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HomeMy WebLinkAbout022-350-062BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042722 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/15/2004 APN' 022-350-062-000 the Business and Professions Code, and my license is in full force and effect. License Class :License Number:') q ((J I % Site Address: 459 TRENT ST BIG Date: C1 ^ 15Contractor. (e' V�,% P\ PQX.Q-I- Map Index: 1 Description: CHANGE OUT TUB TO SHOWER p - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROSE ROBERT G & LEORA L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P O BOX 1197 signed statement that he or she is licensed pursuant to the provisions of BIGGS CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95917 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant'' ROSE ROBERT G & LEORA L Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: PANCHOS CONSTRUCTION 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.). 756 HEATHER LN ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95695 530-304-7381 Date: Owner: License #: 791617 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: IX 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: Carder:A Total Square Ft: 0 S. F. —C Policy #: I '16 G 1-7 Valuation: $0.00 Census Code: O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �tJ �I�2 53 � 18' CONSTRUCTION LENDING AGENCY This permit is hereby is uetl under the applicab visions of the Butte County Cody ?nrVOr I hereby affirm that there is a construction lending agency for the Resolutions to wo indicated abovefor wprch f s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.).. Name: By: /}� / Date: Address: PERMIT EXPIRES ON: `�/ — Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly 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 forth or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ^ (fid S Print Name: (t et r 1 t?f'I2 Z Signature: t Date: ElOwner ElC Contractor ❑ Agent for Owner Agent for Contractor Cr` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Las Name City irst Name Le omt26�e r� Address P CJ Cityat CPI Zips �r Stab Zpq Sq 17- Phono s'gi G O Fax E-mail— State License Number CONTRACTOR ARCHITECT/ENGINEER Name City Address Trp CitKo eni Sta�tee Zips �r Phone 2,04 s3') E-mail Lic. # E-mail Class State License Number 6 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Trp City Fax State Trp Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Trp Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # v� LOCATION/- API O, 04'.,', iJ(9 Property Address City Lf �� Cross Street WORKER'S COMPENSATION Policy Number As3 ) 0 1 O Carrier n CA Pro LfL,S, 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: 10 eel '7 _ - S i. UO 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. I I Received by:, Amount: Bldg I I �ff SRA Receipt #,1q J� Sheriff CAW ` SMIP OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMSWILDING FORMS\BIdpApplSubRgmts.doc Paoe 1 of 2 Date: /� / Other C/' lS -04 !� Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Ma or fnd plans, all in duplicate. rriage line info, (C) Floor Plan, (D) Tie down ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. -- �-- ❑ 5: Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS 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 KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 022-350-062 PERMIT#98-0447 C.H.I.P. - Lot #12 (ROSE) 459 Trent St., City of Biggs New Single Family /-/>-/ �If f �r RESIDENTIAL 022-350-062 PERMIT#98-0447 C.H.I.P. —''Lot #12 PERMIT NC. (ROSE) _ 459 Trent St., City of Biggs PERMIT EX New Single Family OWNER y/1-4419' CONTR. ASSESSOR PARCEL i LOCATION h i ;r 7-7 i8 / 5h e°ar wa /l ,va.i /i •� ` �, a rc� q a f%JC it `A OFFICE COPY J Address pate MeS ter BY Dat �. E�EC-I 1C Meter 6y OFFICE COPY Temp. Powe IAddress Called P( Temp. Elec. I MGAS Q2:::: DatBy e Ii Meter ELECTRIC Date Called PG� Meter By r Temp. Gas Ser'.... Called PG&E JOB FINALED (Date) Signature :: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�p��tPERMIT _NO. (Rev. APPLICATION AND PERMIT (j "T ASSESSOR PARCEL NUMBER 022-350-062 ZONING CITY BUILDING PERMIT OWNER ROSE TELEPHONE SO. FT. OCC. BUILDING VALUATION R A 12 OWNER'S MAILING ADDRESS18 CONTRACTOR'S NAME QMR TELEPHONE' 48 my 624, CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER CHIP [Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 70. ? In ARCHITECT OR ENGINEER GREG PEITZ LICENSE NO. C21283 Filing Fee $ 20.00 Permit Fee $ 509.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 575,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 X TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PLAN #94-21 (PLAN 11128) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15. 00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ()(l ELECTRICAL PERMIT Fling Feel 20.00 Main Service zoonoRR 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 DECLARATION 1 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. tVk�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 Main Service To 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 56.35 3.50FT; NEW NON-RESIDT UTLET =O'RC 'ITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES @ 1.00 BA20 @ .50 Ex. Occup. ourLEEDTs RES 'RA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ QQ 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 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.) 11�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 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 �,t©rthw' h co ply wit those prov'sio . — - --- /j X f� Date (/ Signafure of Applicant - ❑ Owner fO Contractor 5LI.Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures Y3i 2or'es i„e' �t. S AS MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 6 5S Mobile Home Installation Fee $ Energy Inspection Fee $ 4 Occ CONST. TYPE TOTAL FEE $ 921.85 HAZ. D. FEES IMP ✓ FLOOD f CDF r PARCEL PD ✓ HD ISSUE 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. /( f f P! By fi Date - /n PERMIT EXPIRES ON�Q/ 7� Date Receipt No. ,'. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OK =NotRepady 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)D-Concrete 4. Water, Location:%st-Easement Needed (Sketch) 5. Electricity; Locabon•Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestANrap; / nA / /Nat. or/ /VttJ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Cab B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-0ernancl Veloe-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 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 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 RequiremintsSetbacks-Easements' 2. 'Footings; Soils:Sime-DepthSpacing-Conrm ctws-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Aym.; Poste-Beams-Rftrs.-CmnecWm Shthg.-Rfg.-Bracing 5. Atum: Awn.; Columns•ConnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Electric ' 8. Fmrg.; Slls-AnchorsStuds-Rttrs-Trusses 9. Siding; Nading3/eneerStucco-Mesh 10. Root; Shthg-Roofing 11. Ext; Steps -Doors -Lendings 12. Braced Wall, Panels Date Cab B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date . POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3.' Pool Structure; Ste"onnections-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/ -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equlp.-Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test 11. Llght Niche Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B -i = Not OK , = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date / UNDERFLOOR (Plans) OK except #s V 1 ZoningSetbacks-Easments-FloodSlope (/2. Ftg., Main; Soils-Elec. Gmd. / r Ftg. Depth Ftg. Garage; Soils-Steel-Elec. Gmd/ tg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth - 5. Stewalls, Main; Steel-Blockouts-Wrapped m ' 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -,Sills -Anchor Bolts;Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date—_ �j rd B-1 Date Card B-1 Date Card B-1 -- , Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Htr.; Vent Access -Combustion Air Baffle . ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 3. fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 2 omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fastners-Bond Gas & Water 2 . pliance Circuts in Kitchen & Conductor Size GFI Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or AI ange Circ. / / ga Cu or AI -Oven Circ. / ga Cu or AI Insulated Neutral 0 Yes 0 No 1. Seer nce-Riser Conductors & Ground -Main Disconect ip. Clearances Panels -Motors -Meth. Epuip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade W. -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. IIs Studs -Nailing Spacing & Braces -Plates -Sound 2. PeEfring Walls over Girders & Floor Nailing _Draft §tdp in Walls (rat proof) Fi Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) . Ha ost Caps -Anchors -Connectors g. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. it ce Ties or Type A Flue -Fireplace Throat clearance . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . dmt. Windows or Exiting DoorsSill Hgt. &Dimensions L_ L_ §e Fire Protection Framing A roperty Line Firewall & Openings SERI -Doors -One 3 -Check Garage 3rd Story, 2 Exits , Headroom -Rise -Run -Landing -Fire Protection 1 PSI wood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer J -47.-S n Ivl6sh-Drip:Screed-Fd. Vents-Underflr. Access Glaang Area ass Protection -Skylights -Plastic 59. Shear Wall ailing -Bolts B nor / Exteri Panels - d /1/j V16-1. Insulation -Walls -Ceilings ` r/6�Infiltration-Walls-Windows Date 4 - VINAJ, (PlarrWOK except #'s M 65.,J1;fFnace; Vents -Clearance -Comb, Air-Conector- > In age; Above Floor -Ducts -Meth. Protection m Exiting 67 .FI ath Fixtures & Tub Access -Spa t 68.-6ec. Trim & Subpanel, Breaker Sizes & Labels 69 Stairs 8 Rails 70.1ir& a�tove, Clearance -Hearth 7 Panel, Int. & Ext. 72 . F' . Appliance; Ground. -Air Gap -Cooking Clearance is & Rece ticales at Kit. Counter 74,-61. e File Door; Swin-Landin Closure 7 A. uct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Ga e; Above Floor -Meeh. Protection 77 lec. & Mech. Equip. Listed for Location Elec tastes in Garage G.F.I. -Romex Protection nsulation-Foam-Looked in Attic -Guard Fah &Deck Construction -Post Caps nn rawl Hole Door Drainage & Wood -Earth Cleapoce Looked under Floor & Yes ollowin Instld./Drive fffevd o alks s 0 No/Planters 0 Yes 0 No " h nit Disconnect, Electrical -Plumbing Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings WaterWell, Disconnect, Electrical, Plumbing 87lExJeAor Elec. Trim, G.F.I. Receptacle -Underground tilation Throught House ass Protection r actions from Previous Inspections a Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval 0. Energy Compliance Certificate -Other Certificates 4411 Date Card VT- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I ..-Y _, 'S� _qQWf;&. Date 4— REV 10/92 Inspector - __ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751 7 County Center Drive e Oroville, CA • (530) 538-7641 3 CORRECTION NOTICE OWWR' PERMIT NO. A routine inspection indicates th e following violations of bu ite county Ordinances exist at the above address and should ,be corrected. Please notice this office when correction of work is ' need explanation, completed.if 0 u hav,-zl, questions pertaining to this matter,or eeadditional d you , _n. i . (_ please contact tthC ice immediately. rr Date 4— REV 10/92 Inspector - __ COUNTY OF BUTTE- DEPARTMENT OF 4EVELIOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO, (Rev. 12/96) APPLICATION AND PERMIT ag-c�y W�?-/ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ROSE TELEPHONE SO. FT. OCC. BUILDING VALUATION/ 119R R 60,912, OWNER'S MAILING ADDRESS 483 U 4. CONTRACTOR'S NAME OWNER TELEPHONE' 48 coy 624, CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 509.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS 499 TRENT ST, CITY OF RIGGS Energy Plan Checking Fee $ 23.00 PERMIT FEE $575. 0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 56.00. Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 15-00 X TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PLAN #94-21 (PLAN #1128) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service so noav<ss 23.00 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 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. %14\1, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. S. SO 3.50FT.96-191 N CONS. NON•RESIDT ANCI UTCET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@'•00 BAL @ .SO Ex. Occup. OUTLEETS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ Q9 14c; 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 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.) *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 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 �CartiTw h co ply wit thos prov'sio� X Date 3e:11?indicated � Signature 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. Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 921.85 HAZ, _ D. FEES ✓ IMP FLOOD CDF PARCEL a� PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (� Defe WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y�, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `1 -0442 ASSESSOR PARCEL NUMBER /-�-..0//�� /Qq, 20NIN ` BUILDINGPERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION a OWNERS MAILING ADDRESS v LL CONTRACTORS NAAMEe TELEPHONE ` CONTRACTORS MAILING ADDRESS CONSTR CTION LENDER Fireplace LENDER'S MAJUN& ADDRESS - ' Total Valuation $ 20.a r ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $QC o-) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ :�3- Ld BUILDING ADDRESS Energy Plan Checking Fee $ fr fir' I $ PERMIT FEE $ FQ LOT NO. ^ `C�/!` SUBDIVISIONS NAME Ag EL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF J� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 4 7.001 Solar or heat pump water heater 23.00 Water piping 15.00 L) Each gas water heater or vent 15.00 TYPE OF WORK New A- Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: f �V LLLr Q p1a b1 t` �%-0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 fS, Mobile Home I S I G I W (9?20.00 PERMIT FEE S ,l ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LESS Main Service 200A OR LESS 23.00 03. 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 forceand effect.P 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. O I am exempt under Sec. Business and Professions Code for this reason TO Main Service TO IOOOA 46.00 NEW CONST. DW W OCCUP. OR ADONS. ( 3 Acc. BIAS.NEWC SO NON-REOSIF MULTI.OUTLET @7.50 OWER APPARATUS b SINGLE OUTLPT CIR. Ex. OCCU OUTLET OR FIXTURES BAL ®I:0 Ex. Occup. GflxR oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 9 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 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 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.) ❑ 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating /5;to Cooling Hood 6.50 ,Sr) Ventilation PERMIT FEE S �'s-D Mobile Home Installation Fee $ Energy Inspection Fee CCCONST. TYPE TOTAL FEE $ 9-0213 S r HAz. ✓ D FEES IMP FLOOD �— FDF PARCEL PO NO ssU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 0810 ReceiptNo. J36 a 1/-Q(v,00// ZZIT L17 VS-. WHITE-D.D.S.-B.D. CANARY -ASSESSOR K -INSPECTOR GOLDEN ROD -A LICANT COUNTY OF BUTTE DEPARTMENT OF AEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 4s e / ASSESSOR PARCEL NUMB 0 -©W Proposed Building Use: rL_a c) 5 Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or �esuance: Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------- rit ot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 3- a5- n�.omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. --------------------------------------------------=- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications --------------- ---- ❑ 10. Fees of $------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. SC --00 �----------------------------------------- 3- ` >5 `? 414 -------------------------------------------------------- ❑ 12.. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1:113. ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- orkers' Compensation carrier and policy number. ----------------------------------------------------------- ❑�V,wner-Builder❑, 0) Verification (Given to owner Mailed to owner - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- �, er:5P When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required•data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi ro counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 'i�"'`:�'�;•b`,�'�'`3�".,�"�.`"'''°""`"'�,�r';�''Hr�:�'�'it�Kzbr�nn;arr-Tr.�r�.ro^-�„4��.�C°!�'�t+�R7'�':P�4�n ' K'.ii'rC�^'�M1�. ilk BUTTE COUNTY SCHOOLS IMPACT,'FEE.CSRTIFICATION FORM (One form per Building) School District, BIGGS Building Department No. A.P. Number 022-350-062 Jurisdiction: FIXT. City County Property Owner ROSE Property Location/Address 459 TRENT ST, r CITY OF BIGGS Subdivision Lot No. Residential Development Commercial/industrial --A)w- Buil ing Department Rep District Identification No. ® Sq. Footaw 1 No of Living Mobile Home Addition (Group R) Unitp Installation -4 112 ..," Ell Sq. Ford at&7` New Addition (Including Exterior Roofed Areas) ative JDate AU Plans reviewed by School District Personnel) School District certifies that. S (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No representing k square feet. (State) Paid by Check # Remarks: (Zip Code) by payment of $ 1FBW2i926 $ ULL MITIGATION $ Date �l Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely, written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact 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.xis (2/97)dmm PROPOSED 3 -BEDROOM / 2-13ATH RESIDENCE OF 1128 SQ. FT. -•TRENT STREET 2" PVC UNDER DRIVEWAY WATER FOR IRRIGATION METER SYSTEM "I LOCATION ELECTRIC, & TV TRENCH ►'t T" T'7'7'1 _0 ELEC. SERVICE Continuous Fenci*nq to be 1 x6 6' high dog-eared Western Ced< PAD ELEV +92.00' 0 0 Lot 12 459 TRENT ST. MODEL# 112 8 20' TO CENTER LINE OF ROADWAY 10' TO FACE OF CURB T PROPERTY LINE N N \ WATER LINE 3/4" SCH 40 PVC "v- 0 N az h 0 C CD Cog� NOTES: ° g 1. SIDE YARD SWALES SHALL d s tione MOAT be BE PRESERVED. 'I'tu set o 1a� times ani. tt unlaw�l.to Na .. ia;3e `o a e with a 2. ENTIRE FRONT YARD D' s or ate -rations an LANDSCAPE SHALL BE �y >ssi €�pDD t'biO �t 11' g Qulcit n. perm COMPLETED PRIOR TO FINAL Wort S, C'D=ty Ot a �l'o INSPECTION OF EACH PROPERTY. CD D. 3. ENTIRE FRONT YARD le Crry as ewesne c neo pans ano � LANDSCAPE SHALL BE nas apprc ved them fo nd subject tdqhe folowing IRRIGATED BY AN AUTOMATI&'' Curb, g r, sidewalks, ago'necessary storm 5' IRRIGATION SYSTEM. drat streets p r City standard 6� on a a nB p1 1 � Finis -floor to be a mum c(6" above finish STREET TREE - w C COUNTY grade'' City Approved BUILDING DEPARTM -Water, sewer and eleMc service connections to nstalled per City ndar CONCRETE 4 V F e.ot shall be d to in the building. LAWN SITE PLAN '?f - 4-��7 7 �)�� p7, SHRUBS SOUTHFIELD MANOR L -c, R1( COMMUNITY HOUSING IMPROVEMENT PROGRAM OWNER: ROSE 459 TRENT ST. Date See Master plan of file for btfild SLE 1 = 20' AP#022-350-062 �" r � � ` 2/26/98