HomeMy WebLinkAbout073-350-0203 "a3150 0 P_A`�Lw
X073 350n020:94-0677P,E(P�1) "j
OWENS, JOE•',,r�:`�I
37 GREENBUSH RD.; OROVILLE
CONT: JOHN BUNCH
i_T7$_T_T_,EHQP_'1E _ TT_T_T_T_, T T T_'F S
ELEC 2 30 -
GAS Alon e,
COMPACTION -TEST -REQ
SUPPORT STRUCT REQ A)r)
073-350-020y. _94-0607N"11I
OtiIENS,-- JOSEPH't,,,c- A� ✓.z9�,
3% GREENBUSH RD., OROVILL'//
CONT: MOBILEHOME CENTER, INC.
MOBILEHOME INSTALLATION
B08-0519 073-350-020
RESIDENTIAL SFD-Mobile Home SFT
NEW MOBILE HOME EX. SITE - TIE D
37 GREENBUSH RD
STALEMO, ALLAN
11
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 37 GREENBUSH RD
APN: 073-350-020
Owner:
STALEMO, ALLAN
Permit No: B08-0519
Issued Date: 02/04/2009 By TMP
Expiration Date: 02/04/2010
Occupancy: R-3 Zoning: A5 0(
Permit type: RESIDENTIAL
Subtype: SFD-Mobile Home SFT
Description: NEW MOBILE HOME EX SITE - TI
37 GREENBUSH RD
OROVILLE, CA 95966
(530) 589-1797
t,ontractor Applicant: Square Footage:
STALEMO, ALLAN Building . Garage RemdUAddn
37 GREENBUSH RD 2,200
, OROVILLE, CA 95966 Other Porch/Patio Total
(530)589-1797
2,200
2 a FEE INFORMATION
DB SMIP RESIDENTIAL
DBEH Building Review Fee
DBF MH Plan Check
DBFIRE Fire Inspection (SRA)
DBFIRE Fire Inspection (SRA)
DBFIRE SRA Fire Plan Review (S
DBMSC Mobile Home Permit Fee.
DBOMSCF Fire Safe Standards Re
$14.31
$78.90
$241.16
$107.00
$107.00
$107.00
$361.74
$118.98
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X, 02/04/2009
Contractors Signature
Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I have and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued.
Policy No.
I have and will maintain workers' compensation insurance, as required by Section 3700
of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Carrier: Policy Number: Exp. Date:
117M4certify that, in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with
X
02/04/2009
blgnature._ Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name and Address
Lenders Name & Address
City State Zip
r
f otat unarged: $1,136.09 Fees Paid: $1,136.09
Balance Due: $0.00 Receipt No: . B9671
OWNER / BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the
applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions
of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt from licensure and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant
to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their sole compensation,
will do L) all of or L) portions of the work, and the structure is not intended or offered for
sale (Section 7044, Business and Professions Code: The Contractors' State License Law does
not apply to an owner of property who, through employees' or personal effort, builds or
improves the property, provided that the improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the Owner -Builder
will have the burden of proving that it was not built or
improved for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed Contractors to
construct the project (Section 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon, and who
contracts for the projects with a licensed Contractor pursuant to the Contractors' State License
Law.).
LI am exempt from licensure under the Contractors' State License Law for the
esson:
02/04/2009
PERMIT APPLICANT DECLARATION
By my signature below, I certify to each of the following:
I am Q A Ca jloa licensed contractor or U the property owner* or U authorized to
act on the;pr`Q eily owners behalf**.
I have read this construction permit application and the information I have provided is
correct.
agrie to pomply with all applicable city and county ordinances and state laws relating
to building;construction.
authorize representatives of this city or county to enter the above -identified property
for inspection purposes. California Licensed Contractor, Property Owner* or Authorized
�I� 7-3k- L zeAA 02/04/2009
FILE COPY
Z00 ' 3JFid L9Sb EZ Z 60 94— 1 2 5 0 2 o f o,, b6 , s, auw a
'i-Reuarn to: A.9RIC ILIUMA— c5T.A.U.MMN>r QR_ACMQ IE.U._� ItilENT
.�.
Building DivisionrQUIRM-FIfYUA&R—KY— 1
Section 26-8.I of the >3ucce County Code tryuires thi94-0125021'
�� ♦ ��� i 4�
acknowledgement be 1 prior to issuance of a building—1 G Rec Fee 9. 0O!i
permit.
I Check 9, pp �
Recorded I
71se property described herein is adjacent to land or included
Official Records I
within an area zoned for agricultural purposes, and residents County of I
of this property may be subject to inconveniences or Butte I
discomfort arising from the use of agricultural chemicals, Candace J. Grubbs I
including, but not limited to herbicides, pesticides, 'and
fertilizers-, and from the pursuit of agricultural operations Recorder I
including, but not limited to cultivation, plowing, spraying, 1 : 13pm 21 -Mar -94 I PUBL XX 2 !i
pntning, and harvesting which occasionally generate dust, -- -
smoke, noise, and odor. • Butte County has established agricultural zones wldch have as a priority use for productive agricultural
purposes and residents within said zones and un adjacent property should be prepared to accept such inconvenience or discomfort from
normal. necessary farm operations.
All that real property Situate in the County of Butte, State of California, described as follows; alb
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Date: PROPERTY OWNERS: r
n tVNN V4
County of S4 P_LA1vCtS`0 ) i.
On —�/ I o, c / before me,
personally appeared �'o c e- P�' C {. 'A_fi_L r.8 t� W en► s
PM tiena}ly kipvwrr4o me (or proved to me on the basis of satisfactory evidence) to In the personK whose
subscribed to the within Instrument and acknowledged to me that helsWilhey-executed the same In his/herAheir authorized
capncity(teRr, and that by hIs1h$F4h@1r signatureWon the Instrument, the person(#, or the entity upon behalf of
A.P. # 73- 3f 20
�w':.'•. KATHLEEN DREW
COMMIS W ^—�
Z : `� «' Notary Public — California a
SAN FRANCISCO COUNTY
My Comm. Expires DEC 15" 1996
EOd L00 ** N01iViS 33IA82S :D-1IWISOHA ** L9Sb CEI 60 60:bI SI -60-0661
94- 12502 9"3-30.570 �-
\� ORDER NO. BU -136187-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE- OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I•
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON JULY 17, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 60.
PARCEL II•
A RIGHT OF WAY. FOR ROAD AND UTILITY PURPOSES OVER THE FOLLOWING
STRIP 'OF'LAI�TD• •,�. x ;'
BEGINNING AT THE SOUTHWEST CORNER OF PARCEL 4, AS SHOWN ON THAT
CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, 1980, IN BOOK
76 OF MAPS, AT PAGE(S) 33 AND 34; THENCE NORTH ALONG THE WESTERLY
BOUNDARY OF PARCEL 4, 830.32 FEET TO THE TRUE POINT OF BEGINNING
FOR THE PARCEL' DESCRIBED HEREIN; THENCE CONTINUING NORTH ALONG
THE WEST BOUNDARY OF SAID PARCEL 4 A DISTANCE OF 60 FEET; THENCE
WEST 325.00 FEET TO A POINT ON THE EASTERLY BOUNDARY OF ROBINSON
MILL ROAD AS SHOWN ON SAID PARCEL MAP; THENCE SOUTH 60.00 FEET TO
A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST
TO THE POINT OF BEGINNING.
PARCEL III•
A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER THE FOLLOWING
STRIP OF LAND:
BEGINNING AT THE SOUTHWEST CORNER OF PARCEL 4, AS SHOWN ON THAT
CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, 1980, IN BOOK
76 OF MAPS, AT PAGE(S) 33 AND 34; THENCE NORTH ALONG THE WEST
BOUNDARY OF SAID PARCEL 4, A DISTANCE OF 60.00 FEET; THENCE SOUTH
88 DEG. 44' 55" WEST TO A POINT ON THE EASTERLY BOUNDARY OF
ROBINSON MILL ROAD, A SHOWN ON SAID MAP; THENCE SOUTH ALONG SAID
ROBINSON MILL ROAD, 60.0 FEET TO A POINT ON THE SOUTHERLY
BOUNDARY OF PARCEL 2 OF SAID PARCEL MAP; THENCE NORTH 88 DEG. 44'
55" EAST, 241.17 FEET TO THE POINT OF BEGINNING.
END OF DOCUMENT
END OF DOCUMENT
f
BUTTE COUNTY
o�uTTF0 DEPARTMENT OF DEVELOPMENT SERVICES
0 o BUILDING PERMIT APPLICATION"
0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o -�` 0 . A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
OV N� PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. A1pu
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last NarL VP
Fi t
Mailing Address Z 7 (2 �`C e.
City
Statet
Zip �f
Phone oc)—fu
Fax
E-mail
CONTRACTOR
Name �✓�L� %Z
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
—APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
c'ty arovil
Address
Zp b
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
—APPLICANT INFORMATION
Name
�P1w
Address
�J
c'ty arovil
Stat
47
Zp b
Phone
311
Fax
E-mail
APPLICANT SIGNATURE
X
PROJECT LOCATION
Property Mress �J /
City !�l
PER
NO. ` 1
BIN #
WORKER'S COMPENSATION
Policy Number
Carrier
if hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
&4-4t—
Sq
t—
Sq FT- Living Wd Garage Open C
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office uV on
Zoning Flood Zone S . Yes No
Occ.
TO Const.
F-7 77 D
, 'yo F(e r» e h
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
**PERMIT APPLICATION DATA SHEET**
Reference Number:
B08-0519
Date:
03/25/2008
Location:
37 GREENBUSH RD
By:
GLB
Parcel Number:
073-350-020
Sub Type:
SFD-Mobile Home SI
Owner Name:
STALEMO, ALLAN
Phone:
(530) 589-1797
Description:
NEW MOBILE HOME EX SITE - TIE DOWNS
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No SEWER DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
n Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
`�-'/� Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
F1 Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
M City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑ Other:
❑ 1:1 Other:
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public
information related to this application is subject to public inspection and will be posted on the County's website for electronic
access.
Signature of Applicant: l� �� LG' Date: 03/25/2008
FILE
MAR 15 2008
S viCES
0-7 C rN Gott 2a
Ora v i l 1 E� G� a gSGI C.�C..p
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ri
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the 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.
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 $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' 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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor 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 contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1 1 / I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT.00R NO)
2. I (EV)HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
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_h zrer ADDRESS PHONE lTYPE OF WORK
�� o r �
Description: NEW MOBILE HOME EX SITE - TIE DOWNS
Reference Number: B08-0519
Applicant Name: STALEMO, ALLAN
Owner's Name: STALEMO, AL N �l ^ AP # : 073-350-020
Signature of Property Owner: e- j Date:
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS"
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
D Make sure your application is complete.
ftp Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY"
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-0519
Location: 37 GREENBUSH RD
Parcel Number: 073-350-020
Date: 03/25/2008
Owner Name: STALEMO, ALLAN Phone: (530) 589-1797
Description: NEW MOBILE HOME EX SITE - TIE DOWNS
Signature of Applicant:'2 Date: 03/25/2008
FILE
BUTTE COUNTY FEE SUMMARY Printed: 03/25/2008
7 County Center Drive 4:06 pm
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B08-0519
Job Address: 37 GREENBUSH RD
Contractor: PHIFER CONSTRUCTION
Fee Description
Account Number
Fee Amount
Paid Date
Pmt Amt
DBEH Building Review Fee
0021-540013-4614901-1010
$78.90
03/25/2008
$78.90
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-1010
$107.00
03/25/2008
$107.00
0100-450001-4617240-1010
$107.00
DBOMSCF Fire Safe Standards Re
0010-440001-4210500-1010
$118.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010
$107.00
03/25/2008
$107.00
DBMSC Mobile Home Permit Fee.
0010-440001-4210500-1010
$361.74
DBF MH Plan Check
0010-440001-4210500-1010
$241.16
03/25/2008
$241.16
DBSMIP Residential
1001-0-280-1011298
$14.30
19136.08 $534.06
Printed By: Tammie Powell Balance Due: $602.02
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These feesniay change duan the plan checking process.
Signature/1' Date: 03/25/2008
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
C
e,z.
Q0.
d
0
0
0
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
LESS THAN 1 ACRE
Reference Number:
B08-0519
Date:
03/25/2008
Location:
37 GREENBUSH RD
By:
GLB
Parcel Number:
073-350-020
Sub Type:
SFD-Mobile Home SI
Owner Name:
STALEMO, ALLAN
Phone:
(530) 589-1797
Description:
NEW MOBILE HOME EX SITE - TIE DOWNS
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
.Signed:.
Title:
FILE
Date: 03/25/2008
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number: B08-0519 Date: 03/25/2008
Location: 37 GREENBUSH RD
Parcel Number: 073-350-020
Owner Name: STALEMO, ALLAN
By: GLB
Sub Type: SFD-Mobile Home SI
Phone: (530) 589-1797
Description: NEW MOBILE HOME EX SITE - TIE DOWNS
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County.
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
✓ Public Resources Code 4291
✓ California Building Code, Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plan submittal to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
✓ Structure location must be staked out on the building site
All development within the
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension
number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements.
03/25/2008 j
Date Signature
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefire.org/FireDrevention/protplan/prott)lan.html
Rev'd 5/7/07
FILE
t :
S'T'ATE OF CALIFORNIA - DEPARTMENT Of HOUSING AND COMMUNITY DEVELOPMENT
CERTIFICATE OF TITLE
Manufactured Home Decal No: XMH2729
Manufacturer ID/Name
09881 SILVERCREST IND INC
Trade Name
SILVERCREST
Model
2116B
DOM
03/27/1986
DFS
06/02/1986
RY
Exp. Date
Serial Number
Label/Insignia Number
Weight
Length
Width
SPC
SCC
Exempt
Use
Type
A3SC1701CA :.
325508
27,088
64'
14'
28
Exempt
SFD
EXT
83SC1701CA
325509
21,952
56'
14'
C3SC1701CA
325510
12,528
36'
12'
Issued
Total Fees Paid
Mar 22, 2007
$0.00
Addressee
CITY OF ST HELENA A MUNICIPAL C _ 4)1
1480 MAIN ST
SAINT HELENA, CA 94574
SNI
f7
IMPORTANT
tea,
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 4669569
03222007- 532
Registered er
CITY OF S ELE
1480 MA
T
SAINT
NA, CA 945
Situs
ress
27 LA
A SAA CT
SAINT
LENA, CA 9 5
i
SNI
f7
IMPORTANT
tea,
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 4669569
03222007- 532
BUTTE
Butte County Building Division IC0 �
MANUFACTURED HOME SUPPORT INFORMATIOIA`� 2008
Owner's name: A W -A N � � M � A.P.# 0 -73 -3 -CP -02-0 SE' 'V'CEs
Home Manufacturer: S 1Lvr-1ZGP-r'fi Manufacture Year:
._Model Number / Name: 21 1 CQ 6
Width: tV (ft.) d(Le ngth: (eZ4 (ft.)
FOOTINGS: Wood = pressure treated or foundation gradother: � ther: �� 5
SUPPORTS: Concrete block [X] Other:
Provide manufacturer's installation manual, support blocking requirements and state
approved or engineered foundation or tie down system specifications.
Pier Footing Sizes and Locations 3UIL,DINC,
SINGLE WIDE
Line1 ------------------------------------------------------ Line 1
Line 2 Section 1 Line 2
Line1--.y------------------------------------------------------------ Line 3
Section 2
------- ----- - Line 2
•-------
----------------------------------------- Line 4 (triple wide only)
Section 3 Line 2
Line 1 Piers: hh
Minimum size piers: X
Spacing maximum: "
From ends maximum: "
Line 2 Piers:
Minimum size piers X Pq
Spacing maximum: "
From ends maximum: Q "
Ling. Roof Loads:
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued):
'Line 4 Roof Loads:
Minimum size piers:
-Location (from front):
Minimum45l%e piers:
Locatiorilcerrtinued):
CA Y'i rtk. 'Zs
Snow Load: 761. /y53-1 PSF
Snow Load requirements may be obtained at
hftp://www.upstate-ca.com/buffe/bufte—county/
Insert AP #, view snow load in lower right corner.
Line 1 Openings:
Minimum size pier: [/A ] X [PAI ]
a
ired at each side of openings over
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PAGE e2
TIE DOWN ENGINEERING, Inc.
ABS Pad #59301 - 16"x 22.5"
(16) -Dimples, See Del.
On Bottom
9.11 I 7,937 _� Chassis Beam
6 �2 .560 —{
2 127 1.278 I Bolts on to
?...r P
'-'7
T 5.1
71
-2.563 -
3.8138
8.000
/ y.� 1 J.020 P. Itf9.f v
I _I dd
L}
a r
C.,;o � 0.0<f P.1t7ro,1 1
Section - A0100 fl.
Dimple Detail
Enlarged Enlarged
2,500 !b./All
I\ 6tp00 1b.e16 x 22.5
ABS Pad
Attach pier to A135 Pad using
(X) #14 x 2" 5M5 Screws.
16" x 22.5"
The dimensions shown on detail right
for injection mold process. Actual
measured thicknesses after curing:
Outer Flange = 0.134" to 0.121' (top)
Bottom (base)= 0.100 -
Ribs (at base)= 0.137'to 0.114" (top)
General Notes 1 9
M°> �IMA=R�s�nefT,RsRMMW
1) Based on 1,000 lbs. PSF Soil ,M"WffOMD>>I QRofE
2) 360 square inches = 2.5 square '`i°��m� �
3) Rated 2,500 lbs. 'ro°°``�°°°°�''�"°�''�"°'""84 y Q
4) Flat side down. DER o. 26070
5) Can be used with steel piers >a 6yU�AIIpB
or concrete blocks ' as'� AR) ��6
6) Tested, listed & labeled SP NQ I (D 9�EOfl p
7) Listing #TDE-02-1012 M"RMW a '04 7'
'.E8 ? ?, 26.5
M:
TIE DOWN ENGINEERING, Inc.
ABS Pad #59303 - 24"x24"
131
Y
. 2.696
2.696
1.316
,1.318
o.11cyi II 0 0.020 R. (TyG.) 0.250
•�_ �is
o.+or
o.+s
.�. 1 0.250 Dia .06 R
0.015 R. (tyo.)
Section • A DImP19 Detail
Enlargged Enlarged
Chassis Beam
Bolts on top
6,000 Ib.
4,000 Ib.
5too/pier
24x24A135 Pad
,
Attach pier to ABS Pad using
(4) #14 x;2" 5M5 Screws.
24" x 24"
The dimensions shown on detail right
are for Injection mold process. Actual
measured thicknesses after curing:
Outer Flange = 0.124' to 0.107" (top)
Bottom (base)= 0.103°
Ribs (at base) = 0.182" to 0.118' (top)
t1;MTd'I'NOies MOBIL880M8&ACCESSORY STRUCMUVUMZ ao
MALTHAND 8AYETY COD$ DWWOH L36 PA
BasedMo,n 1,000 lbs. PSF Soil AYPRCVXD
eUMUTO COAREMON9NannM
76 square inches = 4 square %A- �
3) Rated 4,000 lbs.
8T 'M OPCAtMVRMA
4) Flat side down. DP v57No COMMUMTTTS$V�
5) Can be used with Steel Pierser °
or Concrete Blocks
6) Tested, listed &•labeled >p I-
7) Listing #TDE-02.1014 —Anw-i mrha
FR'9.
26070
a
E—Z TJE DOWN SYSTEM
DESIGN LOADS:
*WIND LOAD -- 15 PSF SEISMIC ZONE 4
1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A
FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM
SOIL BEARING CAPACITY OF 1000 PSF.
2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHO'NN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS".
3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 114%
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES
UP TDES GADS OF SECTIONS
MANUFACTURED DESIGN
HOMES OVER (3)SECT ONS W DEENGINEER
FOR
5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM
A36. BOLTS=ASTM A307.
OF E -Z TIES
25" HT 28" HT
36" HT
6. THE E -Z TIE ASSEMBLIES ARE
CAPABLE OF THE
FOLLOWING LOADS:
H- G T HORIZONTAL
VER I9 L
UPLI
Qb
6000211'
(Ib)
1825 Ib�
6000 Ib,
801
25" 1510 Ib)
6000 Ib
664 Ib)
28" 1419 Ib
6000 Ib
629 Qb)
36" 867 Ib;
6000 Ib)
385 (Ib)
7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE
COATED.
Iv
8 • WHERE STAND IS PLACED ON A CONCRETE SLAB; USE 112" CONCRETE� \ ,�'zpA,
EXPANSION ANCHORS TO SECURE THE STEEL FRAME TO THE SLAB. r ,,
JosTHE PLASTIC BASE PADS ARE NOT REQUIRED.`�`
' dF
9. ATTACHMENT METHODS FOR "C" & `J" BEAMS SHOWI4 ON SHT. 02.
10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE law uu D Eco
�
PERPENDICULAR TO THE CHASSIS BEAM.
EXCEPTION: AT 10 WIDE MODULES WITH
PAD MAY BE PLACED PARALLEL WITH THE
CHASSIS BEAM
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. E= 2' NIN. / 11' MAX.
VARIES 10'-70'
EVENLY SPACED BETWEEN
CE E
rt, rT' ❑ ❑
t i
L_J L -J
RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER
O O (TYPICAL) p^❑
❑E
L
£-Z TIE SUPPORT AAO
a(TYPICAL) EJ O
CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING
AS REQUIRED BY THE HOME MANUFACTURER.
LENGTH
OF HOME
1 S" HT
NUMBR
1 21 " HT
OF E -Z TIES
25" HT 28" HT
36" HT
40'
4
4
4 4
6
50'
4
4
4 4
6
60'
4
4
4 6
8
66'
4
4
4 6
8
70' ::=
6
6 6
lU
BO'
4
6
6 6
td
SiAI L AVVHUVAL
ENGINEERED TIEDOWN SYSTEM
4� APPROVED
' SUBJECT TO CORRECTIONS NOTED
jAppam ed does not aulhooze or appmve any W#Gsiw or
tram requirements of aprAeabce State taws ad .
State of.CaSfamia
't pepa�rtedtt of and Commirj Devebprmi
S i1
y, DIVE OF ES AND STANDARDS
gy
SPA NQ_At�__ G -
INs Pip AwoviI E>tp "
-TIPS ?~}E-_ N-e`ESrTEw4K--ETt H . E UiREME#T_
-OF SECTION 1336.3 SUBSECTION (a).
'MAYNE T. POLVADO, PE -LISTING NO. 99001
SHEET 1 of 3
§ 1433. Roof Live Load.
(a) Except as provided in this article, every cabana installed on or after July 31, 1976 or every accessory
building or structure or building component installed on or after June 10, 1979 shall have the capacity to resist
the applicable minimum snow load of the region in which it is installed or as is provided by this section.
TABLE 1433-1
General Roof Live Load Requirements for
Accessory Buildin s or Structures and Building Components
Region I
Region II
Region
III
Elevation
Roof Live Load
Elevation
Roof Live Load
Elevation
Roof Live Load
All Elevations
20 psf
073000 ft.
20 psf
0-2000 ft.
20 psf
3001-3500 R
30 psf
2001-3000 Il.
30 psf
3501-5000 ft.
60 psf
3001-4000 Il.
60 psf
4001-5000 ft.
80 psf
Table 1433-1 shall apply except where either greater or lesser snow loads have been established through
survey of the region, and approved by the department.
(1) Region I includes the following counties:
Alameda, Butte, Colusa, Contra Costa, Del Norte, Glenn, Humboldt, Imperial, Kings, Lake, Los Angeles,
Marin, Mendocino, Merced, Monterey, Napa, Orange, Sacramento, San Benito, San Diego, San Francisco,
San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma,
Stanislaus, Sutter, Ventura, Yolo.
(2) Region II includes the following counties:
Amador, Fresno, Inyo, Kern, Modoc, Riverside, San Bernardino, Siskiyou.
(3) Region III includes the following counties:
Alpine, Calaveras, El Dorado, Lassen, Madera, Mariposa, Mono, Nevada, Placer, Plumas, Shasta, Sierra,
Tehama, Trinity, Tulare, Tuolumne, Yuba.
(b) Parks that have received approval for a snow roof load maintenance program prior to July 7, 2004, shall
maintain the snow roof load maintenance program, as long as accessory buildings or structures, or building
components in the park do not meet the minimum roof loads for the area. Accessory buildings or structures or
building components installed after July 7, 2004, must have the capacity to resist the applicable minimum roof
live loads of the region in which it is installed, as set forth in table 1433-1.
(c)The park owner or operator shall be responsible for the continued management of an existing snow roof
load maintenance program approved for the park.
(d) Roof live load requirements shall not apply to storage cabinets.
(e) Accessory buildings or structures or building components may be relocated from one park to another
and reinstalled under permit within another park provided the requirements for roof live load in the new park
are not greater than the requirements of the park in which the accessory building or structure or building
component was previously installed.
NOTE: Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code..
SU` 7E VWUN
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RESIDENTIAL 94• oco 03 `
073-350-020 94-0677P,E(MH)
OWENS, JOE
37 GREENBUSH RD., OROVILLE
CONT: JOHN BUNCH
MOBILEHOME UTILITIES 3 Z45'
,92�i��
•OFF
I ICE COPy
Address
GAS r
Meter gy
ELECrRI Date
Meter By
Dai -
6
JOB FINALED (Date)
;t Signature
19
V =*OK
0� Not OKNot Applica'
= Not Ready ble MOBILE HOMES
Date/Initials MOB HOME UTILITIES Plans OK except #'s
Zoning„ Requirements -Setbacks -Easements
oil _ cial MH Support Sketch
mower; Location -Test -Fell -C/0 Concrete
er _Location -Test -Easement Needed (Sketch)
ectricity; Location-Clearences-Grnd-/ /Amp -Concrete
eat-Wreo: / /" L"ft.
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
Easements
C/2. Footings; Size -Spacing -Marriage Line
a r:aa* MN Test-Demand-Valve—Connector
. Electricity; MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector
er; MH Test -Regulator -Connector
_�. _j 9 -end Sewer Connected -C/O to Grade -HD Approval
8. Gas agOElectricity Tagged
is j,DWSketch i
of Occup cy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs -Connectors
Shthg-Rig.-Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nall Ing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane lboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
i
V=OK
O = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Wells -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Lending -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
75. Fib., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
AV7JR ARCUNU�EV
ZONINGS
BUILDING PERMIT
O ��EPH OWENS
TE`4�TE9829
C�J
FT. OCC. BUILDING VALUATION,,,,"
OryN�R'sYO.
MT9dU9 AVE.,AVE. , FAIRFAX, CA 94934
1109MM CENTER INC.
M24403
CON
74611ADDRESS
FEATHER RIVER BLVD . , ROOVILLE , CA 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
23-00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS -3-7 GREENBUSH RD . , OROVILLE
PERMIT FEE $
3.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL P
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex O MobilehomeU Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200. OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCC UP.
OR ADDNS. I & ACC. BLDS. )
S
3.50 FT,O.
CONTRACTORS LICENSE LAW
I dere under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
y
License No. -4,C /rg'O I—Classification� L — (
O 1, as the owner, or my employees with wages as their e compensation, will d0
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. , Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.REslo. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B2@1.00
Ex. Occup. FIXED APPINS. OR
p' ( O UTLETS (RESID.) EA. )
5.00/
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County ' consequenceof the granting of this permit.
X (� ) Date
Sign ture of Applicant - ❑ Owner Yclontractor ❑ 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 $ 100.00
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 143.00
[This
HAZ.
"-
1 O. FEVf IMP
—'
FLOOD CDFPARCEL PD D I UE
permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic d above f r which fees have been paid.
IL
By Date
PERMIT EXPIRES ON
lDet
Receipt No. 156616/��
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y,4vr e'Ar.W'FRxJ�h�"ii`W:a�'�:.h:la'v*".. ,�,K, r�bSG�(`t y� Zif rim„ 1Q�M'(tr;�, 't.�g��-,.¢�'� fF"+ '`'1Y+�"'r�aW arF•p'.�,.¢�2.i..FSi+�:��''4��i;:`.�'��K c'xwr' 1,�tr
�
A.",1COUNTY'017 BUTTE - DEPARTMENTOF D VL OPMENT SERVICES - BUILOMP.DIVISION
OWNER
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATI'(?,N DATA SHEET
/ Al A. P. No.
-35 -O� d
Proposed Building Use _ H i 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 BY
II items have been submitted.........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
omplete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...........� .
5. Hazardous Material Form . ........................................ ;�.. .
6. Energy Design Compliance and supporting documentation . ............. �:.. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. t'L00.9. 064A
Fees...........f$ ...........................::
.�Fmpactfees as shown on attached schedule . .......................... .
alifornia Department of Forestry plan approval/fees. ....................... .
lo elevation letter (100 year flood) by California Engineer . ................. .
nitation and plot plan approval Health Department . ............
5. ity of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18, --Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
W9. Driveway permit (construction approval required prior to occupancy). . .
Preanspection request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ...........................
Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
4. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
,
Letter of intent on building use . ...................................... .
_�7�. p
Mpbilehome utility clearance...........................................�
29. Documentation of legal access................Y......:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
�'�:L 32. Plan check list.
33.
34.
When you issue the permit process as follows: Mail to owner. Mail to contractor.
Telephone -'9'3D and hold for pickup at �� office. Deliver with inspector.
Other 4Z e;2
Parcel Creation Yom,.
Acreage Applicant4Date `7
Copy of HaziMat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mailCou ter y _ Date
Plans checked by Date Plans approved by Date _M
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMU SERVICES - BUILDING DMSION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541
OWNER
��(����
A.P.
PROPOSED BUILDING USE
DATE
SCHOOL DISTRICT FEES
(paid at District Office) .........................
SHERIFF FEES
(paid at Building Department)
Residential......_x ,2 =$
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
.4. . RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Cotac nd telopment Division) ..............
6.RA SON AND PLAN CHECK = $89.00......
(paid at Building Department)
7. OTHER
8. OTHER
REC. # DATE REC
JA09�1.
lsdG
At time of permit application, I was advised the above fees are required to be.paid
prior to issuance of the permit.
APPLICANT
DATE 3 ���
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: J- 0 S r- P lY i ty s-
2.
2. Installer's Name: Oo be k-
3. Is the site currently under permit? Yes No
(If yes, furnish .permit number IN- 0� ) OR
Is the site an existing site? Yes r4- 7- 1 _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? Yea No F-1
(If no, clarify
•
5. What is'the mobilehome electrical rating? --------------- Amps
6. What is the mobilehome site service rating? ------------- 2a Amps
7. What ir s the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the �
mobilehome site service?-G�----��'-�"'
----�----------- Yes' � No
(If yes, identify the load and size: U4(Load) (Amps)
22
9. What is the mobilehome site gas pipe size? ----=--------- J— (in.)
10. What is the type of gas service? ---- - -------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?---------------------------------------,------ l V (ft.)
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less tthan �6�ft- onj>V
natural gas or less than 50 ft. on LPG.) 6UM.DING DMART MT
MOBILEHOME SUPPORT DATA
If other than single wide, ,
Mobilehome Mfr.fest— furnish Setup Model No. W 8 1 2 Year
Width __(ft.) Box Length 4 ?_(ft.) Tagalong or Expando Size ft. 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) 1. Wood -pressure treated or foundation grade.2. Other (specify)
SUPPORTS (check one) 1. Concrete block.
F]2. .Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
�
Line 1
t! 2'
Lin'e _ _ , — _ -.., _ _ � Line 2
Main Beams
Line 2 � _ — _ _ Line 2
Main Beams
— -- — — — — �..-Line 4
Tag or Triple
rine 4
Line 1
Line 1 Piers: Line 1 Ooenin$s:
• Size -Min. ------------
..x . Size -Min. ----'-------------
Spacing -Max. -•------- Each Side of Openings
From Ends -Max. ------- With Width Over -------
Line 2.Piers•
Size -Min .------------
-x
Spacing -Max. --------- _
From Ends-Max.-------
1.1ne 3 Roof Loads:
Size -Min -------------
Location (From Front)
Line 4 Piers:
Site-Min-------------
Spacing-Max ----------
From
------------Spacing-Max----------
From Ends -Max--------
�Vj1®
®rdvl
Line 3 Piers: (Under Bearing Wall Only,) /
Size -Min -------------------
Spacing -Max.__---_. -------
From Enda-Max-------------- _
,k w „x , nx n nx i,x n
Line S Piers: (Under Bearintt Wells Q. ry
Size-Min.------------------
�k � n
., Spacing -Max ----------------
From----------.-- From Ends -Max -------------- n
AP #
OWNER
PERMIT
MH UTIL.CLEARANCE DATE kzaz
INSPECTOR
Ag,:::2L��
ELECTRIC
GAS
Support
Struc.
Compaction
Test -Req.—
Service
Size
OtherPipe
Load
T e
Size
Length
YESI NO
YESI
NO
36
,M
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT"
ASSESSOR PARCEL NUMBER 73-35-020
zON
BUILDING PERMIT
OWNER JOE OWNS OWENS
457.9829
SO. FT. OCC. BUILDING VALVA N -
OWNER'S MAILING ADDRESS
46 PORTEOUS AVE FAIRFAX
CONTRACTOR'S NAME
JOHN BUNCH PO BOX 477
TELEPHONE
589-4534
CONTRACTOR'S MAILING ADDRESS
FEATHER FALLS CA 95940
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
7
PERMIT FEE $ 23.00
OR V L If,
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PAReL'AP
/ r�C
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex O Mobilehome XK Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home G
@20.00 40.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other O
Describe Work: 1 BEIRM
PERMIT FEE $ 60-00
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
R LESS
Main Service ( "000 )
2A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
so.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
• �am a licensed under provisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. ,(o 6S O I C Classification
O 1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
@I•50
IAL. .eo
Ex. Occu FIXED AP"S. OR
p (OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 63.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the gr nting of this permit.
X Date
Sign u e of Applicant - ❑ Owner Contractor ❑ Agent
An 0 HA 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
corNsr. rvPE
TOTAL FEV$ 146.00
AZ.
D. FEESIMP
_
FL O
CDF
PARCEL PO
--
I E
This permit is hereby issued under
of the Butte County Code End/or
indicated above for which fees have
By 1,? +� ��rD
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
to �'-
�
!Dela/
Receipt 156542
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
4q; U!
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District Q�e-o r -,L -EM Building Department No.
A.P. Number7 -3 - -3 �S;O CFO jurisdiction CRY County
0 UJ Ck G
Property Owner
Property Location/Address
Subdivison Lot No.
Residential Development Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
B6ildIng DO artm
P pAt Rep'resWative Date
(Floor Plans reviewed by School District Personnel)
District Identification- No. 402
School District certifies that
(Applicant)
('Street. Address) (Phone Number)
(Cityr (State) (Zip Code)
has co mplied with the requ.irements of Resolution No. by payment of $
representing 10 square feet.
School district Representative
Paid by Check Number Remarks:
Bank Number
Paid by Cash
Date
If, subsequent. to*the'School District ' Representative. signing this Butte County Schools Impact Fee
Certification Form, the Sbhool District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
I
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 73-35-020
ZONIN
BUILDING PERMIT
OWNER
JOE MKS OWENS
TELEPHONE
457-9829
SQ_ FT, OCC. BUILDING VALUA N
OWNER'S MAILING ADDRESS
46 PORTEOUS AVE FAIRFAX
CONTRACTOR'S NAME
JOHN BUNCH PO BOX 477
TELEPHONE
589-4534
CONTRACTOR'S MAILING ADDRESS
FEATHER FALLS CA 95940
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
37 GREENBUSH RD
PERMIT FEE $
23.00
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PIAIL MAP/
fob
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex ❑ Mobilehome } ( Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home G
@
@20.00 40.00
TYPE OF WORK
New O Addition O Remodel Cl Utilities CX Installation O Other O
Describe Work: 1 BDRM
PERMIT FEE $
60.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service (III OR LESS 00A OR LESS )
23.00 93-00
Main Service ( 200A TO 1000A I
46.00
(/
\
NEW CONST. DWELLING OCC UP.
OR ADONS. ( 8 ACC. BLOS. I
SO.
3.5I FT -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
JiWam a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Co O Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
& SINGLE OUTLETCIR.
Ex. Occup. ( OUTLET OR FIXTURES I
@100
B20AL. .
Ex. Occu FIXED APPLNS. OR
p (OUTLETS IRESID.1 EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
hall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE S
63.00
Contractor
MECHANICAL PERMIT
Filing Fee 2q,00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above informationis correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in c nsequence of the gr nting of this permit.
X Date3
Sign u e of Applicant - O Owner Contractor Cl Agent
An 0 HA 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 FE $ 146.00
AZ-
D. FEES
I IMP
`""
I FL 0
COF
PARCEL
'—'
PD
I E
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 D to#Q&E
PERMIT EXPIRES ON
IDe e)
No. 156542
.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
��e�` y .
. «C�9UNTYOFBUTTE - DEPARTMENT OF DI
ri
7 COUNTY CENTER DRIVE - OROVILLE,
A
OWNER
Proposed Building Use
t- 14, t
4:t,
WENT SERVICES - BUILDk!P DIVISION
4IA95965 - TELEPHONE (916),538-7541
V
PERMIT APPLICATJON DATA SHEET
No. 3 ^ �O-(J
Building Inspector Date
J
At time of permit application, 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. .. r ....................................
2. Plot plans, 3/4 sets, signed by preparer of plans ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans. ........
.
4. Engineered plans and calcs, 3/4 sets, witfh wet signature on plans . ............ .
5. Hazardous Material Form. .... i .......................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
' 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ...........................................
��1 Impact fees as shown on attached schedule. .
----;J12. California Department of Forestry plan approval .. +�au! 3 '� %
( 13. Flood elevation letter (100 year flood) by California Engineer. .... ........
14. Sanitation and plot plan approval OL7)- Health Department . ............
15. City of Chico plumbing permit. ........................... ` .............
16. Plot plan and business license approval from City of Biggs/Gridley. ..... :.......
17. Planning approval -for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. I
19. Driveway permit (construction approval required prior to occupancy). ?X a1�sP ..ction reQU�,[�
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
ti22. Certificate of Workmans Compensation Insurance . ..........................
23�Owner-Builder Verification (Given to owner , Mail to owner _). ......... ; ;-�
L/ I- Recorded copy of Agricultural Acknowledgement Statement . ............... .
25. Letter of signature authorization . ........................................
26. Copy.of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..................... :/.........:.I........
28. Mobilehome utility clearance . ............. .......................... .
'. 29. Documentation of legal access . .....................:.................. AI
30. Documentation 9f 50% subdivision developed or (A) Road improvements completed
J and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, proces as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at,�2y! 6 office. Deliver with inspector.
Other G'
Parcel Creation Y15A(
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. %Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Count r by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
e
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner
a�
t
Plot Haii Attached
• • Floor flan Attnchcd
Sent to B.U.
w / I-ocation
Plan Approved for: Sewage Disposal `' Water Supply
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
I'ublic
AP// �
Private Well
Date
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----CDF --FIRE—SAFE-RE JJ.IREMENTS -�
-io q-d6?2 01--iE /s
AP # PERMIT # NAME
Under authority of PRC 4290, the following
by the Butte County Fire Department and
permit. These requirements are minimums
Butte County local regulations which equal
Field inspections will be made by the Butte
for compliance.
checked items are required
are made a part of this
and will be superseded by
or exceed these standards.
County Building Department
[] 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 iii these standards, annual maintenance must
be provided for by the land owner.
Driveway Standards
[lC)
1273.02
Surface. All driveway surfaces and structures (bridges,
1273.07
culverts and other appurtenant 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 excee3 16 percent unless paved.
1273.04
Driveway Rad'us.
[
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.
[l
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.
[7`}
1273.05
Turnarounds. If required, will have a minimum turning
radius of 40 feet from center of the road.
[�]
1273.06
Turnouts. S'L:a' 1 k -, a minimum of 10 feet wide and 30
feet long with a 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
AP # PERMIT # NAME
�(] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
\ less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.,
[X] 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 arid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from u11 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 f'_:,al inspection of a building
permit.
Page 2 of 3
^ MOBILEHOME INSTALLATION ACCEPTANCE M1
~ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ?1
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
` f
PERMIT N0.
Address or location of mobilehome rev
Owner's name O W 51
{ tJ,
Owner's address
_f
yrs Insignia or hud number
�h
Manufacturer's name--
Serial
ame=
Serial number o V.I.N.
FA•
WM
(ficial Approving Installot
Year of manufacture
-`��
(Date)
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.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
73-35--02y
AP #
94-0(--)??
PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
�I n/S J of
AME
[ ] 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 "_Oo 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
77
RECORDING REQUESTED BY
MID VALLEY TITLE & ESCROW CO.
AND WHEN RECORDED i41AIL TO:
ALLAN STALEMO
DEBBIE L. WEEKS-STALEMO
1033 VINCI AVENUE
SACRAMENTO, CA 95838
Illltflllltlllf IfIIftllNllllflttl
i2'f?J�4--0tb 1 7tm4 1
Recorded
I REC FEE 16.00
Official Records
I TAX 110.00
County Of
I
BUTPE
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Kathyh
09:00AM 29 -Mar -2004
I page 1 of 4
Space Above This Line for Recorder's Use Only
A.P.N.: 073-350-020 Order No.: ORO/C Escrow No.: 220204U
GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 110.00
( X ] computed on full value of proerty conveyed, or
[ ll computed on full value less va ue of liens or encumbrances remaining at time of sale,
l �C] unincorporated area; j I City of OROVILLE , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
DANIEL NATHAN WALDRON AND KATHLEEN ANN WALDRON, TRUSTEES OF THE DANIEL NATHAN
WALDRON AND KATHLEEN ANN WALDRON.FAMILY TRUST DATED MAY 13,1997, AS TO AN
UNDIVIDED 1/2 INTEREST, AND JIM EKLUND, TRUSTEE OF THE EKLUND FAMILY TRUST DATED
NOVEMBER 14, 2002, AS TO AN UNDIVIDED 1/2 INTEREST
hereby GRANT(S) to
ALLAN STALEMO and DEBBIE L. WEEKS-STALEMO, Husband and Wife as Joint Tenants
the following described property in the )ftLd UNINCORPORATED AREA, County of Butte State of California;
SEE ATTACHED LEGAL DESCRIPTION
GRANT DEED CONTINUED ON NEXT PAGE
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below -
A.P.N.: 073-350-020
CONTINUATION OF GRANT DEED
THE DANIEL NATHAN WALDRON AND KATHLEEN
ANN WALDRON FAMILY TRUST DATED MAY 13,
1997, AS TO AN UNDIVIDED 1/2 INTEREST
AND THE EKLUND FAMILY TRUST DATED
NOVEMBER 14, 2002 AS TO AN UNDIVIDED
1/2 INTEREST
BY: 9666 4 %1&,t� r v S1P.A
DARIEL NATHAN WALDRON, TRUSTEE
By&U1&4" -. G' .J' -6r�-*--tom,
THLEEN ANN WA RON, TRUSTEE
By:
IM B UND, TRUSTEE
at
_March 24, 2004
STATE OF CALIFORNIA )SS
COUNTY OF BUTTE )
On MARCH 25, 2004 before me, KAEY J. BIDWELL, NOTARY PUBLIC
personally appeared DANIEL NATHAN WALDRON AND KATHLEEN ANN WALDRON
personally known to une (or proved to me oil the basis of satisfactory evidence) to be the person(s) whose name(s) istare subscribed to the within
instrument and acknowledged to me that he/shehhey executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my Ir nd an official seal.
4
Signature
This area for official notarial sea[.
KARYJ. BIDWELL
u� Commission #1381097 n
a Notary Public -California
v Butte Countyy to
My Comm. Exp. NOY 08, 20063 f
:1Ylid Valley TI ale an, dEscrow Company
STATE OF CALIFORNIA }ss.
COUNTY OF. BUTTE }
On MARCH ' 26-, 2004 before me, RARY J. BI.DWELL , NOTARY PUBLIC '
personally appeared JDA EKLUND
personally known -to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
In his/her/theirauthorized capacity(ies), and that'by his/her/their signatures) on the instrument the
person(§) or the'entity upon behalf of which• the' '.person(s) acted, executed the instrument:
WITNESS my hand and official seal.
Signature
KARY J. BI DWELL,
'' Commission #1381097 r7
U Notary Public -California
Butte County
My Comm. Exp. NOV. 08, 2006w ..
(rhls area for officlal holartal seaq
Title of Document
Date of Document No. of Pages '
Other signatures not acknowledged
Qrovifle Chico:
Paradise:
Order No. BU -220204-3 KB
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL L -
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 17, 1985, IN
BOOK 99 OF MAPS, AT PAGE(S) 60.
APN 073-350-020-000
PARCEL II:
A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSE'S OVER THE FOLLOWING STRIP OF
LAND:
BEGINNING AT THE SOUTHWEST CORNER OF PARCEL 4, AS SHOWN ON THAT CERTAIN
PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON MARCH 27, 1980, IN .BOOK 76 OF MAPS, AT PAGE(S) 33 AND 34;
THENCE NORTH ALONG THE WESTERLY BOUNDARY OF PARCEL 4, 830.32 FEET TO THE
TRUE POINT OF BEGINNING FOR THE PARCEL DESCRIBED HEREIN; THENCE CONTINUING
NORTH ALONG THE WEST BOUNDARY OF SAID PARCEL 4 A DISTANCE OF 60 FEET;
THENCE WEST 325.00 FEET TO A POINT ON THE EASTERLY BOUNDARY OF ROBINSON
MILL ROAD AS SHOWN ON SAID PARCEL MAP; THENCE SOUTH 60.00 FEET TOA POINT
THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST TO THE POINT OF
BEGINNING.
PARCEL III:
A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER THE FOLLOWING STRIP OF
LAND:
BEGINNING AT THE SOUTHWEST CORNER OF PARCEL 4, AS SHOWN ON THAT CERTAIN
PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON MARCH 27, 1980, IN BOOK 76 OF MAPS, AT PAGE(S) 33 AND 34;
THENCE NORTH ALONG THE WEST BOUNDARY OF SAID PARCEL 4, A DISTANCE OF 60.00
FEET; THENCE SOUTH 880 44' 55" WEST TO A POINT ON THE EASTERLY BOUNDARY OF
ROBINSON MILL ROAD, A SHOWN ON SAID MAP; THENCE SOUTH ALONG SAID ROBINSON
MILL ROAD, 60.0 FEET TO A POINT ON THE SOUTHERLY BOUNDARY OF PARCEL 2 OF SAID
PARCEL MAP; THENCE NORTH 88° 44' 55" EAST, 241.17 FEET TO THE POINT OF BEGINNING.
in
NOTE
SITE CONDITIONS
ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE
CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED t
PLANS:
• EXCESSIVE SLOPES
• EXPANSIVE SOILS 1
• EXCESSIVE CUTS OR FILLS
• ALTERATIONS TO NATURAL DRAINAGE
• OTHER UNUSUAL SOIL OR GEOGRAPHICAL
CONDITIONS
If
- _ LREGULATIONS
NIA CppE of 1
ALL COVERED DECKS AND i TITLE 25
OPEN DECKS EXCEEDING 36 IENTS qS qM AMENDED
ENpE o I
SQUARE FEET IN AREA WILL RISDICTION APPLYREQUIRE A BUILDING PERMIT ROJECT I
I It
'`" y ' •T�l�i,i� �,,;; ;its
r
,
v -E WA Y
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aw•
Pao paSGv
MGi3r1✓L 40�
.08_ OTI
,'OMPLy WITH CDF/ CAL F71RE
REQUIREMENTS PRIOR RIOR TO FINAL• CONTACT ALIFORNIqplVl$ION OF FOR INFORMATION FOR
"REMENTS. AND INSPEC
REQUIRED AT FINAL INSPECTION
Butte Countv Mobile Home/Manufactured
Home Acceptance Certificate Form 513.
Form to be comnleted by field insnector. Heath and
Safetv Code Section 18613 or 1855(b)
THE 2007 CBC, CMC, CPC,
CEC, AND 2005 CALIFORNIA
ENERGY STANDARDS AS
AMENDED BY THE JURISDICTION
APPLY TO THIS PROJECT. r
I
1 `
1
j
o I�'
r,
�qlf r re,
N OTE: APPROVED PLANS AND
Acncccry nwr.�co is ccaonnic�ai c cno PERMIT SHALL BE ON.S'1TE
DETERMINING LOCATIONS OF PROPERTY LINES FOR ALL INPECTIONS
AND EASEMENTS AND MAINTAINING REQUIRED
SETBACKS FROM PROPERTY LINES AND J
EASEMENTS. A SURVEY MAY BE REQUIRED IF
DETERMINED NECESSARY BY THE BUILDING
I� ncc�r.�ni
BUILDING
I PERMITO 01&- OS/ 9
ASSESSOR'S
PARCEL# O�
SUITE COUNT 11
UIL IN """118101.
�b APPROVED
Y1310$ c,./
FILE COPY
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