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HomeMy WebLinkAbout073-300-004w Y � U.73-30-0-004 99E CAM�B rald 6161 Forbestown 0 vill (new pri stg bldg/works o 073-300-004 99-0996 CAMP LL, Gerald 616 orbestown Road, Oroville C/. U O�merIXj � HU TO BE PLACED ON FRONT OF JACKET E CTRIC 6iT GA LINE 4-P CO ACTION TEST REQ? "0 SUP ORT STRUCTURE REQ? 210 073- 00-904 99-0997 CAM ELL, Gerald 6161 F BE Road, Oroviljc Conti: 0% er �/ UM MHI (MHU 99-0996) 073-300-004 00-0128 CAMPBELL, GERALD 6161 FORBESTOWN RD., OROVILLE CONTR: OWNER MM FOR STORAGE f3 2- /ad 073-300-004 99-133 AG CAMPBELL, GERALD E. :7 6161 FORBESTOWN ROAD, OROVILLE AGRICULTURAL E)CE PT PERMIT 073-300-004 00-0591 CAMPBELL, Gerald -PI1 6161 Forbestown Rd, Oro Detached Garage NOTES RESIDENTIAL 073-300-004 00-0591 PERMIT NO. CAWBELL, � Gerald,--- -- 6161 -6161 Forbestown Rd, Oro Detached Garage SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �P Y JOB FINALED (Date) Signature CHECKED BY r V= OK t 0 = Not OK Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures - = Not Applicable MOBILE HOMES = Not Ready 7' e c Date MOBILE HOME UTILITIES (Plans) OK except #'s 12. 1. Zoning Requirements -Setbacks -Easements Well Clearance & Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVE CARPORTS GARAGES (Plans) OK except #'s O Zo ' g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7' e c 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE CARPORTS GARAGES (Plans) OK except #'s O Zo ' g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carpqas,,Windows-Doors 7' e c i �. 40'Roof; 11. rmg.; Sills-Anchors-Studs-Rftrs-Trusses Sid' ailing -Veneer -Stucco -Mesh Shlhg-Roofing Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead -Men- Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date db Card B-1 2 Date Card B-1 Date Card B-1 Date Card B-1 ��V_a 4e J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes C) No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive Q Yes 0 No/Walks 0 Yes Q No/Planters 0 Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A:C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf 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 X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive Q Yes 0 No/Walks 0 Yes Q 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 8-1 Comments at Final: r FROM BEYMER & SON WELL & PUMP PHONE ','NO. 916`951 2?99 Apr. 13 2000 12:43PM P2 WELL & PUMP 7500 RED HILL WAY BROWNS VALLEY, CA 95918 SERIES J 1 '71 SSS COMPS S'Ite d Stainless E Pump Perfprma Ce 30 GPM 800 700 S00 W W u - z 500 0 w $ 400 a 0 w 300 200 100 0 0 ,10 20 30 40 50 CAPACITY U.S. GALLONS PER MINUTE + (u5 psi � �� �� pi• COMPAN), q /ado Tested and rated in accordance with Vater Systems Council standards. t NOTE: Pumps installed with a CON-AIRE®tank require a 100 PSI reiief valve. Pumps installed with a conventional tank raquire 51reli IV,Q: must be capable of relieving entire flow of pump at relief pressure.60 V 10% GO� A_� 7 STA -RITE. Built On Commitment. 0 n.� A-4. COUNTY r - COUNTY OF BUT E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75 _ PE IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-10-0--W/4 ZONING IT BUILDING PERMIT OWNER r.RRAT.n rAl6fPTtrTJ.ti TELEPHONE c f4.0)1) SO. FT. OCC. BUILDING VALUATION Rnn it OWNERS MAILING ADDRESS l L� 61A1 FO—PAPSTORIT ROAD, - .. J CONTRACTOR'S NAME WIT TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER � LICENSE NO. 1 Filing Fee $ 2L0c.00 Permit Fee $ 265. Q S ARCHITECT OR ENGINEERMAILING ADDRESS Plan Checking Fee $ o-, BUILDING ADDRESS 61 RrS . TAFT R Tl APOV T Energy Plan Checking Fee $ PERMIT FEE $ 457.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRIVATE DET GARAGE SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping I 15.00 Each aas water heater or vent- 15:00 TYPE OF WORK New70 Addition ❑ Remodel ❑ U61iWs ❑ Installation ❑ Other ❑ Describe Work: 30 X 50 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowER License Class 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: lam, 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.) 0,' 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. ,.�^� / rX 1 /��••�I /�_ Date �'.1 7� �D CSignature of Applicant ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00 NEW CONST. DWW�+ WEE NG OCT so.SZ. JO OR ADONS. ( 6 ACC. BLDS. 3.5aFT �NjpµpeSID. MULTI.OUTLET 97.50 APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES @ ''50 EX. Occup.64L @ .50 ED Ex. Occup. OFlUT R� D°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 72.50 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 529.75 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISfUE 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. �/' f"' �""'" �,0 O By Date PERMIT EXPIRES ON 1 ele Date ReceiptNo. 286277 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J B E A U T Y ucrnn i mcn i yr ucvca.vrmcry i ocnvwco 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 00-0591 Expiration Date: 3-29-01 A.P.# 073-300-004 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: kA Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE . office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Vieira, C.B.O. Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 1 COUNTY OF BUTTS - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californa 9595 - Telephone (530) 538-75 _ PE IT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT " `s ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TE HONE SO. FT. OCC. BUILDING VALUATION 0-00 OWNER'S MAULING ADDRESS 7 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER —Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 265.0 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 1-711 nIT BUILDING ADDRESS 61.61 -F0R__BF__SM__WN ROAD, GROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 457.25 IDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRIVATE DET GARAGE 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 NeX)b Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 30 X 50 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORlESS 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. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: las owner of the property, or my employees with wages astheir 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 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bins. s0 3.50FT. 52.50 NEW H61�D T. MULTI RANCH CIRCUIT 97,50 POWER APPARATUS 8 SINGLE OUTLET CIp. EX. (7CCU OUTLET OR PD(TUREs BA0 @ I.00 OWNER Ex. Occup. DtrrEL Ts RSID.OEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 72.50 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT 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 done 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 compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. •� /a�../J �% Date l % —V '� nature of Applicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 529.75 D FEES IMP FLOOD COF CEL PAL PARCEL P!41113 5 E This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indi a for which fees have been paid. -� /� Q / ! Z0 By ;7v PERMIT EXPIRES ON 3 Z 1 ate ReceiptNo. WHITE-D.D.S.-B.D. CANA - SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BITT «- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUN Y"C NTER DRIVE - OROVILLE, CAtW@R+XA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATIONDATA SHEET OWNER: ASSESSOR PARCEL ER: 0 - 3OO-- O O Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised �"he following data must be submitted prior to permi processing and/or issuance: Date Received By ❑ 1. All items have been submitted. t 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. pact fees as shown on the attached schedule. ---- ------ ---- ------------ - - ----- 2 California Department of Forestry plan approval/f s.---------------- ❑ 13e5l Flood elevation certificate. ---------------------------------------------------------------------------------------- ` Sanitation and plot plan approval ZI�Jealth Department. ------------------------------------------- .. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- =---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------ e=-------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------------- ❑20. Pre -inspection for required Request to Building Inspector on E12 1. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). ­ 024. •❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- 1:126. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- E]29..04337A, ❑Grant Deed, C1M.H. Title, 11Check to H.C.D $ 030. Other: {" Wh you is: U Telephone the aD_ ❑ Mail to owner, Mail tontractor. old for pickup at � office. ❑ Deliver with inspector. Copy of Haz-Mat form sent ❑ Health Department, ❑ Copy of plans sent ❑ Health Department, ❑ Fire Del Applicant: e- 6-4= Date: artment, 11r Pollution AiDate: By: ❑ Other: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di/rsion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Builftg Division counter, by Da Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ElA.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Rev.12/96) COUNTY Of BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPMCELNUMM �3 . 300 ZON'"o v BUILDING PERMIT OWNER OWNER'S MAILING 7 TE S+°°� SO. FT. O BUILDING VALUATION D cc) D CONTRACTOR'S NAME TELEPHONE MWGTOR9 mmmo ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation E ARCNRECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ MCHITECT OR ENONEEMS MAILING ADDRESS Plan Checking Fee b BUILDING ADDRESS Energy Plan Checking Fee $ S PERMIT FEE i a LOT No. SUBDIVISIONS N3 N PARCEL MM PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other oFy Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Describe Work: 3O X �V Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o°ovL oA Lss 23.00 ' al� . Main .Service 200A TO 1000A 46.00 NEW CONST. DWF11NCi OCCUP. 3.SQSO OR ADDNS. a ACC. elD3. Ntw T. MULTI -OUTLET NON•RESID. 07.50 POWER APPMATt13 a S0 LPO 010. OUTLET OR FwrmES 200 1.00 EX. OCCU SAL 0 .e0 Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t a MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ OCD CONST. TYPE TOTAL FEE $ HA.L D. FEES IMP I ROOD I COF PMC PC HD 6SUE 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 to Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity .to avoid . unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the =_'. proposed property improvement: YES NO[ ]. s �I HAVE�Cj HAVE NOT[ ] signed an application for a building permit for the proposed work. _ J , _. 3: I have contracted with the :following person (firm) to provide -the -proposed construction: NAME: ADDRESS. CITY: PHONE:- - - - `CONTRACTOR'S. LICENSE NO. 4: I plan'to provide portions of this *dirk -tut I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. .I will provide some of the work but I have contracted (hired) the followip&-persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: ] —2 1)- 0' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other thanyourself', you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. .If you plan to do your own work, with,. the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: " .' = - 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, "and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. . If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `bwnerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their ocvn work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 6E� 9 r� N\ BUTTE COUNTY ii�� ��Q pp,T MBS �~ 0 LA \ AL 00) \ SPECIFICA TIONS 1. CONCRETE — f'c=2500 PSI 9 28 OA YS 2. REINF — ASTM A615, GRADE 40 MIN. J. LAP BARS — 20" MIN. 4. FOOTING SHALL BE EXCA VA TED INTO FIRM, UNDISTURBED SOIL TO DEP TH D * FLOORS HORIZ BARS VERT BARS. T B D ONE #4013 "O. C. #4 @18 "O. C. 6" 12" 12" TWO #4 (P10 "0. C. #4 @16 "O. C. 8" 15 " 18" "FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29—A HORIZ. BARS VER T. BARS DOWELS TO MA VERT REINF UNDISTURBED S( D T e 4'-0" MAX. '4 CONT. IN .FOO TING FOR HEIGHT OF .32" OR' LESS NO ( REINFORCING IS REQUIRED 0 THER HEIGH TS OR CONDI TIONS REQUIRE ENGINEERING RESIDENTIAL CONCRETE FOUNDATION It o2 5 scALE. J1+ -_r• -o- DA TE: 4%92 BUTTE COUNTY BUILDING DEPARTMENT DWG: WALLIR STD 12.3 May 1995 9.14 60. P zz r w " ele ��' J' � I 1 r \ r '17 1 L s .1 0 IMCLIJ a ova°� 30 , m��• AN \IN n �� z �- Be e r` P A ren)`• ��C�3P'mF-SH N i a fir.; �i�1`r CEP P Q Q F ti . 4A� L..IrT V : PIR r, dl 2 v S or ` �• . 3 f F i;4 M' �) r V , i • � tQ•• 6 Pg61%J DEP F. of �®RL-STRY C i►P n O(� h ' - ' ,A• �' 'ove6� �S 5dJ C'dY71Yi� � (c• '� 0 r' • an ved l it °oo�dotions ,1 � N ccd° attachy sheet. �� c Ivp a'n, /jA' .. L% 0. 199.34- �` ,,gyp •—Q3 — �/ ,Z . � 8 5 ;' C o u V rY i Ar- TOWM SUTE COUNTY Id JLC , l ,r� '� 1 q WILDING DEPARTMENT , . , r •-`' • 1 . -9 i . (v x. �� 0ArA ��,��s• 01 Try ROW 4 = 3o'.33 07• «A CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be'superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County .Building- Department for, compliance. ] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these -standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards ] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing -sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�(] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a.minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. 'All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3., 3�3a��� AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but I less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall'be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [� 1. Gate entrances shall be at least two feet wider than the roadway it serves. [/l 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where.a one-way road with a single traffic lane provides entrance, a 50 foot tdrning radius shall be used. Fuel Modification n/ 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction .shall provide for the same* practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 I CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part. of this permit. These requirements are minimums and will be'superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County .Building -Department for, compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, -annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges; 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing -sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a.minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. 'All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical- clearance of 15 feet along its entire length. Page 1 of - 3-.-, pool 7--c) 5-7 S8" OG z2 v1/ i 2 LUD! AVID EAR O¢ ALL UpV • ' a� AL� R�A��� BHS aLL 1 � � E AND '%' OVE �'f 0� ; �3 D �' R ��1�1E� A E �� r `�` P-� �. r k I t� spy SHS BE c v a�C H R� .Ime iHkis�p� p� �E1�. A214 pts >f • . 3 F vjA () 6 rEl v Jo ' /•' r' vrj V. ' •i I Qv � 1 ` � 2 r a e i� �� � � ��. t SIse ^ _q 9� �pa 5, n.' `'' of FORESTRY P I CAUF. D� P f. .,� �. hJ, — I.�ell•aC-;!:,Q ed -,6 S SU uTYIYY/r' i v .� I v�' a G a p�®ved \Nitro :.pndations hsheer. I 1• ;ger attac �Ed � �� VP,) L CC � C .31.53 ®ate �/'p►e' R' M•�ti 8l r Ir r eX4� 99. 131 y � � 1 5 BUTTE COUNTY f _pc .r ` I / �,�, WILDING DEPARTMENT -' AP # Dy o �-5 l PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: — Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any.3 of the following: - Metal or no doors..on.side toward property line with-insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 WET SEALS 5033 Feather River Blvd. P.O. Box 5010 Marysville, CA 95901 Phone: (530) 743-8855 Fax: . (530) 743-8856 Truss Design Submittal Designed By: Date: Sales Representative: Bryan I Wagner March 23, 2000 Richard Client Gerald Campbell Office Phone: Office Fax: Pro' ect 34X50 Buiding Forbestown, Ca. Site Phone: Site Contact: Plan: Elevation: Floor Systems Roof Systems QX s0-0-0 'RTA A�VT Roo/line 3D Layout aD H OM EWOO D TRUSS Jobname: 34' X 50' BLDG Customer: GERALD CAMPBELL WO: J522 Scale: 1/8" = 1' d Dsgnr: BW Chk: BW Date : 3/21/** TRU6911JAL L11 �Q0�0 Systems 5033 FEATHER RIVER BVLD P.O.BOX 5010 MARYSVILLE, CA 95901 (530)743-8855 FAX 743-8856 TC Live 40.0 psf TC Dead 9.0 psf BC Live .0 psf BC Dead 8.0 ._.psf DurFac - Pit: .1.15 DurFac - Pit: 1.15 15 O.C. Spacing: 24.0" Design Criteria: UBC -97 TOTAL 57.0 ` psf N Components : 26 'Job Name: CAMPBELL - 34' X 50' BUILDING Truss ID: C1 24 Drw g: C000082037-001 EM 1 X -ILC 0- 1-12 RFACr 2226 SIZE 3.50" REi�'D 2.37" TC 2x4 rM #1 2x4 DFL, #1 & Btr. 1-3, 5-7 plal-im spec • AMI/`IPI - 1995 'II -ILS LESI UPLIFT REACITIN(S) 2 33-10- 4 2226 3.50" 2.37" BC 2x4 DFL #1 LS M E CUAFCSITE RESUUT Or IV=FLE LOAD CME4. 944xxt 1 -416# TC , TAM 2x4 EFL SD*UARD based Q. Hon � �4icyteci tasirg t1�e � FU:KE AXE, BIND CSI PLATE VALLES PER ICB0 RE�i RE 3Zr #1607. the truss l at e�1 97 Obde. 1 -4082 .29 .70 .99 PLA= BASH IN GREEN ILMBFR VALLES. Losrled for 10 PSF rm-mYaurent Pal . Bldg ]]dosed = Yee, End Znte = No 3 -2595 .07 .36 .43 K>m�te/�1 Line = No , E� Cstegmy = C Blc1g 4 -2594 .07 .36 .43 I� - 39.00ft, Bldg 4Tidth = SO.00ft, Nei height = 13.70ft, MPH = 75 5 6 -4081 .29 -4081 .29 .50 .70 .63 .99 t - Classification = 4, Dead Load = 12:0 psf BC FCRCE AXL END CSI 1 3665 .60 .23 .83 2 2942 .48 .18 .66 3 2942 .48 .18 .66 4 3665 .60 .23 .83 403 FU;CE CSI LAB FCRM CSI 2-9 -576 .14 5-10 -924 .79 ' 3-9 .727 .32 5-11 727 .32 3-10 -924 .79 6-11 -576 .14 4-10 1469 .65 , MAX rF>=I.ECIZIN (span) • 141999 IN MEM 9-10 (LIVE) I= -.29" D= -.12" T`- -.41" Joint Lccaticns = 1 0- 0- 0 7 34-.0- 0 2 7- 0- 0 8 0- 0- 0 3 12- 3- 0 9 9- 0- 0 4 17- 0- 0 10 17- 0- 0 5 21- 9- 0 11 25- 0- 0 T 6 27- 0- 0 12 34- 0- 0 7-4-15 0-3-15 7-0-0 5-3-0 4-9-0 4-9-0 5-3-1) 7-0-0 7-0-0 12-3-0 17-0-0 21-9-0 27-0-0 34-0-0 17-00 I 17-0-0 1 2 3 4 5 6 7 F -5.001 4-4 8-2-13 Q?a OF E S S, SHIP 0-3- Qn 1F \ qkp-12/31 /02 4-0-0�ipU� ST CIVIL 8 9 10 11 1L ®/ �Q� gTFOF�A�IF 9-0-() 1 8-0-0 8-0-0 9-0-U NG D n� 9-0-0 17-0-0 25-0-0 34-0-0 EP R TM Truswal Systeme Plates are 20 ga. unless shown by "1811(18 ga.) or H"(16 ga.), positioned per Joint Report. ..Circled plates -and -false frame plates are positioned as shown above. Name: CAMPBELL - 34' X 50' BUILDING Truss ID: C1 A p p CIV R 0 VEp 3/22/00 Scalet 1/8" 0 1' 0000082037-001 WO: J522 Customer Name: GERALD CAMPBELL WAKIVLIV(i Read all notes on this sheet and give a copy of it to the Erecting Contractor. This design is for an individual building component. It has been based on specifications provided by the component manufacturer and done in accordance with the current versions of TPI and APPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions are to be H OM EWOO D verified by the component manufacturer and/or building designer prior to fabrication. The building designer shall ascertain that the loads utilized on this design meet or exceed the loading imposed by the local building code. It is assumed that the top chord is laterally braced by the roof or floor ®TRUSS sheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown is for lateral suppon of components members only to reduce buckling length. This component shall not be placed in any environment that will cause the moisture content of the wood exceed 19% and/or cause connector plate corrosion. Fabricate, handle, install and brace this truss in accordance with the following 4445 N Systems -Colorado standards: 'TRUSCOM MANUAL', b Truswal, 'QUALITY CONTROL STANDARD. FOR METAL PLATE CONNECTED WOOD TRUSSES' - (QST -88), Nonbpa rk Dc, Colo Spriagt, CO 80907 Y Q (QST -88), 'IIANDLING INSTALLING AND BRACING METAL PLA'T'E CONNECTED WOOD TRUSSES' - (III0-91) and 'HID -91 SUMMARY SIIEET' by TPI. The Truss Plate Institute (TI'I) is located at 583 D'Onofrio Drive, Madison, Wisconsin 53719. The American Forest and Paper 7135. 0 Version 11.01.99 Association (APPA) is located at 1230 CotmeCdCnt Ave, NW, Ste 200, Washington, DC 20036. m Qty: 24 Drwg; TSP: 80.7 Chkt BW Degan BW #LC - 10 TC Live 40.0 pef TC Dead 9.0 pef BC Live .0 pef BC Dead 8.0 pef TOTAL 57.0 psf DurPacs L=1.15 P=1.15 Rep Mbr Bad 1.15 O,C.Spacing 2- 0- 0 Design Spec UBC -97 Deft Ratio: Lt/240 TC: 14/240 Job Name: CAMPBELL - 34'X 50' BUILDING Truss ID: CF Qty: t-, Drwg: 0000082037-002 aRc x -LOC REAcc size xec'n 1 0- 1-12 2226 3.50- 1.50" TC 2x4 DFL #1 Platin spec: ANSI/TPI - 19% UPLIFT REACTION(S): ( )' 2 33-10- d 2226 3.50• 1.50- BC 2x4 DFL #1 . :..., .:-:_• _ ... ., THIS DESIGN IS THE COMPOSITE RESULT OF support 1 -126#. _. WEB -' • 2ii4 'DFLrSTANDARD . MULTIPLE LOAD CASES. " ' support 2 `;,126#='' rc TOME AXL MIDcs1 GBL BLK 2x4 DFL STANDARD BEARING REQUIREMENTS shown are based ONLY This truss is designed using the 1 -4531 0.10 0.85 0.95 z -4130 0.08 0.46 o.s4 PLATE VALUES PER ICBO REgEARCH REPORT #1607. on the truss material at each bearing UBC -97 Code. 3 -3127 0.04 0.27 0.31 Gable blocks are 2x 4 @ 16.0 In.-o.c. MAX. Loaded for 10 PSF non -concurrent BOLL. Bldg Enclosed = Yes, End Zone = No 4 -3129 0.08 0.27 0.31 <It is assumed that one face of this truss < is Ivwood OSB, wood board PLATING BASED ON GREEN LUMBER VALUES. 2-PLYI Nall COMMON Hurrlcane/Ocean Line = No, E Cat o C Exp eg Length = Bldgg Width = ft, s -4129 0. oe 0.46 0.54 6 -4531 0.10 0.85 0.95 sheathed with p < siding or hardboar siding. If not, w/104 staggered (NDS -97 Sect. 12) in: TC- 2/ft BC- 2/fi WEBS- 2/4 Bldg 34.00ft, ,50. Mean height = 13.55ft, MPH = 75 t ec < additional loads must be considered on Design Spec UBC -97 roof Classification = 4, Dead Load = 12.0 psf x4147 Asa asro cst 1 4147 0.34 0.65 0.99 < non -continuous bearing gables. 9 May or blocks. DEFL RATIO: L/240 TC: L/2 2 3316 0.27 0.27 0.5994 3 2398 0. z0 0. os 0.29 4 3316 0 2 0.27 0.594 use adequate staples gable Gable blocks may require lateral bracing 5 4147 0.34 0.65 0.99 due to wind applied to the face. See Truswals sugggested gable bracing detail(s). Lateral loads In line with the chords have WEB trostce cs1 WEB FORM* cat 2-9 -685 0.05 4-11 950 0.21 ..not been considered unless noted otherwise. 3-9 883 0.20 5-11 -977 0. 08 These loads and their connections are the 3-10 -977 0. oe -12 -993 0.25 4-10 950 0.2 1 6 6-12 685 0.05 responsibility of the building designer. p MAX DEFLECTIONspan) L/999 IN MEM 8-9 LIVE) L=-0.31" D=-0.13" Tom. ' Joint Locations 1 0- 0- 0 8 0- 0- 0 2 7- 0- 0 9 9- 0- 0 3 il- 3- 0 10 14- 0- 0 4 17- 0- 0 11 20- o- o 5 22- 9- 0 12 25- 0- 0 627 0- 0 13 34- 0- 0 7 34- 0- 0 r -� 3-0-13 7-0-13 13-6-13 193.13 23-0-13 17-0-0 17-" 2-PLYS 1 2 3 4 6 6 7 REQUIRED F6.00- 0 -0� 1.63 �� Ali• 2.5-4 �/n . 2.694 6-0 4 'A 8 9 10 9-0-0 -i 6-0.0 9-0-0 14-" 2.6.4 2.6-4 11 12 6-0-0� 6-0-0 20-0-0 26.0-0 rWr �.• MrSs`�y 9� o. L045982 :D 'p- 12131 /02 �-0 BUTTE COU NTY-`--= SUMMING DEPARTMEN1 Truswal Systems Plates are 20 18 a. or rA a. unless shown b g y ��18" P P R O v � c g ) 3/22/00 TYPICAL PLATE: 13 "H"(16 a.;, positioned per Joint Report. Circled plates and false frame plates are positioned as shown above. Scale: l/8" =1' WARNING Read all notes on this sheet and give a copy of it to the Erecting Contractor. TBF: 148.7 WT: 231 # WO: J522 This design is for an individual building component It has been based on specifications provided by the component manufacturer and done in Chk: BW Customer Name: ® accordance with the latest versions of TPI and AFPA design standards. No responsibility Is assumed for dimensional accuracy. Dimensions are to be verified by the component manufacturer and/or building designer prior to fabrication. The building designer shall ascertain that the Dsgnr: BW #LC = 10 GERALD CAMPBELL T R U S WA L 'loads utilized on this design meet or exceed the loading imposed by the local building code. itis assumed that the top chord is laterally braced TC Live 40.0 psf DurFacs L=1.15 P=1.15 by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown Is for lateral support of components members only to reduce buckling length. This component shall not be placed In any TC Dead 9.0 psf Rep Mbr Bnd 1.00 SYSTEMS environment that will cause the moisture content of the wood to exceed 19% and/or cause connector plate corrosion. Fabricate, handle. Install BC Live 0.0 psf O.C.Spacing 2-0-0 4446 Northpark Df. and brace this truss In accordance with the following standards: TRUSCOM MANUAL', by Truswal,'OUALRY CONTROL STANDARD FOR Coto Springs, CO 80907 METAL PLATE CONNECTED WOOD TRUSSES -(OST-88),'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED BC Dead 8.0 cast Design Spec UBC -97 TRUSPLUS 6.0 VER: 11.01.99 WOOD TRUSSES -(HIB -91) and'HIB-91 SUMMARY SHEET by TPI. The Truss Plate Institute (TPI) is located at 583 D'Onofrio Dr.. Madison, WI 53719. The American Forest and Paper Association (AFPA) is located at 1250 Connecticut Ave, NW, Ste 200, Washington, DC 20036. TOTAL 57.0 psf DEFL RATIO: L/240 TC: L/2 co c r - > z G) m V or) m -dO' CA, P6. 'IV E.M. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance (Se, QiA , A, o -r:-- -tet-; Owner Location AP# Plan Approved for: Sewage Disposals Water Supply: Public Private Well Clearance for dwelling. Other.l�G Hold final for: Final clearance O.K. for: NOTE: ;�Jz> p10r-r\ Environmental Health Speci ist ` Date nvironmental Healtt-, ; N - ..; MAR 2MOOOIc CN 43 4.:!F2 •, n ;` p• all I i w . n, I PAR EL �F 1 1. 1' -sem . • � h S $ 6� ,.� �• ' o �!• K rA v I, P66 �Zr Qx �1 • ;� ,,ec X74 , peF DoI \ �f %i �i�'~• Fla ra1'•P p i 1•. I UJ r^ �JCc;re � C d ell Couvry � �.. APPROVEp/. OReT1/Nk /O Butte CU nY", y - Envira�n `mleaIth ®ate OArA 1. Signature Q 30'.33'07'* tl,, . N P ON t , , ,el, LV Ic or v •PQB r f� ' PAR E ,L w I ` r :h 5gIAV 6� Jlot��. r L' G v• • - �� o r j< tit 4 QV1PM���EPS�M i, r PNp E PGV R pF P SOp - r f o ��,E tIpc\PN+� off`� �� sES ' jAjA O �p Et,1 _ Dc e: of C c • C .32.53' yr / X3 0. z .ham ...• r `. N 131 RC'E V r r �0—-_._.._ J 8 1 Co✓�vrY _ r �_ �.. r BUTT:;CO.F-ml' .�-r'T. O CALIF. Lit -?'T. c'�rGR STRY Re E3 714M //N1 �- '� t� approveaj br-`t Jur��r t�� ; � G ���✓ j� OOU/V I I L\� app -owed wii.n conditions �` � �� RT�j , ,r a.t o sheet. `Y t1 / 1 1 u 1 t . �r V .- l Date �'Qt />• Q ` .� r 4 = ' 3033.07. CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be -superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County .Building- Department for - compliance. 1 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards r► 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [Y] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius T1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100, feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a. minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�1 1270.10 Width.. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 ? 3, 3 o -o s/, 60— d(2_8 AP # PERMIT # NAME ( IA] 1273.10 Turnouts. Driveways exceeding 150 feet in'length, but .1 less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. . [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification .1276.01 Setback for Structure Defensible Space. [� 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels -less than 1 acre, local jurisdiction .shall provide for the same practical effect.. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi_ial.inspection of a building permit. Page 2 of 3 © U — D! 2 c��, /-,c, � AP # PERMIT #. NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback is Less Than 15 Feet Choose any -3 of the following: - Metal or no doors on..side toward property line with-insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials o? -3 - 0 Date Signature Page 3 of 3 1. Owner's Name: 2. Assessor's Parcel Number:o� 3. Installer's Name: o .- 4. Is the site currently under permit? Yes[ ] No/D11 Permit No. 5. Is the site an existing site? Yes[ ] • No (If yes, furnish two plot plans). r: 6. ' What is'the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating?. AIL =Amperes: 8. What is the electrical rating of the mobilehome site? Amperes. A 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is . the rating? 11_ Amperes. 10. Is there any other electric load to be served by the mobilehome site, electric service 'k (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: A Load- Amperes- b) The main service: *n" i Load- /� 1� Amperes- A 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-664.).. 14. What is the mobilehome gas demand? B.T.U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ouN- POLDIN F1 0 May 1995 8.5 Mobilehome Manufacturer:ur'r: -manufacture Year: Manufacturer: If other than single wide, furnish Setup Model Number: Width:ft.) Length: (ft.) Tagalong or Expando Size_ `? (&) x_/� (&) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure trVed or foundation grade[It.-I-16ther: SUPPORTS: Concrete block[—I Other: Provide Tie Down Specifications for all Mobilehomes: Pier-F60itings Sizes and Location - SINGLE WIDE MULTI -WIDE Line I e I Line 2 Line 2 ................................................................................................ Main Beam Line2 ............................................................................................. e 2 Line I Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line I .................................................. ine 5 Tag or Triple ine 4 .............................................. ine I Line I Piers: Size minimum: r I x r I Spacing maximum: I C cc From ends -maximum: 9 cc -Line 2 Piers: Size minimum: x 0 Spacing maximum: 1 j5 .,Ffom ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum:* ' i Location (from front): Line I Openings Size minimum: x Each side of openings with width over: I - :9 Line 4 Piers: Size minimum: x Spacing maximum: From ends -maximum: OVER SAC INDUSTRIES TIE DOWNS ENGINEERED TIE DOWN SYSTEM GENERAL NOTES DESIGN LOADS: * WIND — — — — — — — — — — — — — — — — 15psf (70 MPH EXPOSURE"C") * WIND — — — — — — — — — — — — — — — — 25psf (85 MPH EXPOSURE"C") * WIND — — — — — — — — — — — — — — — — 35psf (100 MPH EXPOSURE"C") *SEISMIC ZONE — — — — — — — — — — 4 *SOIL BEARING ---------- 1000 psf NOTE: MAXIMUM SOIL PRESSURE IS 1000 psf WITHOUT A SOIL REPORT. *EARTH AUGERS --------- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY * STABIL—X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY * CONCRETE SLAB ANCHORS -- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY *TIE DOWN STRAPS — — — — — — — 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. 1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND ENDS OF THE MANUFACTURED HOME. 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS"I" BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR "RFC" SHAPED. 4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. 5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS, AND BOLT—ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM END OF CHASSIS BEAM. 6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER -MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER. 8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB— SECTION (a). STATE APPROVAL 11324—AUEASTEBEAMER ST. ENGINEERED TIEDOtWN SYSTEM APPROVED S10JECT TO CORRECTIONS NOTED Approval does r,ct authorize or approve any omission or deviatie� from requirements of applicable State laws and regu!_ticrr. State of California Department Of Hou ' e; d C mm city Development ISICi �VULSD STANDARDS By ate /!o (Signature SPA NO This Plan Approval Expires HE UT WOODLAND, CA. 9 7 PH: (800) 7 ,' CC11 r � %JYC7 CAa PACIFIC CONS L NG�ENGINEERS 1VE. 2150 BELL SUITE 145 SACRAMENTO, CA. 95838 PH: (916) 564-6028 14 1 4 SAC IND. EARTH AUGER TIE DOWN ANCHORS w;W-ym� r0. � #6001 #6000 NI s ff #6006 FA #7000 #7001 #7002 SERIES EARTH AUGER (TYPICAL) NOTE 4 --/o•_lo{' o•_io VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE—DOWN INSTALLATION INSTRUCTIONS 1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. 5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. END TIE DOWN END TIE DOWN END TIE DOWN SEE CHART SEE CHART SEE CHART F CHASSIS #4002 PIER S BOLT -ON TOP U 7002 u ¢ o 7# STEEL #7000 7' STEEL STRAP W/HOLE _/ ' STRAP W/BUCKLE - O � moo• #6005 SPLIT °o' BOLT & NUT NP \00 cR�L SINGLE WIDE X c #6006 STABILIZER PLATE SERIES EARTH AUGER (TYPICAL) NOTE 4 --/o•_lo{' o•_io VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE—DOWN INSTALLATION INSTRUCTIONS 1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. 5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. END TIE DOWN END TIE DOWN END TIE DOWN SEE CHART SEE CHART SEE CHART F U a S U W W W u ¢ Z 3 r .WZ O H - O � / NP \v SINGLE WIDE TnTTnT V WMV TDTDT V WMV SAC IND. STABIL,--X DRIVE"''TI'E DOWN ANCHORS #7000 of #7002 7' STEEL STRAP - #6005 SPLIT BOLT & NUT #6013 STABILE"X" DRIVE ANCHOR — GROUND LINE � 1. 2. 3. 4. 5. 6. 7. #6005 #7000 #7001 #7002 CHASSIS /..� #4002 PIER G" BOLT—ON TOP G 7002 � 7f STEEL #7000 7' STEEL STRAP STRAP W/BUCKLE W/HOLE 6'10 0. #6005 SPLIT do °*41-- BOLT & NUT GRVN o6° r, i 0'-10'�� DETAIL A SEE DETAIL"A VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL—X DRIVE TIE DOWN SEE DETAIL"A" INSTALLATION INSTRUCTIONS CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. DRIVE STABILIZER PLATE INTO GROUND. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. IF ANGLE OF SIDE STRAP IS GREATER THEN 60'. STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT "Cr STABIL—X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF CONCRETE. 8: WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION. WIND= 70 MPH — 85 MPH — 100 MPH EXP. "C" — SEISMIC ZONE 4 #6002 SEE NOTE #7 AND NOTE #8 REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH SIDE AND END OF MANUFACTURED HOME WIDTH LENGTH WIND SPEED SEISMIC No. OF SIDE No. OF END TOTAL No. OF TIE DOWNS TIE DOWNS TIE DOWNS SINGLE WIDE TO 16' 0'-78' 70 MPH EXP. C =15PSF ZONE 4 1 4 1 2 1 12 1 85 MPH EXP.' C =25PSF ZONE 4 1 8 1 2 1 20 1 100 MPH EXP. C =35PSF ZONE 4 1 12 1 2 1 28 DOUBLE WIDE 0'-78' 1 70 MPH EXP. C =15PSF ZONE 4 4 1 4 1 6 1 85 MPH "EXP. C =25PSF I ZONE 4 1 8 1 4 1 24 TO 28' 36 1 100 MPH EX.P. C =35PSF I ZONE 4 1 12 1 4 1 32 TRIPLE WIDE TO 42 0'-78' 70 MPH EXP. C =15PSF ZONE 4 4 6 1 20 1 85 MPH EXP. C =25PSF ZONE 4 1 8 6 1 28 100 MPH EXP. C =35PSF ZONE 4 1 12 6 36 SAC IND. CONCRETE TIE DOWN ANCHORS #6005 #7000 #7001 #7002 0 #4002 #6003 #6004 #4002 PIER BOLT -ON TOP #7002 7' STEEL STRAP WITH HOLE - #6005 SPLIT BOLT & NUT--\ CHASSIS #7000 7' STEEL '.� STRAP W/BUCKLE CONCRETE TIE -DOWN #6004 #6003 INSTALLATION INSTRUCTIONS o0 ao NEW CONCRETE - #6004 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 2. ALTERNATE CONNECTION REQUIRES #5'REBAR PROPERLY EMBEDDED IN CONCRETE. EXISTING CONCRETE - #6003 1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. ALTERNATE 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE. CONNECTION 4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND 6,180 POUND PULL OUT, 7,160 POUND SHEAR. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED. SIDE VIEW "C" BEAM CHASSIS SEE GENERAL NOTE #3 DRILL 9/1.6" HOLE AT MID HEIGHT OF BEAM AND INSTALL 1/2" A307 BOLT II (TYPICAL) SIDE VIEW "RFC" BEAM CHASSIS SEE GENERAL NOTE #3 P1 SIDE VIEW END VIEW END TIE DOWN NOTE: END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS. CONTRACTORS CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS LIC.# OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sig�oattu+e. Please complete and return this information at your earliest opportunity to avoid umaecessary►delsy in processing and issuing your building permit. No building permit will be issued until tl& verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ET" NO 0 2. I HAVE Q`�_HAVE NOT CI signed an application fora building permit for the proposed 3. I have contracted with the following person (firm) to provide the proposed eonshlie ion: ADDRESS:.CITY:� ^� PHONE. CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I.have hired the.following person to coordioa�e, supervise, and provide the major work: NAME: ... ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons topravlde the work indicated: os NAME ADDRESS PHONE TYPE OF WOjtK�° • lig{• SIGNED: l PROPERTYOWNER:' SOCIAL SECURITY NUMBER: DATE:__ /- 2 Y - 0J -This Owner -Builder Verification is required by Section 19931-a-W-JqMoPke California Health and Safety Code. This verification must be completed Md returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such . ; a permit. Building permits are not required to be signed by property owners unless they are personally performing their; own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. t ' If you plan to do y own rk, with the exception of various trades that you plan to subcontract, you should be aware of the folio ' information or your benefit and protection: �� r v _ If you emplo or otherwise engage y persons other than your immediate family, and the work�(including materials and other c sts) is 5300 or mor for the entire project, and such persons are not licensed as contractors°or subcontracto ou m employer. If you are an emp , you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, ;t• Workers compensation insurance, disability insurance costs, and unemployment compensation contributions;•':; There may be financial risks for you if you do not carry out these obligations; and these risks are 'es • ecial i a r p ly senors with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. 3 `` If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contacting the Contractors State License Board in your communiry or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned t rely, '�1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder,Information is required by Section 19830 of the California Health and Safety Code. llw3pll .. NOTES r RESI_ DENTIAL 073-300-004 00-0128 PERMIT NO., -CAWBELL, -GERALD.- 6161 FORBESTOWN RD., ORO VII.LE CONTR: OWNER MW FOR STORAGE 11 i1 SPECIAL CONDITIONS -1I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ./= OK 0 = Not OK - = Not Applicable ..MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance e. G Dpwns-Type-Installation Cert. 6. xits; Insp.-Sketch Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE H_ -INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks -Easements mll_zoni quirements- Setbacks- Easements 2. aotings; Size -Spacing -Marriage Line nnector Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ers-Breakers-Clearances 4. 5 _Drainn eN a�u_no r Te ._nector 6. W hector 7 Water and Sews. Coaaec1ad.0/O to Grade -HD Approval Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures e. G Dpwns-Type-Installation Cert. 6. xits; Insp.-Sketch 11 G814 e: Qswapaaqy-�. Electric 12. Permanent Foundation Only; License Decal 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date Q�Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEPKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 1t. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 4 f 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI I 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed r 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t 11. Light Niche S `iDate Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rfir. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 9. D.W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation I of iltration-Walls-Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes D No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes ] No/Walks 0 Yes J No/Planters Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rfir. Ties-Purlin-Rolf 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 -Ratter 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. I of iltration-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 ❑ Yes 82. Following Instld./Drive 0 Yes ] No/Walks 0 Yes J No/Planters Yes J 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: CERTMUTE OF ANCHOR I NSTALLADO N Title 25 CCR Moblehome Pub Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or -during the installation, and were installed in ' accordance with the manufacturer's installation -instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer. Modek �s S IDA rj Sy 5TIZI I installed by: "' ' Date: Contr./Owner. 0 L_ -A AJ license No.:, ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION D 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. Rev. 12/96) APPLICATION AND PERMIT V ASSESSOR PARCEL NUMBER 073-30-0-004 ZONING BUILDING PERMIT OWNER GERALD CAMPBELL675-0622 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNEWS MAILING ADDRESS 6161 FORBESTO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG 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 $ BUILDING ADDRESS 6161 FORBESTOWN ROAD Energy Plan Checking Fee $ $ PERMIT FEE _ ' LOT NO. SUBDIVISION'S MIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHI FOR STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 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.PowFA 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: 6Tas 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 200ALICENSED 46.00 NEW CONST, DWELLING OCCUCUP. WEE oR ADONS. ( a ACC. BUDS. SO 3.50FT. NEW CONST. NO RES D. MULTI -OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FXTURES 20 p 1.00 SAL @ .30 Ex. Occup. ouriErs AESIo.°FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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. w ,O X /�-w! G — Date %— Z 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. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FE $ HAZ. D. FEES IMP D COF Pp �. HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date OP A9 p O le Receipt No. 285835+ WHITE-D.D.S.-B.D. CANARY' -ASSESSOR PINK -IN E R GOLDENROD -APPLICANT z • e `1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance .H. us Y Plot Plan Attachad Floor Plan Aa �--- Sent to B.D. NZ _ r, -Q arm et 1 OY'fa--S'toa 6 3ba ^�1 i Owner ocation AP# Plan Approved for: Sewage Disposal Water S ply• Public Private Well 3n J Clearance for Other c�l��sz'C,dq Hold final for: Final clearance O.K. for: (VOTE: K/O c V - a Enviro 8/96 m—EOMTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER: P, ASSESSOR PARCEL ER: C? 7 Proposed Building Use: Building Inspector: C9 ) At time of permit applkatio , I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- /91. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------- ------------------------------------------ 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- .y: ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ 16,91;,ufactured Home data and Inst lla ion instructio ' including Tie Down Specifications .------------------ 1501 U &0 _ �_ 0. Fees of $ - - ---- ----------------------------------------------------------- ❑ 1. pact fees as shown-on`the attached schedule. ------------------------------------- - ---- __ ------------ 00 Cab orma Department of Forestry plan approval/fees.---------- ---- - - ------------------ lood elevation certificate. ---------------------------------------------------------------------------------------- v; 4. Sanitation and plot plan approval 9 do Health Department. ------------------------------------------- J � ❑ 15. City of Chico plumbing permit. ---------- —---------------------------------------------------- ------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.- --- ---- -------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ----------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel'. ---------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor s licceense information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compe@atiori carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verificat on (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorizat n. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other: ------- ,�W__ h//en you issue the permit, process as follows C1 Mail to owner, ❑Mai contractor. bTelephoneG -7 S— O & �� and hold for pickup at a ` (.� office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm t ❑ Air Pollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 0 e Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ Vhone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi;iion counter, by Date: Plans reviewed by: Date: Plans approved by: Com^ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. I r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANP PERMIT e,�-0 e�,l P ASSESSORPARCEL _ . zOtMNO BUILDING PERMIT OWNER'Laep TELEPMO E SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES O , ^ ,IKJ ,n 5— 4;)-6 � �-� u,(/�� I 040 �/�/G O TO CONTRACR'S NAME /"�✓� � ' 7 jELEPHONE // CONTRACTORS MAIUNG ADMESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNI51oNS 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 ,ties ❑ Installation ❑ er ❑ Describe Work: z Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @ F -t---20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 / / Qr� ( Main Service 200A TO 1000A 46.00 NEW CONST. DWELLWGa ACC. OCCUP. 3.SQ so OR ADDNS. ( BLDS. N CONS . MULTI.OUTLET NON•REsID. @7.50 .1POWER APPARATUS 1N.OUTIfT CIR. 20 Ex. Occup. OUTLET OR FDCTURE9 . ® 1.50 Ex. Occup. OUTLETS A61D.oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mo 'le Home Installation Fee *-_.-----$--- - Energy Inspection Fee 1$ TOTAL FEE $ EOCCONSTdTYPE HAZ. FEES IMP . FEES FLOOD I COF PARCEL I PO 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 ra A.P. # '� �7VC% OWNER G PERMIT #K MH UTIL. CLEAEIANCADATE J INSPECTOR ELECTRIC / GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD fTYPE ISIZE LENGTH / NOTES RESIDENTIAL OZ3-300-004 99-0996 PERMIT NO. CAMPBELL,.Gerald 6161 Forbestown Road, Oroville Contr: Owner MHU ' l 'i C rEe i! 1. SPECIAL CONDITIONS CHECKED BY _— SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS r SUB -STANDARD HOUSING LETTER I OFFICE COPY Address GAS to Meter By ELECTRIC Meter By Date 1 4 Q 'JOB FINA D (Date) + Signatu J = OK 0 = Not OK` - = Not Applicable _ = Not Ready MOBILE HOMES Date M BILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. S 's; Special MH Support Sketch ewer; Location -Test -Fall -C/O -Concrete i, ater; Location -Test -Easement Needed (Sketch) 1 EI ricity; Location-Clearances-Grnd-/ /Amp• o re Gas; Location -Test -Wrap;-/ /" / P Nat. or / /"L"ft./ /'LPG 7. W PClearance & Discorinect 5. Utility Clearance 6. Carports; Windows -Doors Date Card B- Date Card B-1 Date Car B-1 Date Card B-1 Date MOBI HQME INSTALLATION (Plans) O—K except #'s Line 4..Elec " ity; MH Test -Crossovers -Breakers -Clearances j rain; M -Fall-Flex Connector 6. H Test -Regulator -Connector %--I/'wWater andSewer Connected -C/O to Grade -HD Approval i ns -We -Installation Cert. Exits' sp.-Sketch l 11 ert. of Occupancy 12. Permanent Foundation Only; License Decal Dat Card B-1 Date Card B-1 Dat Card B-1 Date CardB-1 — �z MISCELLANEOUS r DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. i, 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing r — �z MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (f , Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic 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 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff 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 T -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 -Meth. 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 Q Yes 82. Following Insild./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .F. 1 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 4n OWNER CORRECTION NOTICE 9F- f�C PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. it P�v��-� G�o.���� ✓�l�f .�/..�- r Date A't l Inspector REV 10/92 SAC IND. STABIL-X DRIVE TIE DOWN ANCHORS #7000 or #7002 7' STEEL STRAP - #6005 SPLIT BOLT & NUT #6013 STABILE"X" DRIVE ANCHOR - GROUND LINE #6005 #7000 #7001 �#7002 #4002 PIER BOLT -ON TOP P7002 7STEEL •STRAP W/HOLE - ® o� #4002 i'. CHASSIS _ #7000 7' STEEL o•� STRAP W/BUCKLE s o°' #6005 SPLIT BOLT & NUT �,.. "'/ 0'-10•— DETAIL"A SEE DETAIL"A' VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL—X DRIVE TIE DOWN SEE DETAIL"A" INSTALLATION INSTRUCTIONS 1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 1 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE .CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN #6002 BOLT UNTIL STRAP IS ; SNUG. • ' SEE NOTE #7, 7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF,THE AND NOTE #8 GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT; USE STABIL—X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF CONCRETE. 8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION. WIND=' 70 MPH — 85 MPH — 100 MPH EXP.;'C" — SEISMIC ZONE 4 REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH 5 DE AND END OF MANUFACTURED HOME WIDTH I LENGTH WIND 'SPEED SEISMIC No. OF SIDE No. OF END TOTAL No. OF TIE DOWNS TIE DOWNS TIE DOWNS SINGLE 1 WIDE TO 16' 0'-78' 1 70 MPH EXP. C =15PSF I ZONE 4 1. 4 2 12 85 MPH EXP. C =25PSF I ZONE 4 1 8 1 2 1 20 -100 MPH EXP. C =35PSF '.ZONE 4 1 12 1 2 1 28 DOUBLE WIDE TO 28' 0'-78' 1 70 MPH EXP. C'=15PSF ZONE 4 4 4 16 85 MPH EXP. C =25PSF I ZONE 4 1 8 1 4 1 24 1 100 MPH EXP. C =35PSF I ZONE 4 1 12 1 4 1 32 TRIPLE70 WIDE TO 42 0'-78' MPH EXP. C =15PSF ZONE 4 4 6 20 85 MPH EXP. "C =25PSF I ZONE 4 1 8 1 6 1 28 1 100 MPH EXP.' C =35PSF I ZONE 4 1 •12 1 6 1 36 (N x" s SAC IND. CONCRETE TIE DOWN ANCHORS #6005 #7000 #7001 #7002 #6003 #4002 PIER BOLT -ON TOP #7002 7' STEEL STRAP WITH HOLE -\ #6005 SPLIT BOLT & NUTS OR CHASSIS G G . #7000 7' STEEL STRAP W/BUCKLE #6004 . ':.\ori .... ... .. _ CONCRETE TIE -DOWN INSTALLATION INSTRUCTIONS NEW CONCRETE - #6004 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. EXISTING CONCRETE - #6003 , 1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3.. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE. 4. EXPANSION BOLT IS 5/8 x '3 1/2" WITH MINIMUM 2..3/4 EMBEDMENT AND 6,180 POUND PULL OUT, 7,160 POUND SHEAR. , CHASSIS CONNECTION 1. ',ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS. ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED. p - , SIDE VIEW "C" BEAM CHASSIS SEE GENERAL NOTE #3 DRILL 9/1.6" HOLE AT MID HEIGHT OF BEAM AND INSTALL 1/2" A307 BOLT ' (TYPICAL) �I SIDE VIEW "RFC" BEAM CHASSIS SEE GENERAL NOTE #3 OR #6003 0 0� 0 00 00 +'r ALTERNATE ` SI VIEW END VIEW END TIE DOWN NO E: END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS. CONTRACTORS CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: �''� �� CONTRACTORS LIC.# (/vv v vry r-V/i V& K to h, ' 4 `- r�. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.,; Owners: Name: Owners: Address: I Mobilehome Year of Manufacturer Manufacture: Serial number Insignia or 74 i 7 orV.I.N. HUD number: Official approving installation':Date: 'p-rov If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION LZ 7 County Cerner Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE T o. (Rev. 12/96) APPLICATION AND PERMIT 4K-% ASSESSOR PARCEL NUMBER 073-300-004 ZONING U BUILDING PERMIT OWNER CAMPBELL, GERALD ,707) TELEPHONE 452-1017 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AODRESSp.0. BOX 2433, VACAVILLE, CA 95696 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MaUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6161 FORBESTOWN ROAD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 ❑ Rem el ❑ �Utiilities 11 Installation ❑ Other 13 Describe Work: MHI �� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a 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 t9fone 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � _A Date /� "r f' Signature of Applican - ❑ 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 L000, 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. a ACC. BLDS. 3.50FT. NEW ROSID ' MULTI -OUTLET @7.50 PONGOUTLET CIR.WERLE APPARATUS a SI I .00 Ex. Occup. OUTLET OR FIXTURES BAL o .50 FIXI Ex. Occup. OUTS ASID -OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 0 HAz. _ D FEES � MP FLOOD CDF PARC PO HD 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. Q D to pate ReceiptNo. 264948 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Driv9 • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT " S"SOR" "cn""6em , mr«wex- BUILDING PERMIT OWWA "a SO. FT. OCC. BUILDING VALUATION OVOMI ww►a ADOMS DO►RIAMWO MAW ruEpmMe COM ALTO I WALD O "DORM cowym Tmumel u:►oOM wvu►a AWN= Fireplace Total Valuation = ARCMIrlCT OR 00ME-M ucaMca MO. Firing Fee t 20.00 ,41,WMCT OR COMMS www "Domes Permit Fee i Plan Checkina Fee suaosa AooRess Energy Plan Checking Fee i i PERMIT FEE _ WT NO. suaon+ss>.nrwsE ►""cap PLUMBING PERMIT Fong Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobdehomek0 \Other 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 ��II New O Addition O mO U6li Reodel fies O Indak ton E9"Atlwr O Describe Work: /� Gas piping tem 1 - S outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service =m -C 23.00 %�� `/` ����IIII . Main Service W" TO ODD" 48.00 NEW CONST. Owe"m o. oowr. s Oft"oow. a noc. erns. 9.50rr. NLW Wm T. MO*Acsro. 8=1n= @7.50 Power ,w►,uwu �s Ex. Occup. ovna oa FKTUIM 6w a ':soo 7ovru0 A M1W OR 5.00 Ex. Occup. E. Temporary Service 23.00 Mobile Home Facilities 20.00 Hsc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE f Mobile Home Installation Fee : Energy Inspection Fee Is occ --"' -P° TOTAL FEE _ 3� MAZ 0. FEES W1 R=O 00F NARCEL A I b I liStA: 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 —�J�t� ReceiptNo._2, �� WHITE-O.D.S.-B.O. SOR PINK•IHSPECTOq OOIOENR00•APP�ICANT ,.+hi ll�t`��"`�'Y�iY"�"'�°'`,p="^ri�Y+�'=�'.'L+'�y,�y�y`.I�i_�'`W�'`�`r "•�F��r��.�iS[�a COUNTY OF OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: ?- (%.4440104 11 ASSESSOR PARCEL NUMBER: 12 7 3 —,3o a — 00!y Proposed Building Use: 14 Building Inspector:. Date: V 1 z 19 S At time of permit application, I was advised the following data must be submitted prior to permit processing andVor issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!--------- E36. -------- ❑6. nergy Design Compliance and supporting documentation. ❑ 7. tatement of Intent for Non -Heated and A/C Buildings. ---- azardous Material Fo--------------------- ---- Manufactured Home ata and installation instructions clu Tie Down Specifications.------------------ ❑ 10. s of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule.�A_.O/ ------------------------------------------------------ 0 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---- 020. Pre -inspection for required.. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carver and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 2 Letter of intent on building use. ----------------------------------------------------------------------------------- 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ibTelephonfc7d 7 S/S 2 t> 7 and hold for pickup at C)� office. ❑ Deliver with inspector. G/,, WIW57 ��cant- ��� / A�L Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Othe : Da By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: - Sets of plans on hold in 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT, OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ ,Oa�dG)� SCHOOL DISTRICT FEES S (paid at District Office) CJ?SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 6 8s Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : _ $ #Units Amt. Commercial (sq.ft.) .. x =$_ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) CAA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC i We /4-z6`1Sqg At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. kPPLICANT DATE S'-/ 7- 9 S Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) OWNER -BUILDER VERIFICATION Attention Properly Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary dzla3i in processing and issuing your building permit. No building permit will be issued until this verification is received. ; 1. I personally plan to provide thema' labor and materials for construction of the proposed improv ent : YES NO property . � P rov � � �.��� �:.- 2. I HAVE HAVE NOT O signed an application for a building permit for the proposed w�or�c 3. I have contracted with the following person (firm) to provide the proposed construction:,: -- NAiMK ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the'followin _ g person coordinate; .. supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:_ SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed wd returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party ofjecord on such a permit. -Building permits are not required to be signed by property owners unless they are personally perform 'in, their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract. you ihould be aware of the following information for your benefit and protection: ♦ if you employ or otherwise enga;e any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you -are subject to several obligations. including state and federal income tax withholding, federal social security taxes,:._ workers compensation insurance, disability insurance costs, and unemployment compensation contributions... -.'11j- There ..11j .There may be financial risks for you if you do not carry out these obligations, and these risks are especially -serious with respect to worker's compensation insurance. " ♦ For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under'litnited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" hn the reverse side of this form so.that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. I4icly, —/' 01---, l C.Vi ira,C.B.O. r, Building Inspection NOTE: Th Ls 0wner-Builder,lnformation is required by Section 19830 of tine California Health and Safety Code - OVER fav OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and returnthis information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ; 1. I personally plan to provide the m�' r labor and materials for construction of the proposed property impro ent : YESJ2-' NO 2. I HAYS HAVE NOT 13 signed an application for a building permit for the proposed w k 3. I have contracted with the following person (firm) to provide the proposed construction: -if' NYAi�1E: ---- - - - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. Iide provide to lan p p portions of this work, but I have hired the following person to'eooi+dtnate . supervise, and provide the major work:. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: ,�-/ � SOCIAL SECURITY NUMBER: DATE: S— t 2 - ss NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER r OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit.- Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you -are subject to several obligations.including state and.federal income tax withholding, federal social security workers compensation insurance, disability insurance costs, and unemployment compensation contributions... ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contactors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. • I4ic y, '�, l C. Vi ira, C.B.O. r, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Healdt and Safety Code. OVER 001 iU �Eftironmental Health MAY 12 1999' IV �! 7 County����eestJrlV� �� .Qroa�ilt�Ca s 0 VolAle y0�io ^ 2 2 W l���ed J 1 ��9 J .r quits ci��ed � � 9~ r°p o� �O v • ,fir Gp�' 21� x'1'1 �•- � 4��.f ,, ""' _ i 7�� c 'q Envi utta non ���y �s� . •� + alth to 32.53 ---�, � - .� �l�Rt✓ �°y. i ~ ?nature -77 t �; 3 c S3 'k, 99.3--N 8 Sol •lot .�'�. 1. Owner's Name: GEn dN L b. GA p-, r A r^tL 2. Assessor's Parcel Number: 0 ? 3 -_-7(0o of>0Y 3. Installer's Name: Ca V-0-fP- 4. Is the site currentlyunder permit? Yes No[ . ] Permit No. �Xi 5. Is the site an existing site? Yes[ ] No[ -I' (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? ° O Amperes. 7. What is the mobilehome site circuit breaker rating? .9- 0 o Amperes. 8. What is the electrical rating of the mobilehome site? 2f 0 . Amperes. 9. Is the main service remote from the mobilehome site? Yes[ No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ L4-Yf yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[d-rNone[- ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?(ft.). 14. What is the inobilehome gas demand? -•t B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 �.* r 8.5 Mobilehome Manufacturer: STf+ir Manufacture Year: / 9 7 5 If other than single wide, furnish Setup Model Number: Width:_(ft.) Length: S ft.) Tagalong or Expando Size__&_(ft.) x 12- (ft.) On all mobilehomes 'Manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[—] -Other: SUPPORTS: Concrete block[v] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2 ............................................................................................... ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 t {................................................. ine 1 Line 1 Piers: Size minimum: r I x Spacing maximum: I ' ` From ends -maximum: ` Line 2 Piers: ala Size minimum: [ /L ] x [ ]. Spacing maximum: ef ` p ` From ends -maximum: ` O ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: ' Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: Spacing maximum: I ZI!od'l From ends -maximum: OVER SAC INDUSTRIES TIE DOWN ENGINEERED TIE DOWN SYSTEM GENERAL NOTES DESIGN LOADS: * WIND ---------------- 15psf (70 MPH EXPOSURE"C") * WIND ---------------- 25psf (85 MPH EXPOSURE "C") * WIND ---------------- 35psf (100 MPH EXPOSURE"C") *SEISMIC ZONE ---------- 4 *SOIL BEARING ---------- 1000 psf NOTE: MAXIMUM SOIL PRESSURE IS 1000 psf WITHOUT A SOIL REPORT. *EARTH AUGERS --------- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY �k STABIL-X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY *CONCRETE SLAB ANCHORS --.4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY *TIE DOWN STRAPS ------- 4750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. 1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND ENDS OF THE MANUFACTURED HOME. 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS"I" BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR "RFC" SHAPED. 4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. 5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS, AND BOLT -ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM END OF CHASSIS BEAM. 6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER. 8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB- SECTION (a). STATE APPROVAL ENGINEERED TIEDDWN SYSTEM APPROVED S10JECT TO CORRECTIONS NOTED Approval does rot authorize or approve any omission or deviation from requirements of applicable State laves and re�ul_iic,s. State of California Department cf Hou a ;d Cmcrity Development ISICi ODES D STANDARDS By ate / to (Signature Spit NO / S'— This Plan Approval Expires SAC INDUSTRIES, INC. 1324—A EAST BEAMER ST. WOODLAND, CA. 7P PH: (800) 7. •.�"�i(,� #_�� a PACIFIC CONSULTHJG ENI 2150 BELL AVE. SUIfal SACRAMENTO, CA. 95838 PH: (916) 564-6028 '``"' 1..-fw OfT SAC IND. EARTH AUGER TIE DOWN ANCHORS It #6005 #6006 NI #6001 #6000 #7000 #7001 #7002 I #4002 �—#6006 A .'STABILIZER PLATE 000 SERIES kRTH AUGER (TYPICAL) CHASSIS _ #4002 PIER s BOLT—ON TOP #7002 OPTIONAL AUGER TIE -DOWN 7' STEEL INSTALLATION INSTRUCTIONS #7000 7' STEEL STRAP W/HOLE CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. STRAP W/BUCKLE INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED. 100• #6005 SPLIT 60. BOLT & NUT 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD �—#6006 A .'STABILIZER PLATE 000 SERIES kRTH AUGER (TYPICAL) N N N V V V v v v TRIPLE WIDE NOTE 4 VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE -DOWN INSTALLATION INSTRUCTIONS 1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. 5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. END TIE DOWN" ENO TIE DOWN END TIE DOWN SEE CHART- SEE CHART SEE CHART N 2 u 1n Z H � Q U u N � J W � Q U a 1n Z L a W in a N r .1' Z - u p H d p H J W W N N N V V V v v v TRIPLE WIDE SAC IND. - STABIL-X DRIVE 'TIE DOWN _ANCHORS #7000 or #7002 7' STEEL STRAP - #6005 SPLIT BOLT & NUT #6013 STABILE" X" DRIVE ANCHOR — GROUND LINE—, #6005 #.7000 #7001 #7002 CHASSIS #4002 PIER BOLT—ON TOP m 7002 7# STEEL #7000 7' STEEL STRAP STRAP W/BUCKLE W/HOLE Foff' #6005 SPLIT o �° BOLT & NUT DETAI CA" SEE DETAICA' VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL-X. DRIVE TIE DOWN SEE DETAIL"A" INSTALLATION • INSTRUCTIONS 1. CONTRACTORS- WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60% STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN /#6002 BOLT UNTIL STRAP IS SNUG. SEE NOTE #7 7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE AND NOTE #8 GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT, USE STABIL-X ANCHOR OR ENCASE ANCHOR WITH 12"02"02" CUBE OF CONCRETE. 8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION. WIND= 70 MPH - 85 MPH - 100 MPH EXP."C" - SEISMIC ZONE 4 REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH SIDE AND END OF MANUFACTURED HOME WIDTH LENGTH WIND SPEED SEISMIC No. OF SIDE No. OF END TOTAL No. OF TIE DOWNS TIE DOWNS TIE DOWNS SINGLE WIDE TO 16' 0'-78' 70 MPH EXP. C =15PSF ZONE 4 4 2 1 12 85 MPH EXP. C =25PSF ZONE 4 8 1 2 1 20 100 MPH EXP. C =35PSF I ZONE 4 1 12 1 2 1 28 DOUBLE WIDE TO 28' 0'-78' 1 70 MPH EXP.11 C =15PSF I ZONE 4 1 4 1 4 1 16 1 85 MPH EXP. C =25PSF I ZONE 4 1 8 1 4 1 24 1 100 MPH EX.P. C =35PSF I ZONE 4 1 12 1 4 1 32 TRIPLE WIDE TO 42 0'-78' 1 1 70 MPH EXP. C =15PSF ZONE 4 1 4 1 6 1 20 1 85 MPH EXP. C =25PSF ZONE 4 1 8 1 6 1 28 100 MPH EXP. C =35PSF ZONE 4 1 1-2 1 6 36 SAC' IND. CONCRETE TIE DOWN .'ANCHORS #6005 #7000 #7001 #7002 #4002 PIER BOLT -ON TOP #7002 7' STEEL STRAP WITH HOLE - #6005 SPLIT BOLT & NUTS CHASSIS _ #7000 7' STEEL STRAP W/BUCkLE #6004 CONCRETE TIE -DOWN INSTALLATION INSTRUCTIONS NEW CONCRETE — #6004 1. PLACE CONCRETE ANCHOR INTO WET CONPRETE, AND ALLOW TO PROPERLY CURE. 2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. EXISTING CONCRETE — #6003 1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE. 4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND 6,180 POUND PULL OUT, 7,160 POUND SHEAR. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED. :L SIDE VIEW "C" BEAM CHASSIS SEE GENERAL NOTE #3 DRILL 9/1.6" HOLE AT MID HEIGHT OF BEAM AND INSTALL 1/2" A307 BOLT ,III (TYPICAL) SIDE VIEW "RFC" BEAM CHASSIS SEE GENERAL NOTE #3 1 SIDE VIEW. OR� #6003 0 °o 00 00 .r ALTERNATE END VIEW END TIE DOWN NOTE: END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS. CONTRACTORS CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING , SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS LIC.# r 1 1 Marysville Joint Unified School District Exhibit 3610 #1 I• y CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken to: Marysville Joint Unilled School District Part I Property Owner's Owner's Address: 1 Project Address: W r ��1 Parcel No: �% - (, —n C -Building Dept TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction �.,. 1919 B Street, Marysville Lot No: Permit No: Total Number of Habitable Square Feet: %�o( City or County: Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home 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 THE CERTIFI- CATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CONSTRUC77ON 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 IN WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. Applicant's Name: ': f ;'x,,• cC Date: Applicant's Signature:e✓1�---.. Part II TO BE COMPLETED BY BUILDING DEPARTMENT` Total Number of Habitable Square Feet 1�44 City of Marysville " g ��,,&411aaAnu,,, Countof Yuba.Si naturer County of Butte Part In TO BE COMPLETED BY SCHOOL DISTRICT q Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet x's $.28 for Commercial = $ No. of Square Feet � � -�- x's $1.72 for Residential = $ J �Z e- TM? P / t t� Exempt from Fees: Reason: 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 « A -- �, `- i °-��4 Sandra Davini, Director of Business Services„ Date td White: - School District SD:co Yellow: - APPIZt Pink . Building Dept 12/6/96 Gcoz BUILDING PERMIT SITE PLAN CHECKLIST APN: Building Permit No.: q C� — 09 Proposed Use: SFD O MHO Res. Accessory ❑ Ag. Bldg. U Commercial O IndusuW (3 Other. Zone District: General Plan: AS. The Proposed Use Is: Permitted: Not Permitted: Requires a Use Permit: Requires a Minor Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: Parcel Created By Map? No: Yes: Book/Page Map Conditions? No: Yes: , See reverse side Use Permit: Variance: Dev. Agreement: Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front Side S O Side, street Rear 3 Height Parcel in Land Conservation Agreement? No:x Yes: , Check Use Parcel in North Chico Specific Plan? No: x Yes: , Check NCSP Zoning Parcel in Floodplain? No: Yes: , Zone: Panel No.: C) L OO f O 87 IS7 L Parcel in Enterprise Zone? No: Yes: , Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Other. Landscaping Requirements: OK as shown Other Comments: 01< 2 Reviewed By: S—)�—`�� Date: UNLESS OTHERWISE N —1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by planting replacement trees of equal number and not less than _ gallon size. . . _.,•., _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project. shall be fully protected through the use of root protection zones (RPZ). During construction. RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the bunk to the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. The RPZs shall be maintained afia the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at _ least 16" above the ground and the upper strand shall be no higher than 48" above the ground. _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following entidlemenm must be obtained: a California Fish and Game 1604 Streambed Alteration permit and an Army Corps 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number . of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 131), unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. —9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish tit Game at 916-355-7010. —10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $750 as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be mads to die Planning Division. _ 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. 12. —13. 14 K:\BLDGC't 4.Fit.'A 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, Camfornia► 95965 • Telephone (530) 4 �� P ty� No. (Rev.12/96) APPLICATION AND PERMIT G!(; AS SESSOR PARCEL NUMBER 073-300-004 U ZONING BUILDING PERMIT OWNER CAMPBELL., GERALD X707) TELEPHONE 452-1017 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS P.O. BOX 2433, VACAVILL•E, CA 95696 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS 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 $ 23.00 BUILDINGADDRESS 6161 FOBESTOWN ROAD, OROVILLE Ener Plan Checking Fee Energy g $ $ PERMIT FEE $ LAT NO. SUBDN510N5 NAME PL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 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 I am exempt from the Contractors License Law fo a 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 Main Service TO tOooA 46.00 WEE200A NEW CONST. DWEWNG OCCUP. OR ADONS. ( a ACC. BUDS. SO 3.5¢FT. P10N N-q�,pT MULTI.OLlTLETC. 97.50 8 SINPOWGLEER APPARATUS OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B40 0 1.00 Ex. Occup. ourLEEDrs PRIT6.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 0.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ 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.) 0-1"certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f 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 F Signature of Applicant - CrOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143v'0_0 HAZ. D. FEES IMP/ � U gDF PAR D 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 Qate PERMIT EXPIRES ON .5 �(p I t Da Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ✓ �/ 7"' E.M. USIFVFty Plot Ran Attached Wtb V Floor Ran Attached Sent to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Own4r Location AP# rPlan Approved for: Sewage Disposal (Water Supply: ��Public Private Well Clearance for dwelling. Other �_ pJ/lov.nl ;7l�cX� Hold final for: Final clearance O.K. for: NOTE: Environmentala Ith Specialist Date 8/96 ��. 5�� �_�.�,.�,�"�i��7�'A4"��Y'x'{�'v'.�""�'7ni%i"�^`r ' •-TT'�T' ., N 4 ry,. 1+ I, �o COON. TY OF BUTTE - DEPARTMENT OF D EMPMENT VRVIC'ES - BDIVISION 4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHO (530) 41 PE"IT"PLICA TION DATA SHEET n OWNER: �- / n h a. �/ ASSESSOR PARCEL NUMBER: O 7 3 -.3 0 o --y o y Proposed Building Use: GA-- Building Inspector: Date: 12 ^� At time of permit application, I was advised the following data must be sub ed prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 08. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. hn -act fees as shown on the attached schedule. ------------------------------ - - California Department of Forestry plan approval/fees. - 1 1: i;kod elevation certificate. ---------------------------------------------------------------------------------------- itation and plot plan approval 0—ej> Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. 47. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑ 20: Pre -inspection for required Request to Building Inspector on 02 1. Contractor's license information. (Number, Name Style, Classification). ---- 022. Workers' Compensation carrier and policy number. --------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------ 2 Letter of signature authorization. ------------------------------ ni• Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- C1 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: (Date),' r 5 When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. 6'elephonk707)– 'YSk /Ol ? and hold for pickup at 0io office. ❑ Deliver with inspector. Applicant:��Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 1. Index permit application for the above items numbered: r ❑ Plan Check List 2. Additional items required: ' ,41 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: ... ,. Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division ounter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: r,.-,.. T- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12A6) APPLICATION AND PERMJ 1 " I"Wapm4a"uMemopen V— BUILDING PERMIT °MrNe" Z'�1OZ%O� SO. FT. OCC. BUILDING VALUATION oWNa1ADP I Z C COWPAMR1 win 7) Ne O0"mACTW1 IW HO ADORess coNsTrUcro" uDeat L&CO 1 MALUM ADORess ARCNRECT OR LMMNM uceae NO. APZHncT OR COMMS MAJUM ADOMS SULDMAOOReas // / �— / ZAo h% �f Pa 4✓J G [� )..N •� LOT NO. I 9UeW @K*M"M! USEOFSTRUCTURE SF O Duplex O Wbilehome�6,Other epwry TYPE OF WORK New I] Addition O Remodel O, UtlGtles I�lnla sistton O Other O d ' Describe Work: H Fireplace Total Valuation = Firing Fee t Permit Fee i Plan Checkina Fee i Energy Plan Checking Fee t i PERMIT FEE PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping "tam 1 - 5 outlets Building sewer Mobile Home Receipt No.: WHITE -0.0.,S, Z3_oa iitng Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 O.� inn Fee 20.00 r 23.00 i 48.00 3.5tia i Ex. Occup. ounzr OR Fm%xm y� we,:;; PERMIT FEE _ 5.00 ELECTRICAL PERMIT 23.00 Main Service = Misc. Wiring 23.00 eo00OYOA 0.000 Main Service 20" TO 100" e; NEW COLO .WIE11J10 oOW►. OR ADONs. •ACC. Sols. Hood / MNLTFOUW \ Receipt No.: WHITE -0.0.,S, Z3_oa iitng Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 O.� inn Fee 20.00 r 23.00 i 48.00 3.5tia i Ex. Occup. ounzr OR Fm%xm y� we,:;; Ex. Occup.7,M, FRla..ORCA .7, M, Bb 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ .�� MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingI Hood 8.50 Ventilation PERMIT FEt f Mobile Home Installation Fee = Energy Inspection Fee E D" co -T'--- TOTAL FEE S 3, 40 "AL 10. FEET I W► I P-000 I COF P"RCEL I PO -- 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 PERMIT EXPIRES ON PUCANT Date (W t BUILDING DIVISION n4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PEfjMIT _NOa . Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ^ ©O r� ZONING OWNERPHO Gt�Aza r. C/A J,-1 ?,a6 L L- NO s 2 - OWNER'S OWNER'S ADDRESS 6/ &// #�rs']'.� LOCATION OF BUILDING 6/6l �j�Q�fTow� afl USE OF BUILDING XrOAA&d T�s�^I�� oF.��c Pg./�• �.�cT��.nov c=v�•s• FEe•� A %�H t f r1 a+ i 'tom O SCoO .� fes+ • '�! c'�9 i / [ S s.ee rs TA10 ti P'S.- SIZE OF STRUCTURE � ya �' ° X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME L--- STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 01.L e5 L A0L-l. 13Arf ESTIMATED OST OF CONSTRUCTION $ _7,0 o a AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1%d A Ad&'1 �� 0'o' ] SEAR 1 S ° % n -p FRONT wv`,SIDESOv AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1f ",3� 1�' / Signature of Owner Permit Fee - $60.00 Receipt No. 0 The above described AG Building is exempt Irom a building pe it. FL I PARC I P.V I ROOF G I ISSU Manager Building Di AA By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date kJ1 AV LAND DEVELOPMENT BUILDING / ENVIRO ENTAL HEALTH -PERMIT CLEARANCE BuI/d/ng PermftNo. ' OWNERS A.P. NAME: ?Am ti I t �F� NUMBER: ?9 goo -00!/ PFUNT LAST F ME FIRST ADDRESS / LOCATION: Y ORbP_&jWAJ � COUNTY ZONING ! / DESIGNATION: �� FLOOD ZONE: FLOOD MAP: 7�J� APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS OR MAP -T• 3L �C DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: ' YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: COMMENTS/CONDITIONS: MAP INFORMATION: LEGAL ACCESS REQUIRED: YES NO YES NO DATE OF RECORDING Z 7-3 LOT Z BOOK 4( PAGE O�7 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES `� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:. A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED 4 1. Maintain a 50 ft. building setback from centerline of roads _ 2. Maintain a ft -building setback from right-of-way/centerline .of _ 3. , Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet File Department specifications, serves the parcel. _ 1 1. Pay T.D.D. (Thermalito Drainage District) fee in the amount of S 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. — 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Peymerrt to be npmk fo the Plwvdng Dhdsim. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. — 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions. of Chapter 3, Article II of the Butte County Code. 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23 24. 25. 26. 'AIQ 1N31 013M OW 3.01310 UNnoo 8661 1 0 AVW MUM LD 5197 -� COPY of Document Recorded 26 -May -1999 1999-0022295 AND WHEN RECORDED MAIL TO: Has not been compared with / BUTTE COUNTY BUILDING DIVISIONHas 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 BUTTE COUNTY RECORDER • 'r t ' .tt 1 • ;i %1 r AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT • 1 • • Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included withia'an area zoned for agricultural purposes, and residents of this. property may be subject to inconveniences or discomfort from !he, use of agricultural chemicals, including, but not limited to' herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary faun operations. All that real property situate in the County of Butte, State of California, described as follows: /� lir 1' ',, �p`Ir•/� .. .. 1 q" i IT, _. Date -s ' `" 9 PROPERTY OWNERS: State of California ) County of �a ) On O� 1 personally appeared_ _(�,�C'LL.1� 2' P/1-m4bX11 personally known to me (or proved to me on the bash of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to that he/shelthey executed the same in his/her/their authorized capagtty(ies), and that by his/her/their signatures) on th st went, the penon(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ' WITNESS myXmnd d offi al seal C. WILLIAMS nature / ��; N _ COMM" 01092338 Si g V-0 Nar�nr pu�u N 4 COUNN OF BLUE w My Comm. Eupins March 24, 2000 A.P. #. � 73 r 34d �Xj lip I At ORDER NO. 1-62477'LFC LEGA DESCRIPTION EXHIBIT "ONE" ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE' OF CALIFOROIA, BEING: MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF THE A EAST HALF OF THE NORTHEAST QUARTER OF SECTION 12, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., FILED IN THE.OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 12, 1973, IN BOOK 46 OF MAPS, AT PAGE(S) 2S. TOGETHER WITH A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER'A STRIP OF LAND 60.0 FEET IN WIDTH, LYING 30.0 FEET 014 EACH SIDE OF THE EAST BOUNDARY OF SAID -PARCEL 2. AP # 073-300-'004' END OF LEGAL 4h, i Vw, .1 J�i 1Z COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: PO BOX 2433 CITY & STATE: VACAVILLE, CA 95696 DATE OF CLAIM: 5/13/99 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES /MPORTANT.- SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD. (AP#073-300-004, BP#98-1239, RECEIPT # 31346 DATED 6/15/98 & 244311 DATED.6/23/98, OWNER: GERALD CAMPBELL. TOTAL AMOUNT PAID...................................$313.10 RETAIN REFUND rROCESSiNG FEE ..................... .UU RETAIN BUILDING PERMIT FILING FEE ................$ 20.00 .............. . 00 RETAIN PLAN CHECKING FEE .........................$ 58.50 RETAIN FIRE PROTECTION PLAN CHECKING FEE ... ......$ 43.00 TOTAL AMOUNT TO BE RETAINED . TOTAL $146. 60 the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true ,d correct as stated. / ited this /Z day ofh�, 195'5 , at Calif. ,GAG --7 L Signature of Claimant the undersigned, hereby certify that, to the best of my knowledge, the services or articl specified above bee erformed or delivered and at there is a Budget Appropriation ( I or Specific Board Approval ( I (Check on fort e ated this 13TH day of MAY , 1999, at OROVILLE , Calif. Dep rtment Head or Authorized Deputy ept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND ept. Code Exp. Code PAYABLE FROM FUND ept Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: �J �J�-1!-�p c2 q 1,1 Date: Issued To: Amount: 31 Fees Retained: Processing Fee: $ �S• Co t./Bldg Filing Fee: $ PlPlbg Filing Fee: $ ✓Elec Filing Fee: $ 1 . 0): Mech Filing Fee: Energy P/C Fee: vP'ian Check Fee Inspection Fee V/SRA Fee:G Total Amount Retained TOTAL REFUND DUE $ 6B.S`D S $ T3 ' g lioi0,� REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: 0 RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. t, p SIGNATURE DATE 5=12-q5 , PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. A, . Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. t, p SIGNATURE DATE 5=12-q5 , PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 E NT NO. (Rev. 12/96) V APPLICATION AND PERMIT ASSES167_'°I�611UR 004 ZONING BUILDING PERMIT DWNERGERALD CAMPBELL 707TEf4VE1216 SQ. FT. OCC. BUILDING VA' �I.ON .OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTitIjbltENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 58.50 SUIL.DINGADDRESS 6161 FORBESTOO ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE PRIVATE STG SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New KN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 12 X 20 STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V 0 RLE Main Service .0. OR LESS 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lar the following reason: V, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELJNG OCCUP. ( 3 0 ADDNS.EW s0 3.5¢Fr: 12.60 NOR CONST. MUAiT�i ou�TLEr NON-RESID. 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDCTl1RES SAL @ 1.550 Ex. Occup. OLmEtis A¢ o.DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 55.60 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' 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.) 111/11 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X G Date ��?— s�' Signature of Applicant - 0,00wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 224.10 HAZ. D. FEES IMP X FLOOD X CDP X PARCEL PD X X HD X ISSUE X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B //'+' Date 7 �8�98 Y PERMIT EXPIRES ON 71199 (Date) Receipt No. o,/21►Lt�ll ���-A� WHITE-D.D.S.-B.D. 1��- S S�Rr PINK -I SPECTOR GOLDENROD -APPLICANT COUNTY OF'UTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7S O QTY CBNTR-DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ••-•ice PERMIT PLICATION DATA SHEET OWNER ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: At time of permit application, ]Fwsy advise he following data must be submitted prior to perm!il"rocessing and/or issuance: Date Received By ❑ 1. All items have been submitted. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ 9. Manufactured Hom data and installation instructions including Tie Down Specifications .------------------ 10. Fees of $ Impact fees as shown on the attached schedule. --------------------- -------- --- ------- ------ &M-16aiibarnia Department of Forestry plan approval/fees. - - - -----�1=1______ ------------------ ❑ 13 lood elevation certificate. ---------- -------- - - - ----------------------------------------------------------- 4. Sanitation and plot plan approval (/' Health Department. ------------------------------------------- v ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- �.1 ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- ---------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- &_,W+Cj"E-ncroachment Permit for driveway (construction approval prior to occupancy).A-�?tn,eeZAZ-4e4l�1j6.&.,we a =_e7-- f ❑20. Pre -inspection for required Request to Building Inspector on (Date) 02 1. Contractor's license- information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -----------------=-------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- ❑2ecorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- tter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ----- o 028. Existing violations and/or expired permits. 029❑433 A, ❑Grant Deed, 11M.H. Title, ❑ Check to H.C.D $ . When you issue the permit, process as follows Mail to ownW, ❑] ❑ Telephone for pickup at ,ctor. Applicant: 00� '::�' / Date: (- / J, s •: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Oth : Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:, Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, wn w advised of the above requiredn9plans phone, 11mail, 11Bui s' counterby Date: Plans reviewedby: Date: • oZ approved by: Date: Sets of plans on hold4A ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �C&4 C,n E.H. USE ONLY Plot Plan Attached Floor Plan AtUched Sent to B.D. J3 1 7/ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other 6110 110 1 Vl M 1 nA — <) tL(::) G { <!�, h P -C) Hold final for: Final clearance O.K. for: NOTE: nvironmental Health Specialist 8/96 Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the Major labor and materials for construction of the proposed property impr ement : YES NO D 2. I HAVE HAVE NOT C3 signed an application for a building permit for the proposed woilc. 3. I have contracted with the following person (firm) to provide the proposed construction:. ADDRESS: 3 3 CITY: U ('/A 0 L c V , rel,� S s 6 9 � PHONE:('? J 71 L/ 6- / 2)6 CONTRACTOR'S LICENSE NO. t 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: X--4 SOCIAL SECURITY SECURITY NUMBER: L/ 7 6 6 -s 3 S`7 DATE: Owner -Builder Verification is required byction,198.3 and7993Z_; he— California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORNIATION Q I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, . workers compensation insurance, disability insurance costs, and unemployment compensation contributions. .. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information aboutyour obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 198.0 of the California Health and Safety Coda OVER 4v�!_fji,Z.•.,1,7,�74�+. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER r� /a PROPOSED BUILDING USE l� 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ =- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3 5.9°0 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $_ Units Commercial (sq.ft.)... x $0.03 = $_ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - = $. #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. . Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES / $510.00 (paid at Building Division) (� 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) P44§115 Rea' 31 3q4 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT �.-. i1 Com-- ' �-- y DATE `` -S Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval,of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) J ..•-• ... /V 8 OG ' Z2 w I Y /� • n�_.y-? ' �4:.N �UL �'���1 ']� L1C.� ��:;"' ,_ ori ;;' � �. uLl� b �Z_,n S.: f • 1• _ V lcl �' LtL. ++i� �._.—JLT �Lu�SJJ Jl���� �/ 'o �, O�, L. _. I4fUk..,�Jla �F _a L _ •_, �, a PARC E L 2 �^ •19 4.3 6 Ac. Jay �: o Z I NA 31.59 G fl- 9 c, ; .x,1,0kjA 4- � xr r 199.3 Not E\� Fp,�6E3 7*WA' II 9.A�• i L DgrA O� 111";q 1 ; e e 1• 4- 30• .93'07' cp 0 A 1 M of �11� i R=zoo' � 'k c : /06.65 ' �1 it ti 3a - OO f OA TA A • 3o•32• R= 33o' 30 $a TTE 800K1. I SURVEYOR'5Z GFRTIFIC;ATE THiS M:;� N.;'' c�EGA��r�. BY ME OP !%'�'iF M '•� ; "ntJ A.'.D WAS COMP'LEO FRCk1 RFrr,PO•DATA'•AND-IS-I3ASEU 'UPON-AFIFu0-S.lN:VEY •I.N CONFORMANCE WITH • THE REOUIREME'ITS OF THE" SUBOi/KION MAP A, -T •' "T TIE R Q JEST OF 1 HEREBY CERTIFY THAT IT CONFORMS WITH T.iF .r Vkii'::.i TF.NfAny"E,MAP AIVU THE CONCITIONS OF APPROVAL THEREOF. THAT A. PA';•..C:�1NS oF. APPLIGAOLE STATE LAN AND LOCAL ORDINANCES HAVE 04 414. 4 C 'VITH cNA*iF. S W .•Ntaivc f /!� zxT t•5 .i7JN / CDF FIRE SAFE REQUIREMENTS 3 3 o, d 't' V —1 Z 3 c1 , AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [1 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner.. Driveway Standards DQ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app.,rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [X] 2. The length of vertical. -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. if 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3- , u a 73 ;-3v -0 'V-12_34 AP # PERMIT # AME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. K] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site . approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �,r fi:ial inspection of a building permit. Page '2 of 3 a -7 3' - 3a 04 If, 12- 39 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 I � r o I� c' z I� 00 P t I � I� c' I� 1% O y o 0 Mitchell's Building Materials Warehouse P.O. Box 1038 Gridley, CA 95948-1038 SPECIAL I ta_ - COb*'ERING REQUIRe-o, 017 n • u �I n b • I oo —AN 11�pfilv 52 N �8" o`' zz w " ,r r �.Uv EU I Butte County cnvironmental Health • - Date S)---- Y \1NSignature 9 0 • Qo 5�rJ p W r h. f` \ � / �Lr��S 4.36 -Ac. g� PD L y v Z I L��� QG r Itio 0 �� Jo' 1 0 �f r • � � P, 4 h�Gr ��'��,r X i 6° 3 X30 99. 31 1 112.38' ; coves rr i o �o`.9s P C -+c 0 I I R',K wa,<<'7 (lfJr W.A/1 I4 f. it %3 0 f?- .Q0KI -'CFL '7 a res! .�� N N OA D A rA r" CoA-N�=A o/S' O c fit cl,a �r��'V 4 = 30'33�07� 0. n,.: /� / • �� 1 �1 L� �.� � G-� O N O C � •7 � S j�-L-�1�" `-`J � v- / c RESIDEiNTIAL073-30-0-004. '98-1239 B, E (CAMPBELL, Gerald 16161 Forbestown Rd, Oroville ;(new pri stg bldg/workshop) PERMIT NO. — PERMIT EXPIRES bWNER CONTR. ASSESSOR PARCEL 'LOCATION 4 F4, /SRA CHECKED BY I OFFICE COPY I Address Temp. PI GAS Meter By Date Cell ELECTRIC _ Meter By Da �� Temp. E—_.-__.—_ Called PG&E Temp. Gas Service V=OK O = Not OK NotAp'=NotRepaldyble MOBILE-HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacngConnectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, LocatiorrTest-FallC/OLoncrete 4. Wood Awn.; Posts-Beams-Rftrs.Connectors Shthg.-Rfg.-Bracing 4. Water, Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test4Nrap; /. ^:ft. / /Nat. or/ /°L°ft./ /LPG 7. Electric 7. Well Clearance 8 Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; SizeSpacng-Manage Line -POOLS (Plans) OK except #'s 3. Gas; MH Test0emandValve-Connector ' 1: Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator-Connector 4. Eke:.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected-C/O to Grade-HD Approval 5. Elec.; Pool Lighting; 15 Volts -GA 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs-Type-Installation Cert. 7. Elec.; Bonding; Metal w/6Circulating Equip. -Heater ` 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. TestWater Supply Test . Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacngConnectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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. Eke:.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6Circulating Equip. -Heater ` 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test . 11. Light Niche Date Card B-1 Date Card 8-1 Date Card B-1 Date Card 8-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Hangers -Post Caps -Anchors -Connectors 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: TrussShting.-Rfng. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 8. Piers -Fireplace Ftg.-Steel 51. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Property Line Firewall & Openings 11. Water Pipe; Test -Anchors -Regulator -Service Test 53. 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 55. 15. Access & Ventilation 16. Insulation Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Shear Walls; Nailing -Bolts 17. Water Htr.; Vent -Access -Combustion Air Baffle 60. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Infiltration -Walls -Windows 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s FINAL (Plans) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 63. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B es & No. of Conductors Stapled Smoke Detector 26. Romex 1 stalled Close to Edge of Studs & C.J. 65. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Bedroom Exiting 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 67. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect Elec. Trim & Subpanel, Breaker Sizes & Labels 32. Equip. Clearances Panels-Motors-Mech. Epuip. 69. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 73. 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 76. 39. Attic Access & Platform if Furnace in Attic 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 42. Bearing Walls over Girders & Floor Nailing 83. 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs A.C. Unit Disconnect, Electrical -Plumbing 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: TrussShting.-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 Hgt. & 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-VValls-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-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales 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 (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 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: