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028-230-012
AP 28-23-12 28-23-12 C.E. PRICE Agricultural Exemption, 2/28/83 n/s Los Verjeles Rd., 1 3/8 mi. SE of (Building completed Jul 81) \LaPorte Rd., Oroville Permit# X091 -75P E(util., MH), ELEC. _ GAS -AIR% - SUPPORT STRUCTURE REQ. .�� d WMPACTION TEST REQ. WCC AP 28-23-12 _-CONTR: Ernie Is NH Transport,- M �2G Permit# 4165- 5MHI - Issued 75 'I' •�' 028-230-012 04-1643! CHAVARRIA, HECTOR 445 LOS VERJELES RD, BANGOR Cont: OWNER REMODEL V 3 I 1 I s IL 1 f s IL 1 r; N August 5, 2004 Hector Chavarria 445 Los Verjeles Rd. Bangor, CA 95914 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 028-230-012 Building Permit Number: 04-1643 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: a Provide an accurate plot plan with dimensions. C1441-e&rm Party responsible for plans is to sign the plans. This addition is 414 square feet -energy calculations are to be revised for the correct square footage. New 8040 window in remodeled master bedroom is not to be included in the calculation. And new slab are is only 14 square feet. Water heater may not be located in a closet in the bathroom nor in the bathroom itself - remove water heater and indicate new location. Provide location of the wall furnace that is modeled in the energy calculation. Provide sizes of floor joists. Include manufacturer. Designer is to call out the special hangers called out for Truss Al, as noted in the truss calculations. STRUCTURAL COMMENTS: Braced wall panel method, location and attachment are to be shown on the plans. Provide a braced wall schedule detailing requirements for each particular panel and indicate specific location on the floor plan. Interior bracing is required with a maximum spacing of 34 feet on center. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. 1 of 2 Building Sketch Borrower Client Chavarria Property Address 445 Los Ver'eles Road ± . Ch Bangor (unincorporated) County Butte State CA Zip Code 95914 Lender Excel Mortgage �I 74.8' Family Dine Area Room ' Kitchen Bath Utility 35.0' 0.5' Living Room 23.7' New Enclosed f1/IJ rX 0 ci Porch 21.2' N 16.0' :t�_ Ale ¢ Sketch by Apes IV Windows - Comments: Not Shown: 24'.x 32' detached gara a it torage a�bo{v�% • � /� Com% AREA CALCULATIONS SUMMARY ; Code Description Size Totdls, GLAl First Floor 1531•.88 1531.88 P/P Enclosed Front Porch 212.50 t . 212.50„ 16.0 x 35.0 560.00 TOTAL'LIVABLE (rounded) 1532 LIVING AREA BREAKDOWN Breakdown Subtotals First Floor 16.5 x 39.8 655.88 16.0 x 35.0 560.00 16.0 x 19.8 316.00 3 Areas Total (rounded) 1532 Form SKT.BLDSKI = °TOTAL 2000 for Windows" appfaisal software by a la mode, inc. —1-800-ALAMODE l Martha Christy Philo Hunt, P.E. Plans Examiner Plan Check Engineer • • RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEO US ONLY Owner: Building Permit Number: PJ� Plans Examiner: Martha Christy A. P. Number: &pq g - GENERAL: �bZoning requirements — (number of permitted living units). plans. signed by the designer. 3. Proper description of work on the application. 4. Existing violations on the property. Recorded notice of violation. 0i Building permit valuation. OT PLAN: 1. 'Complete parcel size and dimensions. 2. Setbacks, side yard, easements, etc. 3. Other buildings or structures. 4. Grading, fills and/or drainage. 5. Flood hazard. 6. Special conditions on PO&I Map: Noise ❑ SRA So"' Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ 7. Federal Aid Route and/or Federal Aid Secondary Route setback requirement. 8. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLAN: 1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 2. 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). 3. Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). 4. Skylights (Uniform Building Code section 2409 & 2603.7). .5. Glazing in Hazardous locations (Uniform Building Code section 2406). 6. -Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this seciion. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). 7. All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath y or bedroom (Uniform Plumbing Code section 509.0). 10uel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). 11. Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). 12. Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). 13. Wood stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). 14. Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). RUCTURAL DETAILS: de - 1. e. �(1. J Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels p�e-d � must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not ��QQ exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall e lines must be continuous throughout the structure. 4, rw& 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. F16-undation plans complete enough to construct building (Uniform Buil g Code Table 18 -I -C). loor construction details complete enough to construct building.( Elevations and wall construction details complete enough to construct building. 7. oof construction details complete enough to construct building. Fireplace construction details and calculations if necessary. 9. Garage door header size(s). jl( 10. Porch header size(s). 11. Typical header size(s). 12. Stud heights. 13. High expansive soil - special foundation design required. 14. Retaining walls requiring design. 15. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. 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 accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: 1. Stairway details - landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). 2. Guardrails (Uniform Building Code section 509). 3. Brick or stone veneer (Uniform Building Code section 1403). 4. Exterior plaster - weep screeds (Uniform Building Code section 2506.5). 5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). 6. Foam insulation - protection. 7. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 8. Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). 9. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 10. Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. 1RCDF nergy design compliance and supporting documentation. responsible area requirements. BUIL IyING PERMIT REQUIREMENTS: 1. Q' SRA. / ` / �; �'j " 'C•e-� 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing letter. • Page 2 of 2 . 4 ti 1 PROJECT PROCESSING F*U" APPLICANT: OWNER: -. PERNM #: (014 - A A. P. #: WORK DESCRIPTION:. DATE'. t ot� 142 (0,r 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION All: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds 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 foree and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does 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.). ❑ •1 am Exempt under Article 391 tl�ip Bypiness-a ofessiorts ode WORKERS%COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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. Policy #: �( I certify that in the performance of the work for which this permit is L 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 th a provisions. Date: 13 Applica 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.) Address: PERMIT NO. BP041643 Issued Date: 12/27/2004 APN: 028-230-012-000 Site Address: 445 LOS VERJELES RD BAN Map Index: Description: REMODEL M-BDRM / ADDITION M -BA (500) Owner: CHAVARRIA HECTOR MANUAL & AUDRIE L. P O BOX 399 BANGOR, CA 95914 Applicant: CHAVARRIA HECTOR MANUAL & AUDRIE L Contractor: License #: Architect: Engineer: Total Square Ft: 500 S.F. Valuation: $32,500.00 Census Code: This permit -is here issued tinder a licabl pro%hsi s of the Butte Cpunty CpdA anrVor- Resolutions to d work In c edtbo for whlc fees Vve been paid. 12-2`70 By: Date: PERMIT EXPIRES ON: 2 _2-7 �a ❑ I 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 authorize agent of the owner. I as to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any is for or ent of Butte ut:8 n y. ' 5eby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp _ / Print Name:,4r,�----d52 ..... 417 'Signature Date ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT Of -DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION OWNER Name r � Name LY RAddres State Zi D _'d 19 Fax E-mail APPLICANT NAME CONTRACTOR Name LY - Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER e City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail For office use only: Zoning A—S Flood Zone I SRA Y No Occ. Type Const Subdivision Name Map Book Page Lot # ' Planner Date Approved: UVEB FUR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc PERMIT NO. C)/�-/&y3 BP BIN LOCATION AP# P—f/ 71 Property Address S Cross Street WOR R'S COMPENSATION Policy umbe Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of rk• Exti r 64 W11, ,ernAdzQ Sq: ootage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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 by: i Amount: a �5`1(Bldg er 7s�_ q gi sRA Receipt #: �l "� Sheriff �" ov SMIP �y Date: Other %' l� ^� '� J&otal REV 4-30-04 W. -- , SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). , ❑ 5. - Letter from Engineer or Architect for truss design review. , ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ . 3. 2 Marriage line information. ❑. 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevaiion Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must fie stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 �-.- �.... � � �._ , .:�- •ny'�c� - `-ver ;: .. �s �-r^ :.:_. ;,,,,...,.,,._ _ '/ < lf/ � /� ° COUI'dTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET s� OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: ' Date: d Items required in order to apply fora rmit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . r 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. :V�- 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form vt�� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.). ❑ 17. Fire Sprinklers........................................................................................... 1,13 ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by A-r'ipY> ❑ 19. Soils Report and/or Engineered Foundation required ........................................... /3 E �❑ 20. Erosion Control Plan Required........................................................................ �2/2- 6 kj g. 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit .................................................... 23. California Department of Forestry plan approval fid. Sent by�............ - 24. Planning approval (A) Use:(B)Parking: (C) Parcel Check: ❑ 25 C t tL 14 r) I t bI . on ac an eve opmen a out _ mprovements, _Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (given to owner, _Mailed to owner) ..................... O 32. Letter of Signature authorization .................................. .... :.................... ........ . O 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: . When issued Telephone( c' and hold for pickup. 1 I have been informed requirep" for 1. Inde,KRr it applicatid'n Rr the Mems numbered: d' n Check Leiter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, 9mail, ❑ counter, by V Date: ^ ,Q Contractor, designer, own as advised of thea veb�( phone, ❑ mail, ❑ coun er b,�( Date: Plans reviewed by: _�-Date:: v Plans approved by: CJ Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ' Yellow: Building Division 0 ,QS E.H. USE PLY Piot Plan Attached Roos Plan Attached i� Sent to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well 'J Clearance for dwelling. Other 45A I&OT- � 4A a A-) Hold final for: Final clearance O.K. for: NOTE: /1 z Environmental He O.B.-1 OWNER-DUI'LDER VERIFICATION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received, .- __ _ _ _... __l..-._ I__personaUy_plan to provide _the_ maj or-- labor and-.mater-iais for- constr-uci on of- the pr-oposed - - - property improvement: YES, NO ❑ 2. I HAVEV HAVE NOT ❑ signed an application for a building permit for the proposed work I I have c6fracted with, the followingperson firm to provide the ro P (firm) P p posed conshuctmon: NAME: ADDRESS: CHY; PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work.: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME I ADDRESS PHONE - TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL DA NOTE: This Owner -Builder Veriftcation is required by Section 19531 and 19831 of the California Health and Safety Code. YMS verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit Building permits are not required to lie signed by property owners unless they are personally performing their own work If your work is being performed by someone other than youirsel you may protect Yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bgnded_by the StateofCalifornia and to have a -business license from the city or county Tliey are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: d If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Govemments as an employer and you are snbj to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insm ante costs, and unemployment compensation confabuti.ons. There may be financial risks for you if you do mmt cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific khmnatioa about your obligations under Federal Law, contract the internal Revemie Service (and, if you wish, the U.S. Small Business ). For mDre specific information aboutour ob ' State under Law' contact the Department ofBenefit y h D� Payments and the Division of Industrial Accidents. If the structam is intended for sale, property owners who are not licensed contractors are allowed to perfoan the conditions. a work personally or Through their own employees, without a licensed conia-actor or subcontractor, only tinder limited A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" bolding permit, erroneously implying that the property owner is providing his or her own labor and material personally. permits are not required to be signed by property owners unless ar e _ P may. Building -—Infmmadcm-about-iicensed �'--P_ �o�ng their.o_wn work personally.—- contractorsmay be obtained by contracting the Contractors State License Board in your community or at 1020 Id Street, Sacramento, CA.. 95814. Please complete the "Owner Builder Verification" m the reverse side of this form so that we can confirm that you are aware of these matters. The building perms will not be issued until the verification is returned. ly, I� I C. WVingh .. ern, Builspection NOTB; 71t Or 7W_BaUdM' bzforrnafion is required by SecdOn 19930 ofthe California Health arzd Safety Code OVER Off,p ? WTMeNr � 6vTTF i O �; O ' O O e O O O ovNye �QCIC Wp�� z Department C o u n t s J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: rn - b ed ro- ,- , en 1 Project Location and/or Parcel Number: O28•a3o•ola. G M - DO -1 -- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER VCI4��i��, PROP OSED BUILDING USE,./ •/,.i / Grl &Md�L 1. BUILDING PERMIT FEES --- Balance Due ..................... $ ' --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ A(p2. CHOOL DISTRICT FEES d at chool District Office) (form available after Plan Check) +0 6.15-01 6.s•0`f 3. SHERIFF FE SE (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A.P. # © 'a "L!1/�Z DATE v- F(' U RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE SM. O'(paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. (�� Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER 6 H I P 4 3. Z 5 (ZI2�1�%� /►,. ,� At time of permit application, I was advised the b e fees are required to be paid prior to issuance of the permit. These fees may be changed durin e n checking oc APPLICANT DATE r'er /,0 /-0 Pursuant to Government Code Section 66027, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) PLAN REVISION/RETURN Owner's Name: QWO BP#: o `Z - li FDTr.�u Person & Phone Number: AP#: ` (� Received By: Time: a� RPOSE OF RE-SUBMITT R ❑ Perm i pplication Data Sheet Item L *Plan Revision\ *Requested by B Requested by Plan's ❑ Other: Inspector's Correction Notice — Inspector's N — Plan Examiner's Name: ION T *If revising a plan which has already bee issued, submit two (2) drawings reflecting the revision for plan review along with your approved ans. If engineering is involved in this revision, the engineer must put his requirements on the e drawings and wet stamp and sign two sets of engineered drawings. Revised drawings mus clearly show changes proposed and locations involved. WHEN APPROVED, PR1 �❑ Mail to Owner/Contractor atthisaddress: Call ❑ Deliver with next inspection. AS FOLLOWS: for pick - Minimum revised plan check fee to be collected at time of examiner will determine if additional plan checking fees are need ❑ Minimum $54.99 Receipt #: of revision, plans ❑ Fee not required for revisions requested by plans examiner prigk to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 Subdivision Lot No. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Residential Development Q Q (One form per Building) Sq. Footage 14 No of Living School District ®� c'y 1 L F t—t 1 G +-4 Building Department No. 4 ' 1 �'4 3 A.P. Number s 8 • 230 • o 1.-2- Jurisdiction: City County of , A *(No foundation Inspection) ........................ .......... .._.... Property Owner y `+ i2 Q i A ` / Property Location/Address 4.4.5 � 5 y EQi E L E S s2o A J 60 rQ— Subdivision Lot No. Residential Development Q Q ..............................................................:...».................................. 0 Sq. Footage 14 No of Living Mobile Home Addition( 'Supplemental to V(Group R) Units Installation Conversion Permit # .......... . .............................................. *(No foundation Inspection) ........................ .......... .._.... ,-L.-Commercial/Industrial r Department 0 New Addition Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. ® 5 bwl + U V , n) D \ School District certifies that Sq. Footage (Including Exterior Roofed Areas) 3o•04 �Y1AV�rrie-74,. (Applicant) Q1 bus .UeY 6s b7 A I (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. I representing,y( square feet. School District Paid by Check # ry1 Remarks: (State) (Zip Code) v _ , by payment of $ 2926 $ FULL MIT1faA710N $ 9 3� U V Date No**: You may protest the Impositbn of the fees Identified stave by submitting a written protest to the District, In compliance with Go-wrimentCods Section 66020(a), within 90 days from the date fee aro paid. Failure to subm@ a timely written protest wlll'prohibN you from ehdWVlng the Imposition of the fess In any cowt action. M, subsequent to the School District Representative signing this Bulb County Schools impact Fee Certlfleatlon Form, the 8ehoo101strict Is nod lNd by the applicable Local Planning Agency that this project Is being revived under the California EnvironnmRal lluallty Act (CEQA),'', this V of eat may be subject to additional school fes to fully rrrtigate. No Impact on the school district's schools. y • -- White (applicant), Yellow (building department), Pink (school district) fesfwm.xla (10/03)dmm TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance , 4, 5- Zo 5 Owner Location E.H. USE 0 Y Piot Plan Attached- 0 Floor Plan Attached Sent to B.D. 0,2S -Zia -0/2 - AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other e6-.,77 o eft � �.eJG4 � C,►,E /1%RSiE'•e .a�9'rh� iE�z Hold final for: Final clearance O.K. for: NOTE: GQ r n � rcToY►-, — Y) b e4-7 (ate .f.� U J2,-, eA % Environmental Hea 8/96 cialist E" to o/ PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this for with your re -submittal ) this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vali response to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicate you response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER OWNERS NAME AND RETURN WITH REVISED AND ORIGINAL PLANS. �EDATE • - ���0� G� 9!/q�ii 9 - 2 ASSESSORS PARCEL NUMBER O PERMIT NUMBER LAN CHECK ITEM # RESPONSE BY: OMMENTS: LOCATION ON PLANS/CALLS: MAN CHECK ITEM # RESPONSE BY: LOCATION TNT PLANS/CALCS: r COMMENTS: GO PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS. .4 & (?'�' COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS; COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: lY �'� ✓1 ^^ a, COMMENTS: i I PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal, ] this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vali response to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicat response to each item and the location where the information can be found on the plans/calcs. e you ATTACH THS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND OWNERS NAME RETURN WITH REVISED AND ORIGINAL PLANS. s DATE ASSESSORS PARCEL NUMBER 'T / 0 MAN CHECK ITEM # 6 6Tr)z+Y/"q I f _f UKAr-K Te- PLAN # LOCATION ON PLANS/CALCS: 61G`�t �JI, �Y Py 7.07FZ -' - LOCATION Of LOCATION ON LOCATION ON (LOCATION ON P PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be tt valid response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate your response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME T:U c -- zv Z VSE FOR PLAN cC�HEI y r with I IUN UN PLANS/CALCS: X11 P PLAN CHECK ITEM # RESPONSE BY: LOCATION ON P f A; SITE PLAN REVIEW APPLICATION Date: ZY t.2_- 0 AP# 0.)_e-�2 3Q -pi a Permit Number (if applicable) c1_3 APPLICANT INFORMATION Parcel Size: 0 a.0 Owneis Name: YP- Owners Address: of Telephone No:: Z 2 Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory �n��t /WLaittl ,ti ocyy� Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well a DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) E Approved - ❑ . Conditionally Approved ❑ Resolve Problems Prior to Approval a Site Plan Stamped Approved' By 1 Date f % Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: �( • Flood Panel No.: (��007 G/�76 Index Date:d_0 UQ E] Sacramento River Reclamation District (Approval must be obtained from the Califo a Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------- ------------------------------------- --------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Front Zoning Code � , Streets & Highways Fire Prevention Subdivision Map Side X30 Side Street Rear?Q i JJ Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r Applicable Development Fees: Standard Fees Amount Formula ` ❑ Fire ❑ School* ' ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ 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 C unty Standards for Deed Creation:❑ No ❑ Yes Comments: 3, o ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old' Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision MaOarcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. , Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 70 Page 4 of 5 Summary of Specific Requirements: 1 i . } This information provided in this summary is based on the application information and on the best available data at the time of review. C:VL,a"S\Building Permit Site Plan ReviewLdoc Page 5 of 5 F ItSU110ing bKeiGfll APP ROVED OU Env 8ro ate oma DEC 2 0 2004 Mgr iure 7 COUNTY CENTER DRIVE 74.8' B 7B 8A 35. ' 0.5' • 23.7' o I CAI Ci 0 SIC B as i* 16.0' SketCn by Apert IV Windows ^' ' Comments: Not Shown: 24' x 32' detached garage with storage above. m AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN Code . Description Size Totals Breakdown Subtotals GLA1 First P10OA < 1531.881531.88 First Floor P/P Enclosed Front Porch 212.50 212.50 16.5 x 39.8 655.88 16.0 x 35.0 560.00 16.0, x 19.8 316.00 BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive . Oroville, CA. 95965 PHONE: 916-534454.1 AGRICULTURAL BUILDING Ex2ERtion Form ^ II ff ' I, ./�/U%t2�UC MI/ /(/� fi /'t �P�l'/ l!towner of the property located at (please print) �-C-s %ZaD Assessor Parcel # intend to construct a �' x 3 W o ra agricultural building on this -property. (specify type of construction.& siding). I declare the building will be used to house_�wl`��, (specify use trom, definition below) which conforms .to .the Ag. building,definition. 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 ate. processed, treated, or packaged, nor shall it be a place used by the public. I understand if I change.the use or occupancy of this building I will be sub- ject to .the necessary permits, inspections, and approvals from the Butte County Building Department. c Signature of Property Owner Building Inspector receiving form Comments: . 1J z Date Duplicate to field inspector.- Date r 410 BUTTE CCU M DEPARTMENT OF PUBLIC WORKS P '�.�S''ECIAL INSPECTION REPORT awn r - )"AlA/ /l% e .O E r'/ �t/ff A p Z- 2 Address: �� ,1sOX; .;Z78 ,t�/iNGiG� 959/SL Date of Inspec n'ol —`` Tenant: Inspector / Building Location:' � S -'�.OS VE.2�EL�S 0.. APP. l.3 MILES E. of UA PORE .Rb ° . Type of Inspection requested: =:=�% S_ 2 g 1'Housin .'Financin 3. Chane of Occupancy LL g P Y to 4'. - Other (specify) ��rQACaE GDI�SfiRCt�•T Present use. of building: 'A. Sanitation '(Housiri�) .1. Water closet:. 2.. Lavatory: 3. Bathtub.or shower: 4.: Kitchen sink:' 5. Hot and cold water to fixtures: ° `.6. Heating' facilities: 7.' Natural light and ventilation: 8.' -Room and space requirements: 9.. Bedroom window or door for second exit: . 10. Infestation of insects, vermin, or rodents: - ".11. Connection.to sewage disposal: 12. Connection to water.supply: .13. Rubbish and garbage facilities: 14. .Comments° B. Structural'. 1. Piers and footings: 2. 'Floor construction: 3:Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces: .... 6. . Comments. C. Electrical.. .... 1.. Service and grounds 2. Receptac: es: 3. Fusing: : 4. Comments r D. Plumbing _. . 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments. E. Other !. 1. Maintenance and repair: 2. Fire hazards:__ _ s. Safety hazards: 4: WeaV?er protection: 5. Underfloor and attic ventilation: 6: Comments F. CoTmercial Buildines 1. Roof covering: 2.''Distarce to property lines: 3. Physically handicapped: 4. Rest:-ooma floors and walls: 5. Exits: . 6 -"-Improvements: 7. Zoning:_ 8. Comment -i: G. Field Problemfs or Viclatirm..s 1. Ptoblcp,._or -!iolatiori (give compl�,pe descripti��h) : �y�.e // 2. What action takic n y�i.ve complete description) i .3. What action recammended: 77 A. "Info—„tion only / _ B. Hold for ten (10) days, then wri-c- Letter. C. Write letter. _. T7D. Other: MH Util. PERMIT NO. 4091-75PSE P E -2 M V i�tMH UTIL. .. 'PERMIT NO. PERMIT EXPIRES • OWNER C.E. Price CONTR. LOCATION ONTR. LOCATION (A.P. 25-32-12 ) n/ s Los Ve jele s Rd., 1 3/8 mi. SE of LaPorte Rd • S f I \ l 1 Temp. Power Pole Called PG&E Temp. Elec. Serv.. 7 Called PG&E Temp. Gas Serv. Called PG&E l JOB FINALED (Date) (Signature) . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback rte. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping 2�/' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test L X75 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. 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 DATE 8-Z9 •7J 9 �`6 ? �� REMARKS OR /CORRECTIONS ��t�Qs�-- �jpdK ui'f`�� S G bpd'" 00 c���� �ai?�J G��s5 T rir�� MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with.required separation from lot lines and buildings and generally conform to plot plan? Yes)eNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes -Z No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesX 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 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 4' per foot slope and is it properly supported? Yes 7e,. No Are any leaks detected in drainage.system after running 3 -gallons of water through each fixture including washing machine standpipe?,Yes No J� D. If coach is not State of California approved, does station have required trap and vent? Yes No P A/ A- ` 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 inlet without reductions other than the mobilehome connector. Ye-A/' es No B. Test OK as per following procedure? Ye,%.e No 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. v 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- 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1901amp)and other facilities on lot, i.e., water pumps, garage, cabana,_etc.? Yes No B. Is there proper.clearances around panels? Yes 41- o C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes 0 De -energize electrical wiring system of the mobilehome at the pedestal. �Z. Make sure that the power supply cord or feeder assembly conductors, including neutral �� conductor, have been disconnected. 1 3. -Switch all breakers and switches in the mobilehome to the "on" position. l/ 4. Connect one lead of a test instrument to the mobilehome grounding conductor and j� apply the other lead to each mobilehome supply conductor, including neutral. 1 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. ,,,,T." 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 the electrical 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 Length &(j Widths .2— Vehicle Vehicle Serial No. S !�2 !Gf C� State Identification No. A Additional Information or Comments: 71 G Gr/ 113 vl G COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive '-' OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe 'on purposes. 9�1F-/ F-/-L� X Date Signature of Permitee or Agent 700•WReceipt No. 134700- White-D.P.W. hite-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. DIRECTOR OF PUBLIC WORKS By ��� 1 ite �-Z7-?.)1` B i Iding permit expires Date'���'"% tra BUILDING Owner �' (; n� e� SQ. FT. OCC. BUILDING VA DATION Mailing Address P. U. �,��(, 7 3, /9h O Tel hA ne No. X17' . 3 Fireplace Contractor OWN ert , Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 4o f:: teJ. ELS PLUMBING No. @ FEE PERMIT FILING FEE n n 3 s E OF A /`" Qi'a K Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping o Each gas water heater or vent 1.50 O 2 A. P. No. �O 3 " 2 /-� '" Gas piping system 1 - 5 outlets x-50 /0— Each additional outlet .30 F e W. a�it Fire Dept. Fire Zone Use Permit Building sewer p EQA Parking Plans Parcel " Declaration Parcel Ma P 60' R/W Im r p ov ents Lawn sprinkler system 2.00 L ®j` p Parcel. Approval / PI s Approval Permit Fee $ 33— $ 3 — NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1400 aqgLight Water Heater or Space Heater 1.00 fixtures b (d2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. ❑1 have,placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit Js issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 TOTAL PERMIT FEE $ J� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe 'on purposes. 9�1F-/ F-/-L� X Date Signature of Permitee or Agent 700•WReceipt No. 134700- White-D.P.W. hite-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. DIRECTOR OF PUBLIC WORKS By ��� 1 ite �-Z7-?.)1` B i Iding permit expires Date'���'"% tra COUNTY OF BUTTE - DEPARTMENT OF.PUBLrc WORKS l 75 7 County Center Drive' -0 Orovil'le, California 95965 Telephone: 534-4541 / I/✓ ` APPLICATION AND PERMIT dam/ C �+u inul�cc icNlcacn wllvcJ Vl,lllc VVullly VI OVllc LV CIIICI UpUll Li1C above_rTentiohed property for -inspection purposes. X _ ?J Signatu.e of Permitee or Agent Receipt No. 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. =aR 0PUBLIC WORKS' BY Date permit expires Date BUILDING Owner �ARL�s' L� �� / �, SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �Q/�%/E .i /yj / pL Total Valuation Mailing Address %SQ Llo Permit Fee Plan Checking Fee&/or Penalty Tel hone No. L Permit Fee Building ddress n/ UCS J-6 PLUMBING No. FEE PERMIT FILING FEE $3.. 00 422 S Q Each Trap 1.50 O S V �i2 E Ls i'! Tr? r� CT/ d �1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. o2 f- "2 3 /2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sartitntterr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma / 60' RW Imrove is p Lawn sprinkler system 2.00 Bldg. Plane—c'd Parcel Ap �rovol Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i'1 .S 7-4 c (_ r'47-/ Ole, Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb0 (dain2 Receps., switches & fix outlets LM 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. s r (�� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. c2dP 7 (el Classification C_�I Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. ❑I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 LL 3 C) '- TOTAL PERMIT FEE $ �) �+u inul�cc icNlcacn wllvcJ Vl,lllc VVullly VI OVllc LV CIIICI UpUll Li1C above_rTentiohed property for -inspection purposes. X _ ?J Signatu.e of Permitee or Agent Receipt No. 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. =aR 0PUBLIC WORKS' BY Date permit expires Date ILI- /Nis Set of plans and- spqcifj,-.ati MUST 11 kept an the job at all tknes and It Is unlawful to 0�_make any changes or alterations on sa 671 X wren Pen"imon from the Deperftew of 'pubs: Wa.r6i Courity of buffe. A I& Setback shall -be .5 ft. 'frc* the side properfY line and 50 she ft. ffldm - centerline of the road, perm.�"ting max I !mum of a 2 ft. eavI5 overha V. - Septic system arA4ft*4��_� i B ewt e as per. 1-i .to -b 'Butte County Health, Dept, Re- quirements. Qk All utility connections 'shall be located within 4 ft. outside the rear third section of 'the mobile home on the left (road) side of the mobile home. �.. MZ. lulft"k 7 County Center Dritia,-Oroville, California PHONE: 534-4541 T, nf:. b = If so, specify V *For plans and specifications of support system, see other side. E O' tj H r r� x 0 h H H O Z t MOBILEHOME INSTALLATION INFORMATION - — - � �� • Mobilehome Data 1. Plot plan dimensioned, location of mobile 1. Lengthy Width / and utility connections? 1 utility i Yes No Vehicle Serial N iS y f q " 2. Electrical.service equipment ampacit breaker Insignia Control No.1-9 r� 20' 2. Feeder assembly.'ampacity to :E: ac� Conduit size min Ampacity. rt Power supply cord,(amps) a N w M rt n • w w w Gas inlet size 3. rt w5 �c Gas riser size cl/ Capacity-° CMJ r► Drain inlet size tO,r 0 Drain connector: describe on reverse side N a. Water riser.size %/ 5. :E: 0 rt Are utility connections located outside 6. N- the rear 1/3 of the mobilehome within Roof live loadpsf. t• m r Wind load ,. >�-psf�. J7. C (only for mobilehomes manufactured. after Is the mobilehome clear of.septic tank, October 7, 1973) leach fields and locate outside public -k .0 Manufacturer's installation instrctios? un If C Yes Ncr ;t5 8.- Do you propose to do other work on the g• M property other than the mobilehome separate support structure9 installation hich will require a permit!Yes No sE' Yes No • r Length I If so, specify V *For plans and specifications of support system, see other side. E O' tj H r r� x 0 h H H O Z MOBILEHOME INSTALLATION INFORMATION - — - Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 1. Lengthy Width / and utility connections? Manufacturer Yes No Vehicle Serial N iS y f q " 2. Electrical.service equipment ampacit breaker Insignia Control No.1-9 r� Circuit ampacity -7 �ZJ 2. Feeder assembly.'ampacity Permanent Wiring Connection Conduit size Ampacity. Power supply cord,(amps) a Receptacle Ampacity `'_ Gas inlet size 3. Gas: Natural LPC', Mobilehome connector size -Xy Gas riser size cl/ Capacity-° 4: Drain inlet size tO,r 4. Drain connector: describe on reverse side 5. Water riser.size %/ 5. Water connector: describe on'reverse side 6'. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilehome within Roof live loadpsf. 4 feet of the left wdll? Yes T'o Wind load ,. >�-psf�. J7. If not, show dimensions. above. (only for mobilehomes manufactured. after Is the mobilehome clear of.septic tank, October 7, 1973) leach fields and locate outside public -k 7. Manufacturer's installation instrctios? un utility easements? Yes No Yes Ncr ;t5 8.- Do you propose to do other work on the g• Will the mobile home be installed on a y property other than the mobilehome separate support structure9 installation hich will require a permit!Yes No sE' Yes No If so, specify V *For plans and specifications of support system, see other side. E O' tj H r r� x 0 h H H O Z ADDITIONAL CO1,�DI..1,;TS Drain Connector, Describe____/�� . Water -Connector, Describe LOAD BEARING SUPPORT AND VOCTING INFORMATION ! �r Pier Spacing Used S l Ma:cimum Pier Load ' Maximum Column Load (multi -units only) Soil Bearing Capacity 4 tE� Footing Dimension TYPE OF PIER. USED Steel Concrete Concrete Block Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type T f1.T� TT fT1 T\t/1 SUPPORTS BUTTE COUNTY BUILDING DEPARTMENT APPROVED SITE PLAN ....... .. .. .. .�.. .. s .. .. ............... .. .. ... .. .. .. ................... .. 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