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HomeMy WebLinkAbout005-397-009'COMPLAINT7"N 0 -1 SPECTOP. f ;.' - Wig MIOR,T�teFELIX I QC QC Jackson St., Chico Pe]�.mit $#5857-76E (ser ch) SF Permit -#5427-79E(ele ser) SF 005-397.009 04-2780 ZEPEDA, ELIAS 1320 JACKSON ST, CHIC 0 Cont: OWNER DEMO NSF' b. kS 005-397-009 05-1927.-N S. CT107N ZEPEDA, ELIAS. PERMIT IRE -INSPECTION 1320 JACKSON ST;CHICO� ; 1 n �`� y' Cont: OWNER 077 •LDATE:TE: I F'l ` . . NSF/COV ' I' - ) C;, 15- 41 BP# I D 0 Lo CW2 II cmi pwft -NOTES RESIDENTIAL r ERMIT NO. 005-397-669 _c) ZEPEDA, ELIAS OWE o 1320 JACKSON ST, CHICO Cont: OWNER S'(T E cA 9-b NSF/COV. I�r And z 5:-a31" ump,6cC_ To _C_,j4q,( A -e -cuss, - CZ ­r -T A 4_ U) (i I TC 00xa -Z ---------- PERMIT RE -INSPECTION DATE: 3p SPECIAL CONDITIONS CHECKED. D 7 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REW- SPECIAL INSPECTION IT -EMS VERIFY USE PERMIT CONDITIONS -STANDARD H06SING L.E'TTER_ /SUB 0 fg.sp c 0 A i Ct4A PMtq N —TO w14 OFF 80UCH If P- I iY OFFICE COPY Address -7 GAS 7 Meter By Date ELECTR� - Meter By Date Tc-mp C, Fc 1.,JOB FINALED (D -s-cam-1 Signature J=OK, 0= Not QK . = Not Ry tie MOBILE HOMES . =Not Ready 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/0 -Concrete' 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector a 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector tl 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation CerL 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Tootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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. Sec.; Receptacles and Lighting, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test `�- 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UND LOOR (Plans) OK except #'s Z ' g-Setbacks-Easements-Flood-Slope 7q ()(p tg., Main; Soils-Elec. Gmd.-/ Ftg. Depth 3. Ftg_, Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth �5. emwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped VSiDo s d Sp ial Anchors . SI to ed 8. Pi s-Firelace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test n. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMI continued) 94�6ers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49 Fi ce es or Type AFlue-Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55_ St 'rs; Width -Headroom -Rise -Run -Landing -Fire Protection .17•c(o Oe C.66 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58.co Mesh -Drip Screed -Fd. Vents-Underflr. Access ST Glazing Area -Glass Protection -Skylights -Plastic 0. Shear Walls ailing -Bolts iZ t0 61. Brac rior/Ext all Panels t -11 -Ofo L. r- 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Datea!'3-06 Card B-1 6!// _ Date Card B-1 Date/(/-//. -174 Card B-1 ate Card B-1 Date FINAL (Plans) D4(-Mceai#'s 6 . �.e Vents -clearance -Comb, Air-Connector- In_Qer9q_e; Above Floor-Ducts-Mech. Protection Bath Fixtures & Tub 69 --Sec. Trim & Suboanel. Breaker Sizes & Labels 70. Stair ails ireplace or Stove, Clearance -Hearth 72. Elec. utiets at Wood Panel, Int. & Ext. 7 ixt. & Appliance; Ground -Air -Gap -Cooking Clearance ��ElSpeOutlets & Receptacles at Kit. Counter arage Fire Door, Swing -Landing -Closure 76. A . Duct in Garage -Damper 77. r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection PI ., Elec. & Mech. Equip. Listed for Location ` 9,o,1515,Aeceptacles in Garage (F.F.I.)-Romex Protection SQ -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps �_fOd. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InslldJDriv Q XWIINo/Walks D Yes 0 No/Planters O Yes 0 No tucco finis Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing It 8. erior Elec. Trim, G.F.I. Receptacle -Underground 8 . V ntilatio roughout House Protection 91. Corrections from Previous Inspections 9j. G wTest-Meters Tagged, Gas -Electric $�lftfat Sewer Connected -C/O to Grade -HD Approval ft!fnergy Compliance Certificate -Other Certificates '6_ -Address Posted 96. Fire Sprinkler Date 0 -hard B-1 (, C Date 5 -aa-07tard B-1 0C_ Date (ems -5 _p -i Card B-1 0C__ Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date (P - ( -L" Card B 1 Date Card B-1 Date -21-6(p CardB-IOLbS. Date Card B-1 Date PLUM G (Permit) OK except #'s r tr.; Vent -Access -Combustion Air Baffle r Pipe; Test & Anchor -Nail Protection leo'DE.W.V.: Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. TesIX6 & Shower, Second Floor -Tub Access as Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTR L (Permit) OK except #'s ixtur Transformer Clearance -Ins. Protection eceptacles Spacing -Lights & Switches at Doors S' o No. of Conductors Stapled R x I_rlstalled Close to Edge of Studs & C . Ground made up w/Meth Fastener - and Gas 004ter 2 Ap Bance Circuits in Kitchen & Conductor Size 30. Subfeed Wire Si /4 Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /g or AI -Oven Circ. / /ga Cu or AI Insulated Neutral G3F6s' 0 No 32. Se 'ce-Riser Conductors & Ground Main Disconnect E ui learances Panels -Motors -Meth. Equip. 34. CI es Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA AL (Permit) OK except 9's is Insulation & Support Vo< Fan, Exhaust above insulation 490"Conde a Drain & Overflow, Size & Grade urnant Access -Comb. Ait-Return Air Vent 115 Outlet 4 ttic Access & Platform 'rf Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN6 Termit) OK except #'s Si ro aterials & Anchors W Studs -Nailing Spacing & Braces -Plates -Sound 4 e ails over Girders & Floor Nailing . Draft S p in Walls (rat proof) rir tops. Furred Ceilings -Stairs -Chasers -Tubs 4 . eaders & Beams -Size & Bearing Date FRAMI continued) 94�6ers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49 Fi ce es or Type AFlue-Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55_ St 'rs; Width -Headroom -Rise -Run -Landing -Fire Protection .17•c(o Oe C.66 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58.co Mesh -Drip Screed -Fd. Vents-Underflr. Access ST Glazing Area -Glass Protection -Skylights -Plastic 0. Shear Walls ailing -Bolts iZ t0 61. Brac rior/Ext all Panels t -11 -Ofo L. r- 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Datea!'3-06 Card B-1 6!// _ Date Card B-1 Date/(/-//. -174 Card B-1 ate Card B-1 Date FINAL (Plans) D4(-Mceai#'s 6 . �.e Vents -clearance -Comb, Air-Connector- In_Qer9q_e; Above Floor-Ducts-Mech. Protection Bath Fixtures & Tub 69 --Sec. Trim & Suboanel. Breaker Sizes & Labels 70. Stair ails ireplace or Stove, Clearance -Hearth 72. Elec. utiets at Wood Panel, Int. & Ext. 7 ixt. & Appliance; Ground -Air -Gap -Cooking Clearance ��ElSpeOutlets & Receptacles at Kit. Counter arage Fire Door, Swing -Landing -Closure 76. A . Duct in Garage -Damper 77. r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection PI ., Elec. & Mech. Equip. Listed for Location ` 9,o,1515,Aeceptacles in Garage (F.F.I.)-Romex Protection SQ -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps �_fOd. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InslldJDriv Q XWIINo/Walks D Yes 0 No/Planters O Yes 0 No tucco finis Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing It 8. erior Elec. Trim, G.F.I. Receptacle -Underground 8 . V ntilatio roughout House Protection 91. Corrections from Previous Inspections 9j. G wTest-Meters Tagged, Gas -Electric $�lftfat Sewer Connected -C/O to Grade -HD Approval ft!fnergy Compliance Certificate -Other Certificates '6_ -Address Posted 96. Fire Sprinkler Date 0 -hard B-1 (, C Date 5 -aa-07tard B-1 0C_ Date (ems -5 _p -i Card B-1 0C__ Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ..'I.,000NTY OF BUTTE.. • F �_i: BUILDING DIVISION ,. f5 DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 pG CORRECTION NOTICE p j ! o� OWNER PERMIT NO. '?f• A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matteadditional �?'.:: explanation, please contact the Building Inspector as indicated bel L Date S - ' 0-1 Inspector ,JElo CiiH CH Z Fee Iep Y-: •- ` REV 4/05 Phone # 64. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 PC wt ti 1TC_MS - .. .:: F 2c�� �toTi +Q t�-Teo y- 30-09 Date S - ' 0-1 Inspector ,JElo CiiH CH Z Fee Iep Y-: •- ` REV 4/05 Phone # 64. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t :1CdUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ZE-PEDA QS' -19Q-7 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. /SP1 PRnij tnF /AMSC ci4-r/nom./ Cel /- T AI Date —3� -7 Inspector LEl�DI � IJTlZ��N��� REV 4/05 Phone # — d FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' COUNTY OF BUTTE.'. • y . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES a. 7 County Center Drive • Oroville, CA • (530) 538-7541 Y: CORRECTION NOTICE OWNER PERMIT NO �: A routine inspection indicates that the following violations of Butte County Ordinances exist at 5` the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. PROU110C PLANS" 0A1 SITc Fog A L t_. I NS PC -C -T1 o N S PP\OU16E POST EtooO CERE t: a. _8y PA AN o iz Fx.7` VISIT A A 10 N o r ?C_"qo / r5.•. .r, 'RCnz4•. h .Y Rti `r7 F Date Inspector D.QO� �/ •p:�9 REV 4/05 Phone # Y-//1 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 rl►...:,1y�.--....��. .�rr'.4....-a—'r�.T'4-, "�aNi.— �Ma."'ll..t'._-..+rrY'^.•..i ....r�i�fwTw�,-�ylx+' '„ COUNTY OF BUTTE t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -7_ 6 g a -7 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. UKI ASC, 1 n (-n 141 KI r_.IV ( R1/ F�I-,I, F I N A t___ NS P(S-eT/ o ti( t1J H AT `T_ r Anl iN��EC T Oma( TNF FX -7Y7 R/OK L E C"9 LL w H E'(_/ "Rr-A 8V w A � HSRE- k/ESTEF-OA-V AND Date 9 ~'/2 02 Inspector REV 4/05 Phone # 1-) --'5 A Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE l -1L, PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist.at, the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Q T �0 o odd r e 55 IQ n 5 st -t}- Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Date 1 1!4 Io v Inspector - REV 4105 Phone # FOR RE -INSPECTION CALL: 5384636 OR 891-28.34 N COUNTY OF BUTTE Al BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. L,_j a ez— Date 1 1!4 Io v Inspector - REV 4105 Phone # FOR RE -INSPECTION CALL: 5384636 OR 891-28.34 N hr�.=,;••-�--•-ter.." :`i!^-ti.J"'"t"i---+'v..-.+\.i..,�v"a� ....,L, ..-•`s✓ ! .. .v -' -- �+v:.�+...ni._..+,-.-.•�-.... ... .- •s,� -r-... 'y�i .3. r. COUNTY OF BUTTe .............. . BUILDING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER � PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. e CCIIA-i 12"C -/?-- 2) G / 2) fes✓ VX 4T//( J Date f✓ Inspector REV 4/05 Phone #,!5 - FOR JFOR RE-INSPECTIION_ GALL: 5 /"�el z / 7636 OR 891-2834 �v COUNTY OF BUTTE BUILDING DIVISION - a" DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE zc- :2 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 5se contact the Building Inspector as indicated below. h //Zer FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 i 41 . ..... • .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Z6 CE.DR C0 -19 z _1 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. )/\I`T Q Ib 2 Isp r- i'o7-yn-1 �Tix.iG 7� PR I'b Y Date Inspector 1)lza N A P_ eE` `( f F REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 C, OUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES YS 7 County Center Drive e Oroville, CA 9 (530) 538-7541 CORRECTION NOTICE o, O�- r z_7 R1. OWNE14 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at" the above address and should be corrected. Please call for re -inspection tb�re`ction of work is completed. If you have any questions pertaining to this er, or need additional t explanation, ow. o/ni,Kease contact the Building Inspector as indicate j o� �_M V , vU 0 1 L J 0/0 V aVCivr Date Inspector JA REV 4/05 Phone# FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ?Y^ ,COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t. - 'gr. 7 County Center Drive • Oroville, CA • (530) 538-7541 �.w CORRECTION NOTICE Zc PE OR O S -H-7-7 OWNER PERMIT NO. ? A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of r work is completed. If you have any questions pertaining to this matter, or need additional • explanation, please contact the Building Inspector as indicated below. V 06 )QU6 I LLD'TF_ .}I��L\( " C©6�tSTR uc7"i ow' �I�ZIS Fr1 YU rVou (OE ()cam U --FCS7 Date � � Inspector. 4 REV 4/05 Phone # A. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 f BUTTE COUNTY PERMIT NO. DEPARTMENT'OF DEVELOPMENT SERVICES BUILDING PERMIT gp051927 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) . OFFICE #: (530) 538-7541 B. G. Building rermit u7 -lb -v4 pg i 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 Issued Date: 03/30/2006 APN: 005-397-009-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1320 JACKSON ST CHI Date: Contractor: Map Index: Description: NSF (913), COV (24) 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 Owner: ZEPEDA, ELIAS to its issuance, also requires the applicant for such permit to file a 2615 HEGAN LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928 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 penally 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 Applicant: ZEPEDA, ELIAS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 2615 HEGAN LN such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95928 year of completion, the owner -builder will have the burden of (530) 891-0920 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, Contractor: 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 Businessand Professions Code Date3.— Owner: G C License #: 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: otal Square Ft: 937 S.F. Policy #: Valuation: $59,729.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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' Zj Q Q compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y /� Gin Date: 7_ OS l Applicant: l WARNING: Failure to secure workers' compensation coverage is�A M , I� unlawful, and shall subject an employer to criminal penalties and one 1 c/ n hundred thousand dollars ($100,000), in addition to the cost of O� 1 compensation, damages as provided for in Section 3706 of the Labor �'TY1�1 ap code, interest,.and attorney's fees. �L{�lJ�vv�2� n^ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work in above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)_ �A A -i Date: �b O Name: By: I rJr //1 to �/Rj�1� r PERMIT EXPIRES ON: ? -- Address: (Date) ❑ 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 authorized 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter up/on the above mentioned property for inspection purposes. / G� Coq C{ �• Signature: Print Name: Date: XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. G. Building rermit u7 -lb -v4 pg i '8C alp%o() UT ECOUNTY DEPARTMENT OF DEVELOPMENT SERVICES �J 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 OF APPLICATION 0-1. **Website: www.buttecounty.net/dds �� PLEASE PRINT CLEARLY** OWNER Last Name 2 f 12e5Z),4 First Name CLIA Address 2 I L d-AAj L N CityG / J State Zip Phone 5-3 _I o Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name —C Address (C-0 City Yes State Zip Phone Zip 5j�.2 Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name —C Address (C-0 City Yes State Zip Phone Zip 5j�.2 Fax E-mail Fax State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name —C Flood Zone (C-0 Address Yes City C Stat Zip 5j�.2 Phone Fax Page Lot # Planner E-mail Date Approved: APPLICANT SIGNATURE X For office use only: AP# Zoning —C Flood Zone (C-0 SRA Yes No Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP05—/1'Z . BIN # I LOCATION AP# Property Address /3 Z 3 City Cross Street o D -,(Oj O 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: eO Zt- Sq. Footage ❑ 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 by - Amount: Bldg Receipt #:-M Oq6 Date: 7.x" SRA Sheriff SMIP Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or'4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!). OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss 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 duplicate. ❑ 7. 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. ❑ 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\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 . ww .�-t..--.��•-�:�ti. .r -n : _ ,.. ..... '. r+i.,,,.... v\^�r'^"+"„R'•y� }'r+..'•�..-.r-„r �.�. .-.....-�"'f�'+"n.'-'-`.+'"'7✓: it _„+5 i-.�,�� ,_> ,�� „ _�.:�.,,{t , - . � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Or'oville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 qZ PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: / j 5F7- Permit Technician: 66--_45 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /a 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 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. Cl 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. 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) 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other 7�\R6maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) tj 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable . ❑ 16. Fire Sprinklers............................................................... 17. -Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by '..; o. 18. Soils Report and/or Engineered Foundation required ........................................... O 19. Erosion Control Plan Required ................................ Ql 2 . Fees as shown on the attached Schedule of Fees Due Sheet .............................. . City of Chico Plumbing permit........................................................................ f i ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑4 23. California Department of Forestry, plan approval ❑ paid. Sent by:... 24 Planning approval for (A) Use: (B)Parking: (C) Parcel Chec�_ `�`j 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.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: GS L- tFr �9 and9126 When issued Telephone pickup. I have beeg.infoFn ed of the above itemChrid requirements fo®taining a building permit... _ Applicant- SB SGS G'�GO'e, l- Date: % sir 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, 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, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: t I i I I Date: Structural reviewed by: Date:Structural approved by: JV1 11- pie-)�. Note transfer by Date: (� Yellow: Building Division TO: FROM: DATE: 6o5 -397--c65 INTER -DEPARTMENTAL MEMORANDUM RELEASE ENV. Tib MOLD ON ENVIR. HEALTH, CHICO AL FOR: ", �.'�. OWNER NAME: ,, T, �,-� SEPTIC: WELL: AP#:D ADDRESS/LOCATION: 13d Comments: MXV 0 GL/memos/releaseho ld E.N. USE 0A1LY 'Piot Plan Attached Roar Plan Attached Sam to S.D. ! 0" TO: Building Department .-76"a�0S FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal `/ Water Supply: Public ✓ Private Well Clearance for dwelling., Other Hold final for: az/ Final clearance O.K. for: Environmental Health Specialist Date 8/96 1 A COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 a SCHEDULE OF FEES DUE 7 OWNER/,� 1 A.P. # PROPOSED BUILDING USE / " S� DATE RECEIPT # 1. BUILDING PERMIT FEES ��6 1q g� --Balance Due ........................................................ $ p Q --Additional Fees Due ............................................ $ jog. `l /� 0 Pi5�M4 y9�2 O --Additional Fees Due ................................. :........... $ --Revised Plan Checking Fee .................................. $ SCHOOL DISTRICT FEES r/GO (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03=$_ Sq. ft. 4. Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ ?QA Sq. ft. AAmt. RECREATION DISTRICT FEES CIA* P, D• 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00.(paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00.(paid at Building Division) DATE REC. 3.3x`06 ck 4;/ b Q 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER )p At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees �\lp�• may be changed during the plan checking process. A\-` YQ APPLICANTU-1 DATE 7 ZJ `'5 - Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Y3. :;•=h�' uepartr�e of Public Works '° ° C o u n t o01 f B U t f e Y LAND DEVELOPMENT DIVISION ;.� J. Michael Crump, Director Storm Water Management Program 7 C6uniy Center Drive �\ ' C0 �� Oroviile, CA 95965 p U � �g (530) 538-7266 LIC VW4 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE1 Project Description: NSf Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L 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: zs 2Pn��lG ,I2 Title: O (� Date: 7 Z on VNk•!.�..��'�f'�C' �� `�7-`,•�. '.i. Si'� .. A7' 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 _- ajor labor and material for construction of this proposed property improvement: YVS] NO[ ]. 2. I HAVE [�] HAVE NOsigned 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: 7- Z o - o4 - NOTE: S' C-3 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION t BUILDING. GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. milael C. Vieir+ C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ()b51 -YQ• 66� Building Permit Number Property Owner (s Project Location /Address Subdivision Name Assessable Sq. Ftge 9G Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement %C verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building ve nG i 0 FRRPD 0 CARD ❑ PRPD 0 DRPD certifies that: Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of- Dwelling //�� Dwelling Units @ $ , V V per unit for a total of $ 1. K0, 0c) Remarks: It Recreation Square Feet @ $ Paid by Cash: _ KAFORMSWILDMG FORMS\park-rec standard form rev Ldoc per sq foot for a total of $ Receipt No: 0i/04/06 #79C $1860.00 BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District Cy S Building Department No. u J• 1 1 a� A.P. Number �"�•� ' VGA� Jurisdiction: Q city County Property Owner . Property Location/Address Subdivision Lot No. Residential Development Q No of Living Mobile Home Units Installation Commercial/Industrial New Addition Building Department A C.C�) . ...................................................................................... ' Sq. F t e Addition/ 'Supplemental to,F.. (Group. R) Conversion Permit # C '••(No foundation inspection) :...............:............................................................... ��� 5r7 Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification'No. S School District certifies that (� (Street Address) yl. Sq. Footage (Including Exterior / Roofed Areas) r it D'TI 1 Date rt (Phone Number) (City) (State) (Zip Code) nv has complied with the requirements of Resolution No:. t'J by payment of $ / 3 representing School District Representative. square Paid by Check # Remarks: FB"216 s TIGATION $ Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fes Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its impact on the school districrs schools. White (school district), Yellow (building departrnent), Pink (applicant). feeform.xls (3I05XIMm SITE PLAN REVIEW APPLICATION Date: �5, %y% l.� . 2, C. _ AP# �h� — --?'?'7— DOFZ Permit Number (if applicable) G Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: 6 •gS:. PSC Owners Address: Telephone No.:. Situs Address: 13-26 ' fr 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 ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) . Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval S�e Plan Sta�ped Approved Date 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.: 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 ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 11-1, — / f GM Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. . ❑ CDF approval needed for encroachments into SRA setbacks. Donn I of G 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. Donn I of G J Applicable Development Fees: Standard Fees ❑ 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 Amount Formula ❑ 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 for,Deed Creation :p No ❑ Y s Comments: W4 view. ew ❑ 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 17of Maps Page 23). ❑ Construct road to: ' ' ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Applicable Development Fees: Standard Fees ❑ 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 Amount Formula ❑ 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 for,Deed Creation :p No ❑ Y s Comments: W4 view. ew ❑ 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 17of Maps Page 23). ❑ Construct road to: ' ' ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Pen-nit/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. Fx- PaaPdnf19 Butte County Department of Development Services PAUL MCINTOSH, INTERIM DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 15, 2005 Elias Zepeda 2615 Hegan Lane Chico, CA 95928 Subject:. Building Permit 05-1927 (APN 005-397-009); New Single Family Dear Owner/Applicant, . The Butte County Department of Development Services, Planning Division, has reviewed the. submitted permit application, and requires the following revisions to you site plan, or information in order to continue the review: n / Z� , So ' � ❑ Creation Deed ® Site Planit — Follow Requirements ❑ Erosion Control Plan ,[g_SeJback Conformance ❑ Watershed Protection Zone. ❑ Front Yard ❑ Cohasset Specific Plan ❑ Side Yard . ❑ Subdivision Map Note ❑ Rear Yard ❑ Commercial Development Requirements ❑ Special Setback or Parcel Limitation ❑ Parking for Specified -Use ❑ Federal Aid Road/Arterial ❑ Landscaping Requirements ❑ Easement ❑ Fire Sprinklers* ❑ Subdivision Map Condition/Note . ❑ SRA Setback* ❑ Agricultural Buffer Z Other: Clarify the site plan, and resubmit to Development Services *Fire sprinklers, and the SRA setback are not requirements for the Planning Division, and this notification is for informational purposes., The requested information, or notification, is described on the included hand-outs. You will also be given some brief direction of how the information should be submitted, or returned to the County. Should you have further questions please contact me between the hours of 8:00 a.m.'and 4:00 p.m. Monday through Friday at (530) 538-7603. Si e ely, Chris Tolley Assistant Planner 0 TOTAL NORkIAL �n�l RCLNG. O!JD SBE DAS AH530A 1971 .................................. SHEET OF SH EE TS DESCR IPS ION OF BUI L D IN6 / �• - -� _ ! i 3 CLASS8SHAPE �r CONS TR�lCT1014 STRUCTt1RAL &MVIOR ROOF L1GNTfine fR CONDITION �. ROOM. A1MD FINISH BE TAM FINISH [ighl frome stucco on r/o/.. �tD'tac wirill j4ict.%r Cm1in ROOMS : FLOORS I Q FLOOR FINISH ��WTERIOR TRIM :.2Jli.9n6 ^�' ' .Sub-Si-71,C ?rQ �. 2R J`. a JCd%C �S ARCHIT TURF S'oracro Jleetn:� Srd;na ny ; raa;e Gmvi/r ! Hurnic Ali •- '"� " A@cve-Src.�trrrd ed %s Fixtures Sta�:es ' fret%a1 3eI 'e s. T - M. - fdnr✓ni'/urnq %, f ` USE TYaS Blick Shin Jes rrner? A Nedivm SJ re FOUNDATION Shores A:r.nr - specro! :2one!%ni! Dining 1 '• r JOL'We `8C-. = C-a/fe.•s iCentrdi ..._._ PL--- ING Duplex '.?ei.v!a-crd - `rL BEd i Aparrmani : Brc� � Br;cx ; Sllrq !e .fie.• 'Good •� . < .. iflol i mc" :bsuAriedcohi •:Mre Shake f=, ..s`:-:.: O%Jc'urnei i . Couri I f.'er: Mauc!rd;»//s` WINDOWS T:e F%rrores i.Y•ofe% Gf.: Cese.^,:✓r1 ';;e T.., :e•Xgofe� - At -d T. (/. X.•/cne.� / . .• - _ _ �6.V i S; ee,' Sas.h Coypu r. or, AworaNc ? F-'rep%ace • Screens Coraco. ,ihingre Lias ' Elec.' I AminBd. /far<riol:.�!qfd' F" r`/ Splor.5: L'nr?s ubh.' ;.keavy CONSTRUCTION RECORD ,� GOOD RATING {E, G,A,F,P) BATH oFTArt. $reit FFFg�, YAR E APPR.FR,KAL YEAR =e:rerov: j ivnc. ecn- �StrmeAwce w'orR- _ pI Na, FINISH FIXTURES SHO ER TuG T• onrode t. Q+.GQ Friilsi. A..rou,: Dole `tta ;eDre o Ca:o'..�Arc.4. Af!r. I?ron I lean.. upJ'd ra e/ icsh{o ffaors Walls C. 0 For ry ' �'I [s•,+�, �_ It5116 r ' �`'� r I SPFVAL FEATURES tT r Oak Cosu guilt • %n Beds j lerref:ba Binds '. Sn:�.'er7 r•' ' COMPUYATIOW r77i.5'r4 C A.pproistr and Dose .JAL '3 g' Ae, I/z,6Av/1 Urt;lp� E• Unit uurta Unit Cast COSI Cos/ Cost Unit COtl Area Unit (`� ca 11 [.OS1 CO Cos+ C6si [.O tl1 Co sr Cosl Casl Uril Call' colt SII Q ! -a,tu ^� 0 , O 0 Ul 0 TOTAL NORkIAL �n�l RCLNG. O!JD SBE DAS AH530A 1971 .................................. CompUTATfON nit t cost nit nit Cost t nit Cost Cost Cost 7 2- TOTA L. % 6001 JL 0 IYORMAEL % GOOD — ---- — � SHEEIS SHEET OF ROOF 1-1011rims AIR TERIOR FINISH CompUTATfON nit t cost nit nit Cost t nit Cost Cost Cost 7 2- TOTA L. % 6001 JL 0 IYORMAEL % GOOD — ---- — Name IBOULTER GEORGE A . Addr-I 11320 JACKS ON 5T Addr2 I CHICO CA- 95928-7538 Addr31 Add14i Comments 10539700900 CONVERTED 091018/8181 Creating D oc#1 19948 2955323 Date r Current Doc#12004R0003650 Date F1 /22/2004 Killing Doc# Date A . j pICntsmt DescILOT 17 5 L 14 u Zoning JAR Dwelf Acres/S q Ft 5.1 N/CF015 Asmt # 1005-397-009-000 Fee # 1005-397-009-000 S , tatus' JACT IVE I Status - Date Tam [000 NORMAL OWNERSHIP TRA 1062-011 Situs 11320 JACKSON ST CHICO Base D t 101 /01 /1985 Timber Preserve AgPres Etal r' B onds F'Multi S.-Itus Flagl Flag2 910 MH Asmt PP Pen Tax PP Pen Appeal Pending T Split Pending Lan S.trUCtUrE Fixtures Growing Total L&I Fix. RF MH PF 22,438 4,206 0 0 26,644 0 0 0 E h-emptj 7,000 Net 19,644 R /C#1 T/R Dt R /C S tatj PHY OWN EXP I TAX HON ATT SIT APR I ECL jyj' Find 1 awl 11 0 - IT fia�P 713 rola/ COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: ,534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. rl Signature of Permitee or Agent Date 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 DIRECTOR OF PUBLIC WORKS Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. -- Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. NO. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval 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•�0 Single Family ❑ Duplex ❑ Mobil Home ❑ 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 CONST OR ADDNS. ( ACCLBLDGSLING CCUP. S� •LP Sq ft 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:FIREE) NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS 12.50ea. NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURESggL25 APEx. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑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. 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 $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. rl Signature of Permitee or Agent Date 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 DIRECTOR OF PUBLIC WORKS Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date r COUNTY OF BUTTE — DEFARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephpne: 534-4541 APPLICATION AND PERMIT ... „Ivi �c �cNicocliiaU vc� vi ll is VUUII y Ui DUEEC EU CIRRI UPUII Erle above-mentioned property for inspection purposes. X Date Signature of Permi6i or Agen Receipt No.'s=((%� � -7 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. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date BUILDING Owner ��'r ,u �-- r'- ,J ! ` ,7"`' � �' `-'".�',%i �� SQ. FT. OCC. BUILDING VALUATION � Mailing Address f ✓�� / Tele hone No. C Fireplace Contractor Al le"' Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address "> / �) r - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.,e'` '� "' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees"` W.& `"Sfin4atiron Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Pldtt_c'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 ,i Main service 6001 OR LESS 100 AMP OR LESS 5•�� t'•* Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBL GS. OCCUP. &) 20Sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 Ie Of: Ex. Occup(OUTLETS OR FIXTURES) BAL@�1 (FIXED APPLNSORSt Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E]I am exempt from the Contractors License Laws of the State of California. Permit Fee ss— 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. 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. PERMIT FILING FEE J$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 $ ... „Ivi �c �cNicocliiaU vc� vi ll is VUUII y Ui DUEEC EU CIRRI UPUII Erle above-mentioned property for inspection purposes. X Date Signature of Permi6i or Agen Receipt No.'s=((%� � -7 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. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date �• COUNTY OF BUTTE" — DEPARTMENT OF PUBLIC WORKS it 7 County Center Drive - Oroville, California 95965 Tel epho4: 534-4541 APPLICATION AND PERMIT sya authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .��r..9�.- Date Signature of Permitee or Agent Receipt No. -7>0 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. DIR .R OF UBLIC WORKS By 44 Date permit expires Date ��"' BUILDING OwnerSAA-EIR c—w X SQ. FT. OCC. BUILDING VALUATION Mailing Address 1341 OpcG/uf S ) colo A �L�yy[(�f W/T 7`� No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address � �SiS� S i Plant ng Fee&/or Penalty Permit Fee Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ���TICIV Repair drainage or vent piping 1.50 l l A. P. No. �t���� Zoning& Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ "' G� S'��(C� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 P00 Single.Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLOGS.LING Ccup- 1) 22sgft 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 CONSTR. MULTI.OUTL T NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES g @2j FIXED ALN S Ex. Occup.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li nse No. Classification Misc. Wiring 6.25 (0oj I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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 przrkmen'sCompensation Insurance. certify that in the performance of the work for which this mit 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 relatina to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ q 12-5 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .��r..9�.- Date Signature of Permitee or Agent Receipt No. -7>0 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. DIR .R OF UBLIC WORKS By 44 Date permit expires Date ��"' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DO--ve.--_ Oroville, California 95965 Tel ephoA: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X —Datenci Signature of Per 't a or Agent Receipt No. �ir-� 7 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. DIRECTOR OF 171915LIC WORKS By Date- Iding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address -+ r /C'O Tele hone N_o. ��� 57 Fireplace Contractor o uJ l &r Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address/ SIV 137— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C �C d Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. anYl—s Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 •— ✓ �CC .� // C.9 Main service 6o0v OR LESS 100 AMP OR LESS 5.00 ®© Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONIS.( ACCLBLDGSCCUP. &) 22sgft NEW CONSTR MULTI.OUTLET NON•REBRANCH CIRCUITS) 2.50ea SI D. ( NEW CONSTR POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@; Ex. Occu P. FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of 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. 1 certify that in the performance of the work for which this --,permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT 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 TOTAL PERMIT FEE $ lD authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X —Datenci Signature of Per 't a or Agent Receipt No. �ir-� 7 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. DIRECTOR OF 171915LIC WORKS By Date- Iding permit expires Date NOTES RESIDENTIAL PERMIT NO. UM � I�c�c tet. Ch - co 11 . SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �`-' r oQ� SignatureMap i J=OK 0 = Not OK . = otReady able 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date 1. Card B-1 Date Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Size -Spacing -Marriage Line Electric 3. Gas; MH Test -Demand -Valve -Connector 7. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY.. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042780 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 Issued Date: 09/21/2004 APN: 005-397-009-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1320 JACKSON ST CHI Date: Contractor. Map Index: Description: DEMO NSF 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 Owner: ZEPEDA, ELIAS 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 2615 HEGAN LANE the Contractor's State License Law (Chapter 9 commencing with Section CHICO CA 95928 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 (530) 891-0920 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 Applicant: ZEPEDA, ELIAS 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, 2615 HEGAN LANE provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one 891-0920 year of completion, the owner -builder will have the burden of (530) proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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 Contractor' - 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 3 of the Business and Professions Code Owner: GS 2 . License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 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: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: 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 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 provisions. Date: Applicant: 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 �i 11lvOcl code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby is ued under the applicable provisions of the Butte County Coda anrvor I hereby affirm that there is a construction lending agency for the Resolutions to do work ndicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) !- y, 3 f , C>4 Name: By: Date: PERMIT EXPIR S Address: Date ❑ 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 authorized 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enteruponthe above mentioned property for inspection purposes. �• Print Name: /4.s & e4 Signature: T�:! /7!1/7rSr�i_ Date: X52 — IlOwner 13 Contractor 13 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) 53877541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X %G �C� EJ4 C ' For office use only: OWNER Last Name G Lf i1 l✓ first Name14 r Address �, /lJ Z ti CityC_ )w L State State Phone Phone O Z Fax E-mail Uc. # APPLICANT SIGNATURE X %G �C� EJ4 C ' For office use only: CONTRACTOR Name L/ S e�R L- DA 2 Address Z l L G 4 Af L City G State Zip Phone - 2 Fax E-mail Planner Uc. # Class APPLICANT SIGNATURE X %G �C� EJ4 C ' For office use only: ARCHITECT/ENGINEER Name L/ S e�R L- DA 2 Address Z l L G 4 Af L City G State Zip Phone - 2 Fax E-mail Planner State License Number APPLICANT SIGNATURE X %G �C� EJ4 C ' For office use only: APPLICANT NAME . Name L/ S e�R L- DA 2 Address Z l L G 4 Af L City G StateC• Tip �� Z Phone - 2 Fax E-mail Planner APPLICANT SIGNATURE X %G �C� EJ4 C ' For office use only: Zoning Flood Zone SRA Yes No 0cc. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP,c4=780 . BIN # LOCATION AP# act • 3�t7• oo�f Property Address City J 3 Z J Ct s r1 Cross Street p Vet Lo S 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 Description or Scope of Work: JDEM <b 1I S F' Sq. Footage ❑ Structure Built Wthout 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 K:TORMSWILDING F0RMS0dQAPP1SubRgmts.doc Page 1 of 2 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)r 21 Amount: 55 Bldg SRA Receipt#:Sheriff SMIP Other Date: q . o� _ S$• Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 Ketunds can oniy 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 KAFORMSOUILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 1 Demolition Permits Asbestos Notification Statement Date P— 2/ - o \1 AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. 19827.5. A demolition permit shall not be issued by any city, county, city -and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of.a copy of each -written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to. Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at ignature of Applica OR I hereby declare that a written asbestos notification to the United -States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant I 2/19/91 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. X 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[] NO[ ]. X2. I HAVE[,4_1 HAVE NOT[ ] signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS • CITY: PHONE: CONTRACTOR'S Ll EN NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 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: X PROPERTY OWNER: ,/, X DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification -must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourselty you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for -the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 f� 2 1 D �}''��j /ems_'M PTN. SEC. , vat 427 2 - .22Ac .25Ac ' ✓�-1 Ac Oe 20Ac _ f . i .23Ac 22A 3 . 7Ctt e 4 15 G), 7ActAc .20Ac Vp � 11779 sr 14 11Ac L� OO5 6475 9ig G), $ .20Ac 13 6 1.4Ar- 3 10 11 YO 57 .40Ac 16Ac 15Ac 12 11 6 asp 11Ac 1W.00 .1 iAc �? 73100 ST ADD ®U�'H. S .34AC V .34Ac si 1 .. 40Ac A O O ' 3 ¢ ; 15AC .20At .20Ac (, » 9 �� 8 .20Ac 12 0 4 ' 2 ' �• • 16 .20At g 7 g O 3 - s Ql'�{Q 1 2tfic ,'� g -.20Ac .20Ac .4 iAc 25Ac 14Ac^ :.2 iAc 4 ,.. 0 10 9 ' 7 --�- ..-mac_•- ' 1 1 n a 05-39 ar r NEW.715-Ir'.7m 77 Jl �I '�` Z'1 I • i` a'I ! 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