HomeMy WebLinkAbout028-410-022r
i ------------
28-W-22
JAMES BLATZ
215 Dunstone, Oroville
.(CONSTRUCTED DWELLING WITHOUT PERMITS)
28-1�- 22
Permit#37-84A(Agricultural BuiLdin
4muLipk" stg of tack, vet supplies
ranch equip, trophies etc.
028=-022_ PERMIT#94.=2295
BLATZ ; . JAMES
215 DUNSTONE DR.-,-OROVILLE'
ELE'-SER CH/SF �K
N
u
i I♦
��� � o ��• � ��!
i � .�� '�
JIM & NORMAL� AT
(916j S89-20i�b �
21S Dunstone Daive • Oaoville • CA • 9S965
REMODELING PLAN: JAN Arabians, Oroville, Ca.
Purpose: Remodel existing Tack Room,
Storage/Shop building. (see attached
diagram)
Major Items:
Replace composition roof with white -steel
roof to match other horse facilities.
Replace 3/16" siding with 9/16" tiding,
re -paint to original color.
Remove wood paneling on inside and replace
with 1/2" drywall.
Replace any dry -rot, rain damage or other
damage as needed.
0
74 c
z IV
l
0
c
P�
n U ; t
P
�q �.� P�7 /�� �� • rte• �� �� �� �� ��� '1
Q
�'
oV
O
,�<��
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
C� /7
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 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.ZONING
— s
OWNER
PHONE NO.
�:J—a -z-
OWNER'SADDRE§bU
�J&.V'Ne
LOCATION OF BUILDING
USE OF BUILDING
t
SIZE OF ST CTURE
'X _
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER
(Specify),
TYPE OF SIDING
ROOFAV' F NG 1
.�
FLOOR TYPE
ESTIMATED ST OF CONSTRUCTION
$ --1 o D d o
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: e C
' " 'L_SIDES J
r- r
J
FRONT 15%
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated 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 V— Signature of Owner
Permit Fee - $25.00 The above described A Building is exempt from a building permit.
Receipt No. % ���� Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink.- B. I., Goldenrod - Applicant
,. Y I.,..
COUNTY OF BUTTE - DEPARTMENT OF 1?4913 1_I, WORKS - BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Bui Idinvgl Use _
Permit Fee Based Upon:
Building Inspector �—
Permit No.
A. P. No. Q R7 _/ 9___)_,1_
mplete Contract Price D'(W Valuation
her (Explain)
Date � — / t�y-
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. . . . . . . . . . .
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 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 owner0, Mail to owner ❑,)
15. Improvements may be required. . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
18. Other
When you issue the permit, process as follows: —L -9i
Telephone and hold for pickup at
Other
Date)
i I to owner. —Mail to contractor.
office. Deliver w/inspector.
Applicant Date
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 application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised -of above required data by
By
Telephone
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
-Mail
Date
Other
1 q, 5vATI&
�(LL, gE r
JUKE Ig
PLA4� S A?P LY
tz PCRjL4 r - .
rvl� " --4w eAvvok.
I "/ /Z 7'ry *
(4(/, 3 ) 1-' m
.,r .
�, = .6.67
"
,e
uttecountg
..'��. LAND OF NATURAL WEALTH AND BEAUTY
' - DEPARTMENT OF PUBLIC WQRKS.
7 COUNTY CENTER DRIVE, OROVILLE; CALIFORNIA 95965
Telephone: (916) 534.4541
WILLIAM (Bill) CHEF6
{ Director
jaw swo RE:. Building Permit
pis A.P. #
tow '0 lilast
With reference to the above subject, we have.been advised:by one.of.our building
inspectors -that you have not obtained the required permits and inspections from
this office for the work you'are doing as follows:'
01W Y04 frowwty lootod at 213. ft"ao
vitheat
*•! Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two
(2) complete sets of plans,'apply for the required permits, and pay the appropriate
fees..
All work -must stop until:you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work --is inspected and approved.
Your cooperation.in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact.this office.
JFG:aj
cc: uildi�ng Inspector*
#144b 0*0111 um
Yours very truly,
ILUA 44w, .
ACO -14 Director of Public Works
Original signed by.
J. F.' Glander
J. F. Glander '
Chief Building Inspector
. 'av
a No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
D /S I
mg. . .
Sub. & Pcl. Maps
Permits h
Addr.
K�
Owner:
Address:
Tenant:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Building Location: D 14sig)
hyo
Type of Inspection requested
A.
B.
A.P. �k /
Date of Inspection
Inspector.4
1. Housing / / 2. Financing / / 3. Change of Occupancy to
9 4. Other (specify)
Present use of building:
Sanitation (Housing)
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:
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 ground:
2. Receptacles:
3. Fusing:
4. Comments:
IM
E.
F.
Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem orlatn (give �co
plete description)
2. What action taken (give complete description):
3. What,action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
C. Write letter.
/ / D. Other:
OWNER:
DATE :;L b 9 S
LOCATION : a 5 �� ,�I/�S O Y�SV l A. P. #
CONTRACTOR: ZONING
DATE TO INSPECTOR
-----------=-----------------------------------------------------------=
------------------------------------------------------------------------
PERMIT HISTORY:) NONE AS FOLLOWS:
of _ /�2 Dn�.O (1,�(,ZQa
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
0 OCCUPIED D HAS ELECTRIC Q HAS GAS 0 HAS SANITATION FACILITIES
HEATED -COOLED F-1 PERSON CONTACTED
OTHER COMMENTS: (�! �d� �TS I
ACTION RECOMMENDED:
0 ISSUE 0 HOLD FOR
OTHER:
BY
DATE ��S``
� , u /
RAIN . (c OTOTAL
PAGE 1 OF .:
CDF / BCFD DAILY INCIDENT LOG
DAY DATE FROM 0800 Y48 -n / - o DAY/DATE TO 080044.(-w
@@@@@@@@((@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@)@g -D@@@@
INCAS5 FIRE# NAME TYPE -
REP RT TIME Of! D START TIME CONTR L TIME R.O.00 STA.
LOCATION: CL. BAT.
CAUSE: ENGINES: CDF B FD 0.# OFFICER:
DAMAGE. SO/RES WT , DOZ CREW AA AT HC
S
V MISC.'
@@@@@C@@6@@@@@@@@
li`1 # ► '�oFiRE#
REPORT -TIME : b 33 . START TIME ORCK)
CONTROL TIMEdQtysR:O Mt71 `'L
S StA '
LOCATI N' Z1S' -
BAT
AUSE:
ENGINE CDF B FD it CO.#
OFFICER:
"
DAMAGE'
S R ES WT DOZhCREW: AA
AT HC
_
SA
07HEREQUIP:
MEDICS
L/ LAND USE:ACRE/TYPE
'
TOTAL
OW ER/TENANT
WRA RZ
MISC.,!
@@@@@@@@O@@@@@@@@@@0@@@@@@@@@@@@@@@@@@@@@@@@@@@t@@@@@@@@@@@@@@@
INC# Sal . PIRE# NAME
REPORT TIME 64 START TIME
TYPE M uCNCAL
X'
CONTROL TIME R.O. FO Lr.Z.
STA.
LOCATION!
CAUSE:
^J
BAT.
ENGINES: CDF BCFD .. CQ.# Z
OFFICER:
DAMAGE:
SAVED:
SORES WT DOZ CREW AA
AT HC
OTHER EQUIP:
MEDICS (30--e-
30-LLAND
LANDUSE:
ACRE/TYPE_
TOTAL
OWNER/7ENANT
WRA
R.P...
s4k 1
MISC.:
@@@@@@@@@@@@@@@ @@@@@@@ @ @@@ @@@@@@@@@@@@@@@
@@@@@@@@C?@
INC# Ms -putt# NAME
TYPE
SPORT f IME -Irj%9 RTART TIME
CONTROL TIME R.O: N
STA.
- LOCATION: Nmum, AtV�E. ,
BAT,.
CAUSE'
ENGINES: CDF BUD co.#4Z04K
OFFICER:
DAMAGE:
SO/RES 1 WT 1 DOZ CREW AA
, AT HC
SAVED:
OTHER EQUIP:
MEDICS
L
LAND USE:
ACRE/TYPE
TOTAL
OWNER/TENANT
WRA tAz
`
@@@@@@@tbib@@@@oo@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
iN#iRE# NAME
TYPE
REPORT TAME START TIME
CO ROL TIME R.O.
STA.
. LOCATION. .
BATe
CAUSE::
ENGINES: CDF'- BCFD ' CO.#
OFFICER:
DAMAGE=
SO/RES WT 002 CREW AA
AT HC
SAVED:.
OTHER EQUIP=.
MEDICS
/
LAND USE:
ACRE/TYPE
TOTAL
-'OWNEIVTENANT.
WRA
-
R.P. - 7
%. l
Misc.,,,
4
02,8-190-022 PERMIT#944295
BLATZ., JAMES
_215"DU SER
DR.,,QROVILLE
ELE SE_R CH/SF
OFFICE COPY
Address
GAS Date—
Meter By
ELECTRIC',
-Meter By
In
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 t
�PrE�*RMIT NO.
6�., .....,.. APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 28-190-022
8-1 0/122
ZONyJQ,M
BUILDING PERMIT
OWNER JMMS BLATZ
'v}
%T-02b7G
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILBIG AM93 DUtJSM% DR OROVILL,E,
CONTRACTOR'S NAMTf7Mo,,TT�}
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 215 DUNS` INE D:R
PERMIT FEE $
OROVILL.E
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUB DIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE i
(
SF Iff Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
V�
New ElAddition O Remodel O Utilities/! Installation ❑ Other ❑
Describe Work: UPGRADE EL ' ' PALM
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 00ORLESS
2
200AAOR LESS )
23.00 •
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
p
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
pJ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
POW ER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 0 1.00
BAL. .50
Ex...Occup. FIXED APPWS. OR
p• ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPEC
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
/certificate of Consent to Self -insure.
U I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
66.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
Ventilation
H650
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
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. p
X /yt'(,it✓ Date 0 �`S
Signature)of Applicant O Owner 60 Contractor O Agent
An OSJ+A permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $
HAZ.
1 D. FEES
I IMP
I FLOOD
I CDF
PARCEL I'D
HD
ISSUE
V
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.
/�1"'
BY `'�:,: vv' � • � Date
! J n
PERMIT EXPIRES ON
(Date)
167300
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7,County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541 �PE MIT 0.
ra
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 28-190-022
zolt fi
BUILDING PERMIT
OWNER JAMES BLATZTH—o�F074
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING AD 215 DUNSTONE DR OROVILLE,
CONTRACTOR'S NAMFUN�KJNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 215 DUNSTONE DR
PERMIT FEE $
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF d Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I G S W
@20.00
TYPE OF WORK
New CI Addition ❑ Remodel ❑ Utilities$? Installation O Other El
Describework: UPGRADE ELEC PANEL
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 11V 01 LESS 00AORLES )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
3.50 FT'.-_
CONTRACTORS LICENSE LAW
I declare under.penalty of perjury (check one)
❑ I am -a licensed under provisions of Chapter 9, Division 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 compensation, will do
ItIhe work, and the structure is not intended or offered for sale. (Sec 7044)
, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
B SINGLEOUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 0 .50
FIXED APPLNS.OR
Ex. Occup. ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPEC
123.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
Cl I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
/6ertificate of Consent to Self -insure.
U I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
66.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
Ventilation
H650
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 against said
County in consequence of the granting of this permit.
X Date
Signatu a of Applicant - ❑ Owner 60 Contractor ❑ Agent
An OSWA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee 1$
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $
HAZ•
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PO
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON R
IDa 1
167300
Receipt No.
WHITE-D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PRE -INSPECTION
OWNER: DATE
LOCA'TIO �S�
A. P. D
CONTRACTOR: ZONING,=�%_�
PRE -INSPECTION FOR:
0ti 4tvvs
DATE TO INSPECTOR
PERMIT HISTORY: IJ NONE AS FOLLOWS: �p �j� 0 6 37
TYPE OF OCCUPANCY
BUILDING USAGE:
TENNANT:'
�CUPIED
EIJ-REATED-COOLED
OTHER COMMENTS:
ACTION RECOMMENDED:
a��SUE Q
OTHER:
BY .
FIELD - INFORMATION
HAS ELECTRIC FCS GASS SANITATION FACILITIES
[-I PERSON CONTACTED1
HOLD FOR
DATE
�•»w+v....Mwi_�R+a�.,'Y�f�'i'vl+V�(�+:t,y��(-�"-w�v~ rr•r�wj' {"Y'.p"''iY�'"'..� T T� i�F�'��++��,�'�.rr*.e.�.� .I.✓n.`../`hC/ +'...�'^r�i.. Pt•.s .
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
At time of permit application, I was
Building Inspector
Date
A�_
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. .......... .
19 Driveway permit (constru ' ppr val required prior to occupanc )
1i y Pre -Inspection requ-esT-
20. Pre -inspection for i�i� _ 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: VMail to owner. Mail to contractor.
Telephone anq hold for pickup at office. Deliver with inspector.
Other
Parcel Creation , y � J��_ /
Acreage Applicant Date <' �`
Copy of Haz-Mat form sent Health Dept. Fire Dept. V 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