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028-210-059
028-210-059 PERMIT#95-1079 BIGELOW, Thomas Jr: _ 100 Surveyor's [day, Bangor Mobilehome Utilities /� /lIly� ELECTRIC 200 - 20 Wet. I - GAS LINE GP6 ZO COMPACTION TEST REQ lllo r " SUPPORT STRUCT REQ ND 028-210-059 PERMIT#95-1473 BIGELOW, Thomas _;� fo/ 100 Surveyor.'s Way, Bangor 1019 7/ Water Supply for Fire Sprinkler/MH 028-210-059 PERMIT#95-1080 BIGELOW, Thomas Jr. 100 Surveyor's•Way'Bangor Mobilehome Installation j0 111 028-210-059 PERMIT#95-2399 100BIGSu W, Ted j 100 Surveyor's Way, Bangor 9I9 New Pri Det Garage l0�y 7 028-210-059 PERMIT#96-24 BIGELOW, Ted 100 Surveyor's Way, Bangor 1st Renewal BP#95-2399 /fi I0I/yQl�1 B07-2679 028-210-059 MISCELLANEOUS Ag Exempt AG EXEMPT -FEED R EQUIP 100 SURVEYORS WAY BIGELOW THOMAS THEOD, RESIDENTIAL 028-210-059 PERMIT# -'� BIGELOW, Ted - i 100 Surveyor's Way, Bangor New Pri Det Garage e/ . 14/ art e i . ( r i JOB JOB FINALED (Date Signature .. 1 � 5 *-` `6' . J=OK O = Not OK Not • = Not ReadyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Irs 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-Clearences-Grnd-/ /Amp -Concrete .6. Gas; Location -Test -Wrap: / 71 --ft. / P'Nat. or/' /' L" ft./ 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 S. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 = MISCELLANEOUS Date J DE S, COVERS, CARPORTS, GARAGES, Plans)OK except M's 3. Decks; Grillers an -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms-Rftrs. -Connectors Shthg.-Rfg.-Bracing Date Card B Date /d -,j'7 Card B -1,o /j Date -1/9 --gr Card B-1 Date/!�7 Card B�/j Date POOLS (Plans) OK except M's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding: Metal w/5` -Circulating EgUip.-Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water Supply Test Date Card B-1 Date y Card B-1 Date Card B-1 Date Card B-1 j=OK O = Not OK . = Not Applicable RESIDENTIAL (,Single & Duplex) • = Not Ready .r,»7 �. -o& i . Date UNDERFLOOR (Plans) OK except tl's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors : 2. Ftg., Main; Soils -Flet. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg.. Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth --- 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab: Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe: Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except rr's 16. Water Htr.: Vent -Access -Combustion Air-Baffie 17. Water Pipe; Test & Anchor -Nail Protection _ 18. O.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access _ 20 Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors •---------------------------------------------------- Date Card 8-1 Date Card B -t Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------- --------------------------------------------- _-- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ----------------------------- 24. Size Boxes & No. of Conductors -Stapled ---- - - - - - - - --------------------------------------•---------------•-----•---- 25. Romex InstalledClose to Edge of Studs & C.J. ------------ -------------------•-----•--------- 26. Equip. Ground made up w,Mech. Fastners-Bond Gas & Water --------- 27 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------- ------------------------------------------- ---------------•----- 28. Subfeed Wore Size ga. Cu or AI-A.C. Wire Size 'ga. Cu or At ---------------------------------------------- ------------------------------•--- 29. Range Circ. ' • ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- - ----• ------------------------------•-- 30. Service -Poser Conductors & Ground -Main Disconnect ----------- -•----------------- --------------•-------------••------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. ---- - ---- ------------------------------------ ------------ -- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ----------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - - - -------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ir•s 34. A C Ducts Insulation & Support --- -------- ...--------------------------------...-----..-..------------- 35. Vent Fan: Exhaust above insulation ------ - - • -------.------------------------- - -- 36. Condensate Drain & Overflow. Size & Grade .__.. .. .I........ ....... ......-'-------- - .. ... ... .. ... ....._ 37 Furnance-Vent. Access -Comb Air -Return Air Vent -115 outlet 36 Attic Access & Platform it Furnance in Attic Date Card B -I Date Card B -I Date Card B Date Card B-1 Date FRAMING tPlansl OK .,xcew :r s . 39 Sits Proper Material & AnChnrS 40 Wills Slirds-Nailing `ipur:uig & Gracing -Pules -Sound -11 Boaring Walls over & Fhmr N:utintJ 42 Drill Slot) ri walls (r:rl prinrll 4:5 Fur filo{7� Furn?rt C uilinrJti fila rS•1]hascs-ino .. 44 Hr.11lr4 ' Gi?am-'ii,:r!& lie:lnnrl .... . 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fre Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings --- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection •------------------------ -- 64. Bedroom Exiting •-•--------------- ------ -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel: Breaker Sizes & Labels - 67 Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth -------------------------------- 69. ---•--- ----------------69. Elec. Outlets at Wood Panel: Int. & Ext. • ----- ------------------- 70. -•---------------70. Kit Fixt& Appliance: --- Gr-n-d.-A-ir Gap -Cooking Cookin9 Cle_ar ance _- 71. Elec. Outlets & Receptacles at Kit. Counter -•-------- --• --------------------------- 72. Garage Fire Door: Swing -Landing -Closer ------- -------------------- ------ 73. A.C. Duct in Garage -Damper ------ ---------------------------- 74. Wtr Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -- -------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------- ----- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor-- ❑ Yes .---- ----------------------------------------- 80 Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes '❑ No ..------ ------------------------------------ ...... 81.. Stucco: Brown -Finish 82. A C. Unit: Disconnect. Electrical. Plumbing ...--- --- ...._.---------------------9-: ----------- - - 83. Vents Above Roof: Plb Appl ante-FireP lace. -Clearance to Openings --------------------------- ---- 84 Water Well: -Disconnect. Electrical. Plumbing ...... -- ---- ----•------------------------ - 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground . . .. .... ...... I---- ------------------------ 86 Ventilation Throughout House .. ... ... ..----- - ---- -------------------------------- 87 Glass Protection . - ------------- 88 ------------88 Corrections from Previous Inspections 89 Gas Tost-Meters Tagged: Gas -Electric ..... .. - ---------------------------- 90. Water & Sewer Connected -C O to Grade -HO Approval .. .. . . . -_ . - -------- ----------------------------- 91 EnerCompliance Certohcata-Other Certificates Date Card 13-1 Date -Card B-1 - ---------- .. ---- Date Caru 3-I Dale - ---_Card B-1 - __-- Date Cud 6-1 Card B-1 Camments at Final 4t Y ,I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ION 7 County Center Drive - Oroville }Calii�rnial 95965 - Telephone (916) 538- 41 PERM NO. APPLICATION AND PERMIT ASSESSOR PARCELNUMBER n28-gin-ogg ZONING A5 ByfLDING PERMIT OWNER TED gTaFT.Ow TELEPHONE 533-9187 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 199n RnBTNqQN ST-, OROVILIE, CA 95965 CONTRACTOR'S NAME OWNFR TELEPHONE -j CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 94-90 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS IWO 211URYOR'S WAY, BANGOR PERMITFEE. $ 1 4-5n PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EXX Describe Work: 1ST RENEWAL BP#95-2399 — Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 f. II force and effect. /� `` License Class Lic. No. [ic G OY OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR So. OR ADDNS. ( 8 ACC. BLDS. ) 3.5Q FT. NEW CONST, MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL S0 Ex. Occup. ( OUTLETS (RE ISIS D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 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, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) rov ions. X Date < �(o� / Signature of Applicant - ❑ O r ❑ Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.(ZIA MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 114.50 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. B Date 10/16/96 PERMITEXPIRESON 10/31/97 (Date) Receipt No. 206671 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ew lb 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 4 A. P. No. 6c gff Proposed Building Use Building Inspector Date At time of permitlapi5lication, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans'Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pi p at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant wd?e:F't.r . ,(yc,y,; r•r.7?.^^„^�c'rr:rri.�s^rr .,:F :'.'N Xa ,��- ae„, -„ COUNTYOF BUTTE -DEPARTMENT Of f D'.ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER �J /4 P. No. Proposed Building Use V14 r I EGUG( Building Inspector Date At time of permit plication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY . 1. All items have been submitted . ....................................... . I 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. . '...... ............. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................... .............. . 6. Energy Design Compliance and supporting documentation. ................. . i 7. Statement of Intent for Non -Heated and A/C Buildings. .... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.......................................... 11. Impact fees'as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. F, 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........ 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Building Inspector ctor required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ............. . t* 23. Owner -Builder Verification (Given to owner , Mail to owner ............ '24' Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of'signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ........................................ . 28. Mobilehome utility clearance. ......................................... . 29. Documentation of legal access . ...................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... ................... 32. Plan check list . ..................................................... 33. J� 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi k pat office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone .y` mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone"_ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Im COUNTY OF BUTTE- DEPARTMENT OFA DEVELOPMENT SERVICES - BUILDING DIVISION .�, 7 County Center Drive - Oroville, California .95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT -2 ASSESSOR PARCEL NUMBER 028-210-059 ZONING A5 BUILDING PERMIT OWNER TED BIGELOW T D 187 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1250 ROBINSON ST OROVILLE, RNINN 95965 960 M 17,280.00 CONTRACTOR'S NAME TED BIGELOW CONSTRUCTION TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS _ Filing Fee ,$ 20,00 Permit Fee $ 189.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 122..85 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 100 SURVEYOR'S WAY PERMITFEE $ 331.85 OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Water piping 15.00 5.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (24X40) Mobile Home I S I GI W 1 @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 1 20.00 Main Service OOOV OR LESS ( L, -"-A OR Less ) 1 23.00 Main Service ( 200A TO 1000A ) 46.00 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 m license is in lull force and effect. ` y / O 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. ❑ 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 NEW CONST. DWELLING OCCUP.SO. OR ADONS. ( s ACC. BLDS. ) 3.5Q FT. 33.00 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE ourLEr cIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAIL FIXED APPWS. OR EX, Occup. OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) kknotthat in the performance of the work for which this permit is issued, I shall knot 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' compensations of section 3700 of the Labor Code, I shall forthw mgl with isions. Date Signature of Applicant - ❑ O Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 474.05 HAZ. D. FEES IMP FLOOD XX cDF PARCEL PD Ho ISSUE — This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. - 1 yDa v ` 1V (� (4t-) Receipt No. 185823 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I --+��r^_.i.��y+l,;�r.,.r-w7'*r'tir�r:-S'irtS'"'•�!'^.h'_r,�+.�;�'����ii��� %}+�t�''-:.i'L.I'�"���*f^-�.r 7r:..a,�:j :�i �h"�F+.F�,;'y"�+t�r �a�x2m'^+fr_,q'rs;�s,. .. - COUNTY OF BUTTE = DEPARTMENT OF DO, EWPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA'LORNIA 95965 -TELEPHONE (916) 538-7541 1 PERMIT APPLICATION DATA SHEET OWNER E' !O A. P. No. Proposed Building Use ✓� f Building InspectorDate At time of permit application, I was advised the following data must be submitted•prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2: All items have been -submitted . .......................................... Plot plans, 3/4 sets, signed by preparer of plans . ..........................• 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered 'plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ....:....................................... 6. Energy�Design Compliance and supporting documentation . ................... /, 7. ti 8. Statement of Intent for Non -Heated and A/C Buildings. . Engineered truss details and layout in duplicate (required prior to plan check). 9. .... Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $......................................... t PF 11. 62 Impact fees as shown on attached schedule. ..... ,f ¢' e California Department of Forestry plan approval/feesp`* c�_�/0! 13. Flood elevation letter (100 year floo�by Cali grnia Engineer . ................��''�, Sanitation r0✓ i ( Health Department and plot plan approval . ........... . 15. City of Chico plumbing permit. ........ 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . ,20. Pre -inspection for Ire -Inspection requesi p required. . . to Building Inspector. - (Date) 21: -Contractor's license information. (No.,.Name Style, Classification) . .........:". - 22. Certificate of Workmans Compensation Insurance . ......................I l_ 23. Owner -Builder Verification (Given to owner , Mail to Owner-=)........ F 1 �e S f � WK 24. Recorded copy of Agricultural Acknowledgement Statement .. ............... I 25. Letter of signature authorization.....................................;x(07- K�061 uQ I_ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 1 k 27. Letter of intent on building use. - 28. Mobilehome utility clearance . ..................: .................. 29. Documentation of legal access. . ; ............. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ......... .r .......................... . 32. Plan c ck,li WWhou issue the per i pl[ocess as follows: MaiLtQ owner. I Mail to contractor. Telephone nd hold for pickup at r office. Deliver with inspector. Other Parcel Creation _ c Acreage Applicant - Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By ^4� The following data must be submitted prior to�permit issuance: (Circle new item not checked above). , 1. Index permit for above items No. T4& . 33 2. Additional items required: Contractor, designer, ow , was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, as sed of above required d by _phone _ I er by _ Date Plans checked by Date 0 • Plans approved by Date to '�0'�5 Sets of plans on hold i File cabinet 3 AP folder Copy Department of Public Works COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chic6, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 9� a PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector Q TS ed i 6 REV 10/92 OF BUTTE f ,BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 - 7 County Center Drive, Oroville, CA - (916) 538-754.1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I ca 4' ! � �� df O e PERMIT NO. A routine inspection indicates that the following violations�of Butte County Ordinances exist at the above address and should be corrected. Please notify, this office when correction of work is completed. If u ave any questions pertaining to this matter, or need additional explanation, please conte this office immediately. w zA /1. e E.H. USE ONLY Mt Plan Anschad Flo" Plan AnachW Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L^� tG E-ZJw 1gr-)It--1zVry04S Owner Location �j �Aa 1G Plan Approved for: Sewage Disposal Water Suppl Public Clearance for b — O-0th—e-h��— M Holdal for: Finalr_earance O.K. for: NOTE- AP# Private Well j �� ) C7, Environmental Health SpecialisK Date 4 /07 -jr, �. FW� ~ C ocp ���� �- ° Q p Ica LO Cil i �'j KIP GD 3 �. Location of structures o equipment shall be as shote 8► clear of all easements. o r -Ai.LSITE.Itvl� %q-4(-E�,Li`4klk p RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S. F. , DUPLEX & MISC. ONLY.)•--- - qz ' Bldg. Permit. # ./J. _� OWNER A. P-. 4 a, Plan Checker GENERAL Zoning requirements: (sideyards and number of permitted living uniis)-.-'"�`7 Valuation. o Plans signed by designer. - = _ • �� Proper description of work on application. �. Existing violations on property.' Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).': .� Recorded notice of violation. _ U06-11 LArnON PLAN '`'� l�&cA W , r-/ G Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. NEv-D 94wp Other buildings or structures. Grading, fills, drainage. '-AVL- fai2 M,"4 � � h2w�e Cd1 f2Z4F_ ' Flood hazard. 29v5����`�° hct-+�ZR` wl Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). ,7< FAU & FAS road setback. ,8" Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204).. G'Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). A."' Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). 14-C 1 - 3'0" exterior exit door (sec. 3304 (f). 1. Fireplace and wood stove location, alcoves, and clearance. d,k4. oke detectors (Sec. 1210). umbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS O'�� Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. -�: Three story building requiring engineered calculations and plans. ' Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building K. Roof construction details complete enough to construct building. 4.Fireplace construction details and calcs if necessary. j19: Rafter ties or bearing ridge beam. j1,,k.`.,Ga rage door or porch header sizes. Stud heights. Adobe soils - special foundation design. .dam Retaining walls requiring design. Special Inspection required. 8/91 RESIDENTIAL --PLAN =CHECKING : GUIDE "� sn=' rrkxx MISCELLANEOUS.-,-ITEMS-.TO-LOOK-OUT FOR _ee . ,.........,w... _..._....�...w.....�...,.,...,,w:.r..e.r....R..m..,s....,....�.:� •.} to Stairway --details:-- landings, rise and run, 'head clearance., handrails µe,� (Sec. "3306). r`'t Guardrail details ,.(Sec. _ 1711 & . 3306Q) ..: Brick or'stone veneer (Chapter 30) . Exterior 4 - Exterior plaster - weep screeds (Sec. 4706). 5. , Proper roof pitch for roof convering (Chapter 32) . Zr Roof covering type - (fire hazard). Foam insulation ,-_ ,protect_ ion. __ . 36" 'halls and 'stairways . Living area over garage - complete 1 -hour separation required on garage side � including supporting walls and posts, etc. �� Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). A Attic access and ventilation (Sec..3205). nderfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. a. Noise requirements on duplexes. . Energy design. �1 1 Flashing at all exterior openings. 1 OF responsible area requirements. M(r W7 �7-/Qjly F�S%bs -+ -IZ"t" --� -)�"/ scjj z 191I�l50Z �Z+Z/Ohj � ")79 -Z 'I n TIV(y1 (3Nr 4 z nl7rn ro --6rODM Z-Twlff I -Z:�D"-6 rnI � Q \ ` i I �' 4-14 1' t t • t , !"-.r.:�<:I`w LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ?,; �f;i`.= ?w�'�-":-•S: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 sTed:BlgelOw TELEPHONE: (916) 538-7541 LOO Surveyor's Way FAX: (916) 538-2140 Bangor, CA 95914 Re: 24x40 Garage/Storage Building Date: 10/22/95 A.P. No. 028-210-059 Permit #95-2399 With reference to the above subject, attached is: [x] Plan Check List [ ] Red Marked Calculations [x] Plot Plan ' r [x] ,Other: = Sample Plot Plan - CDF Fire Safe Requirements Action Required: [x] Comply with plan check list [x] Resubmit plans with revisions as required [ ] Resubmit calculations .with revisions as required. [x] Return all material attached Should you have any questions, don't hesitate to contact me at (916) 538-7541 Monday through Thursday. Sincerely, George R. Kellogg Plan Check Engine I Permit Applicant: Ted Bigelow Permit #95-2399 Date: 10/22/95 The plans and calculations for the above referenced project were reviewed by this office. Provide additional information and/or make revisions to plans, specifications, or calculations as follows: 1. Provide clarification on the intended use and occupancy classification of the building. The plans submitted state the intended 'use as a storage building and the occu ancy as "B-2". The application states the use as a garage and the occupancy as M" Which is correct. 2. Revise the plot plan to provide the information shown on the sample plot plan. Provide 3 copies of the revised plot plan. 3. CDF Fire Safe Requirements attached are to be part of the app oved plans. Ted Bigelow 100 Surveyor's Way Bangor, CA 95914 Re: 24x40 Garage/Storage Building A.P. No. 028-210-059 With reference to the above subject, attached is: [x] Plan Check List �1 [ ] Red Marked Calculations [x] Plot Plan [x] Other: - Sample Plot Plan CDF Fire Safe Requirements Action Required: [x] Comply with plan check list [x] Resubmit plans with revisions as required [ ] Resubmit calculations with revisions as required [x] Return all material attached Date: 10/22/95 Permit #95-2399 ' Should you have any questions, don't hesitate to contact me at (916) 538-7541 Monday through Thursday. Sincerely, George R. Kellogg Plan Check Engineer Permit Applicant: Ted Bigelow Permit #95-2399 Date: 10/22/95 The plans and calculations for the above referenced project were reviewed by this office. Provide additional information and/or make revisions to plans, specifications, or calculations as follows: 1. Provide clarification on the intended use,and occupancy classification of the building. The plans submitted state the 'intended use as a storage building and the occupancy as "B-2". The application states the use as'a garage and the occupancy as "M". Which is correct. 2. Revise the plot plan to provide the information shown on the sample plot plan. Provide 3 copies of the revised plot plan. 3. CDF Fire Safe Requirements attached are to be part of the appoved plans. MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. ITest. Compaction eq.' vice ze Other Load Type Pipe Size Len th YES 561 YES NO 55U RESIDENTIAL • 028-210-059 PERMIT#95-1473 BIGELOW, Thomas 100 Surveyor's Way, Bangor Water Supply for Fire Sprinkler/'MH i - ©,-7 D&7�6 1pe Y,,%/ �o �-�- t l •�t JOB FINALED (Date) �, /® �7 Signature J=OK O = Not OK Not Ap = 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) 1 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Ir 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 6. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable RESIDENTIAL'(; =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.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 1E. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------- --------7 ------- ------------------- 17. Water Pipe: Test & An chor-N ai I Protection 18. D.W.V.:--Test-Fittin s & Anchor -Nail Protection -------------------- ----------------- - - -19. Shower Pan: Test. First Floor -Tub Access --- -- 20. Test -Tub & Shower. -Second Floor -Tub Access ------ ------------- --------------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------- - Date Card B-1 Date Card B-1 --------------------- ------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Ctearance-Ins. Protection ----- - -------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ----------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------------•---- 25 Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------ 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water --------------------------------- ------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ---------------- ----------------------- ----- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. Cu or At i -------------------- ------------------------- ---- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - --- --------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- -------- -----------------------------•-- 31. Equip. Clearances Panel s-Motors-Mech. Equip . ----------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------- -- ------------------ -------- ---------- 33. Smoke Detector ------------------------------------------------------------------ ------------ -- Date Card B-1 Date Card B-1 ------------------- ------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support •--------------- - - - -- ----------- - ------ - ---------------------------------------- 35. -------- - ----- - - - - --- - - - -- - ---- 35. Vent Fan: Exhaust above insulation ---------- ---- - ----------------------------•- - -- --- 36. Condensate Drain & Overflow: Size & Grade -------------------------------------- -- - -- --• -•---- 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38 Attic -Access-&- Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - --------------------------------------------------------------------- --------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing - -- - - - ---------------------------------------------------------- 42. Draft Stop in Walls (rat proof) --- - ----- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- -- - -- -------------- ------------------------------------------- 44. Headers & Beam -Size & Bearing 'Ir%gle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. VentE-Underflr. Access 57. Glazing Area -Glass Protection-Skyl ghts-Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - -------------------- Date ____ _ Card B-1 _ Date _ Card B-1 Date - -Card B-1 - Date Card B-1 Date FINAL (Plans) OK except 1!'s 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ -- 62. Smoke Detector -------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor- Ducts-Mecn. Protection -------------- 64. ------------ 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- -------------- 67. Stairs & Rails ---------------------- -- --- ------ --- 68. Fireplace or Stove: Clearances -Hearth ----------- . - -------------- ---------------------- 69.-Elec.-Outlets at Wood Panel: Int. & Ext. ------------------- -- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --------------- 72. 72. Garage Fire Door: Swing -Landing -Closer ---------------------------- ----- -- - Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ------------------------------------------ - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ----------------------------------- - 7,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------------------------------- 81. Stucco: Brown -Finish ---------- - ----- 82. A.C.Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------------- ------------------------- _ _ 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - ------------------------------------ 87. Glass Protection 88. Corrections from Previous Inspecticns ------ -------------------------- 89. - 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ 91. Energy Compliance Certificate -Other Certificates --... - --------------------- Date -------------------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 - OroOlb,-tAlifornia 95965 - Telephone (916) 538-7541q��' /,PERMIT RMIT NO./ APPLICATION AND PERMIT ASSESSO PARCEL NUMBER 02 10-059 ZONING BUILDING PER OWNS t%omas Bigelow, Jr. TELEPHONE 533-9187 SO. FT. OCC. BUILDING V N ATIO p est 850. OWN UNG ADDRESS 5� Robinson, Oroville, CA 95965 CONTRACTOR'S NAME William Squyres TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 100 RiirypVor's T PERMITFEE $ 66.00 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 8 Describe Work: Water Supply Mobile Home I S I G W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service OOOV OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 f II force and effect. r / / 11 License Class Lic. No. / � % D J OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. 1, 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. EX. OCCUp. ( OUTLET OR FIXTURES ) zo p I.00 BAL SO Ex. Occup. ourLEEDrs RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwitha rovisio X > _ _ Date Signature of—Applicant - ❑ Ovm� o for ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic abov for hich fees have been paid. Date PERMITEXPIRESON % �2 (Date) Receipt No. 180257 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL J I� f 028-210-059 PERMIT#95-1079 BIGELOW, Thomas Jr. 100 Surveyor's Way, Bangor Mobilehome Utilities p OFFICE COPY Address l GAS Meter By-.tj�� Da� ELECTRIC Meter By Date i -4 JOB FINALED (Da - NWL4 Signature `/y t J=OK O = Not OK Not eadyable MOBILE HOMES Date MOBIL OME UTILITIES Plans OK except #'s o g Requirements -Setbacks -Easements oil , pecial MH Support Sketch e Location -Test -Fall -C/O Concrete i ater; Location -Te Easem Need (Sketch) . Electricity; L on -CI re es-nd-�Amp-Concrete 6 Gas; Location W : / /"L"ft. / Wit. or L"ft ;'LPG A -Clearance & D lity Clearance Date Card B-1 Date Card B-1 Date- CardDate Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s f.—z9pirig Requirements -Setbacks Easements I Foo ' gs; Size -Spacing -Marriage Line i Gas' H Test-Demand-Valve—Connector lec ity; MH Test -Crossovers -Breakers -Clearances Dra' H Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ,Ler and Sewer Connected -C/O to Grade -HD Approval e&-'G'a-s and Electricity Tagged rl3!€ s; Insp.-Sketch Cert. f Occup ncy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL, (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation - 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- ------------------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection ---------- ------ 18. D.W.V Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access --------------- ----------------------------- 20. -Test -Tub & Shower. -Second Floor -Tub Access -------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 DateCard B-1 --------------------- -- ------------------------------------ ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------- ------------- ----------------------------------------------- --- 23. Elec.-Receptacles- - Spacing -Lights- & Switches at Doors - ------- ----------------------------------- ------------ 24. Size Boxes & No. of Conductors -Stapled --- ------------------------ ------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------------------------- Equip.-Ground. --------------------------------- Equip.Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------------------------------- ---- -------- ------------------------------- 29. --------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or At. Insulated Neutral ❑ Yes ❑ No T 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------- -------------- 31.- Equip -Clearances- - -Equip.-. Equip. ------------------- ------------------------- ---------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------- 33. ------------------ ----------33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------- ----------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------------------- -•--------------- 35. Vent Fan Exhaust above insulation ------------------------------------- ------- --- ------ 36. Condensate Drain & Overflow; Size & Grade ---------------------------------- --- --- -- 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet 38 Attic Access & Platform it Furnance in Attic ----------------------------------------- - ----- - - - - - Date---------- Card B -t Date Card B-1 -------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- ------- ------------------•---------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------- ----. - ---------------------------------------- I --------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) --- ------------------------------------------------------•-- -------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------- ------------------------------------- --------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room-Rise-Run-Landin Fire Protection ----- ----- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----- ---- _ 55. Siding -Nailing Veneer_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailinq-Bolts 59. Insulation -Walls -Ceilings_ 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mecl-. Protection ----------------- ---------- 64.- Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- -- ----- ------------- 67. Stairs -& -Rai-Is 68. Fireplace or Stove: Clearances -Hearth - -- - - - -- - - - - ----------------- 69. ----------------69. Elec. Outlets at Wood Panel: Int. & Ext. ------ --------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ --- ----------------------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter -------- - - - --- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper ------- -------------------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location --------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -•--------------------------------- ----- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor -- ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------------- - ---- 81. Stucco: Brown -Finish ------------------------- 82. ------- ---------82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings • ..... .. -- -- ----------------------- ---- 84. Water Well; Disconnect, Electrical, Plumbing - -- - - -- - - . ----------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ---------------- - 87. Glass Protection -- - - -- - ------------------------------------- 88. Corrections from Previous Inspectiors - ------- --------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ...... ---- . ---------•--------------------------------- 90. Water & -Sewer Connected -C/O to Grade -HD Approval ------ -- ----------------- ------------------ 91. Energy Compliance Certificate -Other Certificates ------ ------------------------------------------ Date Card B-1 Date Card B-1 -------------- ----------------------------- --- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ER// - ` PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date � Inspecto REV 10 92 { 4 } COUNTY OF BUTTE BUILDING DIVISION y<. DEPARTMENT OF DEVELOPMENT SERVICES ' ? 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 '- _ CORRECTION NOTICE ER// - ` PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date � Inspecto REV 10 92 F7 INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS' PER"TIE DOWNS INSTALLATION—INSTRUCTIONS .AND THAT -NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING ' STRUCTURE. COMPANY NAME: 1/0 o f Lo CONTRACTORS LICENSE # s' DATE: l l�®� 9� SIGNA PAGE 9 5.9250 59250 � MRA-'% 59110 MIC2 59096 59292 59292 MGRB 59145 MIDH 59100 MIS2 59105 CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD 5!8" X 30" CORAL ANCHOR LATERAL STABILIZER PLATE GALVANIZED ROOF BRACKET DOUBLE HEAD ONLY SWIVEL ADAPTER HEAD OR 6756 BUCKLES CovE MEmpi-iis, TN 38133 901-385-1 199 r, -,x 901-386-6614 PAGE 10 '4x-�j�^ ^rc�y!` t•"T7`^' ��rn.'"4`!'srT: ' MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE'S t, DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: ( C PERMIT NO.: Owner's:,(^� Name: J f L �,(J X10 ! NQS 7 :� Owners: 1� �- Address: G�'ULf 2 U C" Q K S (A✓ f. t d �• , Mobilehome Year of % T Manufacturer Manufacture: Serial number r� -7 / Insignia or If/J T ` - or V.I.N. ,_ HUD number: r Officialroving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 028-210-059 ZONING UILDING PERMIT OWNER THOMAS BIGELOW JR TnEPH6NE 533-9187 SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1250 OBINSON OROVILLE 95965 CONTRACTOR'S NAME d OWPILR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(JOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ' �D PERMITFEE $ Qe,5 gmrpmnl-�, WAY BANGOR PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities CP Installation ❑ Other ❑ Describe Work: 2XH 2 BEDROOM Mobile Home 920.00 60.00 PERMITFEE $ 80,00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 200AORLLEESS ) 23.00 23.00 Main Service ( 200A TO I000A ) 46.00 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 A Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.SO. OR ( 8 ACC. BIDE. ) 3.5Q FT. NEW CNS. CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) sA� 20 @ 1.00so EX. Occup. OUTLEEDTS PaESID. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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' com ensation provisions of section 3700 of the Labor Code, I shall forth�Comith tPse rovisi q �✓ X __ Date 3" l J _ Ignature of Applicant -0 e Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 166.0 HA _Z.JLFEESMJ FLOOD I CW7WIPD H ISSUE This permit is hereby issued under the applicable provisions of the B tte County Code and/or Resolutions to do work indic ed o for , hich fees have been paid. '• By ✓�'� ate /�/' PERMITEXPIRESON % 3 Gy (Date) Receipt No. 180122 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ���� f ��� - � .� r !s /Q ��9 Z4 `701", W <COUNTYOF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORN 95965 - TELEPHO E (916) 538-7541 PERMIT APPLICATIONIDATA SH ET OWNER Proposed Building Building Inspector �1111r.� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ..... !................................... 1. Impact fees as shown on attached schedule. . . 12. California Department of Forestry planapproval/ es.�S-%�- 13. Flood elevation letter (100.year.flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ..... ....................... . 16. Plot plan and business license approval from City of Biggs/Gridley. . ... ........ 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... 19. Driveway permit (construction approval required prior to occupancy). .. . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector. (Date) T 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed J and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Ian check list. ............................................T- 1 S>�(6�IZL�1Z .Szl�Ly�Sifit's7�M PE�hcr QeQID Glj q qS When you issue theermit, rocess as follows: Ma' to own r Mail to contractor. Telephone and hold for pickup at i2Sl/ t office. Deliver with inspector. Other C Parcel Creation Acreage Applica 2 ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item'not checked above). 1. Index permit for above items No. Additional items required: Contractor, designer, w , was advised of above required data by phone _ mail Counter by -'ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Plans checked by Date Plans approved by �%'/ Date Sets of plans on hold in File cabinet AP folder. -7^ ,3 r 'jam Copy - Department of Public Works TO: �`� Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance €dot, .;? �uR v - Ours Owner on AqV Q0q- Plan Approved for: Sewage Disposal Water Supply: Public Clearance for �edroom obile Other Hold fidal for: Final clearance O.K. for: Environmental Health 8/92 USB O Plot Phu Mlacbed Plooc Plan Amchm Seat to B.D.- -1 .D.- "02� S Private Well •/ Date lmdmstrivs 201 CARLISLE COOS BAY, OHEGON 97420 (503) 267-4604 (800) 835-0652 FAX (503) 267-4848 PREMIUM HEAVY DUTY this rugged cortugaled suatitlese design is buing offmad in I•'rumium Glade and Hesmy•Duly Grade. If I(aavy Duty tank Is installed below Uioun(I, i1 caul only.be buried to lhu top of (hg..side wall. 11 also has a 20" munliolu cm [of) will) a removable call for ntutinlutill u;u. This lank lifts buun molded wills all FDA aPprovud malorial for Ixrlahlu wrtlur and loorl lifut+.11ing. It also hirs I.I.V. slahiliruru huill in lot 1114) tj YI' lur:liun a'(Uttinnl null lioltl ! 1•, • 'A 1• rnyn. II in if 11811 elder In ,. '•',:, �1��N. �yr.ii,,, reduce ulquu druwlli. FEA TURES: • THE RTI TANK HAS A LIFETIME WARRANTY. • THE VIII TANK IS EASY TO CLEAN - "NOTHING STICKS TO POLYETHYLENE". I • I HE H l'l IS A ONE-PIECE LEAKPROOF TANK. CAPACI I Y: THE- FITI CAN DE TRANSPORTED ;,250„ 500r t:s',u, t,j',ii, IN ANY FULL SIZE PICK-UP. This lank is huu :aeuulinll. It 1166i.1s nu sulipol1 System. SCOTT'S. TANKS P.O. Box 1273 Laytonville, CA 95454 (707) �j84 66.12 • TI IL= ITI,I • IS LIGHTWEIGHT - EASY -1-0 INSTALL. RTI is conslanlly adding new sizes and sliapos (Alanl(s to 1110ol ct.rslonters.',i s. 11 Ileum is a rw(luirt�ntont which Is nal is ed Iturc) in our standard sizos, pleaso adk the (iisltil.)ulot to call RTI. INSTAILLATION INSTRUCTIONS: Read carefully! Tho ROTQ '1 ECM putablevalor lank can bo iiislallud uithor above or buluw Missend. + I' Wdl l:l EVERY INS'f Al..l_A l l(:)N, I 1 IS IMI'011 I AN I' I () I'I.ACI_ LI IF 'I ANI( ON A l..F_VEI-, WELL. i u �SS(lj!.'PVq�Y I .•,I(N:ALL CASES II -IE lANK BAe,l_ MHsl Tal_ 1'ttc)ac:Gll_ID 1-110M I_IIOSION IaY WA'T'ER AND fjlA1;DY11.0 XTP WI•S,BEST TO PREVENT UNNECESSANY WAIEH WA111MING BY SUNLIGHT. if91li '. ;IF R,ECOMMENDEI) fl IA 1' TI It I U1' UI I I IL I ANI( Til= INS I AI-LL[D LOWEI'A THAN GROUND i'fIM• �MO:LE IS LARGE ENO1,1611 '10 BAGMAI.I. SOI.II)l.Y WITI GItANULAfI.D MATERIAI_.(NO VO.I!)a;)h'•YOU MU 'fi'•:FI.4'J".•I1IvlE-: TANK WITI•I WATER BEFORE BACKFILLING TO PREVENT ACCIDENTAL DAMAGE. BEI.O;1N;!' . 'ROUND TANKSv,QAN; BE• BURIED TO TIME HIM. DO NOT BACK FILL OVER THE DOME. IT IS NOT f�if�q 1i1!D: D 7�I+II�tif�+�M11 >jY�►'4Xl:B'E INSiTALLED UNDER VEIIICULAFi TRAFFIC AREAS. .. _�. i. '. Ohl'' IY I�� ••I Manutac4urers of ouivioi Mid RUPIAWs,,V. .9 ��� „��!kw!•� I:d �!', s , � Sheet No. 1303.01 Effective 2.15-93 Supersedes NEW CONTAMINENT - FREE FLOAT SWITCHES FEATURES: NONMERCURY FLOAT SWITCHES ENVIRONMENTALLY SAFE UL RECOGNIZED & LISTED CSA APPROVED TURBULENT RESISTANT PUMP UP SWITCH PUMP DOWN SWITCH BIDIRECTIONAL SWITCH .1 11,.,I un I evGl en 11 ISTMENT APPLICATIONS STORAGE TANKS SEWAGE LIFT STATIONS SUMP PUMPS PONDS ALARM SYSTEMS SENSOR FLOAT APPLICATIONS ORDER NO. CORD LENGTH DUTY MAXIMUM HP RATING MAX. AMPS 10 HS =WP IdCORD HEAVY 1 HP® 120v, 2HP@ 230V 1S AMPS 20 HS =WP 20' CORD HEAVY 1 HPQ 120V, 2HPO 230V 1S AMPS 20 HSBWOP 20' CORD HEAVY 1 FIP� 120V, 2NPO MV 15 AMPS BIDIRECTIONAL WITHOUT PLUG A•1 PLUMBERS SUPPLY 904 E. 20th St. Chico, CA 95928 w U - PUMP UP Order by Order Number - add Directional I D - PUMP DOWN Letter in place of the asterisk AVAILABLE IN 10 FOOT OR 20 FOOT CORD LENGTHS WITH PLUG ALL PRICES AND SPECIFICATIONS ARE SUBJECT TOCHANGE WII HOU1 NOTICE. F•.O.B. SI'IIPPING POINT I+AY6 PUMPS INC. 10(66 _.-'---_....._.. . HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 1 CONTRACTOR: WILLIAM F. SQUYRES, JR', - FIRE PROTECTION ADDRESS : P.O. BOX 3176,'CHICO, CA 95927 (916) 345-1012 Date: 06-29-1995 File: BIG -1 JOB : BIGELOW MOBILE, 1HEAD FLOWING STATIC 32.0 Psi RESIDUAL 28.0 Psi FLOW 40 GPM SPRINKLER MANUF CENTRAL MODEL : R -1A MIN SPR FLOW 13.0 GPM MIN SPR PRES 10.1 Psi NODE ELEVATION K- PRESSURE DISCHARGE NO. -------------------------------------------------------------------------------- FEET FACTOR Psi GPM 1 8.0 4.10 10.2 13.1 2 8.0 11.3 3 8.0 11.3 4' 8.0 11.8 5 8.0 12.2 ". 6 8.0 12.7 ' 7 8.0 13.0 ' 8 1.0 SOURCE 16.5 SPRINKLERS FLOWING AREA PER SPRINKLER TOTAL DESIGN AREA REQUIRED DENSITY COMPUTED DENSITY TOTAL SPRINKLER FLOW TOTAL DOMESTIC FLOW TOTAL WATER REQUIRED TOTAL SPRINKLER PRESS WATER METER LOSS VALVE FIXED LOSS SUPPLY PRESS AVAILABLE DEMAND PRESS REQUIRED PRESSURE.CUSHION 1 194 Sq. Ft. 194 Sq. Ft. .07 Gpm/Sq,Ft, .07 Gpm/Sq.Ft. 13.1 GPM 0.0 GPM 13.1 GPM 16.5 Psi 0.0 Psi @ SOURCE 0.0 Psi @ SOURCE Copyright(1991) 31.5 Psi by 16.5 Psi HydronicS Engineering 15.0 Psi 34119 Fremont Bl, Suite 609 Fremont, Ca., 94555 (415) 487-9160 MAXIMUM VELOCITY 6.8 F/S HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 2 CONTRACTOR: WILLIAM F. SQUYRES, JR., - FIRE PROTECTION ADDRESS P.O. BOX 3176, CHICO, CA 95927 (916) 345-1012 Date: 06-29-1995 File: BIG=1 JOB : BIGELOW MOBILE, 1HEAD FLOWING PIPE BEG FLOW K -FACTOR LENGTH C -FACTOR PRESSURE NO. Gpm FITTING TYPE FTG FR- LOSS Psi END DIAMETER TOTAL (Psi/Ft) ----------------------------------------------------------------------------- 1 q= 13.1 K= 4.10 L= 5.0 Pt 10.2 Pt 10.2 1 Q= 13.1 F=L F= 7.0 C= 150 Pe 0.0 Pv -0.3 Vel= 6.8 D= 0.884 TL= 12.0 0.0906 Pf 1.1 Pn 9.9 2 Pt 11.3 ------------------------------------------------------------------------- 2 q= 0.0 K= 0.00 L= 4.5 Pt 11.3 Pt 11.3 2 Q= 0.0 F=L F= 7.0 C= 150 Pe 0.0 Pv 0.0 Vel= 0.0 D= 0.884 TL= 11.5 0.0000 Pf 0.0 Pn 11.3 3 Pt 11.3 ---------------------------------------=---L----------------------------- 2 q= 0.0 K= 0.00 L= 12.0 Pt 11.3 Pt 11.3 3 Q= 13.1 F=B F= 5.0 C= 150 Pe 0.0 Pv -0.1 Vel= 4.4 D= 1.109 TL= 17.0 0.0300 Pf 0.5 Pn 11.2 4 Pt 11.8 ------------------------------------------------------------------------- 4 q= 0'.0 K= 0.00 L= 10.0 Pt 11.8 Pt 11.8 4 Q= 13.1 F=R F= 1.0 C= 150 Pe 0.0 Pv -0.1 Vel= 4.4 D= 1.109 TL= 11.0 0.0300 Pf 0.3 Pn 11.7 5 Pt 12.2 ------------------------------------------------------------------------- 5 q= 0.0 K= 0.00 L= 15.0 Pt 12.2 Pt 12.2 5 Q= 13.1 F=3R F= 3.0 C= 150 Pe 0.0 Pv -0.1 Vel= 4.4 D= 1.109 TL= 18.0 0.0300 Pf 0.5 Pn 12.0 6 Pt 12.7 ------------------------------------------------------------------------- 6 q= 0.0 K= 0.00 L= 6.5 Pt 12.7 Pt 12.7 6 Q= 13.1 F=2R F= 2.0 C= 150 Pe 0.0 Pv -0.1 Vel= 4.4 D= 1.109 TL= 8.5 0.0300 Pf 0.3 Pn 12.6 7, Pt 13.0 ---------------------- 7 q= ---------------------------------------------------- 0.0 K= 0.00 L= 7.0 Pt 13.0 Pt 13.0 7 Q= 13.1 F=3RS F= 10.0 C= 150 Pe 3.0 Pv -0.1 Vel= 4.4 D= 1.109 TL= 17.0 0.0300 Pf 0.5 Pn 12.8 8 Pt 16.5 ------------------------------------------------------------------------- Meter = 0.0 Valve = 0.0 ------------------------------------------------------------------------- ------------------------------------------------------------------------- 8 Q= 13.1 <<< SOURCE >>> Pt 16.5 E=>45-Elb L=>90-Elb B=>TeeBch R=>TeeRun C=>CouPlg S=>SwgChk G=>GatVly WILLIAM F. SQUYRES,Q JR.,, FIRE PROTECTION P.O. BOX 3176, CHICO, CA 95927 (916) 3.45-1012 HYDRONICS : FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + 90 + :m 7.0 + 60 + 50 + 40 + 30 X Static X Resid 20 + * Spr Sys 10 + * Elev Loss 0 --------------------- -------+--------+---------+----------+------------+ 0 200 300 400 500 600 700 800 900 1000 1.85 FLOW -WPM); E MELOW MOBILHi MAD FLOWING X - Water Supply Curve * - Water Demand Curve Static. 32.0 Psi Avail Press 31.5 Psi @ 13.1 Gpm Residual 28.0 Psi Req'd Press 16.5 Psi @ 13.1 Gpm Flow 40.0 Gpm Press Cush'n 15.0 Psi HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 1 CONTRACTOR: WILLIAM F. SQUYRES, JR., - FIRE PROTECTION ADDRESS P.O. BOX 3176 CHICO, CA 95927 (916) 345-1012 Date: 06-29-1995 File: BfG-2 JOB :.BIGELOW MOBILE, 2 HEADS FLOWING STATIC : 32.0 Psi RESIDUAL 28.0 Psi FLOW 40 Gpm SPRINKLER MANUF CENTRAL MODEL : R -1A MIN SPR FLOW 10.0 Gpm MIN SPR PRES 5.9 Psi NODE ELEVATION K- PRESSURE DISCHARGE NO. FEET FACTOR Psi Gpm ------------------------------------------------------------------------------- 1 8.0 -4.10 6.2 10.2 2 8.0 6.9 3 8.0 4.10 6.3* 10.3 4 8.0 -8.1 5 8.0 8.9 6 8.0 10.1 7 8.0 10.7 8 1.0 SOURCE 14.9 SPRINKLERS FLOWING AREA PER SPRINKLER TOTAL DESIGN AREA REQUIRED DENSITY COMPUTED DENSITY TOTAL, SPRINKLER FLOW TOTAL DOMESTIC FLOW TOTAL WATER REQUIRED TOTAL SPRINKLER PRESS WATER METER LOSS VALVE FIXED LOSS SUPPLY PRESS AVAILABLE DEMAND PRESS REQUIRED PRESSURE CUSHION MAXIMUM VELOCITY 2 194 Sq. Ft. 388 Sq. Ft. .05 Gpm/Sq.Ft. .05 Gpm/Sq.Ft. 20,5 Gpm 0.0 Gpm 20.5 Gpm 14.9 Psi 0.0 Psi @ SOURCE 0.0 Psi @ SOURCE Copyright(1991) 30.8 Psi by 14.9 Psi Hydronics Engineering 15.9 Psi 34119 Fremont B1, Suite 609 Fremont, Ca., 94555 (415) 487-9160 6.8 FIS •8YDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 2 CONTRACTOR: WILLIAM F. SQUYRES, JR., - FIRE PROTECTION ADDRESS :.P.O. BOX 3176, CHICO, CA 95927 (916) 345-1012 Date: 06-29-1995 File: BIG -2 JOB : BIGELOW MOBILE, 2 HEADS FLOWING PIPE BEG FLOW K -FACTOR LENGTH C -FACTOR PRESSURE NO. Gpm FITTING TYPE FTG FR- LOSS Psi END DIAMETER TOTAL (Psi/Ft) .. ------------------------------------------------------------------------------ 1 q= 10.2 K= 4.10 L= 5.0 Pt 6.2 Pt 6.2 1 Q= 10.2 F=L F= 7.0 C= 150 Pe 0.0 Pv -0.2 Vel= 5.4 D= 0.884 TL= 12.0 0.0574 Pf 0.7 Pn 6.1 2 Pt 6.9 ------------------------------------------------------------------------- 2 q= 0.0 K= 0.00 L= 4.5 Pt 6.9 Pt 6.9 2 Q= 10.3 F=L F= 7.0 C= 150 Pe 0.0 Pv -0.2 Vel= 5.4 D= 0.884 TL=_ 11.5 0.0576 Pf 0.7 Pn 6.7 3 Pt 6.3 2 q= ----------------------'------------------------------- 0.0 K= 0.00 L= 12.0 Pt 6.9 Pt 6.9 3 Q= 20.5 F=B F= 5.0 C= 150 Pe 0.0 Pv -0.3 Vel= 6.8 D= 1.109 TL= 17.0 0.0687 Pf 1.2 Pn 6.6 4 Pt 8.1 -----7------------------------------------------------------------------- 4 q= '0.0 K= 0.00 L= 10.0 Pt 8.1 Pt 8.1 4 Q= 20.5 F=R F= 1.0 C= 150 Pe 0.0 Pv -0.3 Vel= 6.8 D= 1.109 TL= 11.0 0.0687 Pf 0.8 Pn 7.8 5 Pt 8.9 ------------------------------------------------------------------------- 5 q= 0.0 K= 0.00 L= 15.0 Pt 8.9 Pt 8.9 5 Q= 20.5 F=3R F= 3.0 C= 150 Pe 0.0 Pv -0.3 Vel= 6.8 D= 1.109 TL= 18.0 0.0687 Pf 1.2 Pn 8.6 6 Pt 10.1 ---=--------------------------------------------------------------------- 6 q= 0.0 K= 0.00 L= 6.5 Pt 10.1 Pt 10.1 6 Q= 20.5 F=2R F= 2.0 C= 150 Pe 0.0 Pv -0.3 Vel= 6.8 D= 1.109 TL= 8.5 0.0687 Pf 0.6 Pn 9.8 7 Pt 10.7 7 q= 0.0 K= 0.00 L- 7.0 Pt 10.7 Pt 10.7 7 Q= 20.5 F=3RS F= 10.0 C= 150 Pe 3.0 Pv -0.3 Vel= 6.8 D= 1.109 TL= 17.0 0.0687 Pf 1.2 Pn 10.4 8 Pt 14.9 ------------------------------------------------------------------------- Meter = 0.0 Valve = 0.0 ------------------------------------------------------------------------- ------------------------------------------------------------------------- 8 Q= 20.5 <<< SOURCE >>> Pt 14.'9 E=>45-Elb L=>90-Elb B=>TeeBch R=>TeeRun C=>CouPlg S=>SwgChk G=>GatVly WILLIAM F. SQUYRES, JR.FIRE PROTECTION P.O. BOX 3176, CHICO, CA 95927 (916) 345-1012 HYDRONICS : FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + 90 + .m 70 + 60 + 50 + 40 + 30 X Static X Resid 20 + 1* Spr Sys 10 + * Elev Loss 0++--+---+----+------+-------+--------+---------+----------+------------+ 0 200 300 400 500 600 700 800 900 1000 1,85 FLOW -(GPM). JOB BIGELOW MOBILE, 2 HEADS FLOWING X - Water Supply Curve * - Water Demand Curve Static 32.0 Psi Avail Press 30.8 Psi @ 20.5 Gpm Residual 28.0 Psi Req'd Press 14.9 Psi @ 20.5 Gpm Flow 40.0 Gpm Press Cush'n 15.9 Psi 07/11:'1995 15:07 0163451630 WiLLIIAM r 5DUIUY L , 'Residential- Pendent Automatic Sprinkler Manufactured by: Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Product Description The Omega Model R -1A Residential Pendent Automatic Sprinkler Is a low profile, aesthetically pleasing, ceiling mounted sprinkler that operates five to six times faster than a standard sprinkler. It offers a high degree of protection for human life and features a spray pattern that has been shown to be effective In the control or extinguishment of fire. The Model R -1A Is Listed' by Underwriters Laboratories as a Residential Sprinkler with a K Factor of 4.1, a temperature rating of 160°F/ 711310, and a maximum working pressure of 175 psi. It qualifies for Installation in residential occupancies In accordance with current NFPA 13, NFPA 130 and NFPA 13R. The Model R-1 A Residential Pendent Sprinkler and Escutcheon are available in three standard finishes, chrome plated, brass plated and white painted. The mating escutcheon plate is available with additional special finishes upon request. 'For apecdle haony roquiromenla Yee U.a approwiale rnlolnlallon cQnlalrwJ in this Eracnure Operation: A fusible alloy pellet is compressed with a bearing disc into a copper housing by a ball plunger. Heat Is absorbed by the heat collecting fins and conducted to the alloy pellet. At the rated temperature, -the alloy melts, causing the ball plunger to drop, freeing balls from the retaining groove. This movement allows system water pressure to force the orifice sealing mechanism and deflector assembly open. Water is then discharged in a pre -designed flow pattern. Technical Data Model: R -1A Style: Pendent (Adjustable) Escutcheon: Model R-1 A Note: Only the Model R-lA Residential Escutcheon may be used. Substitution of other escutcheons may Impair the operating sensitivity and distribution pattern. Orifice Size: 7/16" K Factor: 4.1 Thread Size: 1/2" N.P.T. Temperature Rating: 1600F/71°C Adjustment Range: Flush to Extended Approvals: U.L., U.L.C. - .Maximum Working Pressure: 175 p.s.i. Factory Hydro Test: 10001. at 500 p.s.i. Standard Finishes: Sprinkler: chrome plated, brac. plated and white painted Esirtitcheon: chrome plated, brass plated anc white painted Hlghest Allowable Ambient Tempera- ture: 100°F/380C Adjustable Range Below Ceiling: 1/8" to V Length: 2 7/16" Width: 1 1/4' (Deflector) Weight: 4.7 oz. Ino I WL NU I L-5: 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAIN ,: 0 GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3. PROVIDE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW d'() GALLONS. 4. THE FIRE SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BESET TO ACTIVATE THE PUMP AT 0, 5' PSI. 5. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 6. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICA I -IONS FOR OTHER REQUIREMENTS. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 0 (?57- , ASSESSOR PARCEL NUMBER 028-210-059 ZONING A5 BUILDING PERMIT OWNER THQ1-IAS BIGELOW JR TELEPHONE 533-9187 SO. FT, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1250 ROBINSON OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ° 1 0 U PERMITFEE S 43.00 BANGOR PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑N Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: 172 Mobile Home I S I GI W I -:::F @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service So OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 U11 force and effect. License Class Lic. No. & � y0 4 320 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC- ) SO. 3.5¢ FT. NEW CONS. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 US ) ( POWER APPARATOUTLET CIS 8 SINGLE . Occup. OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO EX. Occup. FIXED APPLNS. OUTLETS (RESID.) ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) �l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ff!'th tho�pcou i s. X 1�4 _ Date _ A ^ `J 7-3 Signature of Applicant -XOwner ntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ m 00 Energy Inspection Fee $ oer CONST. TYPE TOT FEE $ . 00 HA2. D. FE IMP FLOOD f` CD P PD H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic)Aad above foi1which fees have been paid. , /� •9� BY +� Date / PERMITEXPIRESON 1 S, al(la (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER S�a0w Al. dNo._ ��-c�IC7-O.S_ Proposed Building Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY When you issue the permit; process as follows: Mail to owr�gr. Mail to contractor. u, -'Telephone Telephone 5and hold for pickup at ewi office. Deliver with inspector. Other .-- Parcel Creation S✓ 3_-7-! Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to perrnitissuance r I ne item not c ec d ve). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, ow r, was advised of above required data by _ phone _ mail Counter by ate -7 3- a„ Contractor, designer, owner, was advised of above required data by_phone _mail C ureter by _Date Plans checked by Date Plans approved by Date %/7 -7S -- Sets of plans on hold in File cabinet AP folder V- 7-./7 Copy - Department of Public Works 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. 9. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. . jf_9_Fees of $......................................... 1. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ....................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking:. . ......... .-✓` 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. 20. PreansWction request Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance ........................... i 23. . Owner -Builder Verification (Given to owner , Mail to owner ............ _f 24. Recorded copy of Agricultural Acknowledgement Statement ..................... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ....,� 27. 28. Letter of intent on building use. . Mobilehome utility clearance . ...................................... 29. Documentation of legal access . ..................... :.............. -... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list. .......,............................................ . f h B!I!G D G( SE psm f c L - 7- �1!/ When you issue the permit; process as follows: Mail to owr�gr. Mail to contractor. u, -'Telephone Telephone 5and hold for pickup at ewi office. Deliver with inspector. Other .-- Parcel Creation S✓ 3_-7-! Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to perrnitissuance r I ne item not c ec d ve). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, ow r, was advised of above required data by _ phone _ mail Counter by ate -7 3- a„ Contractor, designer, owner, was advised of above required data by_phone _mail C ureter by _Date Plans checked by Date Plans approved by Date %/7 -7S -- Sets of plans on hold in File cabinet AP folder V- 7-./7 Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER LA.P. # Dag- a 1 0-0S j PROPOSED BUILDING USE DATE 7 REC. # DATE REC 1. SCHOOL DISTRICT FEES O ro (paid at District Office) > SHERIFF FEES (paid at Building Division) / Residential....... _x 3 (nb , _ $ 3(a --c unit amt. Commereiatx(sgft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$_ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER eg_ in S15 ZONING BUILDING PERMIT OW NE u TELEPHONE g SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADD Its CONTRACTOR'S NAME TELEPHONE NTRAOTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS �!"� v PERMITFEE $ ^ (7r( PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNIS IONS NAME PAAISEL MAP l Solar or heat pump Water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I;A1 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Mobile Home I S I G W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20.00 ' (Main Service E00V OR LESS 20oA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60` deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCURSO. OR ( a ACC. BLDS. ) 3.5¢ FT. CNS. NEWAD CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .S0 Ex. Occup. OFIXEDA RESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee 1$ 100.6 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 I HAZ. D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Dwe) Receipt No. WHITE-D.D.S.-B. D.����CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT This set of plans and speeMoations MUST be kept on the job at all ttwlt s. and it is unlawful to mage aA-y changes or sateratiom on game without Written permission from the Department of Public Works, County of Butte. \ s � LTJ 4' ® "Pl - wrot3: � xrl' N � fol0.v E AP�ou� N KUB- sYs-� GfPC, frcto5 Np,TE: Ail. Materials &° Workm Good Practices and Accordance with pecognized oa .,, Qua:iry prescribed for the Specified use pi thp, Tyt.jform Building, Plumbing & Mecbanloa] Codes and the National ElectrioaJ Code. ALL STRUCTURES AND EQUIPMENT INCLUDIN OVERHANGS SHALL CLEAR OF ALL. EASEMENTS A SET BACK OF 2-,-o—FT. FROM THE SIDE AND FT. FROM THE REAR PROPERTY LINES AND S-0 FI'. FROM THE ROAD CENTERLINE SHALL. BE CLEAR OF STI RUCTURES AND EC WPC � CI_ FOR A; 2 IFT. EAVE OVERHANG. Th#tacked Fir REVIEWED BY BUTTE CO. FIFE DEPT. CALIF. DEPT. of FORESTRY ❑ approve as submitted On approved wits conditions per attached sheet$ -"- Si naiLi@ Gate FiT..,-.*P �'Oi'Y ea ' requirements mi as specified and by C.D.F. Safe ;bec jg—%L 8 -a-I -59 AP# CDF FIRE SAFE REQUIREMENTS q5 -167-9 &GP oLo,�Th6ma5, Jr. PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. w 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• 1rte.-i-ant 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. [j(1 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius N1 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of ver*:i=i:1 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. [�G 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: 2. , 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. rvi 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 ()C] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [)(j 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ]- 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. } 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�} 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction :,r fi_ial inspection of a building permit. Page 2 of 3 -S9 q5 -/(D7q AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves fat Re/m. D ITh o rnez 5 Jr-. NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 V _M.H.L- 2 Mobilehome Manufacturer: )I�,Gx,#" Ilwy of Manufacture Year: If other than single wide, furnish Setup Model Number: A//% S72/4/ —1WZ 3771 r Width: ' ,o (ft.) Length: � 2- (ft.) Tagalong or Expando On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation �gradeC4 Other: SUPPORTS: Concrete block[ -.>q Other: .nG Down BtJC.- SPi4*�E'r'S.i (l� Provide Tie Down Specifications for all Mobilehomes: M 4 CA®4< 0ni�/�da2 j Pier Footings Sizes and Location SINGLE WIDE rEULTT- E Lim 1 , it Liao 2 .. _ .. Liae 2 .... ...... ...... c, ....:. ®IR........., .....gip. Line 2 ..,...�s..., .�...-;•-.....�1........ e u �....... Line I---- - _ Line LU e ®®.......to.........is......ID.........-....., J. ..,�+_..v�.,..�.... ....._..Vtamu ( Beaa .....{�...� .....Q .....p3 ...... ........®............. [►....V .. Line Z �Vo5�' , 33- or . ea -Ti 12 ... .4s PIR P�.j4,vS 14� ine 1 Line 1 Piers: Line 1 Openings , Size minimum: jXIx '' . P�' art;pSize minimum: 15' 61 x [ ]. Spacing maximum: [J. Each side of openings From ends -maximum: [ - . with widthover: [ ] x [ ]. Line 2 Piers: 8 1 ,, Size minimum: [ 121 x ]. Spacing maximum: [ S] x [ W11. From ends -maximum: x Line 3 Roof Loads: Size minimum Location (from front): Line S Roof Loads: Size�minim j _� Location (from front): I L' 4 Piers: � I Size n-&umurr [�].*x-[�I Spacing maximum: [ ] x [ ]. From ends -maximum: [ ] x [ ]. APPR.O� ED OYER "I 1. Owner's Name: '/ 110 M,# 5 % O' I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District �pv 1 44,v A.P. Number Jurisdiction: Ci r. Property Owner Property Locatic Building Department No. ty L)tj. ountY,,.,__.,, __. Subdivison Lot No. Residential Development` )J� 0 Sq. Footage 0 No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage N w . Addition (Including Exterior C Roofed Areas) a0dinc6i epartment R resentative f r fDate (Floor Plans reviewed by School District Personnel) D trictIdehti tion No. Y 6 0 U U V 1 01 at-) School Disirict certifies -t-. 4 (Ap lican (Street Addre(Phone Number) (City) (State) (Zip Code) " has complied with the requirements of Resolution No. �4�`- / ,d by payment of $ �C t representing square feet, AD 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Rem ks: _ Bank Number, Paid by Cash 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. t, White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. 95— ✓ 07 OWNERS 6L�e-NAME: `r C�n S PRINT LAST N E FIRST COUNTY ZONING A.P. NUMBER: DESIGNATION: ✓ FLOOD ZONE: C FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: Wq5 PARCEL CREATION BY DEEDS SPu r 8 G /F r vaev 7a 2vrara 92-/D¢!o¢ DATE OF CREATION: Al" DEED DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: K- YES _ NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS DATE OF RECORDING CoC r!Yv/G:SZorv1 O v 28-2/-58 iZrtMR/NryEK l G1Pi O�j PARCEL CREATION BY MAP LOT Pv2T� BOOR PAGE 5' 54- COMPLIANCE ¢ COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. :aSPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NO TED. aintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of ` 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. utomatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National ire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile omes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ Maintain a 100 ft. leachfield setback from all existing wells. aintain a "2d ft. leachfield setback from �iZ �i) (�.¢TIOtJ �:XTC a 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. %- 12. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12194 - C:1WP5I%FORMS.KIBLDGPERM.CLR RECORDER'S MEMO: POOR RECORD IS DUE TO QUALITY OF ORIGINAL DOCUMENT END 0£ DOCUMENT ,:/ ..-`-..-,�__......... ._.- _.-�� :�' +(�^ } 00- pg Esti _ 4./ S�''CYi�c �I,RTgc M� JF'R✓� 1 � �--- - v a REVtEWFD BY ,G3 BCITTF CO• FIRE QEPT• ._.. `y pRoP DcdivJ��C. f CALIr. L'EPT. Of FORESTRY p(! as subm teed Yy'd vvith co _•t- - - DalR 1 - _ _- - •- - ... ALL .STRUCTURES - AND EQUIPM-1� _ OVERHANGS SHALL BE CLEAR OF ALL EAS`t�lE _. FT. FROWTHE SIDS AND A SET E3ACK OF __ �D FT. FRO ,,l THE REAR PRt3PERTY LINES AND _ .. .. - - --- -_— - - rT. r ROU! THE flop-.0 CENTERLINE SHALL BE CLEARMPT STRUCTURES AND EGIUi£'r �-NT EX VEF}tAEtC . FOR A 2 FT. SAVE 0 M. D. B. SiM . U 8OAc- 1601&. 22 -14 I 2/ AC a n' :� 55 13 � ti a 54 I s56 20.01Ae f 20. 57 ' RS 61-42 -- V 4 �s�ct r 343 -8 3 sAcr ® 3/ c= 375nc OV 4QO/A o 40.0IAQ ' 40AC.2 4@ JACL ' 0 • G • a N !li5.fi 1265.97 - 35 see �e�rcn/o r 4o.otAc. N � -10 39 O40.03AQ 22 2491.39 44 160 ACPMI23- 54 5 23664r-? Ate * �A"' IZ32A I43.9d 4� .41 ?AC �`\• �v 4Q0/AC. 130439 •1` L O gO 14 ".75AC 145.02 AG 1 2 3Assessor s ap Na. 28- 2/ County of Butte, Calif. REVISED:2 - 92 CDF FIRE SAFE REQUIREMENTS Z� Z('S� clS i 3'j':F AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and Will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. Vj 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 LSV 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app irte-i-ant 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. [XI 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [k] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [� 2. The length of ver:i4i:l 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. [Y] 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 : -, . 2,1 - S�y 4�s- 2-2,'5 9 AP # PERMIT # NAM 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than II the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ J 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 I" 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 Dr fi�ral inspection of a building - permit. Page 2 of 3 ,2,? - 2-1 qJ - 2 - AP # PERMIT #� Other Reauirements [ l If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ l If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [l 7�_IX474� Date Signature Page 3 of 3 �` � , ,