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Home My WebLink About073-180-033' 73-18-33 JQk F • LOPE2' E/S e�w York -Flat Rd, 750'S-Forbestown Rd, Forbe.stown Permit#25688.3�uti1, MH) ELEC 9-/-8 -SUPPORT STRUCTURE R •• =' 1c(d r COMPACTION TEST gQ 9 b S 73-18-33 F- 73 -18-13 i �k2587-83M'HI' edermit#3160-83B(new deck/MH)- fi•rlt� 073-180-033 99-1745 WHEELER, James 19138 New York Flat Road,�orbestown L tr: Owner tric Repair �/ q U �� • d I 073-180-033 04-3468 MOEN, ROGER 19138 NEW YORK FLAT RE, WALE FORBESTOWN 3 I Cont: UNDERWOODS MHS NEW MH PERM FND EX SIT 0-7 3 - 09-0 -0-33 68 MOEN, ROGER (IPALED 19138 NEW YORK FLAT FORBESTOWN Irl Cont: UNDERWOODS CMPL H FRONT DECK 073-180-033 05-2514 MOEN, ROGE-IZ & JANET 19138 NEW YORK FLAT, FORES - RANCH CONT: OWNER , PROPANE TANK & GAS LINE _,-j 0 i 33 ow BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES'"' BUILDING PERMIT 24 HOUR:INSPECTION #:, (530) 538;7636 (OROVILLE),(530) 8914834'(CHIC0)` OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE:' www.buttecounty.neAdds ,.,.,PERMIT NO. BP051568 LICENSED CONTRACTORS DECLARATION •'° I hereby affirm under penalty of perjury that I am licensed -under provisions of Chapter 9 (commencing wit65ection.7600) of Division 3 of', Issued, Date: 06/29/2005`, APN:-073-180.-,033-0;0,0 the Business and Professions Code, and my license •is in full force and effect. „ ,_ _.,w,.......-.....;:.r.,�•...:. , �•_,_,.. _. License Class: License Number: .... ; Site Address: 19138 NEW YORK'FLAT-RD 'FRT ` "" ">_•>,• , Map Index: . .. . . ... .. .. ... ,... ... _ Date: Contractor: Description: FRONT DECK (200) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am..exempt_.from the - ` Contractors' State License LaW'fo'r` the'followirid`reason (Sbd 703f.5`: Business and Professions Code: `Any city or county which requires a Owner: MOEN; ROGER AND `JANE°T''M,:,,. "'' permit to construct, alter, improve, demolish, or repair any structure, prior -applicant file ..• -• •• , •..-; PO BOX 601. to its isspance.,.also requires the for such permit to a signed statement that he or she. is licensed putsi;iant to the;probisions of " -;•. BROWN SVILLE, CA ` the Contractor's State License Law (Chapter 9 commencing with Section 7000) of -Division 3 of, the Business'and Professions Code) or that he or 95919 , . rf ;• ,• ' she is exempt there(rori and the basis for: the_alleged:exemption. Any 530-67570362:-:�.'`:. violation-oSecfori 7031.b b an a licant for a- errit;subects the applicart,tofa.cty,kj e; lty�of not more than five hundred dollam.($500).): •! lath .. .,... r.c.., .. ❑ 1, as-, ner-of the property, or my employees with wages as their .•Y.1 w..,,i��y(nx:?Y,.,u;-n sole compensation, will do' the work,' and; the • structure is not ,�,, ntenQwe,Q o;�off_eded, gUale (Sec.,•70,44, Buginess,a-nd ypfessionsr App licant:.,MOEN,.RO.GER.AND, JAN ET4M .-.,A,-:: -.a. ._ Code: The Contractors` State License Law does not apply to an PO BOX 601 owneriof property who: builds or.improves thereon, and, who does r.,..- such,work himself,or..herself, or.through his or,her own employees, BROWN_ SVILLE, 'CA :• w.. provided that such.)rjrprovements are not intended or,offered for 95919 sald.' f however, the building o1 improvements are sold within one " year of completion the owner -builder will have the bu. en of, ""' `" • n`530-LUM. 362`' "" 'prov 6d that he or -she did -not .build or improve for the purpose of sale.). Ir vas owner•...oL Ihe..property,;,am. exclusively..contracting with njlicensed - contractors to construct the project (Sec. 7044, Business ..and -,Professions Code. The Contractors' State License Law does Contractor: UNDERWOOD'S COMPLETE MOBILE'HOME not apply to an owner of property who builds or improves thereon, m "' "SERVICE " and .who contracts for such •projects.with,a contractor(s) licensed ,� , , .�•. „..._ :. -„:pursuant to the.Contractors' State License Law.)... O r. I am Exempt under AAicle 3 e siness and Professions Code .4.48. COLUSA.P_ LACE WOODLAND,'CA 95695 :' 24 . 2'�O�' �. Di (e+ owner �'— "� - (530) 662-5269 :.. ORKERS' COMPENSATION DECLARATION I hereby:affirm under penalty'of perjury one of the following declarations: License #: -81,5522 O I have and will maintain a certificate of -consent to self -insure for ,..,.•.•,•••.-_•..., <..,-,.,•a,,r.,n.,., workers' --compensation, • as provided *for by Section 3700 of the Labor• Code, for -the performance of the work for which this permit ,is,issued... _ _ •nPy:.,,:,u„4w:. ,y,.., ...:.•.' �.4m%w •... `.,.a',. «;Architect: .. ..¢. .n w.n _. .,...,...-.w.••.o,... ,a,.,e. .... r.,n, .. n.:br, .dv .. .-_}.1:nJ4...-a.n.nw:+..m..w OAy"I, Have and will -maintain workers' compensation insurance, as Engineer: ,,,,,.,required.by Sectiont3700 the Labor Code, for,the performance of . „ ;the %yprk, forWhich this permit is.issued. • My workers' compensation insurance carrier and,policy number are: . Carrier" .• ' Total Square Ft: 200 S.F. • Policy #: Valuation: $2,000.00 __... <1-certifythat ❑ in the performance of the work for which this permit is Census Code: „issued; -1 shall not employ any person in'any manner so as to -- •.•become•subject.to the workers” compensation iaws'of California,- alifornia, ,and .and ,agree that,. if 1, should become subject to'the workers' u...' ,........ .-•. ,.. ..compensation provisions of Section 3700 of the Labor Code, I shall ;tiforthwith comply with those provisions. Date:• .. a - <: : ="Applicant:•+�N�:,,:a�,.,�,,,.W....,.M.�t.t.,..�:,,:.;, ..,�_ w•w.,. ww:,.. , 'WARNING `' `Failure""fo' secure `workers' ''compensation coverage is unlawful',and 'shall subiect'an employer to criminal penalties and one 'hundred�'tNousantl'I'dollars' ($100,000), in 'addition' to the cost of S comperlsation;'damagbs as provided for'inection 3706 of the Labor + 0 431-3,+0 0„ code, interest, and attomey.;s fees. .. .... , ..... ,., ......_ _. ,. , ,._,., .,._,,._. -� . ,...• ae , .w. ,<,.,.t„ ,fir r i; =,� • `-.CONSTRUCTION LENDING'AGENCY•. This pens• is hereby issued under the applicable provisions of the Butte County.Code anrUor I he affirm that there is a construction lending agency for the ` Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) L Name: • gy; .r: Date: "PER IT PIRES ON: Address:. Date ' O .M 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. ; .. ❑ ',Notifcation in accordance with Section 19827.5 of Califomia Health & Safety Code is not applicable to the scheduled construction of this project. O :AttacFie'd'are copies of the'requiied LP.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 eouiity and _slate laws relating to building construction.',l acknowledge it is unlawful to alter the substance of I form or document of Butte County. I hereby ;authorise representatives of Butte County to enter upon the above mentioned property for inspection purpo' Print N / 7 _ .. . _ Signature: arne� lv../Z Owner =• ❑ Contractor It ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE`. (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds *`PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name First Name Address e9 4o 69 City City Staten l2 Zip C? Phones D 6Z Fax E-mail 93 APPLICANT NAME CONTRACTOR Name Address Address 41(1AE,i'cvm WC Q -e^7 L A hr S'E,earC& Address _? 77 So City e Stat eC Zip Fax B Planner 93 Phone G74/ y/O Fax E-mail Lic. # Class °v M /Y J APPLICANT NAME ARCHITECT/ENGINEER Name Address Address City a�- _ O cv,vs di(G L; City Zip9 9/ 9 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Property Address / /38 IF -w o .4j r Address Cross Street Te c, v i City a�- _ O cv,vs di(G L; State C� Zip9 9/ 9 Phone °J� _ojG? Fax E-mail Map Book APPLICANT APPLICANT SIGNATURE X For office use only: Zoning Property Address / /38 IF -w o .4j r Flood Zone Cross Street Te c, v i SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT .09-.151 BP BIN # LOCATION AP# 73 ;,5 - 33 Property Address / /38 IF -w o .4j r City foA S%v Cross Street Te c, v i 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 Page 1 of 2 Description or Scope of Work: Sq. Footage J-6 <j e, -Y, a<f) v ❑ 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. Receiv d b : Amount: 66Bldg SRA Receipt #:� � Sheriff 0 ) SMIP Date: l `� Q� y Other Total REV 2-24-05 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 faxes! ❑ . 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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).- 0 equired):❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMBUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER , L\k &�_Y-\_' - i PRO R SED BUILDING USE CkI 1. BUILDING PERMIT FEES --- Balance Due ..................... $ V --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $_ Sq. Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ A. P. DATE �Q RECEIPT # DATE REC. / to bs EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 1 I J 1 Z"► v Z 16J 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Govemment Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/OIVI 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V ASSESSOR PARCEL NUMBER U� J (�� Proposed Building Use: Permit Technician: Date:(u (C Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o pply. 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. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 'Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for' non-residential` buildings. ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) cC_ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable _❑ 16. Fire Sprinklers ............... O 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by -..m , ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 2?,. Site plan and business license approval from the City of Biggs .............................. ❑ California Department of Forestr plan approval ❑paid. Sent by: / ❑ 24. Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:. Y....... 25. Contact Land Development about _ Improvements,, _ Drainage ........................ 26. NPDES Form.....................................................................:....................... 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number ........................ I................. ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits....................:.................................... ❑ 34. Deed Restriction..........................................................::.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: �- When issued Telephone �" l• Ci and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: `�� O 5 1. Index permit applicati n for the above items numbered: Plan Check Letter 2. Additional items re wired Contractor, designe owner, as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o r, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date:P ns approved by: Date: Structural reviewed by- Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Department .Count J. Michael Crump, Director of Public o f B u t Works 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 (LESS THAN 1 ACRE] Project Description: �GC /( Project.Location and/or Parcel Number: 073 - By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB' 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the .State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: .: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised V24/04 Department, of Development Services Building Division 7 Countv Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4- Max. TM436" Min. m v Top of SIDE VIEW Deck Min. 2x pressure treated ledger Min. 2 — 3/8" xlag bolts or screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4' Max. Top of 3/4" clearance Joist to the edge of -- �he wood member joist Min. 2 - 1/2" dia. thru bolts required \ GUARDRAIL \ An approved post cap connection Girder •• or connect girder I post with jN P pp r ➢�9 wdd gussett �I ' PA4W4; o nails \ `top"& bottom R 6" Min. 12" x 12" Footing TYPICAL PIER FOOTING Guardrail 1997 UBC.xls 8" Min. embedment t� �%3,T,pFo Department of Development Services "'�"" `''' 0 Building Division O �-`== 0 7 County Center Drive o r- ._ :_0 Oroville, CA 95965 0 0 (530) 538-7541 (530) 538-2140 FAX OU N� HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from, finish grade to wood joists is 18";. (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 4' Max. 36" Min. Top of 4— Top of peck 1y Joist V77771 Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags. M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing. 15 U 3-12 1.1/4 3-12 Mm to • Ma: 1 -12 •Min. 2-1/2' Intermediate rails 4' Max. spacing shall prevent 1.1/2 - the passage of a 4" 3-i2 Max diameter sphere. W/4" to 2.12 4• Max. HANDRAILS 7 -12 • Min. ••Girder 6•Max Post An approved post cap connection or , connect girder & post with 1/2" plyo. 1 gussett & 3 - 16d nails tops& tom 3�2 x 6" Min. Stange r i 1 L-----------� 12 x 12 footing 8" Min. embedment TYPICAL PIER FOOTING Handrail height 34"-38" Not Acceptable 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 - 1/2" dia. thru NY bolts required Min. 2x pressure Lnc treated sill plate .I I Attach stringer to sill plate with angle clip Handrail 1997 UBC.x:s r3 N6 �i4aONT k� I � I _ G 1f /V fr Ise ~ Pf.QiyEHTEi� ` C CNC . � � X /2 • P/EiPS CaNc , V/ ree -tr Z,( /O i, 5 r rr if R /!' ER SC' 10 1- r �Afv= / 2x" -06-CIf &M -E CANA T� RUJLDING DEPARTML-:eo- P P R R 0, r- sc R r BtME COUN I "t %ILDING DEPARTMt- A P -P R 0 V NOTES RESIDENTIAL PERMIT NO. / d _ r073.91'g 033 - - - 05-1568 ' MOEN, ROGER 3: 19138 NEW YORK FLAT RD, FORBESTOWN Cont: UNDERWOODS CMPLT MH FRONT DECK SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,JOB FINALED (Date) — Lct 'o's d Signature Cii:�'2•, J=OK 0= Not OK - = Not Applicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water-, Location -Test -Easement Needed (Sketch) 5. Electricity; location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ft! P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to'Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking - 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date DECKS, OVERS, CARPORTS, GARAGES (Plans) OK except #'s g Requirements -Setbacks -Easements 2�4oqfings; Soits-Size-Depth-Spacing-Connectors-Steel ecks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roo • Shthg-Roofing ; Steps -Doors -Landings 12. Braced Wall Panels Date - S -OS Card B-1 S, Date Cana B-1 Date _( aT-tf:s Card B-1 JjPJbS , Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Voles-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL, (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62.Insulation-Walls-Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card -9-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in IGtchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or A)-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62.Insulation-Walls-Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING ..PERMIT - 24 HOUR-JNSPECTIO ' N-#:.(530)538-7636'(OR.OVILLE).(530)891'-ji34(tHIC6)' OFFICE (530) 538-7541 FAM (530)538-2140 WEBSITE:: www.butteciounty.nelAdds PERMIT NO. BPO51568 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty. of perjury that I' am 'licensed under provisions of Chapter 9 (commencing With. Section 7600) of DNi6idK3.of Issued .Date: 06/29/2005""APN:..--073-1-807!033-0 0--.- the Business and Professions Code, and my license Is in full force and effect. .1 ..,.:......,.•_,,,.,... .. .... ;. - %`11- .; ... 11.1-1- 1. . - .. Ite Addie"iss: 19138 NEW YORK FLAT RD FRT License Class: License Number: Map Index: Date: Contractor: Description: FRONT DECK (200) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I. am. exempt. from the Contractors' State License Caw 'foF the -f6II6Wi6j` ri6kin (Sec: '7031'.5` Business and Professions Code:, Any city or -county- Which requires a Owner: - MOEN' ROGER AND 'JAN ET -M 1 permit to construct, after, improve, demolish, or repair any structure, prior �. 1- to its ,issuance;; also requires theapplicantfor such permit to file a PO BOX 601 signed itaiefnent that he or she. is licensed pursuant to the: provisions of BROWNSVILLE, CA Ih6'C6ntr`actor`s State License Law (Chapter 9 commencing With Section 95919 7000): 'Division 3 ofthe BOsiness'and Professions Code) or that he or she ii',ezem6t therefr6rri- and. the basis for.. the; alleged :exemption. Any5.307 . -67570362.....- •: violation -6f; -Section' 7031.5 by any applicant for a -peimit,' subjects the ...... .... . . of not more than five hundred dollars. ($500).): 0 1,.'as,bwner,o.f.,t,he'property, or my employees with Wades as their sole compensation, will - do the work,' and Ahe - structure is not n g -1 _4 11-. i0 ..,....-Applicant:, MOEN, ROGER. AND. JANET-. M . ........ Code: The Contractors' State- License Law does not:apply to an PO BOX 601 -ownerofproperty who, builds or. improves thereon,. and. who does such work himselfor.herself or through his or.,her ow.n,employees, BROWNSVILLEj CA: such. improvements are not intended or offered for "the -building. 95919 sale:" If however, o`.rJMp'rpypT!pnts..are sold within one year of completion, the owner -builder.. will have the burden of - -0 ' --- "'530675-362:-*-""�'---,k:-'--,...�I . ..... proving that. he or. she did. not build or improve for the purpose of sale.). a s,,.,owner..-oL.,Ihe..,pr.operty,.:am....e xclusively.contracting with li,Zsed contractors to construct the project (Sec. 7044, Business .-and, Professions Code. The Contractors' State License. Law does Contractor: UNDERWOOD'S COMPLETE MOBILE HOME not apply to an owner of property who buildsorimproves (hereon; SERVICE and who contracts for such projects -with :a contractor(s) licensed. pursuant to.the.Contra Clors'State License Law.). rider Article 3"�esiness and Professions Code Q,: I am: Exempt under .448. COLLISARLACE - WOODLAND, CA 95695 Daite', J (530) 662-5269 'WORKERS! COMPENSATION -DECLARATION I:hereby':affirm"*u'nd'e'r'penalty'of perjury one of the following declarations: License #: ,81.5522 0 1' have and will maintain a certificate of -consent to self -in* sure 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. - Architept-, I.. have and w-hr-'m-aintain workers' compensation insurance, as Engineer: :required. by Section 3700 the Labor Code, for. the performance of 'this .1he work for which permit is issued.. My workers' compensation polic number are: insurance camer-and- . y Carrier: Total Square Ft: 200 S.F. Policy Al." Valuation: $2,000.00 O I certify that in the performance of the work for which this permit is Census Code: ..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 to0hwit� comply with those provisions. ... Date: `WARNING _ fo .... secure workers' co mpensation" coverage is unlawfdl "and 'shall I'sUbject' an employer to criminal penalties and one bundr6d,Ahousand :'dollars '� ($100,000), in 'addition' to the cost of comperisatio ri,-darii6g&s as 'provided for in Section 3706 of the Labor 4 3 1code, interest, and,attorneysFees...,..1111- CONSTRUCTION LENDING AGENCY,- h b This pe hereby sued under the applicable provisions of,the Butte County.0ode �Indlcl y S I hereby affirm that there is a construction lending agency for the Resolutions 0 w itio. -sto d cirk indicated'above for which fees have been paid. performance of the work for which this permit is issued .(Sec 3097 Civ.). I _kl- . . . — By: L Date' b:.2 q Name: PER IT PIRES ON: Z 9 Address. (Date) -P--.i,here,by- certify that t.h.e,.-:u-s,eo.f this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, ,hapoling and..useof hazardous materials. • Notification in accordance with Secti6n 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. • AtiacF id'are "copies of theye,quired E.P.A. notification forms. I hereby. certify.that I have read thi . s application, that the above information is correct, and that I a m the owner or the duly authorized agent of the owner. I agree to: comply with an state aws re ating to building construction. .1 acknowledge it is unlawful to alter the substance of aay-effid I form or document of Butte County. I hereby all county ...... d I I r, of Butte County to enter upon the above mentioned property for inspection purp ec ;authorise representatives PdritName: Signature: V-7 gate,:- W Contractor Q Agent for Owner U Agent for Contractor ner _ � -.�.`r-mow.., .._ � y,• .- _ _ .-�. _ � i -: :COUNTY OF BUTTE . .s BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES y 7 County Center Drive • Oroville, CA • (530) 538-7541 Etii )� CORRECTION NOTICE 15 C08 OWNER PERMIT NO. t. YA routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of i' work is completed. If you have any questions pertaining to this matter, or need additional 4 explanation, please contact the Building Inspector as indicated below. C 161t 1 Tor I r, � 1 1-1 1 / Date _ys InspectorELt l-nIVAnNI S REV 4/05 Phone # — 0 z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 2 RESIDENTIAL. PERMIT NO. O�UI. b1� I 3 4 cu) re -le- , CAT RF-ees 70 w n�rw �rzo�RtirE ('"-s SPECIAL CONDITIONS CHECKED . � BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ]K lint OK NotApp6able RESIDENTIAL (Single & Duplex) lint Reedy UNDERFLOOR (Plans) OK except #'s - 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd. / . /" Ftg. Depth 3. Ftg., Garage; Sols-Steel-Elec. Gmd:-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fina -place Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer 10. UF, Gas Pipe; Size Anchors-Yardping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventlation 16. Insulation. de Card B-1 V - Date .. Card B-1 ate Cana B-1 Date Card B-1 ate PLUMBING (Permit) OK -except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 16. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings 9 Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. T Tub & Shower Second Flopr-Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test tate c(- I q =-07 Card B-1 Date Card B-1 late Card B-1 Date Card B=1 )ate ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Sec. Receptacles Spacing -lights & Switches at Doors 26. Sire Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in lGtchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size( /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. ! /ga Cu or AI Insulated Neutral O Yes O No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs r Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting= Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Verits-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-GaTings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except Vs 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Sec. Trim & Subpanel, Breaker Sizes & Labels I 70. Stairs & Rails ` 71. Fireplace or Stove, Clearance -Hearth . 72. Sec. Outlets at Wood Panel, Int & Ext 73. Kit Fixt & Appliance; Ground -Air -Gap -Cooking Clearance 74. Sec. Outlets & Receptacles at Kit Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Medi. Protectiori ' 78. Plb.; Sec. & Mach. Equip: Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection I 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBehts & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 83. Following lnstldl[hive D Yes 0 NoAValks D Yes D NoManters O Yes 0 No 84. Stucco Brown-Fmish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Cteanance to Openings. 87. Water Well, Disconnect, Electrical. Plumbing _ 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs r Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting= Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Verits-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-GaTings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except Vs 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Sec. Trim & Subpanel, Breaker Sizes & Labels I 70. Stairs & Rails ` 71. Fireplace or Stove, Clearance -Hearth . 72. Sec. Outlets at Wood Panel, Int & Ext 73. Kit Fixt & Appliance; Ground -Air -Gap -Cooking Clearance 74. Sec. Outlets & Receptacles at Kit Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Medi. Protectiori ' 78. Plb.; Sec. & Mach. Equip: Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection I 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBehts & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 83. Following lnstldl[hive D Yes 0 NoAValks D Yes D NoManters O Yes 0 No 84. Stucco Brown-Fmish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Cteanance to Openings. 87. Water Well, Disconnect, Electrical. Plumbing _ 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t=OK 0 =Not OK = NotPopkf(ndy Ele =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except 9's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ , /Amp -Concrete 6. Gas; Location -Test -Wrap;-/, : /" L'fL - / P Nat or / . /" L "ftJ .: P LPG. 7. Well Clearance 8: Disconnect B. 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-Fleic Connector 6. Water, MH Test-Regulator-Connectoi 7. Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 9. Tie Downs4ypL-4nstalation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) i 1. Zoning Requirerrients-Setbacks-Easements ootiifj9s. SP ading=Marriage _ ,: 3. Blos... . ;.clort 4.' Gas; MH TesVDemand-Valve 5. Electricity; MH Test 6. Water, MH Test 7.. Water and Sewei=Connected 8. Gas and Electricity Tagged ' °10.: License Decals 11. Verify.>#'s ii n Office Date Card B-1 Date Card 13-1. Date. Card B-1 . Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except !:'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-S¢e-Depth-Spacing-Donnectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. 'Wood Awn.; Posts_Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg ; Silts-Anchors-Studs-Rtirs-Tnisses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof, Shthg-Roofing -„t. 11. ExL; Steps -.Doors -Landings. .12. Braced Wall Panels ' Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except tl's 1. Setbacks -Easements 2. Sols; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining . 4. Elec.; Receptacles and Lighting. Distance -GR S. Sec.; Pool Lighting; 15 Volts-GFl 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed T. Sec.; Bonding; Metal w/5'-Cjrc4Iating Equip. -Heater 8. Bec ; Grounding; Equip. w/5' _Ciri:ulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9: Health Department Approval 10,._ Plumb.; Cir. Test -Water Supply. Test... 11... Light Niche - 12. Enclosure; Fencing -Alarms Date. ': :Gari B-1 Date Card B-1 Date Card B-1 Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR 'INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52514 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 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/16/2005 APN: 073-180-033-000 the Business and Professions Code, and my license is in full force and effect. License class : License Number. Site Address: 19138 NEW YORK FLAT RD FRT Date: Contractor., Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am' exempt from the Description: NEW PROPANE TANK & GAS LINE Contractors' State 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: MOEN, ROGER G. & JANET M. ETAL 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 State License Law (Chapter 9 commencing with Section P 0 BOX 601 7000) of Division 3 of the Business and Professions Code) or that he or is BROWNSVILLE CA she exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95919 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 675-0362 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MOEN, ROGER G.. & JANET M. ETAL 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 P 0 BOX 601 year of completion, the owner -builder will* have the burden of BROWNSVILLE, CA proving that he or she did not build or improve for the purpose of sale.). 95919' ❑ I, as owner of the property, am exclusively contracting with (530) 675-0362 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.). Contractor: ❑ I am Exempt under Article 3 the usiness and Professions Code Date:4W_21f�EOwner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to. self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy'number are: Engineer: Carrier: Policy M Total Square Ft: 0 S. F. ❑ 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 Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �,n JIU` �IDate: 550 . 1 6 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) R-16-05 ®I� Date: _I - 1 r,� W — 0 5 Name: By: 1111n/uw /+ q - IG) — Ol. D Address: PERMIT EXPIRES ON: (Date) ❑ I 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 PI form or document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of !aayefftc 'authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose . Print Name: /) ®(Y h�� /�� A/ Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds ""PLEASE PRINT CLEARLY"" OWNER INFORMATION Last Name�O� A First Name/ G Address 1,12O gOx, O City Sfew.vs,v/ 4L State Phone ZT Fax E-mail APPLICANT INFORMATION CONTRACTOR Name f, L Address SRA City No State Zip Phone MapBook Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address SRA City No State Zip Phone MapBook Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State (f ;TIP SRA PhoneFax-- No E-mail J APPLICANT SIGNATURE L � 4- 1 �-z For office use only: Zoning Property Address mow' g Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name MapBook Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 0 522.1' BIN # PROJECT LOCATION AN I Property Address mow' g City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: _e 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. Received by: K 6. Amount: 55 100 Bldg . SRA Receipt #: � S9 G3 Sheriff SMIP Date: q- IG- 05 r Other 5 . _Total 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 faxes! ❑ 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 caics 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. NPDES Form. ❑ 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 K:TORMSOUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 F SITE PLAN REVIEW APPLICATION Date: 9ki. 2 2 . 2 ®-©!�e AP# 473 3 - 490 3 3 6 f�- /o ?, Permit Number (if applicable) - Bin umber APPLICANT INFORMATION Parcel Size: Owners Name: AW 06/k/ 120D6_f_72 Owners Address: Telephone No.: Situs Address: / �3� /V��V V6R � r loft- Q Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory _615__16W Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel- Trailer. ❑ Multi -family Non-residential ❑ New Commercial ❑ , Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ S eptic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Z Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ka Site P n Stampe Approved By Date DF,?-' Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: J1 Snow Load Area: U00 ` W6' ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=---------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use7Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: i/ CG Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. IM CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front r Side r o Side Street Rear -36' 3b, Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. IM CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 If Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ---------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes' Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County, Stan iards for Deed Creation: ❑ No ❑ Yes Comments: 1 ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. u Page 4of5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 El Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 •f.- A (� tS I f[ [ w� ` ,kECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IIII I!I II! I IIII s—i0�f2264 I III I!I I! i III IIII 11 �: 1 Recorded I REC FEE 10.N Official Records I CONFORM 1.00. County Of 1 BU iTE I CANDACE J. 6RUBBS 1 Recorder I ROSEMARY DICKSON 1 Assistant I Andrew 12:32PM 21 -Apr -2005 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY -1- NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION. SYSTEM 2 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. ROGER G. MOEN AND JANET M. MOEN REAL PROPERTY OWNER/LESSOR P.O. BOX 601 MAILING ADDRESS BROWNSVILLE YUBA CA 95919 CITY COUNTY STATE ZIP 19138 NEW YORK FLAT RD. INSTALLATION, MAILING ADDRESS, IF DIFFERENT FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-3468 (530).538-7541. M ERMIT NO. TELEPHON NU BER V QZ kj&NAtURE OF LOCAL AGE OF ICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO KAUFMAN-BROAD 1987 847 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER KBCASNA/B88321173 54'8"X28' PFS 149594/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 073-180-033 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. Order No. 00220027-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: COMMENCING AT A POINT IN THE HOMESTEAD LODE, U.S. MINERAL SURVEY NO. 5757, FROM WHICH POINT THE QUARTER SECTION CORNER BETWEEN SECTIONS 10 AND 11, TOWNSHIP 19 NORTH, RANGE 6 EAST, M. D. B. & M. BEARS NORTH 22° 01' 27" WEST, A DISTANCE OF 909.33 FEET; THENCE NORTH 860 00' EAST, A DISTANCE OF 285,76 FEET TO THE NORTH AND SOUTH CENTERLINE OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 11, ABOVE MENTIONED TOWNSHIP AND RANGE; THENCE SOUTH 10 41'40" WEST, ALONG SAID LEGAL SUBDIVISION LINE, A DISTANCE OF 143.09 FEET; THENCE SOUTH 74° 49' WEST, A DISTANCE OF 197.75 FEET TO THE CENTERLINE OF THE COUNTY ROAD; THENCE NORTH 27'221 WEST ALONG THE CENTERLINE OF SAID COUNTY ROAD, A DISTANCE OF 197.13 FEET TO THE POINT OF BEGINNING. AP NO. 073-180-033 r � E :C)PPy of Document Recorded 21—apr-2005 2005-0022641 RECORDING REQUESTED BY: Hasnot been compared with originaBUTTE COUNTY RECORDER 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. ROGER G. MOEN AND JANET M. MOEN REAL PROPERTY OWNER/LESSOR P.O. BOX 601 MAI LING ADDRESS BROWNSVILLE YUBA CA 95919 CITY COUNTY STATE ZIP 19138 NEW YORK FLAT RD. rNSTALLATION MAILING ADDRESS, IF DIFFERENT FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-3468 9 (530) 538-7541 BUIL N PERMIT NO. TEL EPHO NU BBfERR'T �. NA RE OF LOCAL AGEtf/ OF�ICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO KAUFMAN-BROAD 1987 847 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KBCASNAJB88321173 54'8" X 28' PFS 149594/5 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 073-180-033 i �l ^O.4,tf. w 4 .ce# FOUNDAT,ION4S, STEMS 1 F4� 4 k :. ERTIFICATEOFr� 0{yCUsP�ANCY �. is•� �, � P rr��: F 1� Ty_s kY r � , � �� k,�-1� � r,3�� a � �'� ,� �c �'' „� rF' ?R w`n.7� 3'..��.a5 .+p z A' �L � .`1�i i ,} +. !. BUILDING PERMIT NUMBER: 04-3468 Address or location of unit: 19138 NEW YORK FLAT RD., FOREST RANCH, CA Legal Description of Real Property: AP#: 073-180-033 SEE ATTACHED (x) Mob ilehome/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: ROGER G. MOEN AND JANET M. MOEN Owner's address: PO BOX 601, BROWNSVILLE, CA 95919 INSIGNIA OR HUD NUMBER: PFS149594/5 SERIAL NUMBER OR V.I.N.: KBCASNA/B88321173 MANUFACTURER'S NAME: KAUFMAN-BROAD YEAR: 1987 OFFICIAL APPROVING INSTALLATION: DATE: 3 � (�� 71 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Roger G. Moen ddyess AddrP.O. Box 601 A Zip's"" Brownsville, Ca 95919 Order No. 00220027-001 ;R10 6b4—t010-71 4.43 Recorded Official Records County Ef CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 22 -Nov -2M SPACE ABOVE THIS LINE Parcel No. 073-180-033 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY 1 REC FEE 10.00 I TAX 55.00 MONUMEN 10.00 I I t I Myles I Page 1 of 2 The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 5 5.00 ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of$10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, James T. Wheeler and Beverly D. Wheeler, Husband and wife hereby GRANT(s) to Roger G. Moen and Janet M. Moen, Husband and wife, as to an undivided 90% interest and Robert C. Smothers, an unmarried man, as to an undivided 10% interest the following real property in the ❑ City of ✓ Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF James T. Wheeler Document Date: November 18 2004 State of California County of Butte } SS. 4evrerrW D. ler On November 18, 2004 , before me, the undersigned, allotary Public in and for said County and State, personally appeared James T. Wheeler and Beverly D. Wheeler Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offi ' seal. r Signature FOR NOTARY SEAL OR STAMP D M RK COMMI 1433346 IVOTARY KIBUOtA JFORIIIA COUNTY OF BUTTE Comm. Fx lraa A 2, 2007 MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED Order No. 00220027-001 EXHIBIT A r THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS.- COMMENCING OLLOWS: COMMENCING AT A POINT IN THE HOMESTEAD LODE, U.S. MINERAL SURVEY NO. 5757, FROM WHICH POINT THE QUARTER SECTION CORNER BETWEEN SECTIONS 10 AND 11, TOWNSHIP 19 NORTH, RANGE 6 EAST, M. D. B. & M. BEARS NORTH 220 01'27" WEST, A DISTANCE OF 909.33 FEET; THENCE NORTH 860 00' EAST, A DISTANCE OF 285.76 FEET, TO THE NORTH AND SOUTH CENTERLINE OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 11, ABOVE MENTIONED TOWNSHIP AND RANGE; THENCE SOUTH 1* 41'40'9 WEST, ALONG SAID LEGAL SUBDIVISION LINE, A DISTANCE OF 143.09 FEET; THENCE SOUTH 74° 49' WEST, A DISTANCE OF 197.75 FEET TO THE CENTERLINE OF THE COUNTY ROAD; THENCE NORTH 270 22' WEST ALONG THE CENTERLINE OF SAID COUNTY ROAD, A DISTANCE OF 197.13 FEET TO THE POINT OF BEGINNING. ' AP NO. 073-180-033 NOTES _ RESIDENTIAL cp_x PERMIT NO. _ 073-180-033 - - - .�- 04-3468 �=— MOEN, ROGER 19138 NEW YORK FLAT RD, FORBESTOWN E i Cont: UNDERWOODS MHS f NEW MH PERM FND EX SITE r THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: r (1) LICENSE PLATE(S) OR DECAL (THE C INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON 1,' r NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. t SPECIAL CONDITIONS CHECKED ' ZSRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS ' SUB -STANDARD HOUSING LETTER oWA ' OFFICE COPY r�O , Address 1 � ' GAS Mete, B,Date ELECT p Meter By /`"'^V 34Date �t 0 ,JOB FINALED (Date) J a . , � Signature J =SOK 0 = Not OK . = NotReadable ;� DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI ` 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed i 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 52. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 53. Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. 24. Fixture & Transformer Clearance -Ins. Protection 62. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 63. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water FINAL (Plans) OK except #'s 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 68. 33. Equip. Clearances Panels-Motors-Mech. Equip. 69. 34. Clothes Closet Light -Shower Light -Spa Light 70. 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 75. 36. A.C. Ducts Insulation & Support 76. 37. Vent Fan, Exhaust above insulation 77. 38. Condensate Drain & Overflow, Size & Grade 78. Plb.; Elec. & Mech. Equip. Listed for Location 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Elec. Receptacles in Garage (F.F.I.)-Romex Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 83. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 84. 43. Bearing Walls over Girders & Floor Nailing 85. A.C. Unit Disconnect, Electrical -Plumbing 44. Draft Stop in Walls (rat proof) Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Water Well, Disconnect, Electrical, Plumbing 46. Headers & Beams -Size & Bearing Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures. & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters G Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043468 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/04/2005 APN: 073-180-033-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 19138 NEW YORK FLAT RD FRT License Class: License Number. Map Index: Date: Contractor: OWNER -BUILDER DECLARATION Description: NEW MH EX SITE PERM FNDN (1315) 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROGER G AND JANET M MOEN 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 PO BOX 601 the Contractor's State License Law (Chapter 9 commencing with Section BROWNSVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95919 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 • 530-675-0362 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, 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' State License Law does not apply to an Applicant: ROGER G AND JANET M MOEN 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 PO BOX 601 sale. If however, the building or Improvements are sold within one BROWNSVILLE, CA year of completion, the owner -builder. will have the burden of 95919 proving that he or she did not build or improve for the purpose of 530-675-0362 ❑ 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfAssions 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 Contractor: UNDERWOOD'S COMPLETE MOBILE pursuant to the Contractors' State License Law.). SERVICE ❑ '1 am Exempt under Article 3 of I usiness and Professions Code Date: Owner: 448 COLUSA PLACE WOODLAND, CA 95695 WORKERS' COMPENSATION DECLARATION (530) 662-5269 1 hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by ,Section 3700 of the License #: 815522 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: 9 r / /3 45 119 Carrier: 00 C� P�Sf W5-1 VIS_ #: the for which this is Total Square Ft: 1315 S.F. U-/I certify that in the performance of work permit issued. I shall not employ any person in any manner so as to Valuation: $85,475.00 �y become subject to the workers' compensation laws of California. Census Code: 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. 8 W l — L� ._Odj� 176-7 Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor fees. Gro._ 1 s - 8 4-- code, interest, and attorney's ¢ f g 7 T a 54q • 0 CONSTRUCTION LENDING AGENCY 7heeby This permit Is ereby issued under the applicable provisions of the Butte County Cade ?nrUpr Qo work Indicated above for which fees have been paid. affirm that there is a construction lending agency for theResolutions mance of the work for which this permit Is issued (Sec 3097 CIv.) `rL� 4 Date: Name: By: I 4_ o(.>Address: PER IT�IRES ON:� Date 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 & Safety 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 any o I form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose �t%"4�1� �' Signature: Print Name: lam` — �✓ Date:l � owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER last NameOc_ irst Na ��rE Address Ilao gm 6P / city State G� Zip 99/9 Phone67� 036 Z Fax E-mail CONTRACTOR Name L1Na w 00 fo /Z C Address 3 7 6 So - 7` City V C4 StateC �. Zip9S993 —/S(/O I E-mail I �ss z z I Class I ARCHITECT/ENGINEER Name Address City State Zip Phone NStatense E-mail Number -—APPLICANT SIGNATURE For office usp only: APPLICANT NAME Name City SRA Address PO d 4,0 City Subdivision Name Map State Zi Lot # Planner Date Approved: 6_9 / Phone Fax — o E-mail -—APPLICANT SIGNATURE For office usp only: Zoning Flood Zone City SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. B 3 { B BIN # LOCATION AP# Property Address zeaV0,4 15��tj l; City Cross Street �� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY –Name Address Description or Scope of Work: Sq. Footage Y� ❑ 1 n1ctur6Ruiltw*thoutPermit1s ❑ 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 Received by: 1 /° ? Receipt #• Date: f $� Amount: Yci Bldg ' SRA Sheriff SMIP--, [� Total 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 1 Sanitation-and-site-plan-ae-EnMronmentaLdealihDeparfinent Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: � 1 V i / �L AS'S�SSOR PARCEL NUMBER 7 �v Proposed Building Use: ' �.ounter Technici Date: Items required in order to apply for a p r 'e boxes ST be s ecked OR marked NA in or e o apply. 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 c I lations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heat and AIC for Non-Residenti �Buildings tS 8. Manufactured homes: (A) Data �s eets and installation inst, ( C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. :S `❑ 16. Other y Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) E]", 17. Fire Sprinklers............................................................................................ �18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 1 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit.............................................46h. .............. 23. California Department of Forestry plan approval aid. Sent 12/1 + a4 5� 24. Planning approval (A) Use: �(B)Parking: (C) ParcC, 2 -ZZ -e) _c ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES. Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ ,.,28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ �� 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ _ ❑/ 34. Manufactured home utility clearance............................................................... 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction........................................................................................ ❑ 37. Grant Deed, H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑Check to H. D. $ ❑ 38. t7 er: 39.Other- When issued Telephone r and hold for pickup. t� 1 have been informed of the above items and requirements 'o taining a building,permit. Applicant: D te: 1. Index permittapplkition for the above items numbered: r!' � Plan Check Letter 2. Additional items required �ractor, designer, owner, was advised of the above data by *-phone, ❑ mail, ❑ counter, by Date: designer, owner, was advised of the above data by ❑ phone, , ❑ mail, ,❑ counter, by Date: Plans reviewed by: Date: i l� Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division �i ` I E.N. USE ORLY Fiat Flan Attached Q Floor Flan Attached } Sent to S.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Z10 V_ Owner Loca on AP# Plan Approved for: Sewage Disposal t*" Water Supply: Public ✓ Private Well Clearance for ✓dwelling. Other J3rQ� �7 i1 �� C--, e Li Hold final for: Final clearance O.K. for: NOTE: )Oa, Environmental Health " cialist Date 8/96 Part I f- •' Marysville Joint Unified School District Exhibit 3610 #1 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken to: Marysville Joint Unified School District 1919 B Street, Marysville, CA 95901 .. (530174q-6114 Rnnm i i16 Property Owner's Owner's Address Project Address: Parcel No: o1 — 1%0—b3-3 Lot No: City or County: �. Building Dept: t� T Permit No: i.J"t"'`�'�p TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction Single Family Dwelling Multiple Family Dwelling k No. of Units cc Mobile Home l Total Number of Habitable Square Feet: .J THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO TIE CERTIFI- CATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CONSTRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE. ACCORDING TO GOVERNMENT CODE SECTION 66020 (d) (1), I HAVE BEEN NOTIFIED THAT WITH THE IMPOSITION OF THIS FEE, THE 90 -DAY APPROVAL PERIOD IIV WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. K. `-, Applicant's Name d �t'G' C �� Date: Qr Applicant's Signature: r`�G�?'/G.••� ?ii'�� Part II TO BE COMPLETED BY BUILDING DEPARTMENT r� �1uc't?yY1 Total Number of Habitable S uare Feet At �^ ( %0) 55 City of Marysville ' County of Yuba Signature County of Butte Part III TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): . Fees Collected: No. of Square Feet �x s $.28 for Con No. of Square Feet -_ �. `oz's 7 r Re Exempt from Fees: Reason: (..c_ AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL; I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature) 7' '�� !Sandra Davini, Assistant Superintendent of Business Services Date ~*3-0 5 White: - School District Yellow: -Applicant SD:co Pink - Building Dept 8/10/00 5 �c1��c wof``� Department J. Michael Crump, Director Public f B u t Works 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 jLESS THAN 1 ACRE1 Project Description:�C l� Project Location and/or Parcel Number: 7 - gK --3; 3 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: / z — - a Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 ' CDF FIRE SAFE 'REQUIREMENTS AP# '73 A _ 3 3 PERMIT # 04 3�/ moi' NAME DC� Under authority of Public Resources Code Sec. 4290, the followipg checked items are required by the Butte County Fire Department and made a part of this peimit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards (X) Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans/ and fire apparatus weighing up to 40,000 pounds. [XJ Grade. Not to exceed 16 percent unless paved. Driveway Radius (X] 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] 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 radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [XJ Width: All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [XJ Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Setback for Structure Defensible Space [X) Maintenance of Defensible Space. 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 in these standards, annual maintenance must be provided for by the landowner. [) 1. 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. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X) Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements j%A If Building Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ Enclosed eaves [ ) If Building Setback is Less Than 15 Feet — ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials l.2 -M 0 to K Signatur t/ 2'Y 2's 3/ 16' - 3/B' CAD PLATED BOLT. MUT a HASHER CEL STANGILL mWER IORED 11LLM4 WITH BOTTOM AT a' O.C. (It) aratilREO - 1,/A" STAN BASE - - &ANNI 0 ARS PAD /50:1 cwms S f R4►IE 1/4- GM fill RAIKI%". (2) 111MUSE7 ~� 1/4' GMPM IIIASE 1/2 -mW -A107 x e—"-' 9o1LT 1fm Hugs (4) WDUI RES st qr SCB 40 PW asu Sum. I1/3' MJt16 M IMLL'S AM I pm Rw PLATE or Mt 40 PRE SL MO 111TR TWO it/Y ADJUSI31 WRES Q AKSW ARS POO /503 cT"fl FRAME 's' low To "TTOY ar Pw COACH 't' ERAti L• C/1A1 I I /4- CRIPPEI PLATE (2) NMUIKD T_K Sa5 1 /4' GNrPER MSE I /2' ANIM BOLT (t) REDUbIE7 /A'a 6'x i' STELE FIATE 1/7'* 6307 WLT (2) R --- OUM1lU pTrACHNEft O U 10.00 I 10 A/t6 rOI.E (T1P� STAMD _.�E TDP vmw TUF-1 PERMAK—Ml FOU 4T1 - SYSTEM SIM FIMM - I'EDUM ROAD SACKAUMM.CA"823 PH!Nam 382-1031. vAL• �16i 343-S2W i COACH 'r FROM STS li) PEOUgiFD 112' AX7 WILT ;4) REOME6 -�.::. m ATTArNMENI fr' 1 /2' 17A. HO&C (a) PLACES _f.._ _ — t ♦ +� TOP MIEN ST �■e®�■nco.RseeeR� WAYNE T. P*LVAVO. PE- LISTMG NO. F94 /cu 11 D FN 0 n LD> m m W SHM 1 d 3 � � � c T/i' GRPBER 6 6tll5E n: _ 6 ti i COACH 'r FROM STS li) PEOUgiFD 112' AX7 WILT ;4) REOME6 -�.::. m ATTArNMENI fr' 1 /2' 17A. HO&C (a) PLACES _f.._ _ — t ♦ +� TOP MIEN ST �■e®�■nco.RseeeR� WAYNE T. P*LVAVO. PE- LISTMG NO. F94 /cu 11 D FN 0 n LD> m m W SHM 1 d 3 PIEWl.4_I!ln' S_G(IS...GUA[tD TUE-1 �. IAS I LM LOW - 30 M MGM uvE too - 40 PsP MOO 1,00w_OAO - °A W44 fXpGSUK C" SEISMIC 709 '4' M SHOW I." 100 PS1 (SEE Ism 015 : A (AM! ILVE' WE MM NO EXOM M& F*3MW" lSYSMM 15 Mel'" I" FO K COHNNUCM OM 3. OIVM.KW SMORTS SM I E MATED AIM -SMM MR. TK FOAM -I11 irE -AIRYf D1SlAttAl101t.161Rt1cTIf96 4. M AREAS M&-ZE UNFREDI UR. SEft"dMN (P.i) c w O=M. MAIWACPAMB 11011E 3MLL RE 2"D,IWM WHIM OS affr s 00 MEM IT X101 AMEMY ARM WILE HOW UNQ- S_ CUM AIA. FOOiINCS OWN TO MK N OMMIXD SOIL FbMMOS HIRE DE51CIED Fpi 1.400 P5f TOTAL LOAD WE PRESSU K. Ailb SMUL RL tJ arMWE "To LOCAL ML C MtiiM. COIPACIED SAND U&T SE 11" TO Fill LOCAL v=6 MOM PAD& 6. SMICTURAL SitII: FAMWANO ACCOMM TO RISC SPEMGf100. WELD ACOOM M: 10 AUS 9UWMTIMtL MECTM ES -SM PtAM-ASM An Main -SAE CR 5 =A3IM A449=ASiY A372L 7. TM: OM GIN= ASMIIM 900 M M PACE iMU K US= AiM L4sGM w M AM ASSOMUFS MR TK #OUL MIR LOWS: Bus GMAR[ TIF -1I !2000 i0owt GUS GUAM NCP PAD 221001 some EAR BUAR E -Z TE PAD 22000 Mil °. oU� MELVMMT WK 00500595 � � OF aESMMM SIXTIOMSUM E.w"E Tlda�: 9_ EM510 COACHES NU E REIRN AEO TO MESM SEMK MMM MI @GV&& M an crlleme IIF -1 VMS AS s>I I ON w TAM OF TORAH POIReAum PlAIM ME 10. mm MEAS wNERE mm or mm 0013 mwFIS LTi[ 03M OF TRNU FEET. J l MIRTPPLE UNIT NISTAUAIM 1S A1CCEPTA9LE PROVIDED THE NUMBER OF TUF-1 UMTS UNDER EACH UNR IS THE SAME AS SHOWN REOUplfID PER EAC14 UNIT. TL 9WE-t10E WITS REOE[ AR1Imm GIRL * (M SM >) Y OOIIEMII SIAM IS IN EiMfMM PAD /5 1101 16. /OIrfQA90N MMS 1t a Wxlr POWD M /LACE Al CKWO IM MAY E OM M 915M IS 0 ME11 M AUEIMA71K TO BADS SUIME TAK COACiES UMMX/MOL11Pli COACHES I. Y awL / Ar MMX. E= 2' N/I. / I i' MAS. S-- is limit. /i6' Mo. S- 6' MIK / 22' MALI. j— E IS S S ..�.... ..... — ....._...-moi+-- - - --moi-+• _ �-i iaDGC BFJW SiIPI�ORf AS ROOl11RE0 BY WwllFACTl11ER rte_ El F1 n Q" _ f .. r:l 11 LJ E-1 &- NOM. _ Zi PADS 0 ANY PAIR WAY ML SZMBARO lLH. FOIRt01ASO1I AOTATEO !*GEMS OR PIERS AS i MGMMMDEO till PVC SERIES ONSET TO OTIHM SIK TO TIME MAMIFACTiMER OR THE RT AM(O CAEMtANGE PNO°IiTIS. ENGIEER. Tl'I'ICAL THmam ur YP) •_ K4IJMEL- MIMM STAND 10 CONCiM SM MM TUF--1 PERMANENT Foutt (�) i/2'a s I%2' aa1II�1oN ARololts. EWNDATION SYSTEM i5. Ws WARD TIP -1 FaAwIATm SISTEU MOVKs ALLOIFATIi on LOAD To "m rw we slumED GWItDCCWANY MTM EIMM SiAMOARttIs WO MO 9Y 00=04 91151 SLOW - PBRI[1M A 00w ONypIC7ARIFR OR RTRALE Il!<II Q?l A ONE TO S�McRJyI�riO CA 4�t3 011E NASIS. PT11: ((gam) J�'t-M31 FAX: (910-363=5207 STATE AP'ROVAL MANI11<ACYOMMI Ibl/�a �M POOIMI{3>O11 fiTalMl[ B>L►I.YA A1M>wAPAIT(�1i411�>f30>My /1M�YR0 AI'FlIOPAIL f 1�T M AI� ATI ale.Adls a1t>IONA'TIMilttlat R�RI APKICAMErAnIANOA frrH Hf wltTiwil S►A UOI 0- WAYNE T. POLVADO. RE—USTOG NO. F94249'9I[ial 2 ad 3 3C� 2 D PR in c L c -n CD w UL" Iel404 0©; p&SCG INC PAGE 84` §14 a 141 IL IS IIL • I^ t� N W cp Y,0,9 7�y F, y 7 FE -s/-£z tvd,- C,{61rr-M R'J"�yyg' AW�UN f 1) a r f�MOMI Q AN Kt. Tide Seff Daft d; 09114NB Demlk. L 46 09578 Y-k-uFMANMIL4AD Tree: CAN YCW CRW Model: 847 m=aftaed Bate: oW 6W $C®n E: fim Sold On: 09ra!87 Use : PJAWS YOW. Tat Type: LAdt IL T AMOMt: ])go ff'T Fee Ind: LILT gx icn: Seeial Number RTJD lAbol / Ind0z sa• �° KBCAdS1,M$3211?3 I�F8i4 �CASNA3832117` 3 g 6149595 JA&MS L KAY TERESA Bq KAYE MS 55 ORCM aLkU ate, CA 95903 xMt Tit c OZfl4o?7 LvA ft Card'. 02.!14M SaierYYa b � Pri= 97,500.00 Ttwqf=vd On Oil M Saves Ad&=. sitai COM*- YUB e M': D CAY- X590 T'i?je Sambes: ? 1548 ST �A YUBA CITY, CA 95993 Tftw sue No.. 12OLS606 . "* OF TrME SEAR'M *,mm R AD & APPROVED _ ATE � -A" ? APPROVE-:2�7 ID DAT E RcA & APPROVED ti - DATE READ & APPROVED DAtc 000YOOM TOIL P.04 I ) NOTES RESIDENTIAL • ;. 1 073-180-033 99-1922 ' PERMIT N0. _ _ EELER, JAMES WH&BEVERLY 1 ;_ , 1 19138 NEW YORK FLAT ROAD. F'ORBES•I j CONTR: OWNER _ STORAGE & COVER EX DECK .2 d jdd- r ;4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 r r 1 r . 'JOB FINALED e) 1 1 . Signature 1 ✓ = OK 0 = Not OK o_'. - = Not App icable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. 1. Zoning Requirements -Setbacks -Easements 8. 2. Soils; Special MH Support Sketch 9. 3. Sewer; Location -Test -Fall -C/0 -Concrete 1 4. Water; Location -Test -Easement Needed (Sketch) - 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap;-/ /" L'ft. MISCELLANEOUS t Date DECKS, COVFRS, C RTS GARAGES (Plans) OK except #'s g Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -S Decks; Girders and/or Joists- Decking -Bracing• it _- 4. ,'Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg•Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Sidi n ailing -Veneer -Stucco -Mesh 1 f; Shthg-Roofing Date - Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements and B- Date Card B-1 Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure;. Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 11. Cert. of Occupancy Health Department Approval 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS t Date DECKS, COVFRS, C RTS GARAGES (Plans) OK except #'s g Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -S Decks; Girders and/or Joists- Decking -Bracing• it _- 4. ,'Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg•Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sill Anchors-Studs-Rftrs-Trusses 9. Sidi n ailing -Veneer -Stucco -Mesh 1 f; Shthg-Roofing - t.; Steps -Doors -Landings 12. Braced Wall Panels Dateq�g Date �- and B- Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3 3. Pool Structure;. Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable • = Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Guard Rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor C) Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Instid./Drive :1 Yes J No/Walks Q Yes ❑ No/Planters 0 Yes ] No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing i jingle ,.Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor C) Yes 82. Following Instid./Drive :1 Yes J No/Walks Q Yes ❑ No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ty \\ ,, AUNTY OF BUTTE - DEPARTM EVELOPMENT SERVICES - BUILDING DIVISION /✓/ 7 County Center Drive • O aljfornia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 073-180-033 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS P.O. BOX 188, SUTTER, CA 95982 280 COV —3,640.00 100 STER CONTRACTOR'S NAME OWNER TELEPHONE _1,800,00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 81 -no ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 52 65 BUILDING ADDRESS 19138 NEW YORK FLAT RD FORBESTOWN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00Y USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE AND COVER EXISTING DECK W/0 PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR Main Service .A OR, 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PO License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: :5( 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46,00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( s Acc. BLD& SO 3.5¢FT: T. N N.REBID. MULTI -OUTLET @7,50 ER APPARATUs & SINGLE OUTLET CIR. Ex. Occu OUTLET OR FixrURES 20@''00 aAl p .so Ex. Occup. DUTEj p61p.) EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, agree that if I should become subject to the ofsection 3700 of the Labor Code, I shall w rs' compensation Avoils, orth ith comply with th Sions. X ate Signatu a of Appli Owner ❑ Contractor ❑ Ag t An OSHA permit i r qui ed for excavations over 60" deep and demolition or constructionI of structures over, stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ To L FEE $ 3,53 65 CONST.JFEES H DP FL00 CD P EL HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. E ^y � q ate // to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan A" :had Floor Plan Attaeh.d Sent to B.C. _9 --=!ti 0-7 Owner Location r AP# Plan Approved for: Sewage Disposal Water Supply: Public 7< Private Well Clearanpe for ---dwelling. Other ��P��c-- a?jO A Hold final for: Final clearance O.K. for: NOTE: q Environmental Health Speciali Date 8/96 �� 4f t COY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO' k,�- .7 COUNTY CENTER DRIVE - OROVILLE',' CALIFORNIA 95965 - TELEPHONE (530) 538-7541 4# - PERMIT APPLICATION DATA SHEET OWNER: J. V ASSESSOR PARCEL NUMBER--� ^— > — /,10 — Proposed Building Use: &I Building Inspector: g!l-, / z�,_A — Date: At time of permit application, I was advised the following data must be submitted prior to permit process' g and/or issuance: Date Received Q I.P, items have been submitted ------------------------------------------------------------------------ lot plans, signed by the preparer of plans.----------------------------------------------------------- - - WComplete plans sets, signed by the preparer of plans. -------------------------------------------------===- ❑4. ------------------------------------------------- E14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. Energy Design Compliance,and supporting documentation. ----------------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------- � ------------------------------------------------------------- 119. Manufactured Home data and installation instructions including Tie Down Specifications.-----------------= i1 ❑ pecifications-------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- 11. Impact fees as shown on the attached schedule. -------------------- f ---------------------------- jj ! --- California Department of Forestry plan approval/fees. - -- - - ----------------------- A/'�W013 ood elevation certificate. ---------------------------------------------------------------------------------------- - 00 Sarutation and plot plan approval Or -6 Health Department. ------------------------------------------- El 15. City of Chico plumbing permit.------------------------------------------------------------------------ 411Y 0 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- J El 17. Planning approval for (A) Use (B) Parking: -------------------------- El 18. Contact Land Development about 11 Improvements, 11 Drainage, El Legal Parcel. ---------=------------- ; ❑ -------- ------------- El 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date 0 2 1. Contractor's license information. (Number, Name Style, Classification). --------------------------------==" ❑22. ------------------------------- 022. Workers' Compensation carrier and policy number.-------------------==---------------------------------- -- E123. Owner -Budder Verification (Given to owner 11, Mailed to owner 0) - -------------------------------------- E324. Letter of signature authorization. ------- -------------------------------------------------------------------------- El 2 5. Recorded copy of Agricultural Acknowledgment Statem6rit - -------------------------------------------------- 1126. Letter of intent on building, use. ----------------------------------------------------------------------------------- 027. Manufactured Home utility clearance - --------------------------------------------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- 029. 0433 A, DGrant Deed, 0 M.H. Title,;D Check to H.C.D $ - --------------- 030. Other: -- - ------- 'a When you issue the permit, process as follows El Mail to owner, DMail to contractor. CEkelephone 7_5U - 0/ 00-7 and hold for pickup at Oet. office.*ellver with inspector. k/ -Applicant: Date: Copy of Haz-Mat form sent 0 Health Department, o Fire Department, 0 Air Pollution Date: By: Copy of plans sent C1 Health Department, o Fire Department, ii Other: Date: Bv: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 13 phone, 13 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter,' by Date: Contractor, designer, owner, was advised of the above required data by El phone, 0 mail, 13 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, o BuildingD' i 'on counter, by Date: I Date: VT1 Plans reviewed by: Plans approved by: C>e-- C7-- Date: - Sets of plans on hold in 11 Plan Cabinet, 11 A:P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. t C,ZUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER NO (Rev., 2/98, APPLICATION AND PERMIT ASSESSORPARC NUMBER 3 ZONING BUILDINGPERMIT OWNER - ^ / TlLJ9► Z —0197 SO. FT. OCC. BUILDING VALUATION dNNERS ADpRl90 �� B ..S'I --,2409Z CONTRACTOR'S NALE TEL04IONE z S a v , -- g acs - CONTRACTORS MATING ADDRESS CONSTRLIC'TION LEDER LENDERS MAJUNG ADDRESS Fireplace Total Valuation ARCNREcT OR ENGINEER LICENSE NO. Filin . Fee S 20.00 Permit Fee S ARCWECT OR ENGINEERS MAILING ADDRESS Plan Checkina Fee S euwlnoAooREss/ �d Energy Plan Checking Fee S E PERMIT FEE $ , LDTNO. tUEDWBIONS MAIM PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex O MobilehometW_Other ePEc1Fv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities 13 Installation O Other rt] Describe Work: co) �L /I Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE f ELECTRICAL PERMIT Filing Fee 20.00 Main Service OR LESS — ioa oR LESS 23.00 - ...... -- Main Service 20" TO 1000A 46.00 NEW CONST. OWEl.LNO OCCUP. 3.51tso OR ADONS. a ACC. SLDs. • =,O;= ULTO +� _ NON•REN =,O;=@7.50 V POWER APPARATUS i SNOLE OURET d0. EX. OCCU OVr ET OR FLxTURES 200 1'0° S SAL Ex. Occup. a A MESO.) � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 / Misc. Wiring 23.00 -v PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 2 / Heating r Cooling Hood 6.50 Ventilation PERMIT FE i: $ Mobile Home Installation Fee S Energy Inspection Fee S Occ CONST. TYPE TOTAL FEE $ NA2. p. FEES IMP I FLOOD I COF PARCEL NO I ISSUE 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. �7 3 / 8 By Date PERMIT EXPIRES ON gra! 073-180-033 99-1745 WHELLER, James 19138 New York Flat Road, Forbestown Contr: Owner Electric Repair OFFICE COPY ' Address GAS ' Meter By Date ELECTRIC Meter By { Da CQUNTY OF BUTTE - DEPARTMENT OF DEVELORMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541( PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-180-033 U BUILDINGPERMIT OWNER JATIES 14MLER TZ�ONING /j1Td187 S0. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P"0. BOX 188, SUI'TER0 CA 95982 CONTRACTOR'S NAME 0WW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 19138 NEW YORK FLA1 ROAD, FORBESTM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [% Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel C1 Ulilifies ❑ Installation ❑ Other ❑ Describe Work: ELECTMIC REPAIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 c0.0v LEss Main Service .60.0,v,ORoR LESS 1 23.00 2300 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law, for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall ` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. '� X __,� / Date7L L 47 Signature -of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR (' 8 ACC. BLDS. 3.50x( ICONS NO RaIDT' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE Oun.Er CIR. .00 ET EX. Occup. OUTLET OR FIXTURES BAL @ 1. 0 FIXEO APPLNS. OR 5,00 Ex. Occup. OtmFTs RES,.) EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring_23.00 E+ ECTION I l •ZJIUIU PERMIT FEE $ 66.100 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ _, _ Occ CONST. TYPE TOTAL FEE $ (66',,00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ 2 / PERMIT EXPIRES ON �`S/4y,/tY7 / ' Date ReceiptNo. • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.1?/96)_ � APPLICATION AND PERMIT 4 1/745 ASSESSOR PARCEL NUMBER 073-180-033 ZONING U BUILDING PERMIT OWNER JAMES WHELLER �fj-1187 SO. FT. OCC. BUILDING VALUATION °W"ms's ""'LI"° ADD"ESS P.O. BOX 188, SUTTER, CA 95982 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 19138 NEW YORK FLAT ROAD, FORBESTOWN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel CX Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC REPAIR Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'O.AORLESS 1 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. SLOS. S° 3.5¢FT. NON-R61D. MULTI -OUTLET DRAWN CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL O I.5 R. Ex. Occup. OFIx�LEED Aa )0E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE t 66 .00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) (j I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date' �/ -_ Si tura of Applican Owner ❑ Contractor ❑ Agent A SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 RAZ. I D FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXP RES ON ate Receipt No. 273620/$66.00 WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev.1?/96) APPLICATION AND PERMIT 99- /Z1 ASSESSOR PARCEL NUMBERD�r. QO O�� Q zorxNG // BUILDINGPERMIT OWNER/ �� TELEPHONE �/ g SO Fr. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS + V 1 1g7� CONTRACTORS NAME TELEPHONE CONTRACTORS MOU ING ADDRESS CONSTRUCTION LENDER Fireplace - LENDER'S MAILING ADDRESS Total Valuation S ARCH(TECr OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee >s ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee S BUILDING ADDRESS / (/ Energy Plan Checking Fee S Fd,e,BL�.T� ItPERMIT FEE $ S LOTNO. SUSOMSIONSNLME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0/"Duplex ❑ Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑IRReemodel C�' Utiri6es ❑ Installation ❑/Other ❑ Describe Work: `/�� /L� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�ow °oRR L=ss 23.00 - - --- - -- A , J _ � �v ©� U� 1 7 in Service pow TO 1000A 46.00 NEW CONST. OWEUJNG AM.3.5¢F7. OR ADDNS. & A. BIDS. NEW CONS .OUTL.ET NON-RESID. MULTFCIRCLIffs @7.50 S POWER APPARATUS 8 SINGLE OUTLETCIFL 20 Q I.00 EX. Occup. OLmET OR FIXTURES Ex. Occup. o S s OR, 5.00 Service 23.00 -Ternporary Mobile Home Facilities 20.00 Misc. Wiring 23.00 eQ PERMIT FEE S.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee a occ CONST. TYPE TOTAL FEE $ L HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dole) =15a APPROVED 'Butte County Environ penta I - Hpa Ith Date Signature 295. ;Ac ENT DIN. - .4c ,LU ALL STRLIMRFS AND Eclu BE CLEAR 01' EASEMEN" iGS SHALL 4F O�IE F , *Tj � FT A GE -T BACK OF -ck, r'. F�-Jom THE HEAR ERS4 r 'LINIE M -,VjF ROAD CE FT. FRO, I Q -)v-URES AMU OF C6 d�3 OVERHANG. I:Oti A 2 FT 14- m7 Us -AIJ(l Ges-I 6 1 QUGH J?JU9WU0JIAU3 F, -d Lelo-SSL-OEs JaID04M RIJOA88 doT:al 66 6T 2nu ch w CD 0 CO O 0 M > 05 cl rj ENT DIN. - .4c ,LU ALL STRLIMRFS AND Eclu BE CLEAR 01' EASEMEN" iGS SHALL 4F O�IE F , *Tj � FT A GE -T BACK OF -ck, r'. F�-Jom THE HEAR ERS4 r 'LINIE M -,VjF ROAD CE FT. FRO, I Q -)v-URES AMU OF C6 d�3 OVERHANG. I:Oti A 2 FT 14- m7 Us -AIJ(l Ges-I 6 1 QUGH J?JU9WU0JIAU3 F, -d Lelo-SSL-OEs JaID04M RIJOA88 doT:al 66 6T 2nu o w�►�R: ate. ra:,,$ S;4C. J&mes Wheel 1319. 1 p x t P�DATESN4 Salver`iA Q9q8i�8 •Q9 530-165-0197 A/N'f3•� e. o�3 litti 1° 1 b• N a n o ,on� .o x P � ,gyp A t r O' Oct i. .4 0t n CY tit litti a n o ,on� x to � ,gyp A t r Oct i. .4 0t CY tit kt VN Z'd L8i0-SSL-OES ct Jaj8a40 RIJanag eL�,s80 66 SZ 2nd E•d L8TO-SSL-OES HIM .LL. !�-d fc �or eSTo�v► O- 'tfe� DATP q4 0 JaTaayM RTJanaB eL�,=80 66 92 2�U IITO ! �o I �— i i f a ro j a fi 1 � I i � I v E•d L8TO-SSL-OES HIM .LL. !�-d fc �or eSTo�v► O- 'tfe� DATP q4 0 JaTaayM RTJanaB eL�,=80 66 92 2�U 2586-83 2587-83 :• PERMIT NO. _ 3160-83B i PERMIT EXPIRES OWNER JOE LOPEZ Y CONTR. owner ASSESSOR PARCEL 73-18-33 LOCATION - E/S New York Flat Rd, 750'S Fc' bestown Temp. Power Pole r Called PG&E `i Temp. Elec. Service f Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) v Signature J = OK 0 = -Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date D COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch o rigs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails �- 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Conner.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location-Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date C - I 49 Date and -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; *Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed " 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy .9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J=OK 0 Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Fig. -Steel 54, Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance--Material-Support-Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth - - - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection - 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic E3 Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral '-'Yes ❑No Service -Riser Conductors &Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes [-]No; Walks ❑ Yes ❑ No; Planters E) Yes CJ_ No 76. Stucco: Brown -Finish - - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I Card B-1 _ Date _ - _ Card BI -- Date -_ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec, Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr,it) OK except Ws 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation _- Condensate Drain _& Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates Card -BI- 6,_d_6I _34. _Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform it Furnace in Attic Date Card -BI Date Date Card -BI Date Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. 38. 39. _40. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing-PPlates-Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41.Header 42. 43. 44. 45 46. 47. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size_& Romex_Protection-Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. &_Dimens_i_o_n_s___ _ Garage Fire Protection Framing _ _ (NOTE: Anentry must be made each time youvisit jobsite) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive : Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. �r ASSESSOR PARCEL NUMBER —/�-- ZONING - BUILDING PERMIT OWNER -To E .0 �� Z TELEPHONE -Is-Zi 7O SQ.FT. OCC, BUILDING VALUAT ,,//--�� _V It/ 0 OWNER'S MAILING ADDRESS z4 '131 7 / 2• --0 /^' mss+ 4f Wz"5 MILL J CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /5j &AV ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ &0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS U i �- PLUMBING PERMIT Filing Fee 10.00 Each Trap , 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water. heater or .vent - 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[:]Mobilehome'f;�' Other SPECIFY Building sewer 5.00 Mobile Home I S I G I W-1 10-00ea TYPE OF WORK New ❑ Addition*9 Remodel ❑ Utities ❑ Installation ❑ Other ❑ Describe work: De_W -C-A019) Permit Fee $ Contractor „ ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business a d 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 NEW CONSTR. ULTI.OUTLET 2,50 ea NON -REBID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &'1 NON-RESID. ,SINGLE OUTLET CIR. Ex. Occu / 20e50a OUTLETS OR FIXTURES SAL®30 P\o FIXED APPLNS. OR ` EX. Occup. OUTLETS (RESID,) EA./ 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 permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a ertificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. 1 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 FiIingFee 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 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, j ments, cost ,§, and expenses which may in any way accrue against said Con in cone nce of the granting of this permit. / �� X Date `�7/ Signature of A icont - 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 $ TOTAL PERMIT FEE $ OCCUP, GROUP p_ t I TYPE OF C NST. - PARC PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for .which DIRE TOR OF ELIC D BY PERMIT EXPIRES Dater the applicable provi- resolutions to do fees have been paid. WORKS Date 'r Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7i5�_ar pians and specifications MUS_' t.. /��L�L /f — �� ^3 ,� /Co/'�eS kepis on �'i;^ IG�J at all finies and it is Unlawful 'ic ••' �":��'.!•''!^.^�„i Ur ..'�"r`r�:j!Ui:ia C;1 surae Wlth(:u; -CN—A!1 Mate�irls ist L':•`orkmc:ns;;ip 5!�al! in `c n permi :ic,, I rom i:he De artment of Pul .p Ci11i:E', w,r+!' cc_;nixed GUod Fresctices anWorts,,- County of Butte.: uality prescribed for fhe. Spec:ficd use in th Builclinc , Flurnbing ?: Mechanica! Codes dtional Electrical C:oae, 2.s �� 8 BUS -TE COL N, ULD(NG DEP R �APPR0A 1 3r:! Utility connectio, s shall be within y�r 4 ft. of the mobi ehome, either �r directly behind r within the rear► half of the roads�ide.Veft) of the ProP05 POWE 0 A pe it will be required for trjE tnstallt tion o¢ the mobilehorne; : BUTTE COUNTY` MENT BUILDING DEPARTM NI D APPRO E V Q /yew : /Z 'A -9–etback of 5 ft. fror t� Property lines and a s tback of 50ft. from the roar( centerline shall be clew of structures or equipmen exec for a ? ft ,�a,.� 1- -. 3 ' , STAIRS $" M/�X• ¢l5E i t-IRI.)��P�IL 30' -34" NOSE bP TREAt. i r j BUTTE COUNTY BUILDING MPARTMF-F APPROVED � I , Too rail to be 36 in. high -with Af intermediate rails to be not 2 K6 lot Kati over 9 in. apart. M 0 or 6 A zq Provide adeff fie bracing. UTTp COUNTY EPAR I Awl AG APPROVED My A PERMIT NO. _ 2586-83P,E(NH) PERMIT EXPIRES OWNER,JOE F. LOPEZ CONTR. owner ASSESSOR PARCEL 73-18=33 I LOCATION E/S New York Flat Rd, 750'S ofForbes town Rd, Forbestown ^OFFICE OPY dei Address Temp. Power •111 +�`-� • r'-�� ,, ..� � � �'"" GAS Called F1,Meter,By ° ;w Dat ELECTRIC o Tem Elec. Meter By P• s ci?.r•, ti .�.L- �itJ, {, o W Called F—GaE Temp. Gas Service Called PG&E / 1 JOB FINALED (Date Signature V'= OK 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILE ME UTILITIES (PI$45VOK except N's. Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer Location—Test—Fall-C/0—Concrete at , Location—Test—Easement Needed (Sketch) 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing lectricity; Location—Clearances—Grnd.—/,J" Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 0 Gas- st—Wrap:/ /"L"fL/ /"Nat. or/ /"L"iL/ /"LPG ---- 6. Carports; Windows -Doors tility Clearance 7. Elec. C d -BI fbVDate ,/ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILgHOME INSTALLATION (P s) OK except N's 1�Lo 'ng Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability =Demand_Valve—Connector 19 3. Pool Structure: Steel—Connections—Thickness—Dead Men - e_ctricity; MH Test—Crossover r Clearances __ 4. Elec.; Receptacles and Lighting; Distances—GFI. fw-Train; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI meter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals-Listed 7 a -ter and Sewer 5WInected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Ele city T 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit t-121it's7 Insp.—SkLATIbh ' 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card -I Date —Rand-BI Date C d B -I Dat rd -BI Date Card -BI Date Card -131. Date J=OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - - " -- 63. Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 20. Fixture & Transformer Clearance -Ins. Protection -- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic F] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps - 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes El No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 11 No _- 28. _Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _ - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. 78. 79. 80. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 30. Clothes Closet Light -Shower Light Card B -I Card B -I _ Date _ Card -BI Date _-__- Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ Card -BI Card -BI 32. 33. _34. 35. Vent Fan; Exhaust above Insulation _Condensate Drain _& Overilow; Size & Grade _ Furnace- Vent; -Access -Comb._Air-Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date _Card -BI Date Date Card -BI Date 86, Energy Compliance Certificate -Other Certificates - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ _ FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors_ _37. Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound_ 38. Bearing Walls over Girders & Floo_r_Nailing__ _ 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-06'rlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors-_Sill_Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE I ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE aSSS=" 3 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. V i r f `Y v, Inspectors% Date to COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 2 r {"L `X —5for the following location: 4-r Owner Owner •' I42–P P ;5 a it Owners Address Mobilehome Mfg.Model `' ' %' Year4 T Insignia No. Serial No. `� t It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date '� �' .5 By - THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink^r D.P.W. COUNTY OF BUTTE - DEPARTMENT 'QF PUBLIC WORKS 7 County Center Drive - Oroville, Califomia`t5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. v�1 - ASSESSOt _I R�,E� NR �6 ZON 1Z BUILDING PERMIT OWNE p� /%LPE 7-- T{EyLErPHO E SQ. FT. OCC. BUILDING VALUATION OWf�I/T�AI LING AF�S /D CONTRACTOR'S Nl�y1E �j tl TELEPHONE - CONTRACTOR'S M(((/AAAIIJJLING ADDRESS Fireplace CONSTRUCTION LENCEIP UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING A RESS Permit Fee $ ARCHITECT OR ENGIN"R LICENSE NO. Plan Checking Fee $ /S-0-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDR E$ S N j0Re—(,A-T' PP, %jQ PLUMBING PERMIT Filing Fee 10.00 -/ S. of r—VP' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 1 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [Other SPECIFY Building sewer 5.00 Mobile Home IS G W 10.00 e - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ nstall�tI Ot er ❑ Describe work: rot !fT/L OE�P�1/IJ ,� Permit Fee $ 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 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business a d Professions Code and my license is in full force and effect. icense 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) ❑ 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 NEW CONSTR ULTI-OUTLET NO N.RESID BRANCH CIRC ITS. ' 2,50 ea NEW CONSTR. POWER APPARATUS & NON -R ESID. SINGLE OUTLET CIR. Ex. Occu p�o TS OR FIXTURES 20@boa SAL®30 FIXED APPLNS. OR FIXED EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 ertificate 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. 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 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, j gments, costs, and expenses which may in any way accrue against said C ty in con quence of the granting of this permit. y LQ�I2 X Date CC ✓✓ Signature of Aglicant - wner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stpori in height. Mobile Home Installation Fee $ ow TOTAL PERMIT FEE$ %V-� OCCUP, GROUP I TYPE OF CONST, PARCEL HD ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR OR OF UBLIC By 4 PERMIT EXPIRES Date�� the applicableprovi- resolutions to do have been paid. WORKS Da �� —_ Receipt No. l 4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I his set of plans and specifications MUST t kept on the job. at A times and it is unlawful tc make any cn:�r,ga, or alterctiors on same witheu NOTE:—All Materials & Workmanship Shall Be in wrifr en p0missicn from the Department of Puh _ Accordance with Recognized Good Practices and lic Woks,, County of Butte. of a quality prescribed for the. Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. BUTTE COI U I LDI NG DEP APPRO 5 NT ,R MENT x Utility Utility connectio s shall be within 4 ft. of the mobi ahome, either ,�► directly behind r within the rear �► half of the roads('de (left) of the f► ProPDS ED C��VER 1'01 A pe it will be required for th@ --� � M3 tion of the mobilohorttg: 0 I'ew Yor t`/7 7 - 7 A setback of 5 ft. fro the property lines and a s tbac of 50ft. from the road centerline shall be clea of structures or equipmen ex for a 2 ft. X, BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION .SHEET 1. Owner's name:ZX 2. Installer's name.: Is the site currently under permit? Yes / No (If yes, furnish permit number ) OR Ia the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and.leaeh fields and clear of all setbacks -and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 5 U limps 6. What is the mobilehome site service rating? --------------------- �9� Amps 7.. What is the mobilehome site circuit breaker rating? ------------- :!�-O Amps 8. Is there any other electric load to be served by the mobilehome ----------- site service? ------- ----------- ---------- ------------- Yes / No 747— (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------- =' (in.).. 10. What is the type.of gas service? --------------------- — Natural LPG 11. What is the gas pipe length from meter -or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas'' or less than 50 ft. on LPG.) If othei �tha single wide, -� Mobilehome Mfr. %,1r-�� -��'�J furnish Setup Model No. Year H6 4lidtti A) (ft.) Box Length �� (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (ft.)(in:) (in.) (in.) enter support Center support locatios* footing sizes (in.) (ft.)(in.) (in.) (in.) (ft.)(in.) in. in. (ft.)(in.) (in.) (in.) . (£t.) (in.) (in.) (in.) Single �, Wood either pressure treated or foundation grade. 2. Other. (specify) Supports (check one) 1; Concrete block. -2, Other. (specify) 'If center piers are other than dram above, draw in -locations, spacing, and dimensions. ¢—Tagalong or Expando,' show support details. x Typical Support in.) (in.) Footing Size - Max. Pier Spacing / -- Max. Overhang' (ft.)(in.) ��► BUTTE COUNTY"'.." �- BUILDING DEPARTM�N�, . 0 o APPROVED :, �� 2 AP # ! �— 2 3 OWNER %V -f PERMIT'�k MH UT IL. CL RAE DATE INSPECTOR, ELECTRIC GAS. Support Struc. Compaction Test Re . Service .Size Other. Load Type Pipe Size Lenmth YES NO YES NO AV COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMJT 40. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION.AND PERMIT ,tel ASS ESSOC 73 W— UM ZONIN ? ' BUILDING PERMIT ow 110 F LO PEZ � ��a SO. FT. OCC. BUILDING VALUATION O W p A -F_ N G_ A D D R E x 7o . �oAJVC ilia G e* 5f CONTRACTOR'S NAME ) TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L R UNKNOWN Total Valuation $ Flling Fee $ 10,00 LENDER'S MAILIN ADDRESS Permit Fee $ ARCHITECT OR EN R LICENSE NO. Plan Checking Fee l� $ 6-0-0``y Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Bu11,13.I4G ADDRESS � v�ALT , �P�, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[[�Other SPECIFY Building sewer 5.00 Mobile Home G 10.00e x,04 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ ti -0: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 /0,0_0100 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& . OR ADDNS. ACC. BLDGS. 21/20sq ft 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. (� 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 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 NEW CONSTR.ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS. NEW CONSTR (POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. E. OCCUp(OUTLETS OR FIXTURES 90@530 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , p Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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, ' gments, costs, nd expenses which may in any way accrue against said C un y in c9p eq e e of the granting of this permit. X Date /�� Signature of AAlicant — Owner C042tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overp3 st ies in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $�1 d OCCUP. GROUP I TYPE OF CONST. [;;�P7LJ PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -Date Receipt No. d WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement R, be recorded prior to issuance of a b ildi 53 26136 FICIAL QECOI`Ij;;. '1E.CW TY-QA1.11*' U ng permit . , , t -- �" 4 AT _ r r — �,,77. rr • 'i'vi^.rA 1. 3}„i'}� .RS��4i�.8. �' �-;39 ��1..��F71i • i The property described herein is adjacent to land or included + -•R: 4 ,F .,,-.�.,iy'e� within an area zoned for agricultural purposes, and residents of this ELEANOR M. property may be subject to inconveniences or discomfort arising from CLERK -RECORDER the use of agricultural chemicals, including, but not limited to herbicides, pesticide ,E and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: A -y U PRO TY OWNERS: State of C A. ) On this the day of , �19,} befpre" SS . me, the undersigned Notary Public, R,personallq,'appeared, County of lI ) ,• �� '.' err->',5�;. Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) _ subscribed to - the within instrument and acknowledged that �7L,�X A_ executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public �3 r� 0F'It--IAL SF,AL Present A.P. No . ROBERT J SMITH - NOTARY PUBLIC - I- NO <<"?'q CALIFORNIA .r'•' ! BUTTE COUNT( I, 14y ccmm. expires' MAY 24, 1987 Box 177, Forbegon> _ " -i4f�. ._ . i__ _ .�. �_L-�r.�M.i . {. .•�;. � .. ♦ '�'� 1 1•ly r: �tlP i. _ 'T�!!;'r d. ".r' r. �.,r� r i ,Y2 K� ♦ ,. :kd^11.A� .5, t^ - `f cel? � • +.,� i cc E� �x : ~7-r � 1.' .s .,ci� r ! L , - J �°! w. , '� .r �'S ? }�. y,. r �• rq J i,.,s " �X'h11"• i M..�CeA. �`}�l y' •r - •+, fir . . � � : t 'h�' : ' . ' R.. � . »,r, �. N 'u '4� , � v .t'4' 1' - '� c. /..'F'u - ' �'ft� w p � t w+. � �a�1� �btlfl��. � �' + '�,..a.ps+.4 ,1�.!^"'�� "Y. 4 f'1 •la • * j '�.1� 1 r. �A. ,NL �' i'F ! `..-t,�-r�,•_ rr.` 1 84t* #Aroma► ,. � R`. ». � `� r,,. �r -:,«,. "�`�" a 11411110,30 MM4. ti M7.f ♦j ar and we. Jae F..:,�� 390 N. M Start cls. ea San JoUt Califox"is 9$112 , .. «wa eaa r�nusxn.+,v «..ue f . � •• SANE AWRESS AS ABOVE moddo antdt00apt '�rwrwf,Mrrw��t . . � tri►. erwM� - r FOR 'VALUE PLEMVED. .7ACXSM R. E3AltERt new umerried non GRANT—to JOE F. LWEZ and JACQUELINE F. LOPEZ* humbww W4 wife$ as J0114T TENAN 3 sn dut red pity o 9i a 'm In do County of Butte Cmix+netng at a point in the Homestead I.o4e. U.B. Mnerst Survey go. 5757. from which point the quarter Section corner betaem %vtL*ns 10 and 11, t&mAlp 19 Horth, Flange 6 East, 1t.0.K. 6 H., bears North 22° 0 ' Z7" West. a distame of W9..33 ft*t; thence North 860 00' East, as distance of 28506 feet to the North and Scott conterlbo of the Northwest quarter of the Southweatt quarter of Seetion :11. above Wntiomd Townhip and Range,; thence South 1° 41' 40" Westfw atlo"8' eaid legasl subdlvi•sio" lim, a dinuercc ut i ',0i? feeLp; ;tt+(tnc� South 741 49' U40st. a djotaxtct of 197.75 feast to _ tlte- renlYetline'of 'the. `C:ountY-fto ad-, thence ftorth •2.1. *. -hest 41609 the eeattertntte of said County Road, a distance of 197.13 feet to the point of begitntteg. Dattadr October 12 1479 of WX F4". fm. :i0.4 i 1' COLO) Slatt 1r wdn to J � �1r • W f SWE OF CAUFORNlA 19-7-R,,. Maes ow. tie "WWW WO& aR NON* fls am enbemlw to the slide h rMererst, a :arl+tea ftw to m so ....ria essamd tlta mora. - �:may •y..y� Irw�2 A► •IoIR y.. ' 11�'ll � •YtNt.'OFIr �'�,:2 ��,• ,��, �' - ! ` F. l ,.,�,W 1t�•ti , r' AL, ,. - - • 1 I yF !X PRE -INSPECTION OWNER: "6_)/ DATE 9 F LOCATION• C /J' � W, A.P. # CONTRACTOR: �(ZONING _____________________-------- ^----------------------------------- PRE-INSPECTION FOR: nATR Tr) TN4PF.rTOR PERMIT HISTORY: til hi v 1) rr TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT : AZU61P ) [� OCCUPIED 'HAS ELECTRIC ��HAAS EaHAS SANITATION FACILITIES Q HEATED -COOLED fD PERSON CONTACTED OTHER COMMENTS: In K -Lr� C4 -r -n E42L ACTION RECOMMENDED: ISSUE HOLD FOR I rs a -4�1//� OTHER: BY ��z5v I DATE August 9, 2004 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile James T and Beverly D Wheeler PO Box 188 Sutter, CA 95982 - --- — -----RE:- Formal -Warning -Notice Butte County Code Violation 19138 New York Flat Road, Forbestown AP# 073-180-033 Dear James T. and Beverly D. Wheeler; Through our courtesy notice on December 9, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: ' • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are -prohibited. — • Butte County Code, Chapter 24, Section 24-230 - The U (Unclassified) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the U zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "Junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. James T. and Beverly D. Wheeler AN 073-180-033 August 9, 2004 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: • Butte County Code Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are. hereby . requested to. take the followingabatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- . 305.240. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the, violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ:glb cc: Department of Development Services, Code Enforcement i 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within ' action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for.. collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On August 9, 2004, I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in asealed envelope, wil first class postage thereon fi llypaid, addressed as indicated below, and by placing said envelope. . In the appropriate place within the Department of Development Services where. mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. James T. and Beverly D. Wheeler PO Box 188 Sutter, CA 95982 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on August 9, 2004 at Oroville, California. Gwyn B ned ct Office Assistant 11 Inspector must draw a plot plan with all building locations on the back of this sheet. Revised 10/2003 (1) BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!!! � Butte CountyDepartrnentofDevelopmentSenices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile December 9, 2003 James T. and Beverly Wheeler PO Box 188 Sutter, CA 95952-0188 RE: Formal Warning Notice Butte County Code Violation Address: 19138 New York Flat Road, Forbestown, CA AP#073-180-033 Dear James T. and Beverly Wheeler: Through our courtesy notice on October 28, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of: 1. The accumulation of junk in public view. 2. The accumulation of garbage for more than seven (7) days in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County. Code still exist: Butte County Code Chapter 24 Section 24-230 - The U (Unclassified) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the U zone without a Use Permit. "Automobiles and other vehicles; dismantled, � in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code Chapter 31 Section 31-50 - The owner or tenant of any premises, business establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the creation of ' a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to remain on the premises for more than seven (7) days. Non-flammable inert materials stored on a premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non-flammable materials which are not properly stored shall not be allowed to remain on a premises for more than thirty (30) days. James T. and Beverly Wheeler December 9, 2003 Page 2 The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code Chapter 24 Section 24-305.240 Junk Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code Chapter 24 Section 24-305.170 -Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. Butte County Code Chapter 24 Section 2 1-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. Butte County Code Chapter 24 Section 24-305.36A - Refuse. "Refuse" shall mean and include any solids or semi-solid waste other than domestic sewage, including, but not limited to, garbage, rubbish and trash. Butte County Code Chapter 24 Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240 This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). James T. and Beverly Wheeler December 9, 2003 Page 3 Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ:pa cc: Department ofDevelopment Services, Code Enforcement Occupant, 19138 New York Flat Road, Forbestown, CA 95941 PROOF OF SERVICE BY MAIL 1 2 lam a citizen of the United States and employed in the County of Butte; I. 3 am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is 4 Department of Development Services, Building Division, 7 County Center 5 6 Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for 7 mailing with the United States Postal , Service and that said 8 correspondence/documents are deposited with the United States Postal 9 Service in the ordinary. course of business on the same day. 10 11 On December 9, 2003, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, 12 13 with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. 14 15 16 In the appropriate place within the Department of Development 17 Services where mail is collected for mailing with the United 18 States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. 19 20 James T. and Beverly Wheeler PO Box 188 21 Sutter, CA 95952-0188 22 �3 1 declare under penalty of perjury under the laws of the State of 24 California that the foregoing is true and correct and that this declaration was executed on December 9, 2003 at Oroville, California. 25 26 27 au a Atterberry 28 Plan Application Assistant 11 %Z of %1. edolS o0 '6.AN - BUILDING PLAN APPROVAL rn a '� N O C n 1. � < 44 X CD = lw 1 •< q OD 0 sy' V 0 W -4 Signature: 1 1 1 Cn 01 1 1 1 w < 0CD 1. 1 n D Cn_ 1. ado1S co 1• 1 1 N •1 0 cD "� . C) 1 Ei o w m -*0 1 0 -o 0 co CD CL 3 0 Cr w W 280' aao�5 It ON ol-C 01° CL oQYa W (D � O � w=' fu A •C, L1 3 o y'--0 �aw� er.,cQr �r✓ o�c-s��e ,gce�,s rty ALL. STRUCTURES AND EOU PMEkT CU36)M Oar°-RWANGs SHALL BE CLEAR GF. EASE. +� i -BACKOF 2i FT. FROM THE SIDE AND 'xFT. F-1 0owl THE REAS PROPERTY LINES AND st► FHS THE ROAD CENTER -LINE SHALL BE C LEAR OF STRUCTURES AND EQUIPMENT EXCEPT Ofd A 2 FT. EAVE OVERHANG. SUMCOLM" z V W 00 W W AN '6.AN - BUILDING PLAN APPROVAL rn a Use:__t_;____.� Date: l.Z 7.Z- o n n CD Parking: Landscaping: CD = n Other: sy' Signature: 01° CL oQYa W (D � O � w=' fu A •C, L1 3 o y'--0 �aw� er.,cQr �r✓ o�c-s��e ,gce�,s rty ALL. STRUCTURES AND EOU PMEkT CU36)M Oar°-RWANGs SHALL BE CLEAR GF. EASE. +� i -BACKOF 2i FT. FROM THE SIDE AND 'xFT. F-1 0owl THE REAS PROPERTY LINES AND st► FHS THE ROAD CENTER -LINE SHALL BE C LEAR OF STRUCTURES AND EQUIPMENT EXCEPT Ofd A 2 FT. EAVE OVERHANG. SUMCOLM" z V W 00 W W AN A Adjacent Parcel .82ac Residential APN: 73-18-33 Adjacent Parcel 3.09 Residential REVIEWED BY " BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted 2' approved with conditions per ttach s et. 6 snen,ro WDa; Adjacent Parcel .61 ac Residential unveway _ Metet fry rqX ;j ,ter `rM r _ . — .' " " Road 19138 Ne Q oo° PG&E Pole _ & Transform .75ac Roger Moen P0. Box 601 Brownsville, CA 95919 } PG&E Pole 530-675-0362 Scale 1120 04 & Transformer N S W Adjacent Parcel .82ac Residential APN: 73-18-33 Adjacent Parcel 3.09 Residential REVIEWED BY " BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted 2' approved with conditions per ttach s et. 6 snen,ro WDa; Adjacent Parcel .61 ac Residential unveway _ Metet fry rqX ;j ,ter `rM r _ . — .' " " Road 19138 Ne Q oo° PG&E Pole _ & Transform .75ac Roger Moen P0. Box 601 Brownsville, CA 95919 } PG&E Pole 530-675-0362 Scale 1120 04 & Transformer ON 1 0A 10 9 kdjacent Parcel .82ac N - 04 o ° S W e�ep kdjacent Parcel .82ac Residential ••�;o 110 - 04 o ° D°•iD •p I po iD I10 e�ep ga ` W •• 0 e. V�p pY e� a APN: 73-18-33 Adjacent Parcel 3.09 Residential q. �r 1440 •s i . ea i Proposed Mobil 83' Adjacent Parcel .61 ac Residential f 0 DrivewayIM M stet jgX NNIatet '• - ad '410 wYorK — B Neoa • - B PG&E Pole 1 3 ING DIVISION; 8UILDING PIAN yAl 1'L1) Q XPAF1T& Transform Use: Date: oz 0 p ?0 V ' Parking: Landsuft. oger oen Omer: P . Box 601 Brownsville, CA 95919 PG&E Pole Signature: 530-675-0362 Scale 1120 8Transformer V °o opo eo v 4% C a�I W C C t0 y h UJ $ 'N ,;. Power Pole 30' APN: 73-18-33 Adjacent Parcel 3.09 Residential q. �r 1440 •s i . ea i Proposed Mobil 83' Adjacent Parcel .61 ac Residential f 0 DrivewayIM M stet jgX NNIatet '• - ad '410 wYorK — B Neoa • - B PG&E Pole 1 3 ING DIVISION; 8UILDING PIAN yAl 1'L1) Q XPAF1T& Transform Use: Date: oz 0 p ?0 V ' Parking: Landsuft. oger oen Omer: P . Box 601 Brownsville, CA 95919 PG&E Pole Signature: 530-675-0362 Scale 1120 8Transformer r .4 GOO" ft �:�ilfys+yd .