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073-130-020 (2)
FIRE DAMAGE REPORT DATE: I '-1 Z--- C) y LOT I BLOCK TYPE I PERMIT NO. I PLAN NO. PERMIT IT A.P. ESTREV,KENNETH KELSOE 6510 Oro-Forbestown Rd., Oroville Permit 370-73P,E (relocate utilities f existing mobile home) '3�.Z.Z- 7.3- 73-13-20 SUBDIV. NEW OWNER -712`� (/%?9 HAROLD LUNDTOFF DATEISSUE Oro or e owhRd, 7/10 mi W/Robin- - son il, ltd, Fo be town Ontr• 0: 11. l� ngbeard,.Oroville Permi #4207- 9B(open deck) MH 73-13-20 contr: 0. C. Clinkingbeard, Oro. PernAt 41823-81B(new pri.det,garagej 73-13-0-020 f� 5-1871 P,E(MH) G BERT, Darrel 323 Forbestown Road, Forbestown (util, MH) -5 ELECTRIC �D GAS LINE 10 `1/ v lG COMPACTION TES -REQ /fI� SUPPORT STRUCT Q �� •073-- 3-0= 020 95-1870 MHI GI ERT, Darrel. 3 34 Forbestown Road, Forbestown {MHI/1871-95)/x, - n •/ ��/9 073-130-020 PERMIT#95-310F1 � i GILBERT, Daryl % 5-3234 Forbestown-Rd:--, Forbestow�iXq Ele for Garage�� - 073-130=020 PERMIT#96-0350 GILBERT „ Daryl ' 3234 Forbestown Rd'.,' Forbestown 'Ele Ser/Det Garage I PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING TV-RADIO-TVANTENNA V -VARIANCE BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT i 073-130-020 PERMIT#98-1430 GILBERT, Daryl & Diane 3234 Forbestown Rd., Oroville Add to Ex P i De Garage / 1/ 7/7199 HM -HOUSE MOVING EP- ENCROACHMENT D - DEMOLITION 600.1 1 -q X m A xl m> D -mi C D A D 1 C Q 3 r m m Q 3 r 2 2 v D p� D C N D N D N 3 N m D D vi m 2 m r CZ. Q> A m = D ni 3 Q> A Z Q m Q n m m m m m m m N m m m m m m m m 2 Q (!i O N i D � I m LOCATION, i 1 Q I � G ID FORMS, •m 1 m I I FOUNDATION to i Q I i I � Q a i REINFORCING m tIi 1 I Q m i O STEEL OD m O i tl� FRAMING Q D m i m ?I D m> D 0 m D r 1 N C A "' m Q 3 r D D v D D D N D N D N D N m D vi 2 2 U CZ. Q> N m = C ni 3 Q> A Q m Q m m m m m m m m m m m m m m 2 (!i N i LOCATION, Q O FORMS, •m 1 FOUNDATION i Q I REINFORCING D 1 I m i STEEL OD O i FRAMING b m Ul Q O m tll Q O D INTERIOR -1 m NE PERMIT NUMBER DN D N D D N D D D N D N D N D N D D Q> Q i Q> ni i Q> m m m m m m m m m m m m LOCATION, FORMS, FOUNDATION REINFORCING STEEL FRAMING b INTERIOR LATH b 11 EXTERIOR LATH b C! INTERIOR PLASTER a 05 EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL NE RESIDENTIAL 073-130-020 PERMIT#98-1430 PERMIT NO GILBERT, ' Daryl & Diane 3234 Forbestown Rd., Oroville PERMIT EXI Add to Ex Pri.Det Garage OWNER CONTR. `ASSESSOR PARCEL LOCATION f r t CHECKED Ar SRA % BY FLOOD CERTIFICATE REQ -FIRE SPRINKLERS REQ-_ SPECIAL INSPECTION ITEMS'' VERIFY';" .emp. Fbvwer.Pole Called PG&E Temp. Elec. Service Called PG&E 'Temp. Gas, Service Called PG&E ,JOB FINALED (Date) :V Signature aLIf V=OK O = Not OK `=Not t able NoReadyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. g Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements Footings; Soils-Size-Depth.Spacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shth .-Rf .-Bracin 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. ; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Windows -Doors . EI 6. Gas; Location -Test -Wrap; / /'Vft. / /Nat. or/ t'L"ft./ /LPG g.; Sils-AnchorsStuds-Rftrs-Trusses 7. Well Clearance & Disconnect in"iling Veneer -Stucco -Mesh 8. Utility Clearance oof; Shthg-Roofing 11. Ext.,; -Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; SizeSpacing-Manage Line 4. Elec.; Receptacles and Lighting, Distance -GA 3. Gas; MH Test-DemandValve-Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs-Type-Installafion Cert. 11. Light Niche 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date CKS, COVERS, CARPORTS, GARAGES lana OK except #'s 1. g Requirements -Setbacks -Easements Footings; Soils-Size-Depth.Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shth .-Rf .-Bracin 5. Alum. ; Columns -Connections -Splice -Decal -Enclosures Windows -Doors . EI g.; Sils-AnchorsStuds-Rftrs-Trusses in"iling Veneer -Stucco -Mesh oof; Shthg-Roofing 11. Ext.,; -Steps -Doors -Landings kX-Braced Wall Panels Date Date Date Card B Date Card B-1 Card B-1 Date Card B-1 LS lana OK -except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 = No OK RESIDENTIAL (Single & Duplex) N t 1' bl - - o Appice e = Not Ready Date UNDERFLOOR (Plans) OK except #'s FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Gmd.-/ i Ftg. Depth 47. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 7. Slab, Steel -Wrapped 51. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 53. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Pienums & Ducts; Clearance -Material -Support -Ins. + 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation r Siding -Nailing Veneer 16. Insulation 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Insulation -Walls -Ceilings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 62. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Ext Steps -Door & Sidelight Protection -Landings 24. Elec. Receptacles Spacing -Lights & Switches at Doors 64. 25. Size Boxes & No. of Conductors Stapled 26. Romex kstalled Close to Edge of Studs & C.J. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 66. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al G.F.I. & Bath Fixtures & Tub Access -Spa 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral p Yes 0 No 68. 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stairs & Rails 33. Clothes Closet Light -Shower Light -Spa Light 70. Fireplace or Stove, Clearance -Hearth 34. Smoke Detector 71. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support Garage Fire Door; Swing -Landing -Closure 36. Vent Fan, Exhaust above insulation 75. 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 39. Attic Access & Platform if Furnace in Attic 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 81. 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters Yes 0 No 42. Bearing Walls over Girders & Floor Nailing 83. 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs A.C. Unit Disconnect, Electrical -Plumbing 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: 5� (Rev. 12/96) .COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - •7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 99- J V , AsfJ"RPnn2 UI n l./LlJ ZONING BUILDING PERMIT OWNER DARYL AND DIANE GILBERT TELEPHONE 589-4175 SO. FT. OCC. BUILDING VALUATION 0 . OWNERS MAILING ADDRESS 3234 FORBESTOWN RD, OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDING ADDRESS 3234 FORBESTOWN RD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition &X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD TO EXISTING GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 VT.200A CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( DVT ACC. BLDS. SO 3.5¢FT. NON-REOSIIDDT MULTI.OUTLET 97,50 PowER APPAIwrus 8 SINGLE OIJILET CIR. Ex. Occup. OUTLET OR FIXTURES @''50 SAL @ .SO Ex. Occup. OXTTEEDfS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 39.60 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' C 4ensation laws of California, and agree that if I should become subject to the orkers' compensa 'on pro isions of section 3700 of the Labor Code, I s1pil ortiiwith comply w' th a rovisio hx Iindic a re of Applican - ❑ Owner ntractor ❑ ogent An OSHA permit is required for excavations over 60" de nd dem tion or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspectio Fee I $ OCC CONST. TY FE $ 267.50 HAZ. D. FEES FLO C PAR PD D ISS This permit is hereby issued under the of the Butte County Code and/or ab a for hich fees have By _ PERMIT EXPIRES ON .7,1-17 applicable provisions Resolutions to do work been paid. Date Date Receipt No. 244391 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,., COUIt 'VOF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 7. PERMIT APPLICATION DATA SHEET OWNER:! ASSESSOR PARCEL NUMBER: D`7 3 Proposed Building Use: Building Inspector: Date: At time of permit application, I wagadvise t e following data must be u mit ed prior to permit pioiishhg and/or issuance: r Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------- ------------------------------- E13. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -----;-- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10 Fees of $ --------------------------------------------------------------------------=---------- ❑ Impact fees as shown on the attached schedule.afees. ---------- - - - t n 2. California Department of Forestry plan approv--`------------------------ ❑ 13. Flood elevation certificate .----------------------------------------------- ----------------------------------------- • Sanitation and plot plan approval 13MVC 4, Health Department. ------------------------------------------- L C1 15. City of Chico plumbing permit. --------------------------`-------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Us8: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information.,.(Number, Name/Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- b23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. ------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. E126. Letter of intent on building use. ---------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. -------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ a �� ❑ 3 0. Other: ------- When you issue the permit, process as follows 6 Mail to owner, ❑Mail to contractor. _ ❑ Telephone and hold for pickup at office. ❑ Deliver with inmector. Applic ad Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Au Pollution ate: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: _ (Date) 1. Index permit application for the above items numbered: V ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: —� Date: Yellow Copy - Department of Development Services, Building Division. A TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance rcS ti`�.aY E.H. USE ONLY Plot Plan Attached Floor Planttached Sent to B.D�j/ �llb ��' 3Z3� 1"o2�Ps�Lv►J ��-- �3U -C�ZI� Owner Location A Plan Approved for: Sewage Disposa Water Supply: Public Private Well Clearance for dwelling. Other "'16, X Z� aAILP CLQ/ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date MUM OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return ties information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. , 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES q NO E3 2 I HAVE JF' HAVE NOT ❑ signed an application for a building permit for the proposed W6&' I have contracted with the following person (firm) to provide the proposed constnutiow r NAME. _ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons to pprMe the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: – - - -NOTE. -Tk'u Owner -Builder Verification is required by Section 199.31—d7J1te 9M-51 California Health and Safety Code. This verification must be completed arrd returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, -you should be aware that as "owner•buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you planto subcontract you should " be aware of the following information for your benefit and protection: .-L. -.,.. ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contributions;. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations uroer Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Paymen� and the Division of Industrial Accidents. M If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform .their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners carless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can conium that you are aware of these matters. The building permit will not be issued until the verification is returned. IIMirely, el C. Vi iia, C.B.O.ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Coda OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 b93 -130-00D APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER •� I ft TEIFP,MO^NE ���CI�L ' SO_ �, OCC. BUILDING VALUATION ^ OWNERS MAILING ADO7775 ast e /n , _ !'� C� coNTRACTCRS NAME ©L�Sh-�� CONTRACTOR'S MAUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILNG ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee S 7 BuenwGADOREss _ Energy Plan Checking Fee S s PERMIT FEE S a LOT NO aLreOWLSrDNSME NA PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 8°MFV Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel [3 UHGtiea,❑ InshaOatlon ❑� Iother ,❑� Describe Work: CeO�[ ALJ C� �C Gas f In stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I WT__ @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service o OORR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I nm 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 Llc. 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance Carr ter 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 penin in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 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 50• deep and demolition or construction of structures over 3 stories in height Main Service 20M TO 1000A 46.00 NEW OR ADDNS.T �y � �a P 3.5¢Fr; �. , 1OWAESID. MULTI oUnEr @7,50 POWER APPAMTUB & SNCiLE OUTLET d0. 1 Ex. Occu ovnEr OR fIXTUREs Bw 0.650 Ex. Occup. o,°RF,,L 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i .. C7 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ c c D. t IMP I MOOD I COF PARCEL PO HO ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON (Dato provisions to do work paid. ReceiptNo. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT g'hat11e� REVI�WF.D gY ,��i�.,� �P WofkmangMp FIDE DEPT. �r`8� i`- OL�I'Motioes 8,11 BUTTE CO' FtESTRY tqoTE: AA �zi�d - : T of FO A r.ordcs yt�th Recon f t Lhe arced use CALIF. DEP mittee of ����r g:z _o.� �a echa r—, -rsn roved as sub icy RII • nnS Oi'Yn B il]ltbu�.�, U I b ; a Urif pneatY� r approved Wtth pate w r This set of plans sand spW Maad0W tunes and it is unlawful to 0 make amy changed or alterations on same o n from the Department of pub a Works. County of Butte. ALL S PH9 ;.� , .; OVERH ►NCS SHALL BE CLEAR OF DING ALL !�gAJEM ANTS. A SET BACK OF — rT. �:.��.,.. - Amn 562 ter• rROM THE REAR PROPERTY LINE l AND SFT. FROM THE F'iOADEN`rLFiLtamt ort ,�-t-= ►�1r1 [RFS AND EQUIPMENT E t'CEPT /�ICiYY 1 .r. FORA 2 FT. SAVE OVERHANG. �V a tx 3 BUfte ��ED :. V . to =� -1?'[ 3 , Zv AP# CDF FIRE SAFE REQUIREMENTS '7d -4-3v 440-igey 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. [ 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-_,rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire -apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. // 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert -water shall be not less than 100 feet. [� 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ] 1210.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3--, 73 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. [] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from.ull property lines and/or the center of the road. 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 jr fi_ral inspection of a building permit. Page 2 of 3 ?3-(3-zo AP # L(- 3 a PERMIT # Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves 61L.,6&L-7- JO•*yL 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 7-7 -V Date Page 3 of 3 gnature w o 23.0-8 EL M-1 MICAL, MECHANICAL, AND PLUMBING PLAN CHECKED T-",.�INN ( NOT N, .S.M.4-LCON'-AL� WITH CURRtEINT EDITION OF NEC, UM -0 AiND UPC. 1� 5 i ZC, 014C S-OL3 Off, Iz'' f -I I ►�, i ZC, 014C S-OL3 Off, Iz'' f -I I ►�, f I� w NA o !t , BuTTE U NTY�. ��"pR 0 VF 1,11v BUTTIE COUN �-y BUILDING DEPAR A. P. 0 V F `�1 IAIYIII OUTIE COUNTY BtjjLj)R,,,,lG DIIEPAFITME-t4"' p. - R- f. . , 0 V F r' PJ ITTI= Pn"Kt'ry BUILUNG DEPARTMEN' P P V! 0 V F F� 1 Vii; ;� , •�,,,.1 .: � �' � •�` .A .`. � 11�; ':�. '' � ''• ' rr'11�: r•, ' .. 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(• '�',���� ' ;rl.lr:a �.•:n •i ,. .'1► ��, :'' S .i r►' L ,; '1', i '����t'•` �" ,', •f �• r , .:. .. 1 •: 1 :� • I' ' I�t. �i 1 , *►. � � 1 •1 ly J �? r'• ', I`11,'t'i. r� 1 y ���• �0 ! ,1•��''�i1..1 ,•: , �•t, t,i' •1�•i:/:, r ♦`. „��. , '' i.l ! r,� ••Y•'. ..1 �'` �I �1 71 of F-, i �:��, '� ��i ''� 1 1 t '1^ r':1. 1 •' ' ' Mv, �• • t ,� 'i'}� t � •• ' �� jt, 1 '. A 'nl. 1• n�f 'ia� i � r' 1' �,� S I��t1d��� • •' ''Y• � 1 1 't �. 1' 1 � Vit.. ' 1�'1 •' r. 1 ,i ..4 • .,T, 1, ,. .. 'i� t r '' ((1 r ,", CCC • 5 .1 ;.. �. ul' 1 '• 1, .+ at�t� t<I .•1 t . !t z An 1 -TTIE COUNTY -BUILDING DEPARTMEN lM1G' 0 I ie � t 9 dl& Eq,)TTF- COUNT-V- 6-Li,tLGqqra Day i%R-T, MEN A r p n 0 v Fplo I sBvH&KUmhw6jc womb= WORSE" 2 S3--ILR W—T.TZ (2 X 41 iyI woorr --pz jWC,) CiBdW=d w meo )e -,Pachg tin --Id=l 2 -in&. 6 240- 16 15 "d size Ict 9 mnmmi) 6d 6d 6r ad ,ad'A=d api:Eed N a-'-' s -,a .0 C��:t pm-.ne--,-z .03 a raDel t-- ;L-ficaj E�% fav s:—,nir.g at lnte:m�mj= -tugs - 12 !2 12 5 % able shm for winw- or sei--r.;_ ar= ir Pcclurxi-s per 1---= 224 ��o core =Y, ..ML C Ths¢ « zre for shun raft =ads due to weldor a* . exicagn ofal smumt qzxezMnm-.i btm*=md25% i=lwMm.'b8cb", AM24'Qr-u - w=u Sepwa Wft= ac e-dge and sLzp;.Po a V= w po� i— . h(MM Sfr-di NeASpft M bir -im whars ft V.Y. xab to -or .7, .1A.0.�. = SPAN TABLES The tables 'printed below are haePC.i I.ipc)i t11e 1.994 UBC. 'L'he rafters 'and jdifit9 meet be r)r)1_icjl.+a(a FJ..r-i.,ar.c'll 117_ cox- iJ�l--.t� '. FLOOR JOIS'T'S ROOF _R11F'TER9 _.__.ip i elope ----...----11.1_1_.---.-•---1__111---..-. 40 pef live 1C1, to praf. clend 1C)irl M( 2.n rSf. JAV P. .Land, 10 Pe f diad load SIZE SPACING MAXIMUM SPAN SITE SPACING MAXIMUM SPAN 1.2." O.C. 1.11'-8" 1.2." O.C.'. 9'-4" 2 X 6 16" 0. C. 9' 2 X 4 24" O. C:. 0, _1„ 2.4" O.C. 7'-2" 1.2." O.C. 14' 11" 12" O.C. 2 X A :1.6" O.C. 17 2 X r 1.5" 01 C,. t 2.4" 0. C. in' ._ �„ 24" 0. C'. 1.0' -5„ 12." O.C. l.9'-0" 2 X 1.5" U.(., 15 4" 2 X 8 .1.5" O.C. 16;.2" .1.0. C. 12_61„ 24" O.C.1211 11,-2" O*C. 1.7. U.C. 22#-9" 7. X 12 l6" U.C. 1'7'-9" 2 X l.0 1611" O.C. 19'-6" 24" O.C. 1.4'_x„ 24" 0. C. 161_201 ` CLILINO JOIE 18 __ —.—_ R_OOF i21►FZ'ER8 miii 1L!�'! a 12'! .1�gp� 10 PRE live load, 5 POE dead load .•10 PRE live load, 10 pef dead load t SIZE SPACING MAXIMUM SPAN SIZE, SPACING MAXIMUM SPAN. 4 121i O.C. 9'-4" is 2 X A 16" O.C. 11.-1 2 X r 24" O.C. 9' -J.(I ].2.'-6" 2 X 6 1.6" O.C, '. 1.7'..0„ 2`X 6 1.6„ U.C. 24�_-O.C.- z4" O.C. .14' ..r1„ 12" O.C.25;_0„ 12" O.C. ].9'-6u 21'-0" 2. X 11 1.5" O. c. 16' -0" 24" U.C. 19'-911 24" O.C. 2 X 10 U. C. 211' -n" 2.. X J.0 16" (.). C. 19, -F" .1.6" 74" O.C. 22'-31." 24" v.C. 16_`-0" 3 --I- FIRE DAMAGE REPORT r OWNER: i( , b 2 0TL DATE: l - l'Z `0 LOCATION: s a 3 �,� h�-�w� � coy l �.P. # �� 3 ' rl ' � '� i CONTRACTOR: ZONING: DATE TO INSPECTOR:, '' Z 7 eYPERMIT HISTORY ( ) NONE () AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied Abandoned/Vacant: ( ) Yes ( ) No Electric: Electric Currently () On ( ) Off Condition of Electric Gas: Currently () On () Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems (') Yes ( ) No Mobile Home Condition of Utilities:( ) Damaged -Requires Permit ( ) Undamaged —No Permit Required Description of Damaged Area: Estimate Cost of Repairs: Condition of Foundation: ( ) Good (. ) Poor Explain if repairs needed: Inspector: Sketch building on reverse and 'indicate area of damage. Date: 013431) - OZ -0 CDF/BUTTE COUNTY FIRE INCIDENT'LOG DATE 121612003 INCIDENT NUMBER 14305 LOGGED BY JB REPORT TIME 14:24 LOCAL FIRE NUMBER oa• Moi Ftrr RO DELONG ^� STATE FIRE NUMBER 667 BI CASE NUMBER_� i �er�.: MEDICS LOCATION 3234 FORBESTOWN RD. PRA ID9 ECC ❑ RP SHERRI, PHONE NUMBER 589.5898 REPORT METHO 1911 WILDLAND FIRES ❑ ESTIMATED ACRES o� FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HOW EMAIL BY JB TO STA54 OTHER FIRE I 7 -DAY LOGGED INITIALS TB INCIDENT NAME JUANITA MEDICAL AIDS PSAIOTHER START DATE 12/612003 START TIME 14:00 HAZ MAT DIAMOND # 2.0 COMMENTS CAUSE EQUIPMENT FLU FIRE AND PART OF STRUCTURE AROUND LAND USE DOMESTIC FLUE ACRES 1 TYPE OF ACRES DIAMOND 6 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 1000.001 SAVE 100000.00 INJURIESIFATALITIES ❑ # CIVILIAN INJURIES # CIVILIAN FATALITIES 01 EMD ❑OES ❑' _� # FF INJURIES 01 # FF FATALITIES 0 ♦ New Incident FC -40 INFORMATION FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE F FC -40 COMP BY County Notifications © EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ RESIDENTIAL Sal 073-13-0-020 95-1871 P,E(MH) GILBERT, Darrel 3234 Forbestown Road, Forbestown 1 F r i OFFICE COPY r Address I r GAS Meter By Date , � 1S ELECTRIC Meter By Date ' 'JOB FINALED ( ate Signature V=OK O = Not OK NotNo Applic Readyable MOBILE HOMES Date MOJ3<E HOME UTILITIES (Plans) OK except #'s Yt. Z g Requirements -Setbacks -Easements Soil cial MH Support Sketch r; Location -Test -Fall -C/O Concrete QogWater; Location -Test -Easement Needed (Ske ch) f �'l lectricity; Location -Clea re s -Gr mp-Concrete 6. Gas; Lotion -Test -Wrap: ,_1' L"ft. / as t. or/ /"L"ft./ G ell Clearance & Disconnect 8. Utility Clearance Date ✓ Card B-1�`� �` ate Card B-1 Date Card B-1 w Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s—j Zoning Requirements -Setbacks Easements Foo gs; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector 4. r�city; MH Test -Crossovers -Breakers -Clearances rai ;_MH Test -Fall -Flex Connector at MH Test -Regulator -Connector alp—And Sewer Connected -C/O to Grade -HD Approval Ga d Electricity Tagged Exi p.-Sketch Cert. of Occupancy DatCard B-1 a Card B-1 Date Card B-1 V Date Card 8-1 - .n 41 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 -Panel boards -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 ;r V OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL. (: = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -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 ---------------- -------- ----7--------------------------- 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 Date Card 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. 26. Equip. Ground made 'up w/Mech. Fastners-Bond Gas & Water ----------------------------------- - ----------------- - ---------------------------- 27. ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size r / ga. Cu or Al ------------------------------------------------------------------------------- 29. ---------------------------------------29. Range Circ. / r 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 #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation -------------- ---------------------------------- - ----------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ------------------------------------ ----- -------------------------------------- Date ---------------------------------- Date Card B-1 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-P(ates-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. jingle & Duplex) 111 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 -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. 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 #'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. L& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --- ----------- 67. Stairs & Rails 68. Fireplace or Stove:_ Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Landing -Closer 73.--A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. . ----------------- In Garage: Above Floor-Mech. 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 -Const ruction -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; Plb9 APP liance-Firep lace. -Clearance to Openings _ _ 84. Water Well; Disconnect, Electrical, Plumbing ------ ---------------------------------- ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------------ Glass Protection - - --- ------------------------------------ 88. Corrections from Previous Inspections - -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------------------- ---- --- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 ------------- ---- ------------------------- -- -- Date Card B-1 Date Card B-1 ------- ------------------------------------ Date Card B-1 Date Card B-1 Comments at Final: r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 0 7 County Center Drive - OrgviJle, California 95965 -Telephone (916) 538-7541 ,e9MIT NO. APPLICATION AND PERMIT ® 9'// ASSbSfJtAf '_ 70 ZONING TM2 BUILDING PERMIT OWNER Darrel Gilbert TELEPHONE SQ. FT, OCC. BUILDING VALUA0;ldN OWNER'S MAILING ADDRESS 3234 Forbestown Rd. Oroville CA 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Fling Fee $ X��i1QJ� Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 1234 forbPgfown Rd-, Forbest-own PERMITFEE $ 23.00 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 ❑ MobilehomeAR Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: 2 bedrooms p L2�' Mobile Home 1/ @20.00 60. 00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service( eoov02 Ess ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing ) with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Coltractors 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. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BWS. ) so 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .SO Ex. Occup. OUTEitTS (a ISE ISE 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 Fling 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 fArthwit h comply with t1pse vision X)dIdEA4 --ig__ Date ��� na re an - C' of plicOwner ❑ 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 Is Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 166.00 HAZ. D. FEES IMP FLOOD XX CDF PARCEL PD H SUE 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. Dat 17 L (D e) Receipt No. 180920 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ''COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Rdad, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE . OWNER 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. r Da Inspe REV 10/92 r c ,e, C0UNTf�OF BUTTE = DEPARTMENTQF DEVELOPMENT SERVICES - BUILDING DIVISION) 7COUNTY CENTER DRIVE<=.OP�OYALLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 V__� j OWNER G k Proposed Building Use PERMIT APPLICATION DATA SHEET _r'%" , a P. No.0'13-130-OaO 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 $ . ............0ee Impact fees as shown on attached schedule. California Department of Forestry plan approva Y/�?..... ....... ..X 13: Flood elevation letter (100 year flood) by Califorer. ................. . 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). . . -Preanspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner:::: ::... . 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 . ............. ............................ . F 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 r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant OPDate 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 perm( ssuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by t; 1 13 r3 o,/s Date R_r,, g 3 Sets of plans on hold in File cabinet yb AP folder Copy - Department of Public Works - b E.H. USE r - Plot Plan Anachad Floor Plea AttacAed Seat to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 3 A7e,-I (-;L 7 -r3 -.?,-b Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for _�roo mobile . Other Hold fin r: al clearance O.K. for: Environmental 8/92 F5, - Date Attention Property'Owner - An "owner_builder" buildingpermit_ has been applied for in your name and bearing your signature. - — Please complete and return this information at your earliest opportunity - to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. n I personally plan to provide the major labor and materials for construction of the proposed property improvement:_ YES[] NO[ ]. 2I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to. provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTORS LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIA ECURITY NUMBER: DATE-. - NOTE: This owner -Builder Verification is required by Section 19831_ and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before - . -we are permitted to issue the permit. OVER _ Dear Property Owner: An application -for a building permit has been submitted in your name listing yourself as the .builder of property improvements specified.- For pecified For your protection, you -should be aware that as "owner -builder" you are the responsible party of record — - on -such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinclerel l Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ' _�-7, ' . -741 C6 -/-`/-� 5 SS k � -S 4 ' 4 ` t - i n• 1 9. 00 - �3 1 350 1 COP Rec Fee 1.50 9 510.50 And when recorded mail to: I Check Building Division Recorded I #7 County Center Drive - Off icial Records 1 Oroville, Ca. 95965 County of I Butte Grubbs I Candace J • I XX 2 Recorder I PUBL aP. 15am 14 -Sep -95 - t AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT 'f Section 26-8 .of the Butte County. Code; requires this acknowledg r' nt to be recorded priorkto nc issuae of a building permit. The property described -.herein is -adjacent- . ~to land .or included vAthin � •area zoned for agncultural.,purposes, and residents of this property may be subject to inconveniences or discomfort from, ' e use of agricultural chemicals, including; but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of *agnculturaloperatoris including, but not limited to cultivation. -!.p owing,-'spraying, pruning, and harvesting which occasionally generate dust; smoke, noise, and odor. Butte County has established a cult,ra}. oses and residents within said zones and on ad acenC ro erfv"fshould be ce pared to acce t. such inconvenience or discomfort from normal:'necessary farm operations. All that real P'ro rtv sinuate in the County of Butte, State of California: described as follows: ��i�r t. is �.iec Date: 8/ 17/95 PR E TY O RS' 74 M6 YL State of California ) ;1 County of BUTTE ) .s On 8/ 17/95 before me, MTrHFT.T.F A CIT T -T FR personally appearedt DARYL L. GILBERT AND DIANE J'? GILBERT**** personally known to me (or proved to. me on the basis of satisfactory evidence) to be the perso6(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in,his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the persons) or the entityiapon behalf of which the person(s) acted, executed the instrument. ;};'; .' WITNESS my hand and official seal. `' �' }�'' OFFICIAL �, Y,ti 7 MOCNB.LEA.MILLI:R { iVoraAr PU®LIC CALIPDiiNIA a Ptindpal Offwe in BYRE Co. Sil.nature I CoimnM.Exp-OCT. 20,1995 g `` A.P.# DX73-t30-0a-� 09: IOAM :ROM 147,D -VALLEY EY TITLE i0 OhOViLT E 9 5 4 JF4/004 ORDER NO. BU -147446-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY, SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS=,FOLLOWS: A PORTION OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 17, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:' COMMENCING AT'THE SOUTHWEST CORNER OF SAID SECTION 17 AND RUNNING _ _NORTH 89 DEG. _.121. 15„ EAST ALONG THE SOUTH LINE OF SAID SECTION 17, FOR 302.50 FEET TO A * POINI •,; 'THENCE NORTH 00 DEG. 381 4 711 EAST '689.21 FEET TO A POINT ON THE SOUTHERLY ZINE OF OROVILLE-FORSESTOWN ROAD, AS THE SAME EXISTED ON SEPTEMBER,,19, 1968; THENCE RUNNING IN HE A WESTERLY DIRECTION ALONG TSOUTHERLY LINE OF SAID ROAD TO ITS INTERSECTION WITH THE WEST LINE OF SAID SECTION 17;.THENCE'SOUTH ALONG. THE .WEST LINE OF SAID,, SECTION 17, TO THE TRUE POINT OF :-.BEGINNING. EXCEPTING THEREFROM THAT PORTION CONVEYED IN A DEED TO THE COUNTY 'OF BUTTE, RECORDED JANUARY 7', 1972, IN BOOK 172.7, PAGE 235, OFFICIAL RECORDS. PAGE -4 END OF DOCUMENT t {. P,ERMIT NO. 4207-79B PERMIT EXPIRES �y ,I OWNER HAROLD LUNDTOFF CONTR. O.W. Clinkingbeard 73-13-20 j LOCATION (A.P. S/S. Oro Forbestown Re, 7/10 mi W ) Robinson Mill Rd, Forbestown • 1 , t I r h N Temp. Power Pole t'. Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E t, JOB 4 FINALED 7, � ` (Date) (Signature) mean 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTIM REGARD BUILDING BUILDING (Cont'd) PLUMBING Setback % `% Firewall Soil Piping Forms Ducts Parapets 1st Floor Main Bldg. Permanent Restroom Finish 2nd Floor Footings MOBILEHOME UTILITIES ------------ Windows 3rd Floor Stemwall Sewer Siding To out Slab Elec. Continuity Roof Sheathing Water Piping Piers Roofing 4 Sewer Garage A Fdn. Vents Fixtures Footings Stemwall Garage Vents A Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sicall handicappedY A Conformance a structure Appliances Gas Piping & st Temp. Gas Slab Final —a Sanitation Patio FIREPLACE Final Footings oZ �� Footing ELECTRI AL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 4t-. Test Water Htr. Stucco 1 Final Suboanels mean 1 MEO`HAr4ICAL Grd. Fault Prot.: Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 5�3#-4541 APPLICATION AND PERMIT I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X di , Date 7—// - 02 Signature of Permitee o Age Receipt No. f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF P BLIC WORKS % BY Date Building permit expires Date ���t� BUILDING Owner WIDILD LOAM DOEP SQ. FT. OCC. BUILDING VALUATI O PSN Mailing Address C(5-61 (=(XaAF S Telephone No. Contractor 0 W CL-IOr/ Al 1 —0 Mailing Address 2,i "f (+ Fireplace Total Valuation C 02v (/ ( LL- T lephone No. 2 Permit Fee Building Address Plan Checking Fee&/or Penalty too Permit Fee ��j?j p t,E�{�' ST PLUMBING No.1 @ I FEE OI y 7cs.e- (;0K9('>1ES T0(AJ A) 7 e JC.V PERMIT FILING FEE $3.00 Each TraD 1.50 lilh;jisan znl,zz ZZ Repair drainage or vent piping 1.50 A. No. % 3_-_1 -aa Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 ��P.. Fes Sa ir'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking PI ns Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Er permit Fee $ $ F' ��I% DeC% AdR 4? H ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home I[/]� Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLOGS.LING CCUP. s� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st Of: IS l Y TLET NEW CONSTR / BRANCH CIRCUITS NON.RESID ` BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS .& NON.RESID.SINGLE UTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g L@; EX. OCCU FIXED APPLNS. OR p. IUNLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.���'� �� Classification �" / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION'INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ,/RA I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ v f� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X di , Date 7—// - 02 Signature of Permitee o Age Receipt No. f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF P BLIC WORKS % BY Date Building permit expires Date ���t� N • PERMIT NO. 1823-81B PERMIT EXPIRES OWNER Harold Lundtoff CONTR. O.C. Clinkingbeard, Oroville I ASSESSOR PARCEL 73- 13-20 LOCATION SIS Oro Forbestown Rd.,7/10 mi. W.of Robinson Mill Rd.,Forbes 1 i i Temp. Power Pole } Called PG&E Temp. Elec. Service Called PG&E oy Temp. Gas Ser4ce CalleZPG&E OINALED (Date Signature T J =.OK y O , = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTfLIT1ES (P.lans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) -OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5, Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI ,,Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line - 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date �A = OK = Not OK = Not Applicable = Not Ready f RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. f ., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49--S-xt. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -.4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth VJ.lPlywood on Roof Overhang -Attic Vents -Rafter Outriggers -5,Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5g --Mi ng -Na i I i ng -Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access •-z:-Kers-Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection-Skylights-Plastic -S.-D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts _9 -Gas Pipe; Size -Anchors ie -Water Pipe; Test -Anchors -Regulator -Service Test -11r--Electric; Underground -12-Plenums & Ducts; Clearance -Material -Support -Ins. 19. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ' FINAL (PI�K except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except H's 14. Water Ht.; Vent -Access -Combustion Air 5 xt. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr, Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection70. 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks [j Yes ❑ No; Planters El Yes JJNo 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access-Comb.--Air-Return Air Vent -115V outlet '35. Attic Access & Platform if Furnace in Attic Card -BI _ Date Card -BI Date :5" Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Pllls�)OK except q's Card -BI Date Card -BI Date Comments at Final: dill Proper Material & Anchors alts; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 4�Header & B,am-Size & Bearing _ 42. fingers -Post Caps -Anchors -Connectors ` -'CCIng. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _- 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. -� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT .A . ► ASSESSOR PARCEL NUMBER s - % Will BUILDING PERMIT OW 14 TELEPHONE SQ. FT. OCC. BUILDING VALUATION Ca� OWNER'S MAILING ADDRESS CR'S r TRAC NA , TELE ONE CONTRACT4OR'S M 'Ar. DRSS Fireplace CONSTRUCTION LENDEN LINK NO N _ Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ b, Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Permit fee $ 7DAD BUILDING DOR ESS r 7 PLUMBING PERMIT Filing Fee 10.00 , Each Trap 2.00 Repair drainage or vent piping 5.00 AA Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRU TURE ` SF [:1Duplex ❑ Mobilehome❑ Other ( �'Pe — C!CJL.- SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New E"'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADDNS. ACC• BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. License No. ��� �� T� Classification C ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTFL .OLILET NON-RESID BRANCH CIRCUITS2.50 ea NEW CONSTR. ( POWER APPARATUS 6� NON-RESID. SINGLE OUTLET CIR.. Ex. Occup OUTLETS OR FIXTURES 50 0 BAL@1 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject !�* to the W. C. laws of California. , Notice to Applicant: If after mal ing this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. allso liabilities, judgments, ree to c sts,nandeexpenseless the s which may in any of utte wayaacc accrue ainst against said County in consequence of the granting of this permit. X ' 1 -/ Date Signature of Applicant — Owner ElContractor% Agent F1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 70,06 occ P N-1°uP TYPE OF N JPAR`.- Pa L"', HD1 S`' This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT A OF PUBLIC e— By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dates' Z7—'9% ,S , 77 — // Receipt No. �� V � WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ro VOAO 0 sEPrrC rANIG,' A. / merge MAIM Dc Sept;c System a_ L to be as Butte CPer County .. y Health Dept. Re- quirements. POWER POLI co a�cT �6..✓ v P The 44JT Setback shall be 5 ft. from the side property line and 50 ft. from the centerline 'of the road, a ng. B UTAMW T4�J 6G All uv":ty connections shall be loci'^ci ..tl�:n 4 ft. outssde ;ear SeCtlon of the mobile b c home on she left (road) side of the mobile home. This set of pians and specificatios MUST be kept on the job at all times and it is unlawful to make any changes or alterations on me without written permisson from the DepartmE nt of Public Works, County of butte. 'SPtZ,lhl� BUTTE COU TY BUILDING DEPA TMENT APPROVED 0 r �Y v • 073-130-020 1 PERMIT#95-3101, ; GILBERT ' Dar 1 3234 ForbestownRd.,,Forbestown '.. , w. Ele for Garage a k f F { a ' J iv 1 t , f i f P . .?.-,..tit <i '} ♦ : !^,"4; - 'fa4 .:r.. ,,�,y., .,K: ,� ;�.•;..a3�.; i' ..i COUNTY OF BUTTE - DEPARTMENT OF ELOPM ENT SERVICES - 7 .County Center Drive - Oroville, 45965 - Telephone APPLICATION AND PERMIT BUILDING DIVISIO (916) 538-7541 �w PERMIT NO. V ASSESSOR PARCEL NUMBER 073-13-0-020 ZONING BUILDIN ERMIT ODARYL GILBERT 589-4175 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - 3234 FORBESTIMN RA., FORBFSTOWN CA 95966 CONTRACTOR'S NAME 014RR TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS FORBESTOWN PERMITFEE $ 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 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 CYL Installation ❑ Other ❑ Describe Work: ELECTRIC FOR GARAGE — Mobile Home I S I GI W I (—W20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service 000v 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 full force and effect. License Class 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: Imo, 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 OCC OR AD DNS. ( & ACC. BLD,.UP. )6 6 C 3.514SO' ZZ`+J Fr. • NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) - 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q BAL .SO 1.00 Ex. Occup.. oFIXEt-Drs PLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 41• 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 hof one hundred dollars ($100) or less.) 0011' 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 orthwith complf it ose provisions. .,.. X Date_ Signa ur pplicant - W -Owner ❑ 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 it 41.55 HA2. 1 D. FEES I IMP FLOOD I COF PARCEL PD I HD I ISSU 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' en paid. 12/20/95 By �%1' %.?� Date PERMITEXPIRESON 12/20/96 (Date) ReceiptNo. 190718 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMEM.LAF "VEL.GPMENT SERVICES - 7 County Center Drive - Oro$ille, � ifornia 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISIO (916) 538-7541^ PERMIT NO. ASSESSOR PARCEL NUMBER 073-13-0-020 ZONING BUILDIN ERMIT OWNER DARYL GILBERT TELEPHONE 589-4175 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3234 FORBESTOWN RD., FORBESTOWN CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NnNE UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 3234 FnRRFsTnWN RD, FORRESTOWN PERMITFEE $ PLUMBING PERMIT Fling 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 ❑ Other GARAGE 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 [X Installation ❑ Other ❑ Describe Work: ELECTRIC FOR GARAGE • Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V OR LESS ( 2ooA oR IEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter with Section 7000 of Division 3 of the Business and Professions Code, 9(commencing ) and my license is in full force and effect. License Class 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: 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. ( d ACC. BUDS. ) 6 6 3.5¢ SOFr.. 21.55 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (,POWER ( OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 B Ex. Occup.FIXED APPLNS.OR (OUTLETS (REBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE ; 41.55 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 �f 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 orthwith compisions. lo— X Date_ Signa ur Applicant - M–Owner ❑ 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 Is occ CONST. TYPE I TOTAL FEE $ 41.55 HAZ. D. FEES I IMP I FLOOD CDF PARCEL PD HD I ISS; This permit is hereby issued under the of the Butte County Code and/or indicate ve for whic fees hav BY PERMITEXPIRESON applicable provisions Resolutions to do work en paid. Date 12/20/95 12/20/96 (Date) ReceiptNo. 190718 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ...Os O.B.— I .....:a:arra.r::.:.�::::::.:..r:.:•:::.:t.:r:.::•.:a:.:a:::.r:a:�:.::.>,r::t:..:._.:.rtra•;:.rr:a,....:.:.:.:t..�::.:�..�:.:.:rr:.:::::.�:::::::.:� :::.......................�.:.: .,:::: rr�.rr::.r:::tttt.r:.::.r.:...:.. . ......v.:.r:�•::a;,,,•.+,•::•....,.�..::..•:+..:.,�:::..>3.•',•a'.•r:.:,...........:.:::ttiii;:j�::u.:;r:t.r:•rri:�i:�:ii:;�:i:;:y:�:::::•r:•:ti.�.t.,,�..::;rr;.:a.,,.;.:%?.•.:..:::.. •::.,:?•.�'`��`t�. 1 v ..a• u Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major la or and materials for construction of the proposed prop Fty improvement: YES NO[ ). 2. I HAVE[ A. HAVE NOT[ ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: _ NAME: Lk) rV Ci ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: N 0 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAINIE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: %2- / tiD NOTE:. This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. L If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. u rte Sti-ac-1 re is iutenued iir sale, property owners who are not licensed contractors are allowed to perform their work personally or trough their own employees, without a lice^sed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinic'erel Micha4l C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Q73-130-020 PERMIT#96-035b GILBERT,' Daryl .3234 Forbestown Rd., Forbestown Ele Ser/Det Garage OFFICE COpY Address GAS; t Meter Bye. �. •: �,. �� TZ "ate_, ELECTRIC Meter B �' "'' ` �. -, Dat ,I M1 COUNTY OFBUTTE -DEPARTMENT OF DFVFLOPMENTSERVICES -BUILDING DIVI :ION 7 County Center Drive - Oroville, California:b5965 - Telephone (916) 538-7 PERMIT NO. APPLICATION -AND PERMIT `� ASSESSOR PARCEL NUMBER -' 7 ZONING B ILDING PERMIT OWNER DARYT T. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 149U WWBESTM RD MUM 966 CONTRACTOR'S NAME TEL NE - CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3934 FOR M_ T%N PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.. SUBDIVISIONS NAME PARCEL MAP 1 Solar or heat pump water heater 23.00 Water piping 15.00 USyEOFSTRUCTURE � ri� SF ❑ Duplex ❑ Mobilehome ❑" Other W' GE 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 11 Other ❑ Describe Work: INSTALL NN MAIN T• SERVICE — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a00V oR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 I LICENSED CONTRACTOR'S DECLARATION I 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. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: or 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. SO. OR ( 8 ACC. BLDS. ) 3.50 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 EX. Occup. (oFT�s PES o.ORR.A) 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 g 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith comply with tho e p i- ions. ^. X L��G _ Date Z� p Signature of\ plicae Owner ❑ Co tractor ❑ Agent' An OSHA perrriit is required for excavations over 60" deep and demolition or construction of structures over Sstories in heigh�ST — Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 D. FEES I IMP FLOOD I COF 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 paid. ti- G B 2 ' ` Date y PERMITEXPIRE$ON 11 . •�"" . e' 0 (Date) ReceiptNo:' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVI N 7 .County Center Drive - Oroville,Califorhnia'951965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT 9�- n sao ASSESSOR PARCEL NUMBER 73-13-020 ZONING 11 131.111DINGPERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS T 966 CONTRACTOR'S NAME OWNER T PHONE CONTRACTORS MAIUNG ADDRESS . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ 3_234 12()RR:R5;TUAW RD T- PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other DET 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 ❑ Unities ❑ Installation CK Other ❑ Describe Work: INSTALL NEW MAIN ELECT. SERVICE Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:o0 Main Service a OR LESS ( 2ooA OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Or 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 ADDNS. ( & ACC. BLDS. ) s0. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLETUS ) & SINGLE CIR. Ex. Occup. ( OUTLET OR FDCTURFS ) 20 Q 1.00 BAL 0 .50 Ex. Occup. (OUFIXED TLETS (RESIDOR . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall /fVhwith comply wit4th e pr4yislons. X la44� Date � D��— Signature of plicant - p' Owner ❑ Co tractor ❑ 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 $ 43.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I 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 paid. B 2 Date y PERMITEXPIRESON �–'�'�� (Date)) Receipt No. 191086 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A � Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ✓�1. I personally plan- to provide the major labor and materials for construction of the proposed property improvement: YES" NO[ ]. Y2. I HAVE[ %q. HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) a to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:Ae v DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted -to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect .yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit, and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more -for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owmerbuiider' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Buildin, permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. SinGerdv, ` Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER .-. m .. - �gtY•tY �.. �T, - '�%�trtYT��`'�`, '���,;%�li^��V " ir3:'Yd.�T%�"ii��{'��%Tir'r+�Y�?r.'d''I,-� l { r 1Y11 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES " BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965 -PHONE (916) 538-7541 APN: PERMIT NO.: - Owner's: //jj �`, Name: J)A el����4_ i 1 Owners:. Address: ,i 3-9—.. 1 � _LTJ a✓ Mobilehome J Year of Manufacturer / Manufacture: Serial number j C,rJ Insignia or _ or V.I.N.Imo. HUD number: Official approving i Ilation: 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. v, 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor 'bCOUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California `95965 - Telephone (916) 538-754 j �� I���RMIT NO. APPLICATION AND PERMIT y ASSESSOR PARCEL NUMBER 073-130-020 ZONING TM12 BUILDING PERMIT OWNER Darrel Gilbert S9 - aJS o r TELEPHONE - /' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3234 Forbestown Rd., oville CA 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3234 FnrhPsfnwn Rd- PERMITFEE $ 43.00 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 CXXOther 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 ❑ InstallationgR Other ❑ Describe Work: K71— 71— 0 Mobile Home I S I G1 W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service eeev OR LESS ( zooA ORIFss ) 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 "full force and effect. License Class 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 OR ADDNS. ( 8 ACC. BLDS. ) SO, 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 8 POWER APPARATUS (SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .e0 Ex. Occup.FIXED APPS. OR (OUTLWETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring t23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT 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 rthwith comply with th se pIons. X ' _�___ Date Sign atur ant pplic- Owner ❑ Contractor ❑ Agentl An OSHA permit is required for excavations over 60" deep and demolition or constructionAA�]� of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.0 HAZ. D. FEES �+ IMP FLOOD _ �` CDF PARCEL PD HD SS UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By. applicable provisions Resolutions to do work been paid. y / Date /� 9 t/ 4 �� a<e) Receipt No. % Y o 79,qPERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M I _ . COUNTY OF BUTTE.-..;- DEPARTMENT OF DEVEEDPMENT SERVICES - — BUIIMING DIVISION - = 7 COUNTY _ CENTER DRIVE, OROVILL-E CA_ "95965 —..TELEPHONE. -(916) 538-1541. - :- .OWNER . - - - A.P-- # PROPOSED BUILDING USE 1/l� DATE REC . - # DATE REC 1. SCHOOL DISTRICT EELS n lib -fit a (paid at District Office).-*,*-.*. J _jj_ 2. SHERIFF FEES _ (paid at Building Department__ •• _ Residential...... x =$ unit amt. Commercial (sqft) x _$ sq.ft -amt. - 3.- URBAN AREA FEES -- (paid at Building Department) Residential (per unit) x =$ # `units= amt. Commercial (per sq.ft) !! x =$ sq.ft amt. 4. RECREATION DISTRICT FEES _ (paid at District Office) ......................... 5. DRAINAGE. DISTRICT FEES.,:_ - (Contact Land Development. Division) .............. 6::,:..SRA FIRE INSPECTION AND PLANCHECR = $89.00 ...... 3 AZ S (paid at Building Department) - 7. OTHER 8. OTHER r At time of permit application, I was advised the above fees are required to be paid prior to issuance --of the permit. APPLICANT. - DATE. 1 Attention Property -Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. - Please complete and return this information. at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ ]. 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following, person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:— PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: This owner -Builder -Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue thepermit. OVER Dear Property Owner: An application for a building permit has been submitted in your name- listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners -unless they am personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, ,and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. _ Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin'clbrel ` Michail C. Viei a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ,�i,.h"I ht1 + >srtrrrfi 1rS iti k3>J(� BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATIQN FORM (One Form Per Building) School District—0 a) EI0- 1, Building Department No. A.P. Number (')'73-130' O--,�o Jurisdi;.ctiction: City FV County 1 .. h Property Owner Property Location/Address Subdivison Lot No. Residential Development 0 �/ 0 Sq. Footage ~% No. of Living MHI Addition (Group R) Units , LAPL-e. /0o0 T M4 Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Dateif (Floor Plans reviewed by School District Personnel) . District Identification No. y .12-0/7 // / R a ,L:,g (Q� -�-� �Gc c� School District certifies that �c.Q�C (Applicant) (Street Address) (Phone Number) ' (City) (Sta e) (Zip Code) has complied with the requirements of Resolution No. 93 - 9V--/0 by payment of $ representing % 7` square feet. AB 2926, $ I 11 1 Sc hoof District Representative PULL -MITIGATION $ f13AS- Date Paid by Check # ,�` Remarks: Bank Number Gz 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. ;w , White (applicant), Yellow (building department), Pink (school district) feeform.wki (11/94)dmm -r., COUMTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 IV' PERMIT APPLICATION DATA SHEET Proposed Building Use 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 . ......................... . 1 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 . ...................... 99.Engineered truss details and layout in duplicate (required prior to plan check). . . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesf $ schedule. . . 11. Impacttfees as shown on attached schedule.`.=!'�� ................ . 12. California Department of Forestry plan approval/fees.................. . _ 03. Flood elevation letter (100 year flood) by California Engineer................... 4. 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). .. Preanspedion re.q. ue—ts 20. Pre -inspection for required. .. to Building Inspedor (Date) 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. .... . Letter of intent on building use. . ' Mobilehome utility clearance . .......................................... /4 4 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 . ..................................................... _4 When you issue the permit, process as follows: Mail to owner. Mail t cotr tor. Telephone and hold for pickup at offi liver with inspector. Other Parcel Creation�- Acreage Applicant Date Q 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 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved byS Date Sets of plans -on hold in File cabinet AP folder Copy - Department of Public Works ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YESj NO YESI NO Size Load •T a Size Length �� 3� o,� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _— Oroville, California 95965 pJ �(/ �7) Telephone: 534-4541- APPLICATION 34-4541APPLICATION AND PERMIT au urvr rce representaus veuI the County or Butte to enter upon the above-mentioned ropert for ins p ction purposes. Date Signature of Permitee or Agent X Receipt No. 42 11) _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date 3-- Building Permit Expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATI N Mailing Addressrl,,- Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address % O PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Sle& 02n Each Trap 1.50 -. Repair drainage or vent piping 1.50 Water piping 1.50 `' ;. Each gas water heater or vent 1.50 .—S—Z— A. P. No. - Zoni g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept.Planning uilding sewer 5.00 Fees W. C. R/W EE EncroachmentP6/20/ Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ 41 ' 00, ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter C'f! Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1,00 f Oven, Cook -top or space heater 1.00 Light fixtures WK Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring G � License No. Classification —+ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ f+ $ DU WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ tate Fee For StrDng Motion $0.07/$1000 Evaluation nsiru mentation Program $ $ TOTAL PERMIT FEE $ �� 6 au urvr rce representaus veuI the County or Butte to enter upon the above-mentioned ropert for ins p ction purposes. Date Signature of Permitee or Agent X Receipt No. 42 11) _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date 3-- Building Permit Expires Date Fs f qs- /S -� / This sect kept, on t1ie. aB.tIDIIB MMT b8 at all times and it is a tions on same witho REVIEQd -- TTE Co. FIRE DEPT. make an+Y ' written ped Lssion from the De� CALIF. DE 1-F® - submitted works,mved em �pnditi0�1S aPP �0 pera.a 0 _ 0 Slgnsture ALL STRUMPES .111c m AND EQUIP Ej 8EME1 � E ne CLEAR OF ALL z a°Q e3 A SET SCK. OFRgpF FT. FROM TN S D AND EINES AND ° a0s 3o FT. FROM Tile REAR P THE ROAD CENTERI.1 E SIiAtJ. BE FEW CIEJ�R OF STRUCTURE FOR A 2 FT. OVOWN(L -- -EAVE v� tine an t rr, re uirer�. n -S 15 41c^,CfYt:; b1,JJ,fYQU :t bt compl-�' oved _ --- 6 . ------ '. - ---- --- — --- - - -- APP ---- Butte ��VEb Coun. ,1! fie - a� Heal -. to -. - - AJ w- - -- f Fs f qs- /S -� / CDF FIRE SAFE REQUIREMENTS 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. tA 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 appirte-jant-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. [A 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [Q 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 verb -_--,.;U curves in roadways exclusive of gutters, ditches and drainage structures designed 'to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 ffeet long with a minimum 25 foot taper on each end. Uy 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 ? , BUTTE COUNTY BUILDING DEPARTMENT APPROVED- AP # PERMIT # NAME l�] 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. [%f ] 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 [x] 1. Gate -entrances shall be at least two feet wider than the roadway it serves. [�(] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 41] 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 :or fi_ial inspection of.a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class 'A or B roof -.Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0% 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 o Date Signature 167 Page 3 of 3 M.H.I.-Z 1. Owner's Name: i )4o il/ Al�j=,/ , 16gL—_ - ,2. Assessor's Parcel Number: Q_7`:5 —/30-0 ZQ ^ nD (-) 3. Installer's Name: ' nU) 4. Is the site currently under permit? Yes[)(] No[ ] Permit No. f 5. Is the site an existing site? Yes(] (No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? 2-00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[XI No[ ] If it is, what is the rating? 2--o p Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[x] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- z(7 Amperes- b) The main service: - Load- �F7 /S_,�3' Amperes- 2 Q C� 11. Type of gas service at mobilehome site: Natural[ ] Propane[(] None[ ] . 12. Size of as pipe at the mobilehome site from the meter or tank: 33A, inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 26 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 4 : �� ��� UNrY ARTAlEp� May 1995 0 V , V T 8.5 e M.H.I.- 2 Mobilehome Manufacturer: �� 13 - Manufacture Year: 2— If If other than single wide, furnish Setup Model Number: Width: /(ft.) Length:&'(o ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. - FOOTINGS: Wood pressure treated or foundation grade[.]. Other: SUPPORTS: Concrete block[ A Other: Provide Tie Down Specifications for all Mobilehomes: (o of A Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 IlLine ine 1 Line 2 Line 2 Main Beams Line2...........................................................................................ine 2 Line 1 Line 3 Line 2 ...........................................................................................Main Beams Line 2 ...........................................................................................1 ............................. Tag or Triple ............................. Line 1 Piers: Size minimum: x Spacing maximum:` From ends -maximum: 4-` ©— ` Line 2 Piers: Size minimum: [ IF— ] x [3 p ]. Spacing maximum: ` From ends -maximum: I ` p ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: S 4 1 Line 1 Openings Size minimum: [ J x [ ] Each side of openings with width over: I C` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends-maximum: Size minimum: , Location (from front): r{ �' , ' OVER a y a ' a a r , , r 4 — —ri (� ewe FD An �u `t yid I �,� —` .i� � � . ' . ��� ��- � 14i .,,_ � 111 � • ` IIa � ��� . 1'v � 11 a I . �� S I - � �!� .. - ---�•� i ,. • , _' �. I1� ` f e ss� .. „.�_�_ ,� � 1 1 � � ,� r.��ys-} �`ti �`� �, � f �µ i .� - ....._._ - .c, � 1 � - � �,_ '� i r � f � 1 i ` r ' _ s i 11 � A t � } 1 i' + ! 1 l r �. . �.. - , ,� _ - # ' _ i - y � j • � � Y t �•r i s .. �. �� 3 ! f ! � \ � -V` � .. r ' - � i i ABESCO I -BEAM SHOWN, SEE INSTALLATION INSTRUCTIONS C k RFC CHASSIS FOR CONNECTIONS CONTRACTOR'S WARINIM : CHECK FIRST FOR UNDERGROUND UTILITIES. _ ! 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD /406 PIER =�===i PRESSURE TO MINIMIZE SOIL DISTURBANCE. UNTIL HEAD IS LT -ON TOP I - FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED h _ SEE DETAIL "A" BELOW FROST UNE., �'� TYPE ® TIE DOWN 2- ATTACH STRAPS Tu CHASSIS BEAM IN MANNER SHOWN. SEE DETAIL -A" 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP & TYPE TIE DOWN THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. I168 SPLIT SPLIT BOLT k NUT //�'-60' 40'-60 BOLT & NUT /616 STABILIZER PLATE #601 OR /602 T.D.A 0-10' I BEAM CHASSIS INSTALL GROUND ANCHOR INTO GROUND, LEAVING 8'-12' OF SHAFT EXPOSED. PITTSBURGE TESTING LABORATORY RESULTS M/1IMIR: Pull Out Tat M SANDY SOIL, A3, having a Density of -124.90 Rn./auJi. : Actual Pug Out=7.ODD ibs. Average Deflsatiot measured In India -1.448 TEST /2: Pun Out Test In ROCKY SOIL. Al. having a DensMy of -133.95 lbs./ou.". RESULTS: Actual Pug Out=7.000 tbs. Average Deflection measured In Inches= .771 TEST #3: Pull Out Test in ADOK SOIL. A6, having a Density of— 67.23 lbs./ou.ft. RESULTS: Actual Pug Out=7.D00 lbs. Average Deflection measured In Inches= .624 F `- 0614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS DRILL 9/16- HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT - S606 TRAP STL /606 STL STRAP #614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 0 FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECM AGAINST LATERAL MOVEMENT. II , n � II II /606 STL • STRAP • /614 STL STRAP f ; DETAIL W CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. ' COMPANY NAME: DATE: O i� CONTRACTORS UC. / SIGNATURE ABESCO ENGINEERED COMBINATION TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: • WIND--- 15 PSF o SEISMIC- ZONE 4 st SOIL--- 1,000 LBS. PSF LOAD BEARING ANCHOR DESIGN PULLOUT: 71E DOWN 0 4,750 LBS. -MINIMUM TOTAL. LOAD CAPACITY (TESTED 7,000 LBS.) e 3,150 LBS, -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CONCRETE TIE DOWN • 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) 0 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CROSS DRIVE TIE DOWN e 1,727 LBS. - MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/47 x .035 ZINC PLATED. STRAP DESIGN TENSION: a 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED ' 5,900 LBS.) e 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) GENERAL NOTES: 1. ANY COMBINATION OF TIE DOWNS ARE PERMISSIBLE. CHARTS SHOWING QUANTITIES OF TIE DOWNS ARE BASED ON DESIGN LOADS AND 1,727 LBS. MAXIMUM TOTAL LOAD CAPACITY. 2. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO CROSS DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIE DOWNS EVENLY ALONG THE CHASSIS BEAMS. 3. END TIE DOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). -THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 4. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 15 PSF WIND EXPOSURE "C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL STATE APPROVAL Ti,E2xvy �f�mw APPROVED J SUBJECT TO CORRECTIONS NOTED Approval does not outho•ize or approve any omission as deviation from requirements of applicable State lays and �T Sj regulations. 55 tl State of Coliiornia E, N f79iJ 9 %� Deportment of Housing and Community Development ` Ex6-30 �' DIVISIO CODES AND STANDARDS �l'9l Of r \- 'S.. B Date02 Or CI VV1 `` (signature) THIS TIE DOWN SYSTEM MEETS THE REQ.0 wREMBBTr CaM N^ 0 ��5 - /046; C ' OF SECTION 1336.3, SUBSECTIONE(+oJ� NN(1 I_ EP'1�� a MENT 04 97 M FDU PACEIC Comma ENmmm ABESCO, INC. iEl - 2150 N A1C Sidle 145 PUNMIE IT I'MM ATION SYMS sam nattc, Card. OM Phare 916-564-6029 MSI %it' Pariuu ROW Scounwida G 95828 Pk 916-JB3-8831 9 jU ASESCO It (1616 STARILI7FR #607 CROSS DRIVE ANCHOR TIE DOWNS #615 CONCRETE SLAB ANCHOR »WEET. #601 30' OR #602 48- T. D. A. TYPE © SEE CHART 2' EQUAL EQUAL EQUAL EOUAL EQUAL 2' LENGTH VARIES WIND= 15 PSF SEISMIC= ZONE 4 NQ Of C01MATtON ANCHCIRS FOR EACH SW AND EACH EM LENGTH OF UNIT TE DOIN LWATCNI S JE IS JE IS JE IS JE I S JE ISJE IS JE SINGLE MICE UNIT 4 F2 IS 12 15 6 2 6 2 7 2 7 2 TOTAL TE 001ItS 16 1 18 I 1B SINGLE WIDE TYPE ®SEE CHART 12-1 EQUAL EOUAL EOUAL EQUAL EQUAL2' LENGTH VARIES WINO- 15 PSF SEISMIC- ZONE 4 No. OF C0M!?EXAroN maim FGR Emit SITE Aim EACH END LENGTH ar LNTI 3MY 1 40' 1 S0' 60' 1 70' 1E DOWN LIY'AIM S JE IS JE IS IE Silk S IE IS JE IS IF OW*l IM UWTJ 4 14 15 14 15 14 16 14 16 14 17 14 17 14 TOTAL TE S DMO 16 1 18 1 18 1 20 1 20 1 22 12 DOUBLE WEOE � c O �. Q J.#604 CONCRETE SLAB ANCHOR X/ #SH 5822 SLEEVE y: ANCHORS, t 'DRY" PE QE E IART < < PE Q E ART �A #614 7' STL STRAP W/HOLE TYPE 'E' #606 7' STL STRAP W/BUC TYPE 'S' TYPE ® SEE CHART i I #406 PIER BOLT -ON TOP #608 SPOT BOLT k NUT 2' L EQUAL L EQUAL L Ew _ L EQUAL L EQUAL L2' LENGTH VARIES WIND- 15 PSF SEISMCC ZONE 4 ITC NQ OF WAINLRON MIONORS FOR EACH SIDE AND EACH END LENM OI'' UWT 30 40' 60' 6' 1 70' TE 009W U=TM S IE IS JE IS JE IS IE IS E S E S E TRPLE AIDE LMT1416 1515 1515 16 18 J6J6 7 18 17 16 1 TOTAL TIE OOMN"a 20 1 22 1 22 1 24 1 24 6 28 TRIPLE WIDE PE Q E TART ENGINEERING CALCULATIONS WIND -15 PSF -- SEISMIC ZONE 4 WIDTH I LENGTH ""ST LOAD 'V TAL LOAD f TYPE T"A E DOs B Tr>x TC DOWNS C & RFC CHASES_ 30 FT. 165 PLF 4.950 LBS 3 2 SINGLE WIDE TO 14' 40 FT. 165 PLF 6,600 LBS 4 2 50 FT. 165 PLF 8,250 LBS. 5 2 60 FT. 165 PLF 9,000 LETS 6 2 70 FT. 165 PLF 11.550 LBS 7 2 OOUEui WIDE TO 28' 30 FT. 165 PLF 4.950 LBS 3 4 40 FT. 165 PLF III.= LBS. 4 4 50 FT. 165 PLF 8.250 LBS 5 4 60 FT. 165 PLF 9,900 LB& 6 4 70 FT. 165 PLF 11.550 LBa 7 4 TRIPLE WIDE TO 42' 30 FT. 165 PLF 4.950 LBS 3 6 40 FT. 165 Ply 6,600 LBS 4 C 50 FT. 165 PLF 8.250 LAS 5 [, 60 FT. 165 PLF 9,000 LBS 6 6 70 FT. 165 PLF 11.550 tBS 7 6 CROSS DRIVE TIE DOWN I -BEAM SHOWN, SEE C k RFC CHASSIS FOR CONNECTIONS 406 PIER OLT-ON TOP --_ A%wrrrrr SEE DETAIL 'A' - TYPE QTIEDOWN - •�.7-�.^,,;j•�. :�' .--. '. -f �:�-'`ate• SEE DETAIL 'A' TYPE�js TIEDOWN 8aT It STT 1EAHHE 127 '.t - GROUND UNE �:� - .yy , ,��- �''~ mai.• +'1,:;^� ;J. \��,'t �4 I BEAM CHASSIS INSTALLATION INSTRUCTIONS 7 Sim 1XTRAP DETAIL '®' 00KrRACTORf WAS : CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCURES IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2- ASPHALT, ENCASE THE CROSS DRIVE ANCHORS MATH CONCRETE AS SHOMM N DETAIL '8'. 1. INSTALL !ROSS DRIVE ANCHORS INTO SOQAS SHOWN. 2. ATTACH STRAPS TO CHASSIS BEAM N MANNER SHOk4N. 1 INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CROSS VE ANCHOR CONCRETE TIE DOWN SEE DETAIL 'A' SIZE TYPE XDTIE DOWN INSTALLATION INSTRUCTIONS ,^ I -SEAM SHOWN, SEE ��-'' � XIl04'Txw C & RFC CHASES_ i. GRILL 5/aJ'Mh�i' HOLE IN CONCRETE SLAB. FOR CONNECTIONS �� rs'� H 5/6'x2 1/4' _ rrr 1 2. PLACE STEEL EXPANSION SLEEVE OVER BOLT AND PLAN INTO HOLE. X�40�6 PIER 3 PLACE MASHER OVER TIP CIF EXPANSION BOLT. BOLT -ON TOP ��a�rr 4. THREAD NUT ONTO EXPANSION BOLT AND TIGHTEN NUT UNTIL MAXIMUM E1PAHNSIfyN OF STEEL EXPANSION SLEEVE HAS BEEN ACHIEVED. S REMOVE NUT AND WASHER. . SEE DETAIL 'A' TYPE (DTIE DOWN IL PLACE WASHER OVER EXTRUDED TDP OF EXPANSION BOLT AND TIGHTEN NUT. NOTE; CONCRETE OVER EXTRUDED TOP OF EXPANSION BOLT Nt TIGHTEN NUT. LAYER CF 6/6:10/10 MESH OR EQUAL 15 RECOMMENDED. CONCRETE SAB SZE TO ALLOW 4.750 LBS. VERTICAL TENSION ON ANCHOR WITH- OUT LFTWG SAB. ASSUME MADGHT OF 150 LBS/CU FEET. /608 SPLIT 40'-60' 40'-60' om yam. BOLT k NUT 1. PUCE CIUICRETE ANCHORS INTO VfcT CONCRETE. 2. ALLOW CONCRETE TO PROPERLY CURE 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXE STRAP. TIGHTEN BOLT UNTIL STRAP IS SNUG` mcrm MINIMUM CONCRETE SLAB S ABESCO NAME IS STAMPED W ANCHOR HEAD. 4' SLAB- 215 SQ FT. CMAO= COIDUCTICIN 5' SLAB- 145 SQ. FT. 1. ATTACH STRAPS TO CHASSIS BEAM W MANNER SHOWN. 2. (NEXT STRAP TlHIROLIG1H SPLIT SCX.T. CUT OFF EXCESS STRAP. TIGHTEN I BEAM CHASSIS BOLT UNX STRAP IS SNUG. 3. ABI SCO NAME IS STAMPED N Al►ONOR HEM. TESTING RESULTS PART NO. SIZE HOLE SIZE M IMUL4, EMBEDMENT PULL OUT VALUE SHEAR VALUE SH -5822 OR EQUIV. 5/6'x2 1/4' 5/8' 2- 6,180 LBS. 7160 .T : a 1, I -BEAM SHOWN, SEE — C k RFC. CHASSIS FOR CONNECTIONS W6 PIER T -ON TOPS' SEE DETAIL 'A" TYPE QTIE DOWN /608 SPLIT 4a•-60' BOLT k NUT I % i w 0 TiE DOWN INSTALLATION INSTRUCTIONS CONTPA=FM WARiNM : CHECK' FIRST FOR UNDERGROUND UTILITIES. 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE. UNTIL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED .SEE DETAIL 'l1 BELOW FROST UNE.. ; TYPE ® TIE DOWN 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP Nk THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. /608 SPLIT BOLT k NUT 0 FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT --I ` I IM,t =,1 - I ' �— /614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS 6 /ST606 RAP STL i STRAP STL /614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS n ' II r 606 STL RAP �1 #614 STL STRAP 11 `: END VIEW DETAIL W CONTRACTORS VERIFICATION I CERTIFY THAT 1 HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFlCCry7AyTIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. V COMPANY NAME: qco v f-• 2 CO TORS U T DATE: i� �G 5 SIGNATURE 0..441-A Y&" to ABESCO- ENGINEERED.- UUMMNA I IUN TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND DESIGN LOAD8: SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES • • WIND--- 15 PSF IM4L A/Q4fD�- • SEISMIC- ZONE 4 - �� • SOIL--- 1,000 LBS. PSF LOAD BEARING ANCHOR DESIGN PULLOUT: TIE DOWN • 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CONCRETE TIE DOWN • 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CROSS DRIVE TIE DOWN • 1,727 LBS. - MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1 /4� x .035 ZINC PLATED. STRAP DESIGN TENSION: e 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED • 5,900 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) GENERAL NOTES: 1. ANY COMBINATION OF TIE DOWNS ARE PERMISSIBLE. CHARTS SHOWING QUANTITIES OF TIE DOWNS ARE BASED ON DESIGN LOADS AND 1,727 LBS. MAXIMUM TOTAL LOAD CAPACITY. 2. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO CROSS DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIE DOWNS EVENLY ALONG THE CHASSIS BEAMS. _ 3. END TIE DOWNS ARE LOCATED AT BOTH/ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 4. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 15 PSF WIND EXPOSURE 'C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. t� 1 ENGINEER APPROVAL 1 I tl r++ i NO. 117913 EV�y3v of C aL1Eo�� THIS TIE DOWN SYSTEM MEETS THE REQ OF SECTION 1336.3, SUBSECTION FejW PAIL CoNeuum ENOIp LPG 0 2150 Bd Are., Slllie 145 Soaammto, co. 9583E Phan- 916-564--6029 1 STATE APPROVAL I APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not outho6ze or approve any omission o, deviation from requirements of applicable State laws and regulations. State of Colifornia Deportment of Housing and Community Development DIVISIO CODES AND STANDARDS Date42 .� (signature) �.s Avo1�7p5. - /D1/C i._ �,— Zw_ LtJ Thk Plnn O wrrwr.l ABESCO, INC. PON" FOUNDATION SYSTEMS 5851 Fkrirt-Peldns Rood Sc onwtq CA 95828 Pk 916-383-110 /616 STABILIZER �s.. PLATE #601 OR i :.. �,• /602 T.D.A INSTALL GROUND ANCHOR PLACE STABILIZER PLATE INTO GROUND, LEAVING NEXT TO SHAFT BETWEEN 0'=10• 0'-10' 8'-12* OF SHAFT EXPOSED. ANCHOR AND CHASSIS BEAM. AND DRIVE INTO GROUND. I BEAM CHASSIS - PITTSBURDE TESTING LABORATORY RESULTS TEST M SA 1: Pull Out Test UDI' SOIL. A3, having a Denslty of -124.90 ttm/au.fl. RESUt Actual Pug Out -7,000 fbs. Average Deflveffon measured M hwh•s=1,448 , TEST #2: Pull Out Test In ROCKY SOIL, Al. having o DwudtV of -133.65 lbs./eu.ft. RESULTS: Actual Pull Out=7.000 lbs. Average deflection ineasured In Inches= .771 ' TEST P3: Pull Out Test In ADOIX SOIL. A6, having a Dwwtty of- 67.23 lbs./tuft. . RESULTS: Actual Pug Out=7.D00 lbs. Average Deflection measured In Inches= .624 DRILL 9/16' HOLE 0 FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT --I ` I IM,t =,1 - I ' �— /614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS 6 /ST606 RAP STL i STRAP STL /614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS n ' II r 606 STL RAP �1 #614 STL STRAP 11 `: END VIEW DETAIL W CONTRACTORS VERIFICATION I CERTIFY THAT 1 HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFlCCry7AyTIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. V COMPANY NAME: qco v f-• 2 CO TORS U T DATE: i� �G 5 SIGNATURE 0..441-A Y&" to ABESCO- ENGINEERED.- UUMMNA I IUN TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND DESIGN LOAD8: SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES • • WIND--- 15 PSF IM4L A/Q4fD�- • SEISMIC- ZONE 4 - �� • SOIL--- 1,000 LBS. PSF LOAD BEARING ANCHOR DESIGN PULLOUT: TIE DOWN • 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CONCRETE TIE DOWN • 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CROSS DRIVE TIE DOWN • 1,727 LBS. - MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1 /4� x .035 ZINC PLATED. STRAP DESIGN TENSION: e 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED • 5,900 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) GENERAL NOTES: 1. ANY COMBINATION OF TIE DOWNS ARE PERMISSIBLE. CHARTS SHOWING QUANTITIES OF TIE DOWNS ARE BASED ON DESIGN LOADS AND 1,727 LBS. MAXIMUM TOTAL LOAD CAPACITY. 2. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO CROSS DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIE DOWNS EVENLY ALONG THE CHASSIS BEAMS. _ 3. END TIE DOWNS ARE LOCATED AT BOTH/ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 4. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 15 PSF WIND EXPOSURE 'C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. t� 1 ENGINEER APPROVAL 1 I tl r++ i NO. 117913 EV�y3v of C aL1Eo�� THIS TIE DOWN SYSTEM MEETS THE REQ OF SECTION 1336.3, SUBSECTION FejW PAIL CoNeuum ENOIp LPG 0 2150 Bd Are., Slllie 145 Soaammto, co. 9583E Phan- 916-564--6029 1 STATE APPROVAL I APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not outho6ze or approve any omission o, deviation from requirements of applicable State laws and regulations. State of Colifornia Deportment of Housing and Community Development DIVISIO CODES AND STANDARDS Date42 .� (signature) �.s Avo1�7p5. - /D1/C i._ �,— Zw_ LtJ Thk Plnn O wrrwr.l ABESCO, INC. PON" FOUNDATION SYSTEMS 5851 Fkrirt-Peldns Rood Sc onwtq CA 95828 Pk 916-383-110 lc •f I!V RFi1 F STARII 17FR #607 CROSS DRIVE ANCHOR TIE DOWNS #615 CONCRETE SLAB ANCHOR "WET" #601 30` OR #602 48` T.D.A. TYPE © SEE CHART 2' L EQUAL EQUAL EOUAL EOUAL EQUAL 2' LENGTH VARIES WIND= 15 PSF SETSWC= ZONE 4 Kn NO OF COMMAROH ANCHORS FOR EACH SDE APD EACH ENO LENGTH OF UNIT tE DM LWATCHI S I E I S I E S E S E IS E S IlE IS IE SNG.E WIDE UWTJ 4 12 15 12 15 6' 2 6 7 2 17 12 TOTAL TE DONS1 12 1 14 1 SINGLE WIDE TYPE ®SEE CHART [2-1 EQUAL EOUAL EOUAL EOUAL EOUAL 2' LENGTH VARIES WIND- 15 PSF SEISMIC- ZONE_ 4 O5. Na OF COMBNATIO4 ANCHORS FOR EACH SIDE AND EACH OD LENGTH DF UNIT 30' 1 40 5E' 1 60' IF DOWN LMAT10N S JE IS JE IS IEJS IE IS JE IS JE IS IE 04$E W UNIT 4 15 14 15 14 16 14 16 i4 TOTAL TE DOWNS 16 1 1818 1 20. 1 20 1 22 1 22 DOUBLE WIDE PE O .E TART PE O L ART 1#604 CONCRETE SLAB ANCHORfW/ `#SH 5822 SLEEVE i. ANCHORS; `DRY" h #614 r STL STRAP W/HOLE TYPE 'E' STRAP W/BUC TYPE 'S' TYPE jg> SEE CHART L1 #406 PIER BOLT—ON TOP 14U #608 SPLIT BOLT k NUT Z' EQUAL. EOUAL EOUAL EQUAL EOUAL 2' LENGTH VARIES NANO- 15 PSF SEISMIC,- ZONE 4 OTL NO. OF CIAMAAON ANCHORS FOR EACH SIDE AND EACH OHO LENGTH OF UINT 40 60' I 66' 1 70' IE_WW UICIL 9! S E IS IE IS JE IS IE IS IE IS IE IS IE TRPI1 WOE UNIT416 1516 1516 1616 151IS 1719 17f6 TOTAL TIE DOWSI 20 22 1 22 1 24 1 94 1 1A 1 26 TRIRLE WIDE PE OE :E IART ENGINF G CALMiATIONS WND-15 ASF -- SEISMIC ZONE 4 WIDTH I LENGTH TRANSVERsTA LBAD Y IaAD i TYPE m DOWNS F fYP Tc DOW SINGLE WIDE TO 14' 30 FT. 165 PLF 4.450 LBS 1 3 2 40 FT, 165 PLF 6,600 LBS 4 2 50 F -T. 165 PLF 8.250 LES 5 2 60 FT. 165 PLF 9.900 LBS. 6 2 70 FT. 165 PLF 11.550 LBS 7 2 DOUG WAGE TO 28' 30 FT. 165PLF 4.950 LBS 3 4 40 FT. 165 PLF 4600 LBS 4 4 50 FT. 165 PLF &250 LEM 5 4 60 FT. 165 PLF 9.9W LBS 6 4 70 FT. 165 PLL 11.550 ESS 7 4 TRIPLE WADE TO 42' 30 FT. 165 PLF 4.950 LBS 3 6 40 FT. 165 PLF 6,600 LBS t O 50 FT. 165 PLF 4,250 LBS 5 6 60 FT. 165 PLF 9.900 LBS 6 6 70 FT. 1 165 PLF 11.550 LBS 1 7 1 6 it n 0 U CROSS DRIVE TIE DOWN 1 -BEAM SHOWN, SEE C k RFC CHASSIS FOR CONNECTIONS ^I f' ,Loo fc 1 406 PIER 1�w`. OLT-CN 70P --4, SEE DETAIL 'A' - TYPEQE TIEDOWN SEE DETAIL "A' TYPES TIEDOWN GROUND I I BEAM CHASSIS INSTALLATION INSTRUCTIONS DETAIL 'B' COMP1AMCMIll WAINUM : CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE AN04CRS ARE USED WHERE HARD OR ROCKY SOIL OCURES IF THE GROUND SURFACE IS OTHER THAN ROOK OR MW WLAI 2' ASPHALT. ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN W DETAIL 1. INSTALS. CROSS DRIVE ANCHORS INTO SOILAS SHOWN. 2 ATTACH STRAPS TO CHASSIS EDAM W MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CIT OFF DICFSS STRAP AND THEN TMTEN BOLT UNTIL STRAP IS SNUG. 4. ABESCA NAME IS STAMPED IN ANCHOR HEAD. SEE DETAIL 'A' TYPE OTIE DOL I -BEAM SHOWN, SEE C k RFC CHASSIS FOR CONNECTIONS 'r X406 PIER BOLT -ON TOP SEE DETAIL 'A' — TYPE OTIE DONM /608 SPLIT 40'-60' BOLT k NUT _ MOTC \ MINIMUM CONCRETE SLAB 4' SLAB- 215 SO. FT. S' SLAB- 145 SO. FT. CONCRETE TIE DOWN l INSTALLATION INSTRUCTIONS 1. Litll1 s/B'kT HOLE IN CONCRETE SLAB. 2. PLACE STEEL EXPANSION SLEEVE OVER BOLT AND PLACE INTO HOLE -� 3. PLAKE WASHER OVER TIP OF MANSION BOLT. 4. THREAD NUT ONTO EXPANSION BOLT AND TIGHTEN NUT UNTIL MAXIMUM EXPANSION OF STEEL EXPANSION SLEEVE HAS BEEN ACHEVM 5. REMOVE NUT AND WASHER. & PLACE WASHM OVER EXTRUDED TOP OF EXPANSION BOLT AND TIGHTEN NUT. \ NOTE: CONCRETE OVER EXTRUDED TOP OF EXPANSION BOLT t TIGHTEN NUT. LAYER OF 6/600/10 MESH OR EOUAL IS RECOMMENQEO. CONCRETE SLAB SZE TO ALLOW 4.750 LBS VERTICAL TENSION ON ANCHOR WITH- OUT LIFTING 42 AS ASSUME WEIGHT OF 150 LBS/CU FEET. 40'-60' ?*l I BEAM CHASSIS PART NO. om IwET' HOLE SIZE 1. PLACE CONCRETE ANCHORS INTO WET CONCRETE. SHEAR 2. ALLOW CONCRETE TO PROPERLY CURE. 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. VALUE 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP. TIGHTER 5/8' 2' BOLT UNTIL STRAP IS SNUG. 7160 Z CFHA=B ABESCO NAME IS STAMPED IN ANCHOR HEAD. 1. OOIfJtECT10/1 ATTACH STRAPS TO CHASSIS BEAM W MANNER SHOUN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP. Txm7EN BOLT UNTL STRAP IS SNUG. 1 ABUCO NAM G STAMPED IN ANCHOR HEAD. TESTING RESULTS PART NO. SIZE HOLE SIZE MINIMUM PULL OUT SHEAR EMBEDMENT VALUE VALUE SH -5822 5/8'x2 1/4' 5/8' 2' 6.180 LBS. 7160 OR EQUIV.