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073-340-015
0 DLIAMI-M rll%VauLlVujj first C' Y' K-ilsty Crescent Rd Orovilre Fxwt� Permit#345-84B,E(new pri rage q _/5 16 Kirs Cres cent Ct, Orov v4 ille Iemit7#811-E(util, MH) ELEC GAS 792r COMPACTION TET RE SUPPORT STRUCTURE RE Contr! R StAvern, PAr Perm' 029-86MHI I e COMPACTION *SUPPORT S N TE:T RE STRUCTURE R C E R U _ T ]Contr R St v e Perm' 029 86MHI I ed P> rmitt —Permit#15 new deck/MH) pen it Permit w W, -86B(new open decks w A lk �Zl 4 I BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) :(530) 538-4365 Office: (530).538-7601 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B09-0251 Issued: 02/26/2009 Address: 16 KIRSTY CRESCENT CT, FORBESTOWN APN: 073-340-015 Owner: PROSCHOLD, FAMILY TRUST Permit Type: SFD-Mobile Home RET Description: EX MH ON PERM FND Flood Zone: None SRA Area: Yes SETBACKS for ZoninLy. AG. SRA. PW Front: Centerline of Road: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 112 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House or Yard 404 Gas Piping House or Yard 403 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Do Not Install Floor Sheathing or Slab Until Above Signed Straps/Holdowns 154 Shearwall/B.W.P.-Interior 134 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Piping House or Yard 403 Shower Pan/Tub Test 408 Fire Sprinkler Test or Final 702 Do Not Insulate Until Above Signed Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 ter/ Swimming Pools Setbacks N Inspection Type IVR INSP DATE T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Brown 144 ter/ Swimming Pools Setbacks 131 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507:± Manufactured Homes Setbacks 131 Blocking/Underpining 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: - • f - Finals Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final ter/ **PROJECT FINAL 8011� d. 'Project ina is a ertiicate o ccupancy or esu ential" n y PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy { i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#:(530) 538-4365 OFFICE #:(530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORM_ ATION Site Address: 16 KIRSTY CRESCENT CT Owner: Permit NO: B09-0251 APN: 073-340-015 PROSCHOLD, FAMILY TRUST Issued Date: 02/26/2009 By AAM Permit type: RESIDENTIAL 124 PEPPERELL CT Subtype: SFD-Mobile Home RET VACAVILLE, CA 95688 Expiration Date: 02/26/2010 Description: EX MH ON PERM FND Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 (530)534-0599 (530)534-0599 Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 Total Charged: $602.90 Fees Paid: $602.90 Balance Due: $0.00 Receipt No: B9806 LICENSED CONTRACTOR'S DECLARATION OWNER /BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions is in full force and effect. of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the X Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation Section 7031.5 by 02/26/2009 of any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Contractor's Signature Date I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or WORKERS' COMPENSATION _DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, I have andwill maintain a certificate of consent to self -insure for workers' however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I, as owner of the property, am exclusively contracting with licensed Contractors to ❑construct ❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License State Fund 046-0004257 01/01/2010 Carrier: State Number: Exp. Date: Law.). I am exempt from licensure under the Contractors' State License Law for the following El 1 certify that, in the performance of the work for which this permit is issued, 1 shall not El reason: employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' X 02/26/2009 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Owner's Signature Date X 02/26/2009 fl- PERMIT APPLICANT DECLARATION. Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS By my signature below, I certify to each of the following: UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES I am U a California licensed contractor or U the property owner' or U authorized to AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN act on the property owner's behalf**. I have read this construction permit application and the information I have provided is ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I agree to comply with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized CONSTRUCTION LENDING AGENCY DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address 02/26/2009 Name of Permittee [SIGN] Print Date INSPECTOR COPY Lender's Name & Address City State Zip PERMIT NO.r�MH� PERMIT EXPIRES OWNER DELMAR PROSEHOLD CONTR. Owner ASSESSOR PARCEL 73-18-154 LOCATION 16 Kirsty Cresent rCte Uv F +t Temp. Power Pole # Called P� OFFICE COPY _ Temp. Elec. S� l Address Called PC�� �GAS p (t Temp. Gas Sen' Meter By TF ELECTRIC - I Meter By Called PG! JOB FINALE[ Signature 1 W OK' ' 0 Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready 7 Date MOBIL OME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1 oning Requirements—Setbacks—Easements i 1. Zoning Requirements—Setbacks—Easements iIs; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors Sewer Location—Test—Fall,C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Ae,Wa—ter; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 6*.*' Electricity; Location—Clearances— .—/ ,6,& Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures ' 6. Gas; Locatio Test— rap: / ` /"L"ft./ /"Nat. 2SCK,L"ft./ ✓!'rLPG 6. Carports; Windows—Doors tility Clearanc2 7. Elea s Card -BI Date kf Card - BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval Card B -I Date Card -BI Date 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Ore~ M362-1 f t f J = OK r 0 = Not OK- Not KNot Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3,-Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. .Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; •Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg-.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Eiec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed foe Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -- _ 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen &Conductor Size 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ,=,Yes :3 No Service -Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I _ 30. - Clothes Closet Light -Shower Light Date Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N•s 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric _ 31, 32. 33. A.C.- Ducts_ Insulation & Support Vent Fan; Exhaust above Insulation _ _ _ _ Condensate_ Drain & Overflow; Size & G•ade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates _ Card -BI Card -BI 34. 35. -- Furnace -Vent: Access -Comb. Air -Return Air Vent- -115V outlet Attic Access & Platform if Furnace in Attic ---- - - - -- - - Date Card -BI _ Date Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 3_6. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing_ & Bracing -Plates -Sound Bearing Walls over Girders & FloorNailing _ Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stairs-C'lases-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hg_ t. & Dimensions Garage Fire Protection Framing _ _ (NOTE:Anentrymust be made each time youvisil jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �� Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY -CENTER DRIVE,, — OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. J� Address or location of mobi lehome0 Y �—I ter• \ Owner's name ��y I D�'� .,1 �?,Y7L� E' i 1.^3lN v �. Owner's address —"1.W1 I r Insignia or hud number Or P 1-1.1136/ 9� Manufacturer's name UQ CiJ� ;� ` Serial number f V.I.N.,,--,. l P f 3 �fn ft f"� Year of manufacture 9� (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE �t MOBILE_HOME IS INSTALLED ON A FOUNDATION SYSTEM. '� 5136 White - Owner, Yellow - Installer, Pink - D.P.W. "'t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AS SSOR PA EL BE ZON' BUILDING PERMIT ' o T LEP NE o r S0. FT. OCC. BUILDING VAL AT N OWNER MA DDR SS n S CO T R At);'S N AM E T L PHO E C RA T 'S M I ADDRESS jS Fireplace CONS CTION LERDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSr 4: r Permit fee - $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 9PAR..L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex[] Mobilehome [� Other SPECIFY 7� Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 oC Main service 100 AMP 111 OR LESS SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 7?��7L Classification ['_ — �% ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ed , OR ADONS. ACC. BLDGS. /20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 20®SOt P eALo3o Ex. Occup. ouTLETS EO APP(RESID )LNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 PE Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 . Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id Cc n y in consequence of the granting of this permit. ` -L7— c9 %� Date Signature of Applicant — Owner ❑ Contractor D/Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 0 ze Occup. CONST.TTP! I I FLOoo PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By T EXPIRES Date/—"t the applicable provi- resolutions to do fees have been paid. WORKS Date %�% /— Receipt No. LF; J��� �-PE WNIT!-D.P.W., TELLOW.ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS =+BUILDING DI IS'ION 7 COUNTY CENTER DRIVE - OROVILLE;-A1.4F'PRNIA 95965 - TELEPHONE: 91 /534 45,5,41 PERMIT APPLIC'A'TION DATA SHEET Permit No. OWNER 601,n4rV_ LrC)"01) A. P. No. Proposed Building Use _Z Permit Fee Based Uoon: ComDlete Contract Price DPW Valuation Building Inspector At time of rmit application, I was advised the following data must be submitted prior to permit processing and/ori uance: DATE RECEIVED APPROVED 1- All items have been submitted. . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-Insp request to (Dote) p q Building Inspector 18. Recorded of A ricultural Acknowledgment Statement . 19. Other DRIgVpRAY1 P�RMIT (Construction approval required prior to occupancy When you issue theermit, gc�e as follows: Mail owner. Mail to contractor. pj)Telephone and hold for pickup at)K40.office. ` Deliver w/inspector. Other Applicant ��,y-� Date —-8� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: .(For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner).was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW r 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's Name: F] 3. Is the site currently under permit? Yes a No _ (If yes, furnish permit number S ((- CM ) OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- l 00 Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the j • i mobilehome site service? -------------------------------- Yes No F (If yes, identify the load and size: .kM� (Load) a-0 (Apps) t 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service. Natural F1 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?----------------------------------------- --- 12. What is the mobilehome gas demand? ---------------- ----- (BTU) *(This information not required if pipe.length less ft. on natural gas or less than 50 ft. on LPG.) T //JS BUTTE COUNTY BUILDING DEPARTMENT -- w A OVED- MOBILEHOME SUPPORT DATA _h If' others than single wide ! �6 Mobilehome Mfr. furnish Setup Model No. '7 Z Year 1 Width 24_(ft.) Box Length�6 (ft.) Tagalong or Expando Size —�. x ft - On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Di. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Df- Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends-Max. Line 3 Roof Loads. Size -Min. ---------- Location (From Front) Line 4 Pierst . .. Size -Min.----=------- � Spacing -Max.--------- ~ " ' From Ends -Max.------- ,_ y � a Line 1 Oaeninas: Size -Min. ------------------ Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ , n Spacing -Max.--------------- From Ends -Max .------------- �- Size -Min.------------------ Spacing -Max.--------------- From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min.------------ nx ux „x a nx n „x. ux a loxn .,xu Location (From Front) ,_ ! iAri�t�� r • FUQUA HOMES INC. OLUMN SUPPORT SPEC. SHEET rcnC� ►c�••:.ituao 1 yrm ..woos ,� ROOF LIVE. LOAD 30� o AP•R 1 �5 � • �,< ROOF DEAD LOAD (D L E N C T H 1YIOTH 2L,'-$" I I I W-91 ?r'�"2�xI�A ,�AK�G i U1 0 LD D 7 Rll 0-q; ¢/Dt K : x o. TKAIJS�I �p S^E UCTIONS YJ - 'JNLOAD04( WARD SPECIAL INSTROL OONI'JAR0 SPECIAL I\STRUCTIONS I COL. LBS.? LOAD(LBS.I I 1/2e- 9 . 1 10 F(I 11-Tr7,5 t n 728 i2 F 13 s 730 6 3 �� 14 7 15 16 Footing or. pad size must be determined by dividing the soil Veariny capaci:l into the )200 LBS it bear my capacity - 1500 PSF• do����Y•ard load 3::J LBS. downward IoyJ' Footing size 2. 13 S0. FT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N ./ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �/ APPLICATION AND PERMIT K� ASSESS RCE MBE ZONI G — %j BUILDING PERMIT TELEPH NE OWNErPrOSO L11- - SQ. FT. OCC. BUILDING VALUATION OW ER'S AILI ADDRESS CO AC OR'S NAME TEL CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$� LENDER'S MAILING ADDRESS Permit Fee $ ARC 1 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S AILING ADDRESS Penalty $ BUILDING ADDRPermit �, .. e� fee $ PLUMBING PERMIT Filing Fee 10.00 r' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEfL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS G 10.00ea TYPE OF WORK New❑ Addition ❑ Remo de ❑ utilities Installation❑ Other ❑ Describe work: %� +_ I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LEV ORSS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E -1I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING 0CCUP,' I OR ADDNS. (ACC. BLDGS. 2/z¢sgft NEW CONSTR. MU TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS tr� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS IIRESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate + of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject t0 the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' ilities, judgments, costs, and expenses which may in any way accrue Inst id County 'mcsuence of the granting of this permit. Date Signature of Applicat Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPe I I FLOOD PAR L PV ND ISS. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 0 �� Receipt No. p WNITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT _ !` , v aa.. .e r"ttr„+. + a! ..f._ r..*r7 _ �. i c r , •. C.r't .Y• s . .,.. ra. COUNTY OF BUTTE - DEPARTMENT OFPUBLICWORKS - BUILDING,D'1 I +ION - 7 COUNTY CENTER DRIVE - OROVILLE, CAQF(�FitMTW'95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA'SHEET �.- Permit No. f�� I C OWNER oe �C ✓� A'oSe C A. P. No. /�,J-ISr /J Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . 'f 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizat' n. 0. Sanitation approval from f . Health Dept. b 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 14 Owner -Builder Verification (Given to owner0, Mail to owner) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . • 17. Pre -Inspection for Required. Pre-Inspec. request to (Date)Building Inspector 18. ecor$jdj�g%ff1k�,r�� It CpI Acknowledgment Statement . Yfp1(� her Ki�111 kUonstruction approval required prior to occupancy) ;T When you issue the per it process process as follows: Mail owner. —Mail to contracto .. Telephon 3"%-�3 a d hold for pickup at �r"2ofiice. Deliver w/in4e'ctor. Other / M� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 1 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: Copy—DPW Telephone 1-` Mail Date Date Date Other • Wei, To: Building Department w From: Environmental Health Subject: Sanitation Clearance G-4 rAA.,_� Pnosc k,,IA" c i3 Owner I Location AP// Plan Approved for: Hold final for: Sewage disposal water supply water supply Final clearance O.K. for: water supply Clearance for bedroo home. Other NOTE Sanitarian Date AFFORDABLE HOUSING CONCEPTS BLAKE REALTY 1940 Feather River Boulevard Oroville, California 95965 (916) 534-8336 M arch 29, 1936 To: Butte County Building and Butte County Health Department .This letter is to grant authorization to non Blake of Blake Realty, 1940 Feather River Blvd., Oroville, Ca. 95965, to act as our agent in any and all business transactions relating to utility permits for our property located at 16 Kirsty Crescent Court, Forbestown, California. De mar ros Glado 14. Proschold -s- AP # OWNER PERMIT 11 MH UTIL.CLEARANCE DATE INSPECTOR !2,.Cls?� ELECTRIC GAS Support Struc. Compaction Test eq. lervice Other Pipe YES NO YES NO iize Load Type Size -Len th r TW to of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes o� alterations an some without written permission from the Department of Public VWorks, County of Butte. a NJ g�mo,�,o Nee OX 0 `Jfi �I �IIV . �t tility connections shall be 4 ft, of the mobilehome either �- , t� 1 directly behind or within the rear half mobilehome. ) of the �0 NOTE:—AH Materials & Workmanship Shall % M Accordance with Recognized Good Practices and 10, a qual�#prescribed for the Specified use in the Unrform EI . ing, Plumbing & Machanical Codes amd s 'file NaHonvl Electrical Code. 7 • - e c �i th- "moo Electric: Dig trench 3' deep, 200 amp box en—heu— e— with 100 amp breaker to house Propane: Dig trench 1' deep, gas Co. will install line Water: Connect present line to house /NSPecTrou or Gtue R -CRO Utility Connections: Line up as above House Pad: Level about 20 tons, 2 truck loads road base Comcrete Pads: Areund electric and septic connection gUIL.DING DEPARTMENT 'APPRUVD PERMIT NO. 345-84B E ' PERMIT EXPIRES 2/9/85 -4 OWNER DELMAR PROSCHOLD .i CONTR. owner 5 ASSESSOR PARCEL 73-18 LOCATION NIS Kirsty Ct, 200' W of Kirsty Crescent Rd, Oroville lot 2 + • OFFICE COPY _ a Address ' ,ELECTRIC Meter By - ! Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E ! Temp. Gas Servici Called PG&E J JOB FINALED (Date) Signature OK 'Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2.Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors .. 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment-Hbater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ) 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK .a. - = Not AppOcable Rea =.Noi Ready RESIDENTIAL (Single and Duplex) } Date UNDE OOR PWns OK except#'s Date FRA ftr!S (�dfitinued) oning requirements -Setbacks -Easements 48. tWerty Line Firewall & Openings W'; Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. D ors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- /if /" Ftg. Depth s; idt -Headroom-Rise-Run-Landing-Fire Protection 4.1 Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5V,11P1js4efd on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel- Blockouts-Wrapped-Slab 52 iding-Nailing-Veneer mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Fig. -Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electri nderground 12. P ums &Ducts; Clearance -Material -Support -Ins. rz Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI 0&=Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (PI OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s Vr.--5_xt. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 1A.- Elec. Trim & Subpanel; Breaker Sizes -Labels _ __19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails ieplace or Stove; Clearances -Hearth c_. Outlets at Wood Panel; Int. &Ext. Card -BI Date Card -BI Date 65.1 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Cleara tion 21. Ele eceptacles Spacing Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air=Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ]Q/'Nlb., Elec. & Mech. Equip. Listed for Location 22 ize Boxes & No. of Conductors -Staple -7Aeltlec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Installed Close to Edge of Studs & C.J. 24. uip. Ground made paa/Mech. Fasteners -Bond Gas & Water 7 Insulation-Foam-Looked in Attic ❑Yes -- ce Circuits in Kitchen & Conductor Size 733.. Guard Rails &Deck Construction -Post Caps - ubfeed Wire Size / ga. CuA.C. Wire Size /--t ga. Cr At 4 - u o 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes __ 27.1 Range Circ. 1--;.J ga. Cu or AI-Oven-Girc. t-�-Fga. Cu or At, P I _ated Neutral (!]Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 75. Following ins Drive es ❑ No; Walks [I Yes El No: Planters ❑ Yes ❑No 76. Stucco; Brown -Finish -- 2 quip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- -- --------------------- ------- Card BA Date%7i (- Card -BI _ Date _-_ 79. lWater Well; Disconnect, Electrical, Plumbing 8teffkterior Elec. Trim; G.F.I. Receptacle -Underground - 8�%� tilation throughout House B -I Dated Card -BI Date Glass Protection Date MECHANICAL (Perrnit) OK except #'s _ Corrections from Previous Inspections 84,. Gas Test -Meters Tagged; Gas -Electric - ---31._ A_ Ducts; Insulation & Support 8 . Water & Sewer Connected -C/O to Grade -HD Approval 32. Ven Fan_ Exhaust above Insulation _- 33. _Cond nsate Drain _& Overilow; Size & Grade 8V Energy Compliance Certificate -Other Certificates ent;_Access-Comb. Air -Return Air Vent -115V outlet 34. FurnaNAess 35. Attic & Platform if Furnace in Attic Card -BI Card -BI - Date ------ Card -BI Date Date Card -BI Date Card -BI ate Card -BI Date Card -BI Date -_2-; Card -BI Date Card -BI Date Card -BI Date Date FR G Plans) OK except #'s Comments at Final: _ 36. S' s; Proper Material & Anchors 37. t Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound ring Walls over Girders & Floor Nailing - -to ' '9 -(rat proof) - - - -- -- _ _e Stops; Furred Ceilings -Stairs -Chases -Tub 41 eade Be -Size & Bearing gers-Post Caps -Anchors -Connectors 43. Cing. Jois -Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. replace Ties or Type A Flue -Fireplace Throat 4 =cess: Size & Romex Protection -Draft Stop -Ins. Baffles ndows or Exiting Doors -Sill Hgt. & Dimensions - --- --- ----am- -- -- - --- -- - - 47�Frtion in9_--___-- - (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275Y 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE IT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or n75 additlon�) explanation, please contact this office immediately. 7 I' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS !� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 4 APPLICATION -AND PERMIT PERMIT NO. _i3 146-- 2��l •f, ASSESSOR PARCEL NUMB ZONING a BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUA ION OWNER'S MAAILIN DDRESS CONTRACTOR'S NAME 6 U6 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r• ,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Seo BUILDI DDRESS f 1� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00. LOT NO. Z SUBDIVISION NAME PA CEL MAP 3_ 0 Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUC EBuilding SF ❑ Duplex ❑ Mobi lehome ❑ Other r SP CIFY sewer 5.00 bi le Home S I G I W 10.00 e TYPE OF WORK New [V Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. Zh¢SgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) NEW .CONSTR (POWER APPARATUS .&') & NONRESID. SINGLE OUTLET CIR zo®soa Ex. Occup(OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation _++ permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify harmless the County of Butte against all liabilities, judgments, c s, and ex ses which may in any way accrue id Co t 0 equen of t e g anting of this perm't. 1:%� Date Signature of Applica t — OwnerA Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr//3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occu P. GROUP �(��� TYPE of CONST. F PAR L HD 19 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 0o1 -2- O� Receipt No. /Ding WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9 r xt ' t ' PERMIT NO.— i-fid' � f PERMIT EXPIRES OWNER DELMAR PROSCHOLD CONTR. Owner ASSESSOR PARCEL 73-17-154 LOCATION 16 Kirsty Crescent RAWKWke Temp. Power Pole Called PG&E t Temp. Elec. i Called Temp. Gas Se Called P( JOB FINALEi Signature V=OK 0 = Not OK . , = Not: Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements -Setbacks -Easements _ Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. wood Am'L _ EosLs-Q4eams-RfIrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5.A4um-A4at.;S lumns-Connections-Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6.-6mrports^-Windows-Doors 7. Utility Clearance 7.�— Card -BI Date Card -BI Date Card -B Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card-BI. Date Date Card -BI Date OLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc losures- Pane [boards -Ins. to Main in Conduit ' 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date ' J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _1. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. Ftg., Porches & Decks: Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. 13. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except k's 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Card -BI Date 14. Water Ht.: Vent -Access -Combustion Air 15. Water_Pipe; Test & Anchors -Nail Protection 16. D.W.V._Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors - Date _ Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard 8 I Card B -I _ Date 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Appliance 25. 2 Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral - Yes _J_No - Service -Riser Conductors & Ground-MainDisconnect_ - -- 29. Equip. Clearances: Pane Is-Motors-Mech. Equip. 30. Clothes Closet Light -Shower -Light - - - - _----- _-_---- Date Card -Bi Date - -- Date Card -BI Date - MECHANICAL (Permit) OK except N's 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73, 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75, Following instld.: Drive El Yes E] No: Walks ❑ Yes ❑ No: Planters ❑Yes EJ-No28. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection 83. 84. _ Corrections from Previous Inspections _ Gas `est -Meters Tagged; Gas -Electric Card -BI Card -81 Date 31. A.C. Ducts: Insulation &Support 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow. Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -_115_V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills. Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing - 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub_ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - --- - -- Card -BI Date Card -BI Date _ Card -BI DnIe Card -BI Date _- Card -BI Date Card -BI Date Com tents at Final: - - _ (NOTE:Anentrymust be made each time youvisit jobsite) N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Couhty Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO� ASSESSOR PAR NU BER L— J ZO, I BUILDING PERMI oNER� ROSC ©% � �HONE _W ER's SQ. FT. OCC. BUIL�DI/N�G' ALUAT N MAI LI ADDRESS o % ti f.L G9 9 CONTRACTOR'S NAME owN&l? TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ,20 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Otherd�EA/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New Addition❑ Remodei❑ Utilities❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec: 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCU1.51 ,h¢s q ft OR ADDNS. ACC. BLDGS. NEW CORS' TR ULTI.OUTLET NS2.50 ea NON -ED BRANCH CIRC ITS ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20050Q eALO 30 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. P571 I shall not employ any person in any manner so as to become subject l� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the',L•abor Code, you must forthwith comply with such provisions or this permit,shalrbe'deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor �" ;�" f� 1 certify that I have read`t; i-srapplication:and state that the above information is correct. I agree to comply'-6'%a1.I,County Ordinances and State Laws relating to building construction, and lierebyehauthorize representatives of the Countyot Butte to enter upon the above-mentioned'tproperty for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ai st said County in co nce ranting of this permit. ate Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST,TYPEJ I FLo PAR L I P11 I ND 9uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By.` PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date A, Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTLn UTRIVE - OROVILLE, CALIFQRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET /l /') % 1 I I Permit No. OWNER 1 J(41G( 1r rose- l0 1 C 'A. P. o. XS"x _4) Proposed Building Use #E, Permit Fee Based Upon: Complete Contract Price DPW Valuation Other Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED All items. have been submitted. . . . . . . . Plot plans in plicate triplicate. Complete plans In� plicate triplicate�r.h 4. Complete engineered p'fans and cal;cs..:'`. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent f�r Non -Heated and AC Buildings. ( . Fees of $ _� � 7 , : . . . . ,. •. �9. Letter of signature authoriz 'on. 0 nitation approval from ✓0 v Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance.y . . . . . 113. Contractor's License Information (no.,, name style,'classif.) Owner -Builder Verification (Given to''owner❑, Mail to owner ❑) ` 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-Insp request to (De4e) p q Building Inspector 18. Record ci Ai�''1' 1 u I Acknowled ment State ent . 19. Other �7tz lA Y �bonstruction approval required prior to occupancy r When you issue the p r�J i.t,6orocess as follows: Mail to owner. Mail to contractor. \. '& Telephone �o�4 ` /� and hold for pickup at office. Deliver w/inspector. 0 her Q y 0_1 . --` Ap,�iala4_� " "Copy of•plans sent Hea& Dept., Fire Dept., During the plan check g process, the following data must be submitted prior to permit issuance: (For;re-qulred items not checked above aVime o pplication, circle item.) 1. Index permit for above Items No. 2. Additional items required: i Other i Date (Contractor, Designer, Owner) was advised of abo4required1data by Telephone Mail Other By Date Plans checked by. Plans approved by Other: Copy—DPW Date Date --- To: Building From: ,ubject: , Sanitation C*I..- '4S 'p- f 44 12 It '�SO '' oil Z. 3 If -1 S -Y - Plan Approved. fo,,,: !--ur"Ply Hold firl'..11for: r -Upply -5inal clearance 0.*,,. J.'er: Clearance for D; it c N' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 improvement (yes cam) }VLA i2. I (have/have not) signed an application for a building permit Ifor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: XProperty ner Social Se y Number - Date /, ZY 186 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'ilrtls a# 1I pplans and specifications MUST be Eel* .a0. f6iob at all times and it is unlawful to mdw any changes or alterations on some without wrlII permission from the Department of Public Works, County of Bette. MOTE:--AII Materials & Workmanship Shall is VA Accordance with Recognized Good Practices sncl of a qty prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codas and tbs National filectrical Code. 0 cD .4110-,9 v F LV �IJICDINZPAR7Pr1E APPI I'OVED Q5f &4 2 L 114?" A, 1 1 r 56' — 10,-8„ --4'-0"._. 11,_4" 18,_0„ 12'-0" • Plaster Textured Painted Ceilings + I - • Painted Textured Walls I t 7• Decorator Design Walls j( 9L I Kitchen, Baths and Utility Porch • Composition Shingle Roof • Roof Dormer Front BEDROOM 3 OPT. DEN�\) • Roof Dormer Rear BEDROOM 2 t CARPET • I �4 BEDROOM 1 CARPET • Duo Pane Brown Frame Windows CARPET. LLLJJJ • Energy Efficient Insulation . r e 16" On Center Rafter, Stud and Joist }"- Construction } 0"� ••• ^• tO LIVING ROOM �T • 90" Sidewall Height N -- --- CARPET --- ' • Vault Ceiling Where Indicated on Plano = V6 40 Gal. Water Heater 644 #1 •Two Door 15 Cu. Ft. Refrigerator „Q m F ��\ ,•^ -- — — — — • Eye Level Oven \+ v• Built-in Interchangable Down Draft Cook Top \ i I DINING I O BATH 1 O Dishwasher I O 'CARPET` I JI CARPET UTILITY G� Stainless Steel Sink with Single Lever Faucet \ -- I ( , PAROUET wiN 1 r 11 W I • Natural Solid. Oak Cabinetry with Raised ° *_',oW --- . Panel Doors L -_JL -_J • Lined Easy Clean Cabinet Interiors • Roller Suspension Drawer System PLAN 702 �� 12'-0" 14'-0" • Leaded Glass Dining Room Chandelier Approx. 1480 Sq. 1'L LS. • Rocker Wall Electrical Switches • Switched Electrical Wall Receptacles in -oh Living and Bedrooms O OPT. • Walk-in Wardrobes with LightQ 1/2 BATH 4� {J •Moisture Control Bath Fans � 1/2 BATH UTILITY PLAN 704 yN Moisture Control Utility Room Fan 12'-0" t 6'-0" 12'-0" 1B' -o" Q FSPACERLO • Luxuriously Deep Carpeting • Wood Parquet Entry Floor ! \ • Designer Angle Edge Counter Tops and Laminate Backsplash Kitchen O ) ENTERTAINMENT CENTER F UTILITY 1¢ • Self Edge Counter Tops and Laminate < Backsplash Baths and Utili�FREEZERRoom Q� �, BEDROOM 3 ' o TiI W I IJ ` ' • Porcelain Twin Sinks Bath 1 BEDROOM 2 Q (CARPET) I --- SPACE L--JL--J • Porcelain Single Sinks with Single (CARPET) Lever Faucet • Solid Oak Cabinets and Clothes Bar in --- Utility Room N iEN (CR ROOM ¢ ' • Water Shut-off Valves All Sinks __�__— a MORNING ROOM (CARPET) F 2 BEDROOM 1 t <w aAR • MENEM Hutch, Dining Room 3 i • Disposal, Garbage (CARPET) ----i �2I DINING COOKTOP `` es ink, Kohler Castiron Kitchen with 9111 (L; I (cARPEr) iQ BATH 1 PARQUET I I Z I Garbage Disposal (CARPET) W N i�_J o • Tub, LaundryLINEN O _ -O VANITY O _-- \\`•-•L-�l^ IOrt • Insulation, Roof R-30 • Insulation, Sidewall R-17 ,• Skylights PLAN 704 14'-8" 1 15'-4' Approx. 1718 Sq. Ft LS. A 1 FUQUA HOMES MANUFACTURER'S N0710E: Because of efforts to constantly improve our products, all specifications, equipment and prices subject to change without notice. 'Some hitches, rues. INCUBTLIIEB co,^P•^Y wheels, brakes & axles are reused after careful inspection. FUQUA HOMES, INC./ Bend Division 0 P.O. Box 5579 0 Bend, Oregon 97708 , DESIGNED & PRINTED BY LOWELL'S PRIMING SERVICE — BEND, OREGON 8/85 CONCEPT ZZ 700 Series '' h • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 04:qM NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION`AND PERMIT AS SSOR PARCEL NUMBER ZONI G BUILDING PERMIT O TEL P114.0 NE SO. FT. OCC. BUILDINP VALUATION O E PATLIJG DD SS 1 CO TRACTOR'S AME - Ah e'- 1, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee` AR H TECT OR ENGINEER 0 L4 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Y� _ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ® Addition ❑ Remo el ❑ Ut/yl�(ties O Installati n Other ❑ Describe work: N �i�IZA 41 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is ,in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) , ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUR.& , OR ACDNS. (ACC. BLDGS. /z¢sgft NEW CONST R. RANCH TLET NO N.R ESID BRANCH CIRC ITS 2.50 ea CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2.L. ot eAL030 30 Ex. Occup. OUED P OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit•Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. C7i I shall not employ any person in any manner so as to become subject 1�- to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in cons uence of the granting of this permit. ' Date `� Signature of plicont — Owner Contractor ❑ Ag r ❑ An OSHA permit is required for excavations over S'ee d d olition or construct- ion of structures over 3 stories in fightt.. 21 Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oCCUP. CONST.TYPEJ FLO OP1 PARr PD NC ISSUE This permit is hereby issued under sions sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By.4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 415 F 1 Receipt No. 7`. , WHITE-D.P.W.. YELLOW-ASSESSO PINK-INSPEC . COLDENROD-APPLICANT . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, C%I F,'.OR.OIA 95965 - TELEPHONE: 916/534-4541 ` a PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use. f Permit Fee Based Upon Building Inspector Permit No. !' (BVI a IrO S O'C a A, P. No.,_ 0 Complete Contract Price DPW Valuation At time of p rmit application, I was advised the following data must be submitted prior to permit processing and: /or I Dance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . 7 Statement of IntennLfor Non -Heated and AC Buildings. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑❑)' Mai I to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . • Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector (Do ) 18. Record o�,P�iculiur 1 Acknowledgment,Statement . 19. Other �x � ,11 eConstructiofi approval required prior to occupancy) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by_ Plans approved by Other Copy—DPW Telephone Mail Date Date Date Other TO: Building D-'Iij-.:'irti,..-,-�i-,t, From: E'ubject: Sanitation C*].:�:iraj-.,--c. C'! km v r Loca-Lion Plan Approved Hold final for: Final clearance 0.;,,. J'er: I-l'it-er !-.IIT)")I.y w.-Aer -3u-r)1)1-i,, Clearance for hoc;(.. LC �i Sanitar4--3r, D,A(.i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 improvement (yes or no) — 2. I (have/have not) signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. I plan to provide portions of this work, but I. have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner A41 Social Security Numbe Date 4Z" NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. t' This set of plans and specificafions MUSt bo kept on the job of and it is wdewful to whhooA make any changes alterati on same wrMen permissi fr®m the Dep :nt of PUIAC Works. CountY f Butt . A setback of 5 ft. from the property lines and a setback 6 ."(o Of 50ft. from the road ,_ ; centerline shall be clear of structures or equipment except for a 2 ft. Q _ 5apt; c rcanK • and Oo, i n A roci,. p40%—AJ MaWals & Work anshi h II be m Aaeordew* wit4+ Recognized G t -es and of a gwAfy proscribed for the S cifi d in the d Uniform Build;", Plumbing do M hon* dw ped the Net*eml loectrical Code. o 6re o 0% A I^ e -I, I BUTTE COUNfY MLDING DEPAR1MeR APPROVED ��/b r �Sal'e 31 ' ld VARIES 3(9" MIN. N rX n -P_ m :K�.P x cp= A arri GX _ f 4 - -- r -►� x � I ><Lil � Q v r,i O O m � 3 � _4 N rX n -P_ m :K�.P x cp= A arri GX _ f 4 - -- r -►� x _4 i/30"- 34" o I I r l l J//HWDRAIL ME16HT z f 30" MIN. STAIR: rn W I DT14 y 7 '{ c 3 . Y >6 Return to DPW AGRICULTURAL STATEMENC OF�ACKNOWLEIIGEM NTw l G�FOcO IN OFFICIAL RECORDS FOR RESIDENTIAL DEVELOPMENT ,}r BUTTE COUNTY, CALIFORNIA • �1Y THE REOUES7 OF ; Sectio4V 26-`$.1 of the Butte County Code requires this acknowledgement 1j TTH $LAK be recorded prior to issuance of a building permit. 86-10564 ((�B6 APR -7 k 10: Q The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR M. DECKER property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE..{ the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited Pages to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, Pages smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: Apkil 4,_ 1986 State of Ca. SS. County of . Butte PROPERTY OWNERS: _DELMAR L. PROSCHOLD and GLADv M ROSC'HOT.n*****. Personally known to me. /xk Proved to. me on the basis of satisfactory evidence. to be the person(s) whose hame(s) are :• subscribed to OpFICIAL SEAL the within instrument and acknowled ed`that they ANGELA D. HENDERSHOT g ':1•-: "` NOTARY PUBLIC - CALIFORNIA executed the same for the purposes therein contained. PRINCIPAL OFFICE IN IN WITNESS WHEREOF, I hereunto set my =hand and official seal. BUTTE COUNTY MY COMMISSION EXPIRES SEPT. 7, 1986 Notary Public Present A.P. No . the 4th day of April 1986 before On this me, the undersigned Notary Public, personally , appeared _DELMAR L. PROSCHOLD and GLADv M ROSC'HOT.n*****. Personally known to me. /xk Proved to. me on the basis of satisfactory evidence. to be the person(s) whose hame(s) are :• subscribed to OpFICIAL SEAL the within instrument and acknowled ed`that they ANGELA D. HENDERSHOT g ':1•-: "` NOTARY PUBLIC - CALIFORNIA executed the same for the purposes therein contained. PRINCIPAL OFFICE IN IN WITNESS WHEREOF, I hereunto set my =hand and official seal. BUTTE COUNTY MY COMMISSION EXPIRES SEPT. 7, 1986 Notary Public Present A.P. No . 2cc 3pl Order No. 18001 186-10564 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Parcel t, as shown on that certain Parcel map of the Southeast quarter of the Southeast quarter of Section 11, Township 19 North, Range 6 East, M.D.R. do M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on April 27, 1976 in Book 57 of Parcel Maps, at page 10. EXCEP'T'ING THEREFROM that portion deeded to the County of Butte, by Deed recorded March 2, 1976 in Book 2052 of Official Records, at page 134, records of Butte County; California. TOGETHER WITH a non-exclusive. easement for road and public utility purposes described i as follows: A portion of the northeast quarter of the southeast quarter of Section 11, Township 19 North, Range q East, M.D.B. & M., being more particularly described as follows: Commencing at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 111 marked by an iron pipe, and running North 89° 33' 53" East a distance of 608.92 feet along the South line of the Northeast quarter of the Southeast quarter of Section 11, to a point, which point is also the true point of beginning for this description; thence leaving the true point of beginning and the South line of the Northeast quarter of the Southeast quarter of Section 11 and running North Ot° 28' 25" West a distance of 11.64 feet.to a point- thence North 42° 43' 44" East, a distance of 171.34 feet to a point; thence North 38 14' 39" East, a distance of 78.70 feet to a point; thence North 11° 28' 23" East, a distance of 166.87 feet to a point; thence North 03° 31' 37" West a distance of 104.93 feet to the centerline of an existing paved road; thence North 76° 33' 36" East, a distance of 60.91 feet along the centerline of an existing paved road to a point; thence leaving the centerline of an existing paved road and running South 03 31' 37" East, a distance of .123.31 feet to a point; .thence South West lal�i�28' 23" west, distance of 89.05 `feet toca �point-thence t�South 38 14' 39" distance o. 9. f !et o point, hen..,, So . 4-_ West, a distance of 133.37 feet to a point on the South line of the Northeast quarter of the Southeast quarter of Section 11; thence South 89° 33' 53" West, a distance of 71.13 feet along the South line of the Northeast quarter of the Southeast quarter of Section 11, to the point of beginning. ALSO TOGETHER WITH a 30.0 foot non-exclusive easement for the purpose of ingress and egress and public utilities over a portion of Parcel 2, as shown on that certain Parcel Map filed in the office of the Recorder of the County of Btute, State of California, on April 27, 1976 in Book 57 of Maps, at page 10, being a portion of the Southeast quarter of the Southeast quarter of Section 11, Township 19 North, Range 6 East, M.D.R. do M., being more particularly described as follows: ! The West 30.00 feet of the North 428.00 feet of said Parcel 2. M. EN® OF DOCUMENT PERIT#.96-'72'. r, PROSCHOLD'G?DeTmarw&° Gladys��. t 16;.K rsty`Crescent Qt:_,` Ro-r-best Ag=Exempt Permit -Tractor" &' Equip V i r. r t /I " � a r � r J f I r ff E r t �i 1 t D }q1 j T +j O - r of 11" X 17" and fully dimensi 3) 3 Complete sets of plans signed by the minimum scale of '/4" = l' on a minimi include the following: A) Plans need to include a foundat and doors with sizes and rooms roof plan or truss details and la. 1) In addition to the floor- must oormust be a minimum of 8 '/z" X dimensioned. B) All plans and details must be dimensioned. Q Plans prepared by an architect c wet -stamped and wet signed an architect/engineer. 1 of 2 Department of Development Services ]Building ]division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX www.buttecounty.nct -FACSIMILE COVER SHEET Date: cQ�, 0� To: From: �f C ---- Subject: --Subject: Number of pages (including this cover sheet): Fax Number: �� �� -/—J If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: / n Review and respond accordingly. / Tc For your information only v-c7l.`r Ytz Sincerely,/ CONFIDENTMALITYNOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. K:1 RuildinQlB UILDING FORMSIBlank Fax Cover Sheet. doc -1 BUILDING �DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT , NO. Agricultural building is defined as follows: Agricultural building is a structure designed and �6nstructed 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. ZONING OWNER PHOS NO. OWNER'S ADDRESS '-,r9-// .G. 1i e6C eA, LOCATION OF BUILDING USE OF BUILDING 2 7C� k` ca, - g - SIZE OF STRUCTURE ' XSO. FT. TYPE OF CONSTRUCTION: WOOD FRAME L' STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE -z /-? ' L.- I Cf . -e ESTIMATED COST OF CONSTRUCTION $ .3 cue© AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: - d FRONT . SIDES mac/ REAR 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. D - (o Permit 0ee - $60.00 Receipt No. Signature of • /% The above described AG Building is exempt from;dinq permit Manager Building Divi ion By Date ✓N �� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No.'Q�n , 42 1 1 No W 73 - 3 ¢ I S Z, -71 4c- OWNERSA.P. NAME: NUMBER: 0(2 PRINT LAST NAME FIRST 1 COUNTY ZONING nn III DESIGNATION: /� Z FLOOD ZONE: X FLOOD MAP: TICSO t3 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING S LOT 2 BOOK 1 J PAGE 08 COMPLIANCE WITH OLD SU DI ISION- 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. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $_ to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. . _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Ptyment to be made to the Pig DA skn. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21. 22. 23. 24. 25. RECEIVED, J V N 18 '1996 LD 9195 - CAWP51VORMS.KIBLDGPERM.CLR