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022-202-008
41 1 CS- I,> BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. A a U Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Zvi ° ao �Q� ZONING — 0Me- I �� N O. t VlS[�� �l OWNER'S AD t- E S LOCAT O OF BUILDING USs-'-OF BUILDING SIZE OF STR TURE X -4 --()'= SQ. FT. TYPE OF CONSTRUCTION: ✓ WOOD FRAME STEEL CONCRETE OTHER (Specify) TYP 015 SIDING ROOF COVERING FLOOR TYPE ESTIMATED OF CONSTRUCTION jCOST $ AG Buildings shall comply with'the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 'vv "-y l''`'� FRONT SIDES REAR AG Buildings shall be a minimum of five'(5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. / �te ea /17/ y 3 Sig ature of Owner 974x'� Permit Fee - $60.00 The above described AG Building is exempt from a building perot. PARC Receipt No. �J� � ✓ 17�Ja @�,ae 9-�., 3�7�J Manager Buil Ing Division White— DPW, Yellow— ssessor, Pink — B. I., Goldenrod —Applicant Date ry �,. �. a;y;;y���ya'A'�:s��iu•k�. �.11�S^(ta4h'tia°'��ol�.....,..:�:�.J.,.���u�s�jti�0.i".s+1..iu.�.n-U 4 ,�i�:X' r'..::.y:.,i+.3_r-s��.a`"'i'r��4!Z,.�.,�y.+�?i��S'.•�":SA it�•.wF•��,•v ,j;;v'. iN•'�,��� 4�CW 1 r � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — orovi lie, California 95965 Tel ep¢one: 534-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. x r Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee _ Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address /` -_f _ , F •/ „: %":;: r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 T { r Each Trap 1.50 Y r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 r . # _, -, 1/ A. P. No. d? L t- - «- - Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fje W,C` Saartation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BldRa—f2ec`ff Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' Main service eoov OR LESS 5.00 100 AMP OR LESS /, �. �''+'i`✓ '(/ 4, (� ; Main service EA. ADD'L 100 AMP 2,50 OVER 600V Main service 1,00 AMP O.R LESS 25.0 Single Family Duplex [JMobil Home ❑ Others ❑ Main service EA. ADD"L 100 AMP 1.00 NEW LING O OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea 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 st le of: Y Ex. Occup(OUTLETS OR FIXTURES)50 @751 SAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No, @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 authorize representatives of the County of Butte to enter upon the TOTAL PERMIT FEE $ This permit is herebv issued under the aoolicable Drovisions of above-mentioned property for inspection purposes. x r Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 7 County Center Drive q)rovilie, California 95965 Telephone: 534-4541 . APPLICATION AND PERMIT % -- - - -- •--r•---�••-••�+ �c vuun,y u, Butte to enter upon the above-mentioned property for inspection purposes. X Date 11--210 �e Signature of Permitee or Agent Receipt No. 11�417 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. BY.�DIRECTPR OF PUBLIC WORKS �--ef B permit expires Date i BUILDINGf W1 Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Tele hone No. G5 Fireplace Contractor ' Mailing Address Total Valuation Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address 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 ,� D A. P. No —%�� ' Q� �2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F ° 're Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 f3f Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS — 100 AMP OR LESS 5.00 !/�51�/•% Alew A, -O f/��, �l Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER OOOV Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NE W OR ADDNST C ONS. ( DWEACCLBLOGOCCUP. &) 2�isyft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 12.50 ea NEW CONSTR. (POWER APPARATUS &J 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 style of: Ex. Occup(OUTLETS OR FIXTURES) BAL Fat FIXED APPLNS. OJ Ex. Occup.( OUTLETS ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 X ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00Heating 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 authori7a ranrocentnti—o f fhe r, .. ,., a r]..., TOTAL PERMIT FEE -- - - -- •--r•---�••-••�+ �c vuun,y u, Butte to enter upon the above-mentioned property for inspection purposes. X Date 11--210 �e Signature of Permitee or Agent Receipt No. 11�417 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. BY.�DIRECTPR OF PUBLIC WORKS �--ef B permit expires Date i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECC-10N REPORT Owner •�Gl-�i� Address: �� %3x • ��_ "51G S� Tenant: Building Location: -ZZ --5 o Type of Inspection requested: A. P. #k ZZ,2A2-� _ dl Date of Inspection Inspector' 1. Housing Ll 2. Financing 3. Change of Occupancy to 0 4. Other ( specify) - �2� //Ly�� GT/ O,t/ ��� �/riSjT/�G yg r/y/✓ (�/= �ii'S vt�l T�/Z /Tie . Present use of buildin&: A. Sanitation (Housin 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and_ ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments:- D. omments• D. P lumb in 1. F' res Gas water 3. 4. connected and vented: heater: (rnntimioA nn 1»rlrl E. Other 1. Maintenance and repair: ^s ' 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description):.��_,� 3. What action recommended: A. Information only - file. / / B. Hold for ten (10) days, then write letter. / / C. Write letter. D. Other: • �v -COTES 67i LKA oajL i� ,.r RE91DENTIAL I PERMIT NO.—, 022-202=00$ � �5=1092 � BYERS- j 66 HASTINGS, BIGGS Cont: STEWARD, MARK i ADD/SF OFFICE COPY Address 4C6 h�-517W, GAS Meter By Date ELECTRIC Meter By Date Y -9/—b SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER m� 19 CHECKED BY fir.'jb � &, .-0 ko-3f-i�S �4-� ft .JOB FINALED (Date) Signature .i CERTIFICATE Name County Job ... . .......... . I � .� ..:! ......... . . ........► 66 Hastings, : Riggs . ............. Job Address (street, city, state) Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: Bran'd Name:;:::` Thickness (inches): omm—p Thermal Resistance (R -Value): 2. CEILING Batt or Blanket Type ::'.i-.`.'. Brand Name: . .... . .. ... Thickness (inches): Thermal Resistance (R -Value): . . ....... .... . .. Loose Fill Type:'.::.`: : Fiberglass :::'s Brand Name: Minimum Installed Weightfft::;` 31:Ib Minimum Thickness: inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value)::. w:,::-30 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material::-! Fiberglass:::: Brand Name: Kna6f Thickness (inches): Thermal Resistance (R -Value):.'. .. .. . ...... ...... B. Exterior Foam Sheathing Material: ......... .. Brand Name: Thickness (inches): .... .. ... . .. ... ....... Thermal Resistance (R -Value):!:' -..1 4. RAISED FLOOR Material: Thickness (inches): ........ ......... 5. SLAB FLOOR/PERIMETER Brand Name::,:"�:.. Thermal Resistance (R-Value):':'�:"::.!'r'1`.:. .11 . ....... .......... .. .... Brand Name::' Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value) -.- ...... ... ... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. T& :Chico:Insulation Insulatio Item Number's Si6ature an Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner . ... ..... ...... .... .. Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner J=OK 0 = Not OK Not Applic . = Not Ready 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 "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 MOBILE HOME INSTALLATION (Plans) OK except Ws Date 1. Zoning Requirements-Setbacks-Easements Date 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water, MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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 ]ate DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 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- 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 J=OK 0 = Not OK Not Applicable . = Not Heady RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s ing-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/l L.P Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. 5t§., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6. Xe-mwalls, Garage; Steel-Blockouts-Wrapped da,*'Hold Downs and Special Anchors 7. S Steell Wrapped rs-Fin lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 1 . Plenums & Ducts; Clearance -Material -Support -Ins. 14'5!ers-Sills-Anchor Bolts-Joists-Vents-Crippies 1 Access & Ventilation 16. Insulation Date RAZ,;, Date Card B-1 r I Date Card B-1 Card B-1 Date Card B-1 Date �T. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fre Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 4. fixture & Transformer Clearance -Ins. Protection 29',Elec. Receptacles Spacing -Lights & Switches at Doors §rze Boxes & No. of Conductors Stapled 2 . Pomex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s VA -C. Ducts Insulation & Support 3 . ent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Aft -Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s ills Proper Materials & Anchors calls Studs_ Nailing Spacing & Braces -Plates -Sound -.16 Baring Walls over Girders & Floor Nailing graft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46.viieaders & Beams -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors �. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. ,4'9. Fireplace Ties or Type AFlue-Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions cf52-Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 4. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits `S57. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh-Drio Screed -Fd. Vents-Underflr. Access Area -Glass -ZO. Shear Walls; Nailing -Boz , 61. -.,Brace Interior/ExteriorAfflall Panels�- 63. Infiltration -Wall Windows Date C/(ems Card B-1 IDate Card B-1 Date Card B-1 i 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 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 0 Yes 83.Followin InsUd"ve O Yes D NQMalks O Yes 0 No/Planters O Yes D No 84.Stucco Brown -Finish 85.A.C. Unit Disconnect, Electrical -Plumbing 186 . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.FI. 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/0 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: NLQ411A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO): -„ OFFICE M (530) 538-7541 ' ". PERMIT.NO- -..-•BP051-092 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). XI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under ArticleA of the BusineAand Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy R Applicant: BYERS ALLEN WILLIAM & ETHEL ELIZABETH JT 66 HASTINGS AVE BIGGS, CA 95917 Contractor: STEWARD CONSTRUCTION, MARK P 0 BOX 1060. .. -. . BIGGS, CA 95917 530-868-1075 License #: 496738 Architect: Engineer: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 730 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $43,040.00" and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address 3I I l22- �'COgB,;3� mot This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicates( abovg for which fees have been paid. PERMIT EXPIRES ON: lid ` Date: Ga — 2—"1 — V 6 ❑ 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 upon the above mentioned property for inspection purposes. Print Name: l� v le l 1g 2.1'S Signature: offj Date: 4 I 5 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building PermitOl-16-04 pg 1 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: 06/29/2005 APN: 022-202-008-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 66 HASTINGS AVE BIG' Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: addition, 1 story (640)COV(90) 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: BYERS ALLEN WILLIAM & ETHEL to its issuance, also requires the applicant for such permit to file a ELIZABETH JT --- signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 66 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS,.CA.. she is exempt therefrom and the basis for the alleged exemption. Any . -^ 95917 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). XI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under ArticleA of the BusineAand Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy R Applicant: BYERS ALLEN WILLIAM & ETHEL ELIZABETH JT 66 HASTINGS AVE BIGGS, CA 95917 Contractor: STEWARD CONSTRUCTION, MARK P 0 BOX 1060. .. -. . BIGGS, CA 95917 530-868-1075 License #: 496738 Architect: Engineer: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 730 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $43,040.00" and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address 3I I l22- �'COgB,;3� mot This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicates( abovg for which fees have been paid. PERMIT EXPIRES ON: lid ` Date: Ga — 2—"1 — V 6 ❑ 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 upon the above mentioned property for inspection purposes. Print Name: l� v le l 1g 2.1'S Signature: offj Date: 4 I 5 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building PermitOl-16-04 pg 1 ��BUTTECOUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 a. BPD/ i OFFICE #: (530) 538-7541 01 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION r BIN # Website: www.buttecounty.net/dds 1 �� 1 b **PLEASE PRINT CLEARLY** OWNER Last e S Firm ' Add LUG S ,�/ , „ i 5 St Zip 59/% P rl Fax E-mail 53 —37 a-1 "k CONTRACTOR Nam l �/ Name Address, Ct - S Stat Zip 'jl69J? Phone/� V /\ A - Fax %M- J`�`�` E-mail E -mail Lic. CI APPLICANT NAME ARCHITECT/ENGINEER Name 5 Address WORKER'S COMPENSATION City Fax State Zip Phone Type Const. Fax E mail Map Book State License Number APPLICANT NAME Nam Addres$ I _� S (DLQ 5 Staten WORKER'S COMPENSATION Pho% Fax E-mail APPLICANT SIGNATURE X LW, r, For office use onl ^� �,, AP# 02:1 :1 CXR `Z — 008 Zoning City 3t Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION ^� �,, AP# 02:1 :1 CXR `Z — 008 Prope,tyAdd77M S City 3t Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 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. Receiv d b : Amount: 7 3 y2 Bldg i� SRA Receipt #: Sheriff kj `� SMIP Dat : � VJ Other I Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 County Department of Development Services CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: Q SUBJECT: Z DATE: WILLDAN Scott Rutherford (530) 538-7160 o�UTTFo o o o /' o O- r O F o cOU N �y srutherford ftuttecounty.net Plans Transmittal For Review Per Contract 5/3/2005 Applicant: Byers, Ethel Permit No: 05-1092 Project Type: Addition APN: 022-202-008 100% 70% Plan Check Fees $ 428.92 $ 300.25 $ 428.92 $ 300.25 WILLDAN Fee $ 300.25 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: l 3 / L r ASSESSOR PARCEL NUMBER 0;? Proposed Building Use: / t 1>17-1U'y Permit Technician: GC J Date: / 7 b Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 1 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. A/ 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. 0 11. Letter of intent for non-residential buildings \❑ 12. Hazardous Material Form �] I AJ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other ainin Items needed to issue the permit. (May require additional plan review upon receipt of the following items.) I % 15 Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ 0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ h8. Soils Report and/or Engineered Foundation required ........................................... \❑ Erosion Control Plan Required........................................................................ LFees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry gan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: [{B)Parking: (C) Parcel Check:..... 5� \❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ N26. 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 .......................................... A/ 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: ���'fi'�L � ��-S S3 8-372/ When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. �jI � /o< Applicant: `��Wu Date: 1. Index permit application for the above items numbered: Sl ' Plan Check Letter 2. Additional items re Contractor, designer owne as advised of the above data bytne, ❑mail, ❑counter, by �'P�_ Date: Contractor, designer, r, was advised of the above data by ❑ ne, ❑ 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: Date: I I j2 Ins - Structural reviewed by- Date: Structural approved by: V i Note transfer by: , Date: 1 Q Date: � .. Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES �y Website: www.buttecounty.net/dds OWNER /L`—/L A.P. # PROPR D BUILDING USE A-V/D,/ 7 % 6YO DATE 7-0 S_ RECEIPT # DATE REC. 1. BUILDING PERMIT FEES 2 O --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ - . ditional plan checking Fee.... $ � ( O _ CHOOL DISTRICT FEES r3/&6S 6 (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ �iq.rtg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) WATER TENDER FEES BATTALION # &�$ 0 (paid at Building Division) / 8SMIP l s D V3 ((T /me- (/� 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed dlging the plan rbecking process. APPLICANT DATE /g7/0,5 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) ltcrc wo9�6p Department .0 o u n t 1 J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 S National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE1 Project Description: /i -7 M Project Location and/or Parcel Number: — _-2.©-,-1- —0 4 5t7nW5 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting ,false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: 0 vJ n,�A Date: Y/0-7 %® 6— Less Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopment Sei- ices °uTrF° 7 County Center Drive ' ° ° Oroville, CA 95965 o s` o (530) 538-7601 Telephone (530) 538-7785 Facsimile c�UNty BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation: clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all:mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: 0 '�L'a - '-10 a-00� Building site address: Permit No.:'�%b®� 2 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: -716 SIGNATURE OF 4PLICANT DATE Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705 Viz. Y' -ods x_ 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 material for construction of this proposed -property improvement: YES [ ] NO [ ]. 2. I HAVE [ ✓] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: 04[e_ � ADDRESS: 90 CA- 9581 PHONE: —1675 CO CTOR'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: `` 12- 71d 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 11/42004 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. iW� MicVael C. Vieir4 C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Ad -7 School District 6 S Building Depa rtment No. /�5PO5 7 A.P. Number 0"22 -Z 2- city County Property Owner 577 A/ Property Location/Address' Subdivision Lot No. xr ......................................... Residential Development ....... .............................. 6e10 Sq. Footage A (Group R) E No of Uving Mobile Home Addition) *Supplemental to Units Installation conversion Permit #. *(No foundation Inspection) ..................... . .. . . ................................. ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Building Now Addition itive District Identification No. t-\ L k---)4Nchool District certifies that (D�o Sq. Footage (including Exterior Roofed Areas) —0 Date (Applicant) (Street Address) (Phone Number) (City) j '--j --j AState) i (Zip Code) has complied with the requirements of Resolution No. by payment of $ Ll repre'Senfirfg square feet. 1" 2926 $ IFULL MMGATION $ -ula to -:2 2 - CS School District Representative Date Paid by Check # 1-5 Remarks: NoM: You may protest the Imposition of the fees,iftntiffecl above by submitting a written protest to tne u1strim in compuance wim Government Code Section 66020(a), within 9Mdais from the date fan are paid. Failure to submit a timely written protest will'prohitilt you from challenging the Imposition of the fen In any court action. M, subsequod to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the District Is Will 'by the applicable Local Planning Agency that this project Is being revierod under the Calffornia Environmental Quality Act (CEQA). thio project may be subject to additional school fen to fully midgatsks Impact on On eehooldistricro schools. White (applicant), Yellow (building department), Pink (school district) feeform.xIs 410/03)dm.m N t SITE PLAN REVIEW APPLICATION Date: �'/�S AP# 0°212 �T Permit Number (if applicable) �� /L APPLICANT INFORMATION Parcel Size: � Owners Name: 4�dd &__a4_5 Owners Address: CIA i? ( 7 Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential '( Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval M Site Plan Stamped Approved By gjnA Date f Z Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and "requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) G� ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: x • Flood Panel No.: 06_007C O 7 5-C Index Date: F1Sacramento River Reclamation District (Approval must be obtained from the ali omia 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: A — 5 G P- ©FC Applicable Building Setbacks: Front Zoning Code �Q � Streets & Highways Fire Prevention Subdivision Map Side 6-1 Side Street Rear I Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 A Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula --------------------7---------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By a 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 Cou#y Standards for Deed Creation:[] NoEl Ye /I Comments: J1 Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval.. ❑ Meet the Fire Safe Regulations of Butte County and P.RC. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 101 Page 4 of 5 A: 0 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 CA. u� s�r, Piot Rea Aneched 1 Floor Ren Attached Som to B.D. ! ' TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 'owner - Locat n AP# . Plan Approved for: Sewage Disposal ✓ Water Supply: Pubic Private Well Z rance for dwellin Other _ �d�o m , �A'77-144i�'7Y2 Q' ' 1 Clea 9 �cJ i�G) /42av7ry Hold final for: Final clearance O.K. for: NOTE: /-N Environmental 8/96 cialist --V- C> /,) C>/,) Ie- Date N�USWI LLerving ,DA�N June 13, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1627 Jurisdiction Job No: 05-1092 Assessor's Parcel No: 022-202-008 Description: Byers Residence Addition Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies of sheets 1 through 4 dated 03/28/05, by Mark Steward Construction. ➢ Energy Calculations: Two (2) copies, dated 04/24/05, by Barry Rubanoff. ➢ Truss Calculations: Two (2) copies dated 04/19/05, by Endeavor Homes. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. r� �WILLDAN , Serving Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the permit documentation. The permit application does not specify the 90 square feet of covered porch. Specific Use Type of Occupancy Type of Construction 1" Floor Sprinklers Stories Sq Ft 2" Floor Sg Ft Total S Ft Addition R-3 V -N No 1 640 NA 640 Porch R-3 V -N No 1 90 NA 90 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Since , aac Kuste Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Ethel Byers; 66 Hastings Ave., Biggs, CA 95917 Mark Steward, Fax: (530) 868-1075 Page 2 of 2 County of Butte Permit Number 05-1092 W illdan Project Number 14353-1627 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7536 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041418 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: 05/18/2004 APN' 022-202-008-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address: 66 HASTINGS AVE BIG Date: Contractor: Map Index' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: reroof W/comp 15 sq 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: BYERS ALLEN WILLIAM & ETHEL to its issuance, also requires the applicant for such permit to file a ELIZABETH JT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 66 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any 95917 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).): P9 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BYERS ALLEN WILLIAM & ETHEL such work himself or herself or through his or her own employees, ELIZABETH JT provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of tthee Business and Professions Code Date:V Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. 99 1 certify that in the performance of the work for which this permit is Valuation: $0.00 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' Census Code' 1, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Date: �/ Applicant: (,�Eifi►�•-� /�f �`✓ �� n/ / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of (� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - — This pe it i ere h issued under the applicable provisions of the Butte County dP anfUor I hereby affirm that there is a construction lending agency for the Resolution o rk indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: e: ' Address: PERMIT EXPIRES ate ❑ 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. 1 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 oof'Butte enter upon the above mentioned property for inspection purposes. ,County lt�o A 11w Print Name: Lam/✓ �fJ Signature: 0 V Date: Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 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. BP041418 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: 05/18/2004 APN'' 022-202-008-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 66 HASTINGS AVE BIG Date: Contractor: Map Index: Description: reroof w/comp 15 sq 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: BYERS ALLEN WILLIAM & ETHEL to its issuance, also requires the applicant for such permit to file a ELIZABETH JT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 66 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any 95917 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BYERS ALLEN WILLIAM & ETHEL such work himself or herself or through his or her own employees, ELIZABETH JT provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of theBusinessBusiness and Professions Code EEO I't Date: Owner: 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 License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer'' insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: IRP I certify that in the performance of the work for which this permit is Valuation'' $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code' ' 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 V —� compensation, damages as provided for in Section 3706 of the Labor l' code, interest, and attorney's fees. % o / _ r 1 pe `issued CONSTRUCTION LENDING AGENCY This it i ere under the applicable provisions of the Butte County dR anrl/or I hereby affirm that there is a construction lending agency for the Resolution o rk indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Dat � By: r—': Address: PERMIT EXPIRES ate ❑ 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 upon the above mentioned property for inspection purposes. / Print Name: l/-' Signature: 0 Date: Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name u'FAI io7ew Address &G 144477,VW / vC City QI State Zip '�. �% Phone �,� ��� Fax E-mail APPLICANT NAME CONTRACTOR Name city /Qf w Address Zip 9nl7 City Fax State Zip Phone Type Const. Fax E-mail Map Bo7age7 Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name city /Qf w Address Zip 9nl7 City Fax State Zip Phone Type Const. Fax E-mail Map Bo7age7 State License Number APPLICANT NAME Name AUE--" �7J Address �� A4q-p-/---b✓ t¢vC city /Qf w 1 Zip 9nl7 Phone rp w-1 a I o Fax E-mail APPLICANT SIGNATURE X For office use only- nl :Zoning Amount: Bldg SRA Zoning Sheriff Flood Zone SMIP SRA I Yes I No Occ. Type Const. Subdivision Name Map Bo7age7 Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. P�'Iql� BIN # LOCATION AP# Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Amount: Bldg SRA Sq. Footage Sheriff ❑ Structure Built without Permits ❑ Proposed Change of Occupan (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 SRA Receipt #: l Sheriff 0 ' SMIP 6 1 f b I 1/6- mei Date: Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. Cl 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and retum 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. _ ..01 --personally.- the_i®ajor.-labor.and-materials-for-construction.-of-the proposed -- Qproperty improvement: YES;®, NO ❑ I IIAVE)EP 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 LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: 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: PROPERTYOWNE';V _ S DATE: L NOTE. This Owner -Builder Verijkadon is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDEk INF ORMATION Dear Property owner. An application for a budding permit has been submitted in your name listing yourself as the budder of property improvements specified. For yourprotection, you should be aware that as "owner -budder" you are the responsible party ofrecord on such a permit Budding permits are not required to fie 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 is 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 fiom the city c r cor_H*- Tliey are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: a If you employ or otherwise engage any persons other than your immediate firmly, 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. 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 iasmance, disability insurance costs, and unemployment compensation cont Nations. There may be financial risks for you if you do not cany out these obligations, and these risks are especially serious with respect to worker's compensation innuance. ♦ For more specific h fomnfion about your obligations under Federal Law, contract the Interni Revenue Service (and, mf yon 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 structare 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 budder" building Perm% en-oneously mmpiying that the property owner is providing his or her own labor and material Personally. permits are not required to be signed by property owners unless are e_ -� Building - Information -about -licensed contractors ' P_rfmmmg.their_owa work.personaliy-- community or at 1020 ld Size S may be obtained by contracting the Contractors State License Board in your et, acramento, CA. 95814. Please complete the "Owner Budder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The budding pmmit will not be issued until the verification is returned. rely. 1 1 C. Vi kv4 er, Budding Inspection NOTA YYzh; 0W1W_Buflder'W0rn:ati0n is required by Secdon 19830 of the California Health amd Safety Code OVER