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HomeMy WebLinkAbout024-080-010o1ay ogo-o dtAsZ �scanYled� Z4 -OS -10 ' �rmik Singh 7'96�. eifer Rd., Gridley Permib%jt1998-81B,P,E,M(addition & remodel/ 24-08-10 Contr: Gridley AC, Gr*,tley PErmit#2488-81M (A.Gl SF 24-08-10 Amrik,.Singh v:- �Pe-rm t #2557-81B,E(addition & / remodel/SF)� 024-080-010 04-2167 HARRISON, PAUL 796 KEIFER RD, GRIDLEY Cont: TONY BAZZANO CO OUTSIDE BATHROOM 024-080-010 04-2777 HARRISON, PAUL 796 KEIFER AVE, GRIDLEY - ' Cont: BAZZANO CONSTRUCTION RPL 5 WINDOWS,2DOORS,ROOF x024-080-010 04-3402 HARRISON, PAUL 796 KEIFER AVE, GRIDLEY Cont: BAZZANO CONST INSTALL NEW H2O HEATER �+RRISON, PAUL '796 KEIFER AVE, GRIDLEY , 0 Cont: BAZZARO CONSTRL1 `t STORAGE TO GUEST IIJU ::s�G..i= 024-080-010 05-2199 HARRISON, PAUL & SANDY 796 KEIFER AVE, GRIDLEY Cont: SPENCER INCWAL HVAC C/o I in )# kses-�C i S1� �f f- 024-080-010 - 86 HARRISON, PAUL ' L 796 KEIFER AVE, GRIDL Cont: ALL RITE ROOFIN RE ROOF 41 � ye 4� ti } E.} - O14=C12SU-U I U MISCELLANEOUS Limited Ag -Repairs r REBUILDING DAMAGED LIMITED A- 796 KEIFER AVE HARRISON, PAUL R Z4 -OS -10 ' �rmik Singh 7'96�. eifer Rd., Gridley Permib%jt1998-81B,P,E,M(addition & remodel/ 24-08-10 Contr: Gridley AC, Gr*,tley PErmit#2488-81M (A.Gl SF 24-08-10 Amrik,.Singh v:- �Pe-rm t #2557-81B,E(addition & / remodel/SF)� 024-080-010 04-2167 HARRISON, PAUL 796 KEIFER RD, GRIDLEY Cont: TONY BAZZANO CO OUTSIDE BATHROOM 024-080-010 04-2777 HARRISON, PAUL 796 KEIFER AVE, GRIDLEY - ' Cont: BAZZANO CONSTRUCTION RPL 5 WINDOWS,2DOORS,ROOF x024-080-010 04-3402 HARRISON, PAUL 796 KEIFER AVE, GRIDLEY Cont: BAZZANO CONST INSTALL NEW H2O HEATER �+RRISON, PAUL '796 KEIFER AVE, GRIDLEY , 0 Cont: BAZZARO CONSTRL1 `t STORAGE TO GUEST IIJU ::s�G..i= 024-080-010 05-2199 HARRISON, PAUL & SANDY 796 KEIFER AVE, GRIDLEY Cont: SPENCER INCWAL HVAC C/o I in )# kses-�C i S1� �f f- 024-080-010 - 86 HARRISON, PAUL ' L 796 KEIFER AVE, GRIDL Cont: ALL RITE ROOFIN RE ROOF 41 � ye 4� ti } E.} - O14=C12SU-U I U MISCELLANEOUS Limited Ag -Repairs r REBUILDING DAMAGED LIMITED A- 796 KEIFER AVE HARRISON, PAUL vq ��m I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 796 KEIFER AVE Owner: Permit No: B08-1656 APN: 024-080-010 HARRISON, PAUL Issued Date: 10/30/2008 By KCG Permit type: MISCELLANEOUS 3832 S STREET Subtype: Limited Ag -Repairs SACRAMENTO, CA 95816 Expiration Date: 10/30/2009 Description: REBUILDING DAMAGED LIMITEI (925) 766-6562 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: BAZZANO CONSTRUCTION INC DAN CANNADA Building Garage RemdUAddn 1580 TIERRA RUENA 2245 ACACIA AVE YUBA CITY, CA 95993 SUTTER, CA 95982 (530) 701-2667 (530) 673-0411 Other Porch/Patio Total FEE INFORMATION DBEH Building Review Fee $78.90 DBOMSCF Limited Ag $416.43 Total Charged: $495.33 Fees Paid: $495.33 Balance Due: $0.00 Receipt No: B8286 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires BAZZANO CONSTRUCTION INI 922101 / B / 09/30/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law.for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFF U DER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing ith S ti n 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force nd a. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 10/30/2008 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: 'Contractor's Signaturi 7 Date 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 (Sec. 71344, Business and Professions Code: The Contractors License WORKERS* COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WO�KERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or Pe rmance of the work for which this permit is issued. improve for the purpose of sale.). ,E AN V ,Z A D WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: —S( Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �cti m0workers- compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number, 713,27 007 Ep. Dal,:03/01/2009 M Contractor's License Law.). a_ -- (This section need not be completed it the permit is foron. hun red dollars ($100�or —less) r_1 I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 12SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compepqion La s of California, and agree that if I should become subject to the workers' X 10/30/2008 compAsqlion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pro jo 10/30/2008 —have I hereby certify that I read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building \,S Date ,LgnVure WARNING: FAILUR19 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, const uction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte"County, its officers, agents and employees from any and all claims and liability for AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, personal injury, including death. and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occup cy any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. County to a r th abov me oned property for inspection purposes. I hereby certify that I am the property o er am d to act on th wnepe;behalf. 9441 CONSTRUCTION LENDING AGENCY - X4 10/30/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for hame of-Vermitted [Smy Pwt Date the performance of the work for which this permit is issued. (3097 civ. code) Owner' ntractor OR: El Agent for Owner DAgent for Contractor FILE COPY Lender's Address city State Zip %3T BUTTE 6)UNtY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION" 0 OFFICE#: (530)538-7541 FAX#:(530)538-2140 0 IMEOFAPPLICATION 0 0 A FEE WILL BE REQUIRED A T T Website: www.buttecounty.net/dds U PLEASE PRINT CLEARLY PERMIT NO. a -1 to S70 BIN # **When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County.'s website for electronic access. OWNER INFORMATION LqsJ Name 14 Ala 12 I/<— TW14C.5 icq Name C_ la S ir4 CAP r I Statt, Lic. # JRhone 4 2E) E-mail Fax 2-1 CONTRACTOR Name /_30 z -2 to /�' 0 Address lily 0, e State,,_ Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION INE _En� 91_!5dq re cAor NP e 'V4 /t.!( city 1%4#91— "1 C r, Address Zip City � Fax State Type Cohst. ,.Pbone S 3&J 4 -7f2-0q11 2 6 Zz CIS - 32 E5inail CC a" A V_CrJ_S 'Alb -MLA j66 State Ucense Number C^ APPLICANT INFORMATION Name Z2 g4q 614 - Address city 1%4#91— "1 C r, ? State Zip Phone 73- 01/( Fax E-mail APPLICANT SIGNATURE x A(? PROJECTLOCATION AP# C,2 41 - 4),Q0 -0/ Property Address -,/,,— K, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDINGAGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- L:ivk%,� Garage Open Cov 4< Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use onl)q 41U Zoning Flood Zone SRA I Yes No Occ. Type Cohst. Butte County Department of Public Works; J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 3 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-1656 Location: 796 KEIFER AVE Parcel Number: 024-080-010 Date: 08/14/2008 By: AAM Sub Type: Limited Ai! -Repairs Owner Name: HARRISON, PAUL Phone: (925) 766-6562 Description: REBUILDING DAMAGED LIMITED AG & DEMO PORTION EX By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 08/14/2008 Butte County Department of Development, Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1656 Location: 796 KEIFER AVE Parcel Number: 024-080-010 Date: 08/14/2008 Owner Name: HARRISON, PAUL Phone: (925) 766-6562 Description: REBUILDING DAMAGED LIMITED AG & DEMO PORTION EX Signature of Applicant: Date: 08/14/2008 FILE Rug 14 08 07:03a Hazzano August 14, 2008 5307511003 P. i tiW• To whom it may concern: Please allow Mr. Dan Cannada, to represent Paul Harrison at the Brute County in transactions related to obtaining building permits for the property at 796 Keifer Gridley, CA If you have any question, call me at 925.766.6562. Thank you for your assistance, ]�Q F'tr1 i S Paul Harrison Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 3, 2008 Paul Harrison 3882 S Street Sacramento, CA 95816 Assessor Parcel Number: 024-080-010 Building Permit Number: B08-1656 Limited Agricultural Building \ Thank you for submitting plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. ` COMMENTS: 1. Please indicate existing building components and proposed new construction. Plans indicate repair. The area of the repair in the building will need to be clearly shown on the plans. It appears to be all new construction on the particular portion of the building. Is the other portion going to be rebuilt? 2. Plans do not comply with conventional construction requirements of the 2007 California Building Code. Provide lateral design, with supporting calculations and plans, from a State of California Licensed Design Professional with current wet stamp and signature, on new portion of structure, per 2007 CBC Chapters 16 and 23. Provide a complete load path from the roof to the foundation. 3. Provide gravity load design for new beams and footings, with supporting calculations, and plans with current wet stamp and signature from a State of California licensed Design Professional. 4. Provide revised plot showing the location and distances of all buildings and septic system components and well from two property lines. Show distances between buildings. 5. Please identify the location and size of the electrical panel as well as the service entrance location for this building. 6. Please provide location of electrical outlets and other circuits to comply with 2007 California Electrical Code Article 220-100; farm loads. 7. Provide two revised sets of plans design calculations with wet stamps and signatures, and plot plans to the Butte County Building Division for completion of building plan review. If you wish to discuss any of these comments, please call (530) 538-7541 between 1:00 p.m. and 4:00 p.m., Monday through Friday. Carl Nelson Plans Examiner cc-' Dan Cannada Jr., Agent for owner i ilo Hunt, AE Plan Check Engineer Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 3, 2008 Paul Harrison 3882 S Street Sacramento, CA 95816 Assessor Parcel Number: 024-080-010 Building Permit Number: B08-1656 Limited Agricultural Building Thank you for submitting plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: 1. Please indicate existing building components and proposed new construction. Plans indicate repair. The area of the repair in the building will need to be clearly shown on the plans. It appears to be all new construction on the particular portion of the building. Is the other portion going to be rebuilt? 2. Plans do not comply with conventional construction requirements of the 2007 California Building Code. Provide lateral design, with supporting calculations and plans, from a State of California Licensed Design Professional with current wet stamp and signature, on new portion of structure, per 2007 CBC Chapters 16 and 23. Provide a complete load path from the roof to the foundation. 3. Provide gravity load design for new beams and footings, with supporting calculations, and plans with current wet stamp and signature from a State of California licensed Design Professional. 4. Provide revised plot showing the location and distances of all buildings and septic system components and well from two property lines. Show distances between buildings. 5. Please identify the location and size of the electrical panel as well as the service entrance location for this building. 6. Please provide location of electrical outlets and other circuits to comply with 2007 California Electrical Code Article 220-100; farm loads. 7. Provide two revised sets of plans design calculations with wet stamps and signatures, and plot plans to the Butte County Building Division for completion of building plan review. If you wish to discuss any of these comments, please call (530) 538-7541 between 1:00 p.m. and 4:00 p.m., Monday through Friday. Carl Nelson Plans Examiner cc: Dan Cannada Jr., Agent for owner r 6ilo Hunt, PE Plan Check Engineer .................. si, Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION *BUILDING * PLANNING September 3, 2008 Paul Harrison 3882 S Street Sacramento, CA 95816 Assessor Parcel Number: 024-080-010 Building Permit Number: B08-1656 Limited Agricultural Building Thank you for submitting plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: 1. Please indicate existing building components and proposed new construction. Plans indicate repair. The area of the repair in the building will need to be clearly shown on the plans. It appears to be all new construction on the particular portion of the building. Is the other portion going to be rebuilt? 2. Plans do not comply with conventional construction requirements of the 2007 California Building Code. Provide lateral design, with supporting calculations and plans, from a State of California Licensed Design Professional with current wet stamp and signature, on new portion of structure, per 2007 CBC Chapters 16 and 23. Provide a complete load path from the roof to the foundation. 3. Provide gravity load design for new beams and footings, with supporting calculations, and plans with current wet stamp and signature from a State of California licensed Design Professional. 4. Provide revised plot showing the location and distances of all buildings and septic system _ components and well from two property lines. Show distances between buildings. 5. Please identify the location and size of the electrical panel as well as the service entrance location for this building. 6. Please provide location of electrical outlets and other circuits to comply with 2007 California Electrical Code Article 220-100; farm loads. 7. Provide two revised sets of plans design calculations with wet stamps and signatures, and plot plans to the Butte County Building Division for completion of building plan review. If you wish to discuss any of these comments, please call (530) 538-7541 between 1:00 p.m. and 4:00 p.m., Monday through Friday. • Carl Nelson Plans Examiner cc: Dan Cannada Jr., Agent for owner t Philo Hunt, PE Plan Check Engineer Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541' (530) 538-2140 FAX www.bLIttCCounty.net ,l FACSIMILE COVER SHEET Date: qS To: Ce9e-�✓'v .!D J t- From: C 4 rL L Subject: O - • ` V �-6 r Number of pages (including this cover sheet): 2 Fax Number: If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: n Review and respond accordingly. / r your information only. C-9-10 Sincerely,G�-� CONFIDENTIALITYNOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. K. OuildinglBUILDING FORMS'Blank Fax Cover Sheet.doc 9/15/2008 Butte County Page 1 of 1 8:53:49AM Permit Routing Report By Date Sent (then by permit) For the Period 9/15/2007 thru 9/15/2008 Permit # Appl. Date Aging Address I Plan Review Detail APN Permit Type Description Owner Name Contact Review Type Status Date Sent Date Due Completed MISCELLANEOUS Limited Aa -Repairs - B08-1656 08/14/08 32 796 KEIFER AVE HARRISON, PAUL Carl Nelson Building Limited Pending Corrections 08/14/08 08/25/08 09/03/08 024-080-010 REBUILDING DAMAGED LIMITED AG & Ag DEMO PORTION EX Total number of Permits: 1 DDS PLANI2B CR A$SDOAM Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR COUNTY 7 County Center Drive OCT 2 3 2008 Oroville, CA 95965 (530) 538-7601 Telephone REVEL©PN. NT (530) 538-7785 Facsimile SERVICES www.buttecounty.net/dds PLAN CHANGE ❑ RECHECK n Owner's Name: Hope ispy) �Q�,�� AP#: o n mn- OiO BP#: 100, ` ICO 5 Received By: F7 ca orn Date: Time: �0 Art) Contact Person & Phone Number: Dri n Chooda. Q. 713]0112- PURPOSE 13]h112.- PURPOSE OF PLAN CHANGE OR RECHECK ❑ Response to Inspector's Correction Notice — Inspector's Name: �R�c�U. Response to Plan Check tere5} — Plans Examiner's Name: �r � +jS ) *Submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. WHEN APPROVED: ❑ Mail to ❑ Call and hold for pick-up. ❑ Deliver with Next Inspection ( for 8 1/2X 11 only) Minimum revised plan check fee to be collected at time of submission of revision; plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $118.98 paid. ❑ Additional Fee Amount: Receipt #: Revised 2/08 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5049.1 I PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWs-7-1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe Code, and my license is in full force and effect. License . Class Licen7seb r: Date: -a---v-05-, Contractor: OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not.more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not aliply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Issued Date: 05/11/2005 APN: 024-080-010-000 Site Address: 796 KEIFER AVE GRI Map Index: Description: STORAGE TO GUESTHOUSE CONVERSION 352 SQ. FT. Owner: PAUL & SANDY HARISON 1749 35TH ST. SACRAMENTO CA 95816-6605 (916) 825-0890 FAX (916-454-369.2 Applicant: BAZZANO CONSTRUCTION PAUL BAZZANO 1580 TIERRA RUENA YUBA CITY, CA 95993 530-701-2667 Contractor: BAZZANO CONSTRUCTION 1580 TIERRA RUENA YUBA CITY, CA 95993 530-701-2667 License #: 767206 Architect: Engineer: Carrier:— '--77A7T— F-loia. Policy#:_ Total Square Ft: 352 S.F. Valuation: $22,880.00 0 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING* Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one of hundred thousand dollars ($100,000), in addition to the cost compensation, damages as provided for in Section 3706 of the Labor code. interest, and attorney's fees. �eif 61 4 - Z� -,�) 5- 116 vu 4 o M1 FAFAI q-?, CONSTRUCTION LENDING AGENCY -This permit is hyer b i d deb.h� gicable provisions of the Butte County Code and/or ue un' Resoluti s to y is! d ,fio hi I hereby affirm that there is a construction lending agency for the ork indicate w c fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ Name: B. Date: Address: PERMIT EX PIRES ON: 0 1 hereby certify that the use of this facility shall comply with Sections 25505. 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0, Notification in accordance with Section 1IJ827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E. P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with - all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representahes of Butte County to eqter upon the above mentioned property for inspection purposes. zl-) Print Name- A. 44 wwo Signature Date: ..El Owner 1�_Clontractor El Agent for Owner El Agent for Contractor NOTES RESIDENTIAL PERMIT NO. ff 010ON, PAUL 05-2286 FER AVE, GRIDLEY L RITE ROOFING F SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 4 = OK 0 = Not OK - = NotApplicable . c Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs Card B-1 Date 1 . Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer Location -Test -Fall -C/0 -Concrete PERMANENT END SYSTEM (ONLY) 4. Water Location -Test -Easement Needed (Sketch) 5. ElectricitT, Location-Clearances-Gmd4 /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ItJ f LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect -8. Utility Clearance 10. Roof, Shthg-Roofing 4. Gas; MH Test -Demand -Valve 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except U's Date 1 . Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 8. Gas and Electricity Tagged 3. Gas; MH Test-Detnand-Valve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 10. License Decals 6. Water MH Test-Regulator-Connecto? 7. Water and Sewer.Connected-C/0 to Grade -1-11) Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Card B-1 11. Cert of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1 . Zoning Requirements -Setbacks -Easements 7. Electric 2. Footings; Size -Spacing -Marriage Line 8. Frmg.; Sifls-Anchors-Studs-Rftrs-Trusses 3. Blocking 10. Roof, Shthg-Roofing 4. Gas; MH Test -Demand -Valve 11. Ext.; Steps -Doors -Landings 5. Electricity; MH Test 6. Water; MH Test Card B-1 Date Card B-1 Date 7. Water and Sewer Connected Date POOLS (Plans) OK except fPs 8. Gas and Electricity Tagged 1 . Setbacks -Easements 9. Exits 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 10. License Decals 4. Elec.; Receptacles and Lighting, Distance-GFI 11. Verify Ws with Office 6. Elec.: Enclosures; Conduit Entries-Terminals-Usted 7. Elec,; Bonding; Metal w/T-Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steet 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sifls-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof, Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except fPs 1 . Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI -5. Elec.; Pool Lighting: 15 Volts-GFI 6. Elec.: Enclosures; Conduit Entries-Terminals-Usted 7. Elec,; Bonding; Metal w/T-Circulating Equip. -Heater 8. See.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing-Marms Date Card B-1 Date Card B- I Date Card B-1 Date Card B-1 - OK = Not OK = Not Applizable = Not Ready RESIDENTIAL (Single & Duplex) late UNDERFLOOR (Plans) OK except #s 1 . Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-I r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Fig, Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fdting-Test-2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 3ate Card B-1 Date Card B-1 :)ate Card B-1 Date Card B-1 Date PLUMBING (PermF 4 OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe: Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Roor-Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permrt) OK except #'s 24. Fixture & Transformer Clearance -ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in KAchen & Conductor Size GF1 30. Subfeed Wire Size/ /ga. Cu or Al-A.C. Wire Sizet /ga Cu or Al 31. Range Circle] /ga Cu. or AJ -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proo� 45. Fire Stops, Furred Geilings-Stairs-Chasers-Tubs 46. Headers & Beams -Size & Bearing Date -FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors -48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise- Run- Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers; 57. Siding-Nairing Veneer 58. Stucco Mesh-Ddp Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Ceflings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #Is 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec- Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Bec. Outlets at Wood Panel. I nt & Ext. 73. lCit Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at I(it. Counter 75. Garage Fire Door-, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.*, Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Bec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. Insulation-Foami-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. FoRovving lnstldJDrM 0 Yes 0 NoA%Ialk� 0 Yes 0 N~ers 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle-Underg round 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas-Etectric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION.#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 E NULL AND VOID 1 YEAR FROM THE DATE OF LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -DWKiD License Class License Number: Date: _BtX3 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): Ll 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P.rofessions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). El I am Exempt under Article 3 of the Business and Professions Code Date: — Owner: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the . Labor Code, for the performance of the work for which this permit s issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: liv - ALL4 Carrier: Policy M El I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0-0— 6— Applicant: V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - -- - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP052286 WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 08/25/2005 APN: 024-080-010-000 Site Address: 796 KEIFER AVE GRI Map Index: Description: re roof 30 sq Owner: HARRISON, PAUL 796 KEIFER LN GRIDLEY, CA 95948-1465 Applicant: ALL RITE ROOFING 3420 SOUTH BUTTE RD. YUBA CITY, CA. 95993 Contractor: ALL RITE ROOFING 3420 SOUTH BUTTE RD. YUBA CITY, CA. 95993 License M 714523 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Resolution :h Ys have been paid. By:_ nz��7 Date: PERMIT EXPIRES ON: 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl..- Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled consiruction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: VL'C rx�ie Signature:_ Date: Q Owner EA.,Co-ntractor C3 Agent for Owner 0 Agent for Contractor NOTES y PERMIT NO. 9 RESIDENTIAL 1024-080-010 05-2199 HARRISON, PAUL & SANDY j 796 KEIFER AVE, GRIDLEY G ' Cont: SPENCER INC HVAC C/O SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ` CHECKED BY 4 = oK o . Not OK . NotApficable = Not Ready MOBILE HOMES Date MOBILE HOME UTIUTIES (Plans) OK except #s 1 . Zoning Requirements -Setbacks -Easements 2. Soils; Specidl MH Support Sketch 3. Sewer Location -Test -Fall -C/0 -Concrete 4. Water Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L W f LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Soils-S!7e-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Seams-Rftrs-Connectors Shthg-Frg- Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enciosures 6. Carports; Windows -Doors 7. Electjic 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailirvg-Veneer-Stucco-Mesh 10. Roof-, Shthg-Roofing 11. ExL; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Vs I . Setbacks -Easements 2. Soils, Compaction-SbijcWre Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Bec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Vofts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Bec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Departmerd Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs I . Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Deinand-Valve-Connector 4. Electricity; MH Test-C�rcmovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Mectricity Tagged 9. Tie Downs -Type -Installation Eert. 10. Exits, Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Une 3. Blocking 4. Gas; MH Tesl-Demand-Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Soils-S!7e-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Seams-Rftrs-Connectors Shthg-Frg- Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enciosures 6. Carports; Windows -Doors 7. Electjic 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailirvg-Veneer-Stucco-Mesh 10. Roof-, Shthg-Roofing 11. ExL; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Vs I . Setbacks -Easements 2. Soils, Compaction-SbijcWre Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Bec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Vofts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Bec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Departmerd Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I = OK = Not OK = Not Applimable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-I r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils-SteeF/ r Rg. Depth 5. Sternwalls, Main; Steel-Blockouts-Wrapped 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access &Ventilation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Tniss-Sht-ing.-Rtng. 49. Fireplace Ties or Type A Ru e�Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC, Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing-Bofts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date 16. Insulation Date FINAL (Plans) OK except #Is Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.M.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Fioor-Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTR [CAL (Permit) OK except #s 24. Fixture & Transformer Clearance -ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GF1 30. Subfeed Wire Size/ Iga. Cu or AI-A.C. Wire Sizet /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. /ga Cu or Ad Insulated Neutral 0 Yes QNo 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 89. Ventilation Throughout House Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Date 40. Attic Access & Platform ff Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces- Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat pr000 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Tniss-Sht-ing.-Rtng. 49. Fireplace Ties or Type A Ru e�Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC, Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing-Bofts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #Is 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting .68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Mls 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit. Fixt. & Appliance; Ground-Air-Gap-Gooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Bec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Constriction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following lns1IdJDrive 0 Yes 0 No/Walks 0 Yes 0 N�/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, P[bg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle- Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPO52199 B. u. i3uilding Permit Oi-16-04 pg i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/16/2005 APN: 024-080-010-000 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. 1, `/ '��Liqpnse Number: -1 6­'� Z�� Site Address: 796 KEIFER AVE GRI cerise CI; Li ass Map Index: Date: r�ntrnrfnr Description: HVAC UNIT (CHANGE OUT) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.6 Business and Professions Code: Any ;ity or county which requires a Owner: PAUL & SANDY HARRISON permit to construct, alter. improve, demolish, or repair any structure, prior 1749 35TH STREET to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of SACRAMENTO CA the Contractors State License Law (Chapter 9 commencing with Section 95816 7000) of Division 3 of the Business and Professions Code) or that he or (925) 766-6562 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): El 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 (Sec. 7044, Business and Professions Applicant: SPENCER INC., R.B. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1188 HASSETT AVENUE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for YUBA CITY, CA 95993 sale. If however, the building or improvements are sold within one 530-674-8307 year of completion. the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). C] 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SPENCER INC., R.B. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 1188 HASSETT AVENUE pursuant to the Contractors' State License Law.). YUBA CITY, CA 95993 0 1 am Exempt under Article 3 of the Business and Professions Code 530-674-8307 Date: Owner: License#: 664429 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrierand policy number are: 2,__0 Total Square Ft: 0 S. F, Carrier: .&Oca Valuation: $0.00 Policy Census Code: -0 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwilq comply with those provisions. DaV71�, L'cant: �Zg,�V Ap WARNING: Failure to secure worors' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100�000), in addition to the cost of Labor, compensation. damages as provided for in Section 3706 of the code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby, issued under the pl ca e provisions of the Butte County Code and/or have been I hereby affirm that there is a construction lending agency for the is issued 3097 Cl V.) Resolutio s d wor Indicated abov for which fees paid. performance of the work for which this permit (Sec B V, /Y, Date: Y7 Name: PERMIT EXPIRES ON: 11,12 Address: (Date) YI hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage. .; handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. k hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with 611 county and state laws relating to building construction. I acknowledge it is unlawful to alter the ydb—slance of an official form or document of Butte County. I hereby -authorize rep� ent IT f Butte County to enter upon the above mentioned property f t*b, p rposes.. '7 - Print Nam e Date: 0 owner [J—Contractor 0 Agent for Owner 0 Agent for Contractor B. u. i3uilding Permit Oi-16-04 pg i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR fNSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name Name All frst Name Address bk city State State( Phone Phone OQ5) Fax Fax E-mail City APPLICANT INFORMATION .CONTRACTOR Name Name All Vtje_ Tv)e_. Zip City Fax State Address Phone Book Fax E-mail Planner City St t lilqs�q_j Phone Fax (5 E-mail Lic. # es APPLICANT INFORMATION ARCHITECTIENGINEER Name City VL4'" Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name J. Address :!P -4 C, City VL4'" Sta? 1A Zip Phon 6&:10) Fax E-mail APPLICANT SIGNATURE X For office tse only: Zoning Property Address :1 Ct (a k "4. Flood Zone Cross Street V d-aA,- - SRA I Yj] No Occ. Type Const. Subdivision Name Map Book I Page Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BIdaADDISubRqmts.doc PERMIT NO. Bpo57.72A6 BINH PROJECTLOCATION AP# Property Address :1 Ct (a k "4. Cross Street V d-aA,- - WORKER'S COMPENSATION Policy Number -wa�;- Carrier '4 F�t�ring_anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance., LENDING AGENCY Name Address Description or Scope of Work: I V Sq FT- Li\Mng Garage Oped Cov El Structure Built without Permits - — #j '. 11 Proposed Change of Occupancy -S (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: i Bldg f V SRA Receipt #: Sheriff SMIP _�e� Other Date: I L�4 T2!a� Paqe I of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 0 2. Complete plans, 3 or4 sets, signed by the preparerof the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. El 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. E] 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate El 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the enginee . El 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings. El 11. Building Permit Application Without Required Clearances Form 0 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. 0 3. California Department of Forestry plan approval (if required). 0 4. NPDES Form. 0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. .0 Legal description from current recorded grant deed, 0 Copy of M.H. Title, Title transfer, or MCO. 0 .12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. 1 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required, REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSOUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License C s 6_1_30'Li nse Nurnber: ,)as F Date: &/A0:7/CQ__ Contractor: . – OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any City or county which requires a permit to construct, alter, improve . demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): L3 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or stage did not build or improve for the purpose of sale.). 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. k -'rhave and will maintain workers' compensation insurance, as equired by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy El I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit4 complywith those provisions. P, 9, N 1, A WARNING: Failure to secure wor�"rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ, Address: PERMIT NO. BP052199 Issued Date: 08/16/2005 APN: 024-080-010-000 Site Address: 796 KEIFER AVE GRI Map Index: Description: HVAC UNIT (CHANGE OUT) Owner: PAUL & SANDY HARRISON 1749 35TH STREET SACRAMENTO CA 95816 (925) 766-6562 Applicant: SPENCER INC., R.B. 1188 HASSETT AVENUE YUBA CITY, CA 95993 530-674-8307 Contractor: SPENCER INC., R.B. 1188 HASSETT AVENUE YUBA CITY, CA 95993 530-674-8307 License #: 664429 Architect: Engineer: Total Square Ft: Valuation: Census Code: This permit is reby is Resolutiorw do work B PERMIT EXPIRES ON 0 S. F. $0.00 f th�;�pllcable provisions of the Butte County Code and/or )o for which fees have been paid. Date: Rwlal� yI hereby certify that the use of this facility shall comply with Sections 25505, 25533. and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project. • Attached are copies of the required E. P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with s nce of aWIfflici I f m or document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the 09�4 authorize repres�pntoves of Butte County to enter upon the above mentioned property for inspec urposes., Iry Print Name: Signal r Date: 0 owner ontractor 0 Agent for Owner El Agent for Contractor C - I ts. L,. tsuiming rermit u i - i o-vq py 1 N% BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" For office use only: WA Name I Type Const. Addre,�y '10e,? 0 MIMI city For office use only: CONTRACTOR Name I Type Const. Addre,�y '10e,? 0 Map Book city State Zip Phone -/, -2 E-mail Lic. # Class For office use only: ARCHITECTIENGINEER Name I Type Const. Address Map Book city State Zip Phone Fax State License Number For office use only: T5 72% Ti U Occ. I Type Const. Subdivision Name Map Book I Page P 'K Date Approved: For office use only: Zoning Flood Lne SRA I Yes I No Occ. I Type Const. Subdivision Name Map Book I Page Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS I K:XFORMS\BUILDING FORMS\BldgAppISubRqmts.doc Page 1 of 2 PERMIT NO. — /y,5_ 2 IF LOCATION AP#69 4 o e d Cross Streel J�-('Oe WORKER'S COMPENSATION Policy N 9�ff '/ Card", If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Desc R*tion or, Scopo Work: oen 4k2 -4 -- Sq. Footage 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. -r- eceived by. Amount: �S5' cc) Bldg SRA Receipt#4 Sheriff -SMIP Date- Other —Total REV 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION.#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICEM (530) 538-7541 PERMIT NO. BP052286 PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/25/2005 APN: 024-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: Site Address: 796 KEIFER AVE GRI Date: Rl�� Contractor: .. I "L &;Lk - Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P.rofessions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). El I am Exempt under Article 3 of the Business and Professions Code Date: - Owner: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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 s issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy M 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: eg- Applicant: "Ji - - -4 V I WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Description: re roof 30 sq Owner: HARRISON, PAUL 796 KEIFER LN GRIDLEY, CA 95948-1465 Applicant: ALL RITE ROOFING 3420 SOUTH BUTTE RD. YUBA CITY, CA. 95993 Contractor: ALL RITE ROOFING 3420 SOUTH BUTTE RD. YUBA CITY, CA. 95993 License M 714523 Architect: Engineer: Total Square Ft: 0 S.F Valuation: $0.00 Census Code: This permit is he;45by issueg-urr #W-applicpre provisions of the Butte County Code and/or 9.2v Resolution I d k BdA - _e for)Which ij4s have been paid. By:_ Sr Date: PERMIT EXPIRES ON: 13 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 � Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Jr% Signature: Date: ;L Q Owner qOo-ntractor 0 Agent for Owner 0 Agent for Contractor . NOTES RESIDENTIAL 0024-080-010 OS-0491 PERMIT NO.{ HARRISON, PAUL 796 KEIFER AVE, GRIDLEY Cont: BAZZARO CONSTRUCTION iSTORAGE TO GUEST HOUSE y' a it t # i� 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. 1^ FIRE SPRINKLERS REQ. i SPECIAL INSPECTION ITEMS E VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER t L1 I� r` 6 ' O` L- n,W&J #i 1 1 t A iI JOB FINALED (Date)_9161-or Signature 2t2 9 r J= OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test-Wrap;-/ /" L'ft. / P Nat. or / . /" L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 = OK 0 = No, OK - = NolApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Sternwalls, Main; Steel -6 lockouts -Wrapped 6. Sternwalls, Garage; Steel - Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purl in-Roff Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection 53. 19. D.W.V; Test Fittings & Anchor -Nail Protection Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 20. Shower Pan; Test, First Floor -Tub Access 56. 21. Test Tub & Siower, Second Floor -Tub Access Siding -Nailing Veneer 22. Gas Pipe; Sixe & Anchors 59. 23. Fire Sprinkler; Test Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels Date fitec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Instalied Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or Al-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or At Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector W_Xater Well, Disconnect, Elect,ical, Plumbing Date . xterior Elec. Trim, G.F.I. Receptac le- U nderg round Card B-1 Date Card B-1 Date Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insilation & Support 37. Vent Fan, Exhaust above insulation *&-Water & Sewer Connected -C/O to Gracle-HD Approval 38. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces- Plates -Sou nd 43. Bearing Walls cver Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Fl je-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 55. Stairs; Width- H eadroom- Rise- Ru n- Landing- Fire Protection 56. Plywood on �oof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection-Skyl ights- Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltraton-Walls-Windows Dale Card B-1 Date Card B-1 Date Card B--. Date Card B-1 Dale FIN (Plans) OK except #Is 6e �!t. Steps -Door & Sidelight Protection- Landings 6VSmoke Detector r,116.-'F�urnace Vents -clearance -Comb, Air -Connector - X Garage; Above Floor- Ducts- Mech. Protection 67/Xedroom Exiting 6V 9-17.1. & Bath Fixtures & TubAccess-Spa 69:/El,ec Trim & Subpanel, Breaker Sizes & Labels 7T - Stairs & Rails 7U�eplace or Stove, C learance- Hearth 7�. fitec. Outlets at Wood Panel, Int. & Ext. 73",W, Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74! 777 Elec 044tiets & Receptacles at Kit. Counter rage -ire Door; Swing- Land i ng -Closure f ".. . Duct in Garage -Damper 77' Wtr. Htr.,- Vents -Clearance -Comb. Air Connector-P.R.V jp-Garage; Above Floor-Mech. Protection 7K M; Elec. & Mech. Equip. Listed for Location 79/'Elec. Receptacles in Garage (F.F.I.)-Romex Protection 8VInsulatioi-Foam-Looked in Attic .-OT.-G-Gard Rails & Deck Construction- Post Caps '87.-Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under FIgor 0 Yes 83. Following 1,istld./Drive 0 Yes �AofvValks J�Yes 0 No/Planters 0 Yes ;dNo '84. I Stucco Erown-Finish Unit Disconnect, Electrical -Plumbing 86' Vents Abcve Roof, Plbg-Appliance-Fireplace-Clearance to Openings W_Xater Well, Disconnect, Elect,ical, Plumbing . xterior Elec. Trim, G.F.I. Receptac le- U nderg round �/IVentilation Throughout House 9b Protection 0 J( Corrections from Previous Inspections 0 s Test -Meters Tagged, Gas -Electric *&-Water & Sewer Connected -C/O to Gracle-HD Approval V. Energy Compliance Certificate -Other Certificates "95 -Address Posted 96. Fire Sprinkler Dat;7y F 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISS LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines: and Prof Code, and my license is in full force and effect. License Cla s Llcen�se�rgmbqr: 77 7 0� Date: 5—((-(6-, Cc tractor: OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a.civil penalty of not.more than five hundred dollars ($500).): 0 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not aOply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. 7 1 have and will maintain workers' compensation insurance, as - required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:. ":071 Fl�wrZ Policy#: iLz-7cr�-7 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 the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful. and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ." COi',JSTRiJCT;O�4-LE;40i.,G-AOENCt-:-- I hereby affirm that there is a construction lending agency for the performance of the worN for which this permit is issued (Sec 3097 Civ.) Name: Address: OR IF WORK IS DONE IN VIOLA PERMIT NO. BP05049.1 COUNTY OR STATE LAWS. Issued Date: 05/11/2005 APN: 024-080-010-000 Site Address: 796 KEIFER AVE GRI Map Index: Description: STORAGE TO GUESTHOUSE CONVERSION 352 SQ. FT. Owner: PAUL & SANDY HARISON 1749 35TH ST. SACRAMENTO CA 95816-6605 (916) 825-0890 FAX (916-454-369.2 Applicant: BAZZANO CONSTRUCTION PAUL BAZZANO 1580 TIERRA RUENA YUBA CITY, CA 95993 530-701-2667 Contractor: BAZZANO CONSTRUCTION 1580 TIERRA RUENA YUBA CITY, CA 95993 530-701-2667 License #: 767206 Architect: Engineer: Total Square Ft: Valuation: Census Code: 352 S.F. $22,880.00 5- � 16 4n vc j;, qxl' :� hare 13y­ls sued under to Xor�indicat'ecl at PERMIT EXPIRES I �/_ _?, which fees have been paid. Date: .5 13 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 ; Notification in accordance with Section 0827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E. P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with - pll county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby buthorize representa 7*es of utte ounty to e ter upon the above mentioned property for inspection purposes. Signature: Print Name: r�, 24 Date: .q . owner 1�_Glontractor C3 Agent for Owner Q Agent for Contractor Insulation Certificate . wool i 1 LE BUILDING LOCATION: Pi✓' " - Description of Installation BUILDING PERMIT #: ROOF e� Material Brand Name Thickness (inches) Thermal Resistance (R -Value) l g CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance_(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft' lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) _ EXTERIOR -WALL Material/__ i 5�g�/ji Brand Name - Thermal Resistance (R-Value)JK Thickness (inches) 3 RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches), FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) ermal Resistance (R -Value) Declaration I hereby certify. that the above insulation was installed in the building at the above location in conformance with the current Building= -Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Signanue and Title Sub -Contractor (Insulation Installer) Signature and Title License Number Date License Number Date THIS CERTIFICATE MUST'.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED AWITHI 1'� BUILDING. Bld� fje-�$ 7/4-3� Bu TTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds 7- "PLEASE PRINT CLEARLY" OWNER Last ='b�oe irst Np[ne I j /_4 — Addr'es's city State j,S Ph2%Fax/- -vi'—MO L(5q-3(3q?_ E-mail APPLICANT NAME CONTRACTOR Name Nam F2AZZ.44,W Address one I Fax !:) 115-W- 7 67 — L(PZ - Address 1GY0 71 64U P,,�e_&cA 49 State City (-F�A State e-"4 ^A Book Phone 41;0 Fax -7G67 ;3'zQ —75-1 — E-mail Lic. # I Class APPLICANT NAME ARCHITECTIENGINEER Name city IZ4A state Address one I Fax !:) 115-W- 7 67 — L(PZ - City Policy Number /677q'5-7 State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name PA�L 9A22640. Addreis LC;To M QUA &&AA, RD, city IZ4A state Zip 2a� one I Fax !:) 115-W- 7 67 — L(PZ - I E-mail _r0X4- &z1A&0 t1D A0L - a-yt,( _j VPLICANT SIGNATURE X V For office use o—nly: Zoning 1,4 -,*6 Flood Zone / I SRA Yes, Policy Number /677q'5-7 O!R3 I Type -Const 11AI Subdivision Name Map Book I Page Lot # Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\B1dgApp1SubRqrnts.c1oc PERMIT NO. 656WI BP �Jaywwy� LOCATION AP# Property Address 72 6 h e!-,, � A�e city Fr—oss Street Sheriff WORKER'S COMPENSATION Policy Number /677q'5-7 Carrier If hiring anyone other than license contractors, a certificate of w6rker's compensation must be shown at the time of permit issuance. LENDING A GENC Y Name Address c )4n rn go - ell in ut- ozn_a /i AV C%iga± A -j SP— I Description or Scope of Work: 10 rltaF� Sq. Footage 0 Structure Built without Permits Proposed Change of Occupancy (Note previous use): Vt4" )2ecy-.1. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received .p 611'16moluont: 2':K5.q4 ." SRA Receipt tfxp�e(, Sheriff � SMIP Date: Other q4 Total Page I of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS I The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! El 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) El 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. I Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings. 0 11. Detached Accessory Building Form filled out by the owner (if required). 0 12. Hazardous Material Form (for Commercial Buildings only). 0 13. Sanitation and site plan approval from the Environmental Health Department. - Remaining items needed to issue the permit. Additional items may be ' required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. 0 3. California Department of Forestry plan approval (if required). 0 4. NPDES Form. 0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval pdor to occupancy). 0 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature au.thorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. 0 Grant Deed, El M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issu6nce for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 7-27-04 r O I Ln O Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile TO: FROM: I SUBJECT: 0 DATE: �%3T TF, 0 O o o o cOU N �y Scott Rutherford (530) 538-7160 srutherford a)buttecountv.net Plans Transmittal For Review Per Contract 3/23/2005 Applicant: Harrison, Paul Project Type: Guest House 100% Plan Check Fees $ 285.95 Permit No: 05-0491 APN: 024-080-010 70% $ 200.17 $ 285.95 $ 200.17 WILLDAN Fee $ 200.17 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations r Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICESrBUILDTNG DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Pt -3121. ASSESSOR PARCEL NUMBER a fat Date: sx:s(a 6W. ll^,4 jjot, V/j a �, r -Y Proposed Building Use ��ter Technician: Items required in order 16'apply'f6ra permit. All box�s MUST be checked OR marked NA in order to apply. 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in dup licate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. :9- 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the enginee . 0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 0 11. Site plan and business license approval from the City of Biggs 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the ownet5tt,6n 13 14. Hazardous Material Form 33 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 1,;Leroville, as applicable. 0 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 17. Fire Sprinklers ............................................................................................ 0 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-.. 0 19. Soils Report and/or Engineered Foundation required ............................... ........ 0 20. Erosion Control Plan Required ........................................... ............................ . ........ fll)Fees as shown on the attached Schedule of Fees Due Sheet .............................. 0 2T City of Chico Plumbing permit ........................................................................ 0 23. California Department of Forestry plan approval 0 paid. Sent by- _'. ..... //-1�4ianning approval (A) Use: 1"'T (B)Parking: _(C) Parcel Check: Contact Land Development`� about - Improvements, - Drainage ....................... 26. NPIDES Form ............................................................................................. 0 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Pre -Inspection for required ....... 0 29. Contractor's license information. (Number, Name Style, Classification) ................... 0 30. Worker's Compensation Carrier and Policy Number .......................................... 0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) ..................... 0 32. Letter of Signature authorization ........................................................... *­ .... - 0 33. Recorded copy of Agricultural Acknowledgment Statement .................................. E) 34. Manufactured home utility clearance ............................................................... 0 -35. Existing violations and/or expired permits.. *­* ...... ...... 0 36. Deed Restriction .................................... * ...... * . " ....... 0 37. El Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $ 0 38. Other: C1 39. Other: When issued Telephone X'1- -,q6 62!7 .0 L -and hold for pickup. I have been inforn)48--o'. the above items and requirements for obtaining a building permit. 'f Applicant: t 44MA4� r- Date: 1. Index permit aplJlieition f6r tnj!� , "Ile 's numbered: Plan Check.!,epr 2. Additional items required. Contractor, designe�_�r6j, was advised of the above data by O'phone, 0 mail, 0 counter, by Date: Contractor, designer',�r, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date: I Plans reviewed by: Date: Plans approved by: Date 1 -44 Structural revIewed b Date: I Structural approved by:vv _t I VV*41r'�� Date: 77 --j 4v -j Note transfer by: aa�;; -Date: 5 M46 I / Yellow: Building Division E.k. USE ONLY Plot Pian Attechod �• Floor Plan Attachad Sent to S.D. / 7ff /- 7W T XX TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance t Owner Location AP# Plan Approved for: Sewage Dispasal-.:.,,_ Water Suply: Public tt Private Well Clearance for dwelling. Other tDig& � A,0,0v�n ri M W -A S) <7) Hold final for: Final clearance O.K. for: NOTE: iD^21. Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 k SCHEDULE OF FEES DUE OWNER I .,1 2 % PROPOSED BUILDING USE I'-' BUILDING PERMIT FEES $-42y. q2 --Balance Due ........................................................ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES er1j1,P9h111rJy-)— Given (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... — x $360.00 = $ Units Commercial (sq. ft.) ...................... — x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ — x = $ # Units Amt. Commercial (Sq. ft.) ............. — x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $5 10.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 24' A.P. # ao '6YJ__616 OATE d�2_ 09-265 RECEIPT # DATE REC. IW4clq S -11-6157P., 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 40 0— 10. OTHER &. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during thp,4an checking process. APPLICANT DATE —?./— 11 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 10 <)A, 0 0 0 A --ft2ow— 9 '-2�uc ;_Ovc,� - Department .0 o u n t , J. Michael Crump, Director I U of Public 0 f B U, t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538-7266 (FAX) 538-7171 National Pollutant Dlscha-�-rge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution -Prevention Plan (SWPPP) Acknowledgement LLESS THAN I ACRgJ Project Description: Rz,,,-, co�UC4�,�a, io Project Location and/or Parcel Number: �cl� __kir,-Fem2 __ ALE By signing below, 1, the project owner/owner's agent, certify that this project WILL -NOT DISTURB I acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multip . le site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that ' submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control B ' oard for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: —Z —77 — CLZ Lzss than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/G4 JASOIOOIA;Qvf2g,- Main Assessor i l pm i Name HARRISON L & SANDY w___ PAUANDY------]I Asmt # �i Fee # 024 080 010000 - --]I+ Status Status Date Addr1 Tax 001 J BUSINESS OU/NERSHIPj�TRA0 75,004 + Addr2 SACRAMENTO CA 95816.6605 1� Situs 796 KEIFER AVE GRIDLEY`W Addr3 ? _ Base Dt 1 1 11 5/2004! ' to Addr4 - m--�� - -- Land 42,688 �jiiml er Preserve 'Structure 99,432 AgPres Comments 2408001000 CONVERTED 09!08/88 Fixtures 0 jDEtal - -- {Growing 30,664 Creating Doc# 1 981 8 2638094 j Date _ j Current Doc# 200480043984 Date 07!21!2004 j Bonds Total L&I 172,7_84 ' Fix. RP 0 —� —j Killing Doc# � � � Date _ I- - --•-t' � Multi Situs I C-D� Flag1 MH PP _ 0 Asmt Desc 013.00 AC 796 KEIFER ,' SuplCntF _ J Flagg PP2,695 Zoning A 40 Dwell= n 910 MH Exemptl--- 7,000 --,J Acres/Sq Ft 12.6_ SEN/C 024 Asmt PP Pen Net 168,479 O T ax PP Pen R!C#� .Appeal Pending, T/R Dt� DSplit Pending JR/C Stat ! PHY 0 EXP TAX HON I ATT SIT _ APR. PCL1 �; `�k !► '►� Find 12004 Irthornton, 03107/2005 2:14:07 PM j Department of Development Services Building Division 7 County Ceriter Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDNG OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and retumed to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: Phone: 'M Mailing Address P-74CY c-7TRae- cM c- cRA,-, &4.77-o c co� 'Site Address: -21,6 A UF-- te Assessor's Parcel Number: 0-2q-0b0-0j()-0CX) Zone: P lease answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL LNFORNLIATION: 1. Is there a primary dwelling on the property? Yes & No 2. Is the structure already built, under construction, or under notice of code violation? Yes to. No El 3. Will items produced in this building be offered for sade? Yes 11 No 4. Will the public have access to this building? Yes 0 No 5. Will any advertising, on or off site. be associated with the use of this building? Yes [] No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes 0 No CR 7. Is any portion of the structure located closer than 20' to your front property line? Yes No M S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes No 9. Will the proposed structure encroach within any recorded easement? Yes No —CONSTRUCTION:FEATURES:- IQ! Will thii building have insulated floor, walls, or ceiling? Yes No ll-. Will this building be heated or cooled? Yes Q No 0 12. Will Ns building have a water closet/tolilet? Yes 0 No EL 13. Will tWs building have a sink? Yes 0 No R 14. Will this building have a water heater? Yes El No R 15. What type of floor covering uill the building have? C-00"aR7 TT- : 16. What type of %�-all covering will the building have? --?gw p(XIr— OVER I of 2 PROPOSED USE: (check only one box) 1 0 Residential Storage Shed — I will be storing -_ in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. CD Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A gargige door is rMuired. 3. El Residential Carport — A covered structure intended for parkin. g of vehicles. Two or more sides must be entirely open. 4. ��Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carporL If you checked #4, please check the uses below which best fit this building. 5GuestHouse El Pool House. 0 Studio Apartment El In-law quarters C1 Recreation Room Game Room [I Study C1 Library El Bonus Room Playroom [:1 Den C3 Studio Artist Studio 0 Hobby Room El Craft Room E3 Sewing Room Canning Kitchen 0 Music Room Family Room El Sun Room El Private Office 0 Workshop 1 Home OCCUp=Cy 2 El Other — Use 1. Descnibe type ofWadmhop - 2. bhot be appov by Lhe Bune CoLuray FlanniN Divisiom Explanations: This area is. for -explanation'of any "yes" ansWdrs on questions 2-14. Please iiidicate the question number before the explanation. 0. COOL$ /gr'dn�4 Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm ander penalty of pedury that the above information is true and con-ect. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real.Estate Disclosure laws require disclosure of this information if or when the property is offered for sale, Owner's Name: Please Print PA,, 0%,,ner's S ignature: Date: 2 of 2 -3-7-os I- School District A.P. Number BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Ong form per Building) Building Department No. -4-4 'Jurisdiction: city County Property Owner r-l-yt-JL, Q41 f /",VL/ Property Location/Address r— Subdivision Lot No. Residential Development .............. ..................... ...................................... S4.'Footage No of Living Units Mobile Home Installation Addition) Conversion *Supplemental to Permit # (Group R)', ........................................................................ *(No foundation Inspection) ..................... . . .... ! Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 Sq. Footage New Addition (including Exterior Roofed Areas) Building Department Representative- bate District Identification, No. (A i- t A School District certifies that (Applicant) -\Ut160 (Stre (Phone Number) MAP'sAk rA (City) (State) (Zip Code) has complied with the requirements of Resolution No. 010 Lj by payment of $ representing square feet. M6 $ FULL GATION $ School District Representative Date Paid by Che ck # Remarks: �oo ;a a-r-Ar Notim: You may protest the Imposition of the fees Identified above by submitting a written) protest to the District, in compliance wtth Govan vwd Code Secdon 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest vAll'prohibit you from challenong the Imposition of the fen In arty court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cwdftatlon Form, the School District Is notifled by the applicable Local Planning Agency UM this project Is being ravlevved under to California Environments! Quality Act (CEQA) this project may be subject to additional school fen to fully mitigate. Its Impact an the school Astrictle schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ds (10/03)dm.m WILLDAN Serving Public Agencies April 25, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax; (530) 538-2140 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Willdan Project No: 14353-1507 Jurisdiction Job No: 05-0491 Assessor's Parcel No: 024-080-010-000 Description: Harrison Guest House Conversion from Storage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets Al dated 11/29/04 by Dan Cannada, Custom Drafting Services * Site Plans: Two (2) copies not dated * Certificate of Compliance: Two (2) copies dated 12/8/04 by Dan Cannada * Assessor's Map: Two (2) copies, Book 24, page 8 The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. �WILLies Serving Publ,DA�N f 1 y APPLICABLE CODES Unless noted otherwise, all comments are based on ;"requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as,the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known. as the California Energy Code, aria Energy Commission Standards, and abbreviated herein. as "CECS". r CODE ANALYSIS Our plan review revealed the following information' regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and the permit application. CONDITIONS OF APPROVAL j r 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. f DEFERRED SUBMITTALS -Our plan review. reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Richard Essenwanger Plans Examiner II Cc: Alice Mefford, amefford(abuttecounty.net Tony Bazzano, 1580 Terra Buena Road, Yuba City, CA 95993, E-mail: tonybazzano@aol.com Paul Harrison, 796 Keifer Ave, Gridley, CA 95948-9795, Fax (916) 454-3692 Page 2 of 2 Butte CO'auty 05-0491 Wi.11dan .14353-1.507..F'CIF BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEIBSITE: www.buttecounty.netlidds PERMIT NO. BP042777 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/21/2004 APN: 024-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: Lic�^Number: __3 b7-06 Site Address: 796 KEIFER AVE GRI Date: !�a _c�f Contractor ow fl Map Index: Description: RPL 5 WINDOWS, 2 DOORS, RE -ROOF (6) OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARRISON, PAUL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1749 35TH STREET the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SACRAMENTO, CA �5816 she is exempt therefrom and the basis for the alleged exemption. Any (916) 454-3690 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: BAZZANO CONSTRUCTION Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1580 TIERRA RUENA provided that such improvements are not intended or offered for YUBA CITY, CA 95993 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-701-2667 proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BAZZANO CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1580 TIERRA RUENA 1 am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95993 530-701-2667 Date: Owner: License #: 767206 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: Q 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:— 6�r_AT_a 6�LA42 Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: 66:7�?el Af I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: —Zf--0_q Applicant: L7)r WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 3 3,0 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bijtte County CodA ;?nd/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indi ad above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 14, !7 $.— _15�' _)�_ Name: By: -q . Dk. I !;; Date: PERMIT EXPIRES Da Address: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. C1 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: PAW 9A -Signature: Date: Ell owner 10 Contractor Q Agent for Owner 0 Agent for Contractor BUTTECOUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING, PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CIECO: (530) 891-2834 OFFICEM (530) 538-7541 A FEE WILL BE REO U12ZED A T TIME OF APPLICA TION "PLEASE PRE\T CLEARLY" APPLICANTNAME OWNER Last N1pA"j4jb;t) city ress AlN IczW) Address 1-7gol qs�i_Ti I Cill Stattk. State zi�Eja% Phone r1% ')c Fax E-mail Lic. APPLICANTNAME CONTRACTOR zz"�) city ress AlN IczW) C' :z CiR44 1, r—AA PW> City- Fax Stattk. I Zj P orFax 4( jr -A;] - 2,66 '7;'ZO -71!�_f —/W7. E-maBi Planner Lic. Cl as APPLICANTNAME ARCHITECTIENGINEER Name city Address Zip city Fax sue Zip Phone Fax E- mail Planner State Ucense Number --------- ---- APPLICANTNAME Name Address city State Zip Phone Fax E-mail APP41CANT SIGNATURE For office use only: Zoning I I Flood Zone SRA [ Yes No Occ. Type Const Subdivision Name Map Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERAUT NO. BPf-+--'L7-7 BIN # LOCATION AP# C;?�(--e6 Property Address City ---)C/(- 2 1 Cr6ss 8Teet F);,p 64C C2� WORKER'S COMPENSATION Policy Number Canier If hiring anyone other. than license contractors, a certfflcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 650, RA)F ';T14AA47Mh '79fwr pb�* num k1XV6M4, Sq. Footage • Structure Built without Permits • Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued Arill expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I Received by. �81 Amount —Bldg SRA Receipt It 4 1 :Z Sheriff SMIP Other Date: 9 C14 -3 � * — Total I I SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS MLLMOTBEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INIC 0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 3. Engineered truss details and layouts in duplicate (if required). No faxesl 0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.), 0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of thes,e must be stamped and wet -signed by the engineer. 0 8. Flood Elevation Certificate, wet -.stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings. El 11. Detached Accessory Building Form filled out by the owner (if required). 11 12. Hazardous Material Form (for Commercial Buildings only). 0 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.)' I i ". El I . Agricultural Buffer clearance and site plan approval from the Ag Commissi6nees , office (if required). 0 2. Impact Fees. 0 3. California Department of Forestry plan approval (if required). 0 4. NPDES Form. 0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued Will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can oniy be made upon written request by the person who paid the fee. The request must be made within two Vears from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits ssued; however, on issued pen -nits refunds can only be made if no construction work has been done. Firing fees, plan -heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION ,AFORMSSUILDING F0RMS\B1dg4p1SubRqmts.doc Page 2 of 2 ;?PV 7_17-nA RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Paul M. Harrison Street Addrm 1749 35th Street City, State Mp Sacramento, CA 95816 Order No. 00215279-004 ParceINo. 024-080-010 ne Undersigned GrantOT(s) Declare(s) 13 City/Town of - 0 Unincorporated Area i�=- el 92� -d*' — 10 10 -4 a C-3 4B Z+ Recorded Official Records County Of BUTTE CANDACE J. BRUBBS Recorder R13SEMARY DICKSON Assistant 09:00AM 21 -Jul -2004 SPACE ABOVE THIS LINE GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY REC FEE 13.00 TAX 451.00 Barbara Page I of 3 ;USE Documentary Transfer Tax is $451 . 00 Im * computed on full value of interest or property conveyed, or * full value less value of liens or encumbrances remaining at the time of sale 0 Monument Fee of $ 10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Arnrik Singh Phagura and Gurbachan Kaur Phagura, husband and wiie, hereby GRANT(s) to Sandy Paul A/ Harrison and/q�fi&�/V/./ Harrison, husband and wife, as Joint Tenants the following real property in the 13 City of 0 Unincorporated Area County of Butte, State of Califomia: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Amrik SiAgh Phagura Document Date: -june 29, 2004 State of California C" TO COAAA O(P Gurbachan Kaur Phagura County of Butte SS. ,On dk-C)Q�(A before me, the undersigned, a Notary Public in and for said County and State, personally appeared Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose riame(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ics), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. 02!1111 1111MM Signature FOR NOTARY SEAL OR STAMP " NJ LYN�TTFTEGARTO �.j �21 Comm. # 1351379 NOTARY PUBUC-CAtIFORNIA Colunty of Butte Comm. E&xpire�s April 17, 006 V'WV 1k MAIL TAX STATEMENTS TO: SarneasAbove SIECIGRANYDEED CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of Ca... Ii r:2(-,1,,cL County of 6 IJ +6e_ Oil V 1\/, _ (5��Q belore file, (Mle personally appeared Am rJck fl,el%iff C,2ar-�t7 I JV-) a not; 1hro of 0111cor (a.g.. 'Jano Voo. Nolo POW) Namo(s) of D personally known to me – On – 0 proved to me on [lie basis of satisfactory evidence to be the person(s) whose narne(s) Is/are subscribed to the within Instrument and acknowledged to me Iliat lie/slie/iliey executed the same In fils/lier/ilieir authorized capacity(les), and that by LYNETTE GARTON lils/her/their signature(s) oil the Instrument Ilia person(s), COMM4 1351379 -P or life Willy LII)Oli boliall of which 010 I)MSOII(S) LIC(CLI, NOTARY PUBUC-CAUFORNIA executed the Instrument. COUNTY OF BUTTE Comm. Expires April 17,2006 WITNESS my hand and official seal. T 0.1- -9 -lY INAX U—nnRall, gFiFuThiry Pubft 0 nD'r1nAIA I PTIONAL Though (ire InIonfiallon bolowls not requked by low. It mayprove valuable to persons rory,1111� on Ilia docurpiont and couldlo'evont fraudulent removal and rentfarchniatif of this login to anothor document. Description of Attached Docunieiit Tille or'l*ylje.,ol Djocunictit: Document Date: Signer(s) Other Than Natned Above: C,apacity(les) Claimed by Signer(s) Signer's Name: I:J Individual 0 Corporate Officer 0 Partner — 0 1-linfled UJ General 0 Attorney -In -Fact I-- I Trustee 0 Guardian or Conservator UJ Other: — . r d (fit"111) flagon Signer Is nepresenting Number of Pages: Signer's Name: 0 Individual 0 Corporate Officer Title(s): 0 Partner — 0 Limited 0 General. I-) Attorney -In- Fact • Trustee • Guardian or Conservator L-J'Olher: I Signer Is Representing 0 f995 Nallonril flolmy Agsoctillon - 023o newmal Avo., P.O. Box 7104 - Comoga Mill, CA D 1309-7104 Plod. No. 5907 finoidar: CnQ Tiall.rion I MA -111711. Order No. 00215279-004 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED.AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: THE NORTH HALF OF LOTS 8 AND 9, ACCORDING TO THAT CERTAIN MAP ENTITLED, "MAP OF GRIDLEY COLONY NO. 5, NEAR GRIDLEY, BUTTE CO., CAL.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 12,1906 IN BOOK 5 OF MAPS, AT PAGE 23. 'EXCEPTING THEREFROM STREETS AS PLATTED AND RIGHTS OF WAY FOR NECESSARY IRRIGATION AND DRAINAGE DITCHES AND CANALS, AS RESERVED IN DEED FROM IRRIGATED LAND COMPANY OF CALIFORNIA, A CORPORATION, TO J. WILFORD, DATED NOVEMBER 5,1909 AND RECORDED NOVEMBER 16,1909 IN BOOK 113 OF BUTTE COUNTY .OFFICIAL RECORDS, AT PAGE 242. AP NO. 024-080-010 � / i / � e � ' % / ,i ��i SII �._,.,. %a...lt-� _. � � � ��=fir BUTTE COU IL DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEIBSITE: wwwbuttecounty.netkdds PERMIT NO. BP042777 0 � cl� 1 (0 1-7 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/21/2004 APN: 024-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: u m b e r: ___ _2 A �! Site Address: 796 KEIFER AVE GRI MUN Date: Contractor: .47 1__� 7 - Map Index: Description: RPL 5 WINDOWS, 2 DOORS, RE -ROOF (6) — OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARRISON, PAUL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1749 35TH STREET the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SACRAMENTO, CA 95816 she is exempt therefrom and the basis for the alleged exemption. Any (916) 454-3690 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 07 A -lr7- Ell 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 (Sec. 7044. Business and Professions Applicant: BAZZANO CONSTRUCTION Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1580 TIERRA RUENA provided that such improvements are not intended or offered for YUBA CITY, CA 95993 sale. If however. the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-701-2667 proving that he or she did not build or improve for the purpose of sale.). 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BAZZANO CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License. Law.). 1580 TIERRA RUENA L3 I am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95993 530-701-2667 Date: — Owner: License #: 767206 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 6a Tl,-- 6:LA.4:2 Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 11 —Z t Applicant: T.10P., - t;;" - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor .3 3 g::> -4 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the B0P County CO&I ?n(VOr I hereby affirm that there is a construction lending agency for the Resolutions to do work indi ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 14, !7 a— —Y�— -V�� i - c ->4 - Name: By: Date: PERMIT EXPIRES 0 zo- I - 0 �; Address: (Date) (3 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. • Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct. and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: PAW &z4a), Signature: Date: 0 Owner ;Rlcontractor 0 Agent for Owner 0 Agent for Contractor R .,_.,ys,,,�.•N,r•-�.b;,t.�-'•,,�'_. �.`"�`�=-'�+=..�L+,.•.f"�.,.e,'L+�+�+.'.'-�w-"�+-�sr. ..,,4•,,,.�y,,,y3c.� 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 OH - -2:P%- 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, , please contact thisofficeffice immediately. dq - 0'ev-W _ G t ,,2C, LA 4xe c a, v{ i CP C', (10v - LA a✓LA f I I "-L -Qv wiac vV4+i--- �•....��re^.-.-rt�wy+i'10fR'iC.+7:1`+lYf/"iw'�.�''R�'g17/'i'rn1.` 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 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 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. (rD Py1D\*4e s(yut aft' ��Ive s• x V) C/ s 614 Uh ('6kt REV 10/92 3. t: =x. C Vey REV 10/92 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 1� 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 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. t REV 10/92 0 C)q NOU-30-2004 05:4BA FROM:eazzano Constuction 530-751-1003 TT I.- � -�� TO:15305382140 P:2/3 Depart Ment of Development Services Building Division -7 County Center Drive Oroyflie, CA 95965 (530) 539-1541 (330) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the prop'erty owncr, and retumed to the,Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. I . , � -A- 1 11 �S &*7 —,3(056 Owner, ?GLIAj � Qk Phone: Mailing Address 17qi S T tic VCXM4"�k QA Site Address: 79 6 J<; Assessor's Parcel Number: Oa(4-0? —0 C) ()/ 0 zone: Please: answer questions 1- 16, " explain any yes answers for quesdons 2-14 in the space provided on page 2 or Ulis f0m GENERAL IINFORIVATION: 1. Is there a prirnary dwelling on the prop"? yes 0 No 2. Is the strucwt aLready t Lilt, under construction. or under notice of code violattion? Yes M No.i 3. Will itents produced in this building be offered for sale? Yes 11 NO 4. Will the public ha -.t access to this budding? Yes C3 No 5. Will any advertising. on or off site. be associated with the use of this building? Yes 0 No EK SITE CONDMONS: 6. Is the structure foundationwithin Vof septic tank or 10'of leach lines? yes [I No * 0 .7. Is any portion or the strucrum located closer dun 20' to your front property line? Yes 0 No 50 S. Do you plan to add a driveway or modify existing access to a county mainmined road? Yes C1 No 91 9. Will the proposed structure encroach within any recorded easement? Yes C] No (N CONSTRUCTION FEATURES: 10. Will this building have insulated floor. walls. or ceiling7 Yes No 0 If. Will ditis btfilding be heated or cuolcd? Yes I No 0 12. Will this building have a water closet/toilct? Yes 0 No (a 13. Will LWs building have a sink? Yes 0 No (Z) 1-4. Will this building.have a watcrheater? Yes -0 -No 0 15. What ripe of floor covering uill the building have? C eyn 16. What type of wall covering %ill the building have? OVER 'T. PftWW­P �j?Trd- I OF -JA,_,_F& I of 2 NOV-30-2004 05:49R FROM:Bazzano Constuction 530-751-1003 TO:15305382140 P:3/3 PROPOSED USE: (cbcck only one box) 1. ❑ Iteaide4tial Storage Shed - I will be scoring is this building and It Will not be used for any other purpose (ao bathroom and oo heating or Cooling). 2. Q Private Garage - -A building or a portion of a building not snore that 1.000 square fta (3,000 by emception) in lura in which only motor vehicles used by w arib of the building or buildings on the premises are stand or kept" A earaRe door iII reg4Md. 3. ❑ Restdeatial Carport — A covered strucWth: intended for plinking of vddclm Two or mora sides must be npre! 4.BesidenRal Occupancy - Structures meant to be o=giaaft as opposed to a storage Shea PXAM or CMWn you checked #4. phase eha* the uses below which best St this building �Guesdicuse Q Pool House ❑ Studio.Apaltntcm qua W5 R t. a P.WM PJ Game Room Q Study J,,Jljbrary JaBontaa Room Playroom Q Dco ❑ Studlo e'Artist Swdio G]'Hobby Room (a Craft Room O'Scwing Room ❑ Canning Kitchen [ErMusic Room 0 Family Room ❑ Sun Room gPrivew t»ax ❑ wozksbop' . E] Home Occupancy 2 _ O other- USC I. V.Mu law Qf WWlhq . M. be wpv tq 6- &-iCevq k—" ni-;- i► Additional Information: Plan rtviop will not be started until tbds form is completed and received. A Pleas Esaminear will contact the owner wi0k specific aregWremamts per the use iodieated. I heuby affirm under penalty of perjury that the above hdbrmadon is true and corroct. I undersbod t%at any chan to the use, or character of use. of this building wW require permits !torn the pCtusiMM andw tS►. I uodastand that Real Estate Disclmm laws require disclosure of thi4caL on if or when the property is offered for cola Owrer's Name: Please Print V Y, S &-Y-1 , f+ )l .��1 %,, � Date: O�.rcr's Signature' - 2of2 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDMG OWNER'S STATEMENT OF USE Plan review will not be started until this form is compl�`ted, signed by the property owner, and retumed to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: ?aLAJ R. wo K e ]'�s e7,�17 Phone: 6^ -L 9/(0) VTV -36 70 Mailing Addresi � S-l5L S - Site Address:, _Kle 77 Assessor's Parcel Number: Zone: 'Cl F2/ Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL LNFORALIATION: 1. Is there a primary dwelling on the property? Yes (9 No El' 2. Is the structure already tuilt, under construction, or under notice of code violation? Yes 9 No 0 3. Will items produced in this building be offered for sale? Yes 0 No 4. Will the public have access to this building.? Yes 0 No 5. Will any advertising, on or off site. be associated with the use of this building? Yes 0 No 10 SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes F-1 No ED 7. Is any portion of the structure located closer than 20' to your front property line? Yes El No FX1 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes El No 91 9. Will the proposed structure encroach within any recorded easement? Yes No CONSTRUCTION FEATURES: 10. Will thds building have insulated floor, walls, or ceiling? Yes No 11. Will this building be heated or cooled? Yes No C1 12. Will Ns bading have a water closet/toilet? Yes C1 No (9 13. Will this building have a sink? Yes Q No 14. Will this building have awater heater? Yes C3 No 0 15. What type of flo6r covering %%ill the building have? "VI i- 16. What type of %%-all covering will the building have? vjnf-�Ic OVER 6i7(TV_ OF PAWF a I of 2 PROPOSED USE: (check only one box) 1. 0 Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. E] Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is rNuired. 3. 0 Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. A Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport ,,25:5,14, please check the uses below which best fit this buflding 0 Pool House Studio Apartment 0 in-law quarters oom Game Room study (3Library CaBonus Room Playroom 0 Den 0 Studio aArtist Studio 2rHobby Room 0 Craft Room CaSewing Room [I Canning Kitchen i ff Music Room 0 Family Room 0 Sun Room OPrivate Office Workshop' El Home Occupancy 2 Other — Use 1. Deunbe ty p-- orw-b�-V &hwbea".ov by&cB=e�Cc6uyiIwnin&Diviziom Explanations: Tlus area is for explanation of any "Yes" answers on ouestions 2-14:Please indicate the auestion Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner wW contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of pe�ury that the above information is true and correct. I understand that any changes to the use, or char4cter of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of t rmadon if or when the property is offered for sale. 0-wner's Name: Please Print 'd�roo, V Y"� S 6—Y -I Owner's Signatun V44, MA 0% "., t, Date: 2 of 2 SITE PLAN REVIEW APPLICATION Date: /eZ-2�0 AP# Q�- 0 Pa 6 r d Permit Number (if applicable) 7 APPLICANT INFORMATION Parcel Size: f Q &V—S Name: Owners Owners Address: 7 Y7 3 1l! . Ya Cwt C6- qSy/(,e Telephone No. ' �/g5 36 q6 Situs Address: 71(P K� Proposed Use: Residential ❑ New Single Family Residential . ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition.. Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):. ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Jj Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date 9 0 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) 70a4L&& ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) a Flood Zone: X Flood Panel No.: JGG» 7C II /OG Index Date: t f 9' ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards'and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 4— q0 .6e _ OFC, Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. '0_ __ n _r c Zoning Code Streets & Highways Fire Prevention Subdivision Map Front , Sides r Side Street Rear C2_5 1 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. '0_ __ n _r c Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation- FT Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other --------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) {Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with C;K� y St�ndV',0U,.,W s for Deed C e Comments: C1.i� Xis Legal Access Provided: Legal Access Required ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ No ❑ Yes ❑ Yes N Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment F ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone 0 Meet current Environmental Health Department requirements Subdivision Man/Parcel MaR: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential 'development.Approved dust,control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 1 o Summary of Specific Requirements: f This information provided in this summary is based on the application information and on the best available data at the time of review. C:1LarryslBuilding Permit Site Plan Review' I ADC Summary of Specific Requirements: f This information provided in this summary is based on the application information and on the best available data at the time of review. C:1LarryslBuilding Permit Site Plan Review' I ADC a, Called PG&E JOB FINALE[ Si 1998-8.1B,P,E,] PERMIT NO. UU PERMIT EXPIRES Armik Singh OWNER CONTR. owner 24-08-10 � ASSESSOR PARCEL it 796 Keifer Rd., Gridley S LOCATION 1 d. 1 a A .�t r y". y., a + M .Yi SY�1 i" 1 r. Temp. Power Pole Called PG&E ! j• Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E JOB FINALE[ Si V = OK ' 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /.".Nat.or/., /"L"ft./ /"LPG 6. Carports; Windows -Doors { 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI - Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except 1!'s 1. Setbacks -Easements ti 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability , 3. Gas; MH Test -Demand -Valve -Connector - - 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch ---'^ 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date S J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UND LOOK Plans OK except #'s Date FRAMING (Continued) 01.�Zoning requirements -Setbacks -Easements 48. aroperty Line Firewall � 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / ' Ftg. Depth gQiC^x oors-One 3' -Check Garage -3rd story, 2 exits 3. - e - t ' s; Width-Headroom-Rise-Rur- Land ing-Fire Protection 4. Attic Vents -Rafter Outriggers ke-Stemwalls, Main; Steel-Blockouts-Wrapped-Slab - 5 ing-Nailing-Veneer 6. - rappe - a 53 - iers-Fireplace Ftg.-Steel fazing Area -Glass Protection -Skylights -Plastic r . D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 9. -GOO Pip., 56LU 'AR1211918150 0. Water Pipe; Test -Anchors -Regulator -Service Test _ 11 12. !As. - 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -q9&_,. -Date -e - Card -BI Date Card- Dat Card -BI Date _ Card -BI Date Card -BI Date Card -B Dat. Card -BI Date Date FINA tans) OK except #'s Card -B Dat - Card -BI Date Date PLU NG (Permit) OK except #'s E Steps -Doer & Sidelight Protection -Landings moke Detector W ,�e�t.; Vent Access -Combustion Air 58. Fvmwmv 'd2rtta--Clearance-Comb. Air-Connector- I age; Above Floor-Ducts-Mech. Protection (- er Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttrgs & Anchors -Nail Protection 600'BqOratim Exiting 17 oor- ub Access G . & Bath Fixtures & Tub Access 18. _ Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62• — — . Fireplace or Stove; Clearances -Hearth El�tlets at Wood Panel; Int. & Ext. Card -B Date 7-6aW 7-6aCard-BI Date ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -B ate Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELEC AL Permit OK except #'s 67. Qwsge-Fhe Boo., Sup 68' ` F' ure &Transformer Clearance -Ins. Protection tr. Htr nts-Clearance-Comb. Air-Connector-P.R.V.- In age; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Ib. Elec. & Mach. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled og� nstalled Close to Edge of Studs & C.J. MoOTnsulation-Foan-Looked in Attic ❑Yes Xe_Eround made up w/Mech. Fasteners -Bond Gas & Water 73. - - os ap -- _ abeOT Appliance Circuits in Kitchen & Conductor Size 26. (OF/Aa<nyor Aa Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. /a if r AI - Ins Neutr I �' es ❑No 75. Following instld.: iv ❑Yes o; Walks ❑Yes No; Planters ❑Yes o erv' Riser Concuctors & Ground -Main Disconnect 76 2a--115quip. Clearances; Panels-Motors-Mech. Equip. C Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ 30 es Closet Lig - ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. isconnect, Electrical, Plumbing AgooOSxttapr-Elec. Trim; G.F.I. Receptacle -Underground Card B—Date Card -BI Date QU a irion throughout House Card B -I Date Card -BI Date lass tection Date MEC CAL (Permit) OK except #'s_ _ orrections from Previous Inspections 84. as- lectric A .Ducts; Insulation &Support ater er Connected -C/0 to Grade -HD Approval _ Vent Fan; Exhaust above Insulation _33. Condensate Drain & Overflow; Size & Grade 6 ergy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic �i Card -BI _ Date 7=/S"r Card -BI Date Card -BI Date Card -BI Date Card- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAM Plans) OK except #'s Si ; Proper Material & Anchors 3 s; Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing orpw9rt Stop in Walls (rat proof) /��ader_& Beam -Size & Bearing_ 4Q!06gerPost Caps -A ors -Connectors Cl -Rftr s -Purl in -Ro ra s-Sh�$<. 44. Fi place Ties Type A Flue-Firepla hroat _ At_i ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdr 4c OnmS= 1 Hgt. & Dimensions 47 r$ereg ra m i ng (NOTE: An entry must be made each time you visit job site) r - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 i CORRECTION NOTICE S 4. 111"I&A61-ec- N. BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additio al explanation, please contact this office immediately. P4, tMe �F s7'oP 4 c InspectorUA_ Date 7-1-5-- -5-_ ?/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE :2 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /r ce �/�✓ RFS / %S vz AL L 6dD.-W L U RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CO ORMANCE`T. WITH CURRENENERGY CONSERVATION REGULATIONS AT �6 K r, i% %2G� . Slocation) BUILDING PERMIT NO. ( C/ �� — �� A. -P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof ✓ Ducts Circulating Pipes APPROVED HEATER i APPROVED WTR.HTR. / _ GLAZING: Single Glazed /V,��% Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. vl� WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1✓ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE'WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name %Y1t h Signature of (please pri ) Insulation Applicato^ P,I State Contractors* License No. A General Contractor/Owner Name m r, 1<1 � Q (please pri ) Signature of General Contractor /Owne a ;Q Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPATMENT OF PUBLIC WORKS PERMIT NO. 4454 7 County Center Drive - Oroville, CaliYornia 95-965 - Telephone 916/53,-/ 4dr APPLICATION AND RERMIT ASSES P EL ,,NOMBER : Z W—,;! �§ 444ejok,, ZONING BUILDING PERMIT OWNER I I .-I.— S/AJ6 ILA - SO. FT. OCC. BUILDING VALUATION 7as t:7.4 0 0 OWNFLMA17 ADORLSS, 17 1 4 L,15Y C/;— VS1 CONTRACTOR'S NAME iIELEPHONE CONTRACTOR'S MAILING ADDRESS I Fireplace 4F1 C��RUCL ER UNKN�OW . N Total Valuation is 0 0 Filing Fee $ 10.00 f LENDE 'S ILJNG_ADDRESS I /&u Permit Fee $ Vf-, op 0 ARCHITECT OR ENGINEER 44e&fg� E NO. Plan Checking Fee $ /Zlev Penalty $ — ARCHITECT OR ENGII1rES`R*S MAILING ADDRESS — — Permit fee $ 0-0 ADD BUILDINGffi PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 e D 6- Water piping LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF�A�DuplexM MobilehomeF-1 Other SPECIFY Building sewer Lawn sprinkler system 1 5.00 TYPE OF WORK New F1 Addition [e�Renlodel [�-�ti 1 itiesE:1 Installation[] Other Describe work: L-K7n4jb &1V 12X1, Apo 66114eo _PCa"L­ tzooc"/J E Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 1111 OR LESS 100 AMP OR LESS 5.00 er_-w lee -sb= (?qvL_ Pegoas r-oe- Mg -9)) Main service EA. ADD -L 100 AMP 2.50 ( DWELLING OR ADDNS. ACC, BLDGV .,g� -1) . 20 scift V,lc CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) E] I am exempt under Sec.—, Business and Professions Code for this reason _L NEW C ON5TR k MU :TI.QUTLF_T NON RES.� R A NCH dIRCUI-1,S) 2.50 ea NEW_CONSTF;L (POWER APPARATUS &) NON RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES 50 LO 250 A L @ 10� Ex. Occup. UTLETS(RESI 2.00 (OFIXED APPLNS..ORE..j Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10-00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply With such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee Contractor I certify that I have read this application and state that the above inf is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenc�7 the granting of this permit. X Signature of Applicant Owner M Contractor [] Agent n An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oZcp. GROUP C, -5 I TYPE OF CONST. IPARCELI C-,' PD &./ I ISSUE :� A,� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiRE-10-001ID OF PUBLIC P*T 'EXPIRES Date the applicable provi- resolutions to do' fees have been paid. WORKS Date 7- :::!� – 52 Receipt NO. 153!2 WHITE-D.P.W.. YFLLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BTJ.TTEL DEPARTMENT OF PUBLIC WO '(S NO. Center Drive - Oroville, Calffoi,nia 9b965 - Telephone ' 4 7 County 74-45 APPLICATION AND PERMIT 71 ASSESSOR PARCEL NUMBER Z 0 G 44 — e: Z BUILDING PERMIT OWNER HONE X94-t'k -5,tivall Ai -,-0,Z .7 SQ. FT. OCC. BUILDING VALUATION -24(-) P Ow R'S MAILING ADORE 7'?t/, 9p7tty '02/ 45;r d149 -Y E:S T- A ?EA 0 b 64 3,500.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Firepl���l -7— 6-0 0, - CONSTRUCTION L�� a 'r / UNKNOW N Total Valuation I $ /0 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 4 e_,o, Permit Fee $ _154'.00 ARCHITECT OR ENGINEER --Q- 'L'— LICENSE NO. Plan Checking Fee $ ZA-00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUILDING ADDRESS , J D %e PLUMBING PERMIT FilingFe.e 1,0.00 Each Trap 2.00 2,cO epair drainage or vent piping 5.00 1 cc, 11 9—AX - e Water piping - 'S". 4, 4W LOT NO. SUBDIVISION NAME 1 PARCEf MAP 1 Each qas water heater or vent 5.00. Gas piping system 1 - 5 outlets a USE OF STRUCTURE SF.[O DuplexF-1 MobilehomeF-1 Other SPECIFY Building sewer Lawn sprinkler system TYPE OF WORK NewD Additiong Remo !Ii�,g UtilitiesF] Installation[3 Other Describe work: Permit Fee $ 00 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST ( DWELLING -N OR ADDNS.' ACC.BLD 20 sq it 7-, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F! I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. Classification 9 1, as the owner, or my employees with wages as their sole con1pen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with I,Icensed contract- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason —NEW.CONSTF;L(MULTI-OUTLET NON RESIM BRANCH CIRCUITS) 2.50 ea N EW C ONST R. I POWER APPARATUS & I NON . RES I D , V -SINGLE OUTLET CIR. I Ex. OCc'UP(OUTLETS OR FIXTURES 50 @ 251 OCCUP.(OU1111 APPLNS - OR _.BAL*10* Ex. TLE TS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 1 7.50 "7, C -0 1 1 Permit Fee $ 20 - 30 Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. 0. I'aws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shal I be deemed revoked. Heating ;70 A 00d Cooling od 3.00 Venti lation Permit Fee Contractor I certify that I have read this application and state that the above informat!'on is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner � ContractorEl Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 161,30 occup. GROUP K-3 TVE 0 yp _ UNST. PARCE 7 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT(12 OF PUBLIC By !�J Y, PE EXPIRIES Date 2�_/T the applicable provi-7 resolutions to do fees have been paid. WORKS Date Receipt No. "U WHITE-O.P.W.. YELLOW-ASSIESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPAR7TIVIENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Croville, Calilovnia 9.5965 - Telephone 916/53 APPLICATION AND PERMIT 1% nA ASSESSOR PARCEL NUMBER 7. ,V G Z4— Qf_/19 4 �& BUILDING PERMIT 0 '14 �s7w - e ELEPHONE .94 - ____ - W;E� SQ.FT. OCC. BUILDING VALUATION 0 NER'S AILING AXSSV V 7, A� ecica//w , V CONTRACTOR'S NAME "I TE EPHOON Or Ar 4�:t__ 7 CONTRACTOR'S MAILING A V 7DW ezr Fireplace CONSTRUCTION LENDER UNKNOWN/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERV 0 ICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILI_NG ADDRESS P Permit fee $ BUILDING ADDRESS Yo 7.M -1k4 La �e t- PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 epair drainage or vent piping 5.00 Wat r piping LOT NO. SUBDIVISION NAME PARCEL N)AP I I Each qas water heater or vent 5.00 1 Gas piping system I - 5 outlets USE OF STRUCTURE SFY DupIexFJ MobilehomeR Other SPECIFY Building sewer Lawn sprinkler system --5.00 TYPE OF WORK NewEl AdditionEJ RymodeIEJ Jilities Installation[] Othero Describe work: Permit Fee Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING OCCUP.01) OR ADDNS.' ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.ZR4 0 -2 *7 Classification 07- 1-910 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.—, Business and Professions Code for this reason NE W CO NSTR. AULTI-OUT LET NO -RE SID. B R A NC. C, RCQITS) 12.50 ea NEW.CON,STR. (POWER APPARATUS.&) NON RES 0. SINGLE OUTLET CIR ;=,. Occup 50 @ 250 (OUTLETS OR FIXTURES IBAL@100 FIXED APPLNS OR Ex. Occup.(OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [-] The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating ZgM&4,,, 1?_k#,f — 141, (f 4- 1 Py LIC Cooling - 1� �_Iy Hood 3.00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above inf ormation is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, anq expenses which may in any way accrue againkl�siaid County in Onsequence fif the granting of th Is permil __z X -WlMl JIZ YL16W — Date Signature Cf App I ant - Ow(VEJ ContractorE] Agent 5W An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Z 00 OCCUP. GROUP I TYPE OF CONST. H This permit is hereby issued under sions of the Butte County Code and/or work indicated above r which DIREC R F PUBLIC Bv -----7 PE, R-ko( EX'PtRES Date the applicable provi- resolutions to do fees have been paid. WORKS n ate r71 = 7—,F 7— Receipt No. es -3<91,6 Z, WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEIBSITE: www.buftecounty.netIdds PERMIT NO. BP043402 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of I Issued Date: 12/01/2004 APN: 024-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 796 KEIFER AVE GRI Date: CZ -0/-oc( Contractor. P&W_ &Zouu, Map Index: Description: INSTALL NEW H20 HTR OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HARRISON, PAUL AND SANDY to its issuance, also requires the applicant for such permit to file a 796 KEIFER signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948-1465 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): L3 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 (Sec. 7044, Business and Professions Applicant: BAZZANO CONSTRUCTION Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1580 TIERRA RUENA provided that such improvements are not intended or offered for YUBA CITY, CA 95993 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-701-2667 proving that he or she did not build or improve for the purpose of sale.). 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. BAZZANO CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1580 TIERRA RUENA U I am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95993 530-701-2667 Date: Owner: License #: 767206 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier:— ��,?, Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: El I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: r7 —<D'i C) !Y IL Applicaft, WARNING: Failure to r,,k,rr rnpensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. A - CONSTRUCTION LENDING AGENCY Thispermiti hereby issued under the applicable provisions of the Butte County Codp ?nrvor I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 fal I /,n, -4 Name: Bv: Date: Address: PE IT PIRES ON: (Date) 13 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. (3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with I 7'� owl all county and state 1pw-s)elating to building construction I owledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby r 1pres n authorize e e tiv utt ounty to enter u 6. above mentioned property for inspection purpOS9. Print Name: 77 Signature: 77 2 mg Date: 7 13 Owner 7<ontractor 0 Agent for Owner Ll Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION **PLEASE PRINT CLEARLY" OWNER Last N First ME Address &'C' city State 5;�&. 1 1j, Phone Fax E-mail CONTRACTOR Name ph4_ Address t"o :f," City�'4A g��?" Statu %-Mq, 'I hona— —Fax E-mail Lic. # 7 6-7,z (yo Class I APPLICANT NAME ARCHITECTIENGINEER Name City Address WORKER'S COMPENSATION city Fax State Zip Phone Lot # Fax E-mail I Date Approved: State License Number APPLICANT NAME Name Address -F'jp City State WORKER'S COMPENSATION Phone Fax E-mail /__� APPLICANT SIGNATURE X For office use oni it I L.� Zoning Flood Zone SRA Occ. WORKER'S COMPENSATION I Type Const. Subdivision Name 1 Wi g anyone other than license contractors, a certificate of worker's clompensation must be shown at the time of permit issuani Map Book I Page Lot # Planner I Date Approved: PERMIT NO. B P,1� BIN N LOCATION AP# 0-ZC(_C-%0 —()(() —4�)OO Property Address 7-16, klc'�FM &Cf,— C%� rz Cross Street WORKER'S COMPENSATION Policy Number Carder --27KZ_ F -4,,A n 1 Wi g anyone other than license contractors, a certificate of worker's clompensation must be shown at the time of permit issuani LENDING AGENCY —Nam Address Description or Scope of Work: LAm A &Azw Sq. Footage 0 Structure Built v4thout Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS I I KAFORMSWILDING FORMS\BldgAppISubRqmts.doc Page 1 2 Received by: Amount: '��—_7 Bldg 6 SRA Receipt #: Sheriff qf 6�6 Lo SUP Date: OtVr Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS ,.The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) _ i 0 5. Statement of Intent for Non-heated'and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) . Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en-ginee . 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings. El 11. Detached Accessory Building Form filled out by the owner (if required). 0 12. Hazardous Material Form (for Commercial Buildings only). M nitation p-pmyaUmm-tbe-EnyjrDnmentaLEtealf b_Depadment_...... Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). 0 2. Impact Fees. 1:1 3. California Department of Forestry plan approval (if required). 0 4. , NPDES Form. I 0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. El 11. El Grant Deed, 11 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\B1dgApp1SubRqmts.doC Page 2 of 2 REV 7-27-04 NOTES RESIDENTIAL PERMIT NO. _ '-024-080-0 10 _ _ 1OC4--27 HARRISON. PAUL 796 KEIFER RD, GRIDLEY Cont: TONY BAZZANO CORST' - ( OUTSIDE BATHROOM t i k r I i i JOB FINAL ED (Date vi' Y SignatureI /9.:rb SPECIAL CONDITIONS - CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS DI Meter By ELECTRIC Date Meter By 4 = OK 0 = Not OK - = Not Applicable . = Not Rea6 1 . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #Is 3. 1 . Zoning Requ i rements-Setbacks- Easements Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. P Nat. or L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -j Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Req uirements-Setbacks- Easements 2. Footings; Size -Spacing- Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test- Regu lator-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test- Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1 . Zoning Req uirements-Setbacks- Easements 2. Footings; Soils -Size- Depth -Spaci ng -Con nectors-Steel 3. Decks, Girders and/or Joists -Decking- Bracing -Stairs- Rai Is 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Colu mns-Connections-SpI ice- Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nai ling -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1 . Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GIFI 6. Elec.; Enclosures; Conduit Entries -Term i nals- Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg. Boxes- Enclosu res -Panel boards- Ins. to Main Cond6it, 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 = OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDWILOOR (Plans) OK except #'s %el't ?' �KlFtg., . 4. 5oning-Setbacks-Easements-Flood-Slope Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Sternwalls, Main; Steel- Bloc kouts-Wrapped 6. Sternwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors- Reg ulator-Service Test 12. Electric Underground 13. Plenums & Ducts; C learance- Material -Support- Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 41. 5ft Proper Materials & Anchors 41'kNalls Studs -Nailing Spacing & Braces- Plates -Sound 4'90' -Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Wal's (rat proof) 45. 2! Stops, Furred Ceilings -Stairs -Chasers -Tubs X' Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Haagers-Post Caps -Anchors -Connectors Date Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-gtng. Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 52. 1 L..,�Wer Htr.; Vent -Access -Combustion Air Baffle _��erty Line Firewall & Openings T8-. W-*ig'r Pipe; Test & Anchor -Nail Protection 55. 4410't.W.V.; Test Fittings & Anchor -Nail Protection 011W 20. 21. 22. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Smoke Detector 23. Fire Sprinkler; Test Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- Mech. Protection 67. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 70. 24. -Fixture & Transformer Clearance -Ins. Protection 71. JR,f-EIqc. Receptacles Spacing -Lights & Switches at Doors -ee 1% Wir'Size N 27. 28. Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water -72. 73. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 74. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or A 75. 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes QNo 76. 32. Service -Riser Conductors & Ground Main Disconnect 77. 33. Equip. Cle2rances Panels- Motors- Mech. Equip. 78. 34. Clothes Closet Light -Shower Light -Spa Light 79. 35. Smoke Detectcr 80. 1 nsulation-Foam- Looked in Attic Date Guard Rails & Deck Construcfion-Post Caps Card B-1 Date Card B-1 Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 85. 38. Condensate Drain & Overflow, Size & Grade 86. 39. Furnace -Vent Access -Comb. Ait- Return Air Vent 115 Outlet 87. 40. Attic Access & Flatform if Furnace in Attic Date Exterior Elec. Trim, G.Fl. Receptacle- Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. 5ft Proper Materials & Anchors 41'kNalls Studs -Nailing Spacing & Braces- Plates -Sound 4'90' -Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Wal's (rat proof) 45. 2! Stops, Furred Ceilings -Stairs -Chasers -Tubs X' Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Haagers-Post Caps -Anchors -Connectors 415 -Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-gtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection- Draft Stop, -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Fra,,ning-RC Channel 53. _��erty Line Firewall & Openings Card B-1 Date Card B-1 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. SlaYg.� Width- Headroom -Rise-Ru n- Landinci- Fire Protection Y<Pjy�od r -fo-Siding-Nailing 58. 59. 60. on Roof Overhang -Attic Vents -Rafter Outriggers Veneer Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- Mech. Protection 67. Bedroom Exiting 68. G.Fl. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance- Hearth Elec. Outlets at Wood Panel, Int. & Ext. -72. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V, in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Lis -zed for Location 79. Elec. Receptacles in Garage (F.Fl.)-Romex Protection 80. 1 nsulation-Foam- Looked in Attic 81. Guard Rails & Deck Construcfion-Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes Q No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical- Plumbing 86. Vents Above Roof, Plbg-Applianco-Fireplace-Clearance to Openings 87. Water Wel', Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.Fl. Receptacle- Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire SprinklLr Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION, DEPARTMENT OF DEVELOPMENT SERVICES A. 411 Main Street •Chico, CA • (530) 891-27511 7 County Center Drive • Oroville, CA • 1(530) 538-7541 4 CORRECTION NOTICE % 69 - Z /6 7 '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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact thMoffice immediately. t t s v 4 j r i Date REV 10/92 s v 4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buftecounty.netkidds PERMIT NO. BP042167 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/05/2004 APN: 024-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: LiceDONumber: -7(,-72-o6 Site Address: 796 KEIFER AVE GRI Date: 1k9-cl`i'-0q Contractor. — aJ4 4 " — I Map Index: Description: OUTSIDE DETACHED BATHROOM (80) OWNER -BUILDER ECLARATION � 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PAUL HARRISON permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1749 35TH ST. the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SACRAMENTO, CA 95816 she is exempt therefrom and the basis for the alleged exemption. Any 916-454-3690 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: PAUL HARRISON Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BAZZANO CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1580 TIERRA RUENA 0 1 am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95993 530-701-2667 Date: Owner: License #: 767206 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier:— eZO&�ZE F—,,AXr2 Total Square Ft: 80 S.F. Valuation: $5,200.00 Census Code: Policy :72!9 Q 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: /0 — Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 'q e- -7 compensation, damages as provided for in Section 3706 of the Labor -4-2 17 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permi is ereby ssued under the applicable provisions of the Bijfte County Codp. Pridlor I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated above for %yhich fees have been paid. �2 performance of the work for which this permit is issued (Sec 3097 Civ.) �r #W--- 10.5-0.4 UQ-,-- Qb- Name: By: _ - Date: PERMI OEIRES ON: 10 - .5 - C>s Address: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o form or document of Butte County. I hereby authorize repres tatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Aft,( 44127AA�2 Signature: Date:— El owner �`k`ontractor Ell Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 X����P�ERMIT APPLICATION DATA SHEET OWNER: SSE 0 '0fj Proposed Building Use: �$OR PARCEL NUMBER -7-2,1 U��IV 4�tW/eQZWtechnician: Date: I em required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord r to apply. 1 * Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. El 4. Engineered truss details and layouts in duplicate. No faxesl 0 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fJOVIIii) si all in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (8) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate U 0 11. Site plan and business license approval from the City of Biggs 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form jpg_�11 5. Sanitation and site plan approval from the Environmental Health Department in 0 ChicoJB,�rovillie, as applicable. 1:1 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers ............................................................................................ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by-.. 0 19. Soils Report and/or Engineered Foundation required ........................................... . ........ 11 20. Erosion Control Plan Required ..................... .... ........ 21. Fees as shown on the attached Schedule of Fe"e's­'D­u*e' ... S*h**e'*e't*.'.'.'.*.'.'.'.*.'.'.*.'.'.'.'.'.'.*.*.*.*.'.'.'.'.'.'... L0J 22. City of Chico Plumbing permit ........................................................................ 3. California Department of Fore ............. pyy plan approval 0 paid. Sent by: _-Z _ - (B)Parking: P 2 . tanning approval (A) Use: _(C) Parcel Check: - 1Contact Land Development about - Improvements, - Drainage ......................... 2 NPIDES Form ............................................................................................. 2T Encroachment Permit for driveway from the Public Works Dept ........................... 28 Pr e- Inspection for required ....... on ra tor ' icen in ati n N mber Name S le. Classification) ................... 0 ' r sC sl p s t form rr 0 u Polic� Number� ................. i .................... 3 r e om ensa ion Ca ier and 1 Ow r I r, M i to 0 r Bui r V rif ne de e Ication (_ Given to owne a led wne .................... 0 32. Letter of Signature authorization ..................................................................... 0 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 34. Manufactured home utility clearance ............................................................... 0 '35. Existing violations and/or expired permits ......................... 0 36. Deed Restriction ................................. 0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter ff6m� Legal Owner, 0 Check to H.C.D. $ 13 -- 38. Other: 0 39. Other: f V I - VU/ W When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. -7 Applicant: Date: 1. Index permit applicatitn®r t ve ite nWmbared: 4 tp­ 5 Plan Check Lefler 2. Additional items requir d I a C/ r-% 11%.ry 1-y' _!A' A011 _�' Fhe-aboYedaka-by VJ4Q(ji� limail, 0 counter, by fb t.3r r, ow , desig�p was advised 0 t Date: Contractor, designer, owne s advised of the abo d t y F'phone, 0 mail, 0 r, by Date: Plans reviewed by: k-15 Date: Plans approved by: ca Date Structural reviewed by: Date Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY. Rat Rea Attac Plan aa Attached Som to 8.0. Owner Location AP# Plan Approved for: Sewage Disposals Wat r Su ply: Public P ' ate Wel Clearance for dwelling. Other �x / U b k�('i(�,�n. — 2.l yl, A Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 alist ate COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 ,SCHEDULE OF RECEIPT OF FEES OWNER. A.P. # PROPROSED BUILDING USE0&_ fflJ& 49k�ATE _700 Rj�CEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due ........... $ --- Revised Plan Checking Fee... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (fo available after/ Ian Check) 3. SHERIFF FEES (paid at Building Division) Residential ............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... x $ # Units Amt. Commercial (Sq. Ftg.).... x $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone x = $ Zone # Units Amt. cx)� Commercial (s g.) ........ x Ftg, Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code �ection 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. Tlie requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 0 0 0 OUtA D'epartment of Public C o u n t y 0 f B u t J. Michael Crump, Director VV o r k s t e LAND DFVtLUVMtN I UIV13"IN Storm Water Management Program 7 County Center Drive oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement TLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: By signing below� 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that 1, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. N I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of. grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & swppp Compliance Certification PMVrarn JUL-25-2004 09:24P FROM:Bazzano Constuction 530-751-1003 T0:53821410 P:2/-4 C0UlVTY0F8UTTE-0EPARTA1EUTQF0E ELPOPMENTSEPVICES--aL4LDitiGDLVISIPN 7 County Center Drive, Oroville, CA 95965 Phune (530)538-7541 Fnx (531))539-2140 1'1� A�PFUCKTION DATA- SHUM - 0 '�S` LILL VAI(LIEL 004102 OWNEW.- ASY RUMBER.. 0 PrOP03;111 Buildiog cchniqiiin: Date: I Items/wIred In order to app r a permit. All boxes MUST be checked OR marked NA in ordlito ipply. 'j_SitPp!a0s,�or4.sP 2. Complete plans, 3 or 4 sets, signed by the prepaVer of the plans. 3. �nqirieered plans, 3 or 4 sets, with wet SiRrialu.re on plans AND 2 sets of stamped and slzned calculations. Engineered truss details and layouts in duplicate. No Isixesl 5. Letter from Enqinser or Architect for truss design,review. 0 6, Energy complianw deSign drid supporting documentation in duplicate 0 7, Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Data sheets and installation-inst; (RMauiaWine-Wo-,-(C)-Fim-Pliiv-;(D�TiLL-dowrior-trul-plans-,-_a.U-tn, duplicate a a.- MetalMs.! (AyMetaBl4PWis,4B�Fnd-pla�-�c3-"ipl4oAp-(4EIavat=sA 16014 (,at,%_(4FJompIaaJrLffl*aY_, must sla�ved and wet-sioned by Hip mineer. n- s6uned 61 d*lcae 0 11. Site plan and business licensp Approval from the City of Biggs. 1Z. Leftet of intentfor rion-fesidenhal huild-ijigN. 13. Detached Accessory Building Form filled out by the owner. t4- Hazardou_s Material Form, 15. Sanitation and site plan ipproval from the Environmental Health Department in 0 Chimlaeovillis. a -g applicable. 0_ I& Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following Items.) cl, 17, rire.-Sprinklefs-_ - 74k 18. Agricultural Buffer clearance and sitie plan approval from Hie Ag Cornmissioner's office 0- t9-.- SDiltp-R#Wandloi-Enginmed-Foundatimmqu�ed. 0 20. Erosion Control Plan Required. I 9 21. Fees as shown on the attached Schedule of Fees Due-S4at 11) el: ( P1 ; 01 k; 4 �L_j . ty U I %,v U. D I I'd pul 21. Calitomia-0cpartrwIt-offtt�u�y plan approval 0 gaict. 24. Planning approval for (A) Use: —(B)Parking: _(C) Parcel Check: C1 25 Coot3ct Land 0 v lopment.alttoull ImL 1. .. . - ­ R.0 )ruve,neko, —Drainage. 0 26. NPDES Form U- 27, Encraachment-Permil- for, di[veway-frani-thkPulAc.VVoAs-Dcpt.. (construction approval pTior-to-occupAncy). 0 28. Pre -inspection for required. 29- Coriftactor'&licenve. Informallon. (Number, Name Style, Classilicationy. . 30. Worker's Compensation Carrier and Policy Number. '17A�jr, R44p_ 16i '715-7 0 31-.-0wnw-Bu4der_VPfikAfim(_- Gvenlo-owner;- - Maiiied-to-owwA, 0 32. LoMr of Signature authorization. a 3-3. --RecoWedzopy-uLAVIWturaLArknov4edgiiienLS"ent. n 34. Manufactured home utility clearance. CY - '35-&is�Ag."Mons-and/or.-oxpirod per A5, 0 36. Deed Restriction. [a- - .' 3,T. OCrarttDeed.-U-tAH;TitWStaWment.of-FacLs,n-LeRet.fr=LegaLQwner,-O.Check-la.-R�C-D-$-..- Li 38. Other 0 39-..-Otherl.' . .. .. .. ...... When iasijpd Tplpphone and hold for pickup. 1 -have -bun Womio&ot-the.aticLve-items-and-requirementsluobtaining-a-buMn"umit-, ApplicantL Date: C_ EXPIRATION OF APPLICATION Applications- fov which a-pettiO-has�-nabpmis�YALexpirp-oap-ycar-afteL date --of. application.- . In-ordrar-to-.renew action. .= an -application -after, expiration, a new application, plans and feus will be lequii,ed. REQUEST FOK FEF -REFUND$ Refunds can orily be inacip vpriri written request by the person who paid the fcc. The request must be made within two years from the dalto offtle paymem-on permits -not. issued- 3ncl_two__y6aMjLUU1. Hitt-dattL ULPeLl nit issuaixuJur- pwniits_isaued� howevet- oD-'qiipd per . its-tefunds cart.only be in made itnocuristruutiun wuikhas bpendimp. Filing le.es, pl an dipck leps for work plan rhecked and other department costs are not refundable. Oftim! A;qlican,t JUL-25-2004 09:24P FROM:Bazzano Constuction 530-751-1003 TO:5382140 P:3/4 Department of Development S�eriv"ic­e's 7 CouMCanter DTive OmvWc,-CA-9-596-5- (530)539.7541 (.530)538-2i4OFAX. P4 -f DrI&TACHIMACCESSMY MILDPWx,,._ OWNEWS-STATEMMISMMUSK, Plan review will not be started until this form is completed� signed by the proper.ty owner, and returned to the Butir. County Buikfing-Division.---AtWheO-Ac-c-ev.OrY-Bu7d ad-Additiow, will be checked for dsidential usc.xPlxceptiow Garages and Carporu. QWner: SiWAddress-.- - Y"ILP- /- U / Assessor's Parcel Number: Phone: 44- Rum prmdded Please answeir ques&owl4( ,-aad-CXPbin4cY-Yc&2nt%czsfOt4uesfimIL2 in tho an pap,2 of dds forat, GF.NERAILLN102MMIGN: 1. lsftmapAwaLfydwdlingantbtptopefty? Yes M Mg AO� gold ady ad"-Wn:sftv;donqr pde( notice of ci*e violation? yes I 'es amw Will items produced in this building be offered for We? .3. 4,., wol ke. putlirliave acc*s to this buildingl Yes 0 No El S. Will any advertising. on or off site. be associated with the use uf INS buildinFV yeso-mrw SI M-.CONIIMONS:. - 6. Is ft szrucwt foundation within S'of septic lank or 10'of learh Ues? yes D No@ 7- Wany-ponkao(lbe McmMlocaicddomrtbw;O'tupw.fivnipmpcnylinc? Yes 0 No ba S. Do you plan to add a drivMy of modify Wsting a== to a counly malamined road? yy-eess EITIS Will the proposed stn,Etisremcmach-vhlhin-aml-r.mfdcd.ea=emZ. CONSTRUcmori nATUM: yo la No 0 -90 11. Will this building be heaW or cooled? Ves 0 IL Will this-builft, hv.c a wW cloZOIDUck? Yes SOB, 13. Will Oiis building - hve a d*? Yes 1�4. Will NS bwli#ng.�M 4 W&tq-hcaIt,r? No ye-sps 15, - WhaLtype. c0cor. covering uill ft hulding havr.? L6- WU it- ? tMc of oall covering wi ftbolding_havt OVER I-DL2- - - JUL-25-2004 09:25P FROM:Bazzano Constuction 530-751-1003 TO:5382140 P:4/4 yR0lk4SED-USE: (check -only one W4 t. iatlkbuil,d;ng_aWk-aw not be used for any other purpose (no bai>uoom and no beating or cooling). I Q Pate - --A. WildiWatapoaion-ota_b ltdiA MLnUM ghat 1,000 z(MM fed MOW by . exception) in ores in which only motor vehicles used by t=ots of the building or buildings on the pmmnis>rs.am stored -or kept.- A enrage d rw1s MgWA 3. ❑ WdeotW Carport - A amrod aruv t= intended for paddag of vehidca Two or more sides must be 4. Residential Occupancy - Strucuues meant m be occupied as opposed to a storage shed per. or carport you_checke4 44. please check, the uses blow which best St this buddinF, ❑ GuescHause❑ Pool House Q Ststdio Apattatent �JM-Iaw q�` Gam ❑ Reettation Room (] GaRoom 1:1Study ' Library [] Bonus Roots Q Playroom 1TDen- O'=Room 0 Artist Studio ❑ Hobby Room ElCMft Room ❑ sCanning iGkbeft- Umu* Rolm- E}Pttmily-Room- . E] -Sun xO,m -. . privalt office ❑ Work" t ❑ Nome Ovewancy 2 �Otbar- Use = _ix tl \ (zoo YY1 t. Doe+ qP d WeAahaV' }*ac�a,pepe�d b�cb' Buoy �pltra�+L[lriim Explanations: This area is.for e'tpluiation ofany-'yc=a cls-ofi-qUCWoat-I=L4,Please indi -_t !os number before the eepianaCnn:. plaQ_"r,w,witt not be started until this form Is comeleted and mceived. A Ptaaa F.saosinet wUl contact the owner with specific requirtmeots per the use indicated I hearty affirm udder penalry of puju y that the above infocmWon is true and'txz I-uuQess W-cblows, to the usq or dtaractcr of use, of this building will require penmitt Mmm the perwideg mdhmity. I undtrsumd do Kcal Estate Dlsclnsure laws sttl;� O►tzter's-�Nantc: Pieafle-P-ciet---#'El-t-,�d--- M-- 2OUL Date:.7- zj­Q s�-- JUL-25-2004 09:24P FROM:Bazzano Constuction 530=751-1003 T0:5382140 P:1/4 Bazzano-ConsUuction FA•'X --T. Ft A-N-S-FA-t.T T -A -L - COMMAEN S: 9P# - 04-2167 Detad%dllccessor v-.Buriding.--Owners.statemem-o� WiDr.ker'a Compensation. Carrier andPolicy_number.— State Fund. -.1677.95.7 ®ATE: TO: July.2 -,- 2004- 004TO: Paula Atterberry 530-538-2140 FROM: Tony Bazzano FAX: 530-751-1003 -TEL X30 -Z01 -X667.. FAX: tltl0 ` ■ Ads.. ..... .. ... L COMMAEN S: 9P# - 04-2167 Detad%dllccessor v-.Buriding.--Owners.statemem-o� WiDr.ker'a Compensation. Carrier andPolicy_number.— State Fund. -.1677.95.7 � - Udg. Vo Structure )praiser-' Dote 1dg. I -- 'a/ )Wiser- Dote Size All 531-H 9246 All 531 -Ti Found. '•�-���:: •t�.:!/ r��/-' - —%_ _ ...s � GA 1 PARCEL c.7/�^•e:'J,�1 ?A� aV k . SHEET SHEETS TS DESCRIPTION OF BUILD/NCS �pn_'7UF Wali 8 Exterior Roof _ Type Cover Floor B Interior Detail Second Story Year Est. Tot. rot. ��� ✓�1 of' Loft Built Life Yrs Yrs ,,,jv,� CL, YC — 193o RR / 9 Va aj COMPUTATION -- o�c� 1 e f 197• — Cost l Good R. C. N Unit o L. Al. D. Cost Cost R. C. Unit - Good L. N. !� /9 o Cost /m R. C. N. N. Lr ��ln I Cost I. Good L. Al D. : D. 19 LN. C.i.AN. D. r 11 c 5 koH,Ad Q � o plot I� L►� 5f'�� Nv � c l ;A� P .vim^-� ; 1 S f 6-6-0 13-2-0 1 6-6-0 6-8-0 0-9-4 4x4 = 2 LOADING(pso SPACING 2-0-0 TCLL 16 Plates Increase 1.25 TCDL 1 0�0' Lumber Increase 1.25 BCLL 0.0 Rep Stress Incr YES BCDL 7.0 Code UBC97/ANS195 LUMBER TOP CHORD 2 X 4 DF No.1 G BOT CHORD 2 X 4 DF No. 1 G WEBS 2 X 4 DF Std G WEDGE Left: 2 X 4 DF Std REACTIONS (lb/size) 1=422/0-3-8, 3--47410-5-8 1.5X4 11 6-6-0 13-2-0 6-6-0 6-8-0 CS1 DEFL in (loc) Well Ud PLATES GRIP TC 0.44 Vert(LL) -0.04 3-5 >999 240 M1120 220/195 BC 0.34 Vert(TL) -0.07 3-5 >999 180 W13 0.09 Horz(TL) 0.00 * 3 n/a n/a (Simplified) Weight: 54 lb BRACING' TOP CHORD Sheathed or 6-0-0 oc pudins. BOTCHORD Rigid ceiling directly applied or 10-0-0 oc bracing. Max Horz 1 =- 1 74(load Case 3) Max LlPliffl =-1(load case 5), 3=-1 1 (load case 5) FORCES (lb) - Maximum Compression/Maximum Tension TOPCHORD 1-2�29216.2-3=-290/6,3-4=0/15 BOTCHORD 1-5=-15/200,3-5�15/200 WEBS 2-5---15/217 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the vAnd loads generated by 75 mph vAnds at 25 It above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category 1, condition I enclosed building, of dimensions 100 It by 44 It Wth exposure B ASCE 7-93 per UBC97/ANS195 If end verticals or cantilevers exist, they are exposed to vAnd. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent vAth any other live loads per Table No. 16-B, UBC -97. 4) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard Ak Warning - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE M11.7473 BEFORE USE Design valid for use onlywith MiTek connectors. This design is based only upon Parameters sho�vn, and is for an individual building component to be Installed and loaded vertically. Applicability of design pammenters and p Per incorporation of component is responsibility of building designer - not truss designer. Bracing shovm is for lateral support of individual web members'only. Additional temporary bracing to insure stability during construction is the responsibillity of the erector. Additional permanent bracing of the overall sanucture is the responsibility of the building designer. For general guidance regarding fabrication. quality control. storage. delivery. erection and bracing. consuft OST -88 Quality Standard DSB-89 Bracing Specifimlion, and HIB -91 .4an6ling Installing and Bracing Recommendation available from Truss Plate institute. 583 D'Onofrio Drive, lvl�dison, WI 53719 Scale = 1:47.4 Q?,0F ESSIO—A��', �'C. �AAO,'-v4ll r C 17180 �T EXR 06/30/05 ��415F C ALW January 8,2004 MiTeW: E BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM r--. - . Ott 2 6 2004 (One foryn per Building) School District Building Department No. k7 A.P. Number Jurisdiction: city County Property Owner pal) Pro party Location/Address 9 ql'o' t� IWL-4 Subdivision Lot No. . ............ . ............. . .................................. ; ........... . ......................... Residential Development Sq. Footage No of Uving Mobile Home *Supplemental to (Group R) Units Installation 44,ersn Permit # *(No foundation Inspeclion) ........................................................................ ! ........................ . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Urnited Use Facility document) Commercial/Industrial Sq. Footage (Including Exterior Roofed S) Date District Identification No. � I School District certifies that --(Applicant)-- (Street (City) has complied with the requirements of Resolution No. representing —Sc) square feet. School District Paid by Check # Remarks: (Phone Number) (State) (Zip Code) 0C( no!l by payment of $ 2926 FULL MMGATION $ 16 . r) .0V Date No9ke: You rnsy protest the Imposition of the fen Identified above by submitting a written protest to the Districk In compliance wlth GovornmeW Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest will'proldbit you ftorn challenging the Imposition of the fees In any court action. R, subsequent to the School Distrid Representative signing this.Butte County Schools Impact Fee Certiftailon Form, the School District In nod by the applicable Local Planning Agency OW this paject Is being reviinved under the California Environmental Quality Act (CEQAh this project may be subod to addRkmal school fiess to fully ~a. lis ImIxact on the school dWcft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 110/03)dm.m BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM . I (One forin per BuIlding)f School District r-7 r I M Building Department No. 'AR. Number Jurisdictlow, city County Property Owner Property Location/Address Subdivision -.��—Residential-Developmon�—,T- No of Living Mobile Home Units Installation Commercial/Industrial Buirdin-g l5epaMent Reprei District Identifi5tion No. -6D T* - --) 04 New Addition Lot S -Foota q. ge 'Supplemental to (Group R) (Znvarslon Permit # *(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage tative Date "-�Pk U VA Pr r\ 411 (VA School Distnct certifies that -. - -A— - - - -� --.� - -- — .(Applicant) n C), I !-:z:1 (Street Address),, (Phone Number) (City) (§tate) (Zip Code) has complied with the requirements of Resolution No. -0 by payment of $ �i representing square feet. 2926 FULL MMGATION a School District FeepresentativIbi- Date Remarks:.:.7 Paid by,Che6k # (including Exterior Roofed Areas), Mob'**: You may protes the Imposition of the ton Identillec! above by submitting a written protest to the District. In complisam with GovernmeW Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely written protest *111'prohlblt you from chalk"Ing the Imposition of the fen In any court adkwL If, subsequent to the School Distrid Representative signing this Butte County Schools Impact Fee Certification Fonn6 the School Dloftict Is OR by the applicable Local Planning Agency that this project Is being reviewed under the California EnvIr*nmwW Quality Act (CEQA�' this project may be subject to additional school fen to fully n0gate, Its Impact on the school distriers schools. White (applicant), Yellow (building department), Pink (school district). form'xis 1110/031dmm OCT -9-2004 09:01A FROM:Bazzano Constuction 530-751-1003 TO:15305382140 BLMM COUNTY SCHOOLS IMPACT FEE-CEfETIFICATIOWEQRM (Dna form per Building) School Dlshict A.P. Number 1r« Property owrw Property t.00auonlAddree8 Build" Dsperbrard No. jurtedlciien: Q City County P:212 Subdivision int No. Residential Development Q ( Sq. Footage No of living (Mobile Stoma . i I •supplements) le (croup R) untts Installationj Corrversronmersan� Permit M_.• - `(No fours AW In NOW) W� " Dsed Rosvicted $4. Factor (Attach s slgrwd copy of Deed Restriction 9nd Notice of Urnited Use facility docurnentl CommerclaUlnduatrial Q Sq. Footage (Including Extulor / Roofed Argas) `D—/�� Dote District Identification No. r opt ki School District cenifies that _ i , (� 1, ' P� (Applicant) (Street A npl (Phone Number) L 01 r� ISlete) (Zip Code) hes compiled with the requirements of Resolution No. representing r) Lr square feet. District Paid by Check N Remarks: by paymard of S JAB 2M e uu IrunonnON tt (" 5 CL f Data C7 Nsekta: You rwM preeMf Ire rrrprwlOeer of trhs tars idalMlMd sbohw by strbnittMrg • wAmsn proem to tlts ptArld. M oorhrpuanee wYtt oovsr umt code section ss42o(e), wren tip dors peer am dse, fess an pato. hareme b subrnit a dent wether protea( win OM Misr Vaal stem inMNnalrp Iw lnpoeluan of the %es In any omit eaten. r, subaaawr m Ire edwsl District Reprsow We Wilrrh,p this Oure county tldwole �InrI , Fee Geunciaw Farm the tldical Deeald Is rsAard W Ile appue+bes (.oral Plsrrtkrg Aoertoii Shat this proMet b being rsvbered urrdr the CaUlafn{r F.mbanersat 4[ralry Ae (CFOA), IrisIre jsd itis !s in ammonal al wW bw to faW nM10d ft' on ttw ochoo) d Mall sdroeet Whhs (rppliCOnti. Yellow (building department). Pink (echoot,disbintl teetarm.rmr 410103ldmm 9 �* Department of Development Services Building Division - 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDNG . OWNER'S STATEMENT OF USE A Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked fqr rfisidential use�-Exception: Garages and Carports. Owner: Mailing Address Phone Site Address: 'I'IV /tfz-X- C -L -6-C Assessor's Parcel Number:. FO -0/0 Zone: Please answer questions 1- 16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL LNFORMLATION: 1. Is there a primary dwelling on the property? Yes 8 New 2. Is the structure already built, under construction, or under notice of code violation? Yes No b9j 3. Will items produced in this building be offered for sale? Yes C3 No f2 4. Will the public have access to this building? Yes 0 No 0 5. Will any advertising, on or off site'. be associated with the use of this building? Yes [I No SITE CONDITIONS: 6. Is the structure foundation withinY of septic tank or -10' of leach lines? - Yes C3 No V3 7. Is any portion of the structure located closer than 20' to your front property line? Yes [I No bg S. Do you plan to, add a driveway or modify existing access to a county maintained road? - Yes 0 No 9. Will the proposed structure encroach within any recorded casement? Yes 0 Nos CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes 0 No 0 11. Will this building be heated or cooled? Yes No 12. Will this building have a water closet/toilet? Yes No 13. Will this building have a sink? YesE No 0 14. Will this building have a -A-ater,heater? Yes No 0 15. What type of floor covering %W1 the building have? 16. What type of wall covering will the building have? OVER I of 2 PROPOSED USE: (check only one box) I 1. C) Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. 0 Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) izi area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or):ept:-"� A izargige door is EMuired. 3. [--] Res4idential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely ODen' 4. &Z Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. 17you. checked #4, please check the uses below which best fit this building use 0 Pool House, 0 Studio Apartment 0 In-law quarters 0 Recreation Room 0 Game Room 0 Study El Library El Bonus Room El Playroom [:1 Den El Studio [I Artist Studio 0 Hobby Room 0 Craft Room 0 Sewing Room C] Canning Kitchen 0 Music Room 0 Family Room 0 Sun Room 0 Private Office 0 Workshop' 0 Home Occupancy 2 KOther — Use YVI 1. Describe type of Worishop 2 "m be approved by the Butte county Planning Divisiors. Explanations: This area is fior explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. —274--- C Additional litformation: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of pedury that the above information is true and correm I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale� 0,-vner's Name: Please Print f�w V- 1,5 Q--4 (hvner's Signature: tx ni. 4,yo Date: 2 of 2 B COUNT JUL 2 7 2n04 Bazzano Construction D s Rc NT FAX TRANSMITTAL DATE: July 25, 2004 ' TO: Paula Atterberry FROM: Tony Bazzano FAX: 530-538-2140 FAX: 530-751-1003 TEL: 530-538-7541" TEL: 530=701-2667 CC: PAGES: COMMENTS: BP# - 04-2167 Detached Accessory Building — owners statement of use Worker's Compensation Carrier and Policy number — State Fund -1677957 --- - . I 1. I I... i I I - I . . I � I � I � .1 1 I I 11 11 11 I 1. I - I- - 1. I - . � � . I - . 1 I . . � 1. . � - I I � I - .1 I � I , .. I . I � I . . 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W,_ ING" HOUSE­-&.�G-ARAGE PLYWOODSHTG. -�-C.ERAMIC TILE oxg ?--v 'ENDS 7 d"FROM Sid% jtl� not bra Z_� Z3 14 N. 2- EA_ SD '7 v/s, qgl"x 10 AWCHOR — — � "t -7 / 7,P:- 77 r A OD 4 -�t"t af;_l I �;� V*f - - -i _,�- FiOU-r- B!E a -SLOPE T6 DRAIJ m rA �?__130%�SATUFkTED FELT tl W 7 jo WIRE MESH v -tv, 41 ME14BRANE 0SKED OR�"AVEL Bgu A 7 T r L -PlEt?. 0 S uN TUB. -C"rION 2l­T­7Y7jt_0.A TEfx r Fw r -_;e,x7 j, - le, L t w o. ee . vv - T. Z T. E4 vp, Z�_' � - --- �` - - 7 A- S 2X4 PJRLihfk Z -Z, 4� j 41 PLAN N'R PITCH - N 4-� s t/g�TfE -BAR J, ;0i Tu -.1,X* FLA -BRAfE Zltill INUOUS- ... ........ > t -C NNt ON Fr� AN f L AN Q OIST A5 SH T__ S 7- _1- -Z_'Z'X4 P;,.ATE_� + 6LID SILJCK114G 4 —4 A I- L. AT�-E S OLATE SPLI_ N'T IN V 'US D,,U84_lZ PLATE Z. M N. '7- X41 -tT IJD�; HEADER FOE ILINeFt E A D E P. __T GINA4 A BRA _-Z LETIIIN v - '7� TRIMMER LL Z T; I ! S; woj X FIRE BLO SKS tr f/4, Olt Qk' UNW RICK ASTUD� AT 160�0. _7z ?X4 ASHINd ;�p N Cl 71 4 YAA -TIEV AT 10"L=71; v. f L a -FELT z,,,-PA��Lz�OWASLE:'_ $PAN FOR: MAXIMUM CEILING Ju 1.15 4- A110 R -00F, RAFTER s jjg SPACING VE I L I NG SLOPE OF _01 E -COF T ESS HA IN 1� INI`%HE�i CEHTF_R� 70� JOI$MS CENTEK FT. aIN. .FT�'&,;N, F F_?_ X 4 7- 24 &V '16. 0 -14- 16 15 r5x'-�-- ZX6 .24 zxs 24 t5.6 32 1-21 45.6. ZZ -or 2- 2x ljo j 6 Z3.6 25--6 ?_ 4 '32 -0 7- .6 _1 N 5; 4; Jil J1. tL 4 fl. - -_ --- ll..�� FRO X4 SOL -PION PLAN SEE FOUNDA CLR`. 7 M X MUM SPAN FOR LINTELS SM Oplop S -:I 7y� SUPPORT UPPORTiNG 2�1 7 -tv k T M 7 - - , __ ___5 - A I wey �- A T A" P I C AIL FRA ING DETAI L ,j/z CONT.- -BARS"FROK fLASHING SIZE _-4 Ly tti L*l NG �cAr TO -p ROOF a ;ONE STORY OOTING 4 4 S 4 Z 6-0�' Z__ GENERAL NOTES _T_ 0.1 4 I "fil -2 X4 2- ___7 'e�' 2 - -�N -o, - uSE THE FC11-OWING NOTES WHERE APPLICABLE to 4. 9 - JOIST, RAr7TERS, BEAUS, -IRDER8, PLANKS a HEADERS -To B rt CONSTRUCTION GRADE BELOW BRICK 61 la wOOD BEA M FOOTING GRADE STUDS� STRUTS, SILLS a PLATES To BE STANDARE, ALL �AUDSILLS sHAz-L BE PRFSSURE TREATE[ OR r REDWOOD FOUNDATION GRAD G THRU FIREPLACE NUMBER OF NAILS FOR CONNECTIN SEr.-TION sompso?i eosT -AP ALL f RAMING LUMBER SHAI i!E NO_ 'URFACED WOOD MEMBERS FIR -IN 1/2" #BARS VERT. CONT DOUGLAS 4a T­ Ct)NNECT IoN N A I LS� 1/4" 4 TIES AT Is" O.0 -FROM CAP TO FOOTING ALI- BEARING WAL TO -BE BRACE'v AT EACH Es4D ANP I - - . - - - �.. 172" ART. 44RS AT v 2 - f6 --j Pnr ',OE A! L -SPL -POINT W/BRAC -4- 7- EACH CiORNER IT COURSE q_ - 'TEPME ING RUNNING CIAGO"Al IN E-WATE 'T BRICK --IS T -%E NAIL OM TOP PLATE TO SOLE PLATE -IN A STRAIGHT LINE FR To JOIST -FACE N44L ITIrf. 4A — ?_- 16 d SPACES NO d 2-1,tc,, Su8F:_5,,li T(, J019T OR GtIRDE n E OD 2 5- 0 LOr4G SHALY. BE _c E% AT ANGt.E SUFFICIENT TO INCLODF R FIREBRI( SECTION OF CVFR U T 4X 4 �11,) r 1 F -2t.., %A WITHCUT A3FfA_tNG v* R 4- 11 RIOR OPENINGS Lv ST, A-tt TOE "i4it- r-RO'r!DE APPROVED FLA,'�,HING FOR EXTE 'KE 51 P 9O_;TS Tl�P PL Ar E 5;-, TOr�E T4F%a UNDER ALI- EXTERIOR WAL-L PROVIDE I -YER 15 LB FELT 7* "ID _A=L 14 � T-'P_,4TE-T-7E :fAIL BARS AT SIMPSON COLUMN BASF _�2 c # _�2 IROff ST 1�lc - I ., I - - 1 -57 TITiCN DOUBLE -LAT-� Eh PAR ZX4 FC I ign .q MUDS!L�LS TO BE SET IN MAST TO PARALLEL ALT PER Z5- RAFTERS > Off's T :Olc'T UNDER ALL PAPALLEL PARTITION < E�kA 6" O�C, GOTK VAYS COYERING6 RAS r AT Ls , _. IC WHEN CbDE REQ'O I ID -IFON STRAP SOLT TO 2X4 V;,TH UNDERf LOOR VENTILAT [ON TG EQUAL- 2 SQ, FT HEARTH cosc LR I L a WfT 'ZX4 OVER AT N Al. - OF CORNER __FTER TO PLATE -7 TEND F -AT 1�'l REPLACE I CD, LIN. FT OF EXTERIOR WA IJIN S -O _t -, -_ - --- 2- 1& BOLTS. EX L BRACE AT STUD -jol-ST NAIL TO Ei�CK BEARING GR D. V � 14".q �:*;T-tN &RACIN LE4kST 4 HALF PLAN LATH 8. PLASIER TO CONFORM WITH LOCAL CODE 7D,;�Tuo WITH 4 - 20J NAILS. SHEA-THiNG -11) BEAP - ING 7A CONCRETE MACHINE MIX '�'Z MAX. 7 1/2 GAL. 'T'� ANG -ES TERRACOTTA OF WATER PER SACK Of CEMENT C!'-FNER STUDS PLASTER AT r tl t XIO" SET IN CGN�, 7 5'- 07 O.C. ANCHGR 4 BOLTS 1/2 S TION THRU FLUE 121" 12 OF ENDS AND WITHIN LL -AL =�E A MASONARY &PLANTERS TO COMPLY WILOC IA CODE RES S.ACE RCING S-TEEL ��,A[_L -CONFORM TO LOCAL F DETAiL! 1 Al. REINFO PURLIN BRACING _7 L TO A.S.1 M. A-305 I MUST BE TESTtb N Y CODE PURLiN PROVIDE PEDESTRIAN PROTECTION-FFNCF-,,IF REQb a PICAL 'LAP 40:1�*IAMETERS MIN. ?---C, 2X4-6'1- 0 Z, t STEEL WHEN SLICED SHALL 2 X)t -:w-o` I. c a COLUMN �X6 2x Z -X 4- 10-0 U.U-- 2 -.;zX6 --rao SUBFL09RINO CXC., I L)ETA I L' x10 _T 4 Ile. 7 _7 8r-�ltOOF­B-E� C ElL.] 041 st-Op -OR GREATER - E 4tJ2 -6114, D rvr -A sl z ALL--0Wk8 E 4 4) % 7 57��, - �Z77,7�_, 71 _-7-- 7-4 kW '4� ;z- - - .. - - -4 - - J. - N! 0 5 - J16 4 T� c � F �W le, - - * �70 Jqfr - I Ll f;_ 4 7_ _90. 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