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HomeMy WebLinkAbout028-030-028STORM DAMAGE REPORT MINOR USE PERMIT PERMIT # 6 GCP G 9N -2S7 09P/Y#OZT-03o--a 2g 28-03-28 Jim b7aik�?Ver App.350'N.on pri.dr., on /'S Honcu-,t Rd. , app -1 mi.W.of Paler to Honcut Rd., Honcut Permit #4722-79E,E(util. > ELEC.P--7 4p GAS /0-7-7!2 SUPPORT STRUCTURE REQ. ---2-L4D COMPACTION TEST REQ. �Zb A*4 Permit #47 Issued ,..j 28-03-28/ Perm\ #6330-79B(new caba-a for storage/MH) �.� ' �p? 28--03-28 ,JOHN & DFB OLSOM 1021 Lower Honc Rd, Oro vi permit#813-87P(gas ing/existin site 8y03-28 Contr: Cersn ercado permit#-87MHI(existing site) Iss , �i� _ ✓� �� d��� 28-03-28 Dermit#815-8 B, p,E�'ftew dog kennel) 28-02-28 Permit#1403-87E(move ele ser/MH/ 028-03-0-028 92-2865 MHI FOLSOM, John & Debra 1021 Lower Honcut Rd, Oroville sting is to Homes OfMi 028-03-0-028 92-326 FOLSOM, John & Debra 1021 Lower Honcut, Oroville open deck/mh 28-03=27 & V og kennel in A-5). 2R-03-28 JOHN & DEBRA FOLSOM _1021 Lower Honcut Permit#126-89A(Agric�.:_ltural Bldg �Exemp--feed stg, farm-equ =ba�"C 1.A""" 92-181 - 028-03-0-028 �— FOLSOM John & Debra 1021 Lower Honcut, Oroville A _Exem tion - '-—� arm -equipment 028-03-0-028'`' 93-146B FOLSOM, John & Debra 1021 Lower Honcut, Oroville screened porch/mh ------y-zv-93- 028-03-0-028 93-120 FOLSOM, JOHN 1021 LOWER HONCUT RD, OROVILLE AGRICULTURAL EXEMPTION P,ERMIT-�, AG -EQUIPMENT -FEED+ 028-030-028 PERMIT#96-3.8AG , FOLSOM, John •1021 Lower Honcut Rd., oroville Ag Exempt Permit-Stg Dquip & Fe - 028 -030-028 05-2612 FOLSOM 1021 LOWER HONCUT, OROVILLE Cont: JOHN A DOTSON KENNEL (0010 ka m a s t 1 m a a j r� . l 11-11 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. O 320 7 License Cl ss : License tuber: O Date: Contracto f0 OWNER -B L R DECLARATION I hereby affirm under penalt of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: of 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. •9-- I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 5 f J a Policy #: 7/ 3 -0015- 2 g Li 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those rovi/sions. Date: ' f .1_Z.5 1 z � fo Applicant: C� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP052612 Issued Date: 01/25/2006 APN: 028-030-028-000 Site Address: 1021 LOWER HONCUT RD HON Map Index: Description: kennel (2475), office (611) Owner: FOLSOM JOHN D & DEBRA 1021 LOWER HONCUT RD OROVILLE, CA 95966 Applicant: J A D BUILT CONSTRUCTION 777 DUNSTONE RD. OROVILLE, CA. 95966 530 533 7484 Contractor: J A D BUILT CONSTRUCTION 777 DUNSTONE RD. OROVILLE, CA. 95966 530 533 7484 License #: 863207 Architect: Engineer: Total Square Ft: 3086 S.F. Valuation: $159,126.00 Census Code: 4 This permit to do work provisions of the Butte County Code and/or fees have been paid. By: % Date: PERMIT EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly a horized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o i i orm or cu ent of Butte County. I hereby authorize represbntativessof Butte County to enter up the above mentio ed property for inspection purposes. Print Name: �JO- A) fi CL�� Signatur 77 Z� Date: �/ C3 owner j,d Contractor 0 Agent for Owner 0 Agent for Contractor VT TE C O�U N�T Y DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS \ 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 \v�\ OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds \ "PLEASE PRINT CLEARLY"-- OWNER LEARLY*� OWNER Last NameO I „� ^ First M399O Address 102- / Lo q2 � HQ 7— City G tZI LLF State f,6 I Zip S - Phone _ 6 7 Fax :Z, _2 _ 2 3 T E-mail �—J ca lLi 0 L, fEN.931 N C CONTRACTOR Name�pm Address 7 Id --- Sd AI Q U IvS T -0A1 9-- City O O LL State C r�1 / 1 Zip(�6 Phone _ Type Const. Fax E-mail _ 2 S ✓j I ir. f O Z67 Class ARCHI�)T�EECTT/ENG�I/NEER c� QQ {� Name F -=v FE Y"E� ! F £ G Address Z SW1� City ,n� Sf- State c f) Zip?rce ,t J�` Phone � 7l/�_ O�O /�O Fax G73 _ E-mail State License Number 'MP 4-W PWT19Rl N011FT- - - APPLICANT NAME Zoning NameUF=189a QLS0 A ISRA f �1 - ! Address V /0-1 (/ O w,/- / 71omf � City O �J n - /� VI Staltee C Type Const. Phone Fax ? _ 2 S ✓j E-mail 11 `0 / /Ca L For office use ly: Zoning I Flood Zone I A ISRA WORKER'S COMPENSATION I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. aP5 Zbl BIN LOCATION AP# 029 _0 30 _0 2-E-- EProperty PropertyAddress`. l LooC m HOA/C (i r' I Cit �j/10t%l Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: KEAINEL BL41Lj0jAj(,' Sq. Footage Ulrj ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: U Bldg SRA Receipt #: �I v Sheriff SMIP Dat Other • otal REV 2-24-05 Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May SUBMITTAL & PERMIT REQUIREMENTS The following 1. drawings and specifications must be submitted to the Building Division in order to apply for a pe mit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Ly' 1. Site plans, 3 o ets, signed by the preparer of the plans. No graph paper! California Department of Forestry plan approval (if required). 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR w�thc6cle --� l�nnbtsig Engineeredfans, 3 o(Allets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. ngmeere Fuss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans; all in 9. duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor ❑ 11. plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑. 10. Recorded copy of Agricultural Acknowledgment Statement. . ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 �.c•�r4.+.-.�.vJ'!•:.�r...r-.�j:v..r"`^:+4.-..-`-.�,t,....•..,�•-.-. .y....:'..+-'......... .... _+, .,--�-.^..•..i "�,r...,-`:.-..,.,.�. -.rr....�.t.:rrlr'�h�r.....-.�....•....��: �,--•,.-.....�....... .. , .a � E 3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIOM 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: FO I hfl ASSESSOR PARCEL NUMBER Q Z 0 - () ! )1 - O L.p Proposed Building Use: \P��lYle ( 11th tYl `1 Permit Technician: Date: 9-9e 1� Items required in order to apply for a permit. All boxes -MUST be checked OR marked NA in order to apply. N 1. Site plans, 3 oq sets, signed by the preparer of the plans. -N fej ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. tbl�, 3. Engineered plans, 3 oto ets, with wet signature on plans AND.2sets of stamped and signed calculations. /� 4. Engineered truss details and layouts in duplicate. No faxesl r w; ❑ 5. Letter from Engineer or Architect for truss design review. x ❑ - 6. Energy compliance design and supporting documentation in duplicate. N� 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. r b'►J 10. Flood Elevation, Certificate, wet -stamped and signed, in duplicate. - Lti+tr on 51t r :IV 11. Letter of intent f&.non-residential buildirigs ��� 12. Hazardous Material Form 1 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 0 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by 0 18. Soils Report and/or Engineered Foundation required ........................................... ❑ ..19,,Erosion Control Plan Required........................................................................ 20: ees as shown on the attached Schedule of Fees Due Sheet .....................:........ tit❑.. ' ' 21. City.of Chico Plumbing permit........................................................................ ''.. ❑ 22. rSite plan and business license approval from the City of Biggs .............................. O .23.�'61ifornia Department of Forestr plan approval ❑ paid. Sent by: '/ , Planning approval for (A) Use: C (B)Parking: (C) Parcel Che k: a!�'......c" 25'. Contact Land Development about -Improvements, -Drainage. ��:_ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... 0 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits ........................... ❑ 34. Deed Restriction..........................................................::.............................. El 35. ❑ Legal Oescription, ❑ M.H. Titl , title search, registration or MCO ......................... 4, 36'?.Other: ❑ 37. 'Other. When issued Telephone ��ffY�/ 5-33 -77 0 7 and hold for pickup. I have been informe off the above items and requirements for obtaining a building permit. ApplicantDate: IQ 0 1. Index permit application for the above items numbered: Plan Check Letter 2. Addff&t items required 'Contracto esigner, owner, was advised of the above data by IV phone, ❑ mail, ❑ counter, by Date: a4l UW C-antrgctor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, liy Date: Plans reviewed by: Date: Plans approved by: 1,1 1 41. Date: Structural reviewed Date: Structural approved by. Date: by: Note transfer by: Date: UAF�_ Yellow: Building Division '..ot OAILV _.:..rtscha 6— Floor Plan Attached Sant to S.D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage DisposWater Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health pecialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER L_ PROPROSED BUILDING USE0 1. BUILDING PERMIT FEES --- Balance Due ..................... $ -2-Wp.,-7 --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.. SCHOOL DISTRICT FEES &/f w At -16 /+ at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building ivision) (j1 q Commercial (sq. ftg.)..... X $0.03 = $ Sq. tg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P.# OZe; 03G—dzOP DATE RECEIPT # DATE REC. / / lg�3 - k (' 1 3 0 7. WATER TENDER FEES BATTALION # 00.00 (paid at Building Division) y 8. SMIP lku 9. DRAINAGE 10. OTHER 11. OTHER At time of permit application, I was advised the may be changed during tVFlatj i:4 cl 'ngpSace APPLICANT are required to be paid prior to issuance of the permit. These fees DATE Z Pursuant to yem nt Code Section66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and ]0 above may have been imposed on your project. You have 90daydate of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are s Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Applicant: Folsom, Debra Permit No: 05-2612 Project Type: Kennel 028-030-028 100% 70% Plan Check Fees $ 859.43 $ 601.60 $ 601.60 WILLDAN Fee $ 601.60 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other °wrrF° 0 0 N 0 0 7 County Center Drive ° ° o - - o Oroville, CA 95965 c�UNy (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: WILLDAN N , FROM: Scott Rutherford (530) 538-7160 ' LO srutherford@buttecounty.net Tom SUBJECT: Plans Transmittal For Review Per Contract O 00 DATE: 09/28/2005 Applicant: Folsom, Debra Permit No: 05-2612 Project Type: Kennel 028-030-028 100% 70% Plan Check Fees $ 859.43 $ 601.60 $ 601.60 WILLDAN Fee $ 601.60 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department o 'Develoet Se1vICeS �''r�r pmnoo 7 County Center Drive 0 :.`. ° Oroville, CA 95965 ' 0, (530) 538-7601 Telephone UTA (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: e I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process es. Any changes requiring submission of amended begins, there will be no refund of plans examination fe plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). . Please print: Applicant Nay Building site APN: ozs�-o3o-ozd� Permit No.: bS I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: APPLICANT Copy to ApplicandEH/File q=2 7 6 DATE K Forms/BldePermitwithoutClearances 020705 Department C n 11 n t J. Michael Crump, Director 0 cO LJ SAA A�LIC WOF�S of Public o f B U t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 C6uny Center Drive Orovii1e. CA 95 965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water P61lution Prevention Plan (s WPPP) Acknowledgement (LESS THAN 9 ACRE Project Description: N � AiAI fi �0z�--o36.0z-�r Project Location andlor Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: cow R,�i.�— g/z� /05 SITE PLAN REVIEW APPLICATION Date: �• 2`�'y� AP# Permit Number (if applicable) Or- i -2i Bin Number ` APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home , ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Parcel Size: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Septic ❑ Well Agricultural Exempt Building�Agricultural Buffer Form El Applicable [:]'-N/A j Other: L - USE P6 r 69 6YA1 Brief Explanation (if necessary): f-Z5�_WAJIG -A/ DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 0 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 10Site Pan Stamped Approved By Date C2cL ALL ITEMS CHECKED APPLY TO THE PROPER' Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Flood Zone: Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit 'El Minor Use Permit ❑ Administrative Permit E]Minor Variance ❑ Variance -------=----------------------- ------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ . Agricultural Acknowledgement Statement Zoning: A - 5 (6 t' C) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount . Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes; Road Name: Complies with County Standards fPevwi Deed reation:❑ No Yes / Comments: tw rT cr r !it — ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements n Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. . ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 if , Mefford, Alice From: Snellings, Tim Sent: Thursday, February 09, 2006 3:26 PM To: Edell, Stuart Cc: Rutherford, Scott; Mefford, Alice Subject: RE: a little help Attachments: Snellings, Tim.vcf Thanks Stu, Tim Tim Snellings, Director Butte County Department of Development Services Direct Phone: 530-538-6821 vi 1.:4`4 From: Edell, Stuart Sent: Thursday, February 09, 2006 2:50 PM To: Crump, Mike; Snellings, Tim Cc: Calarco, Pete Subject: RE: a little help FYI From: Schroth, Eric Sent: Thursday, February 09, 2006 2:44 PM To: Edell, Stuart Subject: UP 04N-25 AP 028-030-028 Stu, Page 1 of 2 ...................................................... -..... �.......... - The drainage condition for the above reference UP has been satisfied with a letter from Jim Purcell, P.E. stating that all runoff is contained on site. The letter has been placed in the LD file. Eric A. Schroth Butte County Public Works Land Development Division 7 County Center Drive Oroville, CA 95965 Phone: (530) 538-7266 FAX: (530) 538-7171 From: Crump, Mike Sent: Wednesday, January 25, 2006 9:32 AM To: Snellings, Tim Cc: Calarco, Pete; Edell, Stuart Subject: RE: a little help Tim; Works for me. 02/09/2006 Page 2 of 2 Stu; can you please make sure this is coordinated on our end. Thanks Mike Crump, Director Butte County, Dept of Public Works 7 County Center Drive Oroville CA 95965 From: Snellings, Tim Sent: Tuesday, January 24, 2006 10:21 AM To: Crump, Mike Cc: Calarco, Pete Subject: a little help Mike: We have a customer, John Dotson, that has experienced a very difficult Building Permit process for a kennel, etc.... We will be getting the approved plans back from Wildan later today and will be ready to issue hi sBuilding Permit. He has everything signed off, except for his drainage plan being approved by Public Works (he has NOT submitted it yet ... he spoke to Rick and was told that it would take about 3 weeks). To keep this from escalating, I propose that we issue him his Building Permit, subject to him getting his drainage plan approved, installed and finaled by Public Works PRIOR to us issuing him his Final. What do you think? Please let me know, Thanks, Tim Tim Snellings, Director Butte County Department of Development Services Direct Phone: 530-538-6821 GREE. N- *. 02/09/2006 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM—�� 0 ` g no form per Building) (( School Districtrov(� V/J/ Building Department No. A.P. Number �u—��..! (' Jurisdiction: City = ouCci Property Owner � r1% Property LocationlAddress Subdivision Lot No. Residential Development Q Q Q Q Vii• Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) '• ............................................................................................ _.... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial E Q Sq. Footage New Addition (Including fxterior Roofed Areas) a � Building Department Representative Date District Identification No. 0-60155. .O01J5 Vv School District certifies that lOr d J 0 n h FDI S im (Applicant) Low er rcLl-* `7y 347 (Street Address) (Phone Number) E) -t�y (City) (State) (Zip Code) G1' has complied with the requirements of Resolution No.y J —� �� by payment of $ representing 3 V V1 square feet. JAB 2926 $ FULL MmGATION $ School District Representative Date Paid by Check # \\ Remarks: Nadw: You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance with Government code Section 66020(a), wfihdn 90 days from the dab tees are paid. Failure to submit a timely written protest wlg'prohlblt you from ch@IW ing the Imposition of the hes In any court action. f, subsequent to the School District Representative signing this Sutte County Schools Impact Fee Certification Form, the School District Is raON ed by the applicable Local Planning Agency that this project Is being rwlewed under the Calfomle Environmental Quality Act (CEQA), thisproject maybe subject to additional school hes to fully mitig te.lts Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ds,(t0/o3►dmm FOR Urgent DATE While You M A.M. TIME P.M. Were Out OF PHONE AREA CODE NUMBER EXTENSION TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALLAGAIN RETURNED YOUR CALL WANTS TO SEE YOU MESSAGE SIGNED edema 9711 Page 1 of 2 Snellings, Tim From: Snellings, Tim Sent: Wednesday, January 25, 2006 10:05 AM To: Mefford, Alice; Rutherford, Scott Cc: Calarco, Pete Subject: FW: a little help Attachments: Snellings, Tim.vcf Alice: Go ahead and issue Dotson's permit with the condition that he must provide the Public Work's drainage plans, construction and final PRIOR to us issuing the FINAL on the Building Permit. Thanks, Tim Tim Snellings, Director Butte County Department of Development Services Direct Phone: 530-538-6821 HGIEPA, GREEN POWER PARTNER From: Crump, Mike Sent: Wednesday, January 25, 2006 9:32 AM To: Snellings, Tim Cc: Calarco, Pete; Edell, Stuart Subject: RE: a little help Tim; Works for me. Stu; can you please make sure this is coordinated on our end. Thanks Mike Crump, Director Butte County, Dept of Public Works 7 County Center Drive Oroville CA 95965 From: Snellings, Tim Sent: Tuesday, January 24, 2006 10:21 AM To: Crump, Mike Cc: Calarco, Pete Subject: a little help Mike: 1/25/2006 Page 2 of 2 We have a customer, John Dotson, that has experienced a very difficult Building Permit process for a kennel, etc.... We will be getting the approved plans back from Wildan later today and will be ready to issue hi sBuilding Permit. He has everything signed off, except for his drainage plan being approved by Public Works (he has NOT submitted it yet ... he spoke to Rick and was told that it would take about 3 weeks). To keep this from escalating, I propose that we issue him his Building Permit, subject to him getting his drainage plan approved, installed and finaled by Public Works PRIOR to us issuing him his Final. What do you think? Please let me know, Thanks, Tim Tim Snellings, Director Butte County Department of Development Services Direct Phone: 530-538-6821 PREEN OWER PARTNER 1/25/2006 USE PERMIT BUTTE COUNTY PLANNING COMMISSION MAR 3 0 2005 DATE: (Certified Mail Rec.) UP 04-25 PERMIT NO. 028-030-028 & 028-030-027 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below, John and Debra Folsom are hereby granted a Use Permit to expand an existing dog training kennel (allowed by Use Permit 87-8) from 30 dogs to 120 dogs, including expanding the existing dog kennel structure by approximately 1,320 square feet (40 ft. x 33 ft. addition), constructing a new 2,805 square foot (85 ft. x 33 ft.) dog kennel structure, installation of a new septic system, and expansion of the existing septic system leach lines. The project is subject to the following conditions: 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The expanded use granted by this permit must be established within two years of the date of approval. 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent withthe application, fees paid, and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one-year extension is submitted to the Planning Commission together with sufficient evidence that the time limits for processing development permits under federal or State regulations require time limits which exceed one year. Upon application, and for good cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. KI 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged material misrepresentation shall constitute grounds for the Director of Development Services to commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: 1. Mitigation Measure # 1: Dust generated by the development activities shall be kept to a minimum with a goal of retaining dust on the site. Follow the dust control measures listed below: a. Water shall be applied by means of truck(s), hoses, and/or sprinklers as needed prior to any land clearing or earth movement to minimize dust emissions. b. Haul vehicles transporting soil into or out of the property shall be covered. C. Water shall be applied to disturbed areas a minimum of two (2) times per day or more as necessary. d. On-site vehicles shall be limited to a speed of 15 mph on unpaved roads. e. Post a publicly visible sign with the telephone number and person to contact regarding dust complaints. This person shall respond and take corrective action within 24 hours. The telephone number of the Butte County Air Quality Management District shall be visible to ensure compliance with BCAQMD Rule 200 & 205 (Nuisance and Fugitive Dust Emissions). f. All visibly dry disturbed soil surface areas of operation shall be watered to minimize dust emissions. g. Existing roads and street adjacent to the project shall be cleaned at lease once per day unless conditions warrant a greater frequency. Plan Requirements: This note shall be placed on all building and site development plans. Timing: Requirements of the condition shall be adhered to throughout all grading and construction periods. Monitoring: The Department of Development Services shall ensure that this note is placed on all building plans and shall spot check and shall ensure compliance on-site. Butte County Air Quality Management District inspectors shall respond to nuisance complaints. 2. Mitigation Measure # 2: Should development activities reveal the presence of cultural resources (i.e., artifact concentrations, including arrowheads and other stone tools or chipping debris, cans, glass, etc.; structural remains; human skeletal remains), work within 50 feet of the find shall cease immediately until a qualified professional archaeologist can be consulted to evaluate the remains and implement appropriate mitigation procedures. Recommencement of development activities shall not occur until clearance is provided by the Butte County Department of Development Services. Should human skeletal remains be encountered, State law requires immediate notification of the County Coroner. Should the County Coroner determine that such remains are in an archaeological context, the Native American Heritage Commission in Sacramento shall be notified immediately, pursuant to State law, to arrange for Native American participation in determining the disposition of such remains." Plan Requirements: This note shall be placed on all building and site development plans. Timing: This measure shall be implemented during all site development activities. Monitoring: Should cultural resources be discovered, the landowner shall notify the Department of Development Services and a professional archaeologist. The Department of Development Services shall coordinate with the developer and appropriate authorities to avoid damage to cultural resources and determine appropriate action. Mitigation Measure # 3: The kennel operator shall pick up solid wastes from the dogs at least once per day and dispose of the wastes in a septic system approved by the Butte County Environmental Health Division. All water runoff from cleaning of the kennel floors shall drain into an approved septic system. Plan Requirements: This mitigation measure shall be a condition of the Use Permit. Timing: The mitigation measure shall be adhered to during the entire operational life of the kennel. Monitoring: The kennel operator shall be responsible for picking up dog wastes at least once per day and disposing of them in an approved on-site septic system. The kennel operator shall be responsible for ensuring that drainage from cleaning of the kennel floors drains into the septic system. The Department of Development Services, the Environmental Health Division, and the Animal Control Division shall respond to complaints concerning odors and contaminated water runoff. 4. Use of firearms for dog training shall be limited to daylight hours. 5. Dogs shall be under the direct control of trainers when outside of the kennel structure. 6. If the Department of Development Services or other County departments receive noise - related complaints regarding the dog kennel and the level of noise is in excess of established standards, the applicant shall implement recommendations of the Department of Development Services to reduce the noise impacts. In response to any pattern of noise complaints, the Development Services Department, at the expense of the applicant, shall conduct a noise analysis to establish the compliance of the project with standards in the Noise Element of the General Plan. Currently, the Noise Element establishes that acceptable levels of noise for the project area of up to 60 decibels Ldn or CNEL. If noise levels are in excess of established standards, the project applicant is required to reduce noise levels through recommendations of the Development Services Department, which may include, but are not limited to, building noise attenuation devices that provide some relief to nearby homes, erecting a sight obscuring fence so that the dogs can't see off the site, placing bark collars on the dogs that bark, or other recommendations. Any implemented recommendations to reduce noise would be subject to building permits, if required, and other applicable conditions. 7. Prior to issuance of building permits, obtain the necessary permit(s) from the Butte County Animal Control Office. Provide documentation from the Animal Control Office that the necessary permits have been obtained or are not required. 8. Shielding or construction to be developed to keep noise levels to a minimum and not to exceed 60 dB at property line, pursuant to the Noise Element of the General Plan. Public Works Division 9. Prior to issuance of a building permit, obtain an encroachment permit and improve all new and existing driveway approaches to publicly maintained roads as specified in the County Improvement Standards and the terms of the encroachment permit. 10. Prior to issuance of a building, permit, a plan for a permanent solution. for drainage shall be submitted to and approved by the Department of Public' Works. The drainage plans shall detail existing drainage conditions and shall specify how drainage waters shall be detained or retained on-site and/ or conveyed to the nearest natural or publicly maintained drainage channel or facility and shall provide that there shall be no increase in,,the peak flow runoff to said channel or facility. 11. Prior to issuance of a building permit, establish,,4 00 year flood plain elevations and the lowest floor elevations for any structures, in. accordance with Butte County Code §26-25. Show on the site plan the elevations (by contours) and the location, of an accepted NGVD29 (National Geodetic Vertical. Datum of 1929) benchmark and a temporary benchmark on-site. Environmental Health Division 12. Prior to issuance of Building Permit;;'septic system for the new kennel and up to ten (10) employees shall be installed under permit • from the Butte County— Environmental Health Division. 13. The bottom of any leach line shall have..adequate` separation from groundwater and all parts of the septic system. sl all be at least fifty (59) feet from seasonal ponds. Butte County Fire Department/CDF 14. Provide an all weather access to all structures that is at least 10 feet wide and has a vertical clearance of 15 feet that will accommodate a 40,000 pound fire apparatus. County Counsel 15. If this entire matter or any finding, action or condition of this matter is appealed to the Board of Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Date:* j ' �j� —0-5 Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nQr does it waive any other requirements. B .bounty Planmrib commission Chairman CC: Land Development Division Building Division Environmental Health Division Butte County Fire Department/CDF Assessors Office Animal Control Office ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 5 of 10 ■ A.P. # 028-030-028 Flood Elevation Cert for proposed kennel building does not appear to be necessary. See attached aerial and topo of parcel. Although we do not yet have a building permit application, the proposed location of the kennel is approximately 1000' feet from the flood hazard zone, and topo shows and elevation gain of approx 10 ft + 9 L3y�5 N AM D28°03.0 002 028-030-003 028-030-05 L Is iL 028-030-037, ,L' Lower Honcut Rd 50 028-030-037 UT Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name: Jph.J d- D'awc-0- ISOA-1 Date: Assessor Parcel Number: 0VV - 030.07_V Building Permit Number: Occupancy of Building: 61/Lav's I hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. 1-7 I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Division. Signature of the Building Owner: Mailing Address: C&400t WA Telephone Number: 530, 7t f Z 36eze, Hightest Retrievers Inc. 1021 LOWER HONCUT ROAD, OROVELLE; .CA 95966 (530) 742-3647 • FAX (530) 742-3653 q_ 221- 05 +A a a /� w VV �v `��Cl \ BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMISSIONS QUESTIONNAIRE (A BUILDING PERMIT CANNOT BE APPROVED WITHOUT THIS COMPLETED FORM) PROJECT ADDRESS 1021 LOWEk NQAJCGE A.P. # 1; u ► : ul ADDRESS NATURE OF BUSINESS CONTACT PERSON 1 FA/% / RLS l PHONE i 1. Does your business or that of your tenants handle, store, or transport hazardous materials? NOX) YES( ) NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the environment if released into the workplace or the environment. "HAZARDOUS MATERIALS" include, but are not limited to: hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle, store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature or pressure), of formulation containing hazardous material? NO Y�' YES ( ) If you answer YES to 1 or 2, contact the Butte County Environmental Health Department at (530) 891-2727 for a review of the project. 3. Is the business/facility/operation to be located within 1,000 feet of the outer boundary of a school or a school site? NO *) YES ( ) IF YES, Name of school: 4. Does the business/facility/operation have the otential to emit any air pollutants: e.g. dust, soot, odors, fumes, vapors, or other volatile compounds? NO YES( ) IF YES, contact the Butte County Air Quality Management District at (530) 891-2882 for permit requirements. Owner or Authorized Company Representative Date '�0,5 BCEHD BCAQMD F-1 F-1The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and. Safety Code and the requirements for a permit from the Butte County Air Quality Management District. The above regulations DO NOT apply to this facility. BCEHD Signature Date BCAQMD Signature Date 03/02 White -Bldg. Div. Yellow-BCEI-ED Pink-BCAQMD Goldenrod -Fire Dept. Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING March 29, 2005 John and Debra Folsom 1021 Lower Honcut Road Oroville, CA 95966 CERTIFIED MAIL Re: Use Permit UP 04N-25, APN 028-030-028 Dear Mr. and Mrs. Folsom: Enclosed is your validated Use Permit to allow the expansion of an existing dog training kennel from 30 dogs to 120 dogs. The existing kennel was approved by Use Permit 87-8, located on the north side of lower Honcut Road, approximately 2.5 miles east of SR -70, at 1021 Lower Honcut. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Lynn Richardson Commission Clerk enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) G.I.S. USE PERMIT BUTTE COUNTY PLANNING COMMISSION MAR 3 0 2005 DATE: (Certified Mail Rec.) UP 04-25 PERMIT NO. 028-030-028 & 028-030-027 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below, John and Debra Folsom are hereby granted a Use Permit to expand an existing dog training kennel (allowed by Use Permit 87-8) from 30 dogs to 120 dogs, including expanding the existing dog kennel structure by approximately 1,320 square feet (40 ft. x 33 ft. addition), constructing a new 2,805 square foot (85 ft. x 33 ft.) dog kennel structure, installation of a new septic system, and expansion of the existing septic system leach lines. The project is subject to the following conditions: 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The expanded use granted by this permit must be established within two years of the date of approval. 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid, and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one-year extension is submitted to the Planning Commission together with sufficient evidence that the time limits for processing development permits under federal or State regulations require time limits which exceed one year. Upon application, and for go.od cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged material misrepresentation shall constitute grounds for the Director of Development Services to commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: 1. Mitigation Measure # 1: Dust generated by the development activities shall be kept to a minimum with a goal of retaining dust on the site. Follow the dust control measures listed below: a. Water shall be applied by means of truck(s), hoses, and/or sprinklers as needed prior to any land clearing or earth movement to minimize dust emissions. b. Haul vehicles transporting soil into or out of the property shall be covered. C. Water shall be applied to disturbed areas a minimum of two (2) times per day or more as necessary. d. On-site vehicles shall be limited to a speed of 15 mph on unpaved roads. e. Post a publicly visible sign with the telephone number and person to contact regarding dust complaints. This person shall respond and take corrective action within 24 hours. The telephone number of the Butte County Air Quality Management District shall be visible to ensure compliance with BCAQMD Rule 200 & 205 (Nuisance and Fugitive Dust Emissions). f. All visibly dry disturbed soil surface areas of operation shall be watered to minimize dust emissions. g. Existing roads and street adjacent to the project shall be cleaned at lease once per day unless conditions warrant a greater frequency. Plan Requirements: This note shall be placed on all building and site development plans. Timing: Requirements of the condition shall be adhered to throughout all grading and construction periods. Monitoring: The Department of Development Services shall ensure that this note is placed on all building plans and shall spot check and shall ensure compliance on-site. Butte County Air. Quality Management District inspectors shall respond to nuisance complaints. 2. Mitigation Measure # 2: Should development activities reveal the presence of cultural resources (i.e., artifact concentrations, including arrowheads and other stone tools or chipping debris, cans, glass, etc.; structural remains; human skeletal remains), work within 50 feet of the find shall cease immediately until a qualified professional archaeologist can be consulted to evaluate the remains and implement appropriate mitigation procedures. Recommencement of development activities shall not occur until clearance is provided by the Butte County Department of Development Services. Should human skeletal I remains be encountered, State law requires immediate notification of the County Coroner. Should the County Coroner determine that such remains are in an archaeological context, the Native American Heritage Commission in Sacramento shall be notified immediately, pursuant to State law, to arrange for Native American participation in determining the disposition of such remains." Plan Requirements: This note shall be placed on all building and site development plans. Timing: This measure shall be implemented during all site development activities Monitoring: Should cultural resources be discovered, the landowner shall notify the Department of Development Services and a professional archaeologist. The Department of Development Services shall coordinate with the developer and appropriate authorities to avoid damage to cultural resources and determine appropriate action. 3. Mitigation Measure # 3: The kennel operator shall pick up solid wastes from the dogs at least once per day and dispose of the wastes in a septic system approved by the Butte County Environmental Health Division. All water runoff from cleaning of the kennel floors shall drain into an approved septic system. Plan Requirements: This mitigation measure shall be a condition of the Use Permit. Timing: The mitigation measure shall be adhered to during the entire operational life of the kennel. Monitoring: The kennel operator shall be responsible for picking up dog wastes at least once per day and disposing of them in an approved on-site septic system. The kennel operator shall be responsible for ensuring that drainage from cleaning of the kennel floors drains ' into the septic system. The Department of Development Services, the Environmental Health Division, and the Animal Control Division shall respond to complaints concerning odors and contaminated water runoff. 4. Use of firearms for dog training shall be limited to daylight hours. 5. Dogs shall be under the direct control of trainers when outside of the kennel structure. 6. If the Department of Development Services or other County departments receive noise - related complaints regarding the dog kennel and the level of noise is in excess of established standards, the applicant shall implement recommendations of the Department of Development Services to reduce the noise impacts. In response to any pattern of noise complaints, the Development Services Department, at the expense of the applicant, shall conduct a noise analysis to establish the compliance of the project with standards in the Noise Element of the General Plan. Currently, the Noise Element establishes that acceptable levels of noise for the project area of up to 60 decibels Ldn or CNEL. If noise levels are in excess of established standards, the project applicant is required to reduce noise levels through recommendations of the Development Services Department, which may include, but are not limited to, building noise attenuation devices that provide some relief to nearby homes, erecting a sight obscuring fence so that the dogs can't see off the site, placing bark collars on the dogs that bark, or other recommendations. Any implemented recommendations to reduce noise would be subject to building permits, if required, and other applicable conditions. / 7. Prior to issuance of building permits, obtain the necessary permit(s) from the Butte County Animal Control Office. Provide documentation from the Animal Control Office that the necessary permits have been obtained or are not required. 8. Shielding or construction to be developed to keep noise levels to a minimum and not to exceed 60 dB at property line, pursuant to the Noise Element of the General Plan. Public Works Division 9. Prior to issuance of a building permit, obtain an encroachment permit and improve all new and 'existing driveway approaches to publicly maintained roads as specified in the County Improvement Standards and the terms of the encroachment permit. 10. Prior to issuance of a building permit, a plan for a permanent solution for drainage shall be submitted to and approved by the Department of Public Works. The drainage plans shall detail existing drainage conditions and shall specify how drainage waters shall be detained or retained on-site and/ or conveyed to the nearest natural or publicly maintained drainage channel or facility and shall provide that there shall be no increase in the peak flow runoff to said channel or facility. 11. Prior to issuance of a building permit, establish 100 year flood plain elevations and the lowest floor elevations for any structures, in accordance with Butte County Code §26-25. Show on the site plan the elevations (by contours) and the location of an accepted NGVD29 (National Geodetic Vertical Datum of 1929) benchmark and a temporary benchmark on-site. Environmental Health Division 12. Prior to issuance of Building Permit, septic system for the new kennel and up to ten (10) employees shall be installed under permit from the Butte County Environmental Health Division. 13. The bottom of any leach line shall have adequate separation from groundwater and all parts of the septic system shall be at least fifty (50) feet from seasonal ponds. Butte County Fire Department/CDF 14. Provide an all weather access to all structures that is at least 10 feet wide and has a vertical clearance of 15 feet that will accommodate a 40,000 pound fire apparatus. County Counsel 15. If this entire matter or any finding, action or condition of this matter is appealed to the Board of Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. y Date: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nQr does it waive any other requirements. BY�tounty Planniri-b Lommission Chairman CC: Land Development Division Building Division Environmental Health Division Butte County Fire Department/CDF Assessors Office Animal Control Office ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 5 of 10 ■ BUTTE COUNTY PLANNING COMMISSION AGENDA REPORT - FEBRUARY 24, 2005 Applicant: John and Debra Folsom Location: On the north side of Lower Honcut Road, approximately File #: UP 04-25 2.5 miles east of SR -70, at 1021 Lower Honcut Road Request: Use Permit to allow the expansion of an existing dog training kennel from 30 dogs to 120 dogs. Additional Parcel Size: 80 acres development includes an Supervisor 1 addition to the existing dog District: kennel structure and construction of a new dog Planner: Steve Betts, Senior Planner kennel structure. G.P.: Orchard and Field Crops Attachments: Zoning: A-5 (Agricultural, 5 -acre A: General Plan/Zoning Map parcels) Zone Date: October 7, 1975 B: Use Permit 87-8 APN: 028-030-028 & 028-030-027 C: Initial Study D: Site Plan EXECUTIVE SUMMARY: The project would allow the expansion of an existing dog training kennel from 30 dogs to 120 dogs. Staff recommends approval of this Use Permit with findings and conditions. PROJECT DESCRIPTION: • Use Permit to allow the expansion of an existing dog training kennel from 30 dogs to 120 dogs. • The existing 2,805 square foot dog kennel structure is proposed to be . expanded approximately 1,320 square feet to the east (40 ft. x 33 ft. addition). • A new 2,805 square foot (85 ft. x 33 ft.) dog kennel structure is also proposed, which would be located just to the north of the existing dog kennel. • An additional septic system would be installed and the leach line of the existing kennel septic system lengthened to handle the increase in dog waste and wastewater. • The applicants propose to expand the dog kennel in phases to accommodate increased demand for their services. Phase One would add on to the existing dog kennel structure. ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 1 of 10 ■ Phase Two would be the construction of the new dog kennel. With Phase Two development, the applicants anticipate that they would have up to ten employees. • No complaints from neighbors have been received regarding the kennel use. The Butte County Animal Control Office indicates that there have been no problems at the kennel and that the kennel has a current kennel license. • The existing kennel was approved by Use Permit 87-8 in 1986. • The existing dog kennel is utilized for the training of hunting dogs, primarily retrievers. Some breeding of dogs also occurs, with the puppies for sale. • Long-term boarding (one week or more) of dogs is another service provided by the applicants. Many of the boarders are graduates of the training program and undergo additional training while being boarded. • This request is for a Use Permit to allow the expansion of an existing dog kennel in accordance with Butte County Code Section 24-90(c)(3), which allows for a dog kennel use by Use Permit in an Agricultural zoning district. SITE CHARACTERISTICS: • The project site fronts on Lower Honcut Road and access to the existing dog kennel facility is via an existing gravel road. • The project site is developed with a dwelling unit, detached garage, several dog kennel structures, a fenced dog run, dog training areas (pond areas), two septic systems, and several wells. • Vegetation on the site includes large open areas of grass and non-native shrubs and trees located in the developed area of the site, including eucalyptus along the site driveway and tall shrubs and trees along the Lower Honcut Road frontage. • Land uses on adjacent parcels include rice fields, fallow fields, seasonal waterfowl hunting, livestock grazing, and scattered dwellings. • The nearest off-site dwelling unit is owned by the applicants, which is located approximately 580 feet to the east of the dog kennel structure. The next closest dwellings are located approximately 1,490 feet to the southeast and 2,240 feet to the east. • Approximately 13.4 acres of the project site, which are located in the west and northwest corner of the site, are within a 100 -year flood zone, with the remainder of the project site outside of the 100 -year flood zone. All existing and proposed improvements are outside of the 100 -year flood zone. • No natural wetlands, vernal pools or drainages are found on the site, but the applicants have constructed several large ponds that are utilized for dog training. • Solid waste from the dogs is disposed of in an on-site septic system that is only utilized for the dog kennel use. The concrete floor of the dog kennel drains into the septic system. • Most of the project parcel is fenced to prevent dogs from getting off the site. An electric gate prevents unauthorized vehicular access onto the site. ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 2 of 10 ■ • The dog kennel facility has four employees (not including the two applicants). ANALYSIS: • The project would result in a substantial increase in the number of dogs kept on the project site. • The applicants have operated the existing dog kennel facility since 1987, and no noise complaints or other violations were noted by the Animal Control Division. • The project site is located in a very rural part of the County and very few dwellings are found in the project area. • The increase in dogs at the kennel facility is not expected to create any significant amounts of noise or odors that can be detected off-site. • Waste from the dogs and runoff from the floors of the dog kennel structures are required to be disposed of in on-site septic systems. • Wastes from the dogs are required to be picked up at least once per day. • Barking from the dogs is not expected to create any significant impacts due to the long distance from the kennel to off-site dwellings. A condition of project approval allows the Planning Division to prepare a noise analysis (at the applicant's expense) and the applicants to implement noise reduction measures if complaints about barking from the dogs are received by the Planning Division. • The expansion of the existing kennel would not have an impact on agricultural activities. The Butte County Agricultural Commissioner's Office did not object to the project. • Some of the conditions of project approval from UP 87-8 are included in conditions of project approval for this project. Use Permit 87-8 is attached to this report. Generai Plan/Zoning Consistency • The Orchard and Field Crops General Plan land use designation lists intense animal uses as a Primary Use. • The A-5 zoning district allows dog kennels with a Use Permit. CEQA ISSUES: The initial study prepared for this project determined there would be environmental impacts to the following areas: • Air Quality (dust control during site development activities and odors from solid wastes) • Cultural Resources (possible disturbance of archaeological resources) • Hydrology (wastes from dogs placed in septic systems) Three mitigation measures have been recommended that would reduce project impacts to a less than significant level. ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 3 of 10 ■ ENVIRONMENTAL REVIEW: An Initial Study/Mitigated Negative Declaration has been prepared for this project by County staff. Staff determined, based on a review of the Initial Study, that project impacts can be fully mitigated. The Initial Study/Mitigated Negative Declaration was sent to the Governor's Office of Planning and Research, State Clearinghouse, for a 30 -day review period (SCH # 2004122004). Notices regarding the 30 -day review period were mailed to landowners near the project site and a notice was placed in the Oroville Mercury Register. ACTIONS FOR CONSIDERATION: Staff recommends that the Planning Commission take the following actions: I. Adopt a Mitigated Negative Declaration with the following findings: A. An Initial Study was completed in compliance with the California Environmental Quality Act. Said study identified significant environmental effects and included mitigation measures that would mitigate such effects below significant levels; a Mitigated Negative Declaration is proposed. B. The Planning Commission has considered the proposed Mitigated Negative Declaration, together with comments received during the review process. C. On the basis of the whole record before the Planning Commission, including the Initial Study and any comments received, there is no substantial evidence that the Use Permit for John and Debra Folsom, Planning Division File No. UP 04-25, would have a significant effect on the environment. The custodian of the record is the Planning Division of the Development Services Department. The location of the record is 7 County Center Drive, Oroville, CA 95965. D. The proposed Mitigated Negative Declaration reflects the independent judgment and analysis of the County, which is the Lead Agency. E. Adopt the Mitigated Negative Declaration regarding environmental impacts, with Mitigation Measures 1 through 3, as detailed in the Agenda Report dated February 24, 2005. II. Adopt a "de minimis" exemption regarding impact to fish and wildlife or their habitat. The design of the proposed project improvements will not cause environmental damage to fish and wildlife or their habitat. The collection of fees pursuant to Fish and Game Code Section 711.4 and 14 CCR 753.5 is not required. The project site is not known to contain any species identified as a candidate, sensitive, or special status species in local or regional plans, policies, or regulations, or by the California Department of Fish and Game or U.S. Fish and Wildlife Service. The project will not have a substantial adverse effect on any riparian habitat; have a substantial adverse effect on federally protected wetlands as defined by Section 404 of the Clean Water Act; interfere substantially with the movement of any native resident or migratory fish or wildlife species; conflict with any local policies or ordinances protecting biological resources; or conflict with the provisions of an adopted Habitat Conservation Plan. IIl. Approve Use Permit UP 04-25 for John and Debra Folsom, subject to the following findings and the conditions in Exhibit "A": ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 4 of 10 ■ A. The project would not conflict with, impair or be detrimental to the uses both permitted and conditional of the zone in which it is located and/or adjoins, based upon the findings in Section B below. B. The proposed use of the property will not impair the integrity and character of the zone in which the land lies, and that the use would not be unreasonably incompatible with, or injurious to, surrounding property, or detrimental to the health, safety and general welfare of the persons residing or working in the neighborhood, or to the general health, welfare and safety of the County because: 1. The existing dog kennel is professionally operated and has been in business since 1987. The existing kennel operation has not received any noise complaints or other violation notices. 2. No impacts to ground or surface waters would occur because solid and liquid wastes from the dogs will be disposed of in dedicated, on-site septic systems. 3. No objectionable odors would be detected off-site because solid wastes from the dogs are required to be picked up on a daily basis. 4. Noise from the dogs are not expected to create any significant impacts because the nearest off-site dwellings are located approximately 1,490 feet to the southeast and 2,240 feet to the east. C. The proposed location, size, design, and operating characteristics of the proposed use is in accordance with the purpose of the zone in which the site is located, the Butte County general plan, and the development policies and standards of the County because: 1. The project is consistent with the A-5 zone, which allows a dog kennel with a Use Permit. 2. The project is consistent with the Orchard and Field Crops General Plan land use designation, which lists intense animal uses as a Secondary Use. D. The project would not have any impacts to existing or future agricultural uses. k:\planning\projects\up\folsom.04n-25\folsom up 04-25 agenda report.doc ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 5 of 10 ■ EXHIBIT A USE PERMIT BUTTE COUNTY PLANNING COMMISSION DATE: (Certified Mail Rec.) UP 04-25 PERMIT NO. 028-030-028 & 028-030-027 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below, John and Debra Folsom are hereby granted a Use Permit to expand an existing dog training kennel (allowed by Use Permit 87-8) from 30 dogs to 120 dogs, including expanding the existing dog kennel structure by approximately 1,320 square feet (40 ft. x 33 ft. addition), constructing a new 2,805 square foot (85 ft. x 33 ft.) dog kennel structure, installation of a new septic system, and expansion of the existing septic system leach lines. The project is subject to the following conditions: 1. Failure to ,comply with the conditions specified herein as the basis for approval of application ar_d issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The expanded use granted by this permit must be established within two years of the date of approval. 3.. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid, and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one-year extension is submitted to the Planning Commission together with. sufficient evidence that the time limits for processing development permits under federal or State regulations require time limits which exceed one year. Upon application, and for good cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 6 of 10 ■ 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged material misrepresentation shall constitute grounds for the Director of Development Services to commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: 1. Mitigation Measure # 1: Dust generated by the development activities shall be kept to a minimum with a goal of retaining dust on the site. Follow the dust control measures listed below: a. Water shall be applied by means of truck(s), hoses, and/or sprinklers as needed prior to any land clearing or earth movement to minimize dust emissions. b. Haul vehicles transporting soil into or out of the property shall be covered. C. Water shall be applied to disturbed areas a minimum of two (2) times per day or more as necessary. d. On-site vehicles shall be limited to a speed of 15 mph on unpaved roads. e. Post a publicly visible sign with the telephone number and person to contact regarding dust complaints. This person shall respond and take corrective action within 24 hours. The telephone number of the Butte County Air Quality Management District shall be visible to ensure compliance with BCAQMD Rule 200 & 205 (Nuisance and Fugitive Dust Emissions). f. All visibly dry disturbed soil surface areas of operation shall be watered to minimize dust emissions. g. Existing roads and street adjacent to the project shall be cleaned at lease once per day unless conditions warrant a greater frequency. Plan Requirements: This note shall be placed on all building and site development plans. Timing: Requirements of the condition shall be adhered to throughout all grading and construction periods. Monitoring: The Department of Development Services shall ensure that this note is placed on all building plans and shall spot check and shall ensure compliance on-site. Butte County Air Quality Management District inspectors shall respond to nuisance complaints. ■ Butte County Department of Development Services ■ ■ February- 24. 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 7 of 10 ■ 2. Mitigation Measure # 2: Should development activities reveal the presence of cultural resources (i.e., artifact concentrations, including arrowheads and other stone tools or chipping debris, cans, glass, etc.; structural remains; human skeletal remains), work within 50 feet of the find shall cease immediately until a qualified professional archaeologist can be consulted to evaluate the remains and implement appropriate mitigation procedures. Recommencement of development activities shall not occur until clearance is provided by the Butte County Department of Development Services. Should human skeletal remains be encountered, State law requires immediate notification of the County Coroner. Should the County Coroner determine that such remains are in an archaeological context, the Native American Heritage Commission in Sacramento shall be notified immediately, pursuant to State law, to arrange for Native' American participation in determining the disposition of such remains." Plan Requirements: This note shall be placed on all building and site development plans. Timing: This measure shall be implemented during all site development activities. Monitoring: Should cultural resources be discovered, the landowner shall notify the Department of Development Services and a professional archaeologist. The Department of Development Services shall coordinate with the developer and appropriate authorities to avoid damage to cultural resources and determine appropriate action. 3. Mitigation Measure # 3: The kennel operator shall pick up solid wastes from the dogs at least once per day and dispose of the wastes in a septic system approved by the Butte County Environmental Health Division. All water runoff from cleaning of the kennel floors shall drain into an approved septic system. Plan Requirements: This mitigation measure shall be a condition of the Use Permit. Timing: The mitigation measure shall be adhered to during the entire operational life of the kennel. Monitoring: The kennel operator shall be responsible for picking up dog wastes at least once per day and disposing of them in an approved on-site septic system. The kennel operator shall be responsible for ensuring that drainage from cleaning of the kennel floors drains into the septic system. The Department of Development Services, the Environmental Health Division, and the Animal Control Division shall respond to complaints concerning odors and contaminated water runoff. 4. Use of firearms for dog training shall be limited to daylight hours. 5. Dogs shall be under the direct control of trainers when outside of the kennel structure. 6. If the Department of Development Services or other County departments receive noise - related complaints regarding the dog kennel and the level of noise is in excess of established standards, the applicant shall implement recommendations of the Department of Development Services to reduce the noise impacts. In response to any pattern of noise ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 8 of 10 ■ complaints, the Development Services Department, at the expense of the applicant, shall conduct a noise analysis to establish the compliance of the project with standards in the Noise Element of the General Plan. Currently, the Noise Element establishes that acceptable levels of noise for the project area of up to 60 decibels Ldn or CNEL. If noise levels are in excess of established standards, the project applicant is required to reduce noise levels through recommendations of the Development Services Department, which may include, but are not limited to, building noise attenuation devices that provide some relief to nearby homes, erecting a sight obscuring fence so that the dogs can't see off the site, placing bark collars on the dogs that bark, or other recommendations. Any implemented recommendations to reduce noise would be subject to building permits, if required, ar.3 other applicable conditions. 7. Prior to issuance of building permits, obtain the necessary permit(s) from the Butte County Animal Control Office. Provide documentation from the Animal Control Office that the necessary permits have been obtained or are not required. Public Works Division 8. Prior to issuance of a building permit, obtain an encroachment permit and improve all new and existing driveway approaches to publicly maintained roads as specified in the County Improvement Standards and the terms of the encroachment permit. 9. Prior to issuance of a building permit, a plan for a permanent solution for drainage shall be submitted to and approved by the Department of Public Works. The drainage plans shall detail existing drainage conditions and shall specify how drainage waters shall be detained or retained on-site and/ or conveyed to the nearest natural or publicly maintained drainage channel or facility and shall provide that there shall be no increase in the peak flow runoff to said channel or facility. 10. Prior to issuance of a building permit, establish 100 year flood plain elevations and the lowest floor elevations for any structures, in accordance with Butte County Code §26-25. Show on the site plan the elevations (by contours) and the location of an accepted NGVD29 (National Geodetic Vertical Datum of 1929) benchmark and a temporary benchmark on-site. Environmental Health Division 11. Septic system for the new kennel and up to ten (10) employees shall be installed under permit from the Butte County Environmental Health Division. 12. The bottom of any leach line shall have adequate separation from groundwater and all parts of the septic system shall be at least fifty (50) feet from seasonal ponds. Butte County Fire Department/CDF 13. Provide an all weather access to all structures that is at least 10 feet wide and has a vertical clearance of 15 feet that will accommodate a 40,000 pound fire apparatus. ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File # UP 04-25 ■ Page 9 of 10 ■ Countv Counsel 14. If this entire matter or any finding, action or condition of this matter is appealed to the Board of Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Date: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Butte County Planning Commission Chairman CC: Land Development Division Building Division Environmental Health Division Butte County Fire Department/CDF Assessors Office Animal Control Office ■ Butte County Department of Development Services ■ ■ February 24, 2005 ■ Agenda Report - John and Debra Folsom, File ## UP 04-25 ■ Page 10 of 10 ■ I DASWI LLerving ,ciesN January 23, 2006 Scott Rutherford Butte County Building Department 7 CountyCenter Drive Oroville, CA 95.965 (530) 538-7169 (530) 538-2140 FAX 2399 Gateway Oaks Drive, Suite 210 Sacramento, California 95833 916/924-7000 fax 916/924-3644 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2612 Assessor's Parcel No: 028-030-028 Description: Folsom -Kennel Willdan Project No: 14353-1922-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets T-1, A1.0, A2.0, E1.0, S0.0, through S3.0, cover sheet dated 8/10/05, revisions dated 12/19105 and 01111106 by Wegener Engineering Group. * Structural Calculations: Two (2) copies dated 8/10/05, revisions dated and. 01111/06 by Wegener Engineering Group. * Energy Calculations: Two (2) copies dated 12/20/05 by Robert Mangrum, Paradise Mechanical. * Truss Calculations: Two (2) copies dated 8/17/05 by Mark Wegener, P.E. * Miscellaneous: Two (2) copies Site Plan Review Application dated 9/29/05 and use permit UP 04-25 dated 3/30/05. Two (2) copies Butte County Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings form (for Unconditioned. Kennel area) dated 9/23/05 by John A. Dotson, Contractor. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded .within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. J. A W I LLDAN Serving Public Agencies I fy APPLICABLE CODES' Unless noted otherwise, :all comments are based on requirements of.the California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the 2001 California Building Code and abbreviated herein as "CBC". Part 3, known as the 2004 California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the 2001 California Mechanical Code and abbreviated herein as "CMC". • Part 5,.known as the 2001 California Plumbing Code and abbreviated herein as,"CPC". • Part 6, known as the 2001 California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Specific Use 1 Type'of Occu °incy Type of Stories Construction Sprinklers Total Sq Ft '?- 1f'Y.'iL!�}�t•.:'��2wK Y�... wt .'ir"A$.:%4!;:Sm 3,y,e e.Fiit rm.+,fem,+�i... k ti::{s kv'9.• l,... M° t. yt ti4•b #1 :Yw_a lUe Ni#Z,L.'.£,,. 61+ ti7',t"-'S, d�_::'f,.x`�i:� Unconditioned Kennel B V -N 1 No' 2,475 Conditioned Office t B V -N 1 No *611 Total Area 1 1 3,075 CONDITIONS OF APPROVAL 1. Approval is contingent upontthe review, requirements and approval of other departments and/or agencies that havejurisdiction'over this project. 2. Revisions and/or,riotesas red -lined on the plans. 3. *Permit application building areas specified in the building permit application scope -of -work shall be reconciled with"plans to Butte County's satisfaction (611 ft2'Storage Space,changed to 611 ftZ Conditioned Office space). M ti SPECIAL INSPECTION NEEDS t. Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED. SUBMITTALS Our. plan review reveals no def[[[erred submittals. Sincerel moo Richard Essenwanger Gustavo Franco,TP E. . Plans Examiner II Plan Check Engineer i Cc: Alice Mefford ameft r )buttecounty.net Mark Wegener, PE, 6402 Skyway, Paradise, CA 95969, markwpe@starband.net, Fax 876-0585 John Dotson, 777 Duristone Rd, Oroville, CA 95966 Debra & John Folsom', 1021 Lower Honcut Road, Oroville, CA 95966, debra@hightest.com .Page 2 oi'3 Butte County 05-161.2 Willdan 14333-1922-1v1.PC3F �i BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT , IT NO. — -21 Agricultural building is defined as follows: Agricultural building is a structure designed ,afid constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This struct re shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ Oo s_ ® ,� G11-0OWNER ZONING 0—O Alv) Fd L C 0 m �J PHONE NO. -7`tI 1� _ 3 ( J `t / 7 OWNER'S ADDRESS i 1© ccs Cl ow C- 0 LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE © X _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _�� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING_ ROOF COVERING ,� FLOOR TYPESrEtD14-1; C r ESTIMATED COST OF CONSTRUCTION $ 4a AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ` _r L FRONT S S - SIDES D A"-1 0 REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must USGS Datum. mply with Flood Zone requirements. Finish floor elevation must be at or above elevation 4 Ati -')" 445-W 040%a- A&z, •tea - 0, A"wo I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ?j ,l �' 7� Permit Fee - $60.00 Receipt No. (c� Signature of Owner The above described AG Building is exeipptter a buildina Dermit Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date W Z 5 W •7�..,::.:...wyirMri-:=n.QTS.r-.re.v:::..�.r�.`�.I'""7++p;:t'f.0 ...-WtI"y�,�fW '" � ,�``r�i+-r4'''Y� "�,+�. .+"i�F +..r .�..:: �rS=.. t ,rte �'....,- ... , , � ��k-.. �. x'}7'1" -.'w'�r'+�.r• ""'`-wtt^'f� ,-J`w `';'L •f ^rc {' COUNTYOF BUTTE - DEPARTMENTOF DF_VELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Vv l,v Proposed Building Use _ PERMIT APPLICATION DATA Fn k so m Building Inspector SHEET A. No. R Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 'DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................: . V 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Preanspedion requeis 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 _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ................................. r......... 29. Documentation of legal access . ..................... :......... ........ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ........ 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTrh Umr�LxI1 n"41 ,� .,......... 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: [JOIE N-FOLSOM 0 Z0 - D 3 0 - A.P. # With reference to the above subject: DATE: 3/20/96- with /20/96 Attached is: Mobilehome IItilities Installation Sheet Application for permit Mobilehome Installation Information Sheet Building Plans lcal Plan Sheet Engineered Calculations =Mt of Codes.Enforced Owner -Builder verification Fm We need the following information prior to permit processing and/or issuance: urned. Permit application signed and completed where indicated with all copies ret Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufarer,Butteinstallation instructions, 2 sets. -Fees of $ payable r. Impact fees paid. ry plan app roval/fees. California Department of Forest Flood elevation letter (100 year flood) by CalifoHealthrnia nDepartment. Sanitation and plot plan approval City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval. for Land Development (a) Imprcveme^ts (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. of wcrkmans CC- ^S'••t'C. Certificate •r� - Owner -Builder Verification Form. RecordedCcry of Agricultural Ackncwledgement Statement. Letter of signature authorization. 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. Documentation of legal access. Documentation of 50t subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. • Your property lies in the 100 yr flood zone. You need to contact a Civil Engineer to Otherdetermine the flood elevatio at our ro ere accordin to U.SUS.G.S. datum. He then needs to place a marker nn whirr : rnppr4 near the proposed hJdR, write us a until the bldg subject to the 7 conditions shown on the attached. We cannot issue ryour ivpermit letter. Should you have any questions concerning the above, please contact of this office. SCOTr,RUTHERFORD Y rs very tryly, ZZ Mid eel C. ieira, C.B.O. MCV•ahb manager, Building Inspection F" IA FLOOD PROGRAM Residential Garages, Residential Storage Buildings, Agricultural Buildings and Residential Crawlspaces Buildings located in designated flood areas generally must have the lowest floor elevated at or above the 100 year flood elevation. "Lowest Floor" means the lowest floor of the lowest enclosed area (including basement). An unfinished or flood resistant enclosure, usable solely for - parking of vehicles, building access or storage in an area other than a base— ment area is not considered a buildings lowest floor; provided that such enclo— sure is not built so as to render the structure in violation of the applicable non—elevation design requirements. If the floor is not elevated and the structure is exempt from the "lowest - floor requirement," (see above), then the following must be done: (a) building designed and anchored *to prevent floatation, collapse or lateral movement. (b) building is constructed with materials resistant to flood damage. (c) building constructed by methods and practices that minimize flood damage. (d) electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumul— ating with the components during conditions of flooding. Note: We will normally accept the following as compliance with the above conditions: 1) Building is anchored to.concrete stemwall system with conventional anchor bolts. 2) Building plate on top of stemwall to be at or above the 100 year flood elevation. (Plate height less than 24" above grade or engi— neered design required.) . 3) Electrical, heating, ventilation, plumbing and AC equipment and facil— ities located above the plate, (100 year flood elevation). 4) At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 sq. inch for every sq. ft. of enclosed area. 5) The bottom -of the openings shall be no higher than 1 foot above grade. 6) The openings may be screened or covered with other devices that will permit automatic entry and exit of flood water. 7) Lowest Floor Declaration form signed by property owner. On residential buildings where the "lowest floor" is elevated at or above the 100 year flood elevation, the crawlspace ,rust comply with items 3, 4, 5 and 6 above. . Lowest Floor Declaration I declare that the proposed construction of the under Building Permit Application at - A. P. # will be used as indicated so it will not be considered A buildings "lowest floor."* I am aware that the floor level is below the 100 year flood elevation and will advise prospective buyers of this condition. Property Owner Address Phone No. Date •1 *"Lowest Floor" means the lowest floor of the lowest enclosed area (includ— ing basement). An unfinished or flood resistant enclosure, usable soley for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor; provided that such enclosure is not built so as to render the structure in violation of the applicable non—elevation design requirements. Debra Folsom 1021 Lower Honcut Rd. Oroville, CA 95966 March 22, 1966 Butte County Building Dept. 7 County Center Dr. Oroville, CA 95965 Dear Mr. Rutherford I am writing regarding your recent letter denying a building permit on A.P. No 028-030-028 due to the flood zoning. You will see from the enclosed flood zone map prepared by Larry, a planning technician from the Butte County Planning Division that only the North West corner of this parcel is located in Flood Zone A. Most of the parcel, including the proposed building site and the existing buildings are located in Flood Zone X, which I understand is not a flood zone at all. Your letter also has the wrong A.P. number on it. The permit is for the extension of an already existing building that has a permit, and is not in the A flood zone. I would appreciate you making the necessary corrections. Sincerely V;L Debra Folsom COUNTY OF BUTTE BUILDING DFPT MAR 2 5 1996 \ltj l^ F I • i ' . y � i'il�, r � �'.i'f.i� tt.>'f1 `.?r!(j UUf}l: u'J!r f;,: ..I[ £i1+Y", .`!% Onu flog UPRMS WOR ;Jif; <l; UK XWOmew d1" ,v 104 "no WO nOW /A! a"if(iM d9(1l"o') jfs sU Al ilfbt j nff fit'£3!q A. IM 1.'}U,'! (U f SlaDO! :.i LOW! ?lft. b'T::T10t) l ^'%tit 1 (�Af! .f t?;-,Dx Li r; i of bnJI'JCt •i:: i'c'm,IiU(, 2:1 -101 Lor, w! j(j£JiiL d b!:t?,r)go-t ( iz -wo,. hooft s juft ei bgrj;,--tgb(crl N; a loltbl uJO Y `Jj o Jjc" q: I -vu t! 4 .:N)S Sol 1% d A m 2i bf(i„ it.[!l ,,j ft % fie uf;j nf(l hurl pt!j &—re1 :i,S-A i ' .r!f1t)!f'?:,ilCt� '('ifi�2:3rt917 •',ilk �jilli�ffl t}n � r,r{sctr,'•; f;,'!SX.i 0 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. DoZ S_ 03d O ZONING 4 OWNER J Dr^ • I c>L ,OA PHONE NO. OWNER'S ADDRESS I Dz/ ' Lower 6NC-v-1- LOCATION OF BUILDING Z lt�e C_ -ems USE OF BUILDING Cs S7'06,r6F 6974,112,0441 AID Enzf� SIZE OF STRUCTURE 2 J X 1L� SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME --Z STEEL CONCRETE OTHER (Specify) TYPE OF SIDING s Tee ( ROOF COVERIN;��/ FLOOR TYPFj� A / ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:N FRONT �`� SIDES REAR s AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. oda cd � �eAe�. — " � I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date % /Z �3 Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No F D 111,3w?- PAVRWL I P.D. ROOD G ISS r 9 B�3 y Date - White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant rel 0 N� z, OWNERS NAME: ADDRESS: BUILDING SIZE/AREA: FIRE HAZARD ZONE n VERY HIGH M HIGH CERTIFICATE OF ROOF COVERING A. P. #: PERMIT #: BUILDING USE: ALLOWED ROOFING FROM LISTS BELOW #1, #2 #1, #2, #3 #1, #2, #3, #4 {.".r'`-ti/''t^F4*!"'✓^%"..Y�1Z+4"-�i',+'"f'iC``3.r^r"�`j "�"�h+I�'."'�'��'"--f"Y"'�. ".-,rv^-'r,.-•:r-��'.'r�„^• -�-,�' `-v . - "COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERC� 'd A. P. No. 028- Proposed Building Use Building Inspector 42 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. ....................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .... r ..... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for P'�4nspec' n'�4°� required. .. to B�;,ding 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 ............ 24. Recorded copy of Agricultural Acknowledgement Statement. ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other / Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works u Y\1 u yleeH IE4uGwUYIjAU:j Auno� -4 cv 4 0 0 0 OQ L^ X u Y\1 u yleeH IE4uGwUYIjAU:j Auno� -4 cv 4 0 0 0 OQ L^ r�lCiIV�.1.1 yr LG.L'a.v• .... 7 County Cencer Drive, Oroville Ca 95965 Phone: 916-538-7541 RE: JOHN FOLSOM A.P. # 041-420-052 With reference to the above subject: 3/20/96- DATE: /20/96DATE: Attached is: Application for permit Mobilehome 'Utilities Installation Sheet Mobilehome Installation Information Sheet Building Plans Typical Plan Sheet Engineered Calculations Owner -Builder verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with.wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte Countv Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approvalDepartment. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for ' Land Develcpa^t (a) Imprcve:rents ;�) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. * C to O; INcrCmans l c=ensat' ^..^- .n.s::r.�.nce . Ce tif'_ z - - Owner -Builder Verification Form. Recorded .._ty of Agr_c-ulturay Ack:.c:vl_ ge,;.ert Stat =:ie-%. Letter of signature authorization. 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. Documentation of legal access. Documentation of 50k subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: Your property lies in the 100 yr flood zone. You need to contact a Civil Engineer to determine the flood elevation at your property according -to U.S.G.S. datum. He then needs to plarp a marker on jrniir p rnpPrty naar tha prnnncPd h o >>s a the bldg subject to the 7 conditions shown on the attached. We cannot issue your permit until Should you have any questions concerning the above, please contact we receive this letter. of this office. 0-r 1 SCOTT RUTEUMORD MCV:ahb Y IS very V, y, Mic ael C. Beira, C.B.O. Manager, Building Inspection • ITB. W. VI 02 I 1 Vii. 1 I. 1 O�V I fill, 100 I 3 O O O 160.1(. �� �A;- 0-AG — [ -.- - - - --- - ;266. 50 fl? `-e •s.a41 1 Q 2 I 1 2 39 ,4. 4,1 4 /1/ fli , ` 2 gaiL01N6 j'�oil j � � 123.35 ( 3P 62.38 hl e3 r i `` 137. cc a (2; _ -20 a (n i G OJT • G • 16 ► Iz • 6E 886-4-1- IA 1 7 0AC L i LiC. = \ � � UY� 1✓ l ID "uo I T`, 61- . T O. R . BK. 3 PG. I7 NOTE-ASSESSOR'S PARCEL BL. O.R. BK. 7 PGi B5 b :LOT: NUMBERS SH01 1N 'C �iCLES. F ,l, 1rd1 r�fi' NTi:t BUTTE COUNTY BUILDING OFFICIALS JURISDICTION Block Parcel No ., -2 �(- o 3 f5 r. OAM(16C t ZODD Rapid Evaluation Safety Assessment Form Bua.DINJ'o iJM�o�s8m. Name: Address: No. of stories: '16 5 O Basement: Yes ❑ NoV Unknown ❑ Primary Occupancy: Dwelling Other Residential ❑ Commercial Office ❑ Industrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic ❑ Other OVERALL RATING: (Clceck On7)W' INSPECTED (Green) Exterior only . Exterior and Interior LIM ENTRY (Yellow) ❑ UNSAFE (Red) ❑ INSPECTOR: D 7 % Inspector ID _ — Affiliationi4' 11SPECTIONDA � : �6 �`5 Mo/day/y ar Time air' Instructions: Review structure for the conditions listed below. A "yes" answer toll, 2, 3, or 5 i; grounds for posting entire structure UNSAFE. If more review is needed, post LIMITED E.N7RY. A "yes" answer to 4 requires pr an posting AREA and/or UNSAFE covered by 6 and are to be :seed and/or. Hazards such as a toxic spill o . barricaded to indicate AREA UNSAFE. More Review Condition Yes o C3Needed 1. Collapse, partial collapse, or building off foundation ❑ ❑ 2: Building or story noticeably.leaning Cl❑ 3. Severe racking of walls, obvious severe damage and distress 11❑ 4. Chimney, parapet or other falling hazard El El5. Severe ground or slope movement present ❑ ❑ 6. Other hazard present ❑ ❑ ❑ Recommendations: ❑ No further action required ❑ Detailed Evaluation required (circle one) Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ ntlier. Posted at this Assessgent ❑ YesNo Comments: '4�� 46 6 P)xf� n ALT IAI )0Ep I 1 Z b, z-c�' Z6- DATE 1._ 1:2 - TIME S ESTIMATED DAMAGE BY DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 PUBLIC INFORMATION OFFICER 538-6947 Name Reporting Party Address/Location j Telephone Number _ Type of Damage J=jleezgAA� l' We e (Note: Emergencies Refer to 911) Building Description [ ] ommerci /Usage [ ] Residential Type and # Units [ ] Currently Occupied [ ] Abandoned/Vacant Electric Any electrical submerged On [ Off [ Gas Obvious damage (failure, downed wires, arcing) Natur Obvious roblems (odor, leaks, leaks, propane tank floating/submerged) _11p On (Off [ ] Structure On ff Foundation Floodingabove below floor �- l Obvious leaning, tilting VI,rS Severe Damage/Collapse Debris Hazard Sanitation Plumbing working Running water _ Well Flooded Obvious Sewage Problems Chemical/Fuel Wet, flooded, lost chemicals Y!f Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage Livestock Lost Roads (Public) Road Name Obvious Damage/Hazards. Location/Landmarks Traversable 6da , 4 wheel) klx-At Involved Utilities (downed wires Levees Public ( ] Private[ VI Waterway Name Location of damage/problem la 6T Obvious hazards Nearest Landmarks Overflow/freeboard conies: [ 1 OES ( ] Agriculture ( ] Health [ ] Fire [ ] Building ( 1 Sheriff a BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CAtIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BIJALDING EXEMPTION PERMIT M� PERMIT NO. Z - Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO^ y _ �� P ,.1 ZONING0�2-�. OWNER 1 0 �] /* ` �- (1�-U� C D CJ AI PHONE NO. �L-J OWNER'S ADDRESS I_ a uta&-.. HOA/04 LOCATION OF BUILDING USE OF BUILDING kD 57- C 2 SIZE OF STRUCTURE X J _ is SO. FT. COU&I( OAJ 51 TYPE OF CONSTRUCTION: fijrN WOOD FRAME '� STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN ROOF COVERING FLOORFLOOR TYP ESTIMATED COST!] �FNSTRUCTION $ 3200 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT -S�< I SIDES --/ REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. t3,�.���im I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with thpreuiremr,.ents in effect at that 'me and before occupancy. Date -- / /,� Signature of Owner Permit Fee — $50.00 The above described AG exempt from a building permit. %.23�/� 11A PARC P.D. ROOPI�tG ISSU Receipt No. (l/_/rLl' '✓/ Manager Building Divisi 1� BY Date g' White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE k• PARTMEN . OF=PUBLIC W�■►/■ `'-BUILDING DIVISfON irk 7 COUNTY CENTER DRIVE - ORgVILPe-A�IFORNIA 95965 - TELER HONE (916) 538-7541 ` r' PERMIT APPLICATION OWNER I / o�A) P -/:56A4 _ 1 Proposed Building Use DATA SHEET Building Inspector LIM% No. 0Z0 -G�3a Date 6 �Z At time o 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 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Building Ins request 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 _)........ ... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. r 25. Letter of' signature authorization . ........................................ ` 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: '. Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy s Department of Public Works Pole I rior Lath NJ V ntilation 311 f Permanent oor Closer anal final 6 MOBILEHOME UTILITIES ------------------�gec. Service —/,C)r ,i9 EYec. Pedestal Water Piping Sewer � V Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - -_Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS q tzr 79014r vtet� 4U, FT 9- L)o nate,le-c, Wtt� Dv-, ann"Va% a� 0��—qr, j (go—? Al (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ck Newall S Piping Form. Pa ets 1X Floor Main Idg. Rest om Finish f 2n loor Foo s Windo 3rd or Stemw I Sidin To out Slab Roof Shea in Water Pi i Piers Roofing Sewer Garage X Fdn. Vents Fixtures Footings Garage Vents N Water Htr. StemwaI I AA Insulation Heaters i Slab Carport Footings Prov. for physical handica ed Conformance of ex. X structure X Appliances Gas P*-*-- & Test Temp. Gas ' Slab X Final Sanitation Patio FIRE ACE Final Footings Footing LECTRIC L Masonry Walls Throat Rough Reinf. Ste X Final N Fixtures If Bond Be FIRE SPRINKLER& Motors Framinq X Test Water Htr Stucco Final Sub ane' Mesh/ MECHANICAL X Grd. F. It Prot. Pole I rior Lath NJ V ntilation 311 f Permanent oor Closer anal final 6 MOBILEHOME UTILITIES ------------------�gec. Service —/,C)r ,i9 EYec. Pedestal Water Piping Sewer � V Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - -_Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS q tzr 79014r vtet� 4U, FT 9- L)o nate,le-c, Wtt� Dv-, ann"Va% a� 0��—qr, j (go—? Al (NOTE: An entry must be made on this form each time you visit the job site.) �-7':)-3--)9 9B,E 'PERMIT NO. a PERMIT EXPIRES T Jim Walker OWNER CONTR. owner 28-03-28 ?LOCATION (A.P. ) App.350'N.on pro.dr., NIS Lower K Honcut Rd., app. 1 mi.W.of Palarmo Honcut Rd., Honcut Te ''p. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED I Ifesith 117o?, CV a k^ P��n;-,-f/),,xJ' - 2 0 3 ' - d d 9. ..Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes—.No- 1. es.No1. De -energize -electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle A k u, --a Length_ Width �D/ Vehicle Serial No. c-I-� State Identification No. Additional Information or Comments: M RILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible connector of adequate.size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum V per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line ifilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. •3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes No r e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentione property for inspection purposes. X Date �Zr ignature of Permit or Agent Re eipt No. 2_20c43""((c43 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 OR, UBLIC WORKS /%�' By ' Date�� permit expires Date ff 4A/_� BUILDING Owner 30 SQ. FT. OCC. BUILDING VALUATION Mailing Address 52.0 Lproe0 OLIVE SA -N QAmpN Gi S =Te0 2 Contractor ep US. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address vKJ��?j� )V OA) Pe/ D)ellePlan Checking Fee&/or Penalty Permit Fee N S'106 QC Lowae /4ONC UT RD. PLUMBING No.1 @ FEE vf X r �,Pe' �e� MOA),C"T p 1 " 1 ,LES PERMIT FILING FEE $3.00 ,00 ,Each Trao 1.50 ^JL(/7— Repair drainage or vent piping 1.50 A. P. No. &anning Water piping 1.50 , Each gas water heater or vent 1.50 F sSar fea ire Dept. Fire Zone Use 4ermit Gas piping system 1 - 5 outlets 1.50 10,49 EQA Parking PI s Parcel I Declaration /LS f -IL. I Parcel M p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Q, 00 Bldg. Plans Recd Parce A roval Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ -Da •$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 rQ0 1AMP OR LESS 5.00 Main service 100v OR LESS100417-, C) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 IQ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST 1, ADWECCLBLDGSCCUP. 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 style of: NEW CONSTP_ MULTI -OUTLET NDN.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. ( POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIRES B L@; FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ClassificationI Misc. Wiring 6.25 hJ2 ulne ©o I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , 5b $ MECHANICAL No. @ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 $ 2_6 CO TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentione property for inspection purposes. X Date �Zr ignature of Permit or Agent Re eipt No. 2_20c43""((c43 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 OR, UBLIC WORKS /%�' By ' Date�� permit expires Date ff 4A/_� 4 a� pAP PERMIT # - ilio L3 IL. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f 7 County Center Drive — Oroville, California 95965 l Telephone: 534-4541 APPLICATION AND PERMIT u�a3-79 autnonce representatives or ine county or tsuite to enter upon the above-mentioned property for inspection purposes. X Date r.27-77 Signature of Permitee or Agent Receipt No. 290y 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 r hich fees have been paid. CT Qf PUB14,C WORKS B ate -7 Building permit expires Date BUILDING Owner -TI � SQ. FT. OCC. BUILDING VAL TION Mailing Address '520 1,/AJIll PZA< V i 545 � 5) A� P&TV Tela hon ^11. Z Contractor UJAl�� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /Q-PPAV 35o' N OA) Per. 0Q. PlanFee&/or Penalty ng Permit ee Permit Fee ON :ATAtj CIP L_QUJC- . HOAX -0 f- eO PLUMBING No.1 @ FEE i o`l K ( iii 1l)- 844eoro flomcur P -D PEREach MIT FEE $3.00 T aoILING 1,50 Repair drainage or vent piping 1.50 A. P. No. o� ^- S Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe .C. �r�idEt4ietl° Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improve ach additional outlet .30 Building sewer 5.00 Bldg. Plans Ric' Parcel A r Plan 4 pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Foe 9)9 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1 1.00 NEW OR ADDNST V ADWECCLBLDGS.LING CCUP. 9\ 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of theNON-RESID. State of California Business & Professions Code under the name style of: NEW CONSTR RANCH TLET CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B SINGLE OUTLET CIR. EX. Occur){/OUTLETS OR FIXTIIPES gAL2j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 I sa 1)e `'&Pawn*- Fay Is 0C TOTAL PERMIT FEE ho $?i0 autnonce representatives or ine county or tsuite to enter upon the above-mentioned property for inspection purposes. X Date r.27-77 Signature of Permitee or Agent Receipt No. 290y 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 r hich fees have been paid. CT Qf PUB14,C WORKS B ate -7 Building permit expires Date JSP COUNTY OF BUTTE— dytLj DEPARTMENT OF PUBLIC WORKS i 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 "LlZrx N19 L-®wc�.YqNcvr BUILDING OR PROPERTY ADDRESS RZ A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date ' ' y I 1. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Ce "t64 D—� ve – 0roville, California 95965 – Telephi)n,e 53.4-4541 PERMIT APPLICATION DATA SHEET P { ^,�A �- e: 1'� Permit No. � �.�l OWNER 71 k— A.P. No. ;72 _ n -*Z---> 9 Proposed Building Use'i Permit fee based uM910the;y, Complete Contract Price I.%'DPW Valuation (explain) Building Inspector `� � / Date Sc j 1741 At time of permit application, I was advised the ffyllowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate.of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to u 16. Other )� / y C f / y� bldg. inspector (date) ��' / !"i..�f..- 7 moi,/--�'_�^r–�^Ar-�' When you issue the permit, process as follows: —Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other ., -� Applicant � � `27,`-2 / Date �°-r ? 1 9 Copy of plans sent Health Dept., Fire Dept., Other Date_ During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of pplication, circle item.) 1. Index permit for above Items No. (D 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date 0_ OTHER: Copy/DPW , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: , ) ,r, C_ Vat / K 2. Installer's name: 3. Is the site currently under permit? Yes /f//' No ( If yes, furnish permit number 4792-- 7'/ JPj ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot -plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes //-7 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- � Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. -Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: Wftoad) e�� (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- /�� �`e. (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ft.) 12. :What is the mobilehome gas demand? -------- --------------------- w = (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) a 1 f '. MOBILEHOME SUPPORT DATA I. If other than 'single wide, Mobilehome Mfr. Li furnish Setup Model No. R T 0 `02 Year Width / Di (ft.) Box Length O (ft.) Tagalong or Expando Size ft. x - ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single El 1. Wood either AApressure treated or foundation grade. /nte . (ft.)(i,;) ( 2. Other (specify) Center suppo t Ct locations* fSupports (check one) Concrete-block. J2: Other (specify) (in.) - u <----Tagalong or Expando,' show support details. (in.) Typical Support (in.) (in.) Footing Size x (ft.)(i .) (in.) (in ) ` �! b -- Max. Pier Spacing L x _J 6> -- Max. Overhang (ft.) (in.), (in,) (in.) (ft.)(in.) BUTTE• COUND. BUILDING DEPARTMENT :.� *If center piers are other.than drawn above, A P P RO V E.•; draw in. -locations. anacine. and dimensions. �" �� PERMIT NO. 6330-79B PERMIT EXPIRES OWNER Jiml'galker CONTR. owner 28.03-28 LOCATION (A.P. ) App.350'N.of pri.dr., NIS Lower Honcut Rd.,.app.l mi.W.of Palermo Honcut Rd., Honcut Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ ailed PG&E _ JOB FINALED Stucco Final Subpanels Mesh MECHANICAL 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 LE )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage — Gas Piping DATE REMARKS OR CORRECTIONS (o •� j= 1� l,�-a-o� .��7� � �-n�� Cho (�-��. $Y �� f.� v V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI6N REdORD BUILDING BUILDING (Cont'd) PLUMBING Setback I - Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL 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 LE )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage — Gas Piping DATE REMARKS OR CORRECTIONS (o •� j= 1� l,�-a-o� .��7� � �-n�� Cho (�-��. $Y �� f.� v V (NOTE: An entry must be made on this form each time you visit the job site.) 'e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ 7 Co,,hty Center Drive — Oroville, California 95965 Telephbnb: 534'-4541 APPLICATION AND PERMIT • BUILDING MOM Owner SQ. FT. BUILDING ATION 16 Mai Iin ress Telephone No. p Contractor Mailing Addres Fireplace Total Valuation Telephone No. Permit Fee Building AddressSO�/ ' ' ` Plan Checking Fee&/or Penalty Permit Fee M ti PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 l Repair drainage or vent piping 1.50 ..— � � � A. P. No. J�� zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s ire Dept.FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg.ans Recd Parcel AkET9,val Plans rovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil ome Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. [DWELING O OR ADDNST %ACCLBLDGS.CCUP. Y) 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 style le of: TLET NEW RESID. / BRANCH CIRCU NON•RESI T ` BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES) g L100 Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 '9 I am exempt from the Contractors License Laws of the State of California. 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. An I certify that in the performance of the work for which this JCLJ 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 J$3.00 Heating 1 Cooling Ventilation Hood 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$ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X PzA Date.10— Signature of Permitee or Agent Receipt No. Vf 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 abov r which fees have been paid. OF P BLIC WORKS Y Date Building permit expires Date l 0-,S© —O .fir<L') - �-�'��. � �-f,�!� + . �.....�: .�-. .�.,..�. : i. ..4 .? ..+....;. .-i'. f,�-i� . ,..- t � ,�.�. �., ii'•�i ,. ` ``` ! i:. r' i i.t•• {ri ..� t� f �! ;f.."i�i'i,ld��� _ r tj ' ..�.,) � , l? , F • � r . 7.. .r,o+.--.. �•-,-Z-f-•�.=:4�..-•.•..ir:-.—.,ir-•-•-�'�:•,. r . , i "X.f... .r... .,. .' ' i .+� F. C : '. y ..1 � . t .. t i j''" ` 1 tf�cat'ror s UST 6e ' *Ilislse�'.Of`t(?IZf�S ti�4'� Iy�e�•7 r ,.+: {. a SJ R. -•-- e' '-( (.Ci 1 1 ; ' i' !• ! '. `i 1' U.1,l �c1l'II t.7r ke�,�rl trjA ti'Se�r. cit ?OiiS'07 sa, &...moi �" wrq'r;ch pG r �, ,re ihi) Dopar t;'no rt f �Ub r ri r.,L! . ;.. . c... ,4..;. '._: �''lic` Wbrks',,Goc�nify of Bittef `1 M The Bldg. Setback shall' be ;5 ft. fr side propertY lire and 56 ft., fri o re rol.d. permittipg- cenfe�,1':n` of 'i' -MUM o; a 2 *- ec�,re ove: rsa:�g but aut of all easements. t Bv� Cp UILDING DEP R►M� A PPROVED I �.... .. +...� .,, r.... ,..-,c+ .,r. r -,. -t-.. ,•.n .MSC ''y"'7•-r�_ _ . tl Bv� Cp UILDING DEP R►M� A PPROVED I �.... .. +...� .,, r.... ,..-,c+ .,r. r -,. -t-.. ,•.n .MSC ''y"'7•-r�_ _ . r ] ' i 1 i i I I , T i 1 I , , , ► ' I i t I I i I r ] ' i 1 i i r ] ' i 1 r • 'i L! X ` _ . _ .x. _q tG D 17 __FPONT Tv P IS e v v -cR r:_ D . O v F i b, E. _R t.. AR. RJ,� A -T F_ P. •r 1 Ale-_ ... ...... . ! �..X-_. pj� -P I i; - _ - ►I_ .. _.. i; - _ z SII Fri -7 �41 "tz ? 3L3��tt �M j, t •�. Tv kW. _ r t �T � ��'>• * fie. � �„ r - + � ' S` WAN r. t s� F4� �•^s. •, / �.r ey1� M i� p tCy�F •,'v� Z (� r n• MIA ',.Wf[i`3 ;f,. fix..• �. t .. {fie Milo— Woo WE Oz m VAT MAO Rk n `t� Yu ` F � . `�, �• , e t •i . ! ! '•"yrs. �1 � a L �r 4 J � yy.t +. �F`I �.- .an � d•�. � � yJ 4 h a iyw."r} >; P7�•`. SFS., � >r �Y ; f -a Y F�? f» Y {n�iy8x Eft r 4. `�� "���5a{y •' �'' '. i aJ, 5 '�� airs i' .wo ins it n [�,4-1 [ 45 Y�•��.rt �`x'f A, Iwo asp �,- a ; -f y ti.. ryfiA - •> t k lv yy t''" Fk. b4 .)"-a�21..3•,._'�r �- .4.r_� .�,.+c'�'i�'3 z ' � h �-�,�ei�►-- 814-87 `4 PERMIT NO. 815-87B,P,E PERMIT EXPIRES—05/62-5 f OWNER JOHN & DEB FOLSONI owner ,� -- --- S ASSESSOR PARCEL 28-03-28 LOCATION 1021 Lower Honcut Rd, Oro �t I �17 s'. Temp. Gas Service Called PG&E it JOB FINALEI Signature } {1j5 OFFICE COPY i i Address ' Temp. Power P Called PGI - Date Temp. Elec. Se ELECTMeter Dat BRIC Called PG, Temp. Gas Service Called PG&E it JOB FINALEI Signature } {1j5 = OK = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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.-Rig.-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 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. ^ Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date 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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 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/0 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 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date J = OK 6 0 Not,OK = Not Applicable RESIDENTIAL (Single and Duplex) k = Not Ready Date UND FLOOR (Plans) OK except H's Date FRAMING (Continued) __ Z ing requirements -Setbacks- as ments 48. it Openings _Ftg., Main; Soils-Steel-Elec. 115)5,1 /" Ftg. Depth L,4T, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel-,/ /' Ftg. Depth 5 i- ea om-Rise-Run-Landing-Fire Protection _ 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth verhang-Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 1152. _ Siding -Nailing -Veneer V_ 6._ste_mwalls, Garage; Steel-Blockouts-Wrapped=Slab 53 - Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ zing rea- ss Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors SS.�Nailing-Bolts 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _-13.VGirders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Z,-/,rCard-BI Date Card -BI Date Card -BI Date Card -BI Date �/� Card -BI Date Card -BI Date Card -BI Date Date FIN$Lf'MIans) OK except N's Card -BI , Date Card -BI Date LX e PLUMBING (Permit) -OK except q's . . Ext. Steps -Door & Sidelight Protection -Landings 57.-­Rmnka natprrnr Card -61 Card -BI 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors-NailProtection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date _ Card -BI Date Date Card -BI Date 58. F arance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. 60.. Tub Access 61 el; Breaker Sizes-Latels 62rSt&w* &-Rai-Is- 63.,EirEplace-oA4toue; . C I earance s -Heart h 64.EHec.-@utlets-at-Wood Panel; Int. & Ext. 65,,_;x4 -1 -Tx+ -.-&A liance; Grnd.-Air Gap -Cooking Clearance ec. utlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67 g -Landing -Closer 68 A. r n * �-Damper Gard 6-: Card B l 20. F lure & Transformer Clearance -Ins. Prosection c. Receptacles Spacing -Lights &Switches at Doors . ze Boxes &.No. of Conductors -Stapled tmex Installed Clos_e_to Edge of Studs & C.J. �t7�3 �4Equip. Ground made up w/Mech. Fasteners -_Bond Gas & Water 25. ante ircuits in Kitchen &Conductor Size 2 c ihfppri w r c o r ga.-Cu or AI-A.C. Wire Size / / ga. Cu or At 0 27 ga. u or AI -Oven Circ. / / ga. Cu or Al, /,Insulated Neutral Yes __ - X28, Service -Riser Conductors & Ground -Main Disconnect _ 29.Equtr p.Clearances: Panel s-Motors=Mech. Equip. 30, et Light -Shower L -- - ight ht _ --- -,_-_ /� � �--�"� Date -u� �Card_Bi- Date __ _ _ V Date Card -BI Date - 6 . ., - rance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7ee. uip. Listed for Location 71 Ele, rage; (G.F.I.)-Romex Protec. _ ed in Attic ❑Yes 73 ('��ard Ratic R nArls,6onstruction-Post Caos 7^ le Door -Drainage & Wood -Earth Clearance 9 Looked under Floor ❑Yes 75, Following instld.: Drive s E] No; Walks [j Yes [SPK" Planters ❑Yes ❑ 7 77 - nces-Brkr. & Cond. Size -115V Outlet 7 .-Appliance-Firepl.-Clearance to Opngs. 79. 80. water W II' Disconnect, Electrical, Plumbi;tg E rinr Flar Tr m r,.F:. Receptacle -Underground 81, Yaa ilatinn thrr,u_ti_uLHouse 82, Glass srotecho., D e MECHANICAL (Permit) OK except q's _ Corrections from Previous Inspections 84. - e ers ag ed; Gas -Electric Card -BI Caid-B, 3t. A.C. Ducts. Insulation & Support - - - _ _ 32. Vent Fan: Exhaust above Insulation86_-ZA@F@y-Gew*4aPAe-Certificate-Other 33. Condensate Drain & Overflow: Size _& Grace 34. Furnace -Vent. Access -Comb. Air -Return Air_ Vent -115V outlet - 35• Attic Access & Platform if Furnace in Attic Date Card -BI Cate Date Card -BI Cate - g ected-C/O to Grade -HO Approval Certificates - - Card -BI C.2nDate ZC�ard-BI Date Card -BI Date � jj f "rd -Bl Date - Card -BI Date and -BI Date Date FRAING(Plans) OK except q's Com lents at Final: 11 1 -Vt ,.,8ffIs; Proper Material & Anchors - `3/7. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. nga s over i oar Nailing 39--01811 6!ep 4 5-f"arred-6eF' Stairs -Chases -Tub 4V tHead r & Beam -Size & Bearing Armiirs-Connectors 4 Ing. Joist-Rftr. Ties-Purlin-Root Brac. Truss- hthng.-Rfng. 44. o Flue -Fireplace Thro 45. tze o x Protect ion -Draft Stop -Ins. Baffles 46. wsor Exiti g Doors -Sill Hgt. & Dimensions 47. G ectipn Framing v - '- (NOTE Anenlrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 815-87 for the following: Use Classification _ Kennel Building Address or Location 1021 Lower Honcut Rd.. Oroville Group B-2 occupancy; Type V—N construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Works Date 8/11/87 By POST IN A CONS UOUS PLACE 1•F. —GI a oder (Liver) R"O"TICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. —Darahart ~-Droudn & 0JJ0Ck7tej' Alen G. Brow CE 24578 A California Corporation ' Richard Barnhart LS 4202 1881 A Robinson Street Pa Box /576 Orovi/ie, CA 95965 91615.34-1911 Thomas Odeklrk LS 3991 Michael Evans VP CIVIL ENGINEERS • LAND SURVEYORS Thomas Finlayson LS 2900 April 8, 1987 Mr. James Glander Chxef-Buil,d.ingX�I sp zor Bi�ffe Cou Buil-d;,ng Department 7 County Ceri.ter Drive Oroville, CA 95965 RE: A.P. #28-3-27 Permit #815-87 Dear Jim: Enclosed in dublicate, please find -compaction test results taken for John Folsom; proposed building pad. Representative tests taken indicate that the average relative density is in excess of 90%. Also enclosed, for your general information, is a map indicating test locations. AGB/cj Enclosure Oc: John Folsom 87-034 s Very truly yours, BARNHART-BROWN & ASSOCIATES Alan G. Brown Civil Engineer COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275'1 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector�Date fr COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2754 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE r :R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,_or need additional explanation, please contact this office immediately. r �120% 0•1.8� Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747--EIIiott•R6-Efd,•ParadIse— Phone: 872-6307 ,f• nCORRECTION NOTICE iii TER PERMIT NO. routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matterorneed additional explanation, please contact this office immediately. j v U 14- Inspector Date _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 APPLICATIA AND PERMIT /LIP)RIMIT NO. ASSESSOR PARE NUMBS D — % _ 0Z y ZONIN ' BUILDING PERMIT OWNER�7- -^ r/ogN le bVVUA Fo4J� TELEPHONE e� .5.7 1-04 SO. FT, OCG`, BUILDING VALUATION OWNER'S MAILING ACDRESS Oto 0 Wer O✓1oVILLS &A - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J 6 -CT ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B ILDING ADDRESS % ®2./ L.Ow6& NCv r Q . OQoYO �. CA, Permit fee $ 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 .1 ,010 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 16-1-6a Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Other KP'J1J'5"- Rill'-1f.JEi SF [I Duplex ❑ Mobilehome❑ 13 SPECIFY '— Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWT00ea TYPE OF WORK New % Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: N '' WC77 9---b - ®t o 1 Permit Fee $ f Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 to Main service EA. ADD'L 100 AMP 2.50 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 full force and effect. License No. Classification 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 T ( DWELLINGSCCUP.&) ADDNS,/ZQsgft rNEW NEW ESIR. BRANCH CIRCTITS)/ 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. J Ex. Occup(OUTLETS OR FIXTURES 20030c aALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. IVirin 15.00 9 Permit Fee $ , 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 Consent to Self -Insure. �f' t�J shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilatio PermI ee $ 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. I also agree to save, indemnify and keep harmless the County of Butte against all liab' . judgments, costs, and expenses which may in any way accrue aga st said my in co u ce of the granting of this permit. �/7 %� Date P' v Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu P. CON§ r�2 L� FLOOD P RCE PD NO Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which a ECTOR OF PUBLIC By PERMI E IRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '—Z "� Receipt No.-YKJ WNITE-O.P.W., TELLOW-ASB 330R, PINK -INSPECTOR, GOLDENROD -APPLICANT i TO Building Department--­­ FROM: epartment FROM: Environmental Health SUBJECT: Sanitation Clearance --ALL Owner Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.K. or: Water Supply Clear -/ ance for _ me . Other ��/� �L Qo NOTE * * * Sanitarian _ `'� Date TO: Building Department FROM: Encroachment Permit Section RE : ' 'Df lueway.'Clearance owner location AP # Driveway permit C7 has been issued for the above property. �S Asiture date " COUNTY OF BUTTE - DEPARTMENT�.OF PUBLIC, WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIF'00R 0__95965 - TELEPHONE: 916/534-4541, h i y r'' PERMIT APPLICATION DATA SHEET 1 Permit No. OWNER D 450 W7 A. P—c�Q- Proposed Building Use Building Inspector Date r U At t.i'me of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 4All items have been submitted <Iot plans in duplicate./ 1plicate, si ed by preparer of plans. e� h Complete plans in duplicate. /triplicate, signed by prepar r of pans. Complete engineered plans and calcs, with wet signatu�'o a`s. 5. Plans with nergy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 04 Letter of signature authoriz�°n. . l . . . . . . . Sanitation approval from C/ rD U f . / Health Dept. g Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 1 Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), Improvements may be required. . . . . . . . . . , , -3 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 1 Recorded copy of Agricultural Acknowledgment Statement. AQfTa Driveway Permit. 2 . lot plan approval from city of 21. - -- 22. a When you issue the permit,e (?W-andr cs follows: Mail to ner, Mail to contractor. X Telephone hold for pickup at i o fice, —Del iver w/inspector. Other _--� to , Copy of plans sent Health Dept., Fire Dept., Other Date 3— �— The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone _mail —±--counter by1114date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. _COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) —+ -C-5--_. 2. I (have/have not) Lk'ck✓ Z 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 Contractors License No. 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Nu er - Date 3-2- bpi NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r SvnE eoom` 12%-k, t,j c' t�o r i ko35 700- I 1 33� --ri, 30 psr �L Fame -m --q, ` tb�o w�C, �2��5,� + O 50 oroo 1 4 ®FESS/O c4 leor, d'q�l•' o, ua 7S s CA (bpi (LHO gl.s-Y % BME COUNTY IMDING DEPARTM' 1Do L 0*'P" ev )E I 870 - C-.wM') R- QC -Ns �s F ESS/ eo e C-0 Jo.. 78 m vbl CP �-;�" "UNlY moi OICBINl�DEPARTMEN► x 234 1 �srtt � ,= 3)� C I 3-10.87 SSI c e �0 05 w 578 m sA�� CI IL �F of C Al-��p� BUTTE COUNTY WILDING ®EPA,RTME C6) �4� lZ� = , � 2' ti APPROVE i1� -i I�Zll z i i wl S�r�QSor C,3 66 Got. l i I 33' I s �fi Ttnr- it I of �rN'\ � �� 1 d � `�!(\\y�/---"-•—'( �./f(i .• •_._'_ ;f/ 'ry•> I � 1��,� �l i 2 �`�f111N M1 f � Pct\�tv ;/ \�i!( !!/ ' 11: •� I! l Y t n \ASLInllk— _ IA�I II /v — ;I<� lri O(UG�iuA�- gilo (,�I Coau1� S I'ti'�1+1•�-- u NW - Ep S 8-c7koK) k _ {�►► STC IAlk Hpa4Z .-All %A5 %ZI �o . Y1u- BUTTE COUNTY I LAMING DEPARTM� PPROVEO f MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE 7/85 Bldg, Permit OWNER \li'��T71/ L�Sn7?/7 A. P. 0 2�- =(� A. GENERAL ning regoTrements (sideyards, parking, special conditions, Planning approval). luariOn. _ ignacure by R.C.E., r mp o 'IEEiT[9 'ami-drsirrrge�=-Ixnd-Dy_ ico; City of Biggs. Complete plot plan with dimensions, easements, other buildings, and other per- ��inent data. t6. See previous permits and plans in file for expired permits, change of use, v lations, etc. Flood hazard. OCCUPANCY REQUIREMENTS ,1---13uilding use -2! Occupancy Class R Type of Construction .2' --Building floor area sq. ft. Occupant Load r Total allowable floor area sq. ft. Basic allowable floor area sq. ft. Basis for increase 3" Compliance with occupancy group requirements (Chapters 6-12). .Occupancy separations (Sec. 503). rea separations (Sec, 505). S! Firewalls due to location on property (Sec. 504), -9- Maximum height requirements (Sec. 507). ,J9-- Attic separations (Sec. 3205). Ventilation and special hazards requirements (Chapter 6=12). }.2:- Fire extinguishing systems, 20 sq. ft. opening/50 linear ft. (Chapter 38). /YT- Fire alarm systems (09 Sections of Chapters 6-12). Mechanical code requirements. (Grease hood w/fire sprinkler system - Chap. 20) �]h. Health Dept. Plan Review - (1) Restaurant Act; (b) Commercial Pool. iYG: Smoke detection system. ,.7! Fire Dept. Plan Review and/or Fire Marshal Pian Approval. , Electrical Code Requirements (Pools or hazardous occ.) (Art. 680 6 500'x). j9!hysically handicapped requirements (State Law). C. TYFE OF CONSTRUCTION REQUIREMENTS .,A- Fire retardant roof coverings (Sec. 3202). arapet walls (Sec. 1709). Toilet room floors and walls (Sec. 510). Physically handicapped (per State Law). Guardrails (Sec. 1711). ,Detailed types of construction requirements (Chapters 17-22). Proper roof pitch for roof covering (Chapter 32). Attic access and ventilation (Sec. 3205). .,&' Roof drainage (Sec. 3207). Skylights (Chapters 34 6 52). ]j-- Stages and platforms (Chapter 39). ke-. Interior wall and ceiling finish (Chapter 42). 67. Fire resistive requirements (Chapter 43). MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE (CONT'D) 7/85 C. TYPE OF CONSTRUCTION REQUIREMENTS (CONT'D) jar Wall and ceiling coverings (Chapter 47). jl! Glass and glazing (Chapter 54). Human Impact (Sec. 5406). T " Building Materials - Check: Grade, Species, Allowable Stresses, ext. or int. -- Example: (Glu -lam Beams w/cert. 24F ext. grade). Foam plastics (Sec. 1712). D. STAIRS, EXITS, AND OCCUPANT LOADS oory General Exit Requirements (Sec. 3301 6 02) (Post occ. load, etc.). ;;-Number of exits, width and locations (Sec. 3303). ,3! Doors (Sec, 3304). Corridors and exterior exit balconies (Sec, 3305). /Stairways, rise and run, width, winders, and construction (Sec. 3306). �.jorizontal: exit (Sec. 3308). it and smokeproof enclosures (Sec. 3309). Exit signs and illumination (Sec. 3313 6 14). Aisles and seating (Sec. 3315 6 16). I Exits for occupancy groups A-E (Sec. 3317 - 3321). E. ENGINEERING REGULATIONS, DESIGN, QUALITY, MATERIALS, AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plana must include plot plan, floor plan, foundation plan, elevations, and complete structural details. 1021- Energy design, talcs, and necessary details (State law) & compliance statement on plana. sneer (Chapter 30). Chimneys and fireplaces (Chapter 37). Plastics (Chapter 52). Excavation and grading (Chapter 70). Continuous or Special Inspection (Sec, 305). ctory or other certification. ils or compaction data. oise regulations. Footing reinf. Min. Two 44 bars (cont.). Engineering Calc(s) should include: (a) Roof - Ceiling. (b) Floor - Ceiling, (c) Foundation. (d) Walls -- Large openings? (consider lateral). (e) Lateral: (1) Roof Diaphram. (2) Shear Walls. (3) Anchorage 6 Tie -Downs. (4) Connections thru-out. (f) Retaining Walls. tement of NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS !nt for Non -Heated and/or Non -Air Conditioned Build I,'OHJ ty bpd M tgo'-\ owner of the building to be constructed as a (please print) under d,5 at 14ZI Co„°'�e�c►��- �� (bldg.permit no.) (location) , hereby certify that I do not intend'to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. 'I understand that -if I change the use or occupancy of this building in the future', that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it -may be necessary to redesign and/or alter -(l) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building.Owner Mailing Address 2 y3 r 00oyic "� cA- Telephone No. C • _ ��i �` 11,1 e� �\ ' Inter -Depart'. ,lem®randum TO: Land Development Section, DPW FROM:. < Building Division, DPW SUBJECT:, Improvements and Storm Drainage Clearance DATE: 3/10/87 We'have recently received an application to construct a new dog kennel bldg (use) by John & Debra Folsom (owner and/or contractor) at 1021 Lower Honcut Rd (location) A. P. No. 28-03-28 Permit Appin. No. 815-81j ` and he has been advised to contact your section regarding requirements. -Would you please advise, by signing this memo, when you have cleared the improve- ments and storm drainage facilities for this project so we may issue the required permit. F. Glander JFG•dd Chief Building Inspector /_/ Improvements and drainage plans approved for construction. / / Improvements and drainage not required for construction. Other&446 yiyPcdat,-Y �v��erfi / wll��i� cclBvR (specify) (signature) (date) 0 December 4, 1986 CERTIFIED MAIL f r LAND OF NATURAL WEALTH AND BEAUTY PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 PHONE: 534-4601 John & Debra Folsom .. 2886 Oro Dam Blvd., West Oroville, CA 95965 RE: Use Permit AP#28-03-27,28 Dear Mr. & Mrs. Folsom: Enclosed is your validated Use Permit No. 87=8 to allow a 30 dog private training kennel on property zoned A-5 located on the north side of Lower Honcut Road, approx- imately 3/4 mile west of the Town of Honcut, Honcut. Should you have any questions regarding this matter, please contact this office between the hours of 10:00 a.m. and.3:00 p.m. any weekday. Sincerely, f .A. ICHER Director of Planning OFco� T QcL�i- . BAK : j me %40 0ty0 Enc. 1986 cc: Department of Public Works (2) Environmental Health Department of Forestry i USE PERMIT BUTTE COUNTY PLANNING COMMISSION December 4, 1986 DATE: (Certified Mail Rec.) 87-8 PERMIT NO. 28-03-27, 28 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: John and Debra Folsom is hereby granted a Use Permit in accordance with application filed: 9/3/86 to allow a 30 dog private training kennel on property zoned A-5 located on the north side of Lower Honcut Road, approximately 3/4 mile west of the Town of Honcut, Honcut. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not, established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. Dog runs to be constructed to permit wash down to central drain for removal of dog urine and fecal material. Main dog run drain to connect to an approved septic tank and leach lines installed under permit and inspection from the Health Department. 2. This permit is expressly limited to training of dogs in programs lasting a minimum of three months, and boarding of those same dogs in private kennels on-site. Any expansion or change of use will require modification of the Use Permit pursuant to Butte County Code Section 24-48.4. - 3. Firearms will be used on-site for dog training only during daylight hours. 4. Dogs exercised on-site out of kennel compounds only under the direct control of trainers. S. Provide the Society for the Prevention of Cruelty to Animals the opportunity to inspect the facility prior to opening. 6. Provide the Society for the Prevention of Cruelty to Animals a record of current rabies vaccinations every year for the owner's personal dogs. 7. No development shall "be permitted within the Zone A floodplain, approximately located on the north half of AP 28- 03-27. 8. Shielding or construction to be developed to keep noise levels to a minimum and not to exceed 60 dB at property line, pursuant to the Noise Element of the General Plan. 9. Applicant must also comply with all other applicable State and local statutes,• ordinances, and regulations. I hereby declare under penalty of perjury that I have read the. foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Butte County Planning Commission Chairman CC: Department -of Public Works (2) Health Department Department of Forestry )g p 0-3 12-6 79' Ippg F- L 27 4o AC, _ A PE" P. E"mm 0 uvz DEVELOPNENT PLAN DATE USE PERMIT VARIANCE By pis IPA R.e E L *p 19 ,to AC - PUMPED IW POND , W LL o IL ItOPOE E 0 "NNEL uj 0), 6stfTiC Z's 4 cl 4 N t A -r Lo F- P, c N Ormaw, Cdd-wm. 3001, Appgox. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - T.Qlephone 916/534-4541 -'APPLICATION ANO PERMIT PERMIT NO. ASSE S R PARCEL r UnE �J ZONING BUILDING PERMIT OWNEg S0 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' µxryAl ING A -^ESS V V CONTFLI TO 'S NAm= ELEPHONE CONTRACT 'S L G ADRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 /j Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 040 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWT10.00ea TYPE OF WORK New ❑ Addition F-1 Cdel Utilities ❑ stallation❑ Other ® Describe work: oin _ t am, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 CONST. DWELLING OCCUP.& , OR ADDNS. ACC. BLDGS. 20sgIt NEW CONSTR. MULTI -OUTLET .2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. ) / 9ALo Ex. Occup\OUTLETS OR FIXTURES BAUD20 a 30 Ex. Occup. OUTLETS PFIXED ALNS. R (RESID,)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' ' judgments, costs, and expenses which may in any way accrue agains said my ' s uence of the granting of this permit. %� Date -3 �0 " Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �r OCCUP, CONST.TYPEJ I IFLOODIPARCELI PD Ho 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE PUB BY PERMIT EXPIRES Date the applicable provi- resolutions to do fee have been paid. I ORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSE990 , PINK -INSPECTOR, GOLOENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 `APPLICATION AND PERMIT PERMIT NO. ASS e,2 Po- ROCE NUMBER o(� ZONING BUILDING PERMIT OWNER T LE PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS �/ 42^tk � G CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWa� Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS permit fee $ / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF F1 Duplex❑ Mobilehomeg Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilitieso Installation❑ Other ❑ Permit Fee $ Describe work: _ Contractor 5t., 0 ELECTRICAL PERMIT Filing Fee 10.00 y� Main service B00 OR LESS 100 AMP OR LESS 10.00 -- Main service EA. ADD'L 100 AMP 2.50 IS CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a` / 2/20sgit I declare under penalty of perjury (check.one): OR ...NS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea ❑ am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS e Iz0®e0scense Professions Code and my license is in full force and effect.SINGLE OUTLET CIR. Vnd No. ClassificationEx. Occup OUTLETS OR FIXTURES SALO 30P as the owner, or my employees with wages as their sole compen- RFIXED Ex. Occup. OUTLETS (RESID )EA.I 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 /S— I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 7,5 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department k Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self-Insure.shall Cooling 1lonot employ any person in any manner so as to become subject Hood 3.00 the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned pfope y for inspection purposes. TOTAL PERMIT FEE $ j, 1 also -a a to s e, indemnify and ke p ti mess the County of Butte against aJJiabiliti s, ment colts, sid ex rises which may in any way accrue OCCOP. CONST.TTPE FLOOD PARCEL PD No ISSUE ggainst sai unty in nseque a of a granting of this per it. / This p it is hereby issued under the applicable provi- Date sion of the Butte County. Code and/or resolutions to do I natu, a of Applicant - Owner g pp ❑ Contractor ❑ Agee❑ AryO$HA permit is required for excavations over 5'0" deep and demolition or construct- wor in icated abo a for which fees have been aid. , p RE TOR (IF PUBLIC WORKS ,moi. n of structures over 3 storiesin height. Receipt No. p 7in BY 2 ate ✓� � WNITC-D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROD-APPLICANT PERMIT EXPIRES Date 3-O R r It COUNTY OF BUTTE - Department`of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 9167538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or 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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social Security mb r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and . 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. A W'Darnfiart ~-DroOn Oijociatej I Corporation 1881 A Robinson Street PQ Box /576 CIVIL ENGINEERS Oroviiie, CA 95965 9/6/534-1911 LAND SURVEYORS April 8, 1987 Mr. James Glander Ch-i.e-f.-Bu-i-Ins_p ^ectTo�r L !.. ee as —..meat 7 County Center Drive Oroville, CA 95965 RE: A.P. #28-3-27 447 Alan G. Brown CE 24578 Richard Barnhart LS 4202 Thomas Odekirk LS 3991 Michael Evans VP Thomas Flnlayson LS 2900 Permit #815-87 Dear Jim: Enclosed in dublicate, please find compaction test results taken for John Folsom; proposed building pad. Representative tests taken indicate that the average relative density is in excess of 90%. Also enclosed, for your general information, is a map indicating test locations. Very truly yours, BARNHA,RT-BROWN & ASSOCIATES Alun G. Brown Civil Engineer AGB/Cj Enclosure cc: John Folsom 87-034 --Z3TotL)n 4-uocialej 577R. t Opre,4 =g opr off,. OP7- M4AI7-,S Pe6V. co,1 M Z/ 7-1 m ? Z61 o/ 2 zooms ZS/ IZZ8 3 5-3 Z S,461. Ile UIIA-7/KEW 1 %3•'41 S, 0.. I t -I Q S7 � k ,4p,-,qo ve-o.- cxc- Tn 'A/,;, S',os ~ Owner - Ata "o EQUIP Foe CompqL--7'-VOAl 7E5-7- Aalo.T-1 _�_ ,� 73a777h a;, - 31io IZ);7 i -_ �.. :�_ - 10PTIM''M MOISTURE DENSITY TEST ?cj 3;)x .1.6 cl, 95955 ASTM D-1557 ��:_� :��� 8'40 � ,�� 8 .b4- °.�� l.*lulu VM T I.-.' T7 T 6r 1.1 0 SAMPLE dry) PAN' C,�IS. o :1,iolSTURE, !!IIT DRY DENS. lbs/FT3 COMXENT: j DATE )G-,ss%qh CLIENT PROJECT— JOB NO. 3703 MATERTAJ, SOURCE PERFORKED BY: Ab) 7ET, v OCA 711�-iti--- Al 7 i9 tl / OP7- C>,;7 opr m A- 2703 Z z 4 74 Z-1 �Ve� - - ----------------- Ab) LA TI VE DENS/7 Y TSS 7 S Owner LC�C1JTt0/�___ 1'VI�iJt saE A/c. •3-�.`� TyR6 OK' CONS T FOR C ZA4RgCT'/O/V _ .------___�__-- PE�Son�n��� j�ONW i 0AO D TEST A/o, a/w. Time, D � M c sm r--, c LIA 1,8.8�_ 'T - - S pr �S I ,�PPaa vE o I OPTIM' ,"M MOISTURE �. - 31,rau -NS I TY DE TEST -= ._. _ ..�'7 o r. Bol !316 O-c--i!!c. G. 95963 ASTM D-1557 T :_1, All 14, - 3 �i 4- i ¢- ou r-r EDENS. PAN SAMPLE ( d: .y) PAN Ct\!S. "Z "OISTURF, !'MIT DRY DENS. lbs/FT3 COMIKENT: DATE )Gg% CLIENT MUSUM PROJECT_ k( 4Q a)�� JOB NO. 1370 3 4-1 MATERTM. SOURCE PERFORKED BY: PERMIT NO. 813-87P (MH) PERMIT EXPIRES OWNER JOHN & DEBRA FOLSOM CONTR. unknown ASSESSOR PARCEL 28-03-28 LOCATION 1021 Lower Honcut Rd, Oroville OFFICE COPY + Address ,w I -GAS _ + Meter BY t 47- i 1 ELECTRI Meter BY Date - - ; ' "s Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E_ Temp. G Cal JOB FIh Sigr = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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. W ter; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ctricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Dates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOB( HOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's 6 g Requirements—Setbacks—Easements 1. Setbacks—Easements 14-Xootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability _9a%' --MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining EI ricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Din; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 61'_Wat ; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater . G30,and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit tts; Insp.—Sketch . Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Dates Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - =S1otAppl,!�able RESIDENTIA°L (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Ven 52. Siding-Naili 53. Stucco Mesh Outriggers Screed-Fdn. Vents-Underflr, Access 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -Bloc kouts-Wraoped-Slab 7. Pier s_ -Fireplace Ftg.-Steel 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test Card -BI Card -BI 9. Gas Pipe; Size -Anchors Card -BI 10. Water Pipe: Test-Anchors-Regulator-Se•vice Test Date 11. Electric; Underground 57. 12. Plenums & Ducts; Clearance -Material -Support -Ins. 58. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Bedroom Exiting Date Card -BI Date Card -BI G.F.I. & Bath Fixtures & Tub Access Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access_ 19. Gas Pipe: Size & Anchors Card -BI Date _ Card -BI _ Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except p's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & S_witches at Doors 22. Size Boxes & No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes , No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date ^_ Card 8-1 Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade 51. Plywood on Roof Overhang -Attic Ven 52. Siding-Naili 53. Stucco Mesh Outriggers Screed-Fdn. Vents-Underflr, Access tib. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 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 _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Caid-B1 Date Card -BI Date Card -81 Date Card -BI Date Date FRAMING(Plans) OK except q's Com ients at Final: 36. Sills, Proper Material & Anchors 37. Walls. 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 - 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-RfnQ. 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 - - I L (NOTE An entry must be made each time you visit job site) 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. tib. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 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 _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Caid-B1 Date Card -BI Date Card -81 Date Card -BI Date Date FRAMING(Plans) OK except q's Com ients at Final: 36. Sills, Proper Material & Anchors 37. Walls. 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 - 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-RfnQ. 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 - - I L (NOTE An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ION NOTICE X routine inspection indicates that the following violations of County Ordinance exist at ,the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matteZ—or need additional explanation, please contact this offy¢e/immediately. N . 1I ( \ 11 ..46- - 11 Inspector Date MOBILEHOME INSTALLATION ACCEPTANCE �* COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 i t PERMIT NO.1c'`��"-�I j Address or location of mobilehome e 1 OtAA A3 pa(y E .Owner's name 'zi FID IS Owner's address es t A A k) PJ1r Insignia or hud number-) 9 1 `I 1 a. o . — Manufacturer's name S-1 1% qT C► Ir to S -� Serial number of V.J.N. Year of manufacture )� r=te`+ + r . r "' T .. �n�;v (Offic�YApprovi 'g Installation ate) 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. FI 1138 White - Owner, Yellow - Installer, Pink - D.P.W. ._Ba+ - V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO„ 7 County Center Drive - Oroville, California 95965.- Telephone 916/534-4541 IUB/ APPLICATION AND PERMIT A ASSESSOR PARCE `NUMB R ZON IN BUILDING PERMIT OW ER c,_ T © J TELEPHO _ O S0. FT. OCC. BUILDING VALUA ON O 'S A LI ADDRESS tr' a W,, d ro fr CO RAC TOR'S NAME .^ A j TELEPHONE C NTR TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ Z, QC2 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 ►� V ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomej Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ tallation�4 Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 OROR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 9,1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� , ft OR ADDNS. (ACC. BLDGS. 2/zQsga NEW CONSTRESID. U BRANCH 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t 300. FIXED APLNS. Ex. OCCUp. OUTLETS IPRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Ho Misc. 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li es, judgments, costs, and expenses which may in any way accrue aga nst sai County i n quence of the granting of this permit. %� Date � —�'� 7 Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ S' Energy Inspection Fee $ TOTAL PERMIT FEE $ O OCCU P. CONST.T7 I I FL0JTARCrVJ PD N Is U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PERO EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —1 Z� r/ Receipt No. WHITE-D.P.W., YELLOW -ASB SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To: :saiiding Department y From: Tnvironmental Ffeulth Subject: Sanitation Clearance .61 Ocmer Plan Approved for: Hold final for: 0, Location Selval;e disposal s .��03 AP// rater supply. supply Final clearance O.K. for: hater supply Clearance for e bedr i,; :obil.e me. Other NO ** I no Sanitarian Da + . 5:.� I+-:vav� lY •" •t i. .. - "a tsa r.,� .': - .. ,:.t '°`, ,qp wir �� ..-P 4!. 7T COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, C,.,ALiF'QRNtA`159.65 - TELEPHONE; 916/534-4541 PERMIT APPL'ICATI`ON `ATA SHEET y , r'y Permit No.--,,, OWNER �O ✓1 E ✓C( �� 1 S0G�I A. P. No. d Proposed Building Use c -i Building Inspeco/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , . , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner [I, Mail to owner ❑ ), �5. Improvements may be required. . . . . . . . . . . . . Mobi lehome Installation Data. . . . . . . . . . 1 Pre-Inspec. Pre -Inspection for Required, Bung Inspector ildi request to (Date) 19. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. S^ A0 F7 �/ L 20. Plot plan approval from city of 21. 22. Y4 When you issue the permit, process as follows: __$ail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other A Applicant 1 ��i a `4,hre 3 -1-?7 Copy of plans sent Health Dept., Fire Dept., —Other—Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 —mal l—counter by.- date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW - Flours: 10:00 a.m. - 3:00 p.m. EO xx ME Return to DPW C )t'k 0C\3tA_ BICULTURAL STATEMENT OF ACKNOWLEDGENT 4011 C" P`0 FOR RESIDENTIAL - DEVELOPMENT i Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 87— 3182 RECORDED BUTTI! COUNTY OFFICIAL RECORDS BY tai �Ait 10 P1 2.5 The property described herein is adjacent to land or included CANDACE J.GRMS within an area zoned for agricultural purposes, and residents of this ��QR�EF� M...property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, eneln -a,,4t of agricultural operations including, but not _limited PARCEL ONE: A portion of the South half of Section 17, Township 17 North, Range 4 East, M.D.B. & M., described as follows: COMMENCING at the center of said Section 17; thence South 890 00' 34" West, along the East-West centerline of said Section 17, a distance of 68.74 feet to the point of heginninq for the parcel of land described herein; thence South 89° 00' 34" West, along the East-West centerline of said Section 17, a distance of 1301.95 feet; thence South 0° 23' 01" East, a distance of 1340.83 feet to a point in the centerline of Lower Honcut Road, as said road existed March 17, 1976; thence along said road centerline, Easterly a distance of. 1235.94 feet to a point that bears South 01 23' 01" East, from the point of beginning; thence North 0° 23' 01" West, a distance of 1334.88 feet to the point of beginning. Said Parcel is certain Record the County of 51 of Maps, at Date: �� /0— U shown as the middle 40 acre parcel of land on that of. Survey filed in the office of the Recorder of Butte, State of California, March 17, 1975 in Book page 63. State of�;-�_) SS. County of �eae�v©®aameamcae■®eaaosem ■®a�•■mo®o�ala�os■®®vvv®off 19fl-7, before appeared Ll Personally known to me. /v% Proved to me on the basis of satisfactory evidence. to be the persons) whose name(s) ,/� subscribeo to the within instrument and acknowledged that executed the same for the purposes therein contained.. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. JANE ANDOE � NOTARY PUBLIC -CALIFORNIA o Butte Conry S7 My Commission Expires July 11, 1989 O ■®a�•■mo®o�ala�os■®®vvv®off 19fl-7, before appeared Ll Personally known to me. /v% Proved to me on the basis of satisfactory evidence. to be the persons) whose name(s) ,/� subscribeo to the within instrument and acknowledged that executed the same for the purposes therein contained.. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. BUtTE COUNTY DEPARTMENT OF-PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: O %� L D `S D /mil 2. Installer's Name: C e-4, t R e2 C -,q <K> /--1© 6s le //Jp/2- 3. Is the site currently under permit? Yes No. (If yes, furnish permit number ) OR Is the site an existing site? • Yes M No F :a '(If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- D C) Amps 6. What is the mobilehome site service rating? ---7 ----------- C> 6 Amps 7. What is the mobilehome site circuit breaker rating? ----- 1 O 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 31 9. What is the mobilehome site gas pipe size? ------------ `f (in.) 10. What is the type of gas service? --=---------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- 2 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on .natural gas or less than -50 ft. on LPG.) 7 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year/ / 7oe--`0 Widt(ft.) Box Length��(ft.) Tagalong or Expando Size 19_ft. x 'rC. ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) P 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)©1. Concrete block:R2-. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams --IJ.ne a+ -----\ Main Beams --- — — — — — --- .�-Line w Tag or Triple — — — — — — — — 1.1 n w 4 Line 1 Line 1 Piers: Size-Min------------- Spacing-Max ----------- From Ends -Max- ------- Line 2 Piers: Size-Min------------- Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. -----------,- Location (From Front) Size -Min .------------ ,k „ Spacing -Max.--------- ,_ r From Ends -Max .------- , Line 5 Roof Loads: Size -Min. ------------ Z4 y'50" 41.: ALX - t K-tEetau nam%o4j Line 1 OoeniM: Size -Min- ------------------ x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- ,, „ Spacing -Max---------------- From Ends -Max .------------- �- n „ 3 Sk 6 „ xtwd „x " O'x ;L4' -36j14'-34 „ I '-36" '--30"11.1 '- 3 a, J. , Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ Spacing -Max.--------------- '_ n From Ends -Max .------------- a ,,x a Location (From Front) 1. NOVI �$P7 .44 MOBILEHOME INSTALLATION ACCEPTANCE, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: ((9916) 538-7541 PERMIT NO. 12A Address or location of mobilehome Owner's name V O t"'► Iii F6L50 50 py Owner's address Insignia or hud number 6250 _ C2 6 r Manufacturer's namet"L CL Serial number ofi .I.N.� � ! 1 Yeargf manufacture,[ / ?-3 (Official AVproving Installation) (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATIOW ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE AINER 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 ap questions pertaining to this matter, or need additional explanation, please contact this offimmediately. Go4- 4— /1 -777:1 �9 s IV G r4 -T/ d S DAz Date — — Inspector REV 11/81 RESIDENTIAL i'028-03-0-028 92-2865 MHI FOLSOM, John & Debra 1021 Lower Honcut Rd, Oroville contr: Executive Homes mhi/existing site iuspEcm _ v. Seaff-oaam 1:ewp- pVW f OFFICE COPY Address GAS Meter 17-o By- ELECTRIC Date Meter By I V=OK O = Not OKNot �} =Not Readyable MOBILE HOMES t, L Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Skeich 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) r 5. Electricity; Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. i / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect i 8. Utility Clearance Date Card B-1 Date Card B-1 Date 'rd B-1 Date Card B-1 Date BILE HOME INSTALLATION (Plans) OK`except #'s ; 1.Fling Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test- Demand -Valve -Cormector Electricity; MH Test-Crossovers-$reakers-Clearances rain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector er and Sewer Connected -C/O to Grade -HD Approval 8. Ga nd Electricity Tagged xits; Insp.-Sketch 10. Cert. of Occupancy i s Dat Date -j'' and B-1 Date Card B-1 i 1 Date Card B-1 �l 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- Beam s-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 L•�htg. _ 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 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL_ (Single = Date 4r UNDERFLOOR (Plans) OK except k'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-Wra pped 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 H's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------- - --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------- ------ -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - -- ---------------- ----------------- s 21. Gas Pipe: Size -& Anchors Date Card B-1 % Date Card B-1 ----------------- -------------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer 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/Meth. Fastners-Bond Gas & Water ---------------------- - --------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- ----------------------------------- ------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. _ _Cu or AI - ---------- ----------------------------- 29. Range Circ / / ga Cu or AI -Oven Circ. ! / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------ ------- ------------------------------ 30. ------- ------------ - ----- - 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --- - --- ---------------- ------ ---- - ---- ------ ----------- - 33. Smoke Detector ---------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B-1 Date - Card B_1 ----------------- ----------------------- - - - Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors -------- ------------------------------------------------------------------------ 4 -O. -Walls- Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ---------------- --------------------------------- 42. Draft Stop in Walls (rat proof) -------------------------------- - ------------------------ - ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors •46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 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 a's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------ 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ----------- ----------------- 64. Bedroom Exiting ------------------ ------------- 65, -..---------- ---65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Lab6is -- ---------------- ------------------- 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 -7 1. Elec. Outlets & Receptacles at Kit. Courter 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 Locatioq 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina E & Wood -Earth Clearance Looked.under Floor ❑ Yes ----------------------- ------------------- 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A_C_Unit: _Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle-U-iderground 86. Ventilation Throughout House -------------------------------- 87. ----- - - 87. Glass Protection 88. Corrections from Previous Inspections --------------- 89. ------------89. Gas Test -Meters Tagged; Gas -Electric --------------------------------------- ----- -- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------- --------------------------- Date Card B-1 Date Card B-1 ------------------------------------- -- ---- Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916538-7541 APPLICATION AND -PERMIT PER MLT -NO, !� ASSESSOR PARCEL NUMBER 028-030-028 ZONING A 5 BUILDING PERMIT OWNER JOHN & DEBRA FOLSOM TELEPHONE 742-36.47 SQ.FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 1021 LOWER HONCUT ROAD OROVILLE 95966 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042. ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS1021 L014ER HONCUT ROAD OROVILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeFj� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.0011 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationQj Other ❑ Describe work: LM.- I .I R Permit Fee $ ' Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20CATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesSPOWER and Professions Code an my license is in full forcq and effect. License ,Jo. W— I `— / ,� Classification _ G���� —�❑ 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) El 1, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING oCCUP.&) OR ACDNS. ACC, BLDGS. 3.64sq.ft. NEW CONRES SC. BRANCH NON•R ESID BRANCH CIRC ITS @ 5.00 APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 75tj Ex. Occup. OUTLETS FIXED P(RESID IREA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agki.ast-said Co In consequence of the granting of this permit. X �.,�,-s2�.�>a�_ �j �. Date Signature of Applicant — Owner❑ Contractor ElAgent ❑ An OSHA ion of structures toverr3gstoriesoin height. ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S 70.00 Ener Inspection Fee $ Energy P occ CDNSTTYPE TOTAL FEES 105.00 HAZ I DFEE,S IMP FLo D CDF PARCEL PD HD ISSu� V/ tpi, This permit is hereby issued and r e applicable provi- sions of the Butte County Code and/or resolutions to do work indica ab v for which fees have been paid. I OF PUBLIC WORKS By Date PE MI EXPIR S Date f - 3 - Receipt No. 129474 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ..-G:,r;.,Yri1_':-:'?i.r.,•-^N'"^x`,oI11r'..`;'`l;"q,•r•""'"+hr4nrA,�4'."l•Yw`�'.-Cv,-;,�",ry -r ti.l.r ,ryf,:.:�"•r:. ry".• w•,Hy.i .,:t COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC,WORKS - ,BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLB, C� IFORNIA 95965'- TELEPHONE (916) 538-7541 - _ loe . - PER `61 APPLICAT109 DATA SHEET OWNEFJ4 J 60 SC))-" �-P. No28"03� ^a� Proposed Building Use ,A4 //i r Building Inspector jl-e— Date 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: f DATE RECEIVED BY All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 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). .. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ . .......... .. ./ . 11. Impact fees as shown on attached scheduled Q.K� . ............'........ 2 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ............: ..... 91319t 00 Sanitation and plot plan approval S SI ceu2 Health Department. �� 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). .. ... . Ire -Inspection reque F- 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 _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of,parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building°use .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... Plan check list . ......................... ,....rim .. . 34. When issue th Telephone Other Parcel Creation _ Acreage rm1t, process as follows: Mail to ow er. Mail to contractor. r 69q Z and hold for pickup at office. Deliver with inspector. Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other-- Date By The following data must be submitter to it issuance: (Circle new item not checked above). 1. Index permit for above items No. t^ 2. Additional items required: Y1�1 - �LOcI �J1>`rM_ p9 ontracto ,designer, owner, was advised of above required data by phone _mail Counter byilul Date S/ZO Con ractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by 1�N Date ��� Plans approved by _61,j Date 3 9`L Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUTTE COUNTY SCHOOLS IMP GTFN CERTIFICATION FORM (One Fora pelf Building) School District�� r (1 l7'Building Department No. A.P. Number 2C�.o - �ZJurisdiction F City my Property Owner -,J� V� �p I S ova Property Location/Address / Subdivison Lot No. Residential Development 'HI 0 Sq. Footage 3 -I-� rC�P�C�GI nG� No. of Living Units Addition (Group R) Commercial/Industrial 0 0 Sq. Footage ' New Addition (Including Exterior f Roofed Areas) Building 9'epartment R�presenta , `/ �/ Date (Floor Plans reviewed by School District Personnel) District Identification No. 9.�H E a �_ Uh%D%i %IIf9 School District certifies that✓d�%� �oL s��� (Applicant) (Street Address) (Phone Number) d ro 01�IQ_ 0A (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ 105-, %y by payment of $ v representing 1107 square feet. School District Representative Paid by Check Number Bank Number Paid by Cash Y'1,3•9� Date Remarks:mmino I_ Lavac �bnaoT- P0010- If, subsequent to the School District Representative signing this Butte County Schools Impact Fde, ., 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 tiesubject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS,y PARCEL UMB R $ — o - '0 $ ZONING -5 - BUILDING PERMIT OWNER - r, t)E !s ?-A �o t S o rh TELEPHONE L12 �,by'"I SO. FT. OCC. BUILDING VALUATION OWNER'S MAI ICG ADDRESS \02;.,1 o ui t -A CON RACTOR'S NAME x 6 c,vT i -4 E 1-�oY,+B s TELEPHONE $� I- b9 12 CONTRACTOR'S MAI LIN ADORES 3'447- ES �u%; GO Fireplace CONSTRUCTION LENOPER UNKNOWN 1 Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADOREs Q • % Permit fee s PLUMBING PERMIT Filing Fee 1 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S I G I W 615.00 TYPE OF WORK New Addition. Remodel ❑ Utilities[]. Installation.5-k Other ❑ Describe work: �, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 c� [ Main service 600VORLESS 200A OR LESS 18.501 Main service 200ATO1000A1 37.50 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 Professip1ns Cod and my license is -in full force andel effect. "'��� OI Classification License .Jo. �_� 1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.S`' OR AODNS. 1 ACC. BLDGS. I 3.6Asv.fc. NEWCONSTR ULTI.OUTLET NON .RESID: BRANCH CIRC ITS 1 5.00 POWER APPARATUS e -SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES L_ 76tl FIXED APPLNS. OR Ex. Occup. OUTLETS lRES10.I EA 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult Fee $ Contractor 1 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee . $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S °� HAz 1 0FEES I IMP I FL000 I COF I PARCEL PO I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. � 2 2� ? (� WHITE-D.P.W., YELLOW-ASSC330R. PINK-INSPCCTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE = DEPARMIENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE —'OROVILLE, CALIFORNIA .95965 — TELEPHONE (916)5387541 -MR J) n P6 115 U/v( PROPOSED BUILDING USE '�.� A. P. NO. �- O �b O as DATE REC . � DATE REC School Distric Fees CJ%CV �! il9�f (paid at District Office)l. . % 2. Sheriff Fees STItJ�- (paid at Building Department) Residential ......... % =$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) # units X amt. Commerical(per sq.ft.) X 4 sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other .'t time of permit application, I was advised the above fees are required to be paid prior 10 issuance of the permit. TPLICANT DATE sl I 1 . „•O nS eo -- Z 13,40, s1 COUNI Y 0 BUTTE BUILDINC DEPT AUG 1 1992 S set, of plans .dnd sper�fications mus ! is; unlawful fO on tho fob tit aH tin+ at ori o same w hofs► r!'111." any changes or cite rations from the Department of Publa wrters per works, Gour>ty of butte. < i 3hafl Be y�arkmarrst► p Rec an4ed Good Practices f AC d � dor the SP60fied UO """4' Iced rejArtic*J t.r'4-�` i tf piumbing & 1+ _ 7 Location of structures & equipr ant bhall be as shown }� & clear of all easements. 1; ; 5 f S 106 -feepte PL S0e�AcC-S o IF CD AiO 1■ 1 1 r aW6, WCLL ISO v�'T rel •'.�1'�':'.iid1 \ f` I.ri.. t FOS n''O ILES Szr� APpROi/ED e CUMV111 Or rUT F___ BUTTE COUNTY DEPARTMENT .OF 'PUBLIC WORKS E�' ii+�Jl VCi Ci�PT. 7 County Center Drive, Oroville, CA----.-.. .�1 :PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes a . No. (If yes, furnish permit number ) OR Is the site an existing site? • Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes D No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- C/ Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes © No (If yes, identify the load and size \ (Load) (Amps) 9. What is the mobilehome site gas pipe size? (in.) 10. What. is the type of gas service. ------------------- Natural El LPG F/ I 11. What is the gas pipe length from meter or tank to the --------------------------------------- mobilehome? ------ �Z (ft.) 12. What is the mobilehome gas demand? ----------------- (BTU) *(This information not required if pipe length less tha�#,t6�ft r. natural gas or less than, 50 ft.'on LPG.) 7.. MOBILER014E SUPPORT DATA If,other than single wide Mobilehome Mfr. -Utup'..Model.l 0. Year j . o Width (ft.) Box - Length6� (ft4—Ta9a'l ng�:r"Expando 0'�­' Size ft. On all mobilehomes manufactured after-.October.,7,.1973,'furnish manufacturer's 'installation manual and structural setup sheets "(if not 'on'. f ile with -"the of Butte). FOUrl . NC.S,(check one) Fu;ll. Wood -pressure treated or-foundation'grade. 2.'-,* other (specify) EY .: supPORTS (check on OR 1. Concrete block.D 2. Other (specify) Pier Footing Sizes and Locations §jN(;!.E-WIDE Nl:�=Main Beams TT — jaij,Dl� 2 COUNTY OF GUT BUILDING DEPT AUG13 1�')92 Main Beams —*.-Line 4 Tag or Triple > Line Line I Piers: Spacing -Max.-•------- 1_ u From pucing-Max---------- Frovi Ends -Max.------- 1_ 11 Line nds-Max-------- L.I!e 2 Pi—: ive-Min------------- sive-Min.------------ �Z I,x 3�1 Spacbig-Max---------- Spac From Ends -Max -------- MULTI -WIDE Line I Line 2 NYTY D E PA R -r ,e 1. r Line I Openings: "x Size -Min. --- -- ---- ,x Each Side of Openings With Width Over--------' �_ sr I.I!e ver-------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ----------- 'k 'Spacing -Max ----------------- From Ends -Max. -------=--- -- Lee_) !w,q f wads : 6/ L, 3 Co K *30 4-6 X 30 94- x 30 Size-MIn ------------- Lncat Ion (from Front) 1 10 114 1-.1sk %ol- Z 11 .Ltne 4 tiers: Line 5 Piers: (Under Bearing Walls only) 01 Size -Min. ---------/k 11-- 1x 1. SpaLbq-Max ---------- Spacing -Max ----------- From Ends -Max.------- From Ends -Max --------------- 1 11 kills %A Koof loads:'- ----- S I z C -M I ------ ,x 11 11 li X Location (from front) ..X 0 .1b Lncat Ion (from Front) 1 10 114 1-.1sk %ol- Z 11 .Ltne 4 tiers: Line 5 Piers: (Under Bearing Walls only) 01 Size -Min. ---------/k 11-- 1x 1. SpaLbq-Max ---------- Spacing -Max ----------- From Ends -Max.------- From Ends -Max --------------- 1 11 kills %A Koof loads:'- ----- S I z C -M I ------ ,x 11 11 li X Location (from front) • t,a � �' .. •+•,' •" " • .. a= i. ..Ii .. .• . _V • 11 � LLL. I WVVL` rlVl ICJ +, L ' X lu,�c„�..••-.':�i •i iJF `; DOUBLE WIDE PIERING WORKSHEET _ ' MODEL, a :a�.- PSF ROOF LOAD Pl.AN7"' L7 SEE PEFIIA1ETER PIERING SEE NOTE REQUIRENIENTS TABLE --SEE MATING LINE PIERING TABLE-----�^^ -o- - I d,rnONT OF- SEE PERIh1ETEn UNIT PIEnINrs REQUIREMENTS TABLE NOTE; SEE PIEnING PLAN DnAWING 114 INSTALLATION MANUAL FOR maumEMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE* T " 'CR 4TH IN--'fOft STH INTERIOR REAR WALL i RICGE $EAP,1 FOST LOCATIr.% ItIITIAL POST AT r lour 1ST INTERIOR POST 2IND INTERIOR POST 3RD II! Evil POST ito POST POST POST �.� �- PI! ti LOAD$�/ .6(716 j= �� / ��11/ Ct,oaCIT1' fr! 195. 7Q. 36°�. s•3G� 36X, 2.,y, t.tlr,�r,itjl,t SIZE FCOTI;:G Qos� FPoM Q�Z9 r x RoN� NOPE: Footing sizes based on 1000PSF soil bearing value. If soil cunditions differ see the piering plan dra`rring or the Home Technical Instollation Manuel for method of calculation. f i_I?S REQUIRED �ANIB sTuus A'r DOOR OVEn-24" l`4ASOIgn)'.-FAC ED FIREPLACES ll•I OVERHANG CF FLO011 POnCH POSTS AT RE- CESSED SA'JALL WHEN -'POSTS EXCEED 42" HEAVY AP+=1,14.04CES 11.1 OVERHANG OF FL00!1 PE1 INIETEn PIERING REQUIREMENTS TABLE DOORSIDE WALL' ROADSIDE V- A.LL• I 1'-O Auc� ' �i' o�' t3'-o�A09 is i i CC-- 'DINIENSIONS ARE FROM FONT OF UNIT. • t x•s•f2�9 i�eo D/ )l 0 0 eI*1 /a 01elaMIM.-r:7: V00, CONSTRUCTION Cathedral ceiling throughout 2" x 6" floor 2" x 4" exterior walls 16" O.C. Copper wiring 100 amp electrical service Complies with HUD specifications Energy efficient insulation 30 gallon water heater Smoke detectors Utility room 5/8" flooring R14-7-7 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Vinyl floor covering - kitchen, utility, most baths Water shut-off valves 30 Ib. roof load EXTERIOR STYLING Hardboard siding in a choice of colors Exterior light at all doors Ground fault interruptor controller exterior receptacle Class A roof shingles Attic ventilation 12" side eaves on all 26' wides Inswing front door 9.'IOWZOVI� LIVING ROOM Color coordinated draperies Decorative wall panels Lg. windows w/removable screens BATHS Recessed medicine cabinet - both baths Window for lighting and ventilation (most models) Designer coordinated wall covering 4" backsplash - both baths Privacy lock Shut off valves on toilets Molded mirrors - both baths DINING AREA/ROOM Color coordinated drapery Lg. window including removable screen Decorative wall coverings Carpet KITCHEN Free standing 30" range 15 cu. ft. dbl-door frost -free refrigerator Range hood Mahogany sided drawers w/metal drawer side rollers Lined overhead cabinets Crown molding kitchen cabinets 4" backsplash Mini blinds on all kitchen and morning room windows Double -bowl steel sink Color coordinated drapery Name brand appliances MASTER BEDROOM Large egress windows Designer carpet Adjoining bathroom GUEST BEDROOMS Large egress windows Color coordinated draperies Designer carpet Designer coordinated wall covering POPULAR LIVING FEATURES Prefinished deluxe doors One piece vinyl floor covering Cabinet hardware 1/2" door jamb w/1-1/2" wood door casing POS ventilation system Plumb for washer Wire for dryer Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to be representative and, -in keeping with Fleetwood's,policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics. (Add four feet to arrive at transportable length.) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. OPTIONS 1 -pc. oval tub (most models) Dishwasher/ disposal Pre -wipe for ceiling fans Skylight R21-11-11 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Plywood floors Sliding glass door 19 cu. ft. frost -free refrigerator Stereo 40 gallon water heater Dual pane windows (cross back) Fireplace Solid oak cabinets OTHER OPTIONS AND FEATURES MAY BE AVAILABLE. BE SURE TO ASK YOUR RETAILER. SMDALWOODm BY FLEE COD. Sandalwood Homes. are built by - FLEETWOOD -HOMES OF CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 North County Road 101, P.O. Box 1308 Woodland, California 95695 (916) 662-3223 swi17iDEc90 a �� r .;cry • - ► ..►.. , j, ELiHt EEf9"4 ■BsdiH•s-sal ,assearsrrv. `NL3l�';` so s.al t itui sssia tt11i3iit:tlt tLlEsr�. o . titE#` t#Kl#ttL•a HEL ;p.`�•_ � :idtR +l1�i"l[t.t9 � a 3SAE" R �rittatt7lttitEltisls# E7 t�a R�L3 ' ■tipiKi rt Lt �T.'� t#Lllfi7ZBi#1 CT'r�i>LL1W"U". LtrEtitt iwa E1i>�Lt31"RA"i!! ,I■fi� LgLitiatS bb55!!!!iiE#AL3 Lai tlLllLdfi ii iii 7itoal9 ��" ■ liJ<lgtlaii-tfl;liF'"-lLltfgLil;tL3 Q&Z.tip MM t"H't< A, IWE!#!7#trill L><3 Lal tf 7i3tlfi!~ f if !l p V It flda0 �' 4 tMa"SLt+ #li vl ti #.( 1s t e •. li t7 ■rlttli-t} WZJ FU i �`l�Fif@ ti •i ti i {t Lttilt'.lV Y'_1 qs>� �Lka7tl•..tR>3ritLil2lt;t -ii." s�iili ��'y- �'� ` ItgHt•gt#t tl LPTLLHt�[ LKq� ��tgql3•i Kt!�#t!3 ALpsQ L3 t s'`i■ti ■JElLf'Ri7tlflt ii fs.�>I H-i�I� 1 `` i=ttRLiLdIllifrBtiLLlL7Etlslttt i=L ti#i ■ ta#at;ttf37 t7 CLOSECLOSEr APPROVED `ButteCounty Environmental Ap I _ i 11 � ,' Si • i �� A +i �. ,euidina :De�artiaen`_t` S - .FROM• , Eavir��eital, He`al'th; ` - '. t , 8V8JECTf• Sanitation C1.6irAnStfC,- sb/ C�..% �ow e r� - on Com•-Gi� Owner, -_ .... _Location ,. Plad' Approved •torr Seage�; Di9posal Wats= Sutplyl _�--.1 �T f f or ,Waters SupAlY� - ?3na1 .cl earance': „ — �� � "ance::to=�. bedroom mobls.le hole: :Other - - - ..-..., - .. _ _..�. --Y+.' r.�.� w-.�..`-. ... _ •�_ _M F...-.� -.._-. ..-�..— ... .�.. _ �-. .mow+.-.�+..moo- .r-.. _.—. � .NOTS Sanity a ZSLS T68 T UO aNUMOOM S3WOH COOM1331A 80:9T Z6/6T/80 --,L -- - - - - - - - --- - - - - --- - - - - - - - --- - - - - 40 101 I o'? vA APPROVEO iPUffe County nvirphiental Health —, Ar, h GI 7Z IP ti w yyr TO • Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance t5b►^�� /F�oZ I /-0uter Iov►cv�� A # Owner Location Plan Approved for: Hold final for: Sewaqe Disposal 7inal clearance O.K. for: Clearance for .bedroom mobile home. Other A— Water Supply Water Supply Water Supply NOTE be- i Qt- set(h OCCA l AO C/05 O o 13Q. .1.�� _— amuY- A 0 OR 7 Sanitarian r�� S __ J 1340.' AUG This set of plans and speufficaVons MUST 6-9 Icept on thw-ia' 6 at all tirmes and it is unlawful' to 4 , rylt7. Tiny 4annes or altercations on same without wr$,fllen permission f-rkrn the Department of Public Works, County ofAP++e. Lovati(,n of structures equipment shall be as shown & dear of all easements. !S 1 Sc DG t I. 65 ff (20YY-N (�_ OF -1 Y W LL 01% • tv I S!r;.n 5-00 :6UTTS SQ. FT DEPT FOR 41,96- 07 f C'v Ir fi COUNTY OF BUTTE - _11C WORKS 7 COUNTY CENTER DRIVE - OROVI ?HONE: (916) 538-7541 AGRICULTURAL BUIL N PERMIT J E MIT �! � r (JJ( Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall In be a place of human habitation or a place of employment where agricultural products are processed, treati6d, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. e9eg D `✓ ` S� ZONING OWNE Dag0a �'ovvi -," PHONE NO. OWNER'S ADDRESS �•L� LOCATION OF BUILDING USE OF BUILDIN SIZE OF STRUCTURE SQ. FT. TYPE OF CONSTRUCT N: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING G(%� ROOF COVERING �`� FLOOR TYPE �a�G ESTIMATED COST OF CONS RUCTION $ .� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located am in imum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date I Signature of Owner Permit Fee - $25.00 Receipt No. I Of The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCEL P.D. ROOFING I ISSUE Director of Public Works By Date :COUNTY OF BUTTE - DEPARTME 7 COUNTY CENTER DRIVE OROV - = ` PERMIT APPLI •T Ijwj LII.!�Jlf.�a Proposed W-965 Y13KS_ "BUILDING F-M DIVISION TELEPHONE: 916/538-7541 t�IDATA SHEET ` Permit No. "V C A. P. NN o. Building Inspector Date At t / of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: UDATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ......... ........... ............... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW �. 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request 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 ❑) ..... ty 24. Recorded copy of Agricultural Acknowledgment Statement .....: 25. Letter of signature authorization ................................. . 26. 27. When ou issue the ermitprocess as follows: MaiI to owner. Mail to contractor. Telephone_ '-T and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—nail counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW t�e-�-. ��� _3 �� 7 RESIDENTIAL 028-03-0-028 93-146B FOLSOM, John & Debra 1021 Lower Honcut, Oroville screened porch/mh JOB FINALE Signature J=OK " O = Not -OK Not "=Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE S, COVERS, CARPORTS, GARAGES, Plans OK except #'s Zo g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. riders and/or Joists -Decking -Bracing -Stairs -Rails . 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. Fr ; Sils-Anchors-Studs-Rftrs-Trusses S -Nailing-Veneer-Stucco-Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date � d 8 1 Date Card B-1 Date ' and 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 J=OK O = Not OK -=Not Applicable ' = Not Ready RESIDENTIAL (4% Date UNDERFLOOR (Plans) OK except n's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ !" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except It's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- -- ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------- ----- ------------------------------ -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test. First Floor -Tub Access -------------- --------------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date - ----------- Date Card B-1 Date Card B-1 Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance - Ins. Protection - - ------------------ Dec. - - ------- Dec,. 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. 2 Appliance Circuts in Kitchen & CondLctor Size!GFI -------------------------------------- ------------------------- 28. Subfeed Wire Sizer i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al ------ ---------------------------------------------- -------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------- ---------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - ------------------------------------------ 31. Equip Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------- ---------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except h's 34. A.C. Ducts Insulation & Support -- -------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ---------------------------------------------------------------- 36. ------------------- -------------- 36. Condensate Drain & Overflow; Size & Grade ----------------------------------------------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- - 38. Attic Access & Platform if Furnance in attic -----=---------------- ---------- --- - --- --- -------------------------- ------------ ----------------------- Date Card B-1 Date Card B-1 ------------------------- -- - ------- ---------- --- ---- ------------- ----- ---------- Date - ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors - --- --- -- - ---------------- ------------- ----------------- --------- 40. Walls Studs -Nailing. Spacing & Bracino- Plates- Sound -------------- --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - ----------------------------------------------- --- 42. Draft Stop in Walls (rat proof) - - -- --------------------------------------------- -------------- 43. ------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- 44. ------------44. Headers & Beam -Size & Bearing ►ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connecters 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50 Garage Fire Protection Framing 51. Property Line Firewall & Openings _. 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -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 ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- _______ ____ 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech.:?rotection -------------- ___ 64. Bedroom Exiting 65. G F.I._& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------------- ------------ 67. Stairs & Rails--------------------- _ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter - ----------- 72. -Garage -Fire - Door: Swing -Landing -Closer --------------------- - 73. A.C. Duct in Garage -Damper -- ----- - - -- ------ ------------------------ 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ------------------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- Guard-Rails ------GuardRails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor .D Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes_ ❑ No 81. Stucco Brown -Finish - ------------------------------------- -- 82. A.C. Unit; Disconnect. Electrical, Plumbing - - - - -- --------------- --------- --------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85 Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ..-------- ------------------ Glass Protection ------------------------------ ----- 88. Corrections from Previous Inspections - ----------- 89. ---------89. Gas Test -Meters Tagged: Gas -Electric ------- -------------------------- ----- ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------- ----------------- -- Date Card B-1 Date Card B-1 ----------- ------------------------------ - - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 028-030-028 ZONI G BUILDING PERMIT OWNER John & Debra Folsom TE E HONE 742-3647 SQ. FT. OCC. BUILDING VALUATIO ' OWNER'S MAILING ADDRESS 1021 Lower Honcut Rd., Oroville 95966 340 M 6,120.00 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 6,120.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $127.50 1021 Lower oncut Rd. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF[:] Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 = 5 outlets 5.00 5.00 Building sewer f@1 Mobile Home S G W 5.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Screen Porch Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ESS 200A OR V OR LESS 18.50 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 full force and effect. License No. Classification 1FIXED , as the owner, or my employees with wages as their sole compen- a ion, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCURS3.6Q sq.ft. OR ADONS. ACC. BLDGS. // NEW CONSTR. U TI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES\\ 20 @ 75 APLNS. Ex. OCCup. OUTLETS (RESID,)REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ' ' judgments, costs, and expenses which may in any way accrue aga said ty in conse e e of the granting of this permit. X Date o13 Signature o Applicant — Owner Contractor[] Agent ❑ An OSHA permit is required for a ccov`a'tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 127.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD SS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do wo�indicat ve for which fees have been paid. TOR OF PUBLIC WORKS B�— Date,Z-3'Y� PERMIT EXPIRES Date 177 -3- sfl 138137 Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -' ;7g ,... „day ,_y' �:-iso+r•.•Y�;7w• .•r'rrMGT,t"[?i.�r•s�'`�]��,-.r,p� �r , .:a , � x • . ,2 . � . .. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE-, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �D /U f��&5044 Proposed Building Use Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing add/or issuance: DATE RECENED BY • OA 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 andjayout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood1b 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.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . st 20. Pre -inspection for to Bui��10" actor 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 . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ....................................................... 33. 34. When you issue the permit, process as follows: Mail to owner Telephone yqZ-36 Q'7 and hold for pickup at Other Cn4_(-eCT Parcel Creation Acreage Applicant Mail to contractor. _ office. Deliver with 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 pri r to permit i suance: Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 'i/Y3 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 Date 2 q Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ONLY ri„t Plan Aluc ed ..- _ . 1:i ,;,r i is „ nuacl„d S,111 to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,2�6 4, o ! i5e,� rn LD c2` Luier wedncofi )N , - 03 `�� Owner /Location AP# Plan Approved for: Sewage Disposal 4"" Water Supply: Public Private Well�� ar Other 6 x,3 Y aveld ae—ldn Hold final for: Final clearance O.K. for: NOTE- Environmental He t Specialist Date 8/92 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538=7541 APPLICATION AND PERMIT ' PERMIT NO. ASSESSOR PARCEL NUMBER C�lBUILDING ZONING PERMIT OWNER ��119ifly �L�D TELEPHONE _1/ 36 SO. FT. 0 qC/7 I BUILPING VAL ATION OWNERMAI LING ADDRESS V vL D CONTR/�CTOR'S AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS _ Filing Fee $ 15,0 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Energy Plan Checking Fee $ Penalty $ BUILDIN ADDRESS //' /A- (�v� Permit fee $ r PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7 loer USE ?t.STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I GX @ 15.00 TYPE OF WORK New:Additionll�l. Remodel❑ Utilitie ❑ Instal ation❑ Other Describe work:/�� �i�/ / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p er I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Main service 200ATO1000A1 37.50 / NEW CONST. / DWELLING occuP.r\ OR AODNS. 1 ACC. BLDGS. I 3.64 sq. NEWCONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) .00 POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTU 5 20 76d SQR)EA.� Ex. Occup. uLETS ED-PPRELNSIf3. o I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIing�ee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte gains, all liabilities, judgments, costs, and expenses which may in ny wa accrue against said County in consequence of the granting of this per X Date signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHAwork permit is required for excavations over 5'0" deep and demoli ion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ �E nnz DFEES IMP FLOOD cDF PARCEL O MD ISSUE This permit is hereby issued under the cions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC BY PE RMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.. -3 —3 WHITE-D.P.W., YELLOW-ASeC»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center DriveOille, CA 95965 John & Debra Folsom 1021 Lower HOncut Rd. Oroville, CA 95966 Dear Mr. & Mrs. Folsom: With reference to the above subject: PHONE: 916-538-7541 DATE January 26, 1993 RE: Building Permit #93-146 A.P. # 028-030-028 Attached is: Application for permit Mobilehome Utilities Installation Sheet . Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordancewith the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise - Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Please submit a floor plan of the existing mobilehome. Be sure to include 'room dimensions and window sizes. Should you.have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works '1 .J.F. Glander JFG/aj i RESIDENTIAL -028-03-0-028 92-3264B FOLSOM, John & Debra 1021 Lower Honcut, Oroville open deck/mh / z JOB FINALE Signature J = OK, O = Not OK Not = Not Readyable MOBILE HOMES e Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s 1. ing Requirements -Setbacks -Easements 2. Foo ' ; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-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. Sidin .;Nailing -Veneer -Stucco -Mesh 1 oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dat C d B- a Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O=Not OK = Not Applicable Not Ready RESIDENTIAL (I ' = 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-/ /F -g. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 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 tE. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection --------- ----- ------------------------ ---- 18. D.W-.V.; Test -Fittings & Anchor=Nail Protection --------------- - ---------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date - - -Card B_1 - - - - Date Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------ ---------------------------------------------- - - - 23. Elec; Receptacles Spacing -Lights & Switches at Doors - ------------ ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - ----------------- - 25. Romex Installed Close to Edge of Studs & C.J. ---- ------------------------------------------------------------ _- 26. Equip. made 'up w/Mech. Fastners_Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---- ------------------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29.- Range Circ. / i ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------- - - - -------------------------- 31. Equip Clearances Panels-Motors-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 a'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 Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ------- ----- - --------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------ 41. -----------------------------------------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 'NO = Single & Duplex)' Date -FRAMING (Continued) 4,5. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof,Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue-Fireplac- 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 tt's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------- ------------------- 64. Bedroom Exiting ---------------- _ 65. G F.I & Bath Fixtures & Tub Access -Spa _ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails --------------------p --- --------- ---- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------------ -- 70. Kit_Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance Elec.-Outlets & Receptacles at Kit. Courter ---------_71.-- - - ----- - 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 ---------------- 77. Insulation -Foam -Looked in Attic ❑ Yes - - ------------------------------------ 78.-Guard-Rails & Deck -Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ----------- ---------------------- --- 82. A.C. Unit; Disconnect. Electrical, Plumbing - ---------- ----------------------- 83. - ------------------83. Vents Above Roof; Plbg.-Appliance-fireplace.-Clearance to Openings ------------- -Water Water Well; Disconnect, Electrical, Plumbing - --------------- - - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ---- -- -------------------- ---- -- 86. Ventilation Throughout House --- - --- --------------------------- ---------- 87. Glass Protection --------- ------------------------------- - 88. Corrections from Previous Inspections ----------- ------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric --------------------------------------------- __ __ 90. Water & Sewer Connected -Q/0 to Grade -HD Approval .----91.-Energy Compliance Certificate -Other Certificates ---------------------------- Date Card B-1 Date Card B-1 ----------------------------- Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS (J 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PARCEL NUMBER '028-030-028 ZONING A-5 BUILDING PERMIT OWNER John Folsom TELEPHONE 742-3647 S0. FT. OCC.1 BUILDING VA LUATIO 310 0 2,170.00 OWNER'S MAILING ADDRESS 1021 Lower Honcut Rd., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN - Total Valuation $ 2,170.00 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER 7_77S ICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 82.00 PLUMBING PERMIT Filing Fee 15.00 1021 Lower Honcut Rd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition® Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Open Deck (Built,', w/o Permits) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 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 full force and effect. License No. Classification dEx. 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 CONST. ( DWELLING OCCUP.&\ 3.6<sq.ft. OR ADONIS. 1 ACC. BLDGS. I NEW CONSTR ULTI.OUTLET ON.RESID BRANCH CIRC ITS @ 5.00 NON -.E S'. (POWER APPARATUS Q) SINGLE OUTLET CIR. EX. Occup(20 76 OUTLETS OR FIXTURES U Occup. our OUTLETS IRESID ID APPLINIS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate S/ of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. I also agree to save, indemnify and keep harmless the County of Butte against all liab ' judgments, costs, and expenses which may in any way accrue agai st said my in c e ce of the granting of this permit. X - Date Signature of Applicant — Owner 9 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 82.50 HAz DFEES IMP FLO CDF PARCEL PD HD Issu This permit is hereby ' d u der the applicable provi Bions of the to nt Co a and/or resolutions to do d work indi ve r ich fees have been paid. R O PUBLIC WORKS By �— Dated P MITE PI . ES Date Receipt No. 123262 WHITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a N, 92- C6'6'NTY' OF BUTTE PARTMENT OF PUBLIC AS- BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROV.ILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET � OWNER TUk/J D I SOM ,,//�� �Ate�. P. No. C✓oZg- 630 4Oz� Proposed Building Use 4�EN g c� Building Inspector lav Date `�Alf Z 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$ .......................................... 11. Impact fees as shown on attached schedule ..... . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floornia Engineer................... 14. Sa nitation and plot plan approval (((( Health Department. . it 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: . ........ l 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... . 20. Pre -inspection for Pre -Inspection requst required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ............. . 22. Certificate of Workmans Compensation Insurance . ..............:.t ......... . 23. Owner -Builder Verification (Given to owner , Mail to owner )............ . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ..........�. '.............................. . 28. Mobilehome utility clearance. ........ r.................................. 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. s lT C Cv-- `W oh � a ie� DIT �- - - - 7auF 34. Whe you issue the permit, process as follows:M jl�o owner. Mail to contractor. Telephone7�/?-3(`1� and hold for pickup at Ur i�E office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by An,) Date Plans approved by C!(A) Date f L?212? Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER J� ^nr 030_ ©.29 ZONING BUILDING PERMIT OWNER�0kti r f dl$DM TELEPHONE 641,7 SO. FT. OCC. BUILDING VALUATION I OWNER'S MAILING ADDRESS � n� /I Fs-% 6 � (ij'tu CJ/[/ / OZ GOj(n� GONTRACTOR'Sf�ME /V� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Q LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , 5o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - - Penalty $ BUILDING ADDRESS D _� Permit fee - $e PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[—] Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition nReemod�el ❑ ti lities ❑ Installll"a�tion ❑ Other ❑ Describe work: / ����(�f {— t✓y �� �lGi�(% S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200ATO1000AI 37.50 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 full force and effect. License No. Classification 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 CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. / 3.66sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS e `SINGLE OUTLET CIR. ) Ex. OCCUp( OUTLETS OR FIXTURES 20 76d FIXED AP❑ EX. OCCUp. OUTLETS (PRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerF1Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc El CONST TYPE d TOTAL FEE $ 8, -- HAz DFEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1� z wN1T[-O.P.W.. TELLO W-ASe C7 3O R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE Department of'Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing.and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provide the major labor aqValtr'als for construction of • the proposed property improvement yes or 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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . - Phone Type of Work Signed: Property Owner Social Security Num8ef Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. E j r c i T set of pl6msard spec fic-iNons MUST Be n the jr:& !,,-o , -!. N rind - '-s unlawful to �n+ n� c-� MY Clv'",es cr ri!:Fns on c rn-3 without ent of Public. % m i:�:,-pirmnisstcn the Departm Works, CourhY 04 Butte. Locatio� of structures & -n equiP!Mt d bn as shown & Ctear f a!l cms-mcnts. 2M12 P L SEF A CC& 1-551f elm � OF 400 BOA CQU PARTMENT 3UILDjNG M APPROVED; A i .. � � 2,a cam, n� g Str *V E -it tj tA i 55, R VARIES ,n --+ rn x - r • D .: rn3 dQJ r N X x fT1 rn N. 1.1 . rl N -,a 6` a T� v -P a N v A ' MAX. �+ I '1 {� nom. = zZ � �fP • .,, • � A Q mri I O N rF g m m MAX. o� GIN No"mlN. STAlR :- - o aID -;r�, � � r" W I DT4 Olt, m b y -.• -G c n Q m ,n --+ rn x - r • D .: rn3 dQJ r N X x fT1 rn N. 1.1 . rl N -,a 6` a T� v -P a N v A ' MAX. �+ I '1 {� nom. = zZ � �fP • .,, • � A Q mri I O N rF g m m MAX. o� GIN No"mlN. STAlR :- - o aID -;r�, � � r" W I DT4 Olt, m b y -.• -G c TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance h v� O �sayr, /002 / �Cduie� 41co+- a� -' Owner Location AP# Plan Approved for: Sewaqe Disposal ✓ Water Supply �— Hold final for: Water Supply ?anal clearance O.K. for: Water Supply Other 5-« NOTE *: Sanitarian �- Date k-540 . SF J Unvironmental Health SO 16.1992 Oroville, California is I zG FDA)4� W f LL pEr-K P 87 --X 7 7 Ji. st/ffecy-KVrp #so 1 c Ot?r,,),,-� O(J/j /7td/ A , e ce ,,,got S16 Ov Dw�M . , X815 L7..____� i-_--- ,-- Wr. Hon cutRo , r i N I I t MAIN . 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