'S_DECLARATION Contractor (Name) State Contractors License No. / Class / Expires THE HOME SPECIALIST C735379 / B / 4/30/2007 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. X 11/2/2006 Contractor's Signature Date t _WORKERS' COMPENSATION_DECLARATION� I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: aI have and will maintain a certificate of consent to seff4nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Carrier. Policy Number: Exp. Date: ❑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 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. X 11/2/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370edF.THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ��CONSTRUCTION LENDING AGENCY DECLARATION. _. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address j Balance Due: $0.00 Receipt No: WEB572 OWNER / BUILDER DECLARATION- } _" I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure 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 U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). I am exempt from licensure under the Contractors' State License Law for the reason: 11/2/2006 -PERMIT" APPLICANT -DECLARATION-_- - 2__r By my signature below, I certify to each of the following: am U a California licensed contractor or U the property owner* or U authorized to act on the property owner's behalf**. have read this construction permit application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner* or Authorized Lender's Name & Address City State Zip IFILE COPY 11/2/2006 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.net\dds PROJECT INFORMATION Site Address: 19163 NEW YORK FLAT RD APN: 073-180-027 Owner: MACGREGOR, REVOCABLE F Permit N0: B06-2403 Issued Date: 11/02/2006 By KCG Expiration Date: 11/02/2007 Occupancy: Zoning: U Permit type: MISCELLANEOUS Subtype: Patio Cover/Cvd Pch Description: 2 COVERED DECKS(160) & (120) PO BOX 3 FORBESTOWN, CA 94941 (530) 675-0411 Contractor Applicant: Square Footage: THE HOME SPECIALIST THE HOME SPECIALIST Building Garage Remdl/Addn P O BOX 24 P O BOX 24 RACKERBY, CA 959720024 (530)370-0866 1 RACKERBY, CA 959720024 (530)679-0806 Other Porch/Patio Total 280 280 FEE INFORMATION Patio Cover/Porch 1 $150.00 SMIP - Residential $0.50 Total Charged: $150.50 Fees Paid: $150.50 Balance Due: $0.00 Receipt No: B450 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires THE HOME SPECIALIST CSLB-735379 / B / 04/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: I HEREBY AFF UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (common ' ' Section 7000) Division 3 of the Business and Professions Code, and my license is in full r e ct. X 11/02/2006 tract; S S' n Ure Date ❑ 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 WORKERS' COMPENSATION DECLARATION — OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one 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 year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law down not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: j� I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �I ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compens n ws of California, and agree that if I should become subject to the workers' comp atio rovi 'ons of Se 700 of the Labor Code, I shall forthwith comply with those pro 'ion X 11/02/2006 Owners Signature Date X 11/02/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate,laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage reused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Coun enter the above mentioned property for inspection purposes. I hereby certify that I am the pro thorized to act on the grope wner h If. 11/02/2006 S' ature Date ARNING: F LU TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( 1 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Nama [SIGN] Print Date Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" r) 7n — d t3 0 OWNER INFORMATION Last Name C �l irst Name P Mailing Address City State Zip Phone �1 _ Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address t 0 /O City Fax Stat eno- Zip Y�2 Phone L Fax E-mail Phone r D Fax E-mail If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Lic. # �—. Class LENDING AGENCY Name L APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Lot # State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail I""Ukli For office use only: PROJECT LOCATION Zoning Flood Zone< I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Carrier Date Approved: PERMIT NO. 203 BIN # Desgription or Scope of Work: Sq FT- Living Garage Open Cov ❑ 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 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. 00 Received by�., Amount: llJ. Bldg SRA Receipt #: (�,t J5� Sheriff SMIP Date: p Other IQ_IQ,�(n `� Total] PROJECT LOCATION APO ,, 1 �`f'/ Property Address City Cross ttreet 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 Desgription or Scope of Work: Sq FT- Living Garage Open Cov ❑ 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 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. 00 Received by�., Amount: llJ. Bldg SRA Receipt #: (�,t J5� Sheriff SMIP Date: p Other IQ_IQ,�(n `� Total] Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking . and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2403 Date: 10/10/2006 Location: 19163 NEW YORK FLAT RD Parcel Number: 073-180-027 Owner Name: MACGREGOR, REVOCABLE FAMILY TR Phone: (530) 675-0411 Description: 2 COVERED DECKS(160) & (120) Signature of Property Owner: Date: 10/10/2006 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 10/10/2006 9:32 am r Permit Number: B06-2403 Job Address: 19163 NEW YORK FLAT RD Contractor: THE HOME SPECIALIST P O BOX 24 RACKERBY, CA 959720024 Fee Description Account Number Fee Amount Paid Date Pmt Amt Patio Cover/Porch 0010-440001-4210500-1010 $150.00 10/10/2006 $150.00. SMIP - Residential 1001-0-280-1011298 $0.50 10/10/2006 $0.50 150.50 $150.50 Printed By: Kourtni Graham Balance Due: $0.00 At the time of permit applicati I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. .- Signature: 71%Date: 10/10/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). , r- Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O 0 O 0 National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2403 Date: 10/10/2006 Location: 19163 NEW YORK FLAT RD By: KCG Parcel Number: 073-180-027 Sub Type: Patio Cover/Cvd Pch Owner Name: MACGREGOR, REVOCABLE FAMILY TR Phone: (530) 675-0411 Description: 2 COVERED DECKS(160) & (120) By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed Title FILE Date: 10/10/2006 N W cUI 7 5-,"51e- Sfor 4,)� lov 3Igratvre: iSIQN - BUIL Date: �,. File Copy 0Ir - re, P omd APN o Rr�3 agO3 a�- � 016- K, `i}'tL PLAN Ai' r , :' i 0 n• T V tea, i A r f�} 0 n• T V tea, r' 073-180-027 06-1040 e� MACGREGOR �,u-rte AaE• N O T E S 7 19163 NEW YORK FLAT RD, r_ = Is: FORBESTOWN i Cont: BARNEY BONE i KM/H PERM FND (NEW) RES I D E N T I A L APN: Permit No. a Owner. Site Address: if 3F Contractor. Type of Permit: i t f OFFICE COPY Address x GAS Meter B ' — • ( Dar Y ELECTRIC"/ Q Meter BY 2 Daf@ SPECIAL CONDITIONS i CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION rTEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE El y Ix L. g' t0� < < e r DATE JOB FINALED- .r b SIGNATURE: ,% �; = OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Li SOFT -SET DATE ID E C K S•C O V E R S`C A RPO RTS `G A R A G ES 1 Zoning -Setbacks -Easements Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch s 2 Ftgs; Soils -Sz-0pthSpacing-Cnnctrs-Steel 3 Sewer; Loctn-Test; Fall/C/O-Concrete j 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator -i Stairs-Guard/Handrails 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat Li or LP ". r` Inch Sz -2_0 Ft Lngth I Frmg-Brcng i 5 Alum Awn; Co(umns-CnnctnsSplice-Decal-Enclsrs 7B c g; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors as; MH Test-Demand-Valve-Cnnctr 1 7 Electric 9 Elec MH Cninty Test-Crossovers-Breakers-DIrncs l 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr j 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected-d/O to Grade 10 Roof•, Shthg-Roofing 12 Gas and Electricity Tagged11 13 Tie Downs EJFoundation E?-." Ext; Steps-Doors4-andings I 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy r, n 16 HUDLaIVILLtsignia Nu bers Serial Numbers ~J © r � �T © P (�j t el r� I DATE POOLS l 1 Setbacks -Easements 2 Soils;.CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI °'a °'� °'� 5 Elec Pool Lting; 15 volts -GF] 6 Elec Enclsrs; Conduit Entries-Terminals-t.isted i 7 Elec Bonding; Metal w/5-Crcltng Eqp-Htr 1 8 Elec Gmdng; Eqp w/5' Crcltnig Eqp-Pool Ightg j Boxes-EncisrsTrilboards-Insulfn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test i 11 Lt Niche i 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or tilde o'`� o`er dr ds r .I 1 r (4 1 II Pool Drawing ' . f :i i I = OK = Not OK _ RESIDENTIAL (Single & Duplex) DATE JUKDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpih 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth_ 55 DWV; Test Fittings & Anchr Nail Pctctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fic-Tub Acc. 1 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 63 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test °'• 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 40 o' o DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-CImc-Comb, Air-Cnnctr. 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec True & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -las Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 EXits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fre Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass P rtctn-SkyLts-Plas tic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration -Walls Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters MYes MNo o'er o o' 0`s 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-O/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9 ❑CU or DAL 98 Address Posted AC Wire Sz ❑CU or DAL 99. Fire Sprinkler 48 Range Circ ya MCU or MAL 'Oven Circ ya ❑CU or MAL Instilated Neutral MYes MNo .� 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636_ (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PEKIVII I *NU. BP061040; PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN: 073-180-027-000 the Business and Professions Code, and my license Is In full force and effect. License Class : (:f— 4,17 License Number: 7S2 9f Site Address: 19163 NEW YORK FLAT RD FRT Date: 7_ej-6 b Contractor. QVV �e:;l Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: new mh, ex Site, perm fnd 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 Owner: MACGREGOR GLEN. DARWIN & VIOLET '. 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 MAY. the Contractor's Slate License Law (Chapter 9 commencing with Section PO BOX 3 7000) of Division 3 of the Business and Professions Code) or that he or FORBESTOWN CA 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 94941-0003 applicant to a civil penally 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, Buslness.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' State 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' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell -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 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 #: 7 ❑ 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 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: % ` ' 6 7 Applicant: AY- LT _ v4- 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. Applicant: B & B MOBILE HOME SERVICE 6493 LINCOLN BLVD OROVILLE, CA 95966 530-534-9694 Contractor: B & B MOBILE HOME SERVICE 6493 LINCOLN BLVD OROVILLE, CA 95966 530-534-9694 License #: 751948 Architect: Engineer: Total Square Ft: Valuation: Census Code: 33 .ol 4�11_WO r7_(o-OCD 1250 S.F. $81,250.00 CONSTRUCTION LENDING AGENCY This permit Is hereby Issued I hereby affirm that there Is a construction lending agency for the Resolu ns to do work Indic performance of the work for which this permit Is Issued (Sec 3097 CIV.) By. Name: PERMIT EXPIRES ON4: Address: !r the applicable provisions of the Butte County Code and/or above for which fees have been paid. ww.� O 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. O Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. O 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 an official form or document of Butte County. I hereby authorize representatives'of Butte County to enter upon the above mentioned property for inspection purpo Print Name: 'DA Y- W —cy B Gam% T-1 Signature: Dale: Q'Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor o r on a n1.ir..nd nn 1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS 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. GLEN DARWIN MACGREGOR & VIOLET MAY REAL PROPERTY OWNER/LESSOR PO BOX 3 MAILING ADDRESS FORBESTOWN BUTTE CA 94941 CITY COUNTY STATE ZIP 19163 NEW YORK FLAT RD INSTALLATION MAILING ADDRESS, IF DIFFERENT FORBESTOWN BUTTE CA 94941 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 06-1040 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE DEALER-NAME-NAMEadealersale, write "NONE") 'DEALER LICENSE NO. MARLETTE 2006 fir,:, MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER �G ,. - 48' X 26' 8"; SERVAL NUMBER(S) LENGTH X WIDTH—"—+INSIGNWL-ABELNUMBER(S) -=: REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 073-180-027 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1040 Address or location of unit: 19163 NEW YORK FLAT RD., FORBESTOWN CA 94941 Legal Description of Real Property: 073-180-027 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GLEN DARWIN MACGREGOR & VIOLET MAY Owner's address: PO BOX 3 FORBESTOWN, CA 94941 INSIGNIA OR HUD NUMBER: SERIAL NUMBER OR V.I.N.: MANUFACTURER'S NAME: MARLETTE YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE 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: C` 4V 7 License Number: Dale: %'l/-6 b Contractor: 41sm r-4 OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 Divislon 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' State 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' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code. Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell -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 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 #: 7 ❑ 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 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, 1 shall forthwithc omplywith those provisions. Date: / , — 6 7 — Applicant: {4 r YlJ UZ. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (s1o0,000), in addition to the cost 'of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. PERMIT*NO. BP061040: ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 07/06/2006 APN: 073-180-027-000 Site Address: 19163 NEW YORK FLAT RD FRT Map Index: Description: new mh, ex site, perm fnd Owner: MACGREGOR GLEN. DARWIN & VIOLET MAY PO BOX 3 FORBESTOWN, CA 94941-0003 Applicant: B & B MOBILE HOME SERVICE 6493 LINCOLN BLVD OROVILLE, CA 95966 530-534-9694 Contractor: B & B MOBILE HOME SERVICE 6493 LINCOLN BLVD OROVILLE, CA 95966 530-534-9694 License #: 751948 Architect: Engineer: P (v4J Total Square Ft: 1250 S.F. C�1 7R Valuation: $81,250.00 Census Code: k_q,q9 4150362, 1E -g -OCA $T3Z-o7 *194M 9 -6 -OG j44 'ZV CONSTRUCTION LENDING AGENCY "^'-'^^' =Thls-permit is'hereby issued under the.appllcable provisions.of,the_Butle County Code and/or_ I hereby affirm that there Is a construction lending agency for the Resolu ns to do work Indic ted above for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) By. Date: Name: -PERMIT EXPIRES ON: 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 an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpo Print Name: V- 1nJ-Z Signature: Dale: O Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor . n e..a—_ o.....;i ni-1R.nd — 1 'BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE HILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name rimoame Address�� CityD� w tateerpSSytl Phone 0- S3 ttt_,lC1 Y Phone G7_D J TFax E-mail CONTRACTOR Name r Iv r oa+� Address z�d✓GpLw hit' City 2O v� State e q I Zip 9 5� Phone 0- S3 ttt_,lC1 Y Fax s Z E-mail Lic. -7 /Sym 'lass y7 ARCHITECT/ENGINEER --Name- -Name Address Address City Tljp I Phone Fax E-mail State License Number APPLICANT INFORMATION Name c tie Address I Flood Zone I SRA Phone 30 —Y � Fax E-mail �— APPLICANT SIGNATURE X For office use only: Zoning I U I Flood Zone I SRA YesNo Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMS\BUILDING FORMS1BIdgApp1SubRgmts.doc PERMIT NO. BPd&l01-/ BIN # PROJECT LOCATION AP#t� 7 3 - l �- D - &1 -7 Property Address 1 3 N -eV 6,10 City Cross Street n WORKER'S COMPENSATION Policy Number Carrier C 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:_......__._._.._.. _....-....... /ve &,,- 6m s'isl ii S/ T - 6w -v Sq Sq FT- Living Garage Open Cov. . ❑ 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 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. Page 1 of 2 • qb Received b Amount: Bldg L� SRA Receipt #: Z p� Sheriff SMIP '06 Other Date: y 2 `/ Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. 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! ❑ 2. 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 faxesl O 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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.--NP-DESf--orm.—.---- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 KIFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 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: ASSESSOR PARCEL NUMBER D 1819— 0 / 10 14, Proposed Building Use: �« / 6 / S/�/ I � ( Permit Technician: Date: Itemsrequired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 'N 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 faxesl ❑ 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. \ 10 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie dow o: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 n triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and -signed, in duplicate. ❑ 11. Hazardous Material Form �p /nl 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable \J] 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ J�Erosion Control Plan Required................................ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20./City of Chico Plumbing permit........................................................................ ❑Site pIan and business license approval from the City of Biggs ...... C - °i .... \j'o \LoJ alifornia Department of Forestry plan approvalSent by. ........... Com----� Planning approval for (A) Use: B) Parking: (C) Parcel Check: ­ ............. ❑ 24. Contact Land Development about _ Improvements, _ Drainage ....................... •� 25. Fire Marshall Review (commercial projects only). Sent by: ...................... lI `r 26. NPDES Form............................................................................................. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... \ ❑ ,�31. Letter of Signature authorization.................................................................... _M4 lg' Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing v' laitions and/or expired permits ......................................... ❑ 16. . Dee estricti 6............ Legal descriptio ❑ M.H. Title, title search, registration o�MCO... .................... /� Other: OL"Z`7� ❑ 37. Other: When issued Telephone 173A Nk-1 �3�/-96 I and hold for pickup. I have been informed of the above iters d requirements for obt fining uilding permit. Applicant: Date: S 1. Index permit application fort abb ems numbered-` Plan Check Letter aI items required_ Cont , designer, owner, was advised of the above data by B'phone, '❑ mail, ❑ counter, by Date: `t' Contractor; designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was a vised of the above ata�� y ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: /� Plans approved by: /�✓`�'_ Date: Structural reviewed by: Date: _n Structural approved by: Date: Note transfer by: Date: " Yellow: Building Division KIBuildinglPlan Check/Data Sheets/data sheet page 2 9.27.05 r� TO: . Building Division = Development Services FROM: Environmental Health Plot Plan Attached J E.H. USE ONLv Floor Plan Attaohed;;;,,-- Sent to BD/DS SUBJECT: Sanitation Clearance A, Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other ,,, Water _S_u_pply: Public rivate Well l V� nA ., I . „l�. Hold final for: Final clearance O.K. for: NOTE: R Environmental Health Building Clearance 9/2005 alist Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www�)uttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner mac gregor APN No: 073 180 027 Permit Type: Subtype: App Date: 5/5/2006 Permit No: BP 06 1040 Permit Desc: 1 2 3 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee 1 $219.96 $329.94 Balance of Building Permit Fee FEMA eyes Flood Elevation Review $109.98 0 SRA" LEFlood Fire Plan Check - Non -Refundable $95.00 $95.00 _ (State Responsibility Area) Building Inspection $109.98 $109.98 — $ 04.98 NON-REFUNDABLE portion of fees due at application $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT t_$$38.07 RECEIPT DATE Tech/Asst L, P�62 s s F Z - At the time of permit application, I was advised the above feesarelecited to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. 4 i Applican Date: _ Pursuant to Government code Section 66020, y are here notified those Items followed by an ""may have been imposed on your project. You have 90 days from the date of approval of the porject or fr9RIthe impostion of the above referenced items during which you may protest. The requirements for a protest are ' specified in Goverment Code Section 66026(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 0 FROM :TROYS SEAL & STRIPE FAX NO. :5305321745 Jul. 05 2006 01:56PM P2 F 07/0,/2006 10:46 5'K6'75277e VIDEO aZTERS PAGE 32 l�ENCROACHMENT MIT Tnty of Butte Depailment of Public Works 7 County, Gersten Drivo Oroville, CA 95965 -se{ •: � Pham: (530) 539.7691 Fent: (530) 538-4356 nvl Or tMUNTY 24 HOURS AM." E WORK [S 7O BE ST�4R � punt e: --��-`^--w— Adumt.OWNER �. �+u+�'� �'�.�-19'J/ 3 AAAr w reef A4 .ecw r rTp Jd 4 �'ea c X rFW p b of eAr im eswjo C' q a if 1?4Fs rm w r C 4 t./ L5r Q Q*,. / Pic 0) -3 Drovdle eA q5'7145PB1A1PoOWbt� ►tea e D o I /WEAvndmigr,04 itrraby sN►ly to W Cow,t7 at Butt fbr ars encrgacd y Wbvai the Gbw► rDaotls w al in with pem"t t- do then !bi&svv� �veric vnd& sem,_ Coasi or&tm and or&►Qo.e Q �a r.m �7 7erarnrrry� ,roe, -^- -- LOCATION 9eww6n," t ❑ D mmy Y C7 Cutrtgt - p Prior D Pwipch" 0 silpalg,7ty Q 01b, AtttuaW: Cl Yey p No —_ Pj�r ff 1,,q: o c""ftp 0 orlazp Ca.eltflfip is naenpfiY�oa witA rho drDYG rsgotsl, to WOO" to aterror, ovpoltJm�s (ioctYQiq� ws oa pa�v 2 offt adtoo�itaonc wrJrtata Lclox lan Jt A lbP mk F.".) i. O L Sttvvioe Alas (U.S.A) must ba nW fjCd two wMing &y8 mr m .. �� XW cm,, roe-W•xcon �z. O All vo,t eEatl eom>h►m m aKvatp:aylo6 ❑ [! —� w C3 Pbaas ' C Syetim cmtGillm 3. C Otda co,&w. PERMIT copm'ITIONs 're be fisted e by to") it Couaty a Only abs• �` ^a�otmt y - ►:ad �:��� bait►_ — ...--..,� 8�__ Mike Grump, Director otlpulbac Works 8", •'v: Na. by. LJ C MPlaed - OK ltewga, t;omoram- >ru ou BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ' , SV/ Building Department No. A.P. N,pmber d / > �/f5a - 00 7 Jurisdiction: City County Property Owner A< Property Location/Address I f 3 /VLA l C ,A / " '' Subdivision Lot No. ......................................................................................., Residential Development 0 Q Sq. Footage No of Living Mob ia Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 New Addition Building Department Sq. Footage (including Exterior Roofed Areas) Date District Identification No.j �S �a73 \ (School District certifies that c (App scant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ representing square feet. School District Representative Paid by Check # Remarks: by payment of $ B 2926 $ ULLMITIGATION, $ Date Modce : 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(x), within 90 days from the date fees aro paid. Failuro 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 reWswed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its imp!ot on the school district's schools. White (school district), Yellow ( (applicant) feeform.xls (305)drum BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM XFEATHER.RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) CJF7 i�d '� Building Permit Number 4Po 6 10(/(D Property Owner (s) �/- Project Location'/Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department. Demo Permit (date issued )L_,—Verified by Building Department Comments: Building Department ❑ FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Mailing Address S- - 3;- -0 6 Date Phone Number City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: _ Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash: on and Park District Representative Receipt No: ' QPgTME111T 0 \� coUN'(-i A�eLfc W0 Department C o u n t y J. Michael Crump, Director of Public Works o f B u t t e 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 II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE] Project Description: / y e �/V %OI�r�L twt �e �v�J u^��X Project Location and/or Parcel Number: Me- 1A) Y6PZA A2,9 D�3 /ru, a�Z% By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB Y 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- igned: Title- Title: Date: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program . Revised 5/24/04 Butte CountrDe ' arttnent ofDevelopajent �Servlces °$�rr�.° 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile c0UIRA �y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: I need to submit applications for septic andlor well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted,' without input from other regulatory entities that could prohibit issuance of the building permit or r uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). . Please print: Applicant Name: 41 r IV .e d l�11 Building site address: � ./ 3 N a7- 2vt APN: D73 - /�O - e_1 �Z -7 Permit No.: 1�?P06 /0 / I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF AP ICANT DATE Copy to Applicant/EH/File Y`Forms/BldePermitwithoutClearances 020705 109 Bu Forbe - o ED MAIL TO: T NLACGREGOR . p(} m41i0i1rNiuuiwu -3*:.�.r_: ;t►�. Vii_ _ , ::���i�'1 Recorded 1 REC FEE Officiall Records 1 Cow . County Of 11WE-N &I ITTE I CANCE J. GRUBBS 1 Recorder= # RLOGREMAKY DICKSON 455istant i �5 1 09e02W, 21 -Sep -M-4 1 Page 1 of A.P. 9073-180-027 The undersigned grantor(s) declare(s): Conveyance into a revocable trust - R & T Code 11930 Docunientary Transfer Tax $0 >.....: , .;ttpac1 on ihr censideration or value of proprrr� cot>>eNed: OR tr=; �r e.�ct;ritbranzes retnaill rti_ at titer ',t Sale. M the conskiemt, p lir ti'aif�C' S�'�.`� 11�!.S l Cit -%i of Ort)vi4{L' y GR=ANT: DEED FOR A VALUABLE CONSIDERATION. receipt of which is hereby acl-no» ledged, GLEN DARWIN MAC GREGOR and VIOLET MAY MAC GREGOR, husband and Waite as joint tenants, hereby GRANTS) to GLEN D. MACGREGOR and VIOLET M. MACGREGOR as Trustees of the MACGREGOR REVOCABLE FAMILY TRUST dated April ;17, 2004 the following described real property in the County of Butte. State of California: See attached Exhibit A for legal description. Dated: `, %- �` ✓�``/ D� GLEN DARWIN MAC GREGOR hz Dated: ��7 `� �i' ` ��- VIOLET MACGKk;(j STATE OF CALIFORNIA COUNTY OF BUTTE� (hi1 a.�befurc me . a�,�Ji NUtan Public. personally appeared GLEN DARWIN! MAC GREGOR and VIOLET MAY MACGREGOR, or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me they executed the same in their authorized capacities. and that by their signatures on the instrument the persons or the entity upon behalf of which the persons acted. executed the instrument. Wl1Zl:5S my hand and teial seal. 5i�hntur tJCLA— MAIL TAX STATEMENTS TO: Same as above Owner's name: �: L ev A.P.# 73 - /8-U -6;Z-7 Home Manufacturer: 6yg r/e r>E Manufacture Year: Model Number/ Name: A&sr EQi TiDn/ VC!r9 fir- 9 73 7- � Width: (%) Length: FOOTINGS: Wood - pressure treated or foundation grade[ ] Other:[ ] A 3 _S SUPPORTS: Concrete block Pj Other:[ 1 Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system "specifications. Pier Footing Sizes. and Locations SINGLE WIDE Line1-------------------- -------- Line 2 �� Section 1 Line1---,214------------------------------------- Section 2 Section 3 Line 1 Piers: fdo�''� Minimum size -piers; [ / ` ] X [ 36 ] Spacing maximum: v From ends maximum: / (o Line 2 Piers: Fro"y Minimum size piens: [ a ] X [` ] Spacing maximum*. - ' __0 From ends maximum: / ' Line 3 Roof Loads: fi,6r Minimum size viers: Location (from front): Minimu ize piers: Location (c tinued): MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: 30 psf Snow Load requirements may be obtained at http://www.upstate-Ga.com/bufle/butte—county/' Insert AP #, view snow load in lower right comer. Line 1 Openings: Minimum size Required at each side of openings over wide. Line 4 Roof LVIM ds:of'�S Minimum size.piets; Location (from front): Minimum size piers: Location (continued): ---- BULDINDIVISION APPROVED California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# 0 6 - / oy O Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) 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 Roadway Turnarounds [JC] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "I"' shall be a minimum of 60 feet in length 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 FAUN iii �� wN . mo, c IC F IN E Q U I R E M E N T S 1273.07 Roadway Strictures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters, Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation, Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible , from the road on which the address is located. [XJ (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [XJ (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space [ ] (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ J Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 2 Same Practical Effect for Buildings less then 30 feet from property line• If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; ' • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property fine with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, 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 final inspection of a building permit r Other Reuuirements- Installation of Residential Fire Sprinklers [XI If your property was part of a parcel split after January 1, 1991, you are required to install residential fire' sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. MAY 1 0 2000 Date 0 Revised 02/28/06 3 Darren Read Fire Protection Planning U UTAITY MEASUREMEN FROM THIS CORNER 30.0 T A 99)f. i m J0". REAR a TA1, `g' M gglf' r JOW DIMENSIONS SHOWN ARE ACTUAL FLOOR BOX SIZE; DOES NOT INCLUDE SIDING AND ANY SET UP VARIANCE. I - 4 OPT. /BEV sr Nfr il@7Vf X -RENS I C z ®C _ c LLJ 1 V l� ` < T+ Ico 2 DOOR 48'-0' 10" FRAME 1 -BEAM ACTUAL FLANGE DEPTH OF 9.860". CMH Manufac A •ibt�A!►oa by o h n n n!� nm XZ"jZ &&b1& mdse D Marlette OmLh Qawt 9n=oe locele W�RL e� �n f ..,+� ea�ofalbw 1� ft:°f� t0 nctAllflti07! �S�C7lC�ga �821IIAi 1Ol �v Am"Ja a on all •ides !o ob win eBeae to nRllntlnn_ Foundation R9Qyfrem n v _ pEy� X16 Main_ Prame 6 9" Setbsak - - S • -" MAfWD LLVR PIPER (Auk A West, Inc.* Re�ie.a rRA DESIGN'.RE�9EW: Of of these plans dna eot eushori he f Dr_; ear om,suon o, t e�iU:ori lxe .om E SearY snu'acru'ed Hone ..Co�:truclidn Sranderds .. ., .. SAAR 17 2000' This 00 NOT COpY Page if the exClu"' T. R. Ic J+operfy Of Arnoid L Associates, Inc, & is ' Proteued by a Federal U rrght, ynpublished Cop }"`" ' `•' .... ,. ,....,.'ter. CALlF0..-RN..l.A -BUTTE CouivrY ' BUILDING DIVISION' APPROVED. �IAARLETTE TABLE OF CONTENTS Tie Down Instructions....................................................28 I' TRA DESIGN REVIEW R:-;4:- of Plans does nor authoke Of aaprovc any onission or deviarion from the re:ersl Aisnufaclured Home Construction a Sa!ety Standards. MAR 17 2000 DO N01 COPY This page is 1:1c eKcluiive property of T. 2. Arnold d A:soc.ases, Inc. d h pratecled by a fedaral Unpublished Copy right, On-slte specifications for Super Good Sense homes.................................................................47 T= I . I R6N- N, Page Page Forward............................................................................ 3 Installation Instructions.......................................:.........30 Door, drawer and window operation.....:.............30 Foundations - general .................................................... 4 Floor connection (multi-wides) ............................31 Site Preparation ................................................... 4 Water line crossover ............................................ 31 ZoneMaps........................................................... 4 Electrical crossover ........................................... :..31 Pier and Fcotinn. Se!ectic:r................................... .4:.. Heat duct cross over _(under floor method) .......... 31 Pre -manufactured piers and footings .................. ' 4 Clo�e=U C9eslails 'Cif Waii homes P t Y ) Instructions for piers and footings 5 :3c Triple Wide Set -Up Details ................................. 34 Permanent foundations ....................................... 5 Pier and footing form ........................................... 6 Utility Systems ................................................................ 38 Soil design property table .................................... 7 WaterSystem......................................................38.. Pier and footing tables ........................................ 8 DrainageSystem.................................................38 Typical pier details ............................................... 9 GasSystem.........................................................39 Typical single wide pier layout ............................10 .. ElectricalSystem.............................. . ...................39 Typical double wide pier layout ...........................12 . Power Supply....................................................... 39 unatons (ulti-we) 14 .. rodlMid ' ........................................... Installing Meter on Outside of Home ..................41 I Typical double wide with ribbon .........................14 Typical full triple wide with ribbon ........15 Mlscellaneous Options...................................................42 Typical triple wide (w/pod) with ribbon................16 Fireplace p.............................................................42 Typical double wide with partial slab 17 Air Conditioning ....................... Typical lull triple wide with partial slab................18 Evaporative Cooter.................. Typical triple wide (w/pod) with partial slab ........19 Dryer Installation ................................. Typical double wide with full slab ......................... 20 Exterior Lights......................................................43 Typical full triple wide with full slab.....::...:..........21 Furnace and .Water Heater.Stack....................... 45 Typical triple wide (w/pod) with full slab ...:.........22 Garage Addition ................................................... 45 Permanent basement or crawl space (block wall)...................................................23 Maintenance....................................................................45 Permanent basement or crawl space Skirting (Poured wall)................................................25 Porch Carpet Replacement .............................. :.:45 Perimeter foundations fororch models.............27 P Bottom Board Repair...........................................a:) ; Tie Down Instructions....................................................28 I' TRA DESIGN REVIEW R:-;4:- of Plans does nor authoke Of aaprovc any onission or deviarion from the re:ersl Aisnufaclured Home Construction a Sa!ety Standards. MAR 17 2000 DO N01 COPY This page is 1:1c eKcluiive property of T. 2. Arnold d A:soc.ases, Inc. d h pratecled by a fedaral Unpublished Copy right, On-slte specifications for Super Good Sense homes.................................................................47 T= I . I R6N- N, M IL C. r M m m N CD 0i U A O Z x Q LL -GENERAL NOTES GUMS GUAgj } 1i OF -1 "4 1. AMC I WANG LITE LOAD - 30 L.B. FLOOR LIVE LQAA - 40 pt_cf 011D LOAD - So MPH EXPOSURE -C- SEISMIC ZUNE "4' *SKOW LOAD 100 PSF ('SEE #LITE #f5) 2. THIS FOUNTBA71c)m SYSTIEM TS IESIGNEO TO BE RBGQNS .NUCTED O A FAMILY LEM SITE MH XO EXIS'nNC SOIL PIU_115. 3. CHASRS SUM SUPP0MT5 SHALL BE EACAsED-MD SIM FOR' TAE LOADS AS SRO" IN THE 'UMLE WME A IO DWALLN 0MUrjjotLr_ 4. W ARIAS WHERE DIFFE@EKT40. SETTLEMENT (0.S.) CAN CrxWR. kAMFACTUREO ROME SWL BE REALK&TEID WHEN IDS EXCEEDS t/r. ORI VIS,'EN IF WILL ADVERSELY AFFECT MOBILE NONE UNTf S. CP8RY Al FOOTINGS DOWN TO FIRM. UIDI MgffSD SOA.. FORTINGS- AEE WM NEL' FOR 1.000 P -T W. AL LOAD SOIt PRESS11 L AND SHALL BE CUIPAT X VIM URAL SOIL COHIMTIOM CoMpA E: SAND NAY BE USED TO FILL LOCAL VOIBS UNDER PADS. 6. STRUCTURAL STEEL- FABRICATED ACCCORRDLNG TD JIISC S''PECIFiG1€EOK WW ACIDDIVING TO AWS SPECIMATIMS, EIECILMM-37Q FLAIES-ASM A36 W03 -SAE GR S ASTU A449=ASTii ASM 7. THE GUS GUARD ASSIDMES %K*N Cm TH1Y Ei►tG= S1WL BE !15187 AXID S18M BY [W ANS ASSOCIAFFS FOR TRE FtiCLDYI!!G IOAIM ALWWABTZ+ LQAM HON12ONTAL MIMCAL SATS GUARD TUF-t 2220# Sao" GUS GUARD MGP PAD 4200# Boa" GUS GUARD E -Z EIE PAD 220D# fa0O0# 8 DURING Pt[E NINAIRY MPMT[OK THE ESTIUMM SMALL E1USURE TH�IT WWLE 110K II- MSIS BEAMS ARE OF SFARDARD =1100- 9. EXIST11rCOACKS MY BE RETROFFITED TO MIST SEISMIC FORGES BY 91STALIM GUS GWtRD TUF-L UNTES A5 :AORii ON Tim L'!doE OF TYprAI FOUNS IFI PLANS. 10. THE GUS GUA ID TUF-1 SYSTEMS ARE SAFE FOR MAUATION in FLOOD FLAM AWA.S W'I RE ILEPFN OF FLOGGING DOES FO'T EXCEED -THE fiElG�i OF THREE FET. t3. MULTIPLE UNIT INSTALLATION -IS ACCEPTABLE PR(NYIDE THE NUMBER OF TUU -1 UNITS LNDER EACH UNIT iS THE SAME AS SHOWN' REOUIRM PER EACII U141L 12. SINGLE-WME [MRS RESLELRL: ADDWNAL sIESIANT. s (SLE MEET #3) : 13- ALL MQAL COAPOk:EM MD ATTAD;SFEM ITL31S SKaL K pRGTECM MAIM. T4. itAtEPT {SDN-RM-SLdtS IS IN E71STANCE PAD IS NOT —. t i MON MMM tVx 16'3t12' POWER IK FLACE AT GROUND LEVEL MAY !rD AT JAELEFS L=REiM ALYUNARYE 10 FAE15.- i SN,. I.£ WIDE COAS2IFS D81JPIXf1WtJL7PLE COAL4lES ' MAX. E_ � MI V. / i1' MAX, VAEIES 10'-7D'. (SEE TABLE GM SHEET A31 t N U Q Q f --RIDGE BEAM SUPPORT, AS a RMUIRED BY �►NI�A"TUREL? Q (TYPtUFA Q ❑ Q Q ® Q ' s• TlGt. r mam. Q PADS N /MIY PAIN. MAY EE STANDARD M.N. MWWATMM ROF-MET TO MATED 90 BEGKM OR THE MANUFACTURER P1EAS AS 6EECOIMiIEli'�ED INIE BY AV71D CLEANC£ �pgp11Lp15, EMINE;E P T HRRCUG HaUT BcmuJ-u- ANCtM STAMD TQ CMC at"-.rE SLAB Wn TUB' -1 PERMANENT FWA {4) 1/2"x 3 1/d' EXPAMON A1LCNIM. 1S. GUS GUARD TLF-1 FOVFJDATWN SYS,%jj PROYLWz FOUNDATION SYSTEM A'.17WOLE 5IOW WAD TO 100 PY UI a i<'L5TALLM ABLS004MOUARMGOWAW �wrlii EXIST&iO STAMEMDS P,EQUIRM By COACH Sam ��_ MMUFACTURER OR REPLACE THEU ON A OW TO PEPJ3M RC4kD ONE BASIS. SACRAhENTOXA95823 F)i. (Wa) 38z -8b31 FAX (916) 383-5207 R STATE APPROVAL AA�AC'�FREO ROl9CgAN�$O?dl& �En.�►r�TsrsT>as -- iBIAI.YI3AND SaFBY'Y [7pIpE, aSC3'IO06F 78551 T AMOVW mmomwommmommmm AP14tdYlli.?'Ao aR w7Fx6{€B AT1Y 0010 OIL DZV7A7l= FkgM RBCIC>1REmLN'1S OF 27 W%W 5'ZSCi W%AWS ANDEFAIRA d3M z. S4eo �ipttifantu Am& O+ w 00 W cm No Ye Ti m WAYNE T_ POLVA00, PE -LISTING NQ. F94249 SHF z of 3 10 LMFAIL _ BDIW..2 s DMNG - n 5._1. ff s' s' PORCH a e -LL - o Qi L 3 c aj, R :lzD' DDRM. 'LWCC ROOM BDs 3 v V Z � j etc.tv 000 �. 0. m�� a n ' N MY LD im f �� U, B uPRoVED ®moi RST L! TI V 4828-9737-6. E --- etaiyeaLo ,�G Ith ,2 648'—o Lo" r. —8 m ® ��� APPROX 1280 SQ. FT S'9"arure m - AND WHEN RECORDED MAIL T0: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006x0025896 Recorded +Jfficial Records j County of j Butte 1 ['QNDPcL J.sROBS.- ► County Clerk -Recorder] 1 012:49- sl 15-,aY-ng5 1 I RCC CCacc 1, 00 0114 Paye 1 of % AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purpose, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation Plowing,spraying, uning, and harvesting which smoke, noise, and odor. Butte County has established agricultural ultu al purpo es and residents w hien nally said z ne s a dust, adjacent property.should be prepared to accept such inconvenience or discond on operations. mfort from normal, necessary farm All that real property situate in the County of Butte, State of California, described as follows: DateY 7 N X00 (o PROPERTY OWNERS: C /e/17 .)ter .2 J'Ylac C-� of State of California % County of �(r(T� - )�GD/ 2� �lf/ ��C Gam' e,;/ On 1v/)A'{ before me, K I--ARSC91,,J N(9-FAp\1 PV3l�1(ti CLQ DAi2Qil.) R-ECQR ALJD personally appeared V I M A `( oR C C-, Re- C O known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/ re ubscribeld to the within instrument and acknowledged to me that he/she hey executed the same in his/her hei"r authorized capacity(ies), and that by his/her/ eir ignature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my han an o rcial seal. Signature Seal: K. LARSON W Commission'#1408630 A.P. # U Notary. Public . Calitomia San .Fmi+cisco County MY Comm. Exp. Apr. 1, 2007 10 i� a ( 1 EXHIBIT "a" 1 SCHEDULE C Order No. 5-150299 .The land referred to herein is described as follows: All that certain real property situate -in the,Count of Butte, California, described as follows: y State of Y A portion of the Southwest quarter of Section il, Town ship 19 6 East, M.D.B. & M., more particularly described as follows: North, RangE COMMENCING AT a point in -the Westerly boundary line of the Homestead U. S. Mineral Survey No. 5757, from which ad Lode, between Sections 10 and 11, said Township andnRange,gbearsrNorthi3" corner West, a distance of 659.57 feet; ° 3° 46 Westerly boundary line of said Homestead South 15 11' East, along the thence North 74° 49 East, a distanceof243e79afeetttocthof 1 the Count Road, 0ter Leet; Y • thence along said center line of said Road, North 140 11line 1 West, a distance of 100.00 feet; thence leaving said County Road South 80 15' West, a distance of 243.79 feet to the point of beginning, EXCEPTING THEREFROM that portion, if any, 1 in described in theDeedto John D. 1' g within the parcel of land Cowan Book 337 of Official Records, at , et ux, recorded March 3, 1945 in California. Page 491, records of Butte County, AP No. 073-180-027 I 12 RESIDENTIAL 73-18-27 3455-90B MACGREGOR, Glen 19163 New York Flat Rd, Forbestown (deck/MH), JOB FINAI Signatur J=OK O=Not OK Not ' = Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISC9LLANEOUS Date ECKS, ER ARPORTS, GARAGES, Plans OK except #'s \ttPro-nin94 2requir6ments-Setbacks-Easements otin s iis=Size-Depth-Spacing-Connectors-Steel cks; Graders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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 DateCard 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. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15, Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral 0 Yes El No 77. Insulation -Foam -Looked in Attic D Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor ❑ Yes 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks 0 Yes 0 No; Planters IJ Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 3455-90 / API~LICAbON AND PERMIT .AA 7 ASSESSOR PARCEL NUMBER ZONING aBUILDING PERMIT OWNER e (415) TELEPHONE 237-0826 / �] S0. FT. OCC. BUILDING VALUATIONGlpn OWNER'S MAILING A DRESS 1257 Fast Victoria Ct, San Pablo, 94806 320 deck 1600 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 14.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19161 Npw York Flat Rd- Permit fee $ 52.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 For'bestown Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Deck SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewU Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: 10X32 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 10.00 100 AMP OR LESS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& , OR ADDNS. CC. BLDGS. • 2/20sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20QSOS a AL®30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID,)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against C ty in conseq�of the granting of this permit. Date ��.-�._ jd Signature o' Applicant — Owner'] Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2.00 HAZ• CUA PARK SCHL FLD PA PD H ISSU Th's permit:is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PUBLIC WORKS BY Date PE T EXPIRES Date 10 ���=�/ Receipt No. 73888 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ti� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING'D'IVISION 7 COUNTY CENTER DRIVE ;.OFIGVILLE; CALI'FOANIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER 6:tiC--V 0' %�4c�ieL=�ole Permit No. A. P. No. -7 3 —/`5 Proposed Building Use bzp--'C' Building Inspector r5 Date At time of permit application, I was advised the following,data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ✓ 1. All items have been submitted. ....... ............................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.....`` ................................ .............. 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13.. School District fees paid .............. 14. Sanitation approval from Health Department o — aey 15. City of Chico plumbing permit ....................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17..Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .......... ...................... . 26. 27. When you issue the permit, process as follows:_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other ' 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. # r f r 2. Additional items required: y Contractor, designer, owner, was advised of above required data by—phone __nail�_counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_, counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder. Copy—DPW P o r Y" 72:31 7 _.._.._ Owner Location .AF# at plan approved for: Sewaqe Disposal Water Supply Hold Final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other _Cle Sanitarian at Ico . .� -N COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PFRMIT ASSESSOR PARCEL NUMBER ' 73—/ 91 � OWNER . ZONING BUILDING PERMIT ._ TEL PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2,-;7 -2 3DZ,QC_�r O CONTRACTOR'S N46XM TELEPHONE CONTRACTOR'S NTAILTNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1600. m 9-1 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Pian Checking Fee $ Zg o b $ do ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ✓ 4CI-9n J, Permit fee tv _ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other T --C SPECT FY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ . Installation ❑, Other,k Describe work: !r) 1( 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. � Classification FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. ,/z¢sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCU ITS 2.50 ea (POWER APPARATUS e 1 SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 20@506 ALG 30 FIXED APPNSLicense Ex. OCCup. OUT ETS RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc..Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply, with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit it Fee $ Contractor I certify that I have read this application and state that the a6ove'"iriformation is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also acree to save, indemnify and keep harmless the County of Butte against all iiabiiities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X• _ Signature of Applicant — '~ . Owner.❑ -Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE rr�� TOTAL FEE $CSC HAz CUA I PARK I SCHL I FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte Ccunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been •paid. WORKS Date Receipt No. _73 �`� r5 . ,i> WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. OWNER -BUILDER VERIFICATION 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement es or no) E-5 I (have/hive 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 Contractors 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work in Name Address Phone Type of Work Signed: Property Owner s1 Social Security Number Date eq " `�� ✓�'!i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. .' I NOTE:—All Materials & Workmanship Shalt Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform 6ui'ding, Plumbing & Mechanical Codes and the National Electrical Code. xeptVon `the job at II -times and itis unlawf�l make -any -changes or` alterations on same written= ermisson from the Department of Pul S - sort to be as per B n Re- u�j i .i.r_e�= - � �. BUTTE COUNTY SUILti1NCa DEPARTM8N7 APPROVED ! � � onl� A setback of s ft. from the property lines and a setbac�f So ft, from the road k centerline shall be clear .� cbjms or of , b.e2 ft,� �-t_�; �s rear M51 obile - wl- A /A r/-7 c) I * -T'l e ---,2Q # rs� X A2 " 34" //HAUS RRIL ILEI 6HT LJ 771 U -j -1 1 r 48' MAX. F-% i — 71it C) 21 voi -q 71 Gl% MIN, S FAIR. - 17", r I DT4 7q his set of plans. and specifications MUST h% xept on the job at all -times and, it is unlawful ttp make any changes or, alterations on same without written permisson from the Department of Publk Works, County of Butte. 13UTTE COUNTY Septic system BUILDING DEPARTMENT to be as per CL Butte County Health Dept. Re-� A P P I`Cn Q quirements. V ` t E D All .utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. COUNTY OF BUTTE' r Department Public Works I ,Pf ' BUILDING INSPECTION RECORD . Zoning Setback Forms Foundation -Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC BUILDING • Temporary �GAS Temporary Cert. of Occup.` Final Final Final DATE REMARKS OR' CORRECTIONS r wi- s PERMIT NUMBER -'-B 2924- 73 p" P. ;f. E . f i _ Q PERMIT EXPIRES - 0 a -7-" Stanle T OWNER Y F olso_n } CONTR: owner LOCATION (A.P. 73-1$-27 w/s "Brownsville `cutoff apps 200 so. Orovilie Forbes'town Rd., Forbestown 1 ✓i!Y r i +l j. t 1 )EL 4 "I r • re �r r wi- s PERMIT NUMBER -'-B 2924- 73 p" P. ;f. E . f i _ Q PERMIT EXPIRES - 0 a -7-" Stanle T OWNER Y F olso_n } CONTR: owner LOCATION (A.P. 73-1$-27 w/s "Brownsville `cutoff apps 200 so. Orovilie Forbes'town Rd., Forbestown 1 ✓i!Y r i +l j. t 1 )EL 4 "I 1 ,1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Driv,.. _Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X waa/! 2_, Date Signature of Permi ee or Agent Receipt No. 6 �? ga White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOROF BLIC WORK By Date �� , _? :�' Building permit expires Date ___ - �� BUILDING Ownerr -SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address OT Telephone No. °? sygy Contractor Fireplace Total Valuation Mai I i ng Address �j Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S" PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00066, Q(� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 f� ©�` G�2� Each gas water heater or vent 1.50 A. P. No. zoni g R a i Gas piping system 1 - 5 outlets 1.50 C) Each additional outlet .30 es Sar n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel App Plans roval Permit Fee $ 0. Q NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter �J Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bai0 l0 E Receps., switches & fix outlets b2U (a 25 Q 10 CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 S.. Temp. Power Pole 5.00 License No. Classification Misc. wiring —IN I am exempt from the Contractors License Laws of the State of California. Permit Fee $ G6 8 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PE PERMIT FEE a— $ Od authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X waa/! 2_, Date Signature of Permi ee or Agent Receipt No. 6 �? ga White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOROF BLIC WORK By Date �� , _? :�' Building permit expires Date ___ - �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:, 916-538-7541 DATE 8/29/90 Violet MacGregor RE: Building...Termit Application'. 12.57 E. Victoria Act. for Gas Piping San Pablo, CA 94806 A.P. # 73-18-27 With reference to the above subject: X Attached is: Application for.permit Mobilehome Utilities Installation Sheet. Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER y We need the following information: X Permit application signed and completed where indicated with all copies returned. _v Fees of $ 7S nn payable to Butte County Treasurer. _ Certificate oT Workmen's Compensation Insurance or check exemption statement.. x Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway.& Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER 0 Please ce alo lete the a with vour check for $25.00. Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, William Cheff Director of Public Works /J.F. Glander Chief Building Inspector 5frv,.,j 'A 4,/4z 9v�'o 6 A-4 10A OFFIOER'S SIr,NATURE AND EMPLOYEE NUMBER I REVIE CR -3 ORIGINAL - R&I COPY PRE -INSPECTION OWNER: DATE LOCATION: 1911, 3 N �/ �-- �f�7' 2 A. P. #_ CONTRACTOR : � �} � ZONING PRE -INSPECTION FOR:- Iiy) J f -- _ j4 A.- 5 P c ,.031.4-C, DATE TO INSPECTOR ------------ PERMIT HISTORY: NONE E, AS FOLLOWS: K v1, TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: c OCCUPIED D HAS ELECTRIC Q HAS GAS Q HAS SANITATION FACILITIES Q HEATED -COOLED L_j PERSON CONTACTED j/0%✓C. OTHER COMMENTS: ��,v7 �}�� R -e-' a2. Z39?� (C * N E7 SD S "Sc -T, a�� on1 �S STC e Lo 6 SCS SA t�C 7kT l i4 / S T� `� ACTIO RECOMMENDED: ISSUE [� HOLD FOR p/457 -.- OTHER: 'm1 DATE E_ �z� � 2 x� � , Y.w C,� - Aye x= �W ed� OFFICER'S SI I URE AND EMPLOYEE NUMBER I REVIE CR -3 ORIGINAL - R&I COPY r PRE -INSPECTION OWNER: ,I/ i .9 �-t /� c �� s �_ DATE d Z 7- LOCATION: l g //o �3 N eAj `Z4 A. P.. # % `3 "- � �' Z% CONTRACTOR:ZONING ------------------------------------------------------------------------------------- PRE-INSPECTION FOR: .141 s, - "W14 4, s 4','1 DATE TO INSPECTOR PERMIT HISTORY: Ej NONE AS FOLLOWS: n TYPE OF OCCUPANCY l/ FIELD - INFORMATION BUILDING USAGE: TENNANT: 0 OCCUPIED D HAS ELECTRIC Q HEATED -COOLED OTHER COMMENTS: HAS GAS [:::] HAS SANITATION FACILITIES " PERSON CONTACTED ACTION RECOMMENDED: ISSUE E::] HOLD FOR OTHER: BY DATE v� '" '""'i"iVtip'r,` . r'rsv',Sri'i�'+i�'w�'.�.+:G�'w`�rq''''T:G'-_' "�`�Stt`�"�'';"t+L'•.;,��•.� ..:1'..,�,rltM'� L � :'!t^•r 1'r'""�f^+yx.'Ji.rY,y£'.•f-+�ti,.,�,.M1Y�1+-F^fi�^ ,...+.v'r.t.,, 1:it. ., r 1 y.. qy..y., ��..T.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �M4g - 4Mn ASSESSOR PARCEL NUMBER 73--18-27 ZONI G BUILDING PERMIT OWNER VTOLFT MACGRFM TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , 1257 F. Victoria Ct. San Pablo CA 94806 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ^ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Mona LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS NP -w York FlatRd. Forbestown Permit fee $ PLUMBING=PERMIT - Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewerOQ 5.00 Mobile Home I S rGyW I 10.00e • TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: Gas Piping _ MIN Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification _ 1, as the owner, or..my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sales (Sec. 7044) W. 1, as -the owner, am exclusively contracting with licensed contract - .ors. (Sec. 7044) ❑ I am exempt,.dnder Sec. I Business.and Professions Code for this reason NEW CONST. DWELLINGoCCUP.1k` OR ACDNS. ACC. BLDGS. / 2/z¢sgft NEW CONSTRESID, RANCH TLET CIRCUITS) NON.R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el I SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES z0es0e eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 », Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permits for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in'any way accrue against said County in consequence of the granting of this permit. X (/�/ y Date Signature of Applicant — OWner g pp � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.1 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25. Q0 HAz CUA PARK SCHL EE PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indr ted above for which fees DIR `TO F PUBVIAORKS 9 W P AMIT EXPI ES Date the applicable provi- resolutions to do have been aid. p (� Date ! � f y Receipt No. _ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F�l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - F .J OPLL ATION_ AND PERMIT ASSESSOR PARCEL NUMBER 73-18-27 ZONIN BUILDING PERMIT OWNER - ' / TELEPHO 93/7 K�L(_ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS !' 1297 F. Victoria Ct., San Pablo CA 94806 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NrInp UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19161 Npw York Flat Rd., orbestown Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00e4 10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑ Describe work: Gas Piping _ MIN Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div.- of the Business and Professions Code and my license is ull force and effect. License No. Ification 1, as the owner, or mployees With wages as their sole compen- sat ion, will d e work,and the structure is not intended or offered for sale. 7044) ❑ �1, a e owner, am exclusively contracting with licensed contract- (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. (ACC. BLOGS. ) , 2/:¢sgft NEW CONSTRESID. BRANCH NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2ALO 30 aLa FIXED APPLNS. OR \ Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ ` Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all .liabilities, judgments, costs, and expenses which may in any way accrue • agaa t•sai Coun in c s quence of th granting of this per 't. ate Signature of Applicant — Owner .[Contracr ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov r 3 stories in height.If Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCH 25.00 HAZ cuA PARK FLD PAR PD HD ISSUE This permit is Hereby issued under sions of the Butte County Code and/or work i ated above for which fees D I R F PUB 11WORKS MIT EXPI ES Date the applicable provi- resolutions to do have been paid. D to Receipt No. ,WHITE -D. W.. YELLOW -ASSESSOR, PINK- INSPECTOR. GOLDENROD -APPLICANT • •T COUNTY Or a J'"TE~- Department of Public Works IJi; y 7 County Center Drive] Oroville, CA 95965 Phone: 916-538_754] OWNER -BUILDER VERIFICATION 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. 4 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have signed an app 'cation for a'building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Addr Poon 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 Phones _ Con, ractors License No. 5. I will provide so:.e of the J, btu have contracted persons rovide t ork indicated: Name Address Phone Signed: Property Owner Social Scurity Date er (hired) the following Type o f`Wur-k- /V NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r'l a SITE PLAN PLANNING, DIVISION' BUILDING APPROVAL •• • ..•.• •_.• ._. -••.• .._.- •_.......... ...- _..... PaE'k in . . . . . Other: _ .._.. _ .... ............... :. _ . ... .... 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Phone Nc. �� ��j uc/r=✓ 6 w 9.S9y ° ocabon 19 16 3 ry e w y� iz k �L/� r'� J a.. ;ct: Name T3�A v NL ;� Ia o niy Phone �3 �`' �� i q o �M 20in_ ;The attached Fire'Safe Requirements Zoning: ;must be completed as specified and i APPROVED PLANS AND approved by California Division of PERMIT SHALL BE ON SITE i General P,Fdr'estry - FOR ALL INPECTIONS - , Size, Acres 4.00" �lJStS: �TI I L.zo - 081 - �FL0 oho! - 90 y 1 y { I L.zo - 081 - �FL0 oho! - 90