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HomeMy WebLinkAbout079-380-039*U- FORMButte County Department. of.Development ServicesBUILDING, PLANNING AND CODE ENFORCEMENT 7 County Center Drive, Oroville, CA 95965 Main Phone (530)538-7601 Fax (530)538-2140 REQUEST FOR PERMIT COPIES Permits cannot be researched without an Assessor's Parcel Number and/or Address. NO INF -06 ** COPY FEE IS $.25 FOR THE FIRST PAGE AND $.06 FOR EACH ADDITIONAL PAGE. NOTE: Copies of building plans are not covered by this request but instead are under California Health and Safety Code Section 19851-1.9853 and require written authorization from the property. owner and the Registered Design Professional (RDP) before being duplicated and a separate fee. ASSESSOR'S PARCEL NUMBER: ADDRESS: COPIES OF: '❑ Permits ❑ Other: _ X Everything CONTACT INFORMATION Contact Name: CkA" Cy Mailing Address: t-{ o O( ►m e" b q • L Aro C Contact Number: 5-2 %Q / Fax Number: Contact Email Address: Completed by: Amount Due: *******THIS AREA FOR OFFICE USE ONLY******* Date Completed: Customer Notified by: ❑Mail ❑Email ❑Phone Date Contacted: K:\N.EW Wl=BSf('E,..Building\Building Forms & DocurncntsiApproved 2011 forms -handouts and on list\Request for copies INTI' -06 4.5.1 JA01- Page 1 of 1 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Q - D 770 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. VO »D0 0 -3to D _ 0 3 ZONING OWNER SA_-- WIA. �" &C 1 C�Qoss PHONE NO., -53 0 OWNER'S ADDRESSS 0 1 C-:AIVA S WAOROU;1le- C4I 96:�66 LOCATION OF BUILDING , .S�rn� .� s AbovL USE OF B ILDING , SIZE OF STRUCTURE X � � � ' _ _ L�(L SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME SO M e- STEEL _,�� CONCRETE OTHER (Specify) TYPE OF SIDING A&& e- 5%e- ROOF COVERING FL O TYPE ESTIMAT COST OF CONSTRUCTION "o $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: U1 f✓nU in �r� FRONT SIDES i REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee -$109.98 Receipt No. �/� C/ � i O The above described/KG Building is exempt from a building permit. White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date I/"- /� NOTES RESIDENTIAL PERMIT NO. _,' 036-240-039 — -- - -05-1095 CROSS, JACK 4010 EDNAS WAY, OROVILLE Cont: OWNER NEW PRI DET GARAGE i II SPECIAL CONDITIONS m; SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r i JOB FINALED (Date) Signature /��✓ 1� rid CHECKED I BY J=OK 0 = NotOK Applicable RESIDENTIAL (Single & Duplex) • = Not Ready 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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 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 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 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 (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstklJIMve 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = OK = Not OK =Not Applic = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water: Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -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 MISCELLANEOUS J )ate DECK , ERS, CARPORTS, RAG ans) OK except #'s 1 ing Requirements -Setbacks -Easements ti 2 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 41 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. Fnng.; 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 i Card B-1 ate 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 i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS J )ate DECK , ERS, CARPORTS, RAG ans) OK except #'s 1 ing Requirements -Setbacks -Easements ti 2 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 41 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. Fnng.; 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 i Card B-1 ate 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 i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051095. 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 Issued Date: 06/03/2005 APN: 036 240-039-000 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. Site Address: 4010 EDNAS WAY ORO License Class License Number: : Map Index: Date: Contractor: Description: NEW DETACHED GARAGE(576)NO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the PLUMBING 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: CROSS JACK &MARGARET to its issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 584 the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95968-0584 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).): rd 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' Stale License Law does not apply to an Applicant: CROSS JACK & MARGARET owner of property who builds or improves thereon, and who does PO BOX 584 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PALERMO, CA sale. If however, the building or Improvements are sold within one 95968-0584 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 excluslvely 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, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 o sines n slons Code Date: Own WORKERS' COMP NSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 576 S.F. Policy #: Valuation: $13,824.00 Q -I certify that In the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Fa' ire to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one ` ���� ►/ hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3708 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 Cod and/or I hereby affirm that there is a construction lending agency for the Resolutions to do dlcated above for which fees have been paid. ., performance of the work for which this permit is issued (Sec 3097 Civ.) 6� Name: By: Dale: `-Y 6 Address: PERMIT EXPIRES ON: (Dat ❑ 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 11)827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized ent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substanc yo ficial form ent of Butte County. I hereby , an 'buthorize representatives of Butte County to enter upon the above mentioned property for Inspection p oses. �� A e- � , Print Name: L Signatu /�J Date: f/ / XP S ��. Owner 0 Contractor 13Agent for Owner 0Agent 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 �pOWNER: 00ss ' QI (, ASSESSOR PARCEL NUMBER o. Proposed Building Use: Permit Technician: � � q Date: ` ! Items required in order to apply for a permitrA I boxes MUST be checked OR marked NA in order to apply. �� 1. Site plans, 3 or 4 sets, signed byte preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form [i 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other fining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)'1003- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ J,8. Soils Report and/or Engineered Foundation required ........................................... OPErosion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. :-11101 {2 California Department of Forestry plan approval �7paid. Sent by:.......4 Plannin a roval for A Use: B Parkin C Parcel Check:........... 9 PP () �() 9� () ❑ 5. Contact Land Development about _ Improvements, _ Drainage ....................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( jeGiven 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 ......... .................................................. .....""...................... 01 35. 11Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: . *' ❑ 37. Other: When issued Telephone���25 &Y-01 l PC and hold for pickup. I I have been informed oft a ab o a ite n equirements for obtaining a building permit. 0 A licaFl : PP Date: oZ % b,j 1. Index permit a plication for the above items numbered: Plan Check Le ter 2. Additiona�tems required Contractor, 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: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I Dater Structural reviewed b : Date:iIStructural approved by: l� Date: Note transfer by: Date: 0 Yellow: Building Division E.H. USE ONLY Not Nen AnscMd .+ •r. Flew Nan Attschad Sent to B.D. p T0: BuildingDepartment FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage DisposlalZ_ Water Spply: ublic Private Well Clearance for dwelling. Other �i x l Lld nCt/1 / Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date Butte County Department of -Development Services ,e10 0 7 County Center Drive ° \ ° Oroville, CA 95965 ° ° 0 o (530) 538-7601 Telephone 0 (530) 538-7785 Facsimile c00R BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit 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: • 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 • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans 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: _j A c S S APN: Building site address: 44 0 14 FJ7h R 5 WA- >, 0 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: SIGN URE OF APPLICANT DA Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705 10 'e rr TDepartment of Public Works 1 .0 © u n t y ® f B u t t o I ° LAND DEVELOPMENT DIVISION ° J. Michael Crump, Director Storm Water Management Program ° 7 County Center Drive c0 U N�� / Oroville. CA 95965 A �9 (530) 538.7266 �tic WpF (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Dater Permit and Storm Water Pollution Prevention Plan (S PPP) Aeknowledgernent LLESS THAN 1 ACRS Project Description.: Project ]Location and/or Parcel Number: 404 ��� � �� By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Department of Development Services ADMINISTRATION ` BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 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 subcontractors,. 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 insurance costs, 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 contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed 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. ly, I C. Vieirl, C.B.O. :r, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. � OS- Wl�Ri�IL]®�E1EIIC TION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the in .or labor and material for construction of this proposed property impro ).Hent: YES [ ✓J NO [ ]. 2. I HAVE [ AVE 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: 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: 14 q3� NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 SITE PLAN REVIEW.APPLICATION Date: (� AP# CJ.3(0 ',2LIO —0 3g 1 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No. Situs Address: Proposed Use: 055 9��G 58'9- 9� 8s (nd� °s Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory `4�a3�0__ ❑ 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): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By 4Date GS Page 1 of 5 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 requiredG_,� SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 06007C Index Date: W.20 OQ ❑ Sacramento River Reclamation District (Approval must be obtained from the alifornia 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) El 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: /-rx- -- 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 020 , 30 Side �0 30 Side Street Rear /d , 30 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 f r� NOTES. ,, RESIDENTIAL • - � 036-240-039 03-1049 PERMIT NO. -':.CROSS, JACK, - - - — X3010 EDNA'S WAY, OROVILLE (2) OPEN DECKS SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t i JOB FINALED (Date) C3 Signature 0.B.-1 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract time Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her owa 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. XZ% C. Vi ira, C.B.O. , Building Inspection NOTE; This Owner--Builderinfortn�n is required by Section 19830 of the California Health and Safety Code OVER O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :YES K NO ❑ 2. I HAVE 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: may. 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: CONTRACT'OR'S LICENSE NO. 5. 1 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: SOCIAL. SECURITYNU_4MER:AMMMMMMM�_ DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 13 Subdivision Map/Parcel Map: Map Date of Recording: 3V A Lot: 3 Book: 7 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act.of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality "Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El F07 Page 4 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------7--------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement . ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for 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 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 NOTES RESIDENTIAL PERMIT NO. . 036-240-039. CROSS, JACK 4010 EDNAS WAY, OROVILLE Cont: OWNER NEW AWNING FOR 8X16DECK 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) e Signature J'= OK 0 = Not OK s = NotApplicable Not Ready DECK _$, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements F tings; Soils -Size -Depth -Spacing -Connectors -Steel Dec , Girders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect Roof; Shthg-Roofing . 8. Utility Clearance Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 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. Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test -Regulator -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 8. Gas and Electricity Tagged Health Department Approval 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Enclosure; Fencing -Alarms Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK _$, COVERS, CARPORTS, GARAGES (Plans) OK except #'s g Requirements -Setbacks -Easements F tings; Soils -Size -Depth -Spacing -Connectors -Steel Dec , Girders and/or Joists -Decking -Bracing -Stairs -Rails 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 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 RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope MECHANICAL (Permit) OK except #'s 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 38. Condensate Drain & Overflow, Size & Grade 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Date 6a. Hold Downs and Special Anchors 41. Sills Proper Materials & Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 44. Draft Stop in Walls (rat proof) 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 63. Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Access & Ventilation 67. Bedroom Exiting 16. Insulation 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date 72. Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 74. Elec. Outlets & Receptacles at Kit. Counter 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 80. Insulation -Foam -Looked in Attic 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Clearance Looked under Floor El Yes 23. Fire Sprinkler; Test 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date 87. Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 89. Ventilation Throughout House 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 92. Gas Test -Meters Tagged, Gas -Electric 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 95. Address Posted 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 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 Card B-1 Date Card B-1 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 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- Purl in -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 El Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 3-3857 AS SESS06 PARCEL NUMBER 036-240-019 ZONING AR9 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION —9885 157 2041.00 . OWNERS MAID ADDRESS CONTRACTOR'S NAME TELEPHONE owm CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 2041.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.10 BUILDING ADDRESSr 4010 EDNA S WAY OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ 109.10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe work: AWNING FOR DECK (3-1049) Mobile Home IS I G1 W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2a0A OR LESS 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING OCCUR O 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ( & ACC. BUDS. 3.50' FT. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, AGNS. I,Dµp�I. MULTI.0U CET 97,50 and my license is in full force and effect.POWEPPARATUS A License Class Lic. No. a SINGLER 0'T. CIR. OWNER -BUILDER DECLARATION EX, Occup. OUTLET OR FDCTURES BAL Q .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occu . Gim>EDrs .ES16.DEE 5.00 Law for the following reason: Temporary Service 23.00 Bas 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this $ reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEt $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) 91- certify that in the performance of the work for which this permit is issued, I shall Occ CONST. TYPE TOTAL FEE $log. 10 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 HAZ. D. FEES IMP FLOOD CDF I PARCEL PD HD ISS wo s' compensa ' provisions of section 3700 of the Labor Code, I shall co y h se provisions. This permit is hereby issued under the applicable provisions ;1oI ty Code and/or Resolutions to do work Of th%4t^ X Date �o���� ind'r which fees have been paid. — Sig ture of Applicant - ❑ Owner ❑ Contractor ❑ Agent OSHA permit is required for excavations over 60" deep and demolition or construction /structures 7 over 3 stories in he' ht. D to / Receipt No. 797 `�-�;D l 39 • /0 PERMIT EXPIRES ON 7 WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dafe J = OK, 0 = Not OK = NotReadya°'e' DECK , COVERS, CARPORTS, GARAGES (Plans) OK except #'s ZpR-ing Requirements -Setbacks -Easements MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 7. Well Clearance & Disconnect Siding; Nailing -Veneer -Stucco -Mesh 8. Utility Clearance 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date (ick Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1✓ Date Card B-1 1. Zoning Requirements -Setbacks -Easements 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 6. 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. 8. Gas and Electricity Tagged 8. 9. Tie Downs -Type -Installation Cert. 9. 10. Exits; Insp.-Sketch 10. 11. Cert. of Occupancy 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning -Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water'and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK , COVERS, CARPORTS, GARAGES (Plans) OK except #'s ZpR-ing Requirements -Setbacks -Easements Footin s; Soils -Size -Depth -Spacing -Connectors -Steel cks, 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 DateJef (ick Card B-1 4 04 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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Service -Riser Conductors & Ground Main Disconnect 1. Zoning -Setbacks -Easements -Flood -Slope 33. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Clothes Closet Light -Shower Light -Spa Light 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 35. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 51. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test MECHANICAL (Permit) OK except #'s 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 36. 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 12. Electric Underground Vent Fan, Exhaust above insulation 13. Plenums & Ducts; Clearance -Material -Support -Ins. 38. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Siding -Nailing Veneer 15. Access & Ventilation Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 16. Insulation 40. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s FRAMING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 41. 18. Water Pipe; Test & Anchor -Nail Protection Infiltration -Walls -Windows 19. D.W.V.; Test Fittings & Anchor -Nail Protection Walls Studs -Nailing Spacing & Braces -Plates -Sound 20. Shower Pan; Test, First Floor -Tub Access 43. 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors Draft Stop in Walls (rat proof) 23. Fire Sprinkler; Test 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Ext. Steps -Door & Sidelight Protection -Landings 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 Bedroom Exiting 25. Elec. Receptacles Spacing -Lights & Switches at Doors 68. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Elec. Trim & Subpanel, Breaker Sizes & Labels 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 70. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fireplace or Stove, Clearance -Hearth 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 47. 33. Equip. Clearances Panels-Motors-Mech. Equip. 48. 34. Clothes Closet Light -Shower Light -Spa Light 49. 35. Smoke Detector 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 54. 36. A.C. Ducts Insulation & Support 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 37. Vent Fan, Exhaust above insulation Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 38. Condensate Drain & Overflow, Size & Grade Siding -Nailing Veneer 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 40. Attic Access & Platform if Furnace in Attic Date Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 62. Insulation -Walls -Ceilings 41. Sills Proper Materials & Anchors Infiltration -Walls -Windows 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Ext. Steps -Door & Sidelight Protection -Landings 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 ❑ 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: e 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: `-' ���' J ASSESSOR PARCEL NUMBER d �i� • �4 b D� Proposed Building Use: AWN 1 N 6 ' OV&r2 N E vJ D EGC- Counter Technician: ��Date: 1 aJ31Z0 3 Items required in order to apply for a permit. All boxes MUST be'cliecked 'OR'marked NA in order to apply. •� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed 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 clr 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 .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public.Works Dept ........................... ❑ ?A --Pre- Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ....... a ....... .... ❑ 30. Worker's Compensation Carrie and Policy Number .......................................... �- 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 1� ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction..................................................................................i****** ❑ 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 .5 8 c7 • -7E,05 and hold for pickup_ I have bee�nAnformed of the ab9v'e [fe',�hs and requirements for obtaining a building permit. Applicant: v Date: 1. Index per • application for the above items numbered: Plan Check Letter 2. Additio al items required Contractor, 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 Date: Plans reviewed by: Date: 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 D VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 PERMIT NO. (Rev. 12/96) ,. APPLICATION AND PERMIT t9a PSSESU@p/1RCLfJ6M9¢i39 ZONINOAR-5 UILDING PER OWNER Cross, Jack 589-9885 TELEPHONE SO, Fr. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 4010 Edna's Way Oroville CA 95966 492 0 31444.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 3 444.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ 40.95 BUILDINGADDRESS 4010 Edna's WayOroville Energy Plan Checking Fee $ $ PERMIT FEE $123.95 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 22open decks BX 61 14X26 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 FILEFiling Main Service ZOO, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( 9 ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under ens of perjury that I am exempt from the Contractors License penalty p J ry P Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To LOOOA 46.00NEW CONST. DWELLINGOCCUP. SO OR ADONS. ( y ACC. BLDS. 3.50FT: NEW CONST. MULTI -OUTLET NON RESID. @7.50 POWEPPARATUS 8 SINGLER A011RET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ I.00 Ex. Occup. ..FIXED APPLNS.OR OUTLErs RUNS EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation -Ione hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of C rnia, and agree thatrf I should become subject to the workers' comper ati __visions of section 3700 of the Labor Code, I shall f I compl se provisions. Date /� 03 SignatuX of Applican - wner ❑ Contractor ❑ Agen of structures over 3 stories 'n height. An OSk permit is required for excavations over 60" deep and demolition or construction#,� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $123.95 HAZ. D. FEES IMP FLOOD CDF p,RCEL pD HD IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByAD / e PERMIT EXPIRES O et ReceiptNo. �% % / WHITE-D.D.S.-B.D. CAN -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i ' COUNTY OF BUTTE -DEPARTMENT AFMENTSERVICES-BUILDI 6 ISION ti 7 County Center Drive, Oroville, CA 95965 Phone '(530)5 8 541 Fax (5 538-2 40' ' PERMIT APPLICATION DATA SHEET OWNER: 0, t lb ASSESSOR PARCEL NUMBER �J� Y1 0 /9 (0 - oZ SSU � D� Proposed Building Use: Counter Technician: (� 7%`Date: Z/ s Items required in order to a ply for a permit. All boxes MUST be checked OR marked NA in order to apOy-- -1117 1.. Plot plans, 3 or 4 sets, signed�y 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 faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) #�Fees as shown on the attached Schedule of Fees Due Sheet ........................................ Ifp Statement of Intent for Non -heated and A/C Buildings...........................................�� 6 S 'tation and plot plan approval from the Environmental Health Department in IS 3 Cityof Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -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) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone $' g'' and hold for pickup. I havebei informed/of the abov i� teins and requirements for obtaining a building permit. Ap - cant: e: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:r- Plans reviewed by: Date: 1�.!/Lh3 Plans approved by:XO Date: /L 93 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: E.H. USE ONLY Plat Plan Arinchad Flooa Plan Arts had ✓ ®ns to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locatiofi AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓ Clearance for dwelling. Other /vx z& Hold final for: Final clearance O.K. for: NOTE: ��s 8/96 Date a OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No . building permit will . be issued until this verification is received. personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 21"" NO ❑ �I HAVE U�4 HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: "-TAME: PHONE: C1 4. I plan to provide po ns of this supervise, and provide the a*or NAME: ADDRESS: PHONE: LICENSE NO. I have hired the following person to coordinate, 5. I will p�vide some of the work but I have contracted the Nork indicated: LICENSE NO. I;i3e"e following persons to provide ADDRESS PHONE OF WORK DATE: NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by.,the State of California and to have a business license from the city or county. They are also required by law to put their license number on allpermits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . - V • -___ rel .� Ivlic 'el`C: Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER R � 036 240-039 03 0309 nS/'l CR S, JACK EDNA'S WAY, OROVILLE ,CONT: EXECUTIVE HOMES ,MHI • • , fr - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P (Rev.12/96)" APPLICATION AND PERMIT 05A�� ASSESSOR PARCEL NUMBER 036- 4 ZONING - � BUILDING PERMIT OWNER CROSS JACK TELEPHONE 511-4017 SQ. FT. . OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 584, P f 95969 CONTRACTOR'S NAME MCMVE "T-13 TELEPHONE Will _61[119? CONTRACTORS MAILING ADDRESS 3042 FSP NAD . (MTM CAQc;Q71 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILD IN QR0VTTJ.V Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation I Other ❑ Describe Work: 1�6�I " Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00R LESS Main Service 200. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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. ,1eI, 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 To ,000A Main Service TO 46.00 NEW CONST. OWE WE OCCUP. OR AODNS. ( 8 ACC. AIDS. SO 3.5¢x_ Ho .c.0,D ' MULTI -OUTLET @7.50 POWER APPARATUS S SINGLE OUTLEr CIR. Ex. Occup. OUTLET OR FDCTURES.50 s20 @ 1.00 Ex. Occup. OUTLETS FIXEDAES1'IS6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) GT I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensate ftprovisions of section 3700 of the Labor Code, I shall forthwith comply withl,those provisions. _Date65i a3 _ Signature of Applicant - WolOwner ❑ Contractor ❑ Agent A ,OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE JTOTAL FEE $ 143.00 ^ HAZ. I D IMP I CV PV�Lj I PD IHD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ��y , �i� By �* f' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date/ �/ /" Iy"/ Date ReceiptNo.?FiQQR1 P'!/L'2 r)n WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 OJ',r� ml, (Rev. 12/96) APPLICATION AND PERMIT (J ASSESSOR PARCEL NUMBER 6-7A121-5 ZONING I BUILDINGPERMIT OWNER TELEPHONE CROSS .'LC"23-4912 . OWNERS MAILING ADDRESS Q P.O. BOX SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE EXECUTIVE HOPSS Rgi-6999 CONTRACTORS MAILING ADDRESS 30 I:• r. CHICO, CA 95973 , CONSTRUCTION LENDER ! 141 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23-00 BUILDIN NAED'r i Energy Plan Checking Fee $ $ PERMIT FEE $ 43-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation .l Other ❑ Describe Work: ILII Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 11 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 2",, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. sD 3.5¢Fr, NON-RCSINEW OT MULTI -OUTLET g7.50 OUrLEr CIROWELER APPARATUS a . EX. OCCU . OUT.ETOR FIXTURES zo p ,.00 BAL @ .50 FIXED APPLNS. OR Ex. Occup. ourLErs PCR ES,EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) z/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'- compensation laws of ornia, and agree that f I should become subject to the workers' compens provisions of section 3700 of the Labor Code, I shall co Ith se provisions. X Date y 0-3 — :� Signa a of Applicant - 91�OWner ❑ Contractor ❑ Agent An HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FE IMP 00 COF PAR PO D SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By . t Dae V� PERMIT EXPIRES ON O// Date Receipt No -159981 �1.� _ nn 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M't COUNTY OF BUTTE -DEPARTMENT OF DEVEL©IV1E-SUPT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATIONZDATA SHEET OWNER: J A K 0 -SS ASSESSOR PARCEL NUMBER .3 �o - 0 4-10 49 3 9 Proposed Building Use: ' Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR mfiAed NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed,ty 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. ngineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance. design d supporting documentation in duplic te. 6. Manufactured homes: ata sheets and installation instructions,Marriage line information loor Plan,( ie down or _ f®u�ndaison plans, all in duplicate. � ❑ 7. eAa )fildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. �Q 4400r plans in triplicate. All of these must be stamped and wet-sijzned 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... j. ❑ 19. Planning approval for (A) Use: a K (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑Improvements, ❑Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -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) ..................... ❑ 26. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 8 anufactured home utility clearance............................................................... 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone —A.) — y9/ and hold for pickup. I have been informed of the above itsan requirements for obtaining a building permit. Date: o;2 AIIAP_3 1. Index perrpit application for he above itAms slum Plan Check Letter 2. Additional items re Contractor, designer caner as advised he a data by Rrphone, ❑ mail, ❑ counter, by YP Date: ejy/ O 54 Contractor, designer, owner, was advised of the ab ve d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: a- •�, Plans approved by:—gam . Date: .110711,9 :5 Structural reviewed by: Date: t LStructural approved by: Date: Note transfer by: Date: g BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Bull`ding) School District Building Department No. A.P. Number (�aW�J� Jurisdiction: City County Property Owner r Property Location/Address Subdivision Residential Development No of Living Mob Rome Units Installation Commercial/Industrial New Addition Lot No. :............:..................................................................................................... ; Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection;: ................................................................................................................1: moor clans reviewed by School District District Identification No. T 41 Y School District certifies that -- Y (Street Address) (City) has complied with the requirements of Resolution No. representing '7p V square feet. School District Representative Paid by Check # 6 Remarks: 90- 7/A 21/3a_y (State) Sq. Footage L (Applicant) (Phone Number) Code) U by payment of $ �4 -7 -2. 76 AB 2926 $ FULL MITIGATION $ �-/�/o Date a 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 (budding department), Pink (school district) feeform.xis (10/98)dmm (Including Exterior a-4.63 Roofed Areas) Date L (Applicant) (Phone Number) Code) U by payment of $ �4 -7 -2. 76 AB 2926 $ FULL MITIGATION $ �-/�/o Date a 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 (budding department), Pink (school district) feeform.xis (10/98)dmm h� Il, '` NOTES o3 0� RESIDENTIAL 03'6-240-039 03-0308 PERMIT NO*c: JACK EDNA'S WAY, OROVILLE EXECUTIVE HOMES top, MHU SPECIAL CONDITIONS �_SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address G AS Meter By Da ELECTRIC Meter By Date t JOB FINALED Signature CHECKED BY J - OK o = Net OK . = Not Readyable MOBILE HOMES Date M OME UTILITIES (Plans) OK except #'s 1. Zqpim< Requirements -Setbacks -Easements pfso-f ial MH Support Sketch er; Location -Test -Fall -C/O -Concrete W , ocation-Test-Easement Needed (Sketch) lectrpity; Location-Clearances-Grnd-mp-Concrete as; Location -Test -Wrap;-/ /" L'ft. / P N or / /" L "ft.Alb P LPG 7. Welerearance & Discon ect jaoo'lliilityClearance Date vCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1-r-Zo-nigg Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 3._Q15, ­MH Test -Demand -Valve -Connector 4. FJecMcity; MH Test -Crossovers -Breakers -Clearances Dein; MH Test -Fall -Flex Connector W r; MH Test -Regulator -Connector ,7 ater and Sewer Connected -C/O to Grade -HD Approval Tie Downs -Type -Installation Cert. Cert. of Date / Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test - 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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.; Columhs-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 RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 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 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 67. Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 70. Stairs & Rails 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 23. Fire Sprinkler; Test 75. Garage Fire Door; Swing -Landing -Closure Date Card B-1 Date Card B-1 Date 78. Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 80. Insulation -Foam -Looked in Attic 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Clearance Looked under Floor 0 Yes 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 85. A.C. Unit Disconnect, Electrical -Plumbing 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GF] 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 91. Corrections from Previous Inspections 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 94. Energy Compliance Certificate -Other Certificates 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 0 Yes _ 83. Following Instld./Drive O Yes O No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ..--(... .. .. - y .I. . ` .. .. .,.,.�..y... i1:,,-..-. .r ..,.:�t...,, r .n.,e ".1'•. � _ fW.._�N��,.: .. ..- :`�.n... ...�-:v u _ .,. ... ... rr ....._ .r✓r � .... MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 536-7541 APN: PERMIT NO.: +� 3 (0 - .L 4' b - of 5 , � I o 3 '" O 3 Owners Name: L I.)rM�C_�- i1-�S J Owner's Address: Mobilehome Manufacturer: � / C � ocv Year of Manufacture: e; -- ; X0_3 Serial Number or V.I.N.: C' � / 3 / ) A '' Insignia or HUD Number: T -S X25 C� d �•-� Official appoving installation: w� Date: If the mobileboriie is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor 0 j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541n� D'4f0• (Fev:12/96) APPLICATION AND PERMIT la 000 ASSESSOR PARCEL NUMBER 016-940-019 ZONING G _ BUILDING PERMIT OWNER Oss T7 TIEVEPHE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS BOX 2 CONTRACTOR'S NAME i-6992 TELEPHONE CONTRACTORS MAIUNG ADDRESS 204 2 R50 ANADE, QRIIQQ� GA 95973 CONSTRUCTIONLENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93.00 BUILDING _ .� A,WAY MOITTI_ I Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ". Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S: (� 1 @20.00 - PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 600V OR LESS Main Service .A OR 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DW NG OCCUP. OR ADONS. ( a EWACC. S. SO 3.50Fr. ,mµg6IDT MULTI -OUTLET 97,50 POWERNGLE APPARATUS a SIOUT CIR. Ex. Occup. OUTLET OR FIVURES 20 p 1.00 SAL @ .50 FIXEDAPPLNS. OR Ex. Occup. ourLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 gn- Misc. Wiring 23.00 PERMIT FEE S 00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code,, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 1(The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio r isions of section 3700 of the Labor Code, I shall comp) wi provisions. =- —1 -%�� ��, _ Date �- y / U 3 Signa re of Applicant - EPoOwner ❑ Contractor ❑ Agent An SHA permit is required for excavations over 5'0" deep and demolition or construction o structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 13 .00 HAZ. D, FEES _ IM O tF PAR H IS This per it is hereby issued under of th B tte County Code and/or ind' ate for Mich fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4/0-3 ate G �� Date ReceiptNo. 9931 ''166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,y� ISA �•is 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: J A C �—, NOSS ASSESSOR PARCEL NUMBER Proposed Building Use: !'" ` Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR ma ed NA in order to apply. �Plot plans, 3 or 4 sets, signedty 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 iriaduplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... , Statement of Intent for Non -heated and A/C Buildings .................................. ........ Sanitation and plot plan approval from the Environmental Health De rt ent in 17. City of Chico Plumbing permit....................../pa-id-.. OU8. California Department of Forestry plan/pproval Sent_ by. .................... ❑ 19. Planning approval for (A) Use: 0)<_ (B)Parking: (C) P cel Check: ❑ 29. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Nbfl. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -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) ..................... ❑ 6. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... C30. ❑Grant Dee ❑�H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 31. Other: issued T lephone 33 91 _ - 9/2 and hold for pickup. I have bee . orme f the above and requirements for obtaining a building permit. A l� � � PP Date: a / U 1. Index pe it application for the above items nu b d: Plan Check Letter 2. Additional items required Contractor, designe was advised cf the'ab7ve-aata by phone, ❑ mail, ❑ counter, by Date: / b 3 Contractor, designer, owner, was advised of the above ata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: IL() Date: 14 Plans approved by: (Z+3, Date: Structural reviewed by:Date: Structural approved by: Date: Note transfer by: Date: Vellrnv- Rnilrlino Nvicinn E.H'11ISE ONLY Plat Plan Attechad r'leat Plan Attacked Sant to &.0. / 6 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati n AP# Plan Approved for: Sewage Disposa Water Supply: Public Private Well' -.,_ Clearance for dwelling. Other Z 1�/l �to-w Hold final for: Final clearance O.K. for: NOTE: / la Enr omental Health Specialist 8/96 h 1-31--13 Date N4V W I LLDAN Serving Public Agencies May 26, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1630 Jurisdiction Job No: 05-1095 Assessor's Parcel No: 036-240-039 Description: Cross Detached Garage Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies, sheets 1 of 1, dated 04/27/05 by Jack Cross The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Serving WI LLDA�N Public APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit documentation. Specific Type of Type of 1" Floor 2° Floor Total Use Occupancy Construction Sprinklers Stories Sg Ft S9 Ft Sq Ft Garage U-1 V -N No 1 576 NA 576 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincer , 7 I ac Kuster Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Jack Cross, 4010 Edna's Way, Oroville, CA 95966 Page 2 of 2 County of Butte Permit Number 05-1095 Willdan Project Number .14353-1630 Building Permit Number: ® ?1 33!5-7 Owner Name: C ro 55 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 and of a quality prescribed for the specific use in -the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing 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. (�'! 9 — "--'1' V 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. f% Page 2of 2 Building Permit Number: p - 3F -S 7 Owner Name: C ro SS mi 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 and equipment including overhangs shall be clear of all easements. A setback ofd ee from the side andP 0 -le let 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. 1it/sT,c/�,gT.'oiv pF � 13R /1'lAnurAcT u/le-� kglme- on Ae/ f�� 03�-�Ya-0.39 i�`i'RIIC PU /� SMALL CO OF NEGO 14en Foe- gtcK MECHANICAL, ND PLUPOESIN.G ON ( NNOT PLAN CHECKED � /q�'�03L-�y0-o39 .01.1. may, 1' ROPo5 e,4 De cr A - I c- +� Ropose d Qe e� 1 lr MIN CUM€ MM V QWBT14 40- AND UPC. 14) i -?R4,0Aie d b L( �9 c k if�oss �o - EpILIA, s 0 ry /5 e �Gf E S e, '6 h lIq �ooA•�14 An01- t,l 0TE: e �d theattached � � gi, 7? 'q nenIs ` Pagys- BUTTE DOUN I UILDING DEPA TIViC F100R -PjAn FoR decks WI�UARdRA<IS -De-cK5 W;ll be BYAce-clfkrid Se -IF SuppoRTin_q W; i h No ATr^ch men -T To The mAnuFrtcTuRc.d r nl.41uFA,f7u Re� �d0ine a c�' &UARO Aa; I- x � - r d e• Co v e,e- F'o e- -PAR Gel :9�# 036 -TKO -039 �1R5S .book FAo n►" XMA w c e e der #4z o -o X 16 S 4,1 HA14 L Raiff �r a ✓G� rc� �,Q to 14 r 0 Auk- c0 3� YYuXIIA, d BSE COU .v_ I I I I 3,0, '!',Z o e_ r T -A 4) F RAFTcf- a4" o L RBA R JAL L57- -I R p, F'ic o- HA115 t2 5 on FRovi 1 m e"h Ii: \ ScA�ei �y''= / ` Ff�ccST��%i�s/uh�aile�i.ccf Cor/e,� �e-C,k A 5 Shown ovL LF N`Ade("- Bu; IdinS-Pe P -m -'T "o3-Iec{�l asye.�� Con, Io.511�n51c� , -oue12 ISS Fe IT - 0 u over i513a" DSS3 4-i ✓e- conoecyorl Provi de. o5( -- - act ���5 -o WA g DF HeAdeaS' R'iC,�T --4''X ii Df 13rACC s All Coe-ncRS ? BUTTE COUN I X q " aDR ate 4UILDING ®EPARTME ', D F Po sTS P P \ � . �f- IOST5 W;11 E-XTT $r 'enJ vnCu �p 7},rpu�h O Ts; e- t��2�rneZ►R OTEX ZUea K 11+"x L"* Con r-reT2, PAd F ki 5 G raQ U VN A l l -Po515 UJ',Th 0 .S l ec- L I, iTAn choRs w� i h l "5r4.�wdz FF FRon-T �a IbL Na;Is ,.I FSA,i p�sTs I IfZZA. DF HeAdeaS' R'iC,�T --4''X ii Df 13rACC s All Coe-ncRS ? BUTTE COUN I X q " aDR ate 4UILDING ®EPARTME ', D F Po sTS P P \ � . �f- IOST5 W;11 E-XTT $r 'enJ vnCu �p 7},rpu�h O Ts; e- t��2�rneZ►R OTEX ZUea K 11+"x L"* Con r-reT2, PAd F ki 5 G raQ U VN A l l -Po515 UJ',Th 0 .S l ec- L I, iTAn choRs w� i h l "5r4.�wdz FF FRon-T CA / t' f1 4X 5 i iYJ D C C (' pp AMtN .1xG �� 12dw� J7eC K� n5 p R 0 v F ' 0 a I C0KCVJ%C PA C. C0nCI- C f9A i ^ Q a jVo 'Nn�L�'�IBRS une- 0- A) POSTS W� h �A Iv. sT«� Vje I A lr— o25 + 13 _o �,�� g�\� 'j.A.0 d .A.'d V 6' TYP.' L_ TEG PLYWOOD CC EXT. 4'xfo" M FKMM(z g CLIP_ 2'x 12" STAIR STRINGER. 4$'a.c.. MAX. "xm"Pl o 70 P VIEW II "Ito :�� HAUDIZAIL NOT SHOWN -FOP, CLARITY. 4'xfa'DF* 2 2'x(a' DECKING IALTJ 3/g BOLT' GIRDERS 1 '/a* T& G PLYWOOD CC EXT.La "x4' MOBILE HOME �r OR DECK n' J MAK Ch 481. MTL. FRMiJ - — •�; MAX. CLIP (ER. DE 9'MIU. 4x67• V -AI' POST" 2'x IV �—GUARDRAIL "'LDF3 mx 2"x4" PRESSURE' '�-- - (2)3/60 7 RrATrr -o*- �RFDWooD_P1ATE raj MAX. DECKIWG' e"MIN. GIRDER BOLTS MIN" 6 W ],R.ECAST 4X9' POST jIER Aa SNA L '� DR _ "" a MI►J1 CNG. TYPICAL _ REST DEIVT//Il STEPS ,allo/QD�"CK p i�• nt _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 for I'/NS 14%,41IFUN. FOOTING 7 County Center Drive — Orovine. California 95965 Telephone: 0 ,r;-01,97- 2w ,97-2wpF .13P. mA nu r,a �Tu rt �l a�/on� �- on p R ce/ sil�ygi9�c 0, ' o'" �9®°r6�c fir, '00�fS' L �9 U. '� c° � ,r^ r of �" ►/� �/ � L R4,0a R e. d J�1 c K L'G�oss //3I/03 :?'I' Z NOTE: See t e attached l ti' ?au-"rementS 2 Pages FOP05eA #p R0Pose 6( De C-f—I �1 p 70, ooA41 OAt7t (A)A 4 ,:7<P.2 •35 0 \\j Environmental Health. APR 1'5 2003 7 County Center Drive Orovilie, Ca APPROVED Butte County Environmental Health .. m CO * wvLD M, DEP¢ P.PR-0 r E"D ScA /e 18"_ FIdoR -PIAn FoA Dec.K S W f 6UARcI APiJS .DGGKS W; it be 13YACe-c l Arid Se -IF SupP0R7_IYl9 W; ► h tUo A rrgch men_T 7-o The ll?AnuPAcTuRcd t�ornle- t l�y x -6 61 MAnuFAc�Re� 1d orae- -PA R -PAR Gel 9{'Ir 03&-a'f0- ©39 APPROVED Butte County Environmental Health Environmental Health Date APR 1.S 2003 7 County Center Drive Signatui a Oroville, Ce a c�' .Dec; # I A ,1 A d r i f V —9 4 1 G' Sh'diij IRS S .Doo2 1^AonT 1 WMA IVc e— A S'X IG r s v Cy9Rd a�'L J")AML 94;j BUTTE COUNT' ---�IBUILDNG DEPARTMENI 4'x60" i Tf G PLYWOOD CC EXT. _ _ _ J. ac v1 • ap d vl FRMMC% - CLI P= Z' x 12" STAIR STRINGER' 48'0.0. MAX. . It'%12' PIES " ?OP VIEW (on PF lilt% %M ft. petl.l� H AIJDQRIL NOT SHOW M • FDR CLARITY. ,� 201.6; DECKIIJG '(ALTA 3/6 BOLT ' 4x6; DF 2 GIRDERS _ 1 Ys' TAG PCfWOOD CC EXT. q'x4' MOBILE ROME a ' OR DECK a t rn a I 454 MTL. FKMI4 LLjMAX. CLIP (EA. DE 4!19V ' 4•x4' POST Tx 12' b 2"K4" PRESSURE z �-- GUARDRAIL "2DF -. (� sls' 7'RF11rEc1 0A � I g -M DOLTS RFDWooD P/�T� MAX.4M� DECKIFJG' GIRDER • 'k`.a � "MIN. 6-lZ-90 ti PRECAST 4'x9" POST W ER ADF44TE DIAGONAL L Srxps /QD�-CK U co e MIIIBRACING. TYP►cQ� ��_- ,allo o( COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS COUNTY • �• • • 7 County Center Drive — Oroville. Celllomle 95965 A' 1f 7ot'•n%Ng 14°x �M1N. FOOTlN6 Telephone: -gig -7541—__ _ �toff(J�ED FASE-ZTfE DO1�/N SYSTEM ND LOAD -- 15 PSF S TIE GOWNSYSTEM.IS DESIGNED TO BE CDNSTRUCicD ON A RLY L:E'YEL STT < WITH NO EXISTING SOIL PROBLEMS. IMUM SOIL PARAMETERS: TYPE 5' COHESIYi_571 WITH611NlMUM L BEARING CAPACITY OF 10fl0 PSF. SS3 BEAM SUPPORTS SHALL B LOCATED ASVD SSHCWN IN TH£ MANUFACTURED HOME IfISTA ' jT10N IKSTROR I-fE L ADS AREAS WHEx DIF�ENiIAL Srr_cM`NT (CS) • CAN OCCUR. UFACTURED, HOME SHALL!BE REAC.i{!S;=D WHEN CS �C c -- OR. WHr`N IT WILL ADYE?SE_i' AF -Fr 61%3F'i= HOME UNIT. Oy ' 4D 4.- TA15 PLAN !S INTENDED i:: - �e--� FOR -TD �- - c� L -c.. r OR WANUFAC`%R� pr ME S t %) 5-�; IONS- IN WID;^r{,-11TACT THE Oc"SICN=NGINE�? FOR D3iGVS OF MANUFAC-URED �NCMES OV`= (3) cEO-TONS NIDE- ' -. STCTURAL S;�_' .ioRIC;.^ _� ACCORDING TO+,cr c wt --,D ACwic.r.N TO -Slur r ti.1F1�10ti. =.3c. 3OL7S_.-S-M A.:n . ;rt?DE_-JO ?LdTED-A�}d o. irfE _ S TIE ;SSE�d?LES ARE :.�?ABI= uEl HCRI�ONA Or IbE. FOLLOWING LOADS: un T SAL V*= i T ICAL L =U=T g- 2D10 (Ibi 5000 iib} Ro- FIb) Vis, 5000 (lb; a0i libt ^L" 151 i Ib) o,^DD (Ibj 564 %Ib� 50-00 (lb I (1�) 36" am 5000 (?!�) z35 r!b, c i. A11 METAL :.. MPON_NTS AND AI;AClIMEX rcyfS SLIAiL =E OI�ETIV` F 'SERE S4AND 5=!;.C'c CN =`;STINGC_ ANCHOR 3 -01 -TS MAY ')i nE USED TO SECJRE o.!�_Sa`_ =R SSE ?A0. 9. ,ii AICHMENT METHDCS FOR & "J" REAMS SHOWN ON SHT. =C. 10. THE LONG- D!RECT IDN OF TriE r -Z -17E?AG --" P=iP�rIDiCUt.:*c?:T •-tr,c_. trer) MUST $E INS -,ALL -:'D ---._... - M>-851 i - flis :: 97u :. Er FFFA GUARD C,E5 N': `• r � _� s GS CA o=, 3EZ-c3831 -- - --- __ -.. ic ---2Oi L- NIH: CaACH5 00UBLE/IIULIIPE �_c' LC➢AS / E' NAx/ �`. E= 2' WIN.i I' MAX. -- VARIES • 10'- 70' EYENLY.SPAC=E. HETWEa1 , t r— � r '. RFCl1GRMD5_➢cAM . SJI'P+3%i AS ' e 3Y NAl`1UFA..TURO FT -i❑ (TYPICAL) D D ❑ .o 4 a E -Z ii//E- SUPPORT PAD Cr -i 1�1.r..7<LJ r_t C3 Li / S ;: � SiIFPCRT ?^ AND SrhwNv AS R_7UIRt➢ 3Y r t� !FlE MANUFd: OF HOME d0' , i 18" i{T i M — 1 2 ter. " l ' HT I ?£" H7 i 36" hi d I a I A a f a I 5 so • I r I Q — - a - I —6 1 66' 4 �-I'-I a '� a I`b _rC• I r STS TE FRoVAI 1 APPROVED Accra•ral does 1ct:.3mari:a cr, aaaravn. aly ?»i"scvlt or -Yiaavo 'rom T=wemers of , rptci�3e wtr :mss ari aum-Imc IIL of °110 '• _ DC' ":'� LFII By t a�e1 c SPA N4_��� � � --- This Plan Aamzvat;-=,aS 1 !Xo 4.1 _ tz THIS TIE DOWN SYST=M WEETC- THE REQUIREMENTS OF Sc--noN '*--,-,:B.--- SUES= C71ON. (c). WA YNE T. POLVADC, PE-USTING NO. 99001 --- - - --- - SS=T -1 of 2':z'xa/ls- STL .ANGi,` PIA. HOL: (8) Pins 3/8' CAD PLATED BOLI, NUT )NASHEil COUNTER BORED -LUSH WITH BCTTCM —�, (8) RECUIRED 1/4" STAND BASc A8ESC0 ABS PAD #5C3 18.75 - ✓ I I ��� 3/4' ma- (4) IA (4) REOUF ED M 30 ODrtAbiE ' TOP vC- N / `14/ 172-x7176 1 d' vRIPP 'r. - \ 36' VAX v ` ld}. �L-'uU1REi) r war` 1� (2) _ To aC iCAi l� — � 4. AID y� _iGE Vee !' -UNC-4-11411 LC C PIN VA _-_Li WMi NUTS ( '- .(4) RECUIR:D � BRICLG AIN SCC 400 PIPE R!" 'MTH HOLLS AND ?/o" THiCR TCP_ °LA7•c I of n I oz. sc:J 40 PIPE STAND '�f H 1iYG I r 01/2' -' DJU=R HC ABE=-' Aes PAD x5c.2- �a I 1a 1/z• � � ,IEESCC-�J�'8 C (2) REoUTRE, Lr+ C- SAME COACH 'J" =RAr,E .Ai c (A) RE::111RED 4NN•= _ _ .... 1 /c" .4307 600,7 -"I t ! i (2) 'EDUIR_D /4" GRIPPER/4" GRIPPER HAISE 1/2" A307 BOLI -711/2' A307 BOLT (t) REQUIRcD (2) REQUIRED 5851 7== RCAD PH: (am 382-8831 FAX: (916) -U-_5207 r c n C-7=AM J-3E�M Ai i ACHM-=NT - 71E GWN `±YATME- T. POLVACb, F=—L!STiNG NO. 9-00 1 ~. MEET 2 of. 5 & INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM _ 1. MAKE MUST BE P PLAC ON RE T WITHIN! Z4 OF AN OU TRIGGER OR CRCSS f>k MEIR, OTHERWISE INSTALL WEB Slr��ER- ON CHASSIS BEAM. Z. I.iAK'c LEVEL THE PLACE S'YHE;cc' THE PAD YIIL SE"T, DOWN TO UNDISURBED SOIL 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. RE40YE THE FOUR (4) NUTS AND WASHES FROM rril: S; UD BOLTS 1N THE PAD AND PLACE T? -IE PIER. T fEE HOL=S IN THE B.;SE Pi ATE V�ILL .UNE -.UP WITH THE STUD BOLTS. RE?LACE THE NUTS AND WASHERS AND TIGHTEN DOWN.. fr;: sT;4 5. REMOVE 'rjr TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START HE HE1Gr?T ADJUSTMENT BY PINS, PIERS CAN THEN T=L"SCOPE, RA,S� T.,,!r TOP OF THE ?TER ' L HE PLAT= !S - O THE- Ei -, T'4 T t=? NA ,.r Lr_ Tf�tc S POSSIBLE. PLACE ADJUSTMENT ." N -THRJ AOJUSTMEN' HOE_ AND T _ CL.,S` T THE- Er7TObA Or--,• T.._ HA S?S J _AM ;S + JRE. '�Iri ri THS CO1 icR PfN. -~: E. RAISE THE TOP PLAT USING T??E ADJUSTMENT NUTS UNi L irE PIER GTt-TOPEN!.S TIGHT AGAINS THE OF CHAS15 _:hi. .7. LACZ ffiri_ GRIPPE-K1OV:R THE FLANGE. OF THE SEAM AND DOWN_iRMLY .. -. W{ ?T= r WITH- i _ Tom, NJ 1 _. C—SE-AMS AND i—^�,�MS H. HEAD OF PI.=S REQUIR-S THAT TWC%=` 1�.{ S:"r,E+YS 3E ?'_.1�D iril ;� i. S ? c--- - _ E I C= THE SE4M IN A;"W[TION TO ONE .,ic= �-- -- D' _n -'1; i •OUF. (�) 1.__ UTAK__ (SJ=P;iES �r<_ TC ORIVEN HRU GUIDES INTO SCIL UNTIL STOPS AiRE FLUSH WITH THE GUIDE. ALT ZRNATIYc: (2) Z S_M_S OR vv'_ ANGLE iRiON I 1i/2x1tZX3A5" �® N 0-1 E.- L"s-7 STF F NER IF o i RIGc2R OR CRCs, MEMBER DO N07 OCCUR WITHIN 24" OF STANCHION (T :'P) WEB STITFEly ER DETAIL A: -GUS alAM ANY 5851 : L✓RII►T- PStKM RCAD CA9r`''fAYNE T. POLVAUO, PH: (800)_382-3n.TI—.__—.- FAX: (910). 383-5207 SII+ Sat NOTE: � See the attached e n wL QnftQw Lm. ThQ 8ftachad Fine gam. Mqutriments must be comp: ec+fied and WProved a by C.D.F. Y' 4 ,o11 APPROVED s'= , j • /' % N '. i APPRO�ED I Mobilehome Manufacturer: Manufacture Year: 2,no 3 If other than single wide, furnish Setup Model Number- W r,2 5 e,.;'. k Width: (ft.) Length: sZ ft.) Tagalong or Expando Size (ft.) x__(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets: FOOTINGS: Wood pressuretre ted or foundation grade[ L11 --other: SUPPORTS: Concrete block[7 Other: Provide'Tie Down Specifications foraH,Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MMTI-WIDE Line 1 Line I Line 2 Lme 2 ................................................................................................ Main Beams LIM. 2 .......................... .................... ................................... e2 Line I --------- 4 Line 3 Line 2 ..................................................... .......................................... Main Beams ...................................................................................... ......... Line 2 Line I ................................................. Tag or Triple' ine 4 ................................................. ine I ii Line I Piers: J Size.minimum: roet 1 x Spacing maximum: 1 9 ' 0 —�I. -. From ends -maximum: Line 2 Piers: Size minimum: X Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front) Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: x Each side of openings - with width over:, Line 4 Piers: Size minimum: x Spacing maximum: From ends-maximum:E BUILDING MPARTMBP. May 1995 A PPROV ��.� 1. Owner's Name: A C 2. Assessor's Parcel Number: 0.34 03 9' 3. Installer's Name:.%_ �G'� /�'�� A4w2e 4. Is the site currently under permit? Yes[ ] No[vfPermit No. 5. Is the site an existing site? Yes[ ] No[vr (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /Ofd Amperes. e 7. What is the mobilehome site circuit breaker rating? /.SO Amperes. 8. What is the electrical rating of the mobilehome site? s1— 00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[dj No[ ] If it is, what is the rating? 100 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[4] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Zd �_W e Amperes- y/-� 11. - Type of gas service at mobilehome site: Natural[ ] Propane[ P( None[ ] 12. Size of gas pipe at the mobilehome , site from the meter or tank:/y inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 2, (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May'1995 8.5 4,. 0 a ** TOTAL PAGE . 05 �IcMc N FW -- O Z � N e e O >1008 At) O I � V X - L_ , �• 1 IN, � / r S . a � C N N N M m ° C:> cc npPaovD co ck: m butte County Ealth+ 0 a ** TOTAL PAGE . 05 �IcMc N FW -- O Z � N X107_ �/, Al .;?:AIS 74 11,4 T;'O,,V O c .2 0A /17.4 n u FA c% m A e d AylpM e: 0 A R e e/ 4 -P -.2 YO- 039 Z,eWezz \\\\ /4 en --__.FtIVitlili: BY t FUTFE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY s I approved as submitted \�V ..; roved %r!ith conditions � i 'vp r p"tacit wSignature a > -0 Ow k Ross o Z�o Date 1-9_�036 -')y0-0.39 ALL STRUCTURES AND EQUIPMENT It OVERHANGS SHALL BE CLEAR OF ALL EA1 A SET SACK OF F-1. FROM THE 3a_ FT. FROM THE ,zEAR PROPERTY L \ FT. FROM F ;E ROAD CENTERLINE lS 00,1 �1N /L CLEAR OF STRUCTURES AND EQUIPME SgP_rG OR A 2 FT. EAVE OVERHANG. All, .?O - i -/50A tvjoJ� y � c- �`'� Anel l f-1Cc) rne- -IS; .S% Te; Uhde"roc. nd SeR✓�c� En1/��►ic c �I 0 un deje p (I'v u n d / pc�Jece: eiJtil� T well 1 ��o OA- ea_ 10,,4 e_ Fki)m )e(( S e e- L11'e- o 110d/� P,aneG / ,9 (A)A 0 ,;2- qo2.35 /d; 11 �R'tdA q ;DE AND 4ES AND HALL 3E EXCEPT 14, ),e ) 30, cn (TD Q m�9M CL CDF FIRE SAFE REQUIREMENTS 3� 2�, Q 3 -06b e p5S . AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will'be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, _ 1273.07 culverts and other app-.:rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. I 1273.04 Driveway Radius 1 1. No roadway shall have a horizontal inside radius of 1 curvature .of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet"radius; 2 feet to those from 100-200 feet. [� 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3--, `3 (,o )-q-3 03-0348 ��T K AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. C} 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. [>Q 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 ull property lines and/or the center of the road. [ l 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other•Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal-, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection of a building permit. Page 2 of 3 `6 - zq AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NEPA 13D - Glass area not to exceed 10W of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire' Department approved materials Date Signature Page 3 of 3 SITE PLAN REVIEW APPLICATION Date: 2—�-- 0/1� AN ® Is 6— (2 -Li D— Permit Number (if applicable) D 3 - 03 D 8 APPLICANT INFORMATION Parcel Size: 7S, 0 1 A �— Owners Name: C S S J P C K" Owners Address: �0 S �� �' � S CA C) 5 9�, Telephone No.: u'1 C) 12 k. Ho-(• � R 1--G6�9Z- Situs Address: 5 w� 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 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) M[ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 15 Site Plan Stamped Approved By Date 3 �' Page 1 of 5 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) on SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: W 2 Index Date: LI—Z0—CSO ❑ 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/Mu I berry (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: P 42 — S 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 50 t. Side 10 30 Side Street Rear D ?J 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 ' 13 Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: C) —) Page: 3 ' Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ©iJ ❑ 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 ressurizedcommunity 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. FEW Page 4 of 5 Applicable Development Fees: Standard Fees ❑ 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) Amount Formula ------------------------------------- * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation -E] 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 n ❑ x 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 RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO NamC Jack Cross Streets: P.O. Box 584 c"y s"'e Palermo, CA 95968 VP order No. 00205398-001 . VIII1111!!IlIIII11!!IIlIIl1l1llll 290'a 3—Q*0Cal 7 Recorded OfficialRecords f Records COUP CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 16 -Jan -2003 I REC FEE 13.00 1 TAX 63.130 1 I I` I I I Barbara I Page 1 of 3 ABOVE THIS LINE FOR RECORDER'S USE Parcel Nez�` 036-2ao-039 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantors) Declare(s) Documentary Transfer Tax is $63.80 ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area O full value less value of liens or encumbrances remaining at the time of sale O Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Jeff Hemstalk and Susan Hemstalk, Husband and Wife as Joint Tenants hereby GRANT(s) to Jack Cross and Margaret Cross, Husband and Wife as Joint Tenants the following real property in the 0 City of ✓ Unincorporated Area County of Butte, State of California: SEE EXHEBIT A ATTACHED HERETO AND MADE A PART HEREOF STATE OF CALIFORNIA i COUNTY OF �U� ! SS: On / —/ V-03 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Jeff Hemstalk and Susan Hemstalk , Personally kn6wn to ne for proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) io/are subscribed to the within instrument and acknowledged to me that he(/she/they executed the same in hits/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf f which the person(s) acted, execute the instrumen WITNESS my hand an offici seal. Signature GAYLA WILDER U COMM.M121148 NOTARY PUBLIC-CALIFORMA t� wr SUTTER COUNTY o • COMM. EXP. FE& 22, 2003 -� MAIL TAX STATEMENTS TO: Same as Above BTEC/Grantdee 3 YL, " Order No. 00205398-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 30,1984 IN BOOK 97 OF MAPS, AT PAGE(S) 3. AP NO. 036-240-039 PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT OVER EDNA'S WAY, FOR INGRESS AND EGRESS, PUBLIC UTILITY PURPOSES, OVER THOSE PORTIONS OF PARCELS 1, 2, AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 30,1984, IN BOOK 97 OF MAPS, AT PAGE(S) 3. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OV LAND 60 FEET IN WIDTH, BEING A PORTION OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAST, M. D. B. & M., THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE EASTERLY LINE OF THE OROVILLE WYANDOTTE COUNTY ROAD WITH THE SOUTH LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, FROM WHICH POINT A 1 %" IRON PIPE WITH LS. TAG 2513, MARKING THE SOUTHWEST CORNER OF THE SAID NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36 BEARS NORTH 890 16' 14" WEST, 625.49 FEET; THENCE NORTH 89° 16' 14" EAST ALONG THE SOUTHERLY LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, A DISTANCE OF 126.00 FEET; THENCE NORTH 620 51'14" EAST, 202.00 FEET; THENCE NORTH 36° 19'14"EAST, 148.00 FEET; THENCE NORTH 181 30114" EAST 197.00 FEET; THENCE NORTH 27° 3511411 EAST, 77.00 FEET; THENCE NORTH 800 2110111 EAST 240.00 FEET TO A POINT ON THE WEST LINE OF THE LAND DESCRIBED IN THE DEED TO EDWIN RUDOLPH DOLDER, DATED APRIL 25, 1962, AND RECORDED MAY 7, 1962, IN BOOK 1178 OF OFFICIAL RECORDS, AT PAGE 636, RECORDS OF BUTTE COUNTY CALIFORNIA. Order No. 00205398-001 EXCEPTING THEREFROM ALL THAT PORTION OF SAID RIGHT OF WAY LYING WITHIN THE BOUNDARIES OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF _SECTION 36, TOWNSHIP 19 NORTH; RANGE 4 EAST, M.D. B. & M. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 30 FEET IN WIDTH, LYING WESTERLY OF AND ADJACENT TO THE EAST BOUNDARY OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 198.1, IN BOOK 87 OF MAPS, AT PAGE (S) 9. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 6,1981, IN BOOK 81 OF MAPS, AT PAGE(S) 73. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Feb -2003 '2003-0009851 Hae 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: ,Sem AT%AGi1Gp(�DGcer�eH Date LI411,,V 3 PROP TY OWNE State of Cali rnia County of Ou.�- -z— before me, r personally appeared JCkO.V (� c=,�S ci( C.l -; f•SS persefla� -hewn to me (or proved to me on the basis of satisfactory eviden e) to be the person(s) whose names ,K/are subscribed to the within instrument and acknowledged to me that he/sde/they executed the same in his/h/their authorized capacity(ies), and that by hV/lWr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. J (` SHAWN I. NELSON Signature�l� WN J CJ Q c��`ZJ Seal: - Comm. 81363163 N A.P. #_D3.G---� YO - D3`I U) NOTARY PUBLIC• CALIFORNIA } . Yuba County My Comm. Evues June 30.2006 "� brbioorn 3nc=uooQ 3o Yc oo S28@Q3a-CC-^S ` COGS -dol -PI dJiv beisgmoa need .ion usH isniaiio MR0339 YTHU0O 3TTU8 ORDER NO.: 00205398-001 - EAP SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 30, 1984 IN BOOK 97 OF MAPS, AT PAGE(S) 3. AP NO. 036-240-039 PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT OVER EDNA'S WAY, FOR INGRESS AND EGRESS, PUBLIC UTILITY PURPOSES, OVER THOSE PORTIONS OF PARCELS 1, 2, AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 30,1984, IN BOOK 97 OF MAPS, AT PAGE(S) 3. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP .OF LAND 60 FEET IN WIDTH, BEING A PORTION OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAST, M. D. B. & M., THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: . BEGINNING AT THE INTERSECTION OF THE EASTERLY LINE OF THE OROVILLE WYANDOTTE COUNTY ROAD WITH THE SOUTH LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, FROM WHICH POINT A 1 '/Z" IRON PIPE WITH LS. TAG 2513, MARKING THE SOUTHWEST CORNER OF THE SAID NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36 BEARS NORTH 89° 16' 14" WEST, 625.49 FEET; THENCE NORTH 89° 16' 14" EAST ALONG THE SOUTHERLY LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, A DISTANCE OF 126.00 FEET; THENCE NORTH 620 51' 14" EAST, 202.00 FEET; THENCE NORTH 36° 19'14"EAST, 148.00 FEET; THENCE NORTH 180 30' 14" EAST 197.00 FEET; THENCE NORTH 270 35' 14" EAST, 77.00 FEET; THENCE NORTH 800 21'01" EAST 240.00 FEET TO A POINT ON THE WEST LINE OF THE LAND DESCRIBED IN THE DEED TO EDWIN RUDOLPH DOLDER, DATED APRIL 25, 1962, AND RECORDED MAY 7,1962, IN BOOK 1178 OF OFFICIAL RECORDS, AT PAGE 636, RECORDS OF BUTTE COUNTY CALIFORNIA. MUM ORDER 00205398-001 - EAP SCHEDULE C (CONTINUED) 'EXCEPTING THEREFROM ALL THAT PORTION OF SAID RIGHT OF WAY LYING WITHIN THE BOUNDARIES OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D. B. & M. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 36 FEET IN WIDTH, LYING WESTERLY OF AND ADJACENT TO THE EAST BOUNDARY OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 1981, IN BOOK 87 OF MAPS, AT PAGE (S) 9. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 6, 1981, IN BOOK 81 OF MAPS, AT PAGE(S) 73. COMP. PRELIM