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Home My WebLink About024-140-020SPECIAL INSPECTION 95-04 4/20/95 ADDITION WITHOUT PERMITS 024-140-020 PERMIT#95-0958 WILLIAMS, Be. 203 203 Higgins Ave., Grid/0 /XI 19-;) Add & Remodel SF(See SI#95-04) 1 RESIDENTIAL 024-140-020 PERMIT#95-0958 i'• �. WILLIAMS, Ben 203 Higgins Ave., Gridley Add & Remodel SF(See SI#95-04) JOB FINALED (Date) I_ Signature J=OK O =-Not OK - = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s t 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / /" L" ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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-Clearance's 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RfIrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville/ Califorrtia 95965 - Telephone APPLICATION AND, PERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. ASSESSOR PARCEL NUMBER 024-140-020 A40 ZONING BUILDING PERMIT OWNER BEN WILLIAMS TELEPHONE SQ, FT, OCC. BUILDING VALUATION 360 R 19,440.00 OWNERS MAILING ADDRESS 203 HIGGINS AVE.,N GRIDLEY, 95948 360 M 6,480.00 CONTRACTOR'S NAME OWNER TELEPHONE 96 0 672.00 ES �`'j' EST 5 000•00 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 31 592.00 LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 297.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 193.38 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS \ 203 HIGGI>1S AVE. PERMITFEE $ 533.88 GRIDLEY 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 5 7.00 35.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USE OF STRUCTURE SF l] Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition CIX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITION &REMODEL AS PER SI#95-94, RE•.RonE, WINDOW REPLACEMENT R. ETEC_ SERV_ Mobile Home IS I GI W 1 920.00 PERMITFEE $ 115.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 20000v A OR LESS OR LESS ) 2 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: -It I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.5¢ FT. 25.20 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR, Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 00 BAL .50 Ex. Occup, ou7LEEDTsPPLNS °R ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the_ workers' compensation provisions of section 3700 of the Labor Code, Ishall forthwith com ly with those provisions. �Jj J """ /Z �( �� - -(�/!!U�=__ Date _ igneture of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in qeight. Mobile Home Installation Fee $ Energy Inspection Fee $ 46. 00 TOTAL FEE $ 763.08 E]E.-s IMP FLOOD CDF PARCEL _ PD HD SUcompensation This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. 9 ate 9 (D�i) Receipt No. 3 > 0 o WHITE•D.D.S.-B. D. CANARY -ASSESSOR INSPECTOR I GOLDEN Ron -APPLICANT IZiC. ��rnP•.iFN�'-'+.r�'t'�v,h i"�F -.n'^( f' �.7.vYY'.',�. '1M1..��R� �j' jjsh��i'\ j,�,��r.-. •...+� .r•�.+i..,r—T. r .`_ COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMEN�TSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �� C YU 1AJ t L L f JIM S ;L.No. Proposed Building Use k0154100,6L `¢ AOO Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... � 2. Plot 1 4 sets, signed b re re tans . ... ..................... . tete plans, /4 sets ned a arer of plans 14" Engineere p ans and calcs, 3/4 sets, with we signature on plans . ............. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation . ............... . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data -and anufacturer's installation instructions Fees of $ 2 .. Impact fees as shown on att ched schedule. a t .... ........ q2.California Department of Forestry plan approval/fees................... _ 1 Flood elevation letter (100 year flooA by C I fornia Engineer . ................. . Sanitation and plot plan approval 0 y i� I C- Health Department . ............ 5. City of Chico plumbing permit . ..............:......................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...P��AeoA reqs est 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... ` Plan check list . ................'................................... . SIGti! 1\1f -W Pc2nnt PPcte.hfia.✓ 34. When ou issue the permit,rocess a& follows* Mail to owner. Mail to contractor. Telephone gto0 I and hold for pickup at office. Deliver with inspector. Other Parcel Creation14 % Y5 Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. C7 3 3 2. Additional items required: Contractor, designer ow er was advised of above required data by phone _ mail Counter by G&Dater Contractor, designer ow er was advised of above required data by � phone _mail Counter by Date 1 6_T Plans checked by Date Plans approved by g (3 vJ s Date L12�- I Zi'•�S' Sets of plans on hold in --�— File cabinet AP folder Copy - Department of Public Works _ 4, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.K. us&6NL Plot Plm AtbcSed Fkw Phu Awcbed Sem to B.D. S— 7 1-12 Owner L=66Y AP# Plan Approved for: Sewage Disposal Water Supply: Public— Private Well Clearance for bedroom mobile home. Other / A x,� d rs L,--ju �'`� � `� tild Trl.)_ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Lr-- � - � Date Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major l0br and materials for construction of the proposed property improvement: YES[ VI NO[ ]. 2. I HAVE[ 4] HAVE NOT[ J signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY• PHONE: CON TRACTOR' -S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: r SOCIAL SECURITY NUMBER: - DATE: - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ir.df� II �_ Ben and Sally Williams 203 Higgins Avenue Gridley, CA Dear Mr. and Mrs. Williams, Butte Count, u L .- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 April 20, 1995 RE: Special Inspection # 95-04 A.P. #024-140-020 With reference -to the above subject and your request for inspection of the bedroom and loft addition at 203 Higgins Avenue, in Gridley, the inspection was made on April 19, 1995. The addition was constructed without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the addition appears to conform to the intent of code requirements, except for the following which must be completed or resolved: 1) Obtain Environmental Health Department clearance. NO e 3) Provide conforming stairs throughout including rise, run, width, landings, headroom and handrails. 4) Obtain permits for re -roof, window replacement, and electric service installed without permits. 5) Provide verification that entire structural system is adequate including foundation and anchoring, floors, walls and roof. 6) Electrical hazards were noted in several areas including individual wires not 1 protected by a covering of conduit, improperly sized breakers and shorting in the sub -panel. Provide verification that the entire electrical system is properly installed including grounding and bonding of all components, adequate outlets, properly sized wires and breakers, and GFI protection of required receptacles. 7) Provide verification that all plumbing fixtures are properly trapped and vented. 8) Provide a properly installed water heater including vent, connector, and PRV line. 9) Provide compliance with California Title 24 energy requirements. 10) Install smoke detectors per 1991 Uniform Building Code, section 1210. 11) Comply with any items noted during plan check. Inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said addition. It is now in order for you to submit complete plans in triplicate to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Scott Rutherford of this office at the address or phone number listed above. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection Williams/S.I. 95-04 2 f Complaint -Dace 'Oth'er=Data . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Tenant: Building Location: r Type of Inspection requested: 1. 19 4. Wff� ZONING A. P. 4��•T -�� Date .of Inspection r/ Inspector Housing _[. 2. Financing / / 3. Change of Occupancy to Work W/0 Permit / / 5. Ot ter (specify; Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or show:. uv -Q 4. Kitchen sink: 5. Hot and cold water to�f,��}}'??��tu�ve s : / 6. Heating facilities:✓��c{ ��v-e ' oh ,oma. -227 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or 3.odents: �� 11. Connection to sewage disposal: �/ 12. Connection to water supply: // tl 13. Rubbish and garbage facilities: 4,-- 14. /14. Stairs :(Rise Run, Headroom, 1HR, Tole ances, Handrails) 15. Comments: 4 B. Structural 1. Piers and 2. Floor const 3. Wall constr 4. Ceiling and 5. Fireplaces: 6. Comments: C. Electrical 1. Service and group • 2. Receptacles: 3. Fusing: 1/ 4. Comments: _ : D. Plumbing 1. Fixtures connected and vepte : f 2. Gas water heater: 3. Gas heating vents: P10- ` 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 4d — 3. Safety hazards:/y-t S" 4. Weather protection. _ 5. Underfloo 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: -IS Lance to property tines: 3. Physically handicapped 4. Restroom floors and walls: 5. Exits: V. improvements: 7. Zoning: 8. Comments: _G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: / / A. Information only - file. / / B. Hold for ten days, then write letter. = C. Write letter. 1__,/..D. Other: BUTTE COUNTY'SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 6ricl lip v Building Department No, AP, Number N 4 — 1-90 - 10 Jurisdiction: I- �__--�] City [y County Property Owner E f/(/ , a_ Property Location/Address LCL__1-44 ,° n S 14V 2 rep ►^' Subdivison _ Lot No. Residential Development[ j (X] Sq. Footage 3f14� No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (including Exterior Roofed Areas) 19 �Q Building Department Representati Date (Floor Plans reviewed by School District Personnel) District Identification No. 61 ` - (r% School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9 . by payment of $ -{�--" representing �pQ square feet. All 2926 $ FULL MITIGATION $ School District resentative Date Paid by Check # Bank Number Paid by Cash Remarks: t '� X71 rl C n � _L n .. �✓ , � � .f L. i „ �., .l. If, subsequent to the School District Representative signing this Butte County Schools Impact Feef Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (11/94)dmm k6 -�F v 22 tu9.D �'G �+�%fi++- Q7'✓MW.✓"' yip 'Wad — —' S�� tea. �✓ 3�.z �C 5�} �� III COUNTY. OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone; ,5387541 APPLICATION FOR SPECIAL INSPECTION Owner B94. Sq I W, I lams A.P. No. ODq—/1/0-Oid fling Address v10 f'i-a q i h5 JAV(' • , (crY j�.�� / Telephone No. Applicant A Telephone No. Mailing Address Building Location (� �j I I hereby request a special inspection of the following building: l V 11. Dwelling(if only a portion, specify) �- ?, 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. 2. Financing (specify agency) 3. Change of occupancy to 4. Other (specify) i Case No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code .requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days: I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned proper't, for inspection purposes. `��►'` ,o�'�/ L.��% Date A 2_ 9 / Signature of Owner Fee Paid $ 100, n Receipt No. %7 5,5 lst-DPW/2nd-Inspector/3rd-Applicant �- - . t .. , .• .. �. . r... .. .I -:r" �...Ka-,, ,"hl.W'�/y:)r ,�.Tti.-�v�c F�+'.f'*•�-�. ..w �0 - .CyOUNTYOF BUTTE - DEPARTMENTOF DEV,EI-OPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIIFORI�IA,95965 -TELEPHONE (916) 538-7541._ PERMIT APPLICATION DATASHEET I1 i OWNER W (1 I a s _ A P. No. Proposed Building Use Building Inspector Date Z2 Z 195 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted . ....................................... . 0 2. Piot-plan q-pr�eparer eo lMans. 3. Complete-pka'ns-3�f4'veCs, iJ>ti pareTmf-planse-. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ��.....�?{... 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................... ............... I.... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approvalffees. ....................... . 13. Flood elevation letter (100 year flood) by'California Engineer . ...:............. . 14. Sanitation and'plot plan approval 11; Health Department . ............ 15. City of Chico plumbing permit. ......... ~............................... 16. Plot plan and business license approval fromsCity of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pr�I�sp-e-ctlon. regtif 20. Pre -inspection for / r ��7 required. . to Building Inspector 21. Contractor's license information! (No., Name Style, Classification) . .............. 22. Certificate of Workmanm" o4mpensation Insurance . ................. .... . 23. Own er-Builder,Venlfication r(Given to owner , Mail to owner . ......... . 24. Recor�.ed ;copy of Agricultural Acknowledgement Statement . ................. 25. Letter`of s gnature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on buildirig use . ............- ............................ 28. Mobilehome utility, clearance:.._... ........ 29. Documentation of `legal access. .... .� .. r :................ . 30. Documentation of 50% subdivision develAp.ed or .(A)...Road....impr:..ovements completed and (B) Parcel meets zoning area aro-frontage requirements. ........ :. ;� . 31. Existing violations/expired permits. 1 ..................................... . 32. Plan check list. 1 If 33. 7A 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant - Date Copy of Haz-Mat form sent Health Dept., Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by - phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works