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HomeMy WebLinkAbout022-350-073022-350-073 PERMIT #97-2389 C.H.I.P. - Jot #23 (FUENTES, Salvador & Maria) 2883 5th St., City of Biggs New Single Family 73 51 t r, .a RESIDENTIAL 022-350-073 PERMIT #97-2389 C.H.I.P. -#�3 JFUENTES, Salvador & Maria) 2883 5th St., City of Biggs PERMIT', New Single Family PERMIT EXPIRES OWNER 9 "' CONTR. ASSESSOR PARCEL i LOCATION to %r OFFICE COPY . � I Address 6 GAS Meter BY Date& A— ELECTRI Meter By Date j �r I L[GAS �! a - Date_ Datej�,, 'r Yf Temp.Power Pole - - Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E / C JOB FINALED (Date) ` 7 Signature .a C ' v--.•�. rr�, ..-_M.. _,x ��,r..�� . _- _^ar .�..• ,.-.-T, -v, ..���.�-.rr_;�.-_,ner••-:�.r•�.r._-e-.T.-.-�,�...-n�., yi.. .y-�T�-..�. ...-. ..•�... ,.-•3Yf_�I..,S.'r•w.n+• ... .. ... COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 97-2389 ASS EfJ2,pf3JNU,-MB€/ 3 )AND ZONINGC1Ty BUILDING PERMIT OW"SALVADOR MARTA FUENTFS� TELEPHONE - SO. FT. OCC. BUILDING VALUATION 1128 R 60,912.00 OWNERMAILING ADDRESS 'S 483 U 8.6694. 00 CONTTUOR�,SJNAME SSSiiMAR1NG TELEPHONE 48 C 624.00. ' t' CONTRACTORSADDRESS. CONSTe Pl1C,,T? LENDER l�jjl � •• � .• _� LENDER'S MAILING ADDRESS •.: Fireplace �f j j Ay' Total Valuation $ 70.;,, MOO ARCH�r.,ECT,O♦; Er�c�INEE '; •_ l�l�t;b t'I;j 'Z LICE E C;;t°a 93 Filing Fee $ : ;;MYf120.00 Permit Fee $,.!• •4,1X „ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ >'x,:+ `'23, BUILOiNG., QRESS �t� � 5TH STREET Ener Plan Checking Fee $»�••�•f� Energy g t.:,. 23.0(° CITY - OF BIGGS- PERMIT FEES°',i3• ` 575.0( LOT N2 3 SUBDIVISION'S NAME • PARCEL MAP PLUMBING PERMIT `A4 o': Fling Fee 20.00x USEOFSTRUCTURE " SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY .00 56 • - Each Trap .ti l." '-'' $ 7.00156.X- ,�,,;•�.ter Solar or heat pumpwater.lhea' 1 23.00 �' 1= Solar Water piping 15.00 15.f Each gas water heats[ Of vent 15. Op TYPE OF WORK o New 43 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER # �'L%- a PLAN 1128 Gas. i in s stein 1-;5 outlets 15.0Qt1 Building sewer '`�j% �1� ' 15'00 Mobile Home: "frS, 'G W ,'@20.00 1t 0�°`�.-,, . i o r �rtls .t ,.;` >i ,' PERMIT FEE C-,'*; Jr136.00 ELEGT.RICAL PERMIT LI' < �' 4Filing Fee 20.00 M' EO00A OR LESS 23.00 OV OR LESS .,x.:�• 2300 Main. Service 2 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,:1'. and my license is in full force and effect. a,, License Class Lic. No. j��e1+. OWNER -BUILDER DECLARATION 4.;;'i>' 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 sel'e: `• 112' 1, as owner of the property, am exclusively contracting with licensed -contractors to construct the project •. �r w; ❑ 1 am exempt under Sec. Business and Professiorfs-Code for this reason -1�•'`'-_ ' mn''Service MA TO 1000A ', ;f Y' 46.00 NEY'CONST. DWELLING OCCUR, so r ORVADDNS. ( a ACC. BIDS:, , a 3.5QFT. t}�j3.51 T" -EW RESIDT BRANC CIRCQ1" @7.50 ',� POWER APPARATUS B SINGLE OUTLET CIR. - EX. Occup. OUTLET OR'FOTTURES �� p 1 so Ex. Occup. , �OUTElE73RESIo.GEA 5.00 Temporary Service;i 23.00 f,C7 „' - Y • - Mobile Home Facilities 20.00 Misc. Wir`iQV 23.00 " r -° �•:x +r C-' PERMIT FEE S WORKERS' COMPENSATION DECLARATION +' 1 hereby affirm under penalty of perjury one of the following• declarations:lHeating ❑ 1 have and will maintain a certificate of consentlto° 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 Js ued. y'qr ❑ 1 have and will maintain workers' compensation insurance, as required by Sect�rn+ 3700 of the Labor Code, for the performance of.w,o'rk for which this permit is issued,.- My workers' compensation insurance carrYeree1d .policy number are: 1-A. Carrier C. r �.'i ' :'MECHANICAL PERMIT Filing Fee 20.00 • y'Goolin O• oocl 6.50 n• '` Ventilation i .50 • PERMIT FEE $ ,•JU Policy Number 4431 `•` 1i'';'i (The above sections need not be completed'if the permit is for work of idaivation `` / of one hundred dollars ($100) or less.)' I certify that in the performance of.ttie.work for which this permit is issued, I shall not employ any person in any manner so as,to become• s6,bjecf~to workers' compensation laws'of California; and agree that if I should b4come'subject to the workers' compensation piovisions of section 3700 of,th6Wa6b'r Code, I shall forthwith comply with those rovlslons.ri,z X _r / i:• ., _ 01a : ` o�/14 7 _ ntr — r °.-- Si natui�cant + wnerContractor g pp ❑ 0 ❑ Co actor L�jgent ' 'r An OSHA permit is required for excavations over 5'0" deep an'd demolition or construction of structures over 3 stories in height. %,pht•• Mobile Home Installation Fee $ Energy Inspection Fee $ . �o c coNsr. PE TOTAL FEE $ 921.85 44Z. D. FEES "~ IMP FLOOD ..• COF ' PARCEL f PD HD IssUEy � 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 pat r r _ PERMIT EXPIRES ON /l� 9'4 Dara 24. �t' o. ` a '.�i' Receipt No. { WHITE -D.D.S.-B.D.°.� yCAN ARY-ASSESS,,,• R PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OK Not = t Applicable NoReady MOBILE HOMES, ` Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer LocationTest-Fall-CAD-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestWrap; / /Nat or/ tt'fL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Data Card 8-1 Date Card B-1 Date 'Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK emicept #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; SiaaSpacing-Marriage Line 3. Gas; MH Test DemamWalve-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 MISCELLANEOUS Date' • -DEC21 COVER$; CARPORTS, CARAGES (Pians) OK except #'s 1. Zoning RequiwnentsSetbedtso-E9sements 2. Footing% Soils-Size-DqpthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists.Decking-BracingStairs-Rails 4. Wobd Awn.; Posts-BeamsAftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Golumne-ConnectionsSplice-0ecal-Ersdosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rtes-Trusses 9. Sidirrg; NaiGngAfeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings' 12. Braced Wall, Panels Date Card B-1 Date Card 8-1 Date Card 8-1 Date Card 8-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure: Steel -Connections -Thickness Deid Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GF] 5. Elec.: Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Efec.; Bonding, -Metal w/3 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg. Boxes-Endosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 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 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date ,-UNDERFLOOR (Plants) OK except #'s Zo ' Setbacks- asments-FloodSlope Main; S ' s-Elec. G / N Ftg. Depth arage; Soil let. Gmd/( /"Fig. Depth 4. Fig. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped qS�agmwalls, Garage ocko - wrapped 4^015--s and Special c rs i iptlab, Steel -Wrapped 8. Pier ireplace F Steel WV.; � -Fi ' g ewer 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 Cfy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBI G (Kermit) OK except 7 Water Htr. a s-Combusbdfi Air aftl Neer Pipe; Test & Anchor -Nail Protection 1 . .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. !e Kub & Shower, Second Floor -Tub Access Weltas Pipe; Sixe & Anchors Date %f -gg Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. P!Lure & Transformer Clearance -Ins. Protection . Elei-ReceDtacles SDacina-Liahts & Switches at Doors RESIDENTIAL (Single & Duplex). 4§:n'0 Boxes & No. of Conductors Stapled _ amex Installed Close to Edge of Studs & C.J. Ii . Ground made up w/Mech Fastners-Bond Gas & Water 2 liance Circuts in Kitchen & Conductor Size GFI reed Wire Size / / ga. u or AI-A.C. Wire Size 01 / g u r AI LoAange Circ. / 50/ ga Cu AI ven Circ. / / ga Cu or AI Dated Neutral 0 Yes 0 No -5 Service -Riser Conductors & Ground -Main Disconect 32.E ' . Clearances Panels -Motors -Meth. Epuip. ies Closet Light -Shower Light -Spa Light Ao'smoke Detector Date /-15 Card B-1 a�/j Date Card B-1 Date -1/-5 g Card B-1 k 6 Date Card B-1 Date AECHANICAL (Permit) OK except #'s .0 ucts Insulation & Support eg;.Fgn-, Exhaust above insulation o�ensate Drain & Overflow, Size & Grade umance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39r-AMa*eees7&'RatTorrn if Furnace in Attic Date �-% Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date AMING (Plans) OK except #'s . Si roper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound r Girders & Floor Nailing Drp{F6top in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. eaders & Beams -Size & Bearing fJ Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng or Type A Flue -Fireplace Throat clearance c ss; Size & Romex Protection -Draft Stop -Ins. Baffles d . Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing ne ire II & Openings el;eT4 Doors -One 3 -Check Garage 3rd Story, 2 Exits e! Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 1/ 56. Siding-Nailinq Veneer /@ `- n -9'Qk tZh . Vents-Underflr. Access ng Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Brace Interior I Veno"I Panels 61. Insulation s-Cedinos Date, 7C Date ?. rd B-1 Date Card B-1 Card B-1� Date Card B-1 Date FINAL (Planssl OK except #'s r 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector / 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting J67. G.F.I. & Bath Fixtures & Tub Access -Spa t\ I tits. tiec. trim & Subpanel, Breaker Sizes & Labels .69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Receticales at Kit. Counter 74. Garage Fire Door; Swin-Landin -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage G.F.I. -Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 1,U93. Energy Compliance Certificate -Other Certificates Date VL Card B-1 Date Card B-1 Date C/\ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 10/92 .c•.. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 r: 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector `\u `j5 e— REV 10/92 4 COUNTd OF B'dTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DMS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 97-2389 ASSE$ 27ARnlA!n3 , zONINGC1TY BUILDINGPERMIT OWN TALVADOR AND MARIA FUENTES TELEPHONE SO. FT. OCC. BUILDING VALUATION 1128 R 60 912.00 OWNER'S MAILING ADDRESS 483 U 8.694.00 CO WMftNAME TELEPHONE 48 C 6 24.00 CONTRACTOR'S MAILING ADDRESS CONSJ�I{C�Tt�lf! LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 70 230.00 ARCH¢tT l dElp Z u� E Q3 t5 FilingFee $ 20.00 Permit Fee $ 509.OC ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUI11J§VJEtTH STREET L tt55..33 Energy Plan Checking Fee $ $ CITY OF BIGGS PERMIT FEE $ 575.0 LOT NQ3 L SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF (A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 81 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 1 5 -nn TYPE OF WORK New ?] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER # CIL//- 9 I PLAN 1128 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonoRLEss 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. s0 3.5¢x, 56.353 NEW CONST. MULTI.OUTLET NON-RESID. C C'RC @7.50 POWER APPARATUS 8 SINGLE 0 r. CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ .50 LNS EX. Occup. OUTLEDAETSPRES D.OEA 5.00 Temporary Service 23.00 9:� UD Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 99-7M MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 2 4.50 1 9.0 PERMIT FEE $ 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 provi ' ns of section 3700 of the Labor Code, I shall forthw' h comply with t ose visions ` X _ �oZ�g signatm of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" d ep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C CONST. 11 TOTAL FEE $ 921.85 Z. D. FEES A IMP FLOOD r CDF PARCEL PO HD ISSU 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. Dat ,l", p afe ' a Receipt No. 231124 $12 .00 (— 1 WHITE-D.D.S.-B.D. CANARY-ASSESFR PINK -INS CTOR GOLDENROD -APPLICANT � iiill�m'`cw'-cpl�ra.p�"7'^"'S�'7�7N:''=r'�i' ii74'�!V!.Mid'r"�ii�:r�'^Y+'�^"3i::Yn;v--tv^:zl+_n..r^rr5r��;;�ri�'1C"�rup'"s,,,"i:r',••t`.%iwa �....is- N. y BUTTECOUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -.,,(One -,Form Per,,Building)_ School DistrictS h , ` r`EC Building Department No. A.P. Number Q ,JJurisdicf'ion: [] City County Property Owner cso 1 Va or t , Property Location/Address $ J tvr �f C 7f >�J' Subdivison Lot No. 123 4J Residential Development[� 0 Sq. Footage No. of ving MHI Addition (Group R) Units Commercial/Industrial M (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior /I Roofed Areas) Date District Identification No. i-� School District certifies that �� ,,� /� YC CJ Cwi T c (Applicant) (Stree Address) (Phone Number) (ity) (State) (Zip Code) has complied with the requirements of Resolution No, % by payment of $ representing // square feet. As 2926 $ FULL MITIGATION $ chool Di ep ntative Date Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department , Pink (school district) feeform.wkl („isa)dmm c COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7,541 PERMIT APPLICA TION DA TA SHEET IU I �_3 OWNER: \dil0 v_ �Q� ASSESSOR PARCW\� ER: ©� ` � SD, O 73 Proposed Building Use: - { (,� Building Inspector:Date: l / � At time of permit application, I was advised the following data must besubmitted prior to permit proess' g and/or issuance: Date Received By ❑ . All items have been submitted .---------------------- �% Plot plans, 3/4 sets, signed by the preparer of plans 03. Complete 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 Homme and installation instructions including Tie Down Specifications.------------------ A. Fees of S ]q5< S 0�3_0------------- 1 --- ---- ---------------------------- 0kl pact fees as shown on the attached schedule. - ,� o --------- l� 12. California Department of Forestry plan approvaUfees. ----------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- Plo t plan and business license approval from the City of Biggs. ---------------------------------------------- approval for (A) Use: (B) Parking: --------------- ---------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ------------ ---------------- P20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 02 Workers' Compensation carrier and policy nu7'Mailed - -------------------------------------------------- P P Y -- �wner-Builder Verification (Given to owner to owner 0) - -------------------------------------- 012 ------------------------------------- ❑ 2 . Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ---------------------------- 027. Manufactured Home utility clearance. --------------------- 028. Existing violation and/or expired permits. --------------- ❑2 . ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.0 PZW-Other: CVA When you issue the permit, process as follows ❑Telephone Mail to owner, ❑Mail to contractor. and hold for pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 1. Index permit application for the above items numbered: 2. Additional items required: Date: Date:_ By: Date: By: ❑ Plan Check List 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 Division counter, by Date: Plan reviewed by: Date: Plan 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. PROPOSED 3 -BEDROOM / 2-13ATH RESIDENCE OF "Us Mt OfP18M and aaixo� �� 1128 SQ FT �E ton t$� goy t an t Y changes or a terWons on a&m wiLho Written permission li om tie ' D �"� (Wka. Oouniq atBUMA . 0 L co � 01 X U N E .a cu 0 y -v �-- AD ELEV +91.40' L V LnLn N O O O � 4, .0 C U c0 � O . 44.5' I 44' NOTES: 1. SIDE YARD SWALES SHALL BE PRESERVED. 2. ENTIRE FRONT YARD LANDSCAPE SHALL BE COMPLETED PRIOR TO FINAL INSPECTION OF EACH PROPERTY. 3. ENTIRE FRONT YARD LANDSCAPE SHALL BE 112.5' LOCATION OF JQlE PLAN Lot 23 TELEPHONE, ofa ELECTRIC, & tn tie �'rosc $� 883 5th ST. TV TRENCH � L or A e O CI -68 b� � e�and '4 9 —2" PND `.'.'. :; DRIVEWAY FOR te.a...'..... IRRIGATION SYSTEM ' m► WATERLINE ' 3/4" SCH 40 PVC • ♦♦ ftf4 � >4+♦ 1 24' 8�*Master PIM of NO for bu*ft L I- i t �.LO y WATERLINE ' 3/4" SCH 40 PVC • ♦♦ ftf4 � >4+♦ 1 24' 8�*Master PIM of NO for bu*ft L -- W Aug A ` >- W129 H m a m wB G d 0- �vqg 3 c, O 0-9 9 oo�v� vii o= C IRRIGATED BY AN AUTOMATIC IRRIGATION SYSTEM. OL�T� yTR EE - City Approved '_2 4 c SOUTHFIELD MANOR COMMUNITY HOUSING IMPROVEMENT PROGRAM OWNER: SALVADOR FUENTES 2883 5th ST. CAL DIN O R .E P 9 N SCALE 1 " = 20' APN#022-350-073 ® SHRUBS L77- 12/4/97 I- i t �.LO y N 0 � C ;C N V C E -- W Aug A ` >- W129 H m a m wB G d 0- �vqg 3 c, O 0-9 9 oo�v� vii o= C IRRIGATED BY AN AUTOMATIC IRRIGATION SYSTEM. OL�T� yTR EE - City Approved '_2 4 c SOUTHFIELD MANOR COMMUNITY HOUSING IMPROVEMENT PROGRAM OWNER: SALVADOR FUENTES 2883 5th ST. CAL DIN O R .E P 9 N SCALE 1 " = 20' APN#022-350-073 ® SHRUBS L77- 12/4/97