HomeMy WebLinkAbout022-350-0772%
022-350-077 PERMIT #97-2394
C.H.I.P. - Lot #27 Aft
(ACOSTA, Pau ino aria)
2903 5th St., City of Biggs
New Single Family r�'-� 1/,11 ti
51
�A- � �-a9 sem.
RESIDENTIAL
Q022-350-077 PERMIT #97-2394
C.H.I.P. - Lot #27
PERMIT NO. (ACOSTA, Pa ino aria)
2903 5th St.) City of Biggs
PERMIT EXPIRI New Single Family
OWNER
CONTR.
ASSESSOR PARCEL
i LOCATION
i
,q
OFFICE COPY
r Address
GAS
� Meter By
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ELECTRIC
Meter By Date
1
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Address
' I
GAS
r Dates E
Meter By q i
ELECTRI D ie �G
Meter By
P
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i
Temp. Power Pole
S
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
1
Called PG&E
:JOB FINALED (Date)
Signature
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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 `1 /. '` ' C -1
ASSEN$Le,PQI3"'Nl W577
JLI"`v r 022-350-077
ZONING
101TTY
BUILDING PERMIT
OWNER
PAULINO AND I>IARIA ACOSTA132
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
R 66 528
OWNERS MAILING ADDRESS
483 U 8,694
CONTRACTORS ppNAME
VVIIIYGI�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
CHIP
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 75, 222.00
ARCHITECT OR ENGINEER
GREG PAITZr?1283
LICENSE NO.
Filen Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
_531.1111E
Plan Checking Fee $ 345.45
BUILDING ADDRESS
2903 5TH STREET
Energy Plan Checking Fee $ 46.00
$
CITY OF, BIGGS
PERMIT FEE $ 942.95
LOT NO.
2
SUBDNISION'S NAME
PARCEL MAP
Filing
PLUMBING PERMIT ling Fee 20.00
USEOFSTRUCTURE
SF EI Duplex ❑ Mobilehome ❑ Other
SPECIFY i
Each Trap 8 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 .00
15 J
TYPE OF WORK
New'O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
'Describe Work: i•IASM'R 094,-189
PLAN #1232
Gas piping system 1 - 5 outlets 15.00 pa . 00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S 136.00
• 1 (TO BE MASTERED)
ELECTRICAL PERMIT Filing Fee 20.00
Main Service z..AORR ss 23-0023.00
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
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.
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 zooA TO I000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a AOC. Bins. A715 3.5¢FT: 60.00
NE
NON-RESIDT MULTI.OUTLET 97,50
POWER APPARATUS
a SINGLE ourLEr cIR.
Ex. Occup. OUTLET OR FIXTURES BAL % �.so
Ex. OCCU OFIXUTLEED7SPHE�S 0 DFRA 5.00 ~"
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S jQ3.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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation 2 4 Q .00
PERMIT FEE s 65 5n
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.)
T , 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 thoseprovisions.. l /
X A J lam/ / / C% �,
l/L��•(IG tt�(�ti Date _ _ _ _
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.
Mobile Home Installation Fee $
Energy Inspection Fee $ 4600
w
occ
CONST. TYPE
TOTAL FEE $ 201 A�
HAZ.
-
D. FEp
✓
IMP
-
FLOOD
--
COF
I PARCEL
VV/
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HD ISSUE
_ ✓/
This permit is hereby issued under the applicable" provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
L
By 6�' Date U I
N_ l// 1 9
PERMIT EXPIRES ON' --V-
Date
ReceiptNo. Gai1G4+--J'4 1,44 "JJ9K)-.)Liz2.Uu
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
V=OK
0 = Not OK
NotReadyceble 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/"oncrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locadon-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location-Test•Wrap; / ItIL
/ /Nat or/ /'-YL/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card 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; SineSpacing•Marriage Line
3. Gas; MH TesH)emand-Vahe-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, GARS ES (Plans) OK except #'s
1: Zoning RequiremenmSetbacks-Easements
- 2. Footings; ShcsSize-0ep"pacing-Connectors,Steel
3. Decks;.Girders and/or Joists-Decking-BracingStairs-Rails
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-DecakEnclosures
-6. Carports; WindowsDoors
7. Electric
8. Frmg.; Siis-AnchorsStuds-Attrs-Trusses
9. Siding; Nailing-VeneerSh cco-Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -Landings
12. Braced Wall. Panels
Date
Card B-1 Date Card B-1
Date
-Card B-1 Date Card B-1
Date
POOLS (Plans) OK #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
` 3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.: Pool'Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-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 RESIDENTIAL
- = Not Applicable
* = Not Ready
Date / UNDERFLOOR (Plans) OK except #'s
V ZoningSetbacks-Easments-FloodSlope
tg., Main; S ' -Flet. Gmd. /j t Ftg. Depth
Garage; ec. Gmd/15 /' Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteek/ N Ftg. Depth
5.1 Stemwplls, Main; Steel-Blockquts- Wrapped
and Special Anchors
6,VD.W.V.; FA-FiKnW f-221/l� 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 Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date ` -t' Card B-1 Date Card B-1
Date Card B Date Card B-1
Date UMBIN ermft) OK except #s
yW-ter Htr.; Vent -Access -Combustion Air Baffle
18. er Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
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
23. Fixture & Transformer Clearance -Ins. Protection
eptacles Spacing -Lights & Switches at Doors
ize Boxes & No. of Conductors Stapled
2aw Installed Close to Edge of Studs & C.J.
E90praround made up w/Mech Fastners-Bond Gas & Water
gaet Appliance Circuts in Kitchen & Conductor Size GFI
29. 5d6feed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI
V . Range Circ. / /d ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated. Neutral 0 Yes 0 No
91. Se ' iser Conductors & Ground -Main Disconect
ip. Clearances Panels -Motors -Meeh. Epuip.
Clo Closet Light -Shower Light -Spa Light
34. oke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
JILICHANICAL (Permit) OK except #'s
. Ducts Insulation & Support
Vent Fan, Exhaust above insulation
37. ndensate Drain & Overflow, Size & Grade
X. Fumance-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. roper Materials & Anchors
s Studs -Nailing Spacing & Braces -Plates -Sound
B ng Walls over Girders & Floor Nailing
Draft ;top in Walls (rat proof)
- ops, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -size & Bearing
(Single & Duplex)
�- 47 ling. Joist-Rftr. Ties-Purlin-roll Brac:Truss-Shting.-Rfng.
�6A8rFrtepra-ce Ties or Type A Flue -Fireplace Throat clearance
t 49 Access; Size & Romex Protection -Draft Stop -Ins. Baffles
nn. Windows or Exiting Doors -Sill Hgt. & Dimensions
BE Q1. rage Fire Protection Framing
roper Lljne Firewall & Openings
Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. S ' , idth-Headroom-Rise-Run4-anding-Fire Protection
Plyw� on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
r 57. Mesh=Drip Screed -Fd. Vents-Underflr. Access
nngAFea-Glass Protection -Skylights -Plastic
�+'iBr-S e r Walls; iling-B Its
rat nor / Exterior Wall Panels
'61. Insulation-Wa IIs -Ceilings
nfiltration-Walls-Windows
Dat ` and B-1 Date Card B-1
Dat '' Card BiSA=4 Date Card B-1
Date NAL 10111ans) OK except #'s
Ext�Steps-Door & Sidelight Protection -Landings
64"Smoke Detector
umace; Vents -Clearance -Comb, Air-Conector-
In G e; Above Floor -Ducts -Meth. Protection
rn Exiting
6L.F.I. & Bath Fixtures & Tub Access -Spa
ec. Trim & Subpanel, Breaker Sizes & Labels
69. irs & Rails
76. FEoplace or Stove, Clearance -Hearth
cif. Elec. Outlets at Wood Panel, Int. & Ext.
72. 5it.-Fi xt. & Appliance; Ground. -Air Gap -Cooking Clearance
�0.' Ouflets & Recepticales at Kit. Counter
. Garage Door: Swing-Landino-Closure
qf Wtr. ents-Clearance-Comb. Air Connector-P.R.V.
Garage; Above Floor -Meth. Protection
Plb., . & Mech. Equip. Listed for -Location
78. E65c. Receptacles in Garage (G.FI.)-Romex Protection
X. Insulation -Foam -Looked in Attic
80. Guatd rails & Deck Construction -Post Caos
jj-d Dents & Crawl Hole Door Drainage & Wood -Earth
earance Looked under Floor n Yes
A. IFollw'ng-instid./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No
84. . Unit Disconnect, Electrical -Plumbing
85. Ve ve Roof, Plbg-Appliance-Fireplace-Clearance to Openings
. ater ell, Disconnect, Electrical, Plumbing
87. tenor Elec. Trim, G.F.I. Receptacle -Underground
68. V lation Throught House
90. XbErrecton0rom Previous Inspections
1. G est -Meters Tagged, Gas -Electric
LJ/Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date - Date Card B-1
Date a 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
7—g3c::/:, `
OWNER vv J 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 conta his office immediately.
C
t�
i' •
I
REV 10/92
,.,
COUNTY OF BUTTE
`
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
OWNER
v
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
REV 10/9%
. �.,r.,•-�;�.�^-�„� � :.--gio =� �'r:n�S'«;"}'i'FiV`^*�'°"g['.'"'.S%ax^R„�'�;;,:"z"c•; � . �� -r. y- -.c .. � .
y
COUNTY -OF BUTTE
BUILDING DIVISION
DEPARTMENT -OF., DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION.' OTICE
�.
J
LL
.'” O ER
4
Pa
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.
01
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Date �� /S- _ inspector
REV 10/92
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7,5,41 c PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT (17aa3 IH
ASSE19eN9%I2I§V / 7 022-350-077
ZONING
CITY
BUILDING PERMIT
OWNER
PAULINO AND MARIA ACOSTA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1232 R
66,528
OWNER'S MAILING ADDRESS
483 U
8,694
CONTRACTOR'S NAME
014NER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
CHIP
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation Is
75, 222.00
ARCHITECT OR ENGINEER
GREG PAITZ
LICENSE NO.
C21283Permit
Filing Fee
$ 20.00
Fee
$ 531. �!�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$ 345.45
BUILDING ADDRESS
2903 5TH STREET
Energy Plan Checking Fee
$ 46,00
$
CITY OF BIGGS
PERMIT FEE
$ 942.95
LOT NO.
27
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
8 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
X
New TD Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MASTER #94-1N9
PLAN #1232
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
Mobile Home S G w
@20.00
PERMIT FEE
$ 136.00
(TO BE MASTERED)
ELECTRICAL PERM Io'Filing
Fee 20.00
Main Service ".A OR LESS
23.00 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.POWER
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.
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 TO
46.00
WEE200A
NEW CONST. DWELLING OCCUP.
cc
OR ADDNS. ( a Acc. BLDs. 1
SO
15 3.54 60.00
NEW
NON -R S DT MUCTI-OUTCET
@7.501
APPARATUs
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 O f'00
BAL @ .50
Ex. Occup. DuiEiE' RS D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S 103, 00
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling
Hood
6.50 6.50
Ventilation
PERMIT FEE
$ 65- 9n
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
fort with c wthosef rovisions.
Q
X___ Date -/ Z
Sig lure of Applican - ❑ Owner ❑ Contractor XAgent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
CONST. TYPE
TOTAL FEE $ 1 9Q11 - LLS
HAZ.
_
D. f IMP
FLOOD
CDF
PARCES
Y/
H=
ISSUF�
1/
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 231124-$471..45/231396-$822.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OFB I -DI PARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Cert er I rive - Oroville, California 95965 - Telephone (916) 538-75 1
(R';SSES ORP APPLICATION AND PERMIT _ 3�PERMIT
ASSES PARC NUMB
OZON
OWNER^ r/ BUILDING PERMIT
TELEPHONE
OWNERS MAILING ADORESS ( SO. FT. OCC. BUILDING VALUATION
CONTRACTOR'S NAME
TELEPHONE G
CONTRACTOR'S MAILING ADDRESS
CONST CTION LEND
LENDER'S MAIUNG ADDRESS
Fireplace
ARCMRE SORENGINEEA Total Valuation $
RE LIC /a$
ARCHIT Oq EN I EEgs MAILING ADDRESS Filing Fee $
Permit Fee 20.0
$ _
BUILDING ADDRESS Plan Checkin Fee $ 13 JUL ot:
f Energy Plan Checking Fee $
LOT h ) SUBDNSIONS NAME PERMIT FEE $
�PARCEL M �^
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE Each Trap 7,00
SFX Duplex ❑ Mobilehome ❑ Other Solar or heat um water heater 23.00 DC
/` SPECIFY Water piping 15.00
TYPE OF WORK Each gas water heater or vent 15.00
New X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Gas piping systern 1 - 5 outlets 15.00 /SI D
Describe Work: �-fP►� _4PBuilding sewer 15.00
1ql — ( Mobile Home S G W 020.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisionsof 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.
I hereby affirm under penalty of perjury that I Dm 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.
❑ I am exempt under Sec.
reason Business and Professions Code for this
N DECLARATI
I hereby affirm under Openalty of perjury O
ury one of the following declarations:
O 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
of one hundred dollars ($100) or less.) work of a valuation
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 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 _
Signature o— f applicant - ❑ Owner ❑ ConUector ❑t Agent
An OSHA permit is required for excavatio ver
of structures over 3 stories in height. a nd dr
i
Receipt No. k.—
WHITE-D.D.S.-B.C. CANA Y•ASSESSOR PINK PFCTOR
GOLDENROD•APPLICANT
or construction
PERMIT FEE I $
ELECTRICAL PERMIT'
F0(ED ABAL.
Occu
® .�Ex.
OUTLETS
Filin Fee 20.00
Main Service
OOOV OR LESS
Mobile Home Facilities
23.00
200A OR LESS
23.00
Main Service
200A TO 1000A
NEW CONST.
OR ADDNS. (�
OCCUP.
46.00
I
NEW CONS _
6 BLDS.
SO.
3.5¢Fr %/�
Ex. OCCU OUTLET Ogr -0 O 1.00
F0(ED ABAL.
Occu
® .�Ex.
OUTLETS
5.00
Temporary Service
Mobile Home Facilities
23.00
Misc. Wiring
20.00
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
res -
6.50
rtKMIT FEE $ ,c) C
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST. TYPE '
TOTAL FEE $ �� g3 , S
HAZ. I D. FEES IMP ROOD COF
PARCEL PO HD SSUE
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
Date _
PERMIT EXPIRES ON
COUNTY OF BUTTE —DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION n
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: AO ma,r l NCQS�fi ASSESSOR PARCER:O9a "3SZ— 07/of (P
Proposed Building Use: { CQ � — Building Inspector: 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
❑ 1. All items have been submitted.-------------------------------------------------------------------------------------
Kt
plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
411
❑ 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! ------------------
0 6. Energy Design Compliance and supporting documentation.----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
C18. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9 )Manufactured Homme data and installation instructions including Tie Down Specifications.------------------
I-Nn
Feesof $ d . _----------------------------------------�-y--,-�
Impact fees as shown on the attached schedule. - L=' = = -----------------------------------
-----'-------------------------- A
012. California Department of Forestry plan approval/fees.------ -----------------------------------
C1 13. Flood elevation certificate.
014. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
t. . Plot plan and business license approval from the City of Biggs. ---------------------------------------------- [a /
❑ 17. Planning 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). ----------- -----------------
❑20. Pre -inspection for required. Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
02 . Workers' Compensation carrier and policy nummbber. -----------------------------------------------------------
Owner-Builder Verification (Given to owner b, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
1126. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
028. Existing violations and/or expired permits.----------------------------------------------------------------------
❑2 . ❑433 A, ❑Grant Deed, 0 M.H. Title, 0 Check to H.C. $--------------- _
Other: 51C` til L'�-2 OVA ��b1'l l ------- _
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:
Date:
Date:_ By:.
Date: By:.
1. Index permit application for the above items numbered: Cl 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 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 4 -BEDROOM / 2-13ATH LOCATION OF TELEPHONE, SITE PLAN Lot 27
RESIDENCE OF 1232 SQ. FT. ELECTRIC, & TV TRENCH MODEL#1232 2903 5th ST.
I. 150.40' \ f
0
co
0
o�
m
m
M
1
ELEC. SERVICE
!!m
PAD ELEV +90.90'
NOTES: 67' .as alved thg
1. SIDE YARD SWALES SHALL BE PRESERVED. ms:
154.19'
2. ENTIRE FRONT YARD LANDSCAPE SHALL BE rar Curb,
' ppurtet
COMPLETED PRIOR TO FINAL INSPECTION OF WATERLINE �o;npeish City two
EACH PROPERTY.� '� a H 40 PVC a de.
3. ENTIRE FRONT YARD LANDSCAPE SHALL BE BUTTE � I
a Water, seer
IRRIGATED BY AN AUTOMATIC IRRIGATION �UILp6�C p�tpa be installed per i
SYSTEM. ®�REET TREE - City�R r
RO
SOUTHFIELD MANOR BIGGS, CALIFORNIA- (� ~
O CONC
COMMUNITY HOUSING IMPROVEMENT PROGRAM 0 LAWNLE C%. -;,F..
OWNER: PAULINO ACOSTA 2903 5th ST. AP#022-350-077 ® SHRUB
Mks -(S9. a Y- (9 ��-239 y
N80 tt*, c Sarre ant
o e Mowing
ksesaryastorm
abutting:=v"7
finish
q SCALE 1'?60L
77Z-
12/4/97
177
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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School Districty
S . U;1�; �),�,�'�'l� Building Department No.
A.P. Number'�Sn-0 Jurisdiction: City County
Property Owner A r iG A cos l a
Property Location/Address a 903 S S1, % I y p
Subdivison
Residential Development
Commercial/Industrial
Building Departme
Tl
No. of Living
Units
0
MHI
0
New.
vV
_Lot No. C2 I/
Sq. Footage
Addition (Group R)
0 Sq. Footage
Addition (Including Exterior
Roofed Areas)
'Date
(Floor Plans reviewed by School District Personnel)
District Identification No.r�
�l GGS �h c-4 P(Z( School District certifies that 4u/1610,�L ),)l/'Q_,k
(Applicant)
10q
?et Ad
JlG
-4 -S-�
representing 43 L� square feet.
c
Paid by Check # Remarks:
Bank Number
Paid by Cash
(State)
(Phone Number)
(Zip Code)
by payment of $
AB 2926 $
FULL MITIGATION $
iC�
Date
If, subsequent to the School District Representative signing this Butte -Co unty 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) feeformmk, (11/94)dmm
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# 27 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
Date
STATE OF CALIFORNIA
County of BUTTE
a
tU0 7�
Maria Isabel Acosta
On this day of
before me
in the year
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
MSCELLANEQUS MEMS 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).
4'. Exterior plaster - weep screeds (Section 2506).
9.1 Proper roof pitch for roof covering (Section ISO 1).
Gl. Roof covering type ..(fire hazard).
Foam insulation -protection
IV 36" halls and stairways.
9' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts.
10. Two exits on three - story dwellings (Section 1003).
1,>! Underfloor access and ventilation (Section 2317.7).
1� Attic access and ventilation (Section 1505).
13� Combustion air for fuel burning appliances - L.P.G. requirements.
1 Noise requirements on duplexes.
Energy design 0%%Et.(r An*,4
Flashing at all exterior openings.
YK C.D.F. responsible area requirements.
(� Solt5
Quor QcAtJ LAja
�3 fA2CF,L Rf-aLA,R"£NfS
a
July 1996
Z "vE c.`eM£„T- C L Eel gAvc£,.
ON (HSQ£Cro�g TiAc"t
909— C a r2 ief c
3.3
I U - 9 RESIDENTIAL PLAN CHECKING GUIDE F `�
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
OWNER: A -co s r BUILDINGP ER: 47-Z.32y
PLAN CHECKER: A P.NLmER: ata- 30,677
IMAL
Zoning requirements: (side yards and number of permitted living units).
Valuation.
3' Plans signed by designer.
Proper description of work on application.
Existing violations on property.
lJ Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Y Recorded notice of violation.
r -DT nT DT AAT•
0 Complete parcel size and dimensions.
5 Setbacks, side yards, easements, etc.
Ether buildings or structures.
sl! Grading, fills and/or drainage.
Flood hazard.
® Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender,(�tc.).,' .
7. F.A.U. & F.A:S. road seiback. ' - '. _ 4 . � . ,
Building or utilities across lot lines (Record form).
FLOOR PLAN. . , -'
Y. Complete to scale plan with dimensions.
2" Required windows for light and ventilation (Section 1203).
-3' Required windows for second exit (Section 310.4).
e Skylights (Section 2409 & 2603.7).
8" Glazing in Hazardous Locations (Section 2406).
6' Required room sizes, ceiling heights (Section 310.6).
7' 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.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
1,6. Garage firewall, door size and closer (Section 302.4).
Ll' Minimum of one 3'0" exterior door (Section 1004.6).
Pr Fireplace and wood stove location, alcoves and clearance.
01' Smoke detectors (Section 310.9.1).
1/ Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS:
,Y. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
ri. Standard bracing or engineered design (Section 2326.11.3).
3r Clerestory requiring balloon framing and/or engineering.
4' Three story building requiring engineered calculations and plans.
e. 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.
8! Roof construction details complete enough to construct building.
r Rafter ties or bearing ridge beam.
116 Fireplace construction details and calx if necessary.
lei Garage door and/or porch header sizes.
1!� Stud heights.
Adobe soils - special foundation design.
W. Retaining walls requiring design.
1Special Inspection requirements.
1 Header size.
Sheetrock nailing inspection required? 5 f1S
II July 1996 3,2 iI