HomeMy WebLinkAbout025-090-064Date
REV 10/92
Inspector
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COUNTY OF BUTTE
BUILDING DIVISION
• DEPARTMENT OF DEVELOPMENT SERVICES
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7 County Center Drive • Oroville, CA,! (530) 538-7541
TOLL FREE (530) 891-2751
CORRECTION NOTICE
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OWNER PERMIT NO.
6".
A roullne inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected.. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation_*'
please contact this office immediately.
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Date
REV 10/92
Inspector
n
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COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
-S w (A o y - � `/��
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
compled. If you have any questions pertaining to this matter, or need additional explanation,
pleaslettact thiso
office immediately.
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Date ` _ Inspector
REV 10/92
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3 , 9 COUNTY OF BUTTE
' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
s 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
} "s: A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work..is
completed. If you have any questions pertaining to this matter, or need additional explanallan,
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Date X Inspector
REV 10/92
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*�-=o NOTES RESIDENTIAL
PERMIT NO. -
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NEW S]NGI:E r^f]:J,y
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SPECIAL CONDITIONS
r CHECKED
-)/JOB FINALED (Date) 1
I
Signature 22,
A,_
BY
SRA
FLOOD CERTIFICATE REQ.
_
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
;
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
r
OFFICE COPY
1
Address
r
GAS
Meter By -• � Date j
ELECTRI �-
- w.
Meter By Da 44-01
-)/JOB FINALED (Date) 1
I
Signature 22,
A,_
J=OK
0 = Not OK
= Nat Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel -Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15..
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection '
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
Clearance Looked under Floor O Yes
32.
Service -Riser Conductors & Ground Main Disconnect
_
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
. = NotReadyable'MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Sjpport Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
MISCELLANEOUS
Date
7.
Well Clearance & Disconnect
1.
8.
Utility Clearance
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
Date
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
Card B-1 Date Card B-1
Date
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
12.
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
POOLS (Plans) OK except #'s
10.
Exits; Insp.-Sketch
Setbacks -Easements
11.
Cert. of Occupancy
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
7.
1.
Zoning Requirements -Setbacks -Easements
8.
2.
Footings; Size -Spacing -Marriage Line
9.
3.
Blocking
10.
4.
Gas; MH Test -Demand -Valve
11.
5.
Electricity; MH Test
12.
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION All: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP041438
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/16/2004 APN• 025-090-064-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 211 WILLEY WAY BIG
Date: Contractor.
Map Index:
s
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am .exempt from the
Description: NSF(2459) GAR(816)COV(612)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: SWANSON DEAN
to its issuance, also requires the applicant for such permit to file a
PO BOX 435
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
PENRYN, CA
7000) of Division 3 of the Business and Professions Cade) or that he or
95663-0435
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: SWANSON DEAN
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,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 oft Ausin and Professions Code
Date:�- Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
I}
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 3887 S.F.
Policy #:
Valuation: $189,211.00
I certify that in the performance of the work for which this permit is
Census Code:
issued, 1 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.
¢dro0"7SD /9 /
$ ! • SO �3
AO�09$"7 b t 0'75 • 5 7/1 t+ 0 4 -
CONSTRUCTION LENDING AGENCY—
This permit is hereby issued under the applicable provisions of the Butte County Code 8nrtlor
I hereby affirm that there is a construction lending agency for the
Resolutio to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
.-
7 I % • O�
Name:
By: Date:
PE EXPIRES ON: —7'
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
�7 '%�Jc� J �—
Print Name: Signature:
Date: ! n j
r'
)":owner ❑ Contractor 13 Agent for Owner 0 Agent for Contractor
r;-
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
S / y3
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
I
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Date. X, Inspector C Ati
REV 4/05 Phone #
FOR RE -INSPECTION CALL:- 538-7636 OR 891-2834
19
DOCUMENT DISCLAIMER COVER PAGE
The following pages contain a document that was originally creat . -in the Interview of
Family La
This document was eated in the Interview in t roper format and with the language
necessary to ensure it lidity when all oft required information has been entered
completely.
It should be understood that changes. made to the content, appearance, or
layout of the original docu ent o tside of the Interview have been made at the risk
of affecting the validitzeresponsible
the docu ent.
Broderbund canno for the al conse uences of chap es ou have made
q g Y
to this documer� . Furthermore, Broderbund isnot in a position to provide answers to
questions rep ding any changes to this document. It is strongly recommended that you
seek the a ice of a lawyer for information about the validity and the consequences of
any cha .. ges you have made to this document ti
MSTALATION CERTIFICATE . CF -6R
Site Address Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate
inspections. (The information provided on this form is required; however, use of this form to provide the
information is optional.) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(B.).
HVAC SYSTEMS;
CEC Certified Mfr Name # of
Efficiency
Duct
Duct or
Cooling
Heating Equipment
Type (pkg)
& Model Number Identical
(AFUE, etc)
location
Piping
Equip. CEC Certified Mfr Name # of
Efficiency
Duct
Duct or
Heating
Heating
"type (pkg) & Model Number Identical
(AFUE, etc)
location
Piping
Loading
Capacity
Heat pump System
(>CF -1R value)
(attic, etc)
R -value
(Btu/hr)
Btu/hr)
Split PGSJAA066110 1
80.0
ATTIC
4.2
115,000
94,000
Cooling Equipment
Equip.
CEC Certified Mfr Name # of
Efficiency
Duct
Duct or
Cooling
Cooling
Type (pkg)
& Model Number Identical
(AFUE, etc)
location
Piping
Loading
Capacity
Eleat pump
System
(>CF -IR value)
(attic, etc)
11 -value
(Btu/hr)
Btu/hr)
SPLIT
PAIOJA060 1
10.0 SEER
ATTIC
4.2
60,000
56,000
I. read greater than or equal to.
I, the undersigned, verify that equipment listed above is 1) is the actual equipment installed, 2) equivalent
to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for
compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or
exceeds the appropriate requirements for manufactured devices (form the Appliance Efficiency Regulations
or Part 6), where applicable.
(��0. Universal Heating and A/C
l
Sign re, Me Installing Subcontractor (Co Name)
OR General Contractor (Co. Name) OR Owner
Z00 'd We6E:80 b0/4S/80 4 6tSSSEESI6 OV 9NI1V3H WSH3eANn
�.. ti -y •-.4'. -.... �-C�., r..'--'r�-'sr^+., ^�.••"'r yr�P��""�x�fX+-d•.. i. �..vrr' � .�-,-w- ..--. •r- .� ..V.,_.„+ ,. -� .• �M�1'�w...,.. �--.,•�..�•
w
CERTIFICATION OF INSULATION
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
ADDRESS OR TRACT
,. SACRAMENTO BUILDING CONTRACTORS
.
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1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026
'Peat.) III -1i -
❑
1 605 S. AUBURN STREET, -GRASS VALLEY, CA 95945 LIC#202026
❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026
/'
❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026
DATE INSULATION COMPLETED
( square feet) (
square feet) ( square feet)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
FIBERGLASS
FIBERGLASS
FORM .BATTS
FORM BATTS'& BLOW
FORM BATTS
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER
MANUFACTURER
MANUFACTURER
CT
OCF
' KN
CT
OCF
EN
CT
OCF
KN
BAGS
R -VALUE
INSTALLED
APPLIED
THICKNESS
R -VALUE
INSTALLED
APPLIED
THICKNESS
MIN. INSTALLED
WEIGHT PER
SQUARE FOOT
R -VALUE
INSTALLED.
APPLIED
THICKNESS
C1
314416,
Zgel
I P,�-
44
�5A
KNEE WALLS IF R -VALUE IS OTHER
THAN WALLS ABOVE
MATERIAL
FORM
R -VALUE
MANUFACTURER
FIBERGLASS
BATTS
CT OCF
KN
AIR INFILTRATION SEALANT
MATERIAL
MANUFACTURER
FOAM
; HILTI
HANDY FOAM
f
THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE -CODES,
MATERIAL STANDARDS AND REGULATIONS
I V -INSLAC 4T t N vT j
VI
TITLE �+�/ 1 j
clay%
DAT
lj��(
-Pa"
fY (F
9
l
"SIGNATURE - GEN RAL CONTRACTOR
TITLE '
DATE
REMARKS
i
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
i•
NOTES r RESIDENTIAL
PERMIT NO.
• ti
i
GL G
�1l
A��1r SUS
A�rc_ (.112 -y -l") �� ((�W)60(�o) -
11 SPECIAL CONDITIONS 11
SRA -
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
t
JOB FINALED (Date)—
Signature
Date) Signature > i
CHECKED
BY
4�
7
i
+ r
e
E
A�rc_ (.112 -y -l") �� ((�W)60(�o) -
11 SPECIAL CONDITIONS 11
SRA -
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
t
JOB FINALED (Date)—
Signature
Date) Signature > i
CHECKED
BY
J=OK
0 =NotOK
_,NotAApplicable RESIDENTIAL
p -
. = Not Ready
Date UNDE LOOR (Plans) OK except #'s
n etbacks-Easements-Flood-Slope
t , ain; Soils-Elec. Grnd.-/ " Ftg. Depth
tg arage; Soils-Steel-Elec. Grnd.-/ " Ftg. Depth
g., Porches & Decks; Soils -Steel -//',I—/" Ftg. Depth
5. Stemnvalls, Main; Steel-Blockouts-Wrapped
Anchors
ie - ire lace Ftg.-Steel
.W. V.; Fall -Fitting -Test -2 Way C/O-Sew2f Test
TV OF, Gas Pipe; Size Anchors -Yard Gas R ping; Size
11. Water Pipe; Test -Anchors -Regulator -Service Test
(Single & Duplex)
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Pemex Installed Close to Edge of Studs & C.J.
Wr
Date
Card B-1 Date" Card B-1
Dat
Card B-1 fZ2 41 Date Card B
Date PLUM NG (Per it) Ok except #'s
17,00Water
Htr.; Vent -Access -Combustion Air Baffle
1
ter Pipe; Test & Anchor -Nail Protection
e
. D.W.V.; Test Fittings & Anchor -Nail Protection
,r 29"Shower Pan: Test. First Floor -Tub Access
,/Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date - Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
Fixture & Transformer Clearance -Ins. Protection
2
ec. Receptacles Spacing -Lights & Switches at Doors
26
¢e Boxes & No. of Conductors Stapled
7.
Pemex Installed Close to Edge of Studs & C.J.
Wr
E_Quip. Ground made up w/Mech Fasteners -Bond Gas & Water
2.40*0'2.Appliance
Circuits in Kitchen & Conductor Size GFI
3g.Aubfeed
Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
A It
Service -Riser Conductors & Ground Main Disconnect
ui . Clearances Panels-Motors-Mech. Equip.
e
. C hes Closet Light -Shower Light -Spa Light
W IF 3
Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
Date
qiY Vent Fan, Exhaust above insulation
3 Condensate Drain & Overflow, Size & Grade
A 11 3 urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Attic Access & Platform if Furnace in Attic
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s -
4� Sills Proper Materials & Anchors
4�! Walls Studs -Nailing Spacing & Braces -Plates -Sound
4 Bearing Walls over Girders & Floor Nailing
400 Draft Stop in Walls (rat proof)
4Z Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
4d" Headers & Beams -Size & Bearing
Date FRAMJNG (Continued)
4+r H rs-Post Caps -Anchors -Connectors
4 Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
4 e les or Type A Flue -Fireplace Throat Clearance
AJtfe-Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdr . Windows or Exiting Doors -Sill Ht. & Dimensions
5 . Garage Fire Protection Framinq-RC Channel
FE2LBrty Line t-irewaii a upernngs
5 t. Doors -One 3' -Check Garage 3rd Story, 2 Exits
idth-Head room- Rise- Run -Land ing-Fire Protection
PlyvtPod on Roof Overhang -Attic Vents -Rafter Outriggers
5 (ding-NailingVeneer
5 o Mesh -Drip Screed -Fd. Vents-Underflr. Access
G- ng Area -Glass Protection -Skylights -Plastic
alls; Nailing -Bolts
Bra nterior/Exterior Wall Panels — d
• - 3. Infiltration -Walls -Windows
Date Card B-1 Date Car B-1
Date Card B-1 Date Card B-1
Date FIND (Plans) OK except #'s
6 . Ext. Steps -Door & Sidelight Protection -Landings
69. Smoke Detector
QV Furnace Vents -clearance -Comb, Air-Connector-
1arage; Above Floor-Ducts-Mech. Protection
edroom Exiting
G.F.I. & Bath Fixtures & Tub Ac
69!Elec. Trim &Subpanel, Breaker Sizes & Labels
79: Stairs & Rails
�Y. Fireplace or Stove, Clearance -Hearth
72' Elec. Outlets at Wood Panel, Int. & Ext.
7 Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
7 Elec. Outlets & Receptacles at Kit. Counter
7V Garage Fire Door; Swing -Landing -Closure
JlL A,C. Duct in Garage -Damper
Z7- Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Plb.; Elec. & Mech. Equip. Listed for Location
7,9- Elec. Receptacles in Garage (F.F.I.)-Romex Protection
8A- Insulation -Foam -Looked in Attic
Guard Rails & Deck Construction -Post Caps
8 . Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor O Yes
84' Following Instld./Drive,Yes O No/WalksXYes O No/Planters O Yes o
84. Stucco Brown -Finish
85e"A.C. Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
ter�ell, Disconnect, Electrical, Plumbing
WQ O ec. Trim, G.F.I. Receptacle -Underground
8?,eVektilation Throughout House
9VGI ss Protection
9�jCorrections from Previous Inspections
C7 X. Gaytest-Meters Tagged, Gas -Electric „loor&je
93f Water & Sewer Connected -C/O to Grade -HD Approval
"1 9VIEnergy Compliance Certificate -Other Certificates
25! Address Posted I
u Sprinkler
Date Card B-1 D Card B-1
Date 7Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
Date
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Card B-1
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Zoning Requirements -Setbacks -Easements
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
2.
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
4.
Gas; MH Test -Demand -Valve
10.
Roof; Shthg-Roofing
Date
Electricity; MH Test
Card B-1 Date Card B-1
Date
6.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
7.
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
3.
Gas; MH Test -Demand -Valve -Connector
Exits
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
Verify #'s with Office
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
Elec.; Pool Lighting; 15 Volts-GFI
9.
Tie Downs -Type -Installation Cert.
Card B-1 Date
10.
Exits; Insp.-Sketch
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
11.
Cert. of Occupancy
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Date
Card B-1 Date
Card B-1
Date
3.
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
5.
1.
Zoning Requirements -Setbacks -Easements
6.
Carports; Windows -Doors
2.
Footings; Size -Spacing -Marriage Line
Electric
3.
Blocking
9.
4.
Gas; MH Test -Demand -Valve
10.
Roof; Shthg-Roofing
5.
Electricity; MH Test
Ext.; Steps -Doors -Landings
6.
Water; MH Test
7.
Water and Sewer Connected
Card B-1 Date Card B-1
Date
8.
Gas and Electricity Tagged
Date
POOLS (Plans) OK except #'s
9.
Exits
Setbacks -Easements
10.
License Decals
3.
11.
Verify #'s with Office
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
Date
6.
Card B-1 Date
Card B-1
Date
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card B-1 Date
Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FVt
y
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
,0
2004-0027396
Recorded
Official Records
Count
BUTy Of
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:19PM 10 -May -2004
REC FEE 10.00
COPIES 2.50
Barbara
Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
S66 ce- t -t, 6I t iC /Lr/' 7-1 -`
Date S = 7 O q
State of California
County of N 2Vc"_aG-
PROP OWNERS•
On 5 --y4 beforeme, tV �rk0V<kr' S0/0 /'07A2`7 Aul'C«
personally appeared E.� k) 5 W c�_ IU Sp IJ personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrAment.
WITNESS my hand and official seal.
N. HOPKINSON
U
Signature Seal: COMM # 1377236
e NOTARY PUBLIC -CALIFORNIA D
NEVADA COUNTY O
COMM. EXP. OCT. 10, 2006 j
A.P. # 011 1090 - 0H
R
r,
Order No. BU -214263-3 AM:
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:.
LOT 1 IN BLOCK 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "RIO BONITO COLONY,
BUTTE COUNTY;; ALA.", WHICH MA) WAS RECORDED IN THE OFFICE OF THE RECORDER.
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1892, IN BOOK 5 OF
MAPS, AT PAGE(S) 31.
RESERVING THEREFROM A NON-EXCLUSIVE. RIGHT OF WAY FOR INGRESS AND EGRESS
AND PUBLIC UTILITIES, AND DRAINAGE FACILITIES OVER .THE SOUTHERLY 30 FEET OF
SAID LOT. L'
THIS DEED .IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION. OF RESTRICTIONS
RECORDED.MAY 5, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-14035, BUTTE
COUNTY] CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE .
THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN
AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY .
AND AGREE TO THE TERMS. OF SAID DECLARATION.
APN 025-090=.064-000
PARCEL II:
A NON-EXCLUSIVE RIGHT OF WAY FOR INGRESS AND EGRESS AND PUBLIC UTILITIES
AND DRAINAGE FACILITIES OVER THE FOLLOWING DESCRIBED PROPERTY:
A PARCEL OF LAND DESCRIBED AS A CIRCLE OVER LOTS 9, 10, 11 AND 12 IN BLOCK 2, AS
SHOWN ON THAT CERTAIN MAP ENTITLED, "RIO BONITO COLONY, BUTTE COUNTY,
CALA.", WHICH MAP WAS RECORDED IN THE -.OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1892, IN BOOK 5 OF MAPS, AT PAGE(S)
31, HAVINGA RADIUS OF 50.00 FEET AND A RADIUS POINT LOCATED ON THE SOUTH LINE
OF SAID LOT 11, AT A POINT 34.99 FEET EASTERLY OF THE SOUTHWEST CORNER OF SAID
LOT.
PARCEL III:
A NON=EXCLUSIVE RIGHT OF WAY FOR INGRESS SAND .EGRESS AND PUBLIC. UTILITIES,:
AND DRAINAGE FACILITIES OVER THE SOUTHERLY 30.00. FEET OF LOTS 3, 5, 7 AND 9 AND
THE NORTHERLY 30.00 FEET OF LOTS 2, 4, 6, .8 AND 10 ALL LYING IN BLOCK 2, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "RIO:.BONITO COLONY, BUTTE COUNTY; CALA.",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1892, IN BOOK 5 OF MAPS, AT PAGE(S)
31.
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
PERMIT NO.
BP041438
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/16/2004 APN• 025-090-064-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 211 WILLEY WAY BIG
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NSF(2459 ) GAR(816)COV(612)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: SWANSON DEAN
to its issuance, also requires the applicant for such permit to file a
PO BOX 435
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
PENRYN, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95663-0435
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).):
❑ 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
Applicant: SWANSON DEAN
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,
Contractor:•
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of t usin and Professions Code
"
Date: Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 3887 S.F.
Policy#:
Valuation: $189,211.00
I certify that in the performance of the work for which this permit is
Census Code:
( issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
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.
40 a'o 10 8'7 35 l 0'7 5 5 -7/11-104-
7//` 04 -CONSTRUCTION
CONSTRUCTIONLENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Coda anrvor
I hereby affirm that there is a construction lending agency for the
Resolutio to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
-7' 1(e ' 04
Name:
B Date:
y:
PE EXPIRES ON: —7• 1 ' OS
Address:
Date
Cl I 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.
O Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to center upon the above mentioned property for inspection purposes.
Print Name: �� 7- J�`�iS ` J Signature: ?
Date: c �'
Qwner ElContractor ElAgent for Owner EllAgent for Contractor
/�UTTFo BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
° ° BUILDING PERMIT APPLICATION
C AND SUBMITTAL REQUIREMENTS
o `x�-� �� ` o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
cOUN'�yOFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
OWNER
Name �%.J SL q46�4
Address 3 �, �, Y 3
City
State Cq
Zlp `lJ Vic;
Phonecj/e_` . j —(// )
Fax7-/(,_"6,( 3-LCo,L
E-mail
�.
CONTRACTOR
Name
Flood Zone
Address
SRA
city
..--'
State
Zip
Phone ,-
Book
Fax
E mail
Planner
Lic. #
Class
APPLICANT SIGNATURE
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA
City
(1
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
SRA
City
(1
State
Zip
Phone
Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
For office use only:
Zoning
Flood Zone
SRA
I Yes
(1
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
141,
U
PERMIT
Dq- i moi►
BP
BIN #
LOCATION
AP#
Property Address
ZI 1 C,j ( ccs. y Aq
Cross Street
/"L -t rA-n 1Z ..
WORKER'S COMPENSATION
Policy Number
Carrier
'- f 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
Description or Scope of Work:
viz "C.
Sq. Footage 2 ��46
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: IF. Amount: n) — _Bldg
SRA
Receipt #: qk.--J t06 I 1 3606.1 Sheriff
cK*k 10ir ` _y 1-SMIP
I 'l
1 Date: S— l q -O41 - _nn�_�p}yer
n fl° — J
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 � REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in,order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑
3.
3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
Letter from Engineer or Architect for truss design review.
❑ 5.
calculations.
❑
4.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
5.
Letter from Engineer or Architect for truss design review.
❑
6.
2 Energy compliance design and supporting documentation. (Note: Not required for additions to
Letter of intent.
❑ 10.
mobile or modular homes.)
❑
7.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
8.
Detached Accessory Building Form, filled out by the property owner (if required).
❑
9.
Sanitation and site plan approval from the Environmental Health Department.
❑
10.
Metal Buildings: (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.
Mobile,
Manufactured, or Modular Homes:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1.
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4.
Letter from Engineer or Architect for truss design review.
❑ 5.
2 Energy compliance design and supporting documentation (if required).
❑ 6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7.
Statement of Intent for Non -heated and A/C (if required).
❑ 8.
Metal Buildings: (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.
❑ 9.
Letter of intent.
❑ 10.
Hazardous Material Form.
O 11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04
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 .�J�1 V) CGr� ,(-�.�JYI ASSESSOR PARCEL NUMBER
Proposed Building Use: U S',�/A & 8 (ECIC �CI 6Q�gP_ Counter Technician. -P. Date:
Items required in order to apply fora permit, All boxes MUS a checked OR marked NA in order to apply.
7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
;7r] 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
j ❑ 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 faxes!
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
°�-.. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. a
' ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find 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. Site plan and business license approval from the City of Biggs
❑ 12: Letter of intent for non-residential buildings
❑ 13` Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico-TAroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following item:
❑ 17. Fire Sprinklers...............................................................................:............
i- 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ..
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......
20. Erosion Control Plan Required........................................................................
21. Fees as shown on the attached Schedule of Fees Due Sheet .............:.•...............
22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval 0 paid. Sent by: .............
24. Planning approval (A) UseO Jz::: (B)Parking: ''(C) Parcel Check: r
25: Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
s �-27. Encrdachment Permit for driveway from the Public Works -Dept ...........................
28.' Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
"`` ,❑ 30. Worker's Compensation Carrier and Policy Number......." ...............................
31. Owner -Builder Verification (_ediven to owner, _Mailed ,to owner) .....................
❑/ 32. Letter of Signature authorization......................................................... :.........
33. Recorded copy of Agricultural Acknowledgment Statement ................................ -! 2--O `j
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.....................................................::.................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter,from Legal Owner, ❑ Check to H.C.D. $
❑ ` 38. Other:
❑ Y 39. Other:
When issued Telephone y 6 / // / r) - %°�and hold for pickup.
I have be4,nord- f thLaDe,
items and requirements for obtaining a building permits
Applicant: --I • I 1 . & I 6
- 44'% -Date:
1. Index peon for the above tems numbered: �/� Plan Check Letter
2. Additional items re i
Contractor, design , owner, as advised of the above data by phone, ❑ mail, ❑ counter, b Date:
Contractor, designe , er, was advised of the above data by ❑ phone,,' ❑ mail, ❑ counter, b Date:
Plans reviewed by: Date: Plans -approved by: Date
Structural reviewed by: Date: Structural approved by: LA 11V Date:
Note transfer by: Date:
Yellow: Building Division
IS
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER
PROPROSED BUILDING USE
1. BUILDING PERMIT FEES �,5
--- Balance Due ..................... $ b 73,
--- Additional Fees Due........... $
A.P. # OZ,CJ � — 4Q 1'"Y
DATE c'5-- I Q_0 y
RECEIPT # DATE REC.
Ili W 64-
1 1
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES � �/�/i'rto� tUro'� Td 0Wftf (-
(paid at School District Office) (forma ai able after Plan Check)
3. SHERIFF FEES (paid at Building Division
Residential............ X $360 $
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
7.16.04-'
4U�45`6 �Q'
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X _ $
' Sq. Ftg. Amt.
10. OTHER 00 1 ((v b¢
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 durmi plan checki process.
APPLICANT DATE S- ` G
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. 2/2003)
` a
.. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
.+ (One form per Building)
x schoo15stlict ,t' ,/ �) �rlog"( { Building Department No.
A.P. Number -� /% - �} C%1 •Q Jurisdiction: City County
. Property Owner
- Property Location/A
Subdivision
............................................................. :......................................
Residential Development 0 Q Sq. Footage
.% No of Living Mobile Home Addition/ 'Supplemental to (Group R)
t Units Installation Conversion Permit #
*(No foundation inspection)
..................................... i
-. Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial
New Addition
Building
N
Sq. Footage
(Including Exterior
/Roofed Areas)
Date
District Identification No. t^►M
SchoolDistrict certS(—UG ifies that p i i�l t,. Q (`, l-
-° til
(Applicant)-
-
U
(Street Address)
(City)
has complied with the requirements of ResolutiorVN,o.
representing q square feet.
)?Q ) I I
(Phone Number)
(State) (Zip Code)
by payment of $ L.
�g
2926 _
} FULL IAMGATION $
r ,
Date
Paid by Check 8 4 Remarks:
I Wii -e\ I --
No ffic :
-
Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with j
Government Code Section 66020(a), within 90 days from the date fess are paid. Failure to submtt a timely written protest vAll'prohibit
you hom challenging the Imposition of the fees In any court acWm.
M. subsegrurd to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Distrkt is
notillsd by the applicable Local Planning Agency that this project Is being reviewed under tit California Environmental Quality Act (CEQAh
ttrb projsat may be subject to addkbnal school fess to fogy n*lgab.lts Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) - feefomn.xls (10/03)dm m
2
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.htmi
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE --[Permit
Phone (530) 538-7157 Ext. 2016
Number
District
APPLICATION
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted.
1. Applicant's Name: 6 G�� /L��, 5
J
la. Company Name:
2. Address:
n psj 0-.7
3. Phone: ��6 �G( (� �, 4. Assessor's Parcel Number:
s -e2 t,6
5. Location of Work to be Done
6. Applicant's Signature
7. Date: j
7 a o
CONTRACTOR'S INFORMATION
8. Contractor's Name
9. Address
10. Phone:
11. Fax:
12. Contractor's License Number:
13. Certificate of Insurance: Yes ❑ NO: ❑
14. Contractor's Signature:
14a. Date Signed:
15. Authorized Agent:
TYPE OF WORK TO BE DONE
16. Please Check:
Curb: ❑ Gutter: El Sidewalk: ❑
17. If Driveway List Type:
18. Other Work - Describe:
19. Plans Attached:
ETYes ❑ No
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditio )(including those on page 2 of this permit form) and special conditions written below,
permission is hereby ranted.
20. Conditions IK
d
IV
Underground Service Alert U.S.A must be notified two working days prior to any excavation. 800-2 -2600
21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑
22. Date Issued
23. Expiration Date:
24. Surety:
25. Date Paid:
26. Amount Paid:
27. Paid By:
28. Receipt No.:
Mike Crump, Director of Public Works
By: _ _ ---
ForCounty
29. Final Inspection Date:
30: Inspected By:
❑ Completed - OK ❑ Completed - Not OK
❑ Additional Comments Attached
usconiy:
31. Comments:
Note: if permas are taxed to any number besides (530) 5384356, they can be delayed up to one week.
Page 1 of 2
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Residential Construction Requirements
IMPORTANT .
This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make
any. changes or alterations on same without written permission from the Building Division,' County of
Butte.
All materials and workmanship shall bein accordance with recognized good practices and of a quality
prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California
Plumbing Code (2000 U.P.C.)' 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National
Electrical Code (1999 N.E.C.)
The following items are separated into two categories (general and specific). The "general" items are for
your reference and are not specifically called out on the plans by the plans examiner. These items MUST
be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have
been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any
responsibility for code requirements, general or specific.
GENERAL REQUIREMENTS
• -Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5%
of the floor area (Sec. 1203, U.B.C.) .
• •
'Provide required room dimensions -and ceilingheight-{Sec.-310.6, U.B.C.)
• Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.)
• . Approved vent and adequate combustion air for gas water heater and/or fiance. (Ch. 7& Ch. 8, U.M.C.)
• ' Provide minimum one 3'-0" exterior. door. (Sec. 1003.3.1.3,U.B.C.)
• Provide adequate clearance and type.A flue for fireplace/woodstove.
• All stairways to comply with'U.B.C. section 1003.3, for rise,.nw, headroom, width, landings and handrails.
• Hallways to be minimum 36" wide-(U.B.C. 1004.3.32).
• Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C.
• Attic access and ventilation (UBC section 1505).
• Provide approved flashing at all exterior openings.U�,���
— ___t -- _ ,�� A�
• Provide 18"platform for.appliances/equipment in garage capable of_producing.a flamesparlc or_glow..
— --- �.
• . Provide protection of appliances in garage from vehicular damage. i S , , �. , ,;_ :• • ` '' `
• Closet lights per N.E.C. Article 410-8. t•
• . Provide certificates of conformance for all glu-lam beams. '
%' Pfll.rovide approved spark arrester at all`cliimneyshype."A" flues.
•3
Provide 1/2"x 10" anchor bolts @ 6' o.c ma)C and within 12" of all joints. Provide 2"x 2"x 3/16";steel plate washer @ each _
r _
bolt. (Sec. 1806.6, U.B.C) - '� ;
• Foundations with stemwalls shall be piovided'with a minimum of one number 4 bar at the top of the wall and one number
Cyt 4 bar.at the bottom of the footing. (Se8:1806.1.1, Uac)
o Slabs`on-ground with turned -down footings shall have a minimur of one number 4 bar at the top and bottom -(Section
'1806.7.2, U.B.C.) '
• Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec.
509, UBC)
Page 1 of 2 Owners Name: rNl 5pfAt iSy1V
Building Permit Number: pad �Q
Plans Examiner,. �.e/
509, U.B.C.)
• Veneer per Ch. 14, U.B.C.
• Exterior plaster —weep screeds (U.B.C. section 2506.5).
• Skylights per Sec. 2409 & 2603.7, U.B.C.
• Protect plastic foam insulation per Sec. 2602.4, U.B.C.
Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210).
• Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the
National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code.
• Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6).
• Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7).
• Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C.
SPECIFIC REQUIREMENTS
1. Provide safety glazing in all hazardous locations (U:B.C. section 2406).
2. Garage firewall separation—required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception
#3).
3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1.
4. Special roof covering required, class B minimum
5, Provide 2 separate exits from the third story (U.B.C. section 1004.2.3.2 exception #4).
6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area
of 5.7 square feet. Additionally, the window shallhave a minimum net clear openable height of 24" and a minimum net
clear openable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4).
COLOR CORE USED ON PLANS
Blue = Engineering. Pink = Firewall
Green = Braced wall panels Yellow = Important
COMPLY WITH ITEMS INDICATED BELOW
❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the
elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required
Note: We will normally accept the following as compliance with the flood elevation requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2:— Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24"
above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood
elevation.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square
inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater.
7. All building materials below the 100 -year flood elevation must be of fire-resistant material.
Fire sprinklers are required in this structure.
This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the
attached CDF fire safe requirements will be necessary.
® All structures and equipment including overhangs shall be clear of all easements. -
A setback of ' from the side and µ- --'from the rear property lines and 20 feet (25 feet if Federal Aid Route)
from the edge of the right of way shall be clear of structures and equipment except fora 2 foot overhang.
® Expansive soil may be encountered -on this site: This condition may require the foundation to be designed by a
California registered engineer or licensed architect.
Page 2 of 2
Owners Name:
Building Permit Number:
Plans Examiner.
•
CUA 4f: Tr
SITE PLAN. REVIEW APPLICATION
Date: G
Permit Num r (if applicable) Ll 3
APPLICANT INFORMATION
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
- AP#
Bin Number
Parcel Size: j� A C—
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
Other
0 Septic
❑ Agricultural Exempt Building
❑ Other:
E] Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
Well
Agricultural Buffer Form ❑ Applicable ❑ N/A
0 iz
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
By�t2 Date
Page 1 of 5
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 •
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: @ % 0 C Index Date:
El Sacramento 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: A - q D
Applicable Building Setbacks:
•
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments. into SRA setbacks.
•
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
2 �'
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments. into SRA setbacks.
•
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
• ❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sfieriff
❑ Drainage
R 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
Deeds: .
Date of Creation: 6"- Ft — 9 3 Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ 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
El Meet current Environmental Health Department requirements
•---------------------------------------------------------------------------------------------
Page 3 of 5
JR Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: 1 Book:
❑ Use Permit/Minor Use Permit
Permit Number:
) r, L - -�t=,/-7 -7
Date of Approval:
Page:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
y;
•
❑ 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.
u
0
Page 4of5.
roti
BUTTE COUNTY
AGRICULTURAL BUFFER NOTIFICATION AND/OR
UNUSUAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: >-� S.iq,;isv-1 Phone: r��i
Mailing Address: P0 610, j 121,-,y1t1'7--' n9 I S7 3
E -Mail address
L _ L `26 — E3 G ?
Assessor's Parcel Number: J - - Permit No.
%4 -
Lc
Reason you believe you qualify for the unusual circumstances exception: �%///g/
or Authorized Agent's signature
,S��S
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where .the existing lot size or shape or an existing improvement
r
II, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
E PLAN REQUIREMENT: submit 4 copies with this form
Refer.to the Site Plan Submittal handout for specific requirements
Internal Dept. Contact Info:...
❑ Env. Health ❑ Planning' ❑ Building ❑ Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY.IN DEVELOPMENT SERVICES FOR PROCESSING
....................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal )
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Buildingl
❑ , Exception Recommended ❑ Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations:
Agricultural Department Signature:
Date:
Y1✓C 7/1/03
National Pollutant Discharge Elimination System (NPDES)_ Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plam(SWPPP) Acknowledgement rLESS THAN 9 ACRE1
Project Title: Q .41
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the, State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provided by law.
Signed:
Title:
Date:.
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004 —0027'39E6
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:19PM 10 -May -2004
REC FEE 10.00
COPIES 2.50
Barbara
Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date O
State of California
County of N
1..2(S-C/Zv i " -I
PRO,PER7OWNERS;,
,s
On S --I-04 before me, ti 40e<knS0/J /uOTng2y
personally appeared ''D `L G` A-) `j � e.�_ Iy S p n, personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instr3ment.
WITNESS my hand and official seal.
N . HOPKINSON
Signature Seal: 0a-.
COM&t # 1377236 9
® NOTARY PUBLIC -CAI IFO
A.P
ge NEVADA COUNTY 41A)
COMM. EXP. OCT. 10, 2006 -
I
Order No. BU -214263-3 AW
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL L.
7 -
LOT I IN. -BLOCK 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "RIO BONITO COLONY, -
BUTTE C6UNTY,:�ALA.:', WHICH MAP ED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF. BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1892, IN BOOK -5 OF
MAPS,'AT PAGE(S) 31.
RESERVING THEREFROM A NON-EXCLUSIVE. RIGHT OF WAY FOR INGRESS AND EGRESS
AND PUBLIC UTILITIES, AND DRAINAGE FACILITIES OVER .THE SOUTHERLY 30 FEET OF
SAID LOT L'
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION. OF RESTRICTIONS
RECORDEDMAY5,1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO.88-14035, BUTTE
COUNTY; CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE
THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN
AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY
AND AGREE TO THE TERMS OF- SAID DECLARATION.
APN 025-090=.064-000
PARCEL 'IL
A NON-EXCLUSIVE RIGHT OF WAY FOR INGRESS AND EGRESS AND PUBLIC UTILITIES
AND DRAINAGE FACILITIES OVER THE FOLLOWING DESCRIBED PROPERTY:
A PARCEL OF LAND DESCRIBED AS A CIRCLE OVER LOTS 9, 10, 11 AND 12 IN BLOCK 2, AS.
SHOWN ON THAT CERTAIN MAP ENTITLED,.' "RIO BONITO COLONY, BUTTE COUNTY,
CALA.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1892, IN BOOK 5 OF MAPS, AT PAGE(S)
31, HAVING -A RADIUS OF 50.00 FEET AND A -RADIUS POINT LOCATED ON THE SOUTH LINE
OF SAID LOT 11, AT A POINT 34.99 FEET EASTERLY OF THE SOUTHWEST CORNER OF SAID
LOT.
PARCEL .111:
A NON=EXCLUSIVE RIGHT OF WAY FOR INGRESS AND .EGRESS AND PuBtic UTILITIES,:
-.AND DRAINAGE FACILITIES OVER THE SOUTHERLY 30.00. FEET OF LOTS
OTS 3 5,'7 AND 9 AND'
THE NORTHERLY 30.00 FEET OF LOTS 2, 4, 6-, 8 AND 10 ALL LYING IN BLOCK 2, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "RIO-' .BONITO COLONY, BUTTE COUNTY,- CALA.",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE_ STATE. OF_CALIFORNIA, _PNFEBRUARY . 1, 1892, IN BOOK 5 OF MAPS, AT PAGE(S)
31.
Customer Access Agreement
Small, 4 a
aneZ)
.� anc�
FAX TO: (707) 939-9218
PHONE: (800) 881-SBEA (7232)
WEBSITE www.sbeaonline.com
I authorize a Small Busine Energy Alliance representative
of my small business locate at the address indica7belono futher obligation to particip to in the Small Bus
completion of the energy audit.
►conduct an energy audit
I understand that I have
y Alliance upon
Business Name:
Business Address:
Business Zip code:
Contact Name:
Z�s Title:
Contact Phone Number:
FAX#
Own or Lease
Age of Building
Total Square Footage
onditioned Sq- FT
Number of Employees
Best Time(s) for Audit:
Appointment Needed for
Audit: Best Time
Langua g Preference
Utility Rate Schedule:
Al A6 Al E19S
Account Size
<20kW 20-100 kW 10 500 kW
Electrical Service
Account #
Hours of Operation
Week day
week End
Signature:
SBEA Representative Name:
Date:
0
"The Enery Savers program is funded by California Ratepayers under the auspices of the California Public Utilities
Commission"
s
Rev:3/2/2004
File: SBEA ACCESS AGREEMENT
O.B.-1
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 ElNO 13
2• I HAVE fa 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: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER: QA J
SOCIAL SECURITY NUMBER: , -
DATE: `��Z (° 3
NOTE: This Owner Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
D.B.-1
An application for a building permit has been submitted in your name listing yourself as the builder of properly
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations umder Federal Law, contract the Internal Revenue Service (and,
ifyou 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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned
NOTE.
TI
rely,l C. Vi ira, C.B.O.
Mer, Building Inspection
This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
i
SITE PLAN. REVIEW APPLICATION
=0go v �-
Date: AP# ��—
Permit Num r (if applicable) — Bin Number
APPLICANT INFORMATION Parcel Size: Ll A C -
:X -
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
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-
F1
railer❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
❑ Single Family Remodel
Environmental Health
MAY 12004
J County- Center orive
Orovil'e Ca
❑ Commercial Remodel
❑ Industrial Remodel
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)
J* Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: q
• Flood Panel No.: @ 7 0 '- 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: A - q 0
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
�o
Side
D7
Side Street
CJ
Rear
2 -
Height Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
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 (permap)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Deeds:
Date of Creation:` — 9 3 Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Ca --33-5 Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ 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
Page 3 of 5
12 Subdivision Map/Parcel Map: R-5
Map Date of Recording: 8 -1) - 9`7
Lot: l
❑ Use Permit/Minor Use Permit
Permit Number:
1 0 b - 7�l "J
Page:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ 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.
Page 4 of 5
fLE 104if
'IC
,Y�
q
4
ko
e
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.N USS ONLY
Po Plan AtucM�
Fba Ran ug AtracAed
Sono to B.O.
ab,a.-,S�� ti
Z -5-
Owner locatio AP#
Plan Approved for: Sewage Disposal Water Sup ly: Public Private Wel
Clearance for dwelling. Other U1►M A)IA.,
Hold final for:
Final clearance O.K. for:
NOTE:
Environ
8/96
Health Specialist
P� W - -5, —/3,0 b)
Date
t Butte County
cnvfrQn
mental Health
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±GOOY
PROJECT
SWAN SON RESIDENCE
A.P.N. 025-090-064
WILEY AVENUE
BUTTE COUNTY, CA
BUILDING CODES:
2001 CALIFORNIA BUILDING CODE
2001 CALIFORNIA ELECTRICAL CODE
2001 CALIFORNIA PLUMBING CODE
2001 CALIFORNIA MECHANICAL CODE
2001 CALIFORNIA ENERGY STANARDS
WATER WELL and SEPTIC TANK, LEACH FEILD ISSUED
UNDER SEPERATE PERMIT BY YUBA COUNTY HEALTH DEPT.
OCCUPANCY GROUP: R1
TYPE OF CONSTRUCTION: TYPE V—N
STORIES: 1
BUILDING AREA: 2471 SF LIVING, 810 SF GARAGE
LOT AREA SUMMARY
LOT AREA Area= 4.00 AC
Area= 2471.00 sq ft
Garage Area= 810 sq ft
Covered Area= 716.00 sq ft
Total coverage= 3997 sq ft
) fir. ,�1f%fztJ
SANITARY 4 Y/'
SEWER j
LINE ; ; SHEET INDEX
' PROPOSED SEPTIC TANK Drawn by: Date
' Seq. Sht.# SHEET TITLE
ROPOSED PROPANE T NK CK Oy/08/OYyF
1—STORY 1 CS COVER SHEET, SITE PLAN
S.F.D. / SLOPE FINISH GRADE 59.
FOR 10'-0" MW. AWAY 2 A2 FLOOR PLAN Checked by: Date
FROM BLDG MK Ory /08/0�z
3 A3 EXTERIOR ELEVATIONS and ROOF PLAN
4 A4 FOUNDATION PLAN. ROOF FRAMING PLAN Project Description
5 A5 BUILDING SECTIONS SWANSON RESIDENCE
IR"o
AP# 025-090-OG4
\1" a'no I 6 A8 DETAILS p0 60 x L(.31
t
tiP
C3 �� J 7 A9 BUILDING DEPT. NOTES G4 t�T�63
w Q(cn 6�v I
LO
20' MINkM DRIV WILEY AVENUE
BUTTE COUNTY, CA
Butte County
4-mronmental Heald~,
- -- __/
PL 317.00 _ Drawing Title
e _
WILEY R 0 A D Sr'cqn4 fiur� '_ �-
COVER SHEET
REFERENCE
I NORTH
SITE PLAN SCALE I'= 40'-0" Sheet No.
EDTRUE NORTH
C5
Of Total Sheets
f
Matthew McKisson, Architect
1034 Silherlake Dr. Sacramento, CA 95831
(630) 548-6370 FAX (530) 845-5368
Keynotes:
ReV151on5:
REVISED PER LP2A PIAN
CHK. AUG. 1, 2003
(A.K.A. BRANDON 517D)
i
ENVIRONMENTAL HEALTH
APR 2 3 K-94
7 COUNTY CENTER DRIVE
I
_ I
i
ENVIRONMENTAL HEALTH
APR 2 3 K-94
7 COUNTY CENTER DRIVE