HomeMy WebLinkAbout007-340-021I
John D. Drake'
•460 Mojave Ct lot 81, Joshua Tree#2,
% Chico _.�ftaf% 9/79 ' -
:Permit #726=78B(ne single 'family)
.4�0 .G/119/n-I -PUN
-
Permit ##7263-78B (0 clearance
fireplace) SF
o 9'
Gore & White Plbg, Chico
Permit ##360-79P(plbg/5726-78)SF
�.,v1cGc.0�//.y a
ontr: MCClelland AC
PErmit##1013-79M(mech/5726-78)
Contr: Fox. Elect.
PErmit ##1326-79E (ele/5726-78)SF
b07-340 :b21,'4"
JACOBSON, Y Kenneth• A'.r
:4.
460`` F.
;Mojave�Ct:, Chico ." ;
y Add,Family^Room`&"'Den %SY. ; `-
MI71
NOR USE PERMIT'N0:—MUP02-- x
JOSH 'WOLF`ORAMY-MCNEIL-L--"�"
460 MOJAVE C6iJRT
2ND DWELLING
Z'
1
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Em tte Count
MCI
L A N D . OF NATURAL WEALTH A N D 8 E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
October 30, 2001
Josh Woolf and/or Amy McNeill
460 Mojave Court
Chico, CA 95973
CERTIFIED MAIL
Re: Minor Use Peru A-PT007:340=021
Mr. Woolf and Ms McNeill:
Enclosed is your validated Minor Use Permit No..MUP 02-05 to allow Minor Use Permit for, a
second dwelling.
Should you have any questions regarding this matter, please contact this office between 8:00 a.m.
and 4:00 p.m., Monday through Friday.
Sincerely,
LynRichardson
Planning/Administrative
Support Service Assistant
Enc.
cc: Land Development Divis'6n (g)
Building Division (y)
Environmental Health (p)
Department of Forestry (gr)
1MINOR USE PERMIT
BUTTE COUNTY PLANNING COMMISSION OCT 3 0 2V "
DATE: (Certified Mail Rec.)
MUP 02-05
PERMIT NO.
007-340-021
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions
set forth below: Josh Woolf and Amy McNeill are hereby granted a Minor Use Permit in
accordance with application filed: Minor Use Permit to change ownership of an existing large family
day care allowing up to 12 children.
Failure to comply with the conditions specified herein as the basis for approval of application
and issuance of Permit constitutes cause for the revocation of said permit in accordance with
the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code
Sec. 24-41.
2. Unless otherwise provided for in a special condition to this Minor Use Permit, all conditions
must be completed prior to or concurrently with the establishment of the granted use. The
use granted by this permit must be established within 12 months of the delivery of the
countersigned permit to the Permittee.
3. Minor changes may be approved administratively by the Directors of Development Services,
Environmental Health, or Public Works upon receipt of a substantiated written request by
the applicant, or their respective designee. Prior to such approval, verification shall be made
by each Department or Division that the modification is consistent with the application, fees
paid and environmental determination as conditionally approved. Changes deemed to be
major or significant in nature shall require a formal application for amendment.
4. If any use for which a Minor Use Permit has been granted is not established within one year
of the date of receipt of the countersigned permit by the Permittee, the permit shall become
null and void and reapplication and a new permit shall be required to establish the use.
5. The terms and conditions of this permit shall run with the land and shall be binding upon and
be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee.
Conditions of Approval:
The facility is a single family residence that shall be the principal residence of the provider
and the large day care facility shall be clearly incidental and secondary to the use of the
property for residential purposes.
,A
2. A minimum of four (4) off-street parking spaces shall be provided, consisting of:
(a) Two (2) off-street parking spaces for the residents of the dwelling.
(b) One (1) off-street parking space for each employee. The two (2) required residential
spaces may not be used for employees.
(c) One (1) off-street parking space/loading area.
3. One sign, not to exceed 3 square feet, is allowed. This sign shall not be placed in the front
yard building setback.
4. The large family day care home shall be licensed by the California Department of Social
Services, Community Care Licensing.
5. The day care structure shall meet all California Building Code regulations pertaining to large
family day care facilities, including, but not limited to the installation of smoke detectors, a
device for sounding alarm, fire extinguishers, and exit doors operable from the inside without
the use of a key or any special knowledge or effort.
6. Prior to use of the large day care, the facility shall be inspected by the Butte County Fire
Department/CDF and the State Fire Marshal.
7. Building permits shall be required for any change of 'occupancy. Prior to issuance of the
Minor Use Permit, applicant shall obtain any necessary building permits.
Applicant must also comply with all other applicable State and local statutes, ordinances, and
regulations.
NOTE: Issuance of this Minor Use Permit does not waive requirement of obtaining Building and
Health Department permits before starting construction, nor does it waive any other requirements.
Butte County Planning Commission Chairman
CC: Land Development Division, Building Division, Health Department
Department of Forestry
2
Inter -Departmental Memorandum
To: Building Department
Planning Department
5TEFvF, acvL4 - -a—
From: Ted-GfevvWd, Fire Department
Subject: Community Care Licensing Request, STD 850 for
Date:
0107 3
The attached Std 850 form from Community Care Licensing has been
received for our approval. Prior to the Butte County Fire Department making afire
clearance inspection it is requested that your department check for compliance with
Butte County ordinances (use permit and zoning) and building requirements and
occupancy based on the requested category.
Please forward your requirements to this office and we will forward them to
the applicant.
Planning requirements:
Current Building Department Occupancy classification
Building Requirements:
Other:
CC: G. Morris
Chrono
File Copy
5
STATE OF CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
See instructions on reverse.
CTO aSnlGFV IACdI _
AGENCY CONTACTS NAME
TELEPHONE NUMBER
REQUEST DATE
PROGRAM
CDSS/COMMUNITY CARE LICENSING
530 895-5033
9/4/01
EVALUATOR'S NAME
REQUESTING AGENCY FACILITY NUMBER
REQUEST CODE
9/4/.01
0105
045403223
RESPONSE RE UIRED
CODES
t. ORIGINAL A. FIRE CLEARANCE
LICENSING COMMUNITY CARE LICENSING
2. RENEWAL B.UFESAFETY
AGENCY
3. CAPACITY CHANGE
NAMEAND 520 COHASSET ROAD, SUITE 6
ADDRESS
4. OWNERSHIP CHANGE
Ci H I C. 0, CA 95926
5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY
NONAMBULATORY
BEDRIDDEN
TOTAL CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
14
0
0
0
0
0
14
LICENSE CATEGORY
FACILITY NAME
MC NEILL-WOOLF FAMILY CHILD CARE HOME
810 - FCCH
STREET ADDRESS (Actual Location)
NUMBER OF BUILDINGS
46.0 MOJAVE COURT
1
CITY
RESTRAINT
CHICO, CA 95973
NONE
FACILITY CONTACT PERSON'S NAME
MC NEILL, AMY PHONE #0530) 894-8274 DAYS'
SPECIAL CONDITIONS
TO BE�COMPLETEDBlf311
F
FIRE BUTTE COUNTY FIRE DEPT.
AUTHORITY ATTENTION: STEVE FOWLER
NAMEAND 176 NELSON AVENUE
ADDRESS OROVILLE, 'CA 95965
L
VSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER
INSPECTION DATE I INSPECTOR'S SIGNATURE (typed or Printed)
EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS
CFIRS NUMBER I OCCUPANCY CLASS
CLEARANCE /DENIAL CODE
t. FIRE CLEARANCE GRANTED
2. FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
E. HOUSEKEEPING.
F. SPECIALHAZARD
G. OTHER
RESIDENTIAL
007-340-021 PERMIT#95-2750
JACOBSON, Kenneth A.
460 Mojave C�., Chico
Add Family Room & Den/SF
i
k e
i
9'
-I
is
x Y
7^,
ilia•
JOB FINALED (Date) —
�` Signature
'J OK
O=Not OK
= Not Applicable RESIDENTIAL.
'
Not Ready
Date UNDERFLOOR (Plans) OK except k's ;
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date - Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.:.Vent-Access-Combustion Air-Baffle
------------------------------------------------------------------ i
17. Water Pipe: Test & Anchor -Nail Protection '
------------------ --------------------------------------------------
------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection-
------------------------------------------- - -
19.' Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
--------- --------- ----------------------------------------------
21. Gas Pipe: Size & Anchors r .
------------------------------------------------------------------------------
Date------- ----Card B t --- - ---Date Card B -1
---_Date Card B-1 Date Card B-1
Date ELECTRICAL'(Permit) OK except ;;'s.-
22. Fixture & Transformer Clearance -Ins. Protection
------- - - --------•-----------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- ------ ------ -- ------ -- ---- -- - -- -- - - -
24. Size Boxes & No. of Conductors -Stapled
- --- -- -- - --- ------ - - - - - ......
25. Romex Installed Close to Edge of Studs & C.J.
-------------------------------- ------------.......
26.,Equip. Ground made up wrMech. Fastners-Bond Gas & Water
--- - .... . ...... ............. .
27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
.------------------------------------------------------------
28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ga.
Cu or At
- -------- ---------------------- -------.... ..
29. Range Circ, r , ga. Cu or AI -Oven Circ. I r ga. Cu or Al.
Insulated Neutral ❑ Yes • ❑ No
----------- ----------------------------------------------- ..
30. Service -Riser Conductors & Ground -Main Disconnect
------- ---------.....---_.......1. ... 1.1...... .......
31. Equip Clearances Panels-Motors-Mech. Equip.
---------------------- --- ----------...._._..._. ....... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
--- --- ------------- ------ . ---- .... ----
33. Smoke Detector
--------------......-------..--.--------------- _... -- _...... ....... ....... ..
Date Card B-1 Date Card B-1
- ----- -.._..__..._........................----_..... ... ....... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
------- . . .........................I. _. ..
35. Vent Fan: Exhaust above insulation
---------------_------------ --.. _ ... ............... ... ... ... ..
36. Condensate Dram & Overflow: Size & Grade
- - ................ ....................... ..I.... .
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
.._... ...--.._..... ... ..
38. Attic Access & Platform f Furnance in Attic
----------...--- ........... ...... ... ......... .. .... ..
Date Card B-1 Date Card B-1
....................... ....... ... . . ..
Date . Card B-1 Date Card B -I
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
....... .. - . - ... ... ... ... ........ ... ... ... .. .. ..
40. Walls Studs -Nailing. Spacing & Braang-Plates-Sound
41. Bearing Walls over Girders & Floor Nailing
...._....................................... . . ..
42. Draft Stop in Walls (rat proof)
...... -- ....---.................. ... . ...• ...
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
....._ -
44. Headers & Beam -Size & Bearing
Single & Duplex) _.
t
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
�e 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
-------------------- ---- --
' 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
--------------------- ---- --
' 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
---------------
52. Ext. Doors -One 3 =Check Garage -3rd Story. 2 Exits
------------------- ----------------------
_ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Attic Vents -Rafter Outriggers
_____________ Y 9 99 ,--�,
- -----------------
55. Siding -Nailing Veneer'
_ 56. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access
_ _ 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear, Walls: Nailing -Bolts
---------- -
_ . 59. Insulation -Walls -Ceilings
----------------------------
-------
60. Infiltration -Walls -Windows
Date.Card B-1 Date Card B-1
- --------- ---- --- --------- --------
-----_ -
.Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
---------------------- -
62. Smoke Detector
_
,.. 63.' Furnace Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
---------------------------
64. Bedroom Exiling
-----------------------------------
65.
..---- -----------65. G.F.I._& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel Breaker Sizes & Labels
--------------------------------
67.
..-- - -------------- -----67. Stags & Rails
....----- -----------------------
68. Fireplace or Stove: Clearances -Hearth '
69. Elec. Outlets at Wood Panel: Int. & Ext.
------ .. ---------------------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
------------------------------------- --
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
- ------------------------------ -----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V..
In Garage: Above Floor -Meth. Protection
------ --------------------------------------- -----
75. Plb _ Elec_ & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-- - ---------------------------- ------------
7-, Insulation -Foam -Looked in Attic ❑ Yes
--- .-- ..--------------------------------- -----
78. Guard Rails & Deck Construction -Post Caps
........_..--------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
.. ... ........_._.._..-
80. Following instld.: Drive ❑Yes ❑ No: Walks ❑Yes ❑ No:
Planters ❑ Yes ❑ No
--------------------------------------------
dl. Stucco: Brown -Finish
.. ... . ................_..-------------------------- --------
-------
82. A C. Unit: Disconnect. Electrical. Plumbing
.. ... ... ... ... ...... ..... ..---------------------
------- -- -----
83. VentsAboveRoof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
---- - - - - - - - - - - - - - - - - --- _ ..--------------------- ------
84' Water Well: Disconnect.- Electrical. Plumbing
. ...
..-- --------------------------------- -----
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
------------------------------
86 Ventilation Throughout House
.. .. ... ... ..........._ -------------------------
87 Glass Protection
-----------------------------------
88.
-------------------------------88. Correct ons Irom Previous Inspections
89 Gas Test -Meters Tagged. Gas -Electric
90. Water & Sewer Connected -CIO to Grade -HD Approval
._....-------------------,-- -- ----
91. Energy Compliance Certificate -Other Certificates
----- -- - ---------------------
Date Card B-1 Date Card B-1
.. .. .. ... .. ..--------------------------------------------------
..-'
. Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
... ..... . ....... . . -------------- -- --------------
V=OK
O = Not OK
* = Nott ReadApply MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; SoilsSize•DepthSpacing-ConnectorsSteel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / /Vft.
/ /Nat. or/ /"L ft./ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-DemandValve-Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts-GFl
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries-Terminals-Usted
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize•DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFl
6. Elec.; Enclosures; Conduit Entries-Terminals-Usted
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive -- Oroville, California 95965 - Telephone (916) 538-7541 /-),- -,PERMIT NO.
APPLICATION AND PERMIT 7M
ASSESSOR PARCEL NUMBER
007-340-021
Z°NIW1
BUILDING PERMIT
OWNER KERETH A. JACOBSON
T EL
5748
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
460 MWAVIE CT, CUM 95973
R 16,848
104 —DECK 1,352
CONTRACTOR'S NAME
WOR OR
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 18,200
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 198.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 128.70
00
Energy Plan Checking Fee $ 23 23 . OO
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
460 MOJAVE CTR, CHICO
PERMITFEE $ 369.70
PLUMBINGPERMIT Fling Fee 1 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USEOFSTRUCTURE
SF ff&*Duplex ❑ Mobilehome ❑ Other
' SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition IN Remodel ❑ UG6ties ❑ Installation ❑ Other ❑
Describe Work: ADD FAMILY RMNI AND DEN
Mobile Home I S I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 1 20.00
Main Service11.00VOR LESS
( 200A O 1 ESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class IL No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR .
OR ADDNS. ( a ACCSO
. BLDS. ) 3.5Q FT. ID—•
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
(a SDING E APPARAOUTLETWERT IC R. )
Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q I.oO
BAL .50
Ex. Occup. OUTLEETS �AEs D.) OR
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
C1 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth witbac mply with those provisions.
.y' ����?�j
X -� ' Date /�/�d'N�3 _
ignature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
c
coNsi
TOTAL FEE $ 440,62
HAZ.D. FEES
IMP
...
FLOOD
CDF
PARCEL
PD HD
ISSUE/
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By �_,V/ Date a
PER ITEXPIRESON/��
(Date)
Receipt No. �>%er �� �. / �/�
WHITE-D.O.S.-B.D. CANARY-ASSE $OR PINK -INSPECTOR GOLDENROD -APPLICANT
„COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT Lzb - 0
ASSESSOR PARCEL NUMBER
007-340-021
ZONING,
K
BUILDING PERMIT
OWNER KENNETH A. JACOBSON
T 343NE 5748
SO. FT. OCC. BUILDING VALUA ON
OWNER'S MAILING ADDRESS
460 MOJAVE CT CHIOC 95973
312 IR 16,848
-DECK 1,352
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation Is 18,200
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 198.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
128.70
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $ 23.00
Penalty $
BUILDING ADDRESS
460 MOJAVE CTR, CHICO
PERMITFEE $ 369.70
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USE OF STRUCTURE
SF (A Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition IN Remodel ❑ Ublities ❑ Installation ❑ Other ❑
Describe Work: ADD FAMILY ROOM AND DEN
Mobile Home I S I GI W @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main ServiceOOeV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.Ex.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( 8 ACC. BUDS. ) 3.50 FT. 10.92
NEW CONST. / MULTI.OUTLET
NON-RESID. \ BRANCH CIRCUITS ) 97.50
( d POWER APPARATUS )
SINGLE OUTLET CIR.
Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL 0 .SO
Ex. Occup. oFIXEEDrs (RESID.) R
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 30.921
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
34 1 certify that in the performance of the work for which this permit is issued, I shallCONs�
not employ any person in any manner so as to become subject to workers '
compensation laws of California, and agree that if I should become subject to the
workers' c pe sation provisions of section 3700 of the Labor Code, I shall
forthw' co y with t e visions.
X Date � / �
ignature of ant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.,///
Mobile Home Installation Fee $
Energy Inspection Fee Is 46.0
TOTAL FEE $ 2
HAZ. D. FEES
IMP FLOOD CDF
PARCEL PD HD U
This permit is hereby issued under the applicable provisions
in the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By -G Date �/ $J
PE ITEXPIRESON ✓0
(Date)
t �n �/
Receipt No. �1/0 3- / G. `% x/ 37 4 / Z
WHITE-D.D.S.-B.D. CANARY -ASS OR PIN NSPECTOR GOLDENROD -APPLICANT
l I
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
00 ;— —off l
ZONING
- BUILDING PERMIT
OWNER KENNETH A. JACOBSON
343E 5748
SO. FT. OCC. BUILDING VALUATION
312
OWNERS MAILING ADDRESS
460 -Mojave ct . Chico CA 95973
n Z
CONTRACTOR'S NAME
owner builder)
TELEPHONE '
CONTRACTORS MAILING ADDRESS
************
Fireplace
CONSTRUCTION LENDER -
UNKNOWN .-
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ D
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
************
Penalty $
BULDINGADDRESS
460 O Chico CA 95973
PERMITFEE S ( D
PLUMBINGPERMIT Iing Fee 20.00
Each Trap 7.00
LOT NO.
S UBDNISIONS NAME
PARCEL MAP
Solar Or heat pump water heater 23,00
Water piping15.00
USEOFSTRUCTURE
SF IN Duplex ❑ . Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 0 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition [A Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: addition of family room and den
Mobile Home G W @20.00
11101 -
PERMITFEE s
Contractor
ELECTRICAL PERMIT Flina Fee 20:00
Main Service e00v DR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER IDECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
9 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ADONS. ( 8 ACC. BLDS. ) 3.5¢ FT. ,
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWERNGLE APPARATUSOUTLET )
6 SICIR.
00
Ex. Occup. (OUTLET OR FIXTURES) 20 @ I•00
SAL .50
EX. Occup. ( OFI ELEis (PLN -.OEA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S C� e
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, 1 shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California: and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth co ly with t ose rovisions.
nn Q
X ___ Date lv� T S
of Appf J9 Owner ❑ Contractor ❑ Agent
OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is s Q
Energy Inspection Fee $
OCC CONST. TYPE
TOTAL FEE $ jff4ak IL
HAz. I D. FEES I IMP I FLOOD I CDF *Cd I PO 1 715 1 ISSUE
This permit is hereby issued under the applicable provisions
of the Butte Count Code and/or Resolutions to do work
J foywaieve been paidSignature
C2An
t Date
SON �1
(Date)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,^'"i'wiFr`�fli�k►'7+ssgia i'Irrlih`,3vi.(�t«tv,C,T+N�f06.tr,i,`f1fF,Lr"'�y'k:i4+CyWidt^'ti'k,ul`N,"^ti8.7 wR�Yi �'*"p HvY th.id"att'-,kt,.rF.., r.'e'v....��.+f.-.h"""�
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District �j'lIC
A.P. Number
'Property Owner
Property Location/Address
Subdivison
Qti._ / Building Department No.
urisdiction: City [ County
Residential Development 0
No. of Living MHI
Units
Commercial/Industrial 0
New
Building Department Representotive
Lot No.
AlSq. Footage 3 [ a
in (Group R)
Addition
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Identification No. + t
r) A I arvp School District certifies that
pplicant)
(Street
C ?�/3 "6
(Phone Number)
(City) (State) (Zip Codi
has complied with the requirements of Resolution No. % - J ' by payment of $
representing �/01 square feet.
School District Representative
AB 2926 $ +
FULL MITIGATION $ h
//, )
Date
Paid by Check # 4Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm .
E.H. USB
Plot Plan Atdcbed
P1oor Plan AtucLed
Scat W B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
K6C� GL C"6604Y\ v re, C5 02f
Owner / Locati,96 AP#
Plan Approved U. Sewage Disposal ✓ Water 7upl : Public Private Well
Clearance for Other MA� a
Hold final for:
Final clearance O.K. for: I / y Y
Environmental
9/92
da a Ad:
Date
!:,:.�az�cst:�r ua�C�;O�P �►�'•d'�'!'te:�S�r+';�'^'='rt'.✓�ly:�
COU)NTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER e- I )a-C'o b,5 Oft
Proposed Building Use
A. P. No. Od 7 - 3 cl fs - o-24
%
Building Inspector__!; A Date 1(11115-31L_
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . .......................
4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
obileho a dat nd manufacturer's installation instructions, 2 sets. ...........
ees of $a . ...........
rr
11 Impact fees as shown on attached schedule. C ,. �-.. !I ................. .
California Department of Forestry plan approval/fees. ....................... .
13 ibod elevation letter (100 year flo .q) py California Engineer. . .
sSanitation and plot plan approval C.G Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
20. Pre -inspection for Preanspection requee
p required. . . to Bui!ding!nspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ..........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process ss as follows: Mail to owner. Mail to contractor.
Telephone`: • 6118and hold for pickup at ��w c..J office. Deliver with inspector.
Other
Parcel Creation -r
Acreage Xpplic Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance* Circle w item not 9hecked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of abbA required data by _ phone _ —61 mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
n a r
;..v;.:x:;•:•'a:.:;a;a:;;a:;;;•rrrrrr::�:::•rr:•r:;•;:rr::•::::;:::::•::::::.:r:•;:•rr:<.:;�:::: r:ar:•::: rrr:,•rr;:•r: r:• yr a;x:... .
....:.:.....................vr:.:::::.:•;r:•r:.r.<:;: +•::::;:::.. �::::..:::..................; ..,.:•. �.: �..;•::::::..•:.::.: arr;:;:::::;:::•::... �::.;::::::.:;.;:::. �:::::...•.r•r;••rrx. .:.•r•:.:•r:;:<•»:•:•r:•r:::dr. �::kv: a;..:.t.;.;tif:r':'a:•:
•ffY •: :�
.v
f•
:axrt •r.<•
Attention Property Owner:
An "owner -builder" building permit has been applied for in your, name and bearing your
signature. .
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received. _
1. I personally plan to provide the major labor and materials for construction of the
proposed pro erty improvement : YES�J NO[ ].
2. I HAVE[X ] HAVE NOT[ J signe an application for a building permit for the
proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction: '
NAME:
ADDRESS: CITY:
PHONE: - CONTRACTOR'S LICENSE NO. --
4.
O."4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise; and provide the major work:
NAME:
ADDRESS: - CITY:
PHONE: Y CONTRACTOR'S LICENSE NO. `
5. I will provide.some of the work but I have, contracted:(hired) the following persons to
provide *the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
, -
DATE: ,/� y
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. r
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security 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 profe"§sing 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.
Sinz'erel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
Anita Jacobson RE: Special Inspection #94-15
460 Mojave Court A.P. #007-340-021
Chico, Calif. 95926
Dear Mrs. Jacobson,
With reference to the above subject and your request for inspection of the proposed large
family day care at 460 Mojave Court, Chico, the inspection was made July 6, 1994.
A reasonable visual inspection was made without going on the roof,, under the building, or in
the attic and found the following items which must be done or resolved:
1) The Use permit process must be completed.
This inspection by the County of Butte does not act as a guarantee or warranty as to the
internal soundness of said building.
It is now in order for you to complete the above items and call for a re -inspection.
Should you have any questions concerning this matter, please contact this office.
Sincerely,
Scott Rutherfor
Supervisor, Building Inspection
LAT
U, iiia, U�.4'c k�Jc.';
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (9161 538-2140
July 11, 1994
Anita Jacobson RE: Special Inspection #94-15
460 Mojave Court A.P. #007-340-021
Chico, Calif. 95926
Dear Mrs. Jacobson,
With reference to the above subject and your request for inspection of the proposed large
family day care at 460 Mojave Court, Chico, the inspection was made July 6, 1994.
A reasonable visual inspection was made without going on the roof,, under the building, or in
the attic and found the following items which must be done or resolved:
1) The Use permit process must be completed.
This inspection by the County of Butte does not act as a guarantee or warranty as to the
internal soundness of said building.
It is now in order for you to complete the above items and call for a re -inspection.
Should you have any questions concerning this matter, please contact this office.
Sincerely,
Scott Rutherfor
Supervisor, Building Inspection
61) 3 Al - 0-0a / 14�_ l
STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR
FIRE SAFETY INSPECTION REQUEST 1-3 - STATE FIRE MARSHAL INSTRUCTIONS FOR COMPLETION
2 - FIRE AUTHORITY
STD 850 (REV. 8/86) (Continuous) 4-5 - LICENSING AGENCY 1. REQUEST DATE . 2. PROGRAM
' 6/14/94
3. AGENCY CONTACT
4. TELEPHONE NO.
5. EVALUATOR
CDSS/COMMUNITY CARE LICENSING
( 916) 895-5033
0101-BETHELL
6. SFM REGION
7. SFM ID. NO.
6. REQUESTING AGENCY FACILITY NO.
9. REQUEST CODE
041376484
3-A
CODES
1. ORIGINAL A. FIRE CLEARANCE
RESPONSE REQUIRED
2. RENEWAL B. LIFE SAFETY
-----------------
3. CAPACITY CHANGE
4. OWNERSHIP CHANGE
10. AGENCY DEPARTMENT OF SOCIA, S�tVICYS
NAME COMMUNITY CARE LICENSING
S. ADDRESS CHANGE
6. NAME CHANGE
AND 520 CO$189`30t Road, SUL-to •0*
ADDRESS ahi0o, c® �592� �
PREVIOUS NAME
7. OTHER
'
DATE OF ORIGINAL REO.
11. AMBULATORY
NONAMBULATORY
TOTAL CAP.
DATE OF LAST FIRE CLEARANCE
:PAITY
AGE RANGE (YEARS)
TO 18 18 TO 65 AND
85 OVER
PREVIOUS
CAPACITY
CAPACITY
0
AGE RANGE (YEARS)
TO 18 18 TO 85 AND
65 OVER
CAPACITY PREVIOUS
12
19. FACILITY
CODE 810 10
12. FACILITY NAME
13. NO. BLDG$.
CODES
JACOBSON, ANITA FAMILY DAY CARE
1
1. GACH 7. ICF/OT
2. GACH/R 8. ICF/DD
14. STREET ADDRESS
P.O. BOX
15. RESTRAINT
460 MOJAVE COURT
NONE
3. SH 9. ADHC
4. APH 10. CLINIC
5. PHF 11. JAIL
CITY
ZIP CODE
16. HOURS
CHICO CA
f
5926
DAYS
6. SNF 12. ICF/ DDN
13. OTHER SHF
17. FACILITY CONTACT PERSON
TELEPHONE NO.
16A. SPECIAL
JACOBSON, ANITA
(916) 343-5748
FAMILY DAY CARE
TO BE COMPLETED BY
INSPECTING AUTHORITY
18. FIRE26.
CLEARANCE
AUTHOR.
CODE
NAME BUTTE COUNTY BUILD. DEPT
CODES
AND 7 COUNTY CENTER DRIVE
ADDRESS OROVILLE, CA 95965 I
1. FIRE CLEAR, GRANTED
2. FIRE CLEAR, DENIED
J
3. FIRE CLEAR, WITHHELD
•
27. DENIAL
CODE
TO BE COMPLETED BY INSPECTING AUTHORITY
21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS
ID. NO
�Go of �G' ^�rz(/ Y� ,L ( 916) ��� 1 `I1
24. SP. ATE 25. INSPECTOR'S S�E
26. EY LAIINDENIAL OR LIST SPECIAL CONDITIONS
BUILDING DEPT
J U N 1 5 1994
20. REGION, F- DEPARTMENT Ov SOCIAL SERVICES
OFFICE COMMUNITY CARE LICENSING
AND 620 Cohasset Road, Susie 6
ADDRESS ""00'
ck 98929
23. T-19 OCC.
CLASS
_j
CODES
1. EXITS
2. CONSTRUCTION
3. FIRE ALARM
4. SPRINKLERS
S. HOUSEKEEPING
6. SPECIAL HAZARD
7. OTHER
STATE FIRE MARSHAL USE ONLY
p"-'.
Eutte fount
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: 1916) 538-7601
FAX: (916) 538-7785
November 14, 1994
Anita Jacobson
460 Mojave Court
Chico, CA 95926
Re: Administrative Permit, AP 0077340021 {
#94-125 .
Dear Ms. Jacobson:
Enclosed is your validated Administrative Permit No. 94-125 to allow a Large Family Day
Care for up to 7 children on property zoned R-1, and located on the north side of Mojave
Court, at 460 Mojave Court, Chico, CA.
Every Administrative Permit expires and is automatically null and void without further {
action by the County if the Activity or use for which the Administrative Permit was granted
has not been actively and substantially commenced within one year of the date of its final
approval.
Should you have any questions regarding this matter, please contact Stephen Lucas of
this office Monday through Thursday, between the hours of 8:00 a.m. and 4:00 p.m.
Very truly yours,
Barry K' Hogan
Planning Manager
BKH:bd
Enclosure
cc: Building Division
Land Development Division
Environmental Health
Department of Forestry
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DIVISION November 7. 1994
DATE
94-125
PERMIT NO.
007-340-021
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Anita Jacobson is hereby granted an Administrative Permit in
accordance with application filed: June 22, 1994 to allow a large family day care facility
for up to 7 persons on property zoned R-1 (Residential) located on the north side of
Mojave Court, at 460 Mojave Court, Chico, CA.
Failure to comply with the conditions specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Section 24-
62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 12 months of the
delivery of the countersigned permit to the permittee.
3. If any use for which an Administrative' Permit has been granted is not
established within one year of the date of receipt of the countersigned
permit by the .permittee, the permit shall become null and void and
reapplication shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding
upon and be to the benefit of the heirs, legal representatives, successors, and
assigns of the Permittee.
SPECIAL CONDITIONS:
1. The applicant will be limited to a maximum of seven (7) children pursuant to
Environmental Health conditions and Chico Nitrate Action Plan restrictions on
sewage flow. At such time the sewage flow requirements or restrictions change,
the applicant will be permitted to have up to twelve children upon approval of the
Environmental Health Department.
2. The facility shall be a single family residence that is the principal residence of the
provider and the use is clearly incidental and secondary to the use of the property
for residential purposes.
3. Properties proposed for Large Family Day Care shall be located at least 500 feet
driving distance from any other Large Family Day Care property and the granting
of the permit shall not result in any residence being bounded on more than one
side by a Large Family Day Care.
4. Large Family Day Care homes shall meet the following traffic control measures:
a. In addition to providing the required number of parking spaces for the
residential use, one off-street parking space for each employee of the facility and
one off-street parking space/loading area shall be provided. The driveway area
may be used to meet this requirement.
b. Large Family Day Care homes located on principal or minor arterial roads as
designated by the General Plan Circulation Element shall provide, drop-off and pick-
up areas which prevent vehicles from backing onto such roads.
c. Properties proposed for Large Family Day Care homes shall have frontage on
and access off of a paved road. Roads that are constructed for the purpose of
meeting this requirement shall meet the RS -4C standard as contained in the Butte
County Improvement Standards contained in Chapter 20 of the Butte County
Code.
5. One double -sided sign, not to exceed 3 square feet, is permitted.
6. The applicant shall be licensed by the California Department of Social Services,
Community Care licensing for a Large Family Day Care facility.
7. The applicant shall meet all State Fre Marshall regulations pertaining to Large
Family Day Care facilities.
8. The applicant must meet all other applicable County and State ordinances,
statutes, and regulations.
NOTE: Minor changes may be approved administratively by the Director of
Development Services upon receipt of a substantiated written request by the
applicant. Prior to such approval, verification must be made by each
Department or Division that the modification is consistent with the
application, fees paid and environmental determination as conditionally
approved. Changes deemed to be major or significant in nature shall
require a formal application for amendment.
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining
Building and Health Department permits before starting construction and their approvals
prior to use or occupancy, nor does it waive anyAother requirements.
utte County Planning Manager
cc: Land Development Divi
Building Division
Health Department
Department of Forestry
I 1 I I '�•� I !I �• -
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1 I 1 THIS IS N i r'. SmOvEy 4,
Thts"fs a copy of the Cour h>:'Ssr r c�, : • _- --. -
Provided9*!yto^'d
respedtor:a�
;
Beff� County T;tde: ->mp'-,;
.. I:_'::i�yforaryla¢sau•r.--_..__.... .. ..,. .- .. ..
. ,-. s,..:.;. ,_.� E�:n +^t �}... k'i`�'.r".:=r r-•–.R17�"'-r^- - * .:pc-j�5►,'npp9�s�fi ;�,r,;� ;fin ;, ..G.�e-�;'"�'..`;r.,��,-_' `�.e._., , .T �,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, California 95965
t�* Telephone: 538-7541 "r /5
APPLICATION FOR SPECIAL INSPECTION
Owner AI /y`/9 �1,9-6.-0C'o/(/ A. P. No. -7
Mailing Address -M20 I D:Si9 Telephone No 91-3 S 7�k
G t -•f i G -b � �S�' � to _ U
Applicant ;F4 41 F Telephone No.
.'Mailing Address
Building Location��
I hereby requ st a special inspection of the following building:
1. Dwelling (if only a portion, specify)
Q 2. Apartment House (if only a portion, specify)
3. Commercial (specify present occupancy)
4. Other (specify)
I am requesting a special inspection for the purpose of:
1. Moving the building.
22.
Financing (specify agency)
Case No.
Change of occupancy to :nl C__AXLL
Q 4. Other (specify)
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations; -or repairs required by the County of Butte, as a result.of this inspec-
tion, to comply with building and housing code .requirements. I also certify that prior
to the use or occupancy of this building, I will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete.the
above required corrections, alterations, or repairs.within 30 days.
I certify that I have read this application
and hereby authorize representatives of the
mentioned property for inspection purposes.
RMIIA-) C�acLb6.m"' -
Signat! e of Owner.
Fee Paid $ � V0)V
1st-DPW/2nd-Inspector/3rd-Applicant
and state the above information is correct
County of .Butte to enter upon the above -
Date �� 1
Receipt No.
r q
' a ! t'+Fn M'a.'>r �X�. _.. my fewasrr�.p.o�►+
k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, California 95965 /
Telephone: '538-7541 /J
APPLICATION FOR"SPECIAL INSPECTION
Ar
Owner �}/" ��"%� ���C�L���/!/ } ..3 A. P. No. On -7
Mailing -Address _�(0 lkiD.�/9 Telephone No.91-3 J 7'7"9
Applicant S�Q/1/J Telephone No.
Mailing Address
Building Location / eJ1,9
I hereby requ st a special
1. Dwelling (if
inspection of the following building:
only a portion, specify)
Q 2. Apartment House (.if only a portion, specify)
0 3. Commercial (specify present occupancy)
Q 4. Other (specify)
I am request`irig a special inspection for the purpose of:
Q 1. Moving the building.
Q2. Financing (specify agency)
Case No.
1 o-< Change of occupancy to III 9- '"17D D b `4 C_ -A. e.�
0 4. Other (specify)
i
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required by the County of Butte, as a result of this inspec-
tion, to comply with building and housing code requirements. I also certify that prior
to the use tor occupancy of this building, I will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete the
above requiiced corrections, alterations, or repairs within 30 days.
I certify 'that I have read this application and state the above information is correct
and hereby authorize representatives of the County of Butte to enter upon the above-
mentioned property for, inspection purposes.
"d
r�a i L-�1' �� '� `�S1r\. Date Cat \ v\ 4
Signatfu e of Owner
Fee Paid $ 5 Receipt No.
lst-DPW/2nd-Inspector/3rd-Applicant
a r�, ...}' i,.`u... ..^:..,u-..':.-++�=.1+..v�... f-�•�.:;�t��..r,yj: .��i„^�.. .n •c..s.c .' .v -"-r, "'�'c'`':�r .�., r.. �' �-
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �
z6soltl A. P. NO.
Proposed Building UsedZ f% L Building Inspector _ Date c�y
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans.
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...Preanepeotion regeest
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access.. . ....................:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the ermit, procekn
s follows: Mail to owner.. Mail to contractor.
Telephone d hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant C
'b,J4rn� Date Lo -Q -,A -'91q
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
A
= - u to Cot
7
Jacobson, Anita Family Day Care
460 Mojave Court
Chico, CA 95926
Attn: Anita Jacobson
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
June 20, 1994 -
RE: Day Care Fire Inspection
A.P. #007-34-0-021
The Department of Social Services Community Care -Licensing in Chico has made
a request to this office for a fire safety inspection of your. proposed day care
facility,(maximum capacity, 12) at460 Mojave Court, Chico.
Your property is located within an R-1 zone which requires a use permit from
the Butte County Planning Department prion to business operation. Please contact
them.at (916)538-7601 between 8:00a.'m. and 4:OOp.m. for information on how to
proceed.
When you have made the application for the use permit and paid the
appropriate fees, you may apply to this office for a Special Inspection for the
fire inspection.
For the Special Inspection we will require a plot plan showing the building
location on the property, a floor plan showing room uses, windows, doors,
mechanical equipment etc., and the appropriate fee and the application signed
by'the property owner.
After we make the Special Inspection, we will write a letter advising you of
any improvements and building"permits that may be required.
We will not notify the Department of Social Services of any clearances until
you have been issued a use permit and complied with both the Planning and Building
Department requirements.
Should you have any questions concerning this matter, please contact this office.
i
MCV:dms
cc: Department of Social Services
Planning Department
Yours very truly,
P-eira,
Mic el.LC.B.O.
Manager, Building Inspection
r ERS ET
—
_y, t.. —
-' COMPANY
on OT UCRNSEO CONTRACTOR
Phone: 342-4764
P. O. Box 3505 — Chico, California 95926
INSULATION (Batted or Blown)
Date z/ii �� 19
To 4z-)- r`0- k'P .A .
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS
/-- f
Manufacturer 0 � Thickness/Type R Value)/
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer C—�— Thickness No. Bags Wt./Bag
Sq. Ft. Covered.. R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer ^ Thickness/Type R Valued ®w , (�
GEN R OR\T `)ANy�aa.`T�7�� LICENSE NUMBER(3W&)e•\
B TITLE �V ` �` `\ DATE 5 92d�j
INSULATION C IN, TRACTTOOR �C'.} _ \ LICENSE NUMBE
g / /Fid/� �i ��LG/ i TITLEY�J� fw� ilsf✓
DATE�
SAVE ENERGY - INSULATE!
(DATE)
ACCEPTED HERSETH COMPANY
(Authorized Representative)
rAW
RESIDENTIAL
ENERGY CCNSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE.
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED TN'CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT�j\XV,k
(lOc$tloll) r v '
BU xI.D,ING. -PE.RM T NO. 5-12.6-'�� O A.P.. NO,. l�- DS35 ^-I ?OYi.`i,
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each itegj or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge. N Single Glazed
Fdn. Walls MA Special (Insulated) tij .
Floors CERT. & LABELED WDS.�� S
".Walls & SLIDING DRS.
Ceiling/Roof 6K(- WEATHERSTRIPPED DRS.
Ducts YES BACK DAMPERED FANS TSS
Circulating Pipes Nl7 INTERMITTENT IGNITION DEVICES .C -
APPROVED HEATER `►'%� CERT, APPLIANCES
APPROVED WTg.rHTR. `MS
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS Or THIS CERTIF ICATE AS SUBMITTED. A
Insulation Applicator Name
Signature of (please print)
Insulation APplicatoF
State Contractors
License NO.
/Owner N-g///j -b SCA
Signature of (Brse nt)
-General- 'G-ope roe tot /Owner,_
j.
DateS`8-Z5.1
e Contractors
nse No.
THIS CERTIFICATE MUST BE ON FILE WITH T11E BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS ROGATION
WITHIN THE DWELLING.
' .5726-78B
,PERMIT NO.
1 PERMIT EXPIRES
'J hn D. Drake
OWNER
owner
CONTR.
;' LOCATION (A.P. 44-053-73 port.
460 Mojave Ct., lot 81, Joshua Tree#2,Chico
N
N'
Zi
'6
f�
f
Temp. Power Pole
Called PG&E
7tM. Elea Sery; (7
Called PG&E
Temp. Gas Serv. 67
Q 7
Called PG&E
JOB
FINALED / �
(Date)
(Signature)
Mesn
'COUNTY OF BUTTE — bEPAATMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Gird. Fault Prot.
BUILDING,
BUILDING !Sg 'd)
PLUMBING
Setback "30--7
Firewall
Soil Piping
Forms
0 ^
Parapets --
1st Floor
Main Bldg.
Permanent
Restroom Finish
2nd Floor
Footin sWindows
MOBILEHOME UTILITIES ------------------
Elec_ Service
3rd Floor
Stemwall
Sewer
4,
Siding �� —
To out ti
Slab
Water Piping
Roof Sheathing
Water P1ping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal I
Insulation
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
i -Conformance of ex.
structure
Appliances
Gas Pip ng &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final'44 5�Z7 9(2v
Footings
Footin
EL TRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRES RINK ERS
Motors
Framing
-7
Test
Water Htr.
Stucco
Final
Suboanels
Mesn
MECHANIC
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole `----�
Finish
Ducts
Underground
Interior Lath •---
Ventilation
Permanent
Door Closer
Final Cp
CKeV Final
MOBILEHOME UTILITIES ------------------
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEIP41-MENT OF PUBLIC WO K
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner IJoffA/ D, e%i,IJC SO. FT. I OCC. BUILDING VALUATION
p/49 aaoa
Mai I i ng Address Pr O , ,�jQ�( O >1 a 8 o
C7/ -/-1w , c,4 9s9�
Contractor
Mailing Address
Telephone No.
Building Address 460 Mo mve I0vc2T
60 7- �'S/ \/aS#V• # T2C-E �Z i 0141Co
A. P. No. 0S� r / '3 onin &
s Planning
WV.' SaC14ZIri' Fire Dept. FireZone Use Permit
EOA Parking I Parcel Parcel 60' R/W Imp ro ements
Plans // Declaration p
"YU��Re/43 Parcel Plan Approval
royal
NEW � ADDITION ❑ UTILITIES ❑ OTHER ❑
Single Family Ua-' Duplex ❑ Mobil Home ❑ Others ❑
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:
Fireplace
Total Valuation
o!s/r,?O
Permit Fee
PERMIT FILING
Plan Checking Fee &/or Penalty
$3.00
Permit Fee
100 AMP ORESS5.00
PLUMBING
No.1 @
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
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL No.
@
PERMIT FILING
FEE
$3.00
Main service
100 AMP ORESS5.00
Main service
EA. ADD•L 100 AMP
2.50
Main service
OVER 0V
100 AMPPOR LESS
25.00
Main service
EA. ADD'L 100 AMP
1.00
NEW
OR ADDNST (
ACCLBLDGS.LING CCUP. 4'1
//1
2¢Sgft
NEW CONSTR.
IJr m_PPSIr].
(MULTI -OUTLET
l BRANCH CIRCUITS/
19 50ea
EX. OCCUDIOUTLETS OR FIXTI1RE.
EX. OCCU FIXED APPLNS, OR
P• OUTLETS (RESID.) EA
Temporary service
Mobile Home Facilities
Misc. Wiring
Li5pdse No. Classification
I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor IHeatina
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
W kmen's.Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws, relating to b Ilding construction, and hereby
authorize representatives of Vi ounty of Butte to enter upon the
abovq;a"ioned property foction purposes.
X
Date
Signoture ee or Agent
822 5
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Cooling
2.00
10.00
15.00
6.25
$3.00
If
FEE
FEE
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $r,pp
TOTAL PERMIT FEE $ ILIO 1 Ad
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.
DIRECTO PUBLIC WORKS
By_ Date to - - ZE
B ding permit expires Date 7 $r
v
JOStellA TREE 5L18D%u/S/ON uN177 2
Jhis' set of plans and specifications MUST be NOTE:—All Materials & Workmanship Shall Be in
kept on the job at all times and it is unlawful to ofcaoquality pre cp bed rdance w;a�h 9for-the.-Speci iegd nized Good Practices
se in the
male a -,y c, s or-alterionson same without f Uniform Building, Plumbing & Mech Codes and
written permission from the Department of Pub. the National ctri al
lic Works, County of Butte
18.25 7.72
0
�o-
e g. Setback shall be 5 ft. from
side property line and 50 ft. from th
centerline of the road, permitting a maxi.
mum of a 2 €t. eave overhang but entirely .
out of all easements.
�9
ISeptic systema d location of -buil l
m
YA
�g- drain stub out to be as per
Butte County Health Dept. Re.
quirements.
See Ma;t r Plan on file for building
plans.
BJ�G
CgUNTY
' BUILDEPARTMENT
80.00
VPD
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 �J
• Telephone: 534-4541
APPLICATION AND PERMIT
`f Signature of Permitee orrhAgent_ g�rDatelG
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUILDING
Owner or ig tC�e
SQ. FT. OCC. BUILDING VALUATION
Mailing Address [icy,
I co S92..('392
Telephone No.
-RMS -
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee oa
Building Address a
Plan Checking Fee Vor Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
�S �
o a / BS v 1C®
Repair drainage or vent piping 1.50
A. P. No. 7 — p'S '�o2T,
R. -&l
Zoning Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fe
4wr -a4iea
Fire Dept.
FireZone
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
RBLdg 2 'd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
� 1f
— I.F7 ,r 13. P 72-.K_7,
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6001 OR LESS
100 AMP OR LESS 5.00
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 CONSTDWELING
OR ADDNS. l ACCLBLDGS,CCUP. 71) 22 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:
NEW CONST11 MULTI.OUTL T
NON-RESID (BRANCH CIRCUITS) 12.50ea
NEW CONST R. (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
Ex. OCcuo(OUTLETS OR FIXTIIPES IBA@ 21
FIXED APLNS
Ex. Occup.(OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Licer No. Classification
QVM 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.
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
auth epresentatives of the County of Butte to enter upon the
abov - oned roper fo In ction purposes.the
Date
Land Development Fee
is
TOTAL PERMIT FEE$
—
This permit is hereby issued under the applicable provisions of
BCounty Code and/or resolutions to do work indicated
a f which fees have been paid.
sETOR OF PUBLIC WORKS
`f Signature of Permitee orrhAgent_ g�rDatelG
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
T.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
s 7 County Centra 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.
X Date
Signotureof Per teeor Agent
Receipt No. 1,6&1.3
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the BWte County Code and/or resolutions to do work indicated
a e r which fees have been paid.
IR IC TGR OF PUBLIC WORKS �7
'W� Date d
Building permit expires Date �� 3
BUILDING
Owner JAI,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor C—
Mailing Address
Fireplace
Total Valuation
v
Telephone No.
-
Permit Fee
Building Address
PlanCheckingFee&/or Pen aIty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 00
Each Trao 1.50 LOO
4 O e, Q
Repair drainage or vent piping 1.50
A. P. No. — QS -3-- fr
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fbe4
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 , -D
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldr. Plans Rec 3'
Parc!LAEproval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
v1�1 �p
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. 5i 20sgft
OR ADDNS. 1 ACC, BLDGS.
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:
/� ' , r
K;=o r:f fw t 'P elkW�bJT IQ �t G
NEW CONSTP_ MULTI.OUTLET
NON-RESID (BRANCH CIRCU ITS 12.50ea
NEW CONSTR. (POWER APPARATUS .&
NON-RESID. SINGLE OUTLET CIR-
250
EX. QCcur)(OUTLETS OR FIXTURES BAL 10
Ex. Occup (FIXED TS (REAPPLS. OR ) rz 00
OUTLETS (RESID.) EA
Temporary service 10.00
✓
Mobile Home Facilities 15.00
License No. `if %ZQA Classification 6___3
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" I have placed on file with the County of Butte a certificate of
IYI+ Workmen's Compensation Insurance.
r -1I 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
$ l L
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signotureof Per teeor Agent
Receipt No. 1,6&1.3
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the BWte County Code and/or resolutions to do work indicated
a e r which fees have been paid.
IR IC TGR OF PUBLIC WORKS �7
'W� Date d
Building permit expires Date �� 3
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
. 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 j
APPLICATION AND PERMIT
BUILDING
Owner SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address J Fireplace
e " Tlone No. Total Valuation
e
S d- S� Permit Fee
Building Address Plan Checking Fee&/or Penalty
Permit Fee
960 at7 PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
�+ ` Water piping 1.50
J
A. P. No 9Y `0 3 —73' loof1b Zoning &Planning
Each gas water heater or vent 1.50
Fe I W. Sewi->atien I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50
Parking ParcelEach additional outlet .30
EOA Plans Declaration I Parcel Map 60' R/W I Improvements
Building sewer 5.00
BI Parcel Approval I Plans Approval Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $
26-7 $� ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service eoov OR LEss
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50
Main service OVER 6001 100 100 AMP OR LESS
Main service// EA. ADD'L 100 AMP 1.00
NEW CONS.DWELING
OR ADDNST l ACCLBLDGS.CCUP. &� 22 sq ft
CONTRACTORS LICENSE LAW NEW , MULTI.OUTLET
BRANCH CIRCUITS
NON.RESIESID2.50ea
NEW CONSTR. (POWER APPARATUS e
I am licensed under the provisions of Chapter.9, Div. 3, of the NON.RESID. SINGLE OUTLET CIR.
State of California Business & Professions Code under the name Ex. Occup{OUTLETS OR FIXTURES a ��
FIXED ALNS.
style of: EX. Occup.( OUTLETS P(RESID.)REA) 2.00
`�lYin L.(�yl GU�/iDli1rl' _ Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
License No. Classification C_ -a?C7
❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 d-0
I am aware of the provisions of Section3700 of the California Labor Heating 55 GO 4%J
Code w 'ch requires every employer to be insured against liability
for W men's Compensation.
I have placed on file with the County of Butte a certificate of Cooling / GCJ GYM
Workmen's Compensation Insurance.
❑certify that in the performance of the work for which this Ventilation piermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation' Laws of Hood' 2.00
California. $ $
Permit Fee
I certify that I have read this application and state that the above Land Development Fee $
information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE Is
and tate Laws relating to building construction, and hereby
auth r ze representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
abo e- entioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
lA ' above for which fees have been paid.
X 6� Date 46 IRECTOR UBLIC WORKS
Signature of Permitee or Agent
By Date
Receipt NO. %.0 F'U$-7
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Culiding permit expires Date —715
Ar ;
COUNTY OF BUTTE — DERA-RTMENT 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 inspectio purposes.
6 X Date
Ignature of-Pe or t
Receipt No.Tc��C�`1`
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.
. ADIRECTOR/a PUBLIC WORKS
Date/Zip—
"..
ate
permit expires Date /0--3— 7 °j
BUILDING
Owner Jaj4m 10, DRA-WIE—
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor E L
Mailing Address 3
Fireplace
Total Valuation
LL t"4.
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
/
(oD
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No. 44 — 6,-5-3 – 73 poa T,, Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
S�n
I 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
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JF[
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 . DO
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. / DWELLINGOCCUP 2�S ft D
OR ADDNS. 1 ACC. BLDGS. q
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:
at.
NEW CONSTR BRAMULOUT
NON.RESID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR.POWER APPARATUS &
NON -R ESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES 1e L 1� '
Ex. Occup.( OUTLETSFIXEDP(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. �0�3�f Classification /�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ , ir0
$
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 W men'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
is
TOTAL PERMIT FEE
$
X4 1?c
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspectio purposes.
6 X Date
Ignature of-Pe or t
Receipt No.Tc��C�`1`
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.
. ADIRECTOR/a PUBLIC WORKS
Date/Zip—
"..
ate
permit expires Date /0--3— 7 °j
1s
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-54. 10 Q,0
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ado
use ve 40",-T4
eer• 9,597p3
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J UI 2 0 2001
BUTTE COUNTY
PLANNING DIVISION
�DJ a v e- e,0 ue`1-
ewe, Araer
4
._L�orvnado �ac%
,cep
.APPROVED
OCT f evelOPment Plan
DATE N -
USE PERMIT 7-v ARIANCE —
.PERMIT
MINOR/�.P• —ADM
I/ PLANNING COMMISS•
DIRECTOR OF
DEVELOPMENT SERVICES
APPROVED
Development Pian
DATE
USE PERMIT VARIANCE
MINOR U.P. ADM.PERMIT
PLANNING COMMISS.
DIRECTOR OF
DEVELOPMENT SERVICES
p
FM
f_) A IV C ',,,/Ay
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DRIVEWAY
vo