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024-140-017
24-14-17 j ARL TODD 299 Hi ins Ave, Gridley Permit#,t2 s-88L(demol.isl /.SF) - 024-140-017 00-61AG 24-14-17 TODD, Jere j Permit#2.546-8e.9' !a il, MH�, 299 Higgins Ave., Gridley ELEC /, Ag Ex Permit-Stg, Tractor GAS SUPPORT, .'7-z' URE RE rnrne4pnnTT11 T TFCT Contr:- 24-15-17 S Mobile PErmit 638-88MHI - Iss ed `Y. •r C 024-140-017 TODD, JERE 05-1635 299 HIGGINS AVE, GRIDLEY Cont: OWNER NSF/GAR/CO V B07-2153 024-140-017 MISCELLANEOUS Ag Exempt AG EXEMPT FOR FARM IMPLEMEN 299 HIGGINS AVE .! TODD JERE R & NORMA, 1 �t, r1L_ i � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 299 HIGGINS AVE Owner:. Permit NO: B07-2153 APN: 024-140-017 TODD JERE R & NORMA, Issued Date: 12/12/2007 By KCG Permit type: MISCELLANEOUS 299 HIGGINS AVE Subtype: Ag Exempt GRIDLEY, CA 95948 Expiration Date: 12/11/2008 Description: AG EXEMPT FOR FARM IMPLEM (530) 870-6872 Occupancy: U-3 Zoning: A40 Contractor Applicant: Square Footage: TODD JERE R & NORMA, Building Garage Remdl/Addn 299 HIGGINS AVE GRIDLEY, CA 95948 Other Porch/Patio Total (530)870-6872 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 Total Charged: $191.68 Fees Paid: r $191.68 Balance Due: $0.00 Receipt No: B5007 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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, , also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 12/12/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: tJ AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LLLLJJJJ COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does Contractors Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' 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 performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and The Contractor's License Law dows not apply to an owner of the property who builds or improves policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is or one hundreddollars($100) or less. ❑IAM EXEMPT under Section B. 8 P.C. for this reason: 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, 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' X 12/12/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those er's O Signature Date provisions X 12/12/2007 ! hereby certify that I have 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 Signat Date f WAR WAR :FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, 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 personal AND S ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the act on the roparty owner's behalf . CONSTRUCTION LENDING AGENCYto 12/12/2007 =3;2 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is construction lending agency for of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) fame Owner ❑ Contractor OR; E]Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip j BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE RE_OUIRED AT TIjVIE OFAPPLICA.TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last NameQ� City First Name Zip Phone Fax Mailing Address - 41 City ^ Q ; tate CIAZip Phoneb Fax E-mail State License Number CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip . City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip . Phone Fax E-mail APPLICANT S/GNATU E X PERMIT NO. 30`7-S15 PROJECT LOCA TION API a_tj r� I q D �' O. Property Address City n n i" BIN # I WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. 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.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. _WAG Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings InitialsAG Buildings greater than 1000 sq. ft. in floor area A� shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 299 HIGGINS AVE Permit No: B07-2153 APN: 024-140-017 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A40 Description: AG EXEMPT FOR FARM IMPLEMENT Required Setbacks: Applicant: TODD JERE R & NORMA, Front: Side: 25' Rear: 25' 299 HIGGINS AVE GRIDLEYCA95948 Type of Construction: (530) 870-6872 Type of Siding: Metal Owner: TODD JERE R & NORMA, Est. Const. Cost: $ 15,000.00 299 HIGGINS AVE GRIDLEY, CA 95948 Roof Covering: Metal (530) 870-6872 Floor Type: Other I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at/that tine and prior to oceopancy. Signature of owner: FILE COPY Date: 10/16/2007 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.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 299 HIGGINS AVE Permit No: B07-2153 APN: 024-140-017 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A40 Description: AG EXEMPT FOR FARM IMPLEMENT Required Setbacks: Applicant: TODD JERE R & NORMA, Front: Side: 25' Rear: 25' 299 HIGGINS AVE Type of Construction: GRIDLEYCA95948 (530) 870-6872 Type of Siding: Metal Owner: TODD JERE R & NORMA, Est. Const. Cost: $ 15,000.00 299 HIGGINS AVE GRIDLEY, CA 95948 Roof Covering: Metal (530) 870-6872 Floor Type: Other I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: ASSESSOR COPY Date: 10/16/2007 s r f 7 /U Ir o kS v L Ir o kS BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 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 Class : License Number: Date: 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 commehcing 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).): dr," 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 (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.). ❑ I, 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 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.). ❑ 1 am Exempt under Article 3 of a eusines d Professions ode os Date: 22 —aSr - Owner: WORKERS' PENSATION DECLARATION I hereby affirm under peofty 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. ❑ 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 carrier and policy number are: Policy ❑ 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: 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. PERMIT NO. BP051635 Issued. Date: 10/28/2005 APN: 024-140-017-000 Site Address: 299 HIGGINS AVE GRI Map Index: Description: NSF (2390) GAR (469) COV (715) Owner: TODD JERE R & NORMA I DBA TODD - AG PROP OR EQUIP 299 HIGGINS AVE GRIDLEY, CA 95948 530-870-6872 Applicant: TODD JERE R & NORMA I DBA TODD - AG PROP OR EQUIP 299 HIGGINS AVE GRIDLEY, CA 95948 530-870-6872 Contractor: License #: Architect: Engineer: MCKISSON, MATHEW Total Square Ft: 3574 S.F. Valuation: $178,046.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resolutions to do work indica ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date: 1 Address: PERMIT EXPIRES ON: �0 _ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the 4quired E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f0_hnaLdQcumeRt of Butte Couno I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpq$'es. / N / ,�, // Print Name: . _I -,-.a &- / Signature Date: =0 wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 - � di -51 IS-,, I G B�TTE COU Y 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 OFAPPLICA TION ` L v Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER OWNER Last Name Todd � First Name �Je Address n I ' City State Ca Zip Phone_ 7O _2872Fax E-mail E-mail ARCHITECT/ENGINEER CONTRACTOR Name � Address City r, / City Zip��//� State Zip Phone Stataicense Number Fax E-mail Date Approved: Lic. # Class ARCHITECT/ENGINEER Name I'ncC Address L/ V C City r, / State Zip��//� Phope '% (P FaX 30-af (o"' E-mail Stataicense Number APPLICANT NAME Name Address City - �t ateC_n I Zi ,S�Ltt o Ph5 30-270- LiS%�_ Fax E-mail APPLICANT S1 J. For 94fice use only: Zoning Property Flood Zone Cr os treet SRA I Yes r Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT 5 t Ce; LOCATION AP# Property City Cr os treet WORKER'S COMPENSATION Policy Number Carrier 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 OVER FOR SUBMITTAL REQUIREMENTS L, KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or)6cope of Work: y-. I n Sq. Footage U Structure rwlvvithoUt Permitsr/ ❑ Proposed ge of Occupancy W�c7 (Note previous use): weal C>,�� EXPIRATION OF APPLICATION o ` " '11 N k, 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. by: Receipt #: Datk' .0 G� Amount: (Or cf1-o . �D Bldg SRA Sheriff SMIP Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a \� per it. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans(,3r 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered lan�r 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. ngineered truss details and layouts in du li 'f required). No faxes! I4. Energy compliance design and supporting documentation in duplica Jr ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 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.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑/ 8. Owner -Builder Verification (if required). r l 9. Letter of Signature ), t--Ve#6 o T n 4,,;r)+ on 6� • m ` ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑/ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. 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. 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 MLO utte County Department of Development Services. ANNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone ;30) 538.7785 Facsimile TO: FROM: SUBJECT: DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(@buttecounty.net Plans Transmittal For Review Per Contract 6/27/2005 Applicant: Todd, Jere Permit No: 05-1635 Project Type: NSF/Gar/Cov 024-140-017 100% 70% Plan Check Fees V 1,246.06 $ 872.24 $ 1,246.06 $ 872.24 WILLDAN Fee $ 872.24 Copies Attached: Qty Chk I Application ite Ian Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER ` P+ ' � - v Proposed Building Use: \\� T�( Permit Technician: Date: L �tems required in order -apply apply for a permit. All boxes MUST be checked OR marked NA in orde to p . / 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 7❑ 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 duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. 5 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowled ement of building permit a plication Ithout required clearances. 14. Other alVinims needed to issue the permit. (May require additional plan review upon receipt of the following items.) anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ireSprinklers ............................................................................................ 0 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ ill Erosion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ %California Department of Forestry Ian approval ❑ paid. Sent by: C1'44.>Ianning approval for (A) Use: (B)Parking: (C) Parcel Check:.-..... Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form .......... .................................................................................. 0 I 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation CarrieKand Policy Number .......................................... �l, 30. Owner -Builder Verification (✓ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization..................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits.......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone�_�o /� and hold for pickup. I have,been informed of the above items,and requirements for obtaining a building permit. Applicant (��(1y� ��� /�(�/� Date: X-2 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed b : Date: Structural approved by. l Date: Note transfer by: _Date: Yellow: Building Division TO: .w!�. - .ti Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Pian Attachod Floos Plan Attachad Sant to ®.O. / Owner Location AP# Plan Approved for: Sewage Disposai-- Water Supply:uplic- Private Well Clearance for dwelling. Other r dA,,O-DYI-�: , Ij. j ; 144 n AP 2MI Hold final for: Final clearance O.K. for: NOTE: TW L Environmental Healthpecialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/d4s OWNER PROP ED BUILDING USE JJS \ t I. BUILDING PERMIT FEES --- Balance Due ..................... !1 /'4 $ \ 66 b 9. 1 (D / --- FEMA Flood elevation review ... $ Additional plan checking Fee.... $ SCHOOL DISTRICT FEES G (paid at School District Office) (form available after Pla ,heck) 3.\Rider FF FEES (paid at Building Division) tial............ X $360.00 =$_ Unitsrcial (sq. ftg.)..... X $0.03 = $, Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) CHI URB A A (Pt4 EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # _JR V$200.00 (paid at Buildin Division) 8SMIP_ o S'o 9. OTHER 10. OTHER 11. OTHER A. P. # 00!t- ( • o DATE - G RECEIPT # DATE REC. go;77 -2x- a5 C' 11(k 1 7 I l y 1040.5 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 1d4 plan checking process. / APPLICANT DATE v 0`0 V Pursuant to Government Code Section 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. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) $Y':i�!c �:%J�zi s>3�"t..tr- !' �° �'. - :`.t'S'y_;:�•, t'; r: ; . ._,5G': 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 majorjabor and material for construction of this proposed property improvement: YES [ O [ ]. 2. I HAVE [ 4,TffAVE NOT [ ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the'work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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: i 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 "owner -builder" 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X MicVael C. Vieiri C.B.O. Mallager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ..r`YS.�Q / t; �f U to C-1 AUC WOF�S Department .0 o u n t J. Michael Crump, Director of Public f B U t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 9 ACRE) Project Description: Project Location and/or Parcel Number: 5 By signing below, I, the project owner/owner's 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 acre but when combined with subsequent phases total more multiple site build -outs of less than one 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 andlor 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: Butte County Department of -Development SemCes 0 11 ,ca / 7 County Center Drive o _ o Oroville, CA 95965 GO`- o (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I cnn required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or rgquire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). ` Please print: Applicant Name: Building site add s: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: S ATURE OF APPLICANT DAT .. ... ...___..-.uc-r_ K•F.,.,..e/RIAvPo.,,.;nv;tf,n.r(`l on. -.,roc (1�M/15 Writing Tablets - Forms Corp. Small WI LLDAN 2399 Gateway Oaks Drive, Suite 210_ Serving Public Agencies Sacramento, California 95833 916/924-7000 fax 916/924-3644 www.willdan.com September 20, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1635 Assessor's Parcel No: 024-140-017 Description: ' Todd NSF Willdan Project No: 14353-1755-M Dear Mr. Rutherford: r Willdan :has completed a plan: review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noied 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: k Plans: Two (2) copies sheets 1 through E-1 dated 06/15/05, revisions dated 09/12/05 by Home Design Services, Inc. k Structural Calculations: Two (2) copies dated 06/14/05, revisions dated 08/27/05, by Matthew McKisson, AIA. k Truss Calculations: Two (2) copies dated 05/23/05, by Homewood Truss. # Energy Compliance: Two (2) copies CF -1R and C -2R forms dated 04/07/05 revised date 8/21/05 and two (2) copies Two (2) copies of Mandatory Measures checklist, by Curt Keen. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we . receive other instructions. 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. Serving WI LLDA�N Public APPLICABLE CODES 2399 Gateway Oaks Drive, Suite 210 Sacramento, California 95833 916/924-7000 fax 916/924-3644 www.willdan.com Our review was 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 (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Specific Use Type of Occupancy Type of Construction Stories Total Sq Ft Dwelling R-3 V -N 1 *2390 Garage U-1 V -N 1 469 Covered Porches & Patios R-3 V -N 1 715 CONDITIONS OF APPROVAL 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. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 5. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to bedrooms (may be either battery operated or 110 volt with battery backup) as required when the valuation of any addition made to a Group R - occupancy exceeds $1000 per CBC 310.9.1.2 through CBC 310.9.1.5 6. Gable -End Truss calculation submittal is deferred to Butte Co.'s review at their discretion. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Tom Trueb Plans Examiner Cc: Alice Mefford, amefford@buttecounty.net Mat McKisson, 1490 Hwy 99, Ste B, Gridley, CA 95948, Fax: (530) 846-6358 Jere Todd, 299 Higgins Ave. Gridley, Ca. 95948 Page 2 of 2 County of Butte 05-1635 Willdan 14353- 1.755PCH Butte. County Department of Development Services PAUL MCINTOSH, INTERIM DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 2, 2005 Jere Tod 299 Higgins Avenue Gridley, CA, 95948 Subject: Building Permit 05-1635 (APN: 024-140-017); Single Family Dwelling Dear Jere: The Butte County Department of Development Services, Planning Division, has received your application for a new single family home. We are in the process of reviewing the site plan to validate that the use conforms to the zone. The submitted does not adequately identify, the location of the house, and it's proximity to the property lines. The site plan must indicate the property dimensions, all existing and proposed structures/improvements, setback lines and easements, and any other applicable information. A complete list of site plan requirements, and an example, is included with this letter. Please resubmit a site plan that meets our requirements. If you have any further questions, please feel free to call between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sin rely, Chris Tolley Assistant Planner Cc. Mathew McKisson Enc. Site Plan Requirements 1' SITE PLAN REVIEW APPLICATIO`JN Date: Z . 24kr— AP# Permit Number (if applicable) 16 3 7 Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: n rs Owners Address: Telephone No.: Situs Address: �� i��s, ems► u�vt [,-� ��^v l u Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ 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 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel' r. Other _ ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve, Problems Prior to Approval ❑ Site Plan Stamped Approved Date 1 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 F-1Nitrate 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) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: Index Date: ❑ 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: — q0 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. . ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2 C7 i Side �J - Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. . ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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 Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Crc Comments: �10A^~L ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ 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 ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: 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 road maintenance, and stop sign maintenance. 1 0 PaaPdnfS `/Z 9 MA -6 ^j 0 4- 14, G2 / BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) G School District � � ng Department No. A.P. Number o7(/— /'-/y 'c�7 / —7Jurisdiction: Property Owner Q City,County 9,-16-b72 3 Property Location/Address 2 5 9 /V- 6 6 / N'S CZ400 /. Subdivision Lot No. Residential Development Q Q Q Sq. Footage 2 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # •(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage New Addition , (Including Exterior Roofed Areas) Building Department Representative Date District Identification N t School District certifies that (Applicant) (Street (City) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. Qq _ ()� 6A-( by payment of $ , 1 representing square feet.J�AB 2926 $ �1 ULL MITIGATION $ School District Paid by Check # Remarks: -4-21,100 Q -3n-45 Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Govemment Code Section 66020(a), within 90 days from the date fees aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the face In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reAeWed 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (305W= r y/ 'MANDATORY MEASURES - IKAL (Page 1 of 2) MF -1R - Note:zLowM residential buildings Subject to the Standards must col UN'th&eGite? regardless of the compliance approach used: -- Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications For the man �neLsos. Wher they are shown elsewhere in the documents or on this checklist only. 0YsLjJLtl1� TO QD w V.w r �ra�T/aT AViLai\ i til V 1JW&d ds- W iVi/ Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT r –Building E lope Measures: ---' — ---- —� • § 150(a): Oinimum R-19 ceiling insulation. G §I50(b): kse fill insulation manufacturer's labeled R -Value. NOW ' § 150(c): inimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls A does no apply to exterior mass walls). G • Y-1 • ' §I50(d): Pinimum R-13 raised floor insulation in framed floors. G� L § I50(I)�. Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0perm/inch. §t 18: Insulation specified or installed meets insulation quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. N §150(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110+ 13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. G. i §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. §150(i): Setback thermostat on all applicable heating and/or cooling systems. §1506): Pipe and tank insulation I . Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 G external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55' F insulated. 6. Piping insulated between heating source and indirect but water tank. Compliance Forms I SEP J r 2 0 2005 ugust 2001 A-5 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the IeUtUres noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents I' or on this checklist only. -Tb QQ Instructions: Check or initial applicable boxes when completed or enter N/A isnot applicable. DESCRIPTION DESIGNER ENFORCEMENT t 5 Space Conditioning, Water Heating and Plumbing System Measures: (continued) • § 150(m): Ducts and Pans i I. All ducts and plenums installed, sealed and insulated to meerthc requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in t conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system 1: that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building + cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. j 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support 00{f/^ • t platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. C: sllular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. l' § 114: Pool and Spa Heating Systems and Equipment. ].System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no f electric resistance heating and no pilot light. 2. System is installed with: MAV ' `fi%•T r�. a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. t §1 15: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no �r i continuously burnin ilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)G §118 (f): Cool Roof material meet specified criteria N i Lighting Measures: §150(k)l .: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt I or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily 001.0 • accessible lighting control panel at an entrance to the kitchen. §150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in § 150(k)2.; and incandescent recessed ceiling fixtures are IC (insulation cover) •�+ • approved. w Compliance Forms August 2001 WH -e BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RMIT N9. Agricultural building is defined as follows: Agricultural building is a structure designed an constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING 4 C/ —G _Gc-,0 OWNER PHONE NO. S _ OWNER'S ADDRESS W �( i,Z5� V ! LOCATION OF BUILDING q v USE OF BUILDING SIZE OF STRUCTUAE a ' X _ S0. FT. TYPE OF CONSTRUCTION: WOOD FRAME V STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE v -a A Co e e ESTIMATED COST OF CONSTRUCTION $ */.100 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ( - '-% 'r ` aS' FRONT SIDES IA -5 '``� REAR 144"`''� AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. _- Date 5'- /25 w- 9::�' 4=� Signature of Owner Permit Fee - $60.00 The above described AGI/10 ding is exempt from a building peCmit. Receipt No.97474 . F FLOG PAROL P. ROO G ISS -V-EJ - I Manager Building Divisi -, By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 2545-88 PERMIT NO. -88P,E(MH) PERMIT EXPIRES OWNER AR -I ENE Zodd CONTR. P Q r - ASSESSOR PARCEL 24-14-17 LOCATION 299 Higgins Ave, Gridley r Temp. Powr- Called Temp. Temp. Elec Called r Temp. Gas Called JOB FINAL Signatu = OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS ` Date IBIL--E HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Vis; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rft_rs.-Connec.- Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete . Shthg.-Rfg.-Bracing Gas; Location -T st-Wrap: / L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ///"Nat. or//�/"L"ft./ �PG 6. Carports; Windows -Doors Utility Clear ce 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card-B1ge:�V Date)/-/ Card -B1 Date Card -B1 Date Card -B1 Date Date MSIBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements L,:T2. Footings; Size -Spacing -Marriage Line I Gas; MH Test -Demand -Valve -Connector v-CEectricity;MHTest-Crossovers-Breakers-Clearances 1 Drain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity nits; Insp.-Sketch Cert. of Occupanc a Card-B1 Datezj 2 Wcard-B1 Date Card -B1 k1 Date Card -B1 Date a = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) =_Nbt Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -61 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -61 Date Card -61 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE T 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. Inspector Date U MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 fPERMIT NO. =� r Address or location of mobi lehome r ' Owner's names 1 -� + • i .1_ Owner's address Insignia or hud number Manufacturer's name �`^��* rN I r) 1,— Ar Serial number..of V.I.N. �� �r Year of manufacture (Official Approving Installation) (Date) 7 IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIO. ` �L 7 County Center Drive - Oroville,:Californ;a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE SOR PARCEL NUMBER _ y0 ING U BUILDING PERMIT OWNER TELEPHONE 4 - 5 ,SQ, FT. OCC.1 BUILDING VALUATION E MAI ING ADD S �OQN4TRAC 'O ME W TELEP ON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ( Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARC L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer ^5.00 Mobile Home S G 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1' Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a) OR ADDNS. ACC. BLDGS. '/z¢sgft NEW CONSTR I.OUTLET NON-RESID .BRA CH CIRCUITS) 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp(OUTLETs OR FIXTURES .ALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 consequence oJ the granting of this pper/mit. X Date 4 / %p �1s Signature of Applicant — OWner.q Contractor ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,--. OCCU P. CONST,TYPIIJ SCHOOL FLOPy HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date "F-2, 7—J7 Receipt No. WNITC-D.r. W., • LL W-A7e[Se R, PINK -IN 9P C CTOR, GOLD CN ROD -APPLICANT IF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 F a 'moo - PERMIT APPL;IGAT40N DATA SHEET Permit No.—/ OWNIER � A.. P. No. 04 — ~ Proposed Building Use Building Inspector Date At time of permit application, I was advised the fojlowing data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5.= Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees `of $ . . . . . . . . 9. Letter of signature authorization. II ' 10. Sanitation approval from V I L 2 th Dept. K Heal . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner El, Mail to owner ❑ ) _....15. Improvements may be required. . . . . . . . . . . . _16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to ;Date) 17. Pre -Inspection for__. -__ _ _ _.__ _ Required. Building Inspector _ &�18. Recorded copy of Agricultural Acknowledgment Statement. .19. Driveway Permit.24 — 20. Plot plan approval from city of— �e Fiji 22. _ 1. �--- When, you issue the permit, process as follows: Mail to owner; MaiI to contractor_ Telephone and hold for pickup at office, Deliver w/inspector. Other _ -- Applicad /' ,� , ;� Date /Ozy� Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior 1. Index permit for above items No.-, 2. Additional items required: 9 rmit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised c, above required data by—phone—mail—counter by date Plans checked by 1n�=C;1- DatePlansapproved by Date., 0_-_�X__ Sets of plans on hold in File cabinet AP folder f Copy—DPW y.y'La TO Buildincx Department FROM: Environmental Health- SUBJECT: Sanitation Clearance Owner, Locatidh4 AP# o ` Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for --I�edroom mobile home. Other NOTE * * * �ki �T �. -Z-,A .-- � rea v 06 Sanitarian Date COUNTY OF BUTTE - De;•partment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 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 labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Zsigned 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 Contractors 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 Contractors 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 Social Security Numb Date T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. "CUU a Uv 1 i'ra lihKll.ULlU1CiiL 01111L'PUNI UL' HI ISiVIJto.LC!/L�ra`ilSi<� FOR RESIDENTIAL DEVELOPMENT Se&..ion 26-8.1 of the Butte County Code requires this acknowledgement- be recorded prior to issuance of a building permit. i 88-026849 R e c Fee 5.00 THe property described herein is adjacent Check 5.00 to land or included within an area zoned Recorded ; for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising .-from the Butte PARrf v? 10"VAN use of agricultural chemicals;, •including, Candace J. Grubbs but not limited to herbicides, pestici_d.es, Recorder and fertilizers; and from the pursuit 11:52am 15 -Aug -88 BG 1 of agricultural operations including, -. but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dusts, smoke, noise, and ,odor. Butte County has established agricul- tural zones which have as, a,priority use for productive agricultural purposes, and resident:, within. said zones and A adjacent property should be prepared to accept such inconvenience or disconfo.rm from normal, necessary farm operations. - All that real property situate An _the County of Butte, State of California, described as follows: Lot 44 and the East half o'f Lot 45, according to that certain map entitled, - !'Map of Gridley Colony", yrhich map was'filed in the office of,the Recorder of the County of Butte, State of California, June 8, 1905 in Volume "4" of Maps, at page 370 Date: PROPERTY OWNERS: State of C.�.Lir`-a.PN,�- On this the 45"� d y of ,T��,�;�t j — 19 F?_, before me, SS. the undersigned Notary Public, personally appeared County of A-r� ) At-�,G Personally known to me. E] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) IS subscribed to the within instrument and acknowledged that �___ executed the same for the purposes therein contained. IN WITNESS, T _ - --WHEREOF, I hereunfo'set my hand' -and official seal. N OFFICIAL SEALGARY D FIFENOTARY PU13LIC - CALIFOR Present A.P. No. aQ1- -l7 BUTTE COU Notary Publ' r Pay comm, expires MAR 20, 1989 VI` L •e �4C�rC6N;PARED WITH ORIGINAt DOCUA4ENT AP o 2Qs\ NOTICE OF CONSTRUCTION AFFECTING AWOINING PROPERTY ;. The undersigned, do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encunbrancers should be aware of the location of such improvements. - 3. So long as such improvements -remain, said parcels'or lots cannot.be sold separately. , DATED: Signature or owner of record 017 CALIFORNIA SS. CO(.7--f " OF lBt?TTE Signature of owner of record (;, �,�,� 19 g� , before me, the undersigned, A Notary Public in `an11 for oic- State of California,'residing therein, duly commissioned and sworn, Lo re to be the person_ whose name/ S subscribed to the within instrument r rld ackn-r.) ledged that seyC-- executed the same. 'k 1:I71T".SS my hand and offical seal. - -- ti OFFICIAL•.SEAL GARY D FIFE W m NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY f My comm. expires MAR 20, 1989 LD 1540 (5/88) Sigpdture, Name (typed or print 0 ki ' r GRANT DEED (joint Tenancy) POD � 1563' II For value received CHARLES D. McCONNELL and HARRIET']) M. McCONNELL, his vd.fe GRANT ............ to ROBERT TODD'Iand ARLENE TODD, his wife, as Joint Tenants, all rhat real property situate in the County of Butte State of California, described as follows: Lot Forty-four (L;LH) and. tre 'E a's't 'ha1.fof Lot_!Forty-five (45) , according to -that `certain map entitled, "Map of Gridley Colony", which map was filed in the office•of the Recorder of the County of Butte, State of California, June 8, 1905 in Volume "4" of Maps, at page 37. EXCEPTING THEREFROM an undivided one-half (1/2) interest in all oil, gas and other hydrocarbons and minerals heretofore reserved to the grantor named in that certain deed from Bank of America National Trust and Savings Association,'a national banking association to S. A. Dunavant and Nola M. Dunavant, his wife, dated December 14, 1937 , together with all the rights and privileges of the grantor in said deed set forth with respect to said oil, gas and other hydrocar- bons and minerals, reference hereby being made to said deed for the particulars therein set forth. i I AP '# OWNER PERMIT MH UT IL. CLEARANCE DATE INSPECTOR ELECTRIC :GAS Support Struc. Compaction Test Re . ES NO c, vice :e Other Load Type Wipe Size Leri th YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATON AND PERMIT ASSESSOR PARCEL NUMBER 0-24-14-0-012-0 ZONI G — yU BUILDING ERMIT OWNER TELEPHONE ARLENE TODD46- 3 589 OWNER'S MAILING ADDRESS 299 HIGGINS ROAD G R I D L E Y S0. FT. OCC, BUILDING VALUATION CO TRACTOR'S NAME TELEP HONE EoM `_5 N9 i e 4 lyra r COTRACTOR'S MAILING ADDR Fo3(,e, L;4JGp✓ ES .1vd Dt�✓i' �� 5966 Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ Sr 0-10 $ $ BUILDING ADDRESS Permit fee $ o� PLUMBING PERMIT Filing Fee 10.00 99 /',v S Each Trap 2.00 I-� a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEJ.J�KRCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Describe work: INSTALL N F w MOR If EN O M P q g Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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. 322023 Classification 0,47 ❑ I, 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- ontract- ors.(Sec. 7044) ors. ❑ . I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) Yz2sgft OR ADDNS. ACC. BLDGS. NEW CONSTR.MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS d SINGLE OUTLET CIS, / EX. OCCUp\OUTLETS OR FIXTURES 20 @3C 900030 FIXED EX. Occup. OUTLETS IPRESID ILNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 expense hich may in any way accrue against saidi c sequen of the ing of this permit. Q X Date Q v Signature of Applicant — Owner F1 Contractor 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 $ 51 0-0 Energy Inspection Fee $ TOTAL PERMIT FEE $ 70, OCCUP. CONST.TYPE,_,[VDJ PARCEL I Po t ND [VE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %����� 8— '� Receipt No. d.i � `i WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSP E CTOR. GOLDENROD-APPL I CANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL'E,. CA, LIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET J Permit No. OWNER �%L ! i°'l� G 2' �`> a A. P. No. _ 02 c%"- A-- % Proposed Building Use �% T� -� 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 APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . muN��Bt�146o1 District "Fees Paid" Stamp on Floor Plan. ` 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerEl _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When yo issue the ermitrocess as follows: Mail to owner, Mail to contractor. L.�'Telephone 3 '7%�� and hold for pickup ator(� office, Deliver w/inspector. Other Applicantv )" ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: , ontra tor, designer, owner, was advised of above required data by—'phone---mai / *t naiI—counter b, eL actor, designer, owner, was advised of above required data by—phone —ma II—counter by date--' Plans checked byDate 1 Plans approved bDate _Sets of plans on hold in File cabinet _ AP folder Coov—DPW BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form -per Building) A.P. Number Building Department No. r School,°District 4 ff ity Q County Q Jurisdiction Property Owner Project Location/Address �� !l( ` a.fi<-! , Subdivision Lot Number Residential Development: 1�Sq. Footage # of Living MHI Addition (Group R) Units- - f ! h Commercial/Industrial: �-a o Sq. Footage New Addition (Including Exterior Roofed Areas) Building DepartmenttRepresentative Date District Id No. 2 -W-O School District certifies that (Applicant Name Phone Number (Street Ad s) )&�� (City (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ D representing square feet. Sch of District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH //r.r '�/��// 01 RN white -applicant, yellow -building department, pink -school district SCHOOL . FEE .(5/88) t C�. vQ• '�. ' . u1 it is un lav ul hat all tem ations'on dept on the jc-� es or aoil lter artmeut Pubo Make any chhnq . the 1)9 ,port Permission from P w. County. of. NOTEi All Materials is Workmanship $ha0 Be U1 Rccorddnce with Recognized Good Practices and of a quai'�y prescribed for the Specified'use in the Uniform'guiding, Plumbing & Mechanical Codes and +he National Electrica{ Code... \ •,� �'\` k pro �' � - •' . . ° \y i wit 4" -. *Qeo1`►connections shall wither atop l� uti tv . of the mobilehome, d' ectly behind or within the rear • . .�__--__� ' ) of the h If 5 A setback of ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of, Wur-tures or equipment excepi • ' fo'P � 1 ft. e ve overhang. r , t / to •• tib " . a�o� . - ON a 0 All .41 .41A- IC- -Ywe- ox, - XIIDIV"e IP IrJ .01 Qu h(� 00, i , 6366 Lincoln Blvd. , Oroville CA 95966 (916)533-9117 CHAMPION MOBILE HOMES MOBILEHOME SUPPORT DATA If other than single wide, ' Nobilekome Mfr. CHAMP I ON HOME BU I L O E R !furnish Setup Model No. 181 LS Year 1989 r• Width 24 (ft.) Box Length,' '44 '= (ft.) Tagalong'or- Expando 'Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation t manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified.. Footings (check one) Single ® 1Wood either .— pressure treated or foundation grade. x L� (ft.)(in;) (in. ) (in. ) ❑ 2. Other: (specify) Center support locations* Center support footing sizes Supporta '. (check one) (in.) l; Concrete block. (� (� X(in.) [].-2i Other. ( specify) (eft—.)(—in1.) (inn-.) *----Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) , /Z x Arol-- Typical Support (in.) (in.) Footing Size I--"—� (in.) (in.) Max. Pier Spacing (ft.)(in.) -�_ x J _ -- Max_ . Over, kini)j (in.) (ft.)(in.)_ @� St t pioo,•GT oo/Eks .�ft!,n twee q pooec.# /04s,17S , = Jci�EPlC.e3 KW 000 u.)2 Ili, N S7� /rE�S. GO C4..'7"�,Q 6� A�96c 13 wze#q' Awvmg me o& e- *If center - pie s aove, 7-1 17 draw in locations, spacing, and dimensions. K B&TE COUNTY DEPARTMENT OF PUBLIC WORKS T County -Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ARLENE TODD 2. Installer's name: TOM'S MOBILE & MOTOR 3. Is the site currently under permit? Yes / / No `7`'7 (If yes, furnish permit number ) OR. Is the site an existing site? Yes � No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 100 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No 771 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3/4 10. .What is -the type of gas service? ----------------------------- Natural –7-7 LPG �. 11. What is the:gas pipe length from meter or tank to the mobilehome? 12. What is -the mobilehome gas demand? ------------------------------ (BTU) information not required if pipe length less than 6 ft'�.b� gas 0M(This or less than 50 ft. on LPG.)�,� APPROVED %y 88-032091 ; R e c Fee 7.00 Cash 7.00 Recorded ; Official Records County of Butte ;Candace J. Grubbs ; AP NO. ©oe2 Recorder t 10:51am 20 -Sep -88 RB 2 NOTICE OF CONSTRUCTION AFFECTING AAJOINING PROPERTY The undersigned$ do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated.in the County of Butte, State of California, described in attached.Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3: So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: Signature of owne�of ecor STATE OF CALIFORNIA COUN lY OF BMITE ss. Signature of owner of record O cY before me, the undersigned, A Notary Public in °arid for the State of California, residing therein, duly commissioned and sworn, appeared- Lr) ppeared tr) re to be the person whose name/_S subscribed to the within instrument and ackrr.,w1edged that Shy .executed the same. I;IINT. SS my hand and offical seal. li•...... OFFICIAL SEAL. GARY D FIFE P— ; e NOTARY PUBLIC - CALIFORNIA a�' BUTTE COUNTY �_'•"� My comm. expires MAR 20, 1989 v� LD 1540 (5/88) Sigpdture Name (typed or print GRANT DEED (joint Tenancy) POOK ®� For value received CHARLES D. McCONNELL and HARRIET' M. McCONNELL, his wife GRANT ............ to ROBERT TODD 16nd -ARLENE TODD, his wife, as Joint Tenants, all that real property situate in the _ County" of Butte ,State of California, described as follows: Lot Forty-four (44) and the East half of Lot Forty-five (45)., according to that certain map entitled, "Map of Gridley Colony", which map was filed in the office of the Recorder of the-Countylof Butte, State of California, June $, 1905 in Volume "4" of Maps, at page .37. EXCEPTING THEREFROM an undivided one-half (1./2) interest in all oil, gas and other hydrocarbons and minerals heretofore reserved to the grantor named in that certain deed from Bank of America National Trust and Savings Association,'a national banking association to S. A. Dunavant and Nola M. Dunavant, his wife, dated December 14, 1937 , together with all the rights and privileges of the grantor in said deed set forth with respect to said oil, gas and other hydrocar bons and minerals, reference hereby being made to said deed for the particulars therein set forth. END OF D0(11 IRACKI-- F f END OF D0(11 IRACKI-- It 4'861 Z e nob 0 Permit#2545-88 Arlene Todd 299 Higgin& Ave, Gridley ' Y f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538=7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER., .�' ZON NG BUILDING PERMIT _ OWNER ••• i� ,a 1 `/ / r AA/ TELEPHONE SO. FT. OCC. ,,� BUILDING VALUATION OWNER'S MAILING ADDRESS � I All V IAF 4- x, CONTRACTOR'S NAME /"i IA() ^ P t— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . &-:1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 p ` / AJ G 4 V Each Trap 2.00 + elnr-;'r /6 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[j] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISFG W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: M L) ''' i a t/ . t' 6 A/ ; ,A A f? 0 I -A l ACJ A- S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 U �+ LE10V 01SS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 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. Classification ❑Q I, 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.SI\/z2sgft OR ADDNS. AGC. BLDGS. / NEW CONSTRMULTI-OUTLET 2.50 ea, NON•RESID .BRA CH CIRCU' TS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eA 090 FIXED ALNS Ex. OCCUR. OUTLETS P(RESID 1REJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. 0 I shall not, employ any person in any manner so as to become subject to the W. C:•)aws of California. Notice to Applicant: Ifoafter 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor { i certify that I have`,read,this.applicaticn and state that the above information is correct. I agree to comply,to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indomnify1and 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 ��fA %'-'ter j' A�-•�r Date ����� Signature of Applicant — OwrierO I Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee r $ TOTAL PERMIT FEE $ C, a occu P. CONST:TYPIJ i SCHOOL FLODo PARCEL I PD NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above' for .which fees have been paid. DIRECTOR GF PUBLIC WORKS B , }�- ���' t"1--�--r� Date y /t [T� PERMIT EXPIRES Dat@ *— J• _ 2f ` Receipt No. .� / C / WHITE-D.P.W.. YELLOW-ASBE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF' PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. I ASSESSOR PARCEL NUMBER 4e) 1,74e) BUILDING PERMIT owN / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS p T�OR'S N TELEPHONE CONTRACTOR'S �/ a . L/lJ 7 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ o --a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ D 0-0 BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 .v V Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets SPECIFY Mobile Home S G W 115.00 SF Duplex❑ Mobilehome❑ Other I Building sewer 5.00 .00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallaJtion❑ Other Permit Fee $ Describe work: @Mal. r ei✓ �'6A, 1J"A / buy -.t/ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ljG, a.. Qepf' of fo!'eSf, a Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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. Classification E9 1, as the owner, or my employees with wages as their sole compen- NEW CONST. ( DWELLING OCCUP.EII yz¢sgft OR ADDNS. ACC. BLDGS. I NEW CONSTR MULTI -OUTLET 2.50 ea NON.R ESID BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SA 030 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 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) Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 Heating ❑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. Cooling Food 3.00 E 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 I Ventilation I Permit Fee $ provisions or this permit shall be deemed revoked. j Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ a I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. coNST.TTPc SCHOOL FLOOD PARCEL I PD HD I ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in copse uence of the granting of this permit. X �� This permit is hereby issued under the applicable provi- �LG�x - Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner -W Contractor ❑ Agent ri work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF_,PUBLIC WORKS ion of structures over 3 stories in height. Q� Receipt No. � d 13 BY Date l v WHIT[-O.P.W.. YELLOW-ASSE3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Dat ~ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 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 labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 Contractors 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 Contractors 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 Social Security Number "' Date NOTE: This Owner -Builder Verification is sent to you as required by Sections"19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. HIGGENS AVE PLOT PLAN H I 0 G I N S A V E. SITE PLAN 24' X 34' - 20' - r r x n' r-40' NEW SINGLE FAMILY DWELLING JERE and NORMA TODD APN 024-140-011 299 HIGGINS AVE GRIDLEY, CA LOT AREA SUMMARY LOT AREA Are- 14.98 ACRES LIVING AREA Aree- 2315 eq it FLOOR PLAN GARAGE Area- 449 3q it EXTERIOR ELEVATIONS TOTAL Area- 2.844 a9 It SECTIONS DETAILS COVERED PATIO ROOF PLAN to eq it DETAILS EXISTING MOBILE TO BE REMOVED 1,054 aq It ADDITIONAL LIVING AREA 1.319 a9 it SPECIFIC USE OCCUPANCY GROUP: DUalhng R-3 Geroge U-1 C --d P—h R-3 CONST. TYPE: V -NV -N V -N STORIES: SQUARE FOOTAGE One One 2390 449 One 121. TYPE V -N CONSTRUCTION, 1 STORY ZONING: A-40 PROJECT NOTES: BUILDING CODES: CALIFORNIA CODE or REGULATIONS (CR), TITLE 24 2001 CALIFORNIA BUILDING STANDARDS CODE: 2001 CALIFORNIA BUILDING CODE. TITLE 24. PART 2, CCR 2001 CALFORNA ELECTRICAL CODE 2001 CALIFORNIA PLUMBING CODE. 2001 CALIFORNIA MECHANICAL CODE 2001 CALIFORNIA ENERGY STANARDS TITLE 24. PART L EXISTING WATER WELL and SEPTIC TANK. LEACH FOLD ISSUED UNDER SEPERATE PERMIT BY BUTTE CO. HEALTH DEPT. BUTTE COUNTY BUILDING DESIGN: WIND DESIGN: DESIGN SPEED 15 MPH EXPOSURE B ar C SITE SPECIFIC THIS PROJECT: EXPOSURE C SEISMIC: Zona 3 FOUNDATION DESIGN WITHOUT A SOILS REPORT Allaue6le Beariny Preewre - 1500 PSF Alioueble Letaral Baanrg (paarva) - 200 PSF//t Ailaueble Fnenon CoarrFa nt - 0.35 ALL FRAMING LUMBER SHALL BE DOUGLAS FIR N. 2 OR BETTER UNLESS NOTED OTHERWISE. CONCRETE SHALL BE 2.500 PSI at 28 DAYS EXTERIOR HEADERS SHALL BE LX12 DF NO. I UNLESS NOTED OTHERWISE MIN. NAILING SHALL BE PER CBC. TABLE 23 -II -8-1 Foundation platen or sills shall be bolted to the foundation or foundation mall with a minimum of 2- 112" x /0" bolts with a minimum embedment depth of 7'. Anchor bolts shall have 2' x 2' x 3/1,9 plate mashers on each anchor bolt. Anchor bolts shall not be placed more then L ft on center ar more than /2' from each end piece of the sill plate. Anchor bolts shall not be placed within 7 -bolt diametersfrom each place end piece, Sections /BOG and 180,9.1. All foundation sills. plates, sleepers, posts, and columna that rest on concrete or m7on mmt be foundation ggrade redmood or treated and marked material. (Uhere not subject to water splash or exterior moisture, wood may be untreated when in compliance with CBC Section 230,9.8. SHEET INDEX CS COVER SHEET, SITE PLAN I FLOOR PLAN 2 FOUNDATION PLAN 3 EXTERIOR ELEVATIONS 4 EXTERIOR ELEVATIONS 5 SECTIONS DETAILS 4 ROOF PLAN T DETAILS E-1 ELECTRICAL Matthew It i499on. Architect 1490 H1911—y 99, Suite 8 O1d1ey. Cdearnio 95948 I= 848- 9358 (SM) 848-9379 %NEW SINGLE FAMILY DWELLING JERE and NORMA TODD A.P.N. 024-140-011 244 HIGGINS AVE GRIDLEY. BUTTE COUNTY, CA 04/11/05 5nn� sins COVER SHT, SITE PLAN $11R� MP. HIGGENS AVE 3 PLOT PLAN H I G G I N S A V E SITE PLAN 24' X 30 20' - I• II• X 11' ".i��{(i���f iI I I -�r, '..1 +.•i -- I NEW SINGLE FAMILY DWELLING JERE and NORMA TODD APN 024-140-011 299 HIGGINS AVE GRIDLEY, CA LOT AREA SUMMARY LOT AREA Area= 14.1E ACRES LIVING AREA Are.= 2315 >, ft CALIFORNIA CODE f REGULATIONS (CCR) TITLE 24 GARAGE Area= 441 a1 ft TOTAL Area= 2,344 eg ft 2001 CALIFORNIA ELECTRICAL CODE COVERED PATIO 41L 51 It EXISTING MOBILE i 2001 CALIFORNIA ENERGY STANARDS TITLE 24. PART G TO BE REMOVED I,OSG a1 ft ADDITIONAL LIVING AREA 1,311 sg It - SPECIFIC USE OCCUPANCY GROUP: Daelhng Garage R - U -I Cevrre� Perch R-3 CONST. TYPE: V-3 N V -N V -N STORIES: SQUARE FOOTAGE One One 2310 441 - One 124 TYPE V -N CONSTRUCTION, I STORY ZONING: A-40 PROJECT NOTES: 40\ Matthew 1C Marion, Architect 1490 Highway M, Suit. a Grfaey, California 95948 fax 946- 4359 (530) 944-6376 BUILDING CODES: - CALIFORNIA CODE f REGULATIONS (CCR) TITLE 24 r 200CALIFORNIA BUILDING STANDARDS CODE: 2001 CALIFORNIA BUILDING CODE, TITLE 24, PART 2, CCR 2001 CALIFORNIA ELECTRICAL CODE - 2001 CALIFORNIA PLUMBING CODE - 2001 CALFORNA MECHANICAL CODE i 2001 CALIFORNIA ENERGY STANARDS TITLE 24. PART G - EXISTING WATER WELL and SEPTIC TANK. LEACH FEILD ISSUED; UNDER SEPERATE PERMIT BY BUTTE CO. HEALTH DEPT. - BUTTE COUNTY BUILDING DESIGN: - .l -.WIND DESIGN DESIGN SPEED 15 MPH J ,•'. ''EXPOSURE B er C SITE SPECIFIC .I -,;THIS PROJECT. EXPOSURE C SEISMIC: Zone 3 FOUNDATION DESIGN WITHOUT A SOILS REPORT Allowaale Bearing Press = 1500 PSF All -461. Latera ure Bearing (paxve) = 200 PSF/ft + l; All -.61. Fr,et,- CwfOc,.nt = 0.35 IIII - ALL FRAMING LUMBER SHALL BE DOUGLAS FIR Ne. 2 OR BETTER UNLESS NOTED OTHERWISE. - CONCRETE SHALL BE 2,500 PSI at 28 DAYS EXTERIOR HEADERS SHALL BE (X12 DF NO. I - 1.1 - UNLESS NOTED OTHERWISE MIN. NAILING SHALL BE PER -CBC. TABLE 23 -II -B-1 Foundation plartes or sills shill be bolted to the "I foundation or foundation ural/ with a minimum of 2- 112' x 10' bolts with A minimum embedment depth of 7'. Anchor bolts shall have 2' x 2' x 311E plate washers on each anchor bolt. Anchor bolts shall not be placed more than L ft on center or more j than 12' from each end piece of the sill plate. Anchor bolts shall not be pliced within 7 -bolt diameters from each plate end piece. Sections 180. and 180.1 All foundation sills, plates, sleepers, posts, and _ columns that rest on concrete or masonq must be foundation ggrade redwood or treated ant marked material. here not subject to water splash NEW SINGLE or exterior moisture, wood may be untreated when in compliance wth CBC Section 230..e. FAMILY DWELLING JERE and NORMA TODD SHEET INDEX CS COVER SHEET, SITE PLAN I FLOOR PLAN 2 FOUNDATION PLAN 3 EXTERIOR ELEVATIONS 4 EXTERIOR ELEVATIONS 5 SECTIONS DETAILS 4 ROOF PLAN 1 DETAILS E-1 ELECTRICAL A.P.N. 024-140-011 214 HIGGINS AVE GRIDLEY, BUTTE COUNTY, CA Revv int D.e: r 10/14/2005 h,pct N.. D.te OL/11/05 sneer me COVER SHT, SITE PLAN f �'�t• •.�., `•"...•.j,'(�',:!�::u"'.:.�Iw:��tYYSii.?':�.`•,�':''tS.d"f.�'A:,o,..•t6u�l�it�Y�iEi�t�:+`..., �i1i:,P:.r.dvJ�i::.u.t•• +-w ' 4og