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HomeMy WebLinkAbout022-350-076I � � 022-350-076 PERMIT #97-2395 C.H.I.P. - Lot #26 (GONZALEZ, ose & Ofelia) 2899 5th St., City of Biggs New Single Family r;,,,1 q/1 195 0 RESIDENTIAL 022-350-076 PERMIT #97-2395 PERMIT NC, C.H.I.P. — Lot #26 _ (GONZALEZ, Jose & felia) PERMIT EX ,2899 5th St., City of Biggs _ New Single Family q OWNER CONTR. ASSESSOR PARCEL LOCATION i y. Vy OFFICE COPY I Address GASDatlYlq ,I Meter By ELECTRIC Date Meter By J OFFICE COPY I ;i Address If -7 i9 i P GAS Meter By_ Date ELECTRIC Date Meter By Temp. Power Pole a Called PG&E S a A Temp. Elec. Service Called PG&E ^Temp. Gas Service Called PG&E / JOB FINALED (Date) ✓ �� Signature W11 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 :?. J, � ;1 ASSESSllr-tN 6 ZONING CITY BUILDING PERMIT OWNEJOSE AND OFELIA GONZALEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION , • OWNERS MAILING ADDRESS 83 , • CONTjiAWO S,•NAME n GJC1 TELEPHONE 48 • CONTRACTOR'S MAILING ADDRESS CONSffilp LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 1b, ARCHu€ LpaENY IiZ (� r LICENSE NO. C21283 -FilingFee $ 20.00 Permit Fee $ 536.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 348.1040 �p BUILD��AQ9 `, S 1 RF !!rr yyll�J ''11'!! Energy Plan Checking Fee $ 46.00 CITY OF BIGGS $ PERMIT FEE $ LOT N26 SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE v SF C 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 as water heater or vent 15.00 15.00 TYPE OF WORK New ❑i Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER #94-20 PWI 1252 Gas piping system 1 - 5 outlets 15.00 15•QQ Building sewer 15.00 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ 136-.0-0- (TO BE t4ASTERED) ELECTRICAL PERMIT Filing Fee 20.00 000V OR LESS Main Service 20OA OR LESS 23.00 23.0( 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.Pow License Class Llc. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 13f 3.52FTSO . 60.70 NEW COST. NOWFIESND. =OUTCLET @7.50 ER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FURORE Bay @ .50 Ex. Occup. ouiLEEDTs REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina fd PERMIT FEE $ 103.70 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 forthwith comply with thole provisions. XvDate /rZ // Signat6re of Applicant'- 0 Owner ❑ Contractor rt'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 Filing Fee 20.00 Heating 15.00 Cooling 15.10C Hood 6.50 6.5(: Ventilation 2 4.50 9.00 PERMIT FEI_ $ his, SO Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $ 1.301. CO HA2. D. FEE IMP w FLOOD CDF PARCEL PD _ HD _ ISSUE SU 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. A l fIw i e f Date By MMM"""" l 7 PERMIT EXPIRES ON IJ /AA I I f IDale ReceiptNo. y `` k1l"u/231396 $827.20 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OK Not =ble 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-FaltC/ -concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /A np�Concrete 6. Gas; Location -Test -Wrap; / PL'R / /Nat. or/ PL'(L/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Naifing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test-DemarKWaNe-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-Type4nstallation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Suppty Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS,GARAGES(Plana) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-SizeOLpthSpacirg-ConnectDrsSteel 3. Decks; Girders and/or Joists-Decidng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fang.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Naifing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext; Stepa-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 a 1. Setbacks Easements 2. Soils; Compaction -Structure Stability 3, Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal WS -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Suppty 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 RESIDENTIAL (Single & Duplex) Date / UNDERFLOOR (Plans) OK except 8's ZoningSetbacks- asments-FloodSlope tg. Main; S s- . Gmd.-//,VP F60epth (SPrtg. Garage;it ec. Gmd//gp Ftq. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ p Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwall arage; Steel-Blockouts-Wrapped 0 owns and Special Anchors . lab, Steel -Wrapped 8. >rs-Fireplace Ftg.Steel D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP 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 BoltsJoists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING rmit) OK except #'s Stairs & Rails 70. ate tr; Vent -Access -Combustion Air Baffle 71. Elec. Outlets at Wood Panel, Int. & Ext. a ipe; Test & Anchor -Nail Protection .WV.; Test Fittings & Anchor -Nail Protection Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. P -20 -Shower Pan; Test, First Floor -Tub Access 74. Garage Fire Door; Swing -Landing -Closure �Yf Test Tub & Shower, Second Floor -Tub Access A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection . as Pipe; Sae & Anchors 78. Elec. Receptacles in Garage G.F.I. -Romex Protection Date -Zo?_ R Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Date ELECTRICAL (Permit) OK except #'s --- 00. & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors 2 ize as & No. of Conductors Stapled 2 . omex In talled Close to Edge of Studs & C.J. . Ground made up w/Mech Fastners-Bond & 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu oAI ven Circ. / ga Cu AI' Insulated Neutral 0 Yes ij.Ale•-- 43i -Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. AfV_Ws'Closet Light -Shower Light -Spa Light vefmoke Detector Iq Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date CHANICAL (Permit) OK except #'s A.0 s Insulation & Support Vvl*Vent Fan, Exhaust above insulation rate Drain & Overflow, Size & Grade 3L -Vent Access -Comb. Air -Return Air Vent 115 outlet attic Access & Platform if Furnace in Attic n Date -7_ q -W Card B-1 44 Date Card B-1 Date Card B-1 Date Card B-1 Date _FBIMING (Plans) OK except #s 40e*fits Pr Materials & Anchors a1S.Studs-Nailing Spacing & Braces -Plates -Sound ng Walls over Girders & Floor Nailing Ltr'Draft Stop in Walls (rat proof) 'ire Stops, Furred Ceilings -Stairs -Chasers -Tubs ders & Beams -Size & Bearing I Date FRAMING (Continued) 4j),R!!!1g. Joist-Rttr Ties-Pullin-roff Brac.-Truss-Shting.-Ring. -! d Fireplace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bd indows or Exiting Doors -Sill Hgt & Dimensions arage Fire Protection Framing �'�-Pry Line Firewall & Openings ' faoo� Doors -One 3 -Check Garage 3rd Story, 2 Exits r 64 -Stag; Width -Headroom -Rise -Run -Landing -Fire Protection Oe'Pllywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Ar '-Glass Protections lights -Plastic 59. ails; Nailing -Bolts Interior / Exterior Wall Paffels n . Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date __5R4*L (Plans) OK except Ws 64. 65. Smoke Detector Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa , 68. Elec. 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; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. 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 93. Energy Compliance Certificate -Other Certificates Date L 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: ;1 . COUNTY OF BUTTE - BUILDING DIVISION 'L DEPARTMENT OF DEVELOPMENT SERVICES T . 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 Ka CORRECTION NOTICE 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. i Date Inspector,4�,'- /Z/ - REV 10/92 << COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES sr 411 Main Street, Chico, CA - (916) 8914751 R{ 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 9-7- a3Fs OWNER/ PERMIT NO. /,. A routine inspection indicates that the following violations of Butte County Ordinances ei xist 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 contac j his office immediately. . Date Inspector Af3,1e REV 10/92 c�tJd�owe- a / _tea i -¢- r e f/i a Ani d 5 cc , / • Date Inspector Af3,1e REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 91 S / ASSE$$p{�.RARC�{.LIIL!bl 6 ZONINGCIBUILDING PERMIT owNEJJ[OSE}A��NJD O/FELIA GONZALEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION 67,6-08.00 OWNERS "UNG ADDRESS 7 694. CONTMYI;NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSE ff LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCH ECT OR ENGINEER REG PETITZ LICENSE NO. C21283 Filing Fee $ 20.00 Permit Fee $ 536.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 348. (KN40 BUILDIE 5 899TH STREET Energy Plan Checking Fee $ 46.00 CITY OF BIGGS PERMIT FEE S LAT NO. 6 GG SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 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 as water heater or vent 15.00 15.00 TYPE OF WORK New EK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑' Other ❑ Describe Work: MASTER #94-20 PLAN 1252 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home IS I G1 W 1 920.00 PERMIT FEE $ 136.00 (TO BE MASTERED) ELECTRICAL PERMIT Filing Fee 20.00 OR LEs Main Service zoos oR LEsss 23.00 23.0 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.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: ❑ 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. 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 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. ( 1 so 3 3.52 :60.70 roi w� ONST. naiuicTcouLTALEr NON-RESLO. @7.50 OWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. ouTLET oR FOLTUREs 200 '-0° SAL o .s0 Ex. Occup. OUTLAPPLNS ETS (RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. WirinQ 23.00 PERMIT FEE $ 103.7 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 15.0 Cooling 15.0 Hood 6.50 6.5 Ventilation 2 4.50 9.00 PERMIT FEE S65.50 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 ovisions of section 3700 of the Labor Code, I shall fortith comply,,with th a prow ions. n / X __ ___ Dat %�� Sign re of Applic nt - Owner ❑ Contractor gent r An OSHA permit is required for excavations over 5'0" clep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. T�FE TOTAL FEE $ 1.301.60 HAZ. D. IMP FLOOD CDF PARC�y r/ PD 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 Llif I the applicable provisions Resolutions to do work been paid. J / /L� atte `/ 7ReceiptNo. / I Date 231396 $827.20 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTME TO DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oro1 ille, California 95965 -Telephone (916) 538-75 PERMIT No. (Rev. 12/96) ~ APPLI A SON AND PERMIT '�- �s- ASSESSOR PAa NUMBER ^O , O OWNER 5 Q e ` 2 NI BUILDING PERMIT r, MOVE SO.. OCC. BUILDING VALUATION cFT. { S OWNERS MAILING ADDRESS CONTRA DR'S NAME titsA, 4.4: r TELEPHONE d CONTRACTORS MAULING ADDRESS CONS TI N LEND LENDER'S MAILING ADDRESS Fireplace Total Valuation $21 ARCHRE OR ENGINEER L LIC E NO. Filin Fee $ 20.00 Permit Fee $ . ARCHITECT OR I EERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS a 99 f Energy Plan Checking Fee $ 1 A (V O 1-40.5 $ PERMIT FEE S LorNort c� SUBON510NSIAWE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap ia 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 / Each gas water heater or vent 15.00 TYPE OF WORK New N' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O� Describe Work: /�/Cl� t� r cc�tf_ [ 9'T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 / Q Mobile Home I S I G I W @20.00 PERMIT FEE S J r- F ELECTRICAL PERMIT Filing Fee 20.00 Main Service AORLESS 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 Llc. 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( SO F7. NEW CONST. MULTI.OUTLU NON•RESID. @7.50 POWER APPARATUS d SINGLE OUTLET CI R. Ex. OCCu OUTLET ORF0rTURFS X4"00 Ex. Occup. D�x S A� o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 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.) O 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 - O Owner ❑ Contractor RAgent An OSHA permit is required for excavation o er 5' d ep nd molition or construction of structures over 3 stories in height. ` ( y) A 0 OU MECHANICAL PERMIT Filing Fee 20.00 Heating 5-,00 Cooling Hood 6.50 L,s Ventilation 9, _ PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $�,Q Occ CONST. TYPE TOTAL FEE $ Q /,(pG HA2. 10. FEES IMP 8000 COF PARCELPD HD 6SUE 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 Dale Receipt No. a p WHITE-D.D.S.•B. D. CA AY -ASSESSOR PINK -I ECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION u 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER (l0-1-04-W,to SASSESSOR PARC ER: C&9 - 3� Proposed Building Use: { CA -)Building Inspector: I Date: At time of permit application, I was advised the following data must be submitted prior to permit pro ess' g and/or issuance: Date Received By ❑ . All items have been submitted.------------------------------------------------------------------------------------ ot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 3. 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! ------------------ 116. 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 .------------------ . Fees of $ QZ---------------------------------------- ---- ---- - --------------------- ---- (ON. Impact fees as shown on the attached schedule. -c� �-------- --------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 1 . 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) 02 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ Cl 2. Workers' Compensation carrier and policy numb r. ----------------------------------------------------------- Owner -Builder Verification (Given to owner Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- C126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑2 . 0433 A, ❑Grant Deed, ❑ M.H. Title, C1 Check to H.C. $ .--------------- _ kther: 51 -r-YhA (------- _ When you issue the permit, process as follows 6 Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector Applicant: Copy of Haz-Mat form sent ❑ 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, o 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: 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. PROPOSED 3 -BEDROOM / 2-13ATH RESIDENCE OF 1252 SQ. FT. �r 56.81' *1 4- 154.19' 2" PVC UNDER DRIVEWAY FOR IRRIGATION SYSTEM --\ 52' PAD ELEV +90.90' XV.. WJ IX m Lot 26 U U CL U_ 2899 5th ST. �o LU o W SITE PLAN z� M. LU MODEL#1252 �f r1f�f�f�f�1#��ff*frf�f±fief±f�`ff±�*4 fTf�f�♦'f��T* fTf'�T*"f'f��f�►� fyf f �`'1' '- ;#♦�'fff' �� � f� cc ►Tf�iT t 7 f f'ff�♦f�ffff*f�♦ ffff�I�f 1� •U.1 r1f�f�f�f�1#��ff*frf�f±fief±f�`ff±�*4 cc WATER METER • 56.81' _� 50' 22' NOTES. 1 8 ]' 1. SIDE YARD SWALES SHALL BE PRESERVED.nas. approved them for and subject to t�Ilo+i 2. ENTIRE FRONT YARD LANDSCAPE SHALL BL -n"6: ELEEAVICE sary storm Curb, gutter, s , ani. neces COMPLETED PRIOR TO FINAL INSPECTION OF drainage appurtenances to be installed on all abuttir* EACH PROPERTY. streets per City standard, 3. ENTIRE FRONT YARD LANDSCAPE SHALL BFgrade Wish floor to be a 6" a finish N N Opy LOA TEL PHONE, ELECTRIC, & TV TRENCH 04 w-20' TO CENTER LINE ?0 OF ROADWAY %UTTE COUNTY BUILDING DEPARTMEPIT, APPROVED IRRIGATED BY AN AUTOMATIC IRRIGATION Water, sewer leM ry io WREET TREE - City Approved SYSTEM. be installed per C' nd Lot shall be a' m the buj!�MONCRETE 9-7- 235 SOUTHFIELD MANOR BIGGS, CALIFORNIA LAWN SCALE 1' = 20' COMMUNITY HOUSING IMPROVEMENT PROGRAM HRUBS "q -T( (L Bi $ 9,p 2/4/97 OWNER: JOSE L GONZALEZ 2899 5th ST. APN#022-3av-t]'6 12 -7 I1 9-90pio OVq "S OM YAW*" lgCy 6'i�E rA�j�R�i iv;3T�:•Y Ise i '04.Oe. V3_13 GA9 �O ­`)'%D'VJl?R33� fRT A8 --N .,T w � . r'b.a r- a -- ui C .T2 f"j? ee8s - C. .c I i.. A.A(1-11 9-90pio OVq "S OM YAW*" lgCy 6'i�E rA�j�R�i iv;3T�:•Y Ise i '04.Oe. V3_13 GA9 �O ­`)'%D'VJl?R33� fRT A8 --N .,T w � . r'b.a r- a -- y<.�r e�^: � ` C) 3i JJA.+� J�A32Gl��A! 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'j"UO? x•r,��i�si�'rvi�-, Vo, MI C� iiU-32E-S'SO *tAc A .11 rite isles _t 112 ATTORNEY-IN-FACT AGREEMENT I/We hereby appoint the Community Housing Improvement Program, Incorporated and/or any of its authorized agents as my/our attorney-in-fact for the purpose of executing any notices of completion, waivers of liens and/or stop notices and/or release of liens and/or stop notices and building permits relating to that certain real property described as follows: All that certain real property situated in the City of Biggs, County of Butte, State of California, and being more particularly described as follows: Lot#25 as shown on that certain map entitled, "Southfield Manor Subdivision Units 1 and 2", which map was recorded in the office of the recorder of the County of Butte, State of California, on May 22, 1997; in book 142 of maps, at pages 30, 31 and 32. Date /Jose L. Gonzalez L// (T -y, 4 Date Q%dlia Gonf6leZJ`. STATE OF CALIFORNIA. On this day of in the year County of BUTTE before me a Notary Public, State of California, duly. . commissioned and sworn, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to.be the person(s) whose name(s) is/are subscribed to the within. instrument, and acknowledged to me that (s)he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the City of County of on the date set forth above in this certificate. Notary Public State of California My commission expires ��"Sfi?!.'�'y"r„r^•��'T'�.`�*'�M�"r�xl1Y+.n.�`liar!'�i�M.'�i'�SiI1'�'i3S�:'Wni'�R'rN,�,r'Tft�t%I?{�°ts”�/".pr"'�ti;r^'`�ty'�•W�y,�,;�%Fe, jix+'.`ie�+•r.�#3r���7+PA':%v,.A X'k ff 1��.}.re!`.L:�+r�...� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Pier Building) �. i School District ,. ►C Building Department No. A.P. Number��-',��-� r%� Jurisdiction: [] City County Property Owner . DS e©�. A 0 n Z Property Location/Address O st, r 0 i Subdiviso'n Lot No. (O VVs Residential Development �. 0 Sq. Footage /c�,5:1- `k No. of Living MHI Addition (Group R) Units Commercial/Industrial New Addition Building Department Rep (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) Date District Identificati/on No. /� D6,� /School District certifies that (Applicant) -zf (Street has complied with the requirements of Resolution No. representing square feet. Paid by Check # .3 9 Yy Remarks: Bank Number Paid by Cash C �— (Phone (Zip Code) by payment of $a� AB 2926 $ FULL MITIGATION $ Date 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) feeformmkl (11/94)amm I RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONL OWNER: BUILDINGP ER: PLAN CHECKER: s l �- / .3 A P. NumBER: % i!L'7►TOT) AT . Zoning requirements: (side yards and number of permitted living units). Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. 1. Complete parcel size and dimensions. 2. Setbacks, side yards, easements, etc 3. Other buildings or structures. 4. Grading, fills and/or drainage. 5. Flood hazard. 6. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). 7. F.A.U. & F.A.S. road setback. 8. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210)+ 8! Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. V, Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details -and -cele sary. -- Garage door and/o c ad ci�Pc�_ Stud heights. Adobe soils - special foundation design: Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? July 1996 3.2 MISCELLANEOUS ITEMS TO LOOK OUT FOR • - Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). r Foam insulation - protection. 36" halls and stairways. 4.Noise area over garage - complete 1-hour separation required on garage side including supporting walls and posts. its on three - story dwellings (Section 1003). oor access and ventilation (Section 2317.7). _.Atticccess and ventilation (Section 1505). stion air for fuel burning appliances - L.P.G. requirements. equirements on duplexes. design. g at all exterior openings.responsible area requirements. . J 0 i 3 July 1996 3.3