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078-310-073
03 03ffc, n aPET�ERS�, DWARD `2547 OA' KNOLL,,OROVILLE CONT: D & A,CO ST. NEW mFrIPERM"FND NEW SITE -04=1685 �RGTERS; EDWA ,2547 OAK KNOLL- - 0VI1,-E Cont: N/A COVERED DECK 260 SQ FT h I 078-310-073+., 06-1365 , . . 9. ',PETERS, EDWARD'- -72 547 DWARD'.-72547 OAK KNOLV.WAY °OROVILLE ' ° Cont:. OWNER DECK(COV) ' It 41 t�lal� �p0 078-310-073 •06-1365 NOTES i PETERS, EDWARD 2547 OAK KNOLL WAY, OR(jVILLE ConCOWNER ' DECK(COV) 1 APN: Permit No. Owner. Site Address: Contractor. Type of Permit: i u brr-UAL GVNUI I IVNS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 4/6 vC--Z�. Orr- Lok -,IT L JyuAA.'t •e,_ DATE JOB FINALEO: 7— SIGNATURE: ) tl f j • ttt -� F r i u brr-UAL GVNUI I IVNS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 4/6 vC--Z�. Orr- Lok -,IT L JyuAA.'t •e,_ DATE JOB FINALEO: 7— SIGNATURE: ) tl f j =OK U • AW MANUFACTURED HOMES -MISCELLANEOUS- DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support SketchFtgs• 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed-RegulatorStairs-DuardlHandrails 5 Elec Loctn-DIrncs-Gmd 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat F or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Llne 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers f DATE DEC O RS -CARPORTS -GARAGES etbacks-Easements oilsSz.DpthSpacing-CnnctmSteel ecks, Girders/Joists-0cking-Brcing 449`66d Awn; Posts-Beams4WVs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice4Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric lig; Sills-AnchrsStuds4fts-Trusses 9 Si�d'ng; Nailing-VeneerStucco-Lath 10'Roof; Shthg-Roofing 14f%; Steps -Doors -Landings 12 Braced Wall pnis - .p �'- DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men-Uning 4 Elec Rcptcls/LUng; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 EIec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcttng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Encisrs-pnlboardsansultn to Main Conduit 9 Health Dept Apprvl . 10 'Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide o� e`er 0 tea} Pool Drawing RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE PLUMBING ' 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insults 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntitn 16 Insulation 40 0,a` DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -sound 19 Bearing Walls over Girders .& fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops,'FUrred CeilingsStairs-Chasers-Tubs 22 Headers B BeamsSz &'Bearing 23 Hangers-Posf Caps-AnchrS-Cnnctns 24 Ceiling Joist4 tr Ties-Puriin-Roof Brae TrussShthg 25 Frplc Tles or T ype A Flu'*r Ic Throat Cirnc 26 Attic Acc; Sz& Rmz .Pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Ezitlng DoorsSill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws 6' 0 DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz pa Q CU or EjAL AC Wire Sz ya Q CU or D AL 48 Range Clic pa Q CU or ❑ AL Oven Circ 9a Q CU or 0 AL Insulated Neutral [::]Yes ❑No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas_Piping DATE IMECHAKICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic o'er o� v1� FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elec Trim & Subpni, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clme-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frplc-C1mc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY PEKIVII I 'NU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR.INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061365 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF'ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN: 078-310-073-000 the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Site Address: 2547 OAK KNOLL WAY ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: COVERED DECK (330) .Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERS, EDWARD AND CARRIE to Its Issuance, also requires the applicant for such permit to rile a signed statement that he or she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 2547 OAK KNOLL WAY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE CA she Is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penally of not more than five hundred dollars ($500).): 530-538-8189 I, as owner of the properly, or my employees with wages as their ..sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Buslness .and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: PETERS, EDWARD AND CARRIE such work himself or herself or through his or her own employees, pp provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one 2547 OAK KNOLL WAY year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of OROVILLE, CA sale.). 95966 ❑ I, as owner, of the property, am exclusively contracting with 530-538-8189 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Busin s a PrI ofessions Code O � Dale: v Owne e WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: C3 have and will maintain a certificate of consent to seli-insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Engineer: Carrier: Policy #: .O'er 1 certify that in the performance of the work for which this permit Is Total Square Ft: 330 S.F. issued, I shall not employ any person In any manner so as to Valuation: $5,280.00 become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Dale: Applicagi secure workers' Com [ �v 7 5 WARNING, Failure to sec compensation coverage Is P unlawful, and shall subject an employer to criminal penalties and one/— hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor / (� code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This.permit Is -hereby Issued -under -the applicable provisions of the Butte County -Code andlor- I hereby affirm that there Is a construction lending agency for the Resolutlo o work Indicated ov or which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 CC; IN.)_ BDate: Q Name: P MIT EXPIRES ON: Address: P11(Dald) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of Callfomia Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly au lhorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or docu t4f Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection pure Print Name: Date: .06 /O � ,,. Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT*NO. < DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR.INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061365 : OFFICE #: (530) 538-7541. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN: 078-310-073-000 the Business and Professions Code, and my license Is In full force and effect. License Class : License Number: Site Address: 2547 OAK KNOLL WAY ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: COVERED DECK (330) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERS, EDWARD AND CARRIE to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 2547 OAK KNOLL WAY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penally of not more than five hundred dollars ($500).): 530-538-8189 I, as owner of the properly, or my employees with wages as their sole compensation, will dothe work, and the structure is not Intended or offered for sale (Sec. 7044, Business.and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: PETERS, EDWARD AND CARRIE such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one 2547 OAK KNOLL WAY year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of OROVILLE, CA sale.). 95966 O 1, as owner., of the property, am exclusively contracting with 530-538-8189 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' State License Law.). Contractor: O 1 am Exempt under Article 3_of the sins a Professions Code Date: b Own 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 sell -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Engineer: Carrier: Policy #: certify that in the performance of the work for which this permit is .Q -_I certify Square Ft: 330 S.F. q issued, I shall not employ any person In any manner so as to Valuation: $5,280.00 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 Census Code: _ forthwith comply with those provisions. Date: (/ X n Applica is , /�/ C �y WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor v code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutlo o work Indicated ov or which fees have been paid. I hereby affirm that there Is a construction lending agency for the A`� performance of the work for which this permit Is Issued (Sec 3097 Civ.) B Date: Name: P MIT EXPIRES ON: Address: (Datd) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby that I'have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with certify all county and stale laws retailing to building construction. I acknowledge It Is unlawful to alter the substance of any official form or docuMwt f Butte County. I hereby authorize representatives of Butte Countyto enter upon the above mentioned property for Inspection purp e L � w4,0e& Cv /045 7�/Z__S_ Slgnatu Print Name: Date: ? 6 O is Owner O Contractor O Agent for Owner 13 Agent for Contractor R r. Ruiidina Permit 01-16.04 vo 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY"'*0 1<6, CONTRA OR OWN R INFORMATION Last Name City Firs me / Gti�X� Address KNo l/ w Cityq4 ,C S��4- 4,4 11one3 Fax Fax E-mail State License Number CONTRA OR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail _ r. ., jGNATURE WA_ v For office use only: Zonin AR I Flood Zone I X I SRA I Y I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 6(p.132PS BP : - BIN It -::2;�16- 61--� PROJECT LOCATION AP# Property Address /49 l yVdGL W City U/ 'o Cross Street �o WORKER'S COMPENSATION - Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name, Address / Description or Scope of Work: Sq FT- Living . Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: Bldg SRA Receipt #,:/ Sheriff 'f5 ,s 4 SMIP Date: v� Other Total K•\FnPhAC\RI in nimr, Fr1RhAR%RIr1nAnnMiihRnmtc rinr. Paoe 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue, the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) •.. ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date .of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 d REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �� ��� ASSESSOR PARCEL NUMBER Proposed Building Use: /�,/ (' _ Permit Technician: Date: Items required in order to aappl-y fo ar permit All boxes MUST be checked OR marked NA in order to pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Pther aining items needed to issue the permit (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 15. Fire Sprinklers ............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet...t�.p.;. Fjy...:....... 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .................... :......... 411�' 22. California Department of Forestry plan approval ❑ paid. Sent by:23. Planning approval for (A) Use: -0 (B) Parking: (C) Parcel Check:.......7 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ................:..... -196 .26. NPDES Form............................................................................................. Cl 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Came; fd Policy Number ...... :................................... 30. Owner -Builder Verification (_ given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone � 53r) , 0 1 S�Z 4f .:j! and hold for pickup. I have been info ed of the above ite s d equirements for obtaining a building permit. Applicant / Date: 1. Index pe it or the above items numbe ed: Plan Check Letter 2. Additional items required Contractor, design advised of the above data by Elphone, ❑ mail, counter, by Date: Conow tractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by Date: Plans approved by: Date: P7 y Structural reviewed by' Date:W 4 Structural approved by: Date: �p Note transfer by: Date: Yellow: Building Division FPR��T /,OW1.111.0 Department of Public Works �� p �w�' ���� p �` o f B u t t e /////, �,�_ ; C o u m y p p , LAND DEVELOPMENT DIVISION �\ p ° // J. Michael Crump, Storm Water Management Program Director 7CountyCenterDrive C U rl y Oroville, CA 95965 iOGe��c WOP+t•15 )530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water. Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE] Project Description: v COIL. Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than -one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of CaliforniaRegional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. -17 Signed: Title: _r4 Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storrs Water Management Program Revised 5/24/04 Butte County Department ol'Developinciit Sci-wces 0O4.Tr 0 7 County Center Drive -. o Oroville, CA 95965 ate. 0 °r,�-- (530) 538-7601 Telephone 1y° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: v I need to submit applications for septic and/or well to Butte County 'Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained 9 I am responsible for notifying Development Services, in writing, to stop, processing of the application and to arrange for disposition of plans. i. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. . ' Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: Building site address: L7 A k A-lyo % Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE K:Fnrm.,/B1dpPermitwithoutClearan=020705 OWNER -BUILDER VERIFICATION ra 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. 1 personally plan to provide the major labor and material for construction of this proposed property improvement: YES .[.i]'- NO [ ]. - 2. I HAVE V ] 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: PHONE: 1 CONTRACTOR'S 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: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE: WNER DATE: O,b NOTE: This Owner -Builder verification is required by Section 19931 and 19832 of the California Health and Safety Code. �+mnla+ot4 anti rm-hirriarl fn mir nFfirP 11PTnrP vi,P arP t1Prm;ft,rl to 1CC11P. t} p.. Butte County Department of Development Ser -vices o ,�3TT o ADMINISTRATION ` BUILDING . GIS ° PLANNING p o o o 7 County Center DriveG - ` Oroville, CA 95965 0 -' =*=` amu' o (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or mbcontractors, then you may be an employer. o 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 kisurance cow, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or. through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner-buildef' 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE- This Owner -Builder Information is reauired by Section 19830 of the California Health and Safety Code_ TO:. Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance 2-5y Location EEb_VS§DNLY Plot Plan Attached Floor Plan Attadied Sent to BD/DS AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance fofd-welling. Other �5o Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Dat Building Clearance 9/2005 NOTES RESIDENTIAL P 'PERMIT NO. .036-103-034 R 0 a685 f PETERS, EDWARD" 2547 OAK KNOLL WAY, OROVILLE + Cont: N/A COVERED DECK 260 SQ FT I ' f SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature z f t S k f } SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature z J=OK 0 = Not OK . = NotReadyable SCELLANEOUS MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements ec Girder /or J -De - r g tairs ails 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 11. 7. Well Clearance & Disconnect Braced Wall Panels 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s SCELLANEOUS Date DECK , CARPORTS, GARAGES (Plans) OK except #'s 2. nin irements-Setbacks-Easements 3. tings; Soils -Size -Depth -Spacing -Connectors -Steel - 4. ec Girder /or J -De - r g tairs ails 5. ood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection 53. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 20. Shower Pan; Test, First Floor -Tub Access 56. 21. Test Tub & Shower, Second Floor -Tub Access Siding -Nailing Veneer 22. Gas Pipe; Sixe & Anchors 59. 23. Fire Sprinkler; Test Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes 0 No/1Nalks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: "`" ��'R�..'4?�..aKra'`K.r*a:�-•e.'�^:��'e�•^' y'.7.�a�,rY�iw"ti-JT�"'"y�"�:1�'e+�—r`dr+.-w�`'�s�.��� COUNTY OF BUTTE 't5 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street,' Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 '� ; CORRECTION NOTICE q. OWNER PERMIT NO. a A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, a please contact this office immediately. k lei 51 • �U Y Data U Inspector REV 10/92 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 PERMIT NO. BP041686 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/26/2004 APN' 036-103-034-000 ' the Business and Professions Code, and my license is in full force and effect: License Class: License Number: Site Address' 2547 OAK KNOLL WAY ORO Date: Contractor. Map Index: Description: COV DECK (360) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERS EDWARD S 8r CARRIE A to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 12724 104TH AVE CT EAST E-102 7000) of Division 3 of the Business and Professions Code) or that he or PUYALLUP, WA she is exempt therefrom and the basis for the alleged exemption. Any 98374-5636 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: PETERS EDWARD S 8r CARRIE A such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the B ine a d rofessions Code Date: 126 6 L( Own WORKERS' COMPENSATION DECLARATION I he`pby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance oP Architect: the work for which this permit is issued. My workers' compensation Engineer'' insurance carrier and policy number are: Carrier: Total Square Ft: 360 S.F. Policy #: � 0 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $5,760.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 'o Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 403 5 % (50• G'' b -04 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' hereby issued under the applicable provisions of the Bntte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: • 2 , Name: PERT XPIRES ON: 2(o OS Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly auth rized agen t owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc any official f or doc an f B to County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure S. Print Name: C�� L�j0LAntS �l Sign Date: / /O wner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: -1�YJ`(� ASSESSOR PARCEL NUMBER Proposed Building Use: c4 �Q Counter Technician: Date: 16 -'621 -- Items -GItems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order pply. '5 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 1.0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required......................................................... 21. Fees as shown on the attached Schedule of Fees Due Sheet .....M 1��........� 7 1h a t1 22. City of Chico Plumbing permit........................................................................ ❑ / 23. California Department of Forestry plan approval ❑ paid. Sent by:...... 24. Planning approval (A) Use: 8�(B)Parking: (C) Parcel Check: ?2 2-16- G ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form.............................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept.......................i ❑ 28. Pre -Inspection for - required..: Cl 29. Contractor's license information. (Number, Name Style, Classification) ............ + ❑ �j 30. Worker's Compensation Carrier �nd Policy Number .....................................{ 31. Owner -Builder Verification JZGiven to owner, to owner) _Mailed .................55, k ❑ 32. Letter of Signature authorization ...................................... :................... .... -,• 33. Recorded copy of Agricultural Acknowledgment Statement ............................u� _ w ❑ , '34. Manufactured home utility clearance........................................................... ❑ 35. Existing violations and/or expired permits.................................:....................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone - and hold for pickup. I have been inforr�Ied of the bove it s d requirements for obtaining a building permit. / _ A Applican ' Date: o 1. Index permit application for the above items numbered: P an Check Letter 2. Additional items requ' ed - Contractor designer ne as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner wa vised of thea veAata by ❑ phone, ❑ mail, ❑ count e y Date: 111 Plans reviewed by: Date: b Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .. ' 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER G(JV1/A-i2p S A.P. # 034' I03 •034-. PROPROSED BUILDING USE L3 DATE 7' Z 3 - ✓ RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ I. --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. . 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit pplic 'on, I wa advise a above f s are required to be paid prior to issuance of the permit. These fees maybe changed ' l `Iblan eckin Qcess. APPLICA DATE Pursuant to Government Code Section 66020, u are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the pr 'ect or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Sectio 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Building Permit Number: O �L-/(PSS Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices s and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Pluinbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW " . Your"parcel lies within a designated 100 -year flood plain. Finish floor, electrical, • H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. ,I ' Page 2of 2 Building Permit Number: Owner Name: PQj�fNS ' Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures andequipment including over ans shall be clear of all easements. A setback ofU S• eet from the side ander e t from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site..'This condition may require the. foundation to be designed by'a California registered engineer or licensed architect. TM SITE PLAN REVIEW APPLICATION Date: �7�22 / 7,90 Lf AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: 4 �� Owners Name: OItC> Owners Address: gk/6(,�_ A)Aq Telephone No.: �3� �,� ��� X18 q , Situs Address: Proposed Use: Residential ❑ New Single Family, Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family ' t Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ . N/A ® Other: t0'4_r Lf,9 b Brief Explanation (if necessary): `\ 2.4'vV DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved is Site lan By ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Stamped A proved Date r 2 Z tg Page 1 of 5 w ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) M SRA - (CDF. to determine specific requirements) F&gTra,-1 Of (*CEL. gS s;.,4 100 -Year Flood Plain: (See attached) ,�' • Flood Zone: Y 7 • Flood Panel No.: 06007wIndex Date: 99-'. ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: f— ��� Wk,( PL( -G Applicable Building Setbacks: COA IAM u ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Wevention Subdivision Map Front 2-01 Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 arcel Deemed to be legal - ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old -Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements -------- -------------------------------------------------------------------------------------------------------------------- Page 3 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads . - ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ' ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ----------------------------- ------------------------------------------------------------------------------------------- Subdivision Map Special Fees ' ❑ Water Tender ;❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check' with school district to verify actual fee if pre -application review: A final determination will be made at the time of the building permit. ` Parcel Created By Deeds: Date of Creation: 1- 7 - j���' _ Legal Access Provided: ❑ No Yes Deed of Reference: Legal Access Required ❑ No Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: arcel Deemed to be legal - ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old -Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements -------- -------------------------------------------------------------------------------------------------------------------- Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: e Permit/Minor Use Permit .. Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ■❑ Page 4of5 Summary of Specific Requirements: This. information provided in this summary is based on the application information and on the best available data at the ,time of review. CALarrys\Building Permit Site Plan Reviewl.doc R ' Page 5 of 5 �PWTMSjVr o UT TF ° - C ° 0 ° °i ��lC WO5 �eLP� Department C o u n t 1 .!. micnael t -rump, Ulrector Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: K?j) Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total -more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs�one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed:/I�,l�1B% ��`�✓��v . Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 O.B.-1 OWNER -BUILDER VERIFICAI'ION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and .materials for construction' of the proposed property im rovement : YES * NO ❑ I HAVE HAVE NOT ❑ signed an application fora building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK GNED: / PROPERIYOWNER-� / DATE: 6 v NOTA: This Owner Builder Verification -is required by Section 19831 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit: OVER o_ •B -j I OWNER BUILDER WORAIA'IION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a pennk Budding pemuts are not requited to fie 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. s 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: d If you employ or otherwise emmgage any Persons other than your immediate family, and the work (inch ding materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subconbactors, then you may be an employer. 0 If you are an employer. you mnst register with the State and Federal Governments as an employer and you are subject to seveW obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disabiUy insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not cavy out these obligations, and these risk are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Rev== Service (and, if you wish, the U.S. Small Business Administration.). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner bmldm" building Pew =Dneously implying that time property owner is providing his or her own labor and material personally. Building P are not requiredb signed by property owners unless they are perfomming their own worts personally, hbrM2"bon about mse'd contractors may be obtained by contractmg the C*&actars State License Board in your commLmity or at 1020 N Street; Sacramento, CA, 95814. PIease complete time "Owner Builder Verification" on Ihe reverse side of this form so that we can confirm that you are aware of these matters, The boding P== will not be issued until the verification is returned. - lY, lvti 1 G Vi ira, C.B.O. Boding ecij , Inspection NOTA This Owner-Brcff4WIxf0rn:af0n is required by Section 19830 of the CaWorak Health and Safety Code. NOTES RESIDENTIAL 036-103-034 03-0317 PETERS, EDWARD PERMIT N0.-i�2547 OAK KNOLL; OROVILLE--- f 'CONT:.D & A CONST. ! NEW MH PERM FND NEW SITE i# (- THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2), STATEMENT OF FACTS (ONLY ON NEW INSPECTOR TO VERIFY S9. & LABEL #'S. 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i OFFICE COPY i Address i GAS Meter By Dat ELECTR Meter B Date JOB FINALED Signature r J'= OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. 3. Sewer; Location -Test -Fall -C/0 -Concrete Electricity; MH Test -Crossovers -Breakers -Clearances 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Water and Sewer Connected -C/0 to Grade -.HD Approval 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMA1416NIT END SYSTEM (ONLY) Line -,'Md 4. Ga MARTst Demand -Valve 5. "Electrici y; H Test Ao-Wa_ter; MH Test and Sewer Connected 11T License Decals 11. Verifv #'s with ( Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 02 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2.. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -.HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMA1416NIT END SYSTEM (ONLY) Line -,'Md 4. Ga MARTst Demand -Valve 5. "Electrici y; H Test Ao-Wa_ter; MH Test and Sewer Connected 11T License Decals 11. Verifv #'s with ( Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 02 -MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing . - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date -Card B-1 Date Card B-1 ;Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ~} 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready I RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection _ 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper - 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78.- Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House _ 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 11 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 05 -off - (Rev. 12/96) APPLICATIONAND PERMIT - �f� ASSESSOR PARCEL NUMBER 036-103-034 ZONING BUILDING PERMIT OWNER PETERS EDWARD & CAROL 253-845-1076 TELEPHONE SO. FT. OCC. BUILDING VALUATION 1458 IR 78,732 00 . OWNERS MAILING ADDRESS 12724 104TH AVE. COURT ST E-102, Y -2 WA CONTRACTOR'S NAME TELEPHONE D & A CONST. Z1"S CONTRACTORS MAILING ADDRESS FFATHER RIM BLVD., OROVILLE, CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 78.732 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 272.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDI EsEnergy OAK KNOLL OROVILLE Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FND NEW SITE Gas piping system 1 - 5 outlets 15.00 19-00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OV OR LE Main Service q OR LESS 23.00 93-00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �'1 S1^' J ' C�i'1 Lic. No. License Class a, i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO �aooA 46.00 NEW CONST. DWEWNG OCCUP. WEo OR ADDNS. a ACC. BLDS. SO 3.5¢Fr: No ESIDT' MULTI.OU CT @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. OflUT>Frs(RR. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure -for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insW4nce carrier and policy number are: Carrier "Ari CA Policy Number 'taG-1085— %.. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature &f Appli ant - ❑ Owner W ontractor ❑ Agent An OSHA permit is required for excav tions over 5'0" deep and demolition or construction3� of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ z91- go occ CONST. TYPE T AL FEE $ HAZ. -� 10. FE IM 0 CD PARCEL HD SUE This permit is hereby issued under of the Butte Coun Code and/or indic e e for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 31z#_0 (7/ Date ReceiptNo. 369995 X365-90 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s"s-,►'� �',,¢a,.1Rai"�f S�''llw ,,► , t , �!s "ft.. T COUNTY OF BUTTE -DEPARTMENT OF DF_IdELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �6' eir S, e�C. A i ..5 N (c -,L ASSESSOR PARCEL NUMBER f Proposed Building Use: � �P-:(AI %il ;� (i r 1 flc�[ I) ��1 tom_ Counter'Technician: : Date: Items required in order to apply for a perm " ST -be checked OR marked NA in order to apply. 'P� 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. -042. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate.� ll . Manufactured homes: A�Data sheets and installation instructions, 6.3.)44arriage line information, acopfoor Plan, (l ie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other #Ra,i items needed to issue the permit. (May require additional plan reviovupon receipt ofthe folldwingitems) �""":-: '-s'as shown on the attached Schedule of Fees Due Sheet.........................................ement of Intent for Non -heated and A/C Buildings.........................................itation and plot plan approval from the Environmental Health De artment in LoA of Chico Plumbing permit ........................................ ..ifornia Department of Forestry'plan approval Q paid. Sent. by ...................... ❑ 19. Planning approval for (A) Use:, O. IL (B)Parking: (C P cel Check: 2 2� ❑ 0. nta , Land Development about ❑Improvements, ❑Drainage .............................. % chment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 17Pre-Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 2 .Letter of Signature authorization.................................................................... 27. ecorded copy of Agricultural Acknowledgment Statement .................................... . 9-1,73-03 anufactured home utility clearance............................................................... ❑ 29. 'ng violatiomand/or expired permits..............................................•.�....... n r ❑ 30, nt Deed, W M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, Ekheck to H.C.D. $ ❑ 31. Other: , When issued Telephone '.� � - � .j%i &tw and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. A Applicant: " ! kAkat,Date- o.�. Z c 1. Index permit application for the abov �nuered.:S e 7 Plan Check Letter 2. Additional items required r, designer, owner, was advise f t e to by one, ❑ mail, ❑ counter, by Date: �-� o signer, owner, was advised of the ab e dam y one, ❑mail, ❑counter, by_Date: ans reviewed by: j Date: �- z O Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 /d SCHEDULE OF FEES DUE J1 OWNER J l fit 6 �i [01 Je_ C A.P. # PROPOSED BUILDING USE P�,(_ X tr),,P f ✓ l i- id 1 I aA l csf 7j�, DATE -2 - cS' O RECEIPT # DATE REC. UILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ eSCHOOL DISTRICT FEES U paid at District Office) (Available after Plan Check) &' tV err O ( 3. RIFF FEES (paid at Building Division) sidential ...................... x $360. $ U Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -X-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. RE APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd'Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) School District \ J A.P. Number Property Owner l..J Property Location/Address Subdivision P BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) v. L% Jurisdi((ction:, YU-I\ Building Department No. Lot No. Residential Development. 0 . + No of Living Mobtl ome Addition/ *Supplemental to w Units Installation Conversion Permit # '(No foundation insp ................................................................................................... Commercial/Industrial New Addition Building Departmel,,ReprNentative %Z2 . pPta 63 -c31q a Sq. Footage (Group R) jir.. Sq. Footage (Including Exterior s� �>"` Roofed'Areas) w. Date } �» U(Floor Plans reviewed by School District Personnel) 553 District Identification No. "*�= �.; S -e. School District certifies that (Applicant) (Street Address) (Phone Number) C w J (City) (State) (Zip Code) has complied with the requirements of Resolution No. (.02,� l0 by payment of $ % 1 representing square feet. JFB 2926 $ 1 FULL MITIGATION $ School District Reprf3intative + Date Paid by Check # Remarks: O ? � V 4,- S g e Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm << 03/10/2003 09:00 5305330125 ANDf WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DFVL51ON 7 COUNTY CENTER DRIVE OROVILLE, CA 95%S INTEGRITY HOMES INC PAGE 03 COPY of Document Recorded 13 -liar -2003 2003-0015887 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section, 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Ttie- GC- t4 eriI (AP eP -h,e Gm,%+-r(H 132► ate,;- eX Lo+ -7,-Biock v1 tla Verona S"bd i v l sor) , a5 Slnr;«D(1 o'vi c.ial (map-It,.erc.o�� � l� Sanuf�.rc.l 1-7 1 �Sq •� n -F�� �'�'�ic�, off' CAU rIf2 M I A. Date '3 12-10 (--" IL.1C.I G n . I -t_- i C11CS State of t�.�S��•-�E��� ) County of On A OA Q, Zl �j., before aye, personally appeared Eb->A+ N S . � -} _ ersonally known to me (or*proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) • ubscribed to the within instrument and ack wledged to me that he/she/ be xecuted the same in his/hex ei uthorized dpacity(ies), and that by his/herkpei . ature(s) on the instrument, the person(&) or the entity upon behalf of which the person(s) acted, executed the in ru nt. WITNES an a ofiic• L `�����...."���1, :��• ScyN,,Iff Signature Seale gs�niF�A���'�,�� r�\o 9N•. c-.:ot NOTARY AL P. #.031- 103— 0311 •• puB��� a ° :��= 'N�qr•. x2.29-O6:�C? = ff,,,,,oF,WAS. 03/10/2003 MON 10:07 [TX/RX NO 51951 Q003 PERMIT NO.: 20--03 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: Property Locations(s): A. P. No.(s): Fees due: Application for service March 24, 2003 Peters, Edward & Carrie (D&A Construction) 12724 I04th Ave Ct. East-IU2(8b8 West Ins ott Payallup, WA 98374 (YC, CA 95991) (253)845-1076 (821-5850) Oak Knoll Way, Oroville CA 95966 Villa VErona a portion of lot 7 blk 24 036-103-034 All fees paid. Estimated deposit of $11,245.57 for tank installation paid. Inspection(s) made and successful test(s) observed: Location: 0 r, OROVILLE AREA C UTILITY DISTRICT Lake Oroville Area Public Utility District release to close permit: Date: By: Date: i PERMIT NO.: 20--03 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: Property Locations(s): A. P. No.(s): Fees due: Application for service March 24, 2003 Peters, Edward & Carrie (D&A Construction) 12724 I04th Ave Ct. East-IU2(8b8 West Ins ott Payallup, WA 98374 (YC, CA 95991) (253)845-1076 (821-5850) Oak Knoll Way, Oroville CA 95966 Villa VErona a portion of lot 7 blk 24 036-103-034 All fees paid. Estimated deposit of $11,245.57 for tank installation paid. Inspection(s) made and successful test(s) observed: Location: 0 r, OROVILLE AREA C UTILITY DISTRICT Lake Oroville Area Public Utility District release to close permit: Date: By: Date: CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AN,D SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT hereinafter referred to as "Applicant", being the property owner or owner's agent desiring sewer service, hereby requests Lake Oroville Area, Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. Location of property:. A.P.#:— C- Subdivision:—�As UK Lol1k2 Blockil: AL M Properly Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: .Z Residcntial [7� Residence of Owner ❑ Rental (single family) ❑ Rental (duplex) ❑ Apartmen ❑ Industrial ❑ Commercial ❑ Site plan reviewed ❑ Jobsile reviewed Remarks: No. of E.D.U.'s this permit: Multiplication Factor: 'Monthly Charges: 35 Capacity Charge: ` r Conrlection Fe 51 11 1(a�� c: Total Amount Payable This Permit: The service applied for hereby shall be in accordance with the conditions hereinafter set forlh`and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service al rales and charges as arc established by District from time to time. L oQLL-Q-) Si ature of Applicant FAt �aJ - Name of Owner if not Applicant ��c�J t -a r o e, C�- Ea"I Mailing Address of Applicant9s,,-V f Mailing Address of Owner�� ��- qg3 Phone # of Applicant: (((CJ( Phone # of Owner: a�FyS' I � 1(0 CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or assumed by it under this application if such failure be caused by accident. Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatmenUdisposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permit(,-) as necessary from the County of Butte prior to doing any work, including encroachment permits when work is within county right of way. 4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. G. All work shall be inspected and approved by District. 7. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will be required, together with payment of any increase in capacity fee, conneclion fee and/or SC -OR Facility Charge. 8. District verification form must be issued with this permit. Payment of Fccs/Charges required prior to final inspection. Pa ment received by: 56GO Dale: Z -0-3 Receipt # LAKE OR;7E Af':EA .D. Bj: c2, Date: L2— ,���� Permit #: 'Monthly charge payable at the current rale at time of connection. SITE PLANREV,I'EW APPLICATION Date: AN Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: I %a C- Owners Name: ET e'YL l Owners Address: )2_7)29 10-x}-1 Poe Telephone No.: !% CoX).s t -2U cr i o j 1> `3 3 — `� 6 y Situs Address: 2`5 �) 7 O (11� )ANO �-t— Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition IS Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential _ ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ ' Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date 2— QJ _— Page 1 of 5 0 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O C) 0 S, Index Date: L-4 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front O Side 3 Side Street Rear J 3 O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 -------------------------------------- Subdivision Map Special Fees Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 13 Deeds: Date of Creation: S Legal Access Provided: ❑ No. 0 Yes Deed of Reference: Legal Access Required ❑,No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No 09 Yes, Road Name: C�k--' i=1NOLL W Ay Complies with County Standards foi Deed Creation:❑ No ❑ Yes. Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required ,by zone ❑ Meet current Environmental Health Department requirements ---------------------------------------------------------------------------------------------------------------------------- Page 3 of 5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 13 Deeds: Date of Creation: S Legal Access Provided: ❑ No. 0 Yes Deed of Reference: Legal Access Required ❑,No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No 09 Yes, Road Name: C�k--' i=1NOLL W Ay Complies with County Standards foi Deed Creation:❑ No ❑ Yes. Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required ,by zone ❑ Meet current Environmental Health Department requirements ---------------------------------------------------------------------------------------------------------------------------- Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval• ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel- E] arcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. IN Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 i y\ 1 1 1 NOTt: See the attached Residenbai ConsWjct1tur- RMuirements- Pages t Co _ 4 9 r cc The attached Fire sate M rtts must be corral, ! ' SPec" and aPP�oved g ' E v f Zb .n. D 'yn Iy/ U //A1 x 11II. A a\`!/I YV CL 5 � - 1 I Y • D Imo/ J1..1../ ' L ✓ l-J //////((\\(I�){// r •,BUTTE CO.WFlR® BY • • . ,. E-lS- DEPT. ' CALIF. DEPT, of FORCSTRY ❑ approved as submitted S w 1 , r— t approved with conditions SME att d s et. 1 Signature ' " '.a.0 - Date �} p ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE LEAR OF ALL EASEMENTS. %I$ t A SET BACK( OF ROIL" THE SIDE AND �r7 30 FT. FROM THE REAR PROPERTY LINES AND tt D�,- 03 7 FT. FROM T4E ROAD CENTERLINE SHALL. BE CLEAR OF STRUCTURES AND EQUIPMENT- EXCEP? r-OR A 2 FT. EAVE OVERHANG. � Southwood i— 36'x 36' I- Sh- I i—I—I I L Opt Wndow Opt Glamour Bath (opt. Pictm Wndows Replace W WF&w) Model #552 1,458 Square Feet 26'-8"x54'-8" 1 MOBILEHOME INSTALLATION DATA 1) Owners Name: E,} W QY7i lAn t P.Q.Ae_C' S 2) Assessors Parcel Number. 3) Installers Name: 4) Is the site currently under permit? Yes [ ] No[ A Permit No. 5) Is the site an existing site? Yes[ ] No [X] (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? k bQ Amperes. 7) What is the mobilehome site circuit breaker rating? X00 Amperes. 8) What is the electrical rating of the mobilehome site? oZ 00 Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No If it is, what is the rating? Amperes. , 10) Is there any other electrical load to be served by the mobilehome site electric service - (ie well, garage, etc.)? Yes [ ] No [X] If yes, please identify the load and size: a) The mobilehome site: Load- Amperes - b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [4 Propane [g, None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4". 13) What is the gas pipe length from the meter or tank to the mobilehome? 14) What is the mobilehome gas demand? B.T.U. '(This information is not required if the pipe length is less than 6 feet on natural gas or less then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION COUNTYBUTTE awILDNG M, APPROVED q - i MOBILEHOME SUPPORT DATA Mobile Manufacturer: Nnamo i C -A Manufacture Year: bO3 If other then single wide, fumishSet p Model Number:rjrja Width: a t '� � I (ftp Length: rj I -8'y ' (ft) Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [t4] Other: SUPPORTS: Concrete block [ rj Other: Provide Tie Down Specifications for all Mobilehomes: r'en+ml P1ers FT -A Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 . 1 Line 2 Lice 2 Main Beams Line2......................................................................................•......... e 2 Line 1 Line 3 Line 2 Main Beams ................................................... ............................................. Line 2 Line 1 ................................................. inc S Tag or Triple e4 inc I Line 1 Piers: Size minimum: Spacing maximum From ends -max: Line 2 Piers: Size minimum: Spacing maximum From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings x Size minimum: Each side of openings " with width over: 12 x (.1111 LP e�C� cam: o doors Q.e,- o. +4 -L F d St~-c-e-4- • t t 7 1 .S .:�•` F` t�R 5'>..r yw i ';E =��.; ',:: rye, }:,`• s Line 4 Piers: ay] x q Size minimum: Fri o Spacing maximum --V o From ends -max: 12 x (.1111 LP e�C� cam: o doors Q.e,- o. +4 -L F d St~-c-e-4- • t t 7 1 .S .:�•` F` t�R 5'>..r yw i ';E =��.; ',:: rye, }:,`• s ?00 'd a Lj I t I gl lol � cl 181 i _ J _ I ; SICCgbi Z99 646::931. I a « a� v S e� _ WIJ ✓ � �pp o � o I I O W AEE A NI QE ON3 HJlIH A4-8 4- I ON3 H]LIH Jlw-8 I I I I I I I 'g� ISI . o; i8 1 1 i i I I I T I 4 i I i I 1 I i I i I r -a - I —•—_.,�.—. � = t.. �' I t----.—rpt—� J II. I u I jJ IJ a Lj I t I gl lol � cl 181 i _ J _ I ; SICCgbi Z99 646::931. I a « a� v S e� _ WIJ ✓ � �pp o � o - O W e u v 19 r•r 1•- Q O Z O Li EY W d t e000u NO I dWVHA T9 : S 1 ( Nd.d) 10 .i 1- IJ CDF FIRE SAFE REQUIREMENTS 03-03)-7 �� 2F©AJ" AP# PERMIT #, NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. ['-"1 1272.00 Maintenance of'Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards r� 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other 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 exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [� 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 ,feet. [� 1273.05 Turnarounds.• If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. [�] 1270.•10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -3--, 3 pro 3- 3j� o!3 - 0 17 AP # PERMIT # NAME 'I 1273.10 Turnouts. Driveways exceeding 150 feet in length, but ,I less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�Q] 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 aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [�] 2. For parcels less than 1 acre, local jurisdiction ,\. shall provide for the same practical effect. See Other Requirements below. [ 1276.02. Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f__ial inspection of a building permit. Page 2 of 3 36�_fa3-3� o3-0317 AP # PERMIT # AME Other Requirements If Buildina Setback.is 15 to 30 Feet:J - Class A or B roof - Enclosed eaves If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0t 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 61 Page 3 of 3 Pi RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Jun -2003 2003-0138526 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, . INSTALLATION ON A FOUNDATION SYSTEM . Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. EDWARD S. PETERS AND CARRIE A. PETERS REAL PROPERTY OWNER/LESSOR 12724 104 TH AVE., CT EAST E-102 MAILING ADDRESS PUYALLUP PIERCE WA 98374 CITY COUNTY STATE ZIP 2574 OAK KNOLL INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-0317 530 538-7541 B PERMIT NO.- -- -- - - HONE NUMBER ` 6 7: SIGNATURE OF LOCAL AGtbrCY 0MCIAL/DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 2003 SOUTHWOOD NT SN552-2 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 009-03-552-14084 A/B 54'X 26' RAD 1380781 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER AP # 036-103-034 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P.# 036=103-034 All that certain real property situate in the County of Butte, State of California, described `as follows: THE EASTERLY 66 OF THE EASTERLY 132 FEET OF LOT 7, BLOCK 24, VILLA VERONA SUBDIVISION, AS SHOWN ON THE OFFICIAL MAP THEREOF, FILED JANUARY 17,1889, IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. r E t vu, c , .., lI V 1 L41t1 1 1 flLll•ILJ 11 Vt, -- -- �v --• v� r.uw..�,� i . 1�.. � JJfJJJJU}C,J RSCORDING REQUESTED By: Fidelity National Title Of Mlifv►nie a000w 0.o. 103636 -TR Tarlo Ordw Ne. 00'03839 Whom 8"Ord8d Mail 04CU hent and Ton Stotament To: (eQiVAoO 9. -peke-r5 C1�R it2r A • &tr5 121Zy 10,4 to . (Z" t'alF -i 'Puyct) l w f 1,u A • qT3-'4 r mur- UL Nu • 4:ju Huod Roepprdod I REC fE$ 7.418 Off`ciaalY�llyteeardo i T1tt mus I ri0sudi fe DI'f(lW 99011 07 -Mo► -2093 1 Pali 1 of 1 nr•iv: U40-104.034 ABOVE UNE GRANT DEAD SUS The undersigned grontortel ditlam(s) lDoculftntmb trenstby tax In $20.40 f X 1 compmd on full value of property oonvayed, or ( 1 COmputed on full value lass value of hens Or encurnbrenese remaining at time of sale, ( X 1 Unincorporatiid.Area. FOR A VALUABLE CON>RIDEftATIQN, remipt o4 whish is hereby @CknowlsdOed. Reynelda 0mcia Collha, a idarrled cabman a$ her sole and eoparete property; who acquired tide as Renee Garth; A -Single womon- hereby GRANrIG) to Edward S. Peters.And.Cerrle.A. Petlfe. husband and.wife.ag.Joint Tenants. the following described red property In via uninoorporatsd eras County of Duna, state of Ca1Mo►ma: The Easterly 66 of the Easterly 132 feet of Lot 7 Block 24, Ville Verona Subdlvialon, as shown on the Offt itil Map thereof, filetl January 17,11869, In the Office Of the RaOnrder of the County of Butte,. State of.Caufomia. DATED: rebrumv 20. 2003 STATE OF CAL NIA COUTY OF ON _ hefore me, LLIN �NALDA OARCIA CAS Qeranal oly. eppaanmd Roynaldd GorCls Coiling pMonally known to me (Or proved to me on the bads of satlef al tory evidence) to be the Wsonle) whe needs llPare subseribad to .the within Instrument and P. WJRy. ecknowladg to me that hey executed the Mr aruo rN Sarna In heir aut 01120d oapaoity(les), and that e+wr� aur�apsrn by hi rhFar- tioneturslsl on the Instrument the 001rt�R�rr�ab oarsoRnW, or the entity upOn behalf Of wh10h the paroonle) $Bied;'ffi1111RDaO.the instniment. Witness my hey'd a fibia�eal, SiOnttu► fMBdl TAX STATEM1ENT1111 AS DIRECTED ABOVE FO -213 (Nov 748 (MANT bias -- j y STATE OF CALIFORNIA ` BUSINESS, TRANSPORTATION AND HOUSING AGENCY ... -:: DEPARTMENT OF' HOUSING AND COMMUNITY DEVELOPMENT r = DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM`""0e'� STATEMENT OF FAC'T'S This unit is a: Mobilehome 0 Commercial Coach F1 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the 'undersigned, hereby state: 0,j 011_6ULL& I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed (City) Signature(s) Printed name(s) / I �-_ i 5�-L State) Address /-% q&) City o mt� U d l c State((', HCD 476.6 (REV 9/91) JD/ Iv/ LYJCIJ 1 Z: DI DJCIDJJUI ZO 1114 I LU1C1 I Y P1UI1IGJ 1114L, THUG UL 04�� STATE OF CALIFORNIA NUMBER: BUSINESS. TRANSPORTATION ANO MOUSING AGENCY869.763Q DEPARTMENT Of HOUSING AND COMMUNITY OEVELODMENT DMOSIONOFCODESAHSTANDARD$ MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN ❑ CHECK 1F THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTUIRFD TN FA R �---��{{ NUMBER OF LJ. SFD (SINGLE FAMILY DWELLING).. 11MUMM (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER Champion Horne Builders Co. 9008& MANUFACTURER ADORES& (State) CA SUGGESTED RETAIL PRICE: P.O. Box 429 Lindsay CA 93247 64,626.00 Street (CIN) State Zi MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE:, SOLYTHWOOD NT SN552-2 02-25-03 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: Dupar and Angel, Inc. VT TRANSFEREE DESIGNATION: DBA/Integrity Homes, Inc. (City). 91096 02-28-03 VCMLQM VM r Aran GG hHVRCJa: (Street) 1710 Feather River Blvd. (citvqroville (State) CA Zc�5965 INVENTORY CREDITOR NAME: Bombarider Capital, Inc. INVENTORY CREDITOR ADDRESS: F.O. Box 991 Colchester VT 05446 (Street) (City). (State) (Zia) SECTION MANUFACTURER SERIAL NUMBER )1CD INSIGNIA ORHUD LABEL NUMBER LENGTH WIDTH WEIGHT )INCHES). (INCHESt . (POUNOSI. 1 009-03-552-14084E RAD1380781 656 160 22465 - - - 656 160 2407E the Certkficate OA Ortgt?r A. TRANSPORTER NAME: D &.R Transport TRANSPORTER ADDRESS: (a„-11 P.O. Box 179 DESTINATION FOR UNIT DESCRIBED ABOVE: I oRRh www P-011' d PMW t&Vw the Iebe at 1M Slab of CAilorny Wel the gWVe feet& we trUs en0 N>Orrna. E&egaedm — — .1 (Detel ) ICeft - (State) S10NATURE OF AUTMRIZED AGENT: ) UTION; ORIGINAL (PINK) FORWARD TO THE INVENT R► E U ESS THERE IS HONE, TMEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 MIRE) FORWARD TO THE DEPM E AT 179, BACr,ENTO. CA 06812.1.20, WITHIN Frye (5) DAYS OF RELEASE. COPY 2 (YELIOYY) DELIVERT4 THE TRANSPO R TO ACCOMPANY THE UNIT TO ITS DESTINATION. COW J (OOLDENROD) TO BE RETAINED BY T116 MANVFACT%JRER. MCD SB].0 • Side 1 - (7M?) wl� --93/24/03 j "Y 530 B77 3443 17:27 FAX 530 677 3443 RECORDING REO.UESTED BY! Fidelity National Tide of California tl—MW W. 103636•TR Titre Order No. 001(;3636 When Recorded !Hail Document and Tax Statement To: EOusPidZ0 3. C >4rt-' i✓ A . 1277 2-4 10 Wtv, A'00- _ Cow�t ESC Ii I Pujp.IIv-p 1,UA.ag3-)4 OROVII,E la001/001 AYN: VSti-1U:3=C744GRAM DEED SP GE AROVl7igS Li14F rM RECORDER'S -US-6— The undersigned grantoris) declare(s) 1 Docurnentary transfer tax is $26.40 f C X J computed on full value of property conveyed, or I 1 computed on iuil value lass value of liens or encumbrances remaining at time of sale, C X ) UnincorpDrsted Area FOR A VALUABLE CONSIDERATION, receipt of which.3 hereby aockno►viydged, Reynaldo Garcia Collins, a married woman as her sole and separate property, who zcqui.red title as Renee Garcia, A Single Wornan h&sby GRANT(G) to Edward S. Fetors and Carria A. Peters, husband and wife as Joint Tenants the following de$cribed real property in the unlnce"rated area County of Butte, State of California: The Easterly 66 of the Easterly '132 tent cal Lot 7 Block 24, Villa Verpna Subdivision, as shown on the Official Map tr:ereo?, fitted January 17, 1889, in t.:e Office of tho Recorder of the Coonty rf B ,:te, State of California. DATED: February 26, 2003 STATE OFALRNIA COU vj 0N - _ before me, Reynalda fprcia Collins T1iE UNDFRSIGNEb NUT'A_RY q personally appeared REYQALBQ GCIA CtiII,1NS personally known to me !or proved to me on the basis Of satisfactory evidonce) to be the person(s) whose netr.Q(s&are subscritred to the within instrument and acknovulodg to me 'ghat. h tSe hey executed the sarra in a heir authorized oapacity(ies), and that 4y hi her eir signature(s) an the instrument tlge parSon or the entity upon behalt of which tha person(s) the instrument. Witness my hard 1cia seal. Signatur D R£ LA P. LAURy� co�s,zsa:oe 3 HQTAItYPUB:IGj/L�FORMU� 3AW k MAR, CoUt4rr p CIDMNL tiao'. Jvr a 212W41 MAIL TAX STATEMENTS AS DIRECTED ASOVE r -213 piev 7/gg1 GRAM 'DEED E006 �: Z E' ON S�`T02SS E- 3-1111 -1HN0I 1bN Al l -13( 13 et7 : 90 £•0W/S2/ 2 a 1---4 III] III WIN 111111111113111141 Recorded I RM FEE 7,00 OfficialliYrRecords I TRX 2G. 40 GoOPEof j MORCZJ. _GfIUM 1 MARYrD�C}i&DN t Assi*Aarrt I Andrer; 09101 07-mar-i?@1(13 i page 1 of i AYN: VSti-1U:3=C744GRAM DEED SP GE AROVl7igS Li14F rM RECORDER'S -US-6— The undersigned grantoris) declare(s) 1 Docurnentary transfer tax is $26.40 f C X J computed on full value of property conveyed, or I 1 computed on iuil value lass value of liens or encumbrances remaining at time of sale, C X ) UnincorpDrsted Area FOR A VALUABLE CONSIDERATION, receipt of which.3 hereby aockno►viydged, Reynaldo Garcia Collins, a married woman as her sole and separate property, who zcqui.red title as Renee Garcia, A Single Wornan h&sby GRANT(G) to Edward S. Fetors and Carria A. Peters, husband and wife as Joint Tenants the following de$cribed real property in the unlnce"rated area County of Butte, State of California: The Easterly 66 of the Easterly '132 tent cal Lot 7 Block 24, Villa Verpna Subdivision, as shown on the Official Map tr:ereo?, fitted January 17, 1889, in t.:e Office of tho Recorder of the Coonty rf B ,:te, State of California. DATED: February 26, 2003 STATE OFALRNIA COU vj 0N - _ before me, Reynalda fprcia Collins T1iE UNDFRSIGNEb NUT'A_RY q personally appeared REYQALBQ GCIA CtiII,1NS personally known to me !or proved to me on the basis Of satisfactory evidonce) to be the person(s) whose netr.Q(s&are subscritred to the within instrument and acknovulodg to me 'ghat. h tSe hey executed the sarra in a heir authorized oapacity(ies), and that 4y hi her eir signature(s) an the instrument tlge parSon or the entity upon behalt of which tha person(s) the instrument. Witness my hard 1cia seal. Signatur D R£ LA P. LAURy� co�s,zsa:oe 3 HQTAItYPUB:IGj/L�FORMU� 3AW k MAR, CoUt4rr p CIDMNL tiao'. Jvr a 212W41 MAIL TAX STATEMENTS AS DIRECTED ASOVE r -213 piev 7/gg1 GRAM 'DEED E006 �: Z E' ON S�`T02SS E- 3-1111 -1HN0I 1bN Al l -13( 13 et7 : 90 £•0W/S2/ 2 a 1---4 v STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) I/ We, the undersigned, hereby state that the unit described above: Com+ pPr�L 4c -►-t d �► O f'av i L I e.. C P. QA SCkL&Lo QO p� jVV,_(,Cl 2�%� X511 �' YL i -Q f , }t �}c3Y►. C_S . J Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on 1 -- at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant V Address 1740 Feather River Blvd. City Michelle Freel, Office Manager Oroville , State California HCD 476.6 (Rev 11/86) ,. .t} • r•%'r p�.c ..• 3 :•"a .•r,-,-: }�..t�_. -.. )f tY. 'r,. .r7 .-.., ;.r :F _ . r>•... .�:• ..w -r te4r 4;r`':, r''�•..rK 1.. ,`.T, 1V4YF` '-"•-a.. • ' i . ' 36-103-34 ;,,„r t 2213-89B r* GARCIA, Reynal"da 9T, M'' 2re Oak Knoll 'Way; _ Oroville $, place dr' y-rot/st bldg) J ,... COUNTY -,OF BUTTE - DEPARTMENT OF PUBLIC'WORKS PERMIT NO. 7 County Center Drive-,Orovilloe, California 95965 - Telephone: 916/53'8=7541 APPLICATIONIAND PERMIT AS`F5 R PARCENUMBER (��() ZONING BUILDING PERMIT OWNER h ��fESS•�-1e-•. � TELEPHONE SO. FT. OCC. BUILDING VALUATION ^� ,rs� OWNER'$ AI LI fD I Vo '! 9sO CONTRACTOR'S NAM TELEPHONE e*^ f. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERy UNKNOWN Total Valuation $ �� ��- ( '• Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /0 -s— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 41 Penalty $ BUILDING ADDRESS it fee $ Z'p M PLUMBING PERMIT Filing Fee 10.00 ✓ �Uf� ! i h , J "' V vi /i C� / \ Each Trap 2.00 I. (� 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❑ Dttp•lex❑. Mobilehome❑ Other/!" -JSP Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FGTW in.00ea TYPE OF WORK } New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other!® Describe work: Re,P4Ac c -J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �`•.�,,; `tt 00V OR Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ,(check one):.. ji, ❑ 1 am licensed under provlsiongyof`,Chapt.•9, Div. 3 of the Business and Professions Code and my license is in full force and effect. i� License No. •• Classification, 1, as the owner, or my employees with wages as their sole compen- r 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 OCC UP.N , OR ADDNS. ACC. BLDGS.=¢sgft NEW CONSTR. U TI.OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. E Ex. Occup(OUTLETS OR FIXTURES BAL030 AL030 FIXED APPLNS. 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): pro! ❑ The permit is for $100.00 (valuation) or less. c� ❑ 1 have placed on file with tlie•County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ' Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. '' ' Date �,I — -i- i " �'*',r X r -�' ' _,,e Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov�e,r/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Ad 0 1. - Occup. CONST.TTPC JSC1IOOL I FLooa PARCEL I P11 I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for ^ which D'IRECJTOR OF PUBLIC roll < BY 'k - , 4—:1Date PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -7, _71. 7)- ! ��/j u� 2. 2 F VQ Receipt No. "�f YLl I Receipt WHITE-D.P.W.. YELLOW-ASe ESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 0-PLkATION AWPERMIT PER T N0. l` ASSE S R PARCE NUMBER ZONING BUILDING PERM OWN TELEPHONE SQ. FT. OCC. BUILDING V'NnATION OWN '¢ AI LI AD RE,Sr�S 1/�",.¢� ��1 -1 If6 1 I'� ✓I V , sc CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ m� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10�� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AODU�$ S �f Penalty $ BUILDING ADDRESS � no Wa V. Perralt fee $ Leo o` PLUMBING PERMIT Filing Fee 10.00 L 1 QO VV a Each Trap1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 ARCEL MAP F Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE/ SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 4pC C Star►s� ag y_ 4-r -,,.-/ ` j 5Y4L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for 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.EI �20sgft OR ADDNS. ACC. BLDGS. , NEW CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRA CH CIRC ITS ATU /POWER APPARS e (SINGLE OUTLET CIR. ) / EX. OCCUp\OUTLETS OR FIXTURES EAL03� FIXED APPLNS. OR OCCUp. OUTLETS (RESID.) EA.) Ex. 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con ueice of the granting of this permit. //�� X 1) • Date _ ' El 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 $ 00 TOTAL PERMIT FEE $ �- Occup. CONST.TYPC ISCHOOLIFLOOOIPARCELI P11 HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RE OIIPUBLIIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r 7I.—Q Date D .-� 2 Receipt No. s WHITE-D.P.W.. YELLOW-ASOC330R. PINK-INSPCCTOR. GOLDENROD -APPLICANT «. COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DF Vi` OPfOVILLE, C%LrF6RNIA 95965 - TELEPHONE: 916/538-7541 y PERMIT APPLICAT ON DATA SHEET Cj ,0 Permit No. OWNER ARG/�j �i��i^��BLQ,-.50A. P. No. Proposed Building Use A6L AQO/— 4, - SrnRn Building InspectorDate :x z -o-- � At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE REC?I,VED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -inspection for required , , , Pre-Inspec.;request to p q • Building Inspector _ (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... 23. Recorded copy of Agricultural Acknowledgment Statement ........... . 24. Letter of signature authorization ............................... r 5.: L gar 26. Ai --f ,Pis✓��' 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 AppIicant_. C - *�N �a Date Copy of plans sent Health Dept., Fire Dept., Other Date 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: of Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE Deptr-tmeht of Public Works 7 County Center Drive,-Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" bu'ildingpermit 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 aterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 261E_signed an application for a building permit. for the proposed wort: 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: Property Owner�'�� Social Security Number Date 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. L 0 P/L _ J -0 a \. �m ra co -0 4; u CL ca o m � a o � N _s J � -u � Gi CL r- u 7_ { e J a 66'-0" N �G,ermaI Slope . n J G \\ z o a T (� 1 _X I 9, m 1 J I FA PROPOSED COVERED DECK _f0 . I I CCT I I o � I£I z z UTILITY SERVICE POLE 24'-0" I I I SEWER SYSTEM 0D I I I � I I I I WATER METER METER CENTER LINE of COUNTY ROAD ( OAK KNOLL WAY) O U �>1 a. V U 1 r" U o p'a„ pqo�� O leg" o wam �'°" Covered Wood Deck For: Edward Peters, 2547 Oak Knoll Way, Oroville, Ca. 95966 Scale: 1/4" = 1'-0" 7AC�IF�ICWET DESIGN AN 036-103-034 .996 Ac . C �3a� S 3g - 818p Unless otherwise noted. i i --3 OAo------ 18'-10" -, Line of Exisiting Dwelling HVAC WH Move Exisiting Steps to New Location EXISTING STEPS F� 0 ^ - — — — — _a050 — — — — — — — — --- 300— — — — (7 PROPOSED -COVERED DECK r 55'-0" - 32'-0" APPROVED Butte County Environmental Her.'-,,;; Gale Signature 6" 7'-10" 7'-10" �E - 7'-10" 32'-0" Beam A set #4 �q Note: May substitute lattce for ballisters PURI// � Q a . y. 6MEET 2 � d --3 OAo------ 18'-10" -, Line of Exisiting Dwelling HVAC WH Move Exisiting Steps to New Location EXISTING STEPS F� 0 ^ - — — — — _a050 — — — — — — — — --- 300— — — — (7 PROPOSED -COVERED DECK r 55'-0" - 32'-0" APPROVED Butte County Environmental Her.'-,,;; Gale Signature 6" 7'-10" 7'-10" �E - 7'-10" 32'-0" Beam A set #4 �q Note: May substitute lattce for ballisters PURI// � Q a . y. 6MEET 2 � d Metal flashing @ Marriage Line } Simpson LSU26 Ea. Rafter Comp. Roof over #15 Felt over 1/2" MIN. 1\2 ply 12 Simpson H-1 Ea. -Rafter 2 1/2 Cont. row nail Line of exisiting Solid 2x blocking .2x6 #2 D.F. @ Mobile ` 24" O.C. Home 4x6 OR 4X8 #2 6" MIN. D.F. Header n 2x4 D.F. 4x4 #2 D. F. Post i —cont. Footing -to overhead Beam - Match Exisiting 2x6 D.F. Deck - 4x6 #2 D.F. Mobile Home Floor Girders ..7 - - / 1/2" MIN. 7,,/ 1/ 21-911 " Below Exisitin Mobile Home Floor 3 g � ✓��U ����' R Lattice _ 4x4 D.F. Post - Y 14" x 14" x 8" Deep Footing . w/cinder block piers tvp. FRAMI-NG DETAIL Scale: 1/2" = 1'-0" I. r n 2x4 D.F. 4x4 #2 D. F. Post i —cont. Footing -to overhead Beam - Match Exisiting 2x6 D.F. Deck - 4x6 #2 D.F. Mobile Home Floor Girders ..7 - - / 1/2" MIN. 7,,/ 1/ 21-911 " Below Exisitin Mobile Home Floor 3 g � ✓��U ����' R Lattice _ 4x4 D.F. Post - Y 14" x 14" x 8" Deep Footing . w/cinder block piers tvp. FRAMI-NG DETAIL Scale: 1/2" = 1'-0" I. DETAIL A NTS N U) • • . GO - C0 o Y m TQP VIEW " H11UDRIUL:NC'T SHD.wu •BAR L'LARITY. u� • � �Il�. BOLT • S pa[!!.� no -F►•�R'4- Q- - � N ,yr1 SpYrere- cannO+- CV4P �* ® +orx o4 -t'h ro u� 111, a MOBILE Itlt14@ OR P6LK . th .. W Q 4y(d' C u - 4d4• POST 2+r 12• 0 lip ��{{eeq' PRESSVRF *2l?F: _ �QfJITLD �a d --DOLTS RFDwovvP/i+Ter Q M ` .o 0 / O m c• TY 14UR�9/DEI1/T//�L MOww%,�OE�ir L RM • c0 ¢ Line of Exisiting Mobile Home 1 — •--I •— •—-1 F I 1 1 l � � � � I I I I I I L _ I_ _ L _ L _ I L _ I I _ I L _ I I _ I. I _ I— _ Cl) W Of 4'-6" I tYP 14" x 14" x 8" Deep Footing TYp• - U a 18'-5" 7'-10" typ• 6HEET 4 • FOUNDATION PLAN of 4 x.58` , FT _. :ELECTRICAL, MECHANICAL, ANDPLIJO'Aa°�' - — 7FT ELS �" 3I CONSTRUs .r'tv ( NOT -PLAN CH �IA� C�r4K_ Y WITH , CU -Fl RAN*r E:✓, > .�, _ ._ ...- .t� T .� F r~C, - Ur1�C AND. UPC..... Fr ... ....... .. .... . .......... F WC`> I- 614E PLANNING DIVISION -BUILDING PLAN APPROVAL - '� Use: Date: ; - - 2 vo f Parkind: Landscaping: C ONE . I .. �...... _._i Signature: R I L Pct L Er'_ N -TE, .... ..... c���.i lc�%£slruliai��?. .. - �-r Cf�W: �2 I I_.. 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DECYW(Gi* - GIRDER • a•• za ME -CAST 4MO POST OtOONAL ric AVOW RESIDENrIM .9r.-rP-5 "'01", 0, 12 7x TYPICAL County of Butte Department of Development Services • 7 County Center Drive, Oroville, CA 95965 -L --J. (530)538-7541 Fax(530)538-2140 website: buttecounty.net\dds z mom d—o- M V) rrj L/I V 70 cy rTl FJ N 4 P p YJa %- li -o--a- f.B- -©-a ate EBo ARA 0 z � -fly �--�--©-�-�- r1 � -� -�83-� �• Et Qpp A W H�INN n > �8 3 R mZ 1^1 Rl O Z az -���-o-�--®---a--��m A a 0' MAX ;a. 'lux 0' MAX - N z O h h 0 N n P A r-}�'�w-�" YJa %- li � 1 s f� t�i ARA D r1 r 8th Qpp A W H�INN M D 3 g� mZ 1^1 O Z r-}�'�w-�" YJa %- li m s f� t�i ARA r ' •. O P � 41N!•' � 41 N Vt N O m m V O P 1.. W N 0 m> 844 in41g4 W004 _ BFu Jim '�� o oro oro vo o �cr P too n° "° �"yx� 11 o yC� s z z� 0"troro�s+ac� No 8 a .off o z oo> mix o �zs �' y oz p0 k'.'p �H O��°fAc10(Dg WAS 9 c1 �! x c ro ffi ro �x x g o o �v"..5aeo�lo$ [ g a ao i . 33a� y ��� GO •ro o R do z z �r � �5 g .Qu b'�` $ . 0 8'�v8' ab i n 8rooc � p 883' 81Wa e8 6i tiev ro 49 No. IV, i oil ye-Ird` NINO ���p 8 ! e M > yy 'X ,, :L • ?.- O O.. ow ;I MIS '�E (,�p C�tQ�7 1 O 8 .98 N A rod,rom8 o ro o aro za >� �" 0 ` 3 os 297 ro • A�iC z 0 O>.+1 � M C zv 5 4 W9 �� �..�, a12 c fl... R > A v'e' 8 0 �� `° � 4,0 z z �o� b 9 All x �o� 8 to 6 VIA 84 012 x ora. 0is A. w d I a No . 3 s 8>8 -40 n 00 S 8 � � . I tx 0 8� . P.x ro � I i '. A RAL PIERS., INC. THARP & ASSOCIATES, INC. 4.%84 N. THORNE GEOTECHNICAL CONSULTANTS H FRESNO, - CA. 93706. Site Assessments *Foundation Engineering ipConstruction Monitoring = H cm�. (559) 268-0828 - N MOBILE HOME. 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Site Assessments *Foundation Engineering ipConstruction Monitoring = H cm�. (559) 268-0828 - N MOBILE HOME. FOUNDATION SYSTEM (30-5F) 347 SPRECKELS DRIVE, APTOS, CA. 95003 (831) 662-8590