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025-200-070
I N 025-200-070 ",�- 2294 BPEM BARROW, Brad SAMR, Ronald 285 67B 431 E Gridley Rd, Gridley 237-67E 6 cony carport to living/sf -67P 33 025--200-070 92-2438B Oro -Gridley Rd. app. 16001 W. of BARROW, Brad A4�ot Gridley' 43.1 E Gridley Rd, Gridley CONTR: Joe Wright, P.O. Box 674, Gridley contr: Kardel Roofing (new single family) rer o of/S f 025-200-070 05-1175 BARROW 431 E GR1DLEY RD, GRI D LEY ront. nWNFk NEW POOL N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO: BPO51175 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/17/2005 APN: 025=200-070-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 431 E GRIDLEY RD GRI Date: • Contractor: Map Index: Description: NEW POOL (1250) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BARROW BRADLEY J &SHARON 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 431 EAST GRIDLEY ROAD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 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: BARROW BRADLEY J &SHARON A 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 431 EAST GRIDLEY ROAD sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of GRIDLEY, CA proving that he or she did not build or improve for the purpose of 95948 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.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions C de , Date. Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Ir I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: HILBERS ENGINEERING insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S.F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: '00and 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. _7 f Date:_5 'D Applicant: \� � WARNING: Failure to secure workerscompensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i ereby issue der theta bI provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio to do wo ,pdic ab v or w ' h fees have been paid. Name: By: Date: Address: PERMIT EXPIRES ON: 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 18827.5 of California Health & 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 *tiuthorize representatives of Butte County to enter upon the above mentioned property for inspection pumoes. Print Name: Lr d6A r G r (' © I_J Signature: r �� Date: ,-�__� LT / 0� / XOwner 13 Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION - AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Na First Name Address /' rk d,k� 1 V City r` Sta r � 1 Zio"i „'1 'C PhoneL Fax E-mail APP (CANT SIGNA RE �. X For office use only: CONTRACTOR Name Se I Name Address ~t 1 ►� City I No State Zip Phone t Fax = E mail Phone Lic. # Class APP (CANT SIGNA RE �. X For office use only: APPLICANT NAME ARCHITECT/ENGINEER Name I��f'� ~t 1 ►� Address I No Y� City vh� t St Zip Phone ,.� Z Fax 4_ I r 141 E -mail State LicensO er v APP (CANT SIGNA RE �. X For office use only: APPLICANT NAME Name re Address SRA City I No State Zip Phone Map Book Fax E-mail P ner r6� APP (CANT SIGNA RE �. X For office use only: Zoning Property 1 dF s� `e � ( Flood Zone I I SRA I Yes I No Occ. Type Const. ubdivision Name r Map Book Page Lot # P ner r6� Date Approved: s PERMIT NO. 65-1 175- BIN N LOCATION AP# r. Zoo- 6-7 0 Property 1 dF s� `e � ( �y �t Cross Street r tom, 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 ORS MITTAL REQUIREMENTS II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: 1 1� Sq. Footage �5' t a ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. __1 Recei ed by/ Receipt #: Date Amount: SRA SMIP 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 permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 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 plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations, ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 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). ❑ 9. Letter of Signature authorization (if required). ❑ 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 L 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: __-Y �U Y ASSESSOR PAR _ CEL NUMBER Proposed Building Use: `� rnm n d?� Permit Technician: Date: - V Items required in order to apply for a permit. All bo s MUST be checked OR marked NA in orde o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 4& 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 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. Acknowledgement of building permit application without required clearances. ❑ 14. Other R dining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ��� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable!V/ /LW ❑ 16. Fire Sprinklers............................................................................................ ?�- ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑Vdees rosion Control Plan Required........................................................................ as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestr plan approval ❑ paid. Sent by: `"'C' 24. Planning approval for (A) Use: T(B)Parking: (C) Parcel Check:...<.. Ct ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ dj26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier i d Policy Number .......................................... eFT 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: Q When issued Telephone Dand hold for pickup. q�"A r. I have been informed of the Bove items and requirements for obtaining a building permit. Applicant: _=7 Date: S 1. Index permit application for t_he above items numbered: Plan Check Let er 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 by: Date:A Structural approved by: Date: Note transfer by: _ ' Date: 89 Yellow: Building Division 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/dds CC , OWNER �/�� A.P. r J` �` 6-? b PROPROSED BUILDING USE yY)�\ DATE RECEIPT 4 DATE REC. /_1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (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) $ CHICO URBAN AREA (per dwelling) $ 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 # $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANTOW '2140(,) DATE 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) Department J. Michael Crump, Director Public 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 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE] Project Description: ��n Project Location and/or Parcel Number: 6 9-!�- Vf> 0 —mac! 0 r16AkQ L" 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 multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDFS & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 _':.1...4.c �>,•:u T..a:7'+.::'::_:..:::ifi�a, t:::::.. m . .w.. 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 material for construction of this proposed property -improvement: YES [,&] 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: 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: DATE: U,1,') 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 f Development Services ADMINISTRATION ` BUILDING `GIS t 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 jssued until the verification is returned. KJV�� Miclpel C. Vieir4 C.B.O. Maifager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County DepartmentofDevelopinentSerylees 0 %Tri ° 7 County Center Drive Oroville, CA 95965 0 : mG�o (530) 538-7601 Telephone (530) 538-7785 Facsimile cOUN �y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit 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: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. a 1 ane 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 rqquire 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: r Applicant Name: Building site address: V_C4 APN: CDL S_ — 200 Di 0 Perrnit 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: SIGNA UR OF APPLICANT DATE r,..,,, t,. e.,,,r„rir=N/paaP K:Fomes/BidePermitwithoutClearances 020705 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION* BUILDING*GIS *PLANNING April 29, 2005 Brad Barrow 431 East Gridley Road Gridley, CA 95948 Re: Application for Lot Line Adjustment, LLA 05-27 A.P. Number(s) 025-200-144,145,070 Dear Applicant: On 38471, the Department of Development Services made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Dept. of Development Services, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., May 9, 2005. The conditions of approval must be met within thirty-six (36)" months from the date of approval by the Department of Development Services or the approval will be considered null and void. If you have any questions concerning this matter, please contact this office at (530) 538- 7601, Monday through Friday, 8:00 a.m. to 4:00 p.m. --,Sincerely, Y onne Ch istop Director , YC/ cc: Richard F. Sannar, 556 Little Avenue, Gridley, CA 95948 Environmental Health Department kA56ilding Division .< 4� CONDITIONS OF APPROVAL Brad Barrow, Lot Line Adjustment, LLA 05-27, 025-200-144, 025-200-145 & 025-200 -070: Lot Line Adjustment to enlarge 025-200-144 from 0.54 acres to 0.71 acres and enlarge 025-200-070 from 0.48 acres to 0.82 acres, APN 025-200-145 will be decreased in size from 47.98 to 47.47 acres., located north side of East Gridley road, approximately 2,250 feet west of Larkin road, at 419 and 431 east Gridley, and adjacent large parcel to the east, Gridley area.. Engineer: Richard F. Sannar. 1. New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division, for checking and approval prior to recordation and shall contain the notes specified below. Include a legal description signed by a registered civil engineer licensed prior to 1982 or a professional land surveyor. 3. Provide documentation from a title company on the applicant's choice verifying any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as reguired by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with Section 66492. 5. Complete Condition #3 of previously approved Lot Line Adjustment (LLA 03-01). Deed Note (To be placed on any deed to effect lot line adjustment) The purpose of this deed is to effect, a lot line adjustment as approved by the County of Butte on . The above described lands are to be combined with and become a part of those lands as described in the deed to as filed for record in Butte County Official records at Serial Number Book at Page . No additional lots or parcels are created hereby. The scope of review of said lot line adjustment was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat Note (to be placed on any required Plat) This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. Lot Line Adjustment Conditions of Approval - Butte County Ronald H. Sannar, Lot Line Adjustment, AP 025-200-041, 068 & 069, Modify the boundaries lines between 3 adjoining parcels located on the north side of E. Gridley Road, approximately 1,000 feet east of Bond Lane, Gridley area. Engineer: Richard Sannar. irr New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. cv, �2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division for checking and approval prior to recordation and shall contain the notes specified below. --3. Provide documentation from a title company of the applicant's choice verifying that any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. ®� "4t�,1V Prior to recordation of deeds, provide documentation verifying payment of taxes 'A/2�6 Z as required by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with Section 66492. DA t c-' i i l i l z o o -L- Deed Note (To be placed on any deed to effect lot line adjustment) The purpose of this deed is to effect a lot line adjustment as approved by the Butte County Director of Public Works on The above described lands are to be combined with and become a part of those lands as described in the deed to as filed for record in Butte County Official Records at Serial Number Book at Page . No additional lots or parcels are created hereby. The scope of review of said lot line adjustment was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat Note (To be placed on any required Plat) This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. ■ Lot Line Adjustment Conditions of Approval - Butte County ■ E.H. USE ONLY Slot Pian Attschod Floor Plan Attached Seem to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L-3-1 C & r -w- - Owner Locatio AP# Plan Approved for: Sewage Disposa Water Supply: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: --s - Environmental Health S#ecialist Date M _J CALIFORNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWEVEVMG POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool' means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool located on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTM, in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the -electrical wiring of the building: - . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of anew swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool. d) All doors providing direct access from the home to the swimming pool shall be equipped with a self-closing, self - latching -device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the building official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices sg' forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: 1 ` a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground. b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Craps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside surface free of protrusions, cavities, or other physical characteristics that would serve as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) Public swimming pools. b) Hot tubs or spas with locldng safety covers that comply with the American Society for Testing Materials -Emergency Performance Specification (ASTM -ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved exclusively to local jurisdictions, as provided for in subdivision (e) of Section 114922 and subdivision (c) of Section 115924. HIL BERS ENGINEERING f 1210 Stabler Lane Yuba City, CA 95993 (530) 673-2947 (530) 674-4141 Fax STIZIICT Ll SWIHMINGr POOL ASIC_ SHEET NO. —J_ OF BY —�a_ DATE p JOB NO. s O00000co �0�,q� rt�l ` 0 0 o f °0 . �° MA 0 ��o 39605 o oho 213 0 / 000 4-( Z`i �� °0° 1 91 0r° Aar;. 000000c�� ' OF J i'Rr, k^( E?.L S Ga-4CRtIE-1� -IN ?-s oo .ps I za IDA r S BUTTE COU ••FY BUILDING DIVISION 'APPROVE HILBERS ENGINEERING SHEET No. �_ of c 1210 Stabler Lane ��� _ Yuba City, CA 95993 BY -= t- L DATE 4 (530) 673-2947 (530) 674-4141 Fax JOB No. aG.ryiYLL01"V C/Y �•../ • ND JU/K•'�i DIY I�I'��iG .. 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P = �Z s oo(, IfSo o< .d"gd 6 Rnt6/� °4`5&Co 'T=Sa HILBERS ENGINEERING 1210 Stabler Lane Yuba City, CA 95993 (530) 673-2947 (530) 674-4141 Fax SWIMI"110G Fbc-L- .5W-444eto 4-64/D ,r SHEET NO. -4 ---OF IC BY -LE-A DATE 4LL9 -pS JOB NO. aoI - 3G jdF lot 3=,003 6�-a. 93 /2.x3 ir 9G ds 479 0,4C /Ir•S" Ems' .vs/vE SoiL �. c a -v To 6 �O 7' - 39 # / /�/!I � / % •x'.381 c lr 4s /3% a s .Y b' r� .►-, 22 r t S2 r S s� HILSERS ENGINEERING 1210 Stabler Lane Yuba City, CA 95993 (530) 673-2947 (530) 6744141 Fax 2gff2� END J W � i 12;1[141mHIQG Fool 4. SHEET NO. OF 5_ OF _ �-— BY �-t DATE 4 -Z� 5 JOB NO. M4 HIL,BERS ENGINEERING 1210 Stabler Lane Yuba City, CA 95993 (530) 673-2947 (530) 674-4141 Fax SWIy1,0Ikt-4 L I 30 3% _ /75 77 e A -r 30 X so >61. 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OF BY-'= L'- DATE Af QCT JOB NO. r '• ,tf� 30 �c 8.0� � � �'G o "'�' w,, • -38.67 sc 3.QoC. A3 • -G� ,c 3: spa '°-- 2Z/ 711 .875 s -iio ION /0 ,*/,o - 30 ,c 8 s% s' 1,0-71 U/ / . - S0-%; a'S.Toa -o767 ;3.c'7 xs.4 // -/6% ir5 6> 6G^ - 67 004 -33� x.15 & -c3•/, t?' 003 o�-z93 �r HILRERS ENGINEERING 1210 Stabler Lane Yuba City, CA 95993 (530) 673-2947 (530) 674-4141 Fax � vj I me HIpCt r'n---�-l. 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U_ OF a BY_��_-__ OATE 4=g JOB NO. ,gdFeAGE SOIL-sv45164/14r1415 To 640 c"°y AR011-7 s�rr 2. x r 3:rl7 �F.y SvRa,YAr��b � tsrlDo0.r�7'�•1.517/r/ 7•¢:z - � n� �rv�fi �. �� 1 !!]y = 33 6 7, 2,3o., = - 7'7 /'t1►'� �.3C9 A8 69 --as' -�'`3B'� �' •• 3?,-zi . r1. -/;27 y 7W = 7e �� G ,�7►'r 7 ,� ��� P� •== s . 003 r �y = z.sr svAGgoaGG t .SX/oeio•r�`lr��l7� '¢/7�2 : ?. S/X.22 a -Ss dao/' Nl�r •77 — -� — isS ar/7 c 7 " acX ooSr 49 2 g7 ,yJy r. l.�"7X.33 XSr ¢73G oc' t7- ;2T Byc�2A4� 3b�c. svRG,UA c. /-G ZR ?=v rk7- k gyp? 2S� ,er c 7 / �yj� f7/S -#3e4 R'-7 A, :4736'��u� 2 o rR y 34e9 gr 7y 4s� /0c� _ ,00h ay r 2.PY 7 4 I HILBERS ENGINEERING 1210 Stabler Lane Yuba City, CA 95993 • (530) 673-2947 (530) 674-4141 Fax EaI�IM1��5�lG ��L SHEET NO. -'I- OF Q BY L F DATE JOB NO. — RESIDENTIAL 025-200-070 9Z= 29 BPEM BARROW, Brad ' 431 E Gridley Rd, Gridley p' i conv carport to living/sf , • A P. 1 4 e I �a , h. n r JOB FINALED Mate) _ Signature 1e J=OK O = Not OK = Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch > 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. - / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Req u ire merits -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector, 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 - Date Card B-1 Date Card B-1 I. U MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Siie-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric - - 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J NJ J=OK,., J0 = Not OK , -=Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERF OR (Plans) OK except tl's ing-Setbacks-Ease men -Flood-Slope . Ftg., Main; Soils-Elec. in,qjjS,VFtg. Depth -,&.ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth a4rFtg., Porches & Decks; Soils -Steel-/ /Ftg. Depth --t-Stemwalls, Main; Steel-Blockouts-Wrapped -r-Tremwalls. Garage; Steel- Blockouts-Wrapped 6a. Hold Down and Special Anchors Slab; S tWf WmppeM 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date jl> 5S -jt Card B-1 Q�a ,�Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle !L -Water -Pipe: Test & Anchor -Nail Protection Test -Fittings & Anchor -Nail Protection _- -- -19. Shower Pan; Test, First Floor -Tub Access ----- -- ---- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---- -- - --- ------------------- ------------- Date - Card B_1 ---�- --- ----------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's Fixture & Transformer Clearance -Ins. Protection ---- let. Receptacles Spacing_L ghts & Switches at Doors I ize Boxes & No. of Conductors -Stapled ---- - ------ t------- - ------------------- - -- - - - - - 5. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------- -- - - ------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - ------------------------------------------- 22. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al ---------------------------------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -- -- --- --------------------- 3A-Service-Riser Conductors & Ground -Main Disconnect - ----- - -- - - - -- - 3 quip. Clearances Panels-Motors-Mech. Equip. -- --------- -- ---------------------------------------------------------------- 3 lothes Closet Light -Shower Light -Spa Light --- - - ----- -------------------------------------------------------- �33� moke Petector - --- -- -- ----------------------------------------------- Date�_ gard B-1 Date Card B-1 ----- T-- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except it's 34. A.C. Ducts Insulation & Support ----------- ----- --------------------------------------------------------------- 3 Vent Fan: Exhaust above insulation ------ - 6. _Condensate Drain & Overflow- _Size & Grade - 37. Furnance-Vent: Access -Comb Air -Return Air Vent -1 -15 -outlet 3d. Attic Access -& Platform if Furnance in Attic ----------------------------------------------------------------------------------- --- -- =-- -- 4-�---------------Card- Q------------- Date� ^ a_ -! turd B-1 Date B-1 ---------------------------- -------------------------------------------------- Date Card B-1 Date Card B-1 Date AMINGexce Plans) OK t A's ( P ls. Proper Material &Anchors Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- --- ------------------------------------------------------- Bearing Walls over Girders & Floor Nailing ------------ 2. Draft Stop in Walls (rat proof) ------ - -- -- ---- --- ------ ------ ----- --------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------------------- 1/-rT_Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 5. Hangers -Post Caps -Anchors -Connectors /� (40. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. I_Iklplace Ties or Type A Flue -Fireplace Throat clearance 4' tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles w �4y--0drm. Windows or Exiting Doors -Sill Hgt. & Dimensions _50-'('arage Fire Protection Framinq -roperty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ----------58'-Sifii"'i'i3-Mesh-Drip Screed -Fd. Vents-Underflr. Access ---------- -- Lzing Area -Glass Protection -Skylights -Plastic Walls: Nailing -Bolts --- 9. Insulation -Walls -Ceilings 1 0. Infiltration -Walls -Windows Dat_ Card B-1 Date Card B-1 Dat d B-1 ate Card B-1 Date FQJAL (Plans) OK except ti's 61. Ex ps-Door & Sidelight Protection -Landings 2. Smoke Detector Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ---------------- 4. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa ---- _--6-6-t� EtTrim & Subpanel; Breaker Sizes & Labels -------------------- -- - taus & Rails d. Fireplace or Stove: Clearances -Hearth Elec. Outlets at Wood Panel: Int. & Ext. - xt & Appliance: Grnd.-Air Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter - --- arage Fire Door Swing -Landing -Closer Q.A.C. Duct in Garage -Damper --------------------------------------- ------ 74. _Wtr_.Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ---------------- ------------------- __25.-PIb-Elec. & Mech. Equip. Listed for Location --------------------- ---------------- ---------------------- - Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -- ------- - nsu ation-Foam-Loam-Looked in Attic ❑Yes --------- -- Guard is &Deck Construction -Post Caps 79. ents & Crawl Hole Door -Drainage & Wood -Earth Clearance,Looked under Floor-- ❑ Yes instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes CINo: Planrs' ❑ Yes Cl No - - r81. ucco: Brown -Finish-------- -_-- isconfLt. Electrical, Plumbing -- Vents Above Roof: Plbg.-Appliance-Fireplace. clearance to __ Openings daterrwell: Disconnect. Electrical, Plumbing - etffrior Elec. Trim; G.F.I. Receptacle -Underground -- - ------- 86. a Cation Throughout House - - - - - - d7. Glass Pr-otection - - -------------------- orrections from Previous Inspections ------ -------------- ------------------------- Tagged; Gas -Electric - - 90. ater & Sewer Connected -C/O to Grade -HD Approval- - Energy Compliance Certificate -Other Certifica es ---------- ---- --- Dat rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humbotdt;R !, Chico, CA - (916) 891-2751 7 County Center D�1ve, Oroville, CA - (916) 538-7541 h± 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER — PERMIT MY A routine inspection,indicates that the following violations of Butte County Ordinances exist at the above address and''shourd be corrected: Please notify this office when correction of work is completed. If o have an �..r p y y questions pe►Ya1nlng.,to this matter, or need additional explanation, please conte is office immediately. /1)2#06 771 v- T/ F- -1-0 P AA -717 -1-o zC 55 or_ f4/-.1 / v /91>1 I 4-�)6 YVO '7-- l4V S'ev —j— Date /=� REV 11/81 COUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT 74,, 92-2294 ASSESSOR PARCEL NUM ER 025-20-0-070 ZONING A40 BUILDING PERMIT OWNER Brad Barrow TELEPHONE 846-3523 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 431 E Gridley Rd GridleV 628 R 33,912 62 M 1,116 CONTRACTOR'S NAME unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 35,-028 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 281.5T - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 431 E GridleyRd Gridley Permit fee $ 457.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or ventE17.001USE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outletsSF© Building sewer 15.00 Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: convert rarno T to living area _ Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service TOGA OR LESS 18.50 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 ❑ 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) .LI 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 Main service 200A To I000A) 37.50 NEW CONST. OR ADDNS. 1 ( DWELLING OCCUP.N\ 3.54 sq ft 24.20 ACC. BLDGS. I NEW CONSTR. ULT' -OUTLET ^ 5.00 NON•RESID BRANCH CIRC ITS (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. R Ex. Occup. OUTLETS ((RESID,)EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ 39.20 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Duct extention 9.00 Cooling 9 Hood 6.50 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 Countyot 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 agai said County � conn�srree�quence of the granting of this per it. X3'"'6 4% Date G�-�-' / " Signature of Applicant — Owner 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 $ 40.00 occ CONST TYPE TOTAL FEE $ 602.45 HAz DFEES IMP FLooD cDF PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte Count ode and/or resolutions to do which fees have been paid. work indicate ab Fr,3, R PUBLIC WORKS117326 By Dateq � 7-74 PERMIT EXPIRES Date Receipt No. WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .,�,c•..1�,`"�"'NSjtY,fJT.crltii- ''K1.F` _°W., 7'Ss ._. �'A':,.:�+�'.491W+► $'-�"• v n• I .Sn p,;f ,. e r f; +k' ,�'� fit-. � s COUNTS OF BUTTES �PARTMENT�OF'PUBLIC WORD' BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 =" TELEPHO14E (916) 538-7541 A PERMIT -APPLICATION DATA SHEET OWNER dy rUV�, Proposed Building Use A. P: No.Z 5 --?,00 -O`70 VWSfC%%_Building Inspector -_JM- Date - 0` Z At time of permit application, I was advised the following data must be submitted prior to perrait processing and/or issuance: DATE RECEIVED BY 1, Allitems h e been submitted . ........:............................... . W�4"3. . Plot planV)4 sets, signed by preparer of plans. . Complete plans-5'P4"sets, signed by preparer of plans'.!?!... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form..................... ....................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0 Fees of $ . ........... _ ..... . -11- Impact fees as shown on attached schedule. .1?1? pr5.+``..Cit.. f . .. ......... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flo j��b�fl C,,a�I�'f mia Engineer . ........... . 4. Sanitation and plot plan approvald'�t'P•�x t tC Health Department. t_ 15. City of Chico plumbing permit . ................................... 16.%Plot plan and business license approval from City of Biggs/Gridley. . 17. Planning approval for (A) Use: (B) Parking: ....... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .-I ... . 20. Pre -inspection for to Buil�edion reque-}s - required. . to Builcing Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. �= 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner _).......... .. . 24. Recorded copy of Agricultural Acknowledgement Statement ................ ... 25. Letter of signature authorization ....................................... . 26. Copy ofirecorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use ...................................... 28. Mobilehome utility clearance...........................................� 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ....................... ............................ 33. f' 34. jr When you issue th erm t rocess as follows: Mail to owner.. Mail to contractor. WyTelephone�6 �3 and hold for pickup atf office. Deliver with inspector. Other t Parcel Creation Acreage t. Applicant Date Copy of Haz-Mat form sent Health Dept. !,Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: (Circle newer p not checked above). Contractor, designer caner Was advised of above required data by hone _mail Counter by _ Date 7-10-? Coniractor, -/o`pContractor, designer, owner, was advised of above required data by F phone _ mail Counter, v Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a• TO ,r Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance COUNTY OF BUTTE BUILDING DEPT SEP 1 3 1992 Owner Location Ar# Plan Approved for: Sewaqe Disposal Water Supply �-- Hold final for: Final clearance O.K. for: ranc a bi' e. HOTS *** Sat-ai Water Supply Water Supply OthergK WZb'5 (a K O -P- - S COUNTY OF BUTTE - QEF TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Ca rnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —070 ZONING 0 BUILDING PERMIT OWNrN 13 >� w TELEPH E S C - SO. FT. OCC. BUILDING VALUATIM �O OWNER'S MAILING ADDRESS p 0 t CONTRA TOR'S N ' ROIL TELEPHONE U CONTRACTOR'S MAILING ADDRE Q - N Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS G flLG T� Permit fee $ Or � PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 7.00 USE OF STRUCTURE SF,gKr Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: LJ LIG 1— — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 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. Lj � 10 Classification C ___i� ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. (OWE occuP.�\ OR ADONS. \ ACC. BLDGr 3.6Q sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ S.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 7540 46d FIXED APLNS. Ex. OCCup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — 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. j� 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,I 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 Countyot 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 xpenses which may in any way accrue agaittstaid County in conseq enc the granting of this permit. Date2-3- 9 `Z3�`Z-- signature of Applica — Owner❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ?OrO(D HAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or `Mork inclicatedpbove for ich fees EC UBLIC BY PER IT XPIRES Date applicable provi- resolutions to do have been paid. WORKS Date – 9 Receipt No. '/J�v15 WHITE-D.P.W., YELLOW-A33[$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . ..h ,.yta'Ta.�i3i�'1►x�'rtf.,t "i,�R'k���F'`r'l�..f�. n + ..1 ... r • COUNTY OF BUTTE - DEPARTM�'Nqp.,FfPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA. 95965 - TELEPHCNE (916) 538-7541 PERMIT APPLICATION DATA SHEET 1Z OWNER P - -o C -J No.0 _2-00__ '7D Proposed Building Use Building Inspector Date /.; At time of per :(t application, I was advised the following data must be submitted prior to permit processing and/or issuance:,' Y DATE RECEIVED BY 1, All items have been submitted . ....... :.......................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5? Hazardous Material Form . ............................................ 6'. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan checkk .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. ..... 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19 Driveway permit (construction approval required prior to occupancy) 20. Pre -inspection for Prelmection request required. . to Builcing Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). 1 ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ............... 25. Letter of signature authorization. .................................. ..... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ................................... 28. Mobilehome utility clearance . ..................................... 29. Documentation of legal access...................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed .vand (B) Parcel meets zoning area and frontage requirements .......... ..... 31. Existing violations/expired permits . ................................ 32. Plan check list ....................................................... 33. 34. When you issue the permit, process as follows: Mail to -owner.- Mail to contractor. Telephone and hold for pickup atoffice. Deliver with inspector. Other Parcel Creation r Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by ' ; Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Owner: 6��_) �d 1,770 J LOCA -; ":3 . -- ROOF MATERIAL THICKNESS EXTERIOR WALL Peroit ENERGY CERTIFICATION A.P.# DESCR:PT:09 OF INSULATION MATERIAL Fiberglass THICKNESS__, G /� CEILING BRAND .NAME THERMAL RES. BRAND NAME Certineed THERMAL RES. Ez5'�� BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed THICKNESS f THERMAL RES. 3 v LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR—ELEVATED MATERIAL Fiberglass THICKNESS. FLOOR—SLAB INTERIOR WALL MATERIAL Fiberglass' THICKNESS 3'.Z BRAND NAME Certineed THERMAL RES. BRAND NAME Certineed THERMAL RES. I HEREBY CERTIFY THAT THE. ABOVE INSULATION WAS INSTALLED Iv THE ABOVE BUILDING IN CONFORNANCE. WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS IND.IN /dba SHASTA INSULATION LIC.#650722 Ihereby certify the above insulation and all required items as shown on the building department approved plans and attachments have been • installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the are specifically approved by the State of Califquality prescribed or --------------------- FIRM NAME/OWNER (PLEASE PRINT) -------------- STATE CONT. LIC/ SIGNATURE OF GENERAL CONY OWNER This certificate ■ust be on file with the Building . and posted within the building. 8 Dept• prior to Final ,3. FOR N 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEEN' PACKAGE "A" (Addi tions ) Owner S RA D . 8,99RO IN Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any.space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO .NEW AREA , CEILING R-30 WALL R-11 FLOOR R-11 SLAB R-7 GLAZING. U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. r + OTHER 12/85 *1 HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and modal number) SE Btu/hr (heating capacity) ❑ Heat Pump .(brand and model number) ACOP Btu/hr (heating capacity it 4 F) Q Active Solar type (liquid or air) Colleccir brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Q Other (describe) *1 (B) Cooling Q Electric Air Conditioner (brand and model cumber) (seasonal EER) Btu/hr (cooling capacity ac 95°F) Q Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (B) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (raced slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved mechods, section 2-5352(g), and fill out the following: Heating: Winter design camperature °, elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part Z, Chapter 2-53 of the California Adminiscratioc Code. &IRE4FS LDING DESIWER OR APPrICANT 0 W '400,10— ea5f. ounty Health Date Signat r W4 7-=7777-- + COUN4-� ()F 13UILDING bmrft SEP millimelm; o rn,• 000, f• _ .f �rI� .7ru, .. —, _ _ •`l '. •.`.- - .ti��,+ `jyyJJ W. E•,4.a2�).'�_ t. T. ooQ — — — — — — - — — — Q t! •_ a , Oli TkA IM 461 f - c J� <4Q AL•SLf t. -8 a(Or� .: " : i VED- -Butte County �• _ :,',�: .,±• - _ . y ,;: ;;. _ . - - .,:.��,aa:��'1' - ` 1 - _ - • .. � � - ,. `d'.' fir_• Ilj wrental Health' 1 I ► t�' LS id a `i.•. _. �. _ Environ menu SEP I 0 1992 - • � ' • t� ��/ � F" ..� " '.���I'�- - ,, _ ` Oroville, Califorrna ,i FORM 7 ADDITIONS TO RESIDEiMAL BUILDINGS ENERGY. SHEET PACKAGE "A" (Addi tions Owner`/p d` (/'b `� - : �.. _ r ;Climate Zone Permit # �oZ �=�"�y Floor?Area� The following'data showing -mandatory and required features of Package "A". shall be installed for additions. to. dwellings. ..Additions to.dwellings include room additions, converting garages -and patios to -living areas, house moves that add footage and attic conversions, -and any.space that is existing non -conditioned space that -is converted to conditioned -space. Remodeling 9f existing conditioned space is not included. _ ZONE .11. _ ZONE APPLIES TO .NEW AREA ® CEILING_'N�....� R-30 � ... -. . ~. ... R 8 ) WALL FLOOR SLAB GLAZING a SHADING SOUTH - OPTIMUM OVERHANG R-11 R- R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) R-1 - R- U -1.65 kDual ) ® INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) 0 DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 do LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT dbMAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING ® NEW HEATING, VENTILATING, AIR CONDITIONING A,4D HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL AJE IN'SIALkDL�iOWN ON BACK OF THIS SHEET. f NG _0%'"TMENT OTHER .A ft a% 12/85 *1 HEATING, VMMTATING`AIR CONDTTI01IIDG SYSTEM (A) Heating Q Cancsal Gas Furnace T• (brand and model number) SE Btu/hr 1 (heating capacity) ❑ Haat Pump - (brand and model number) 'ACOP, Btu/hr (heating capacity 4c 47'F) Q Active Solar type (liquid or air) Collector brand and ft modal number solar fraction collector area collector osiantation collector tilt rated y-incarcept rated slope Q Other (describe) *1 (B) Cooling Q Electric Air Conditioner (brand and modal number) (seasonal EER) Btu/hr (cooling capacity at 95'F) Q Electric Haat Pump BFR Btu/hr (cooling capacity at 95'F) Q Other (describe) DCMSTIC WATER SYSTEM ❑ (i) Gas Only Gallons (brand and model number) (tack size) Q Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) - 13 Active Solar (collector brand and modal number) (rated y-intarcept) (raced slope) (solar fracricn) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solas Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or ocher approved methods, saccion 2-5352(8), and fill out the foLlowing: Heating: Wincar design cemperature ', elevation ', haacing load BTU elevation factor a haating load a maximum outlet capacity gas furnace BTU Cooling: Summit design temperature ', cooling load BTU *2 Submit T.Z.P.S.E. char= or other approved syscam (form 05) cc document sizing of solar panels. ® DESIGN COMPLIANCE STATMfMT: The above building design meats the requiremencs of Title 24, Part 2, Chapcar 2-53 of Che California Adminiscraclad Coda. SI=ATURE OF SUILDING DESI=R OR APPLICANT ..�F. PIPK ; _ 4'N 'r.+� �{�����';.''�.'�^.'v"�""s°t-��r�.yi'�''�'� ���•A*-�,'e'pg'i��"}'S"�''bin}A:H`5.�.it1;1i:'.*Zkt'+"°`a''�k9C�'"�y'�'�''+�atrvrr;lPw:.wx+s:r.-;1q1�^�f1^'�':wa�`r'�rli�"$��.irM;�'r.Y-..,•-„�,.r� .•�, ►off BUTTE COUNTYSCHOOLSIMPACT FEE -CERTIFICATION FORM (One Form Per Building) School District 1 1 `e ___v_ _ __ _— Building Department No. A.P. Number 2•S- ?-oo - 6.7 Q Jurisdiction _ J CityCounty Property Owner -6 rad, Al 17 Property Location/Address___ L Subdivison Residential Development u No. of Living Units Lot No. / n Sq. Footagey �C MHI AcYdition (Group R) Commercial/Industrial i 0 Sq Footage New Addition (Including Exterior Roofed Areas) Date 1 1-1J -V-VVC” Ny VVIIVVI VlJllllil 1 V1Q1V1111V1J I ) District Identification No. ,+ School District certifies that (Applicant): %1 l • - _A, (Street Address) (Phone Number) (City) 6 has complied with the requirements of Resolution No. representing �� __ _ _ square feet. School (State) (Zip Code) — -1 J-_�%� by paymant of $ Paid by Check Number _ -- _ _ Remarks: Bank Number Paid by Cash -�------ � ----' Datze If, 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 reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) I .01 coun-ky rural POOL SPECIFICATIONS I —%�AREA q, It, DEPTH --,,I 'ftp voLumE ALS. CONSTRUCTION SPEC INCAT10,14S RAMP SHALLOV/DEEP SWIMOUT kf- LOVESEAT WAI EXCAVATION (CopINGS FENCE. DOWN By UP By HOURS or GRADING LOADS TO DUMP STUMPS Lr-AVE/HAUL CONCRETE: STEEL/GUNITZITILE/PLASTEk RAISED BOND BEAIVI� FT. RAISED BONID BEAM — FT. iiesglat DECK TlE3—_jjLF COLOR OF PLASTER CAP FOR BOND BEAM .-c; 1-11li/7"Z22, CAP FOR RAISED BOND BEAM �J' ry") I rl q, SPA — ,c — LEiIGTH Of DAM CAP FOP DAM = SPILLWAY===_ PtUJMB]'Nt3 SPECIFICATIONS POOL: NO. OF RETURNS MAIN DRAIN SIZE SIZE OF SUCTION LINE .,qoM SI(,M MER- E —-2 FILL LTEA' FOUNTAIN L' SLID INFZ'7"" h SO AR HEAT 'T'.z, POOL ZL CLEAINER -4-I— REVERSE FLOW PLPAG. — Div. BjD. PRONG JIG SPA MAIN DRAIN SIZE� . j_ NO - OF JET$ LIGHT2 RETURN ILVALVE TYPE L121V NOTE- ALL AIR Ll6"ES PLUMBED BACx TO Etzcmic By —40 GAS BY ----------------- 0Sfpo L (C4 MiLEVUR Q. FT. TYPE FINISH FOOTINGS _ f MASTIC DIVIDERS: TYPEDRAINS r4L�71-, il RISERS._____ fi. 4L P X OOL EQUIPMENT F I L T E R: T Y P E# k' — ZE DM I — ?'nY - r "i illf � iX1 5 1 f 'A 0001TU GIOWER- TYPE -jZ AMPS POOL CLEANER TYPE jp EPARATI. S OiN V,0, Ap w POOL ACCESSOGRIF-5 is HE UNDElSI0jqr-D APPROVr-S T HISWORKING PLAN AND ACKNOWLEDGES RECEIPT OF A COPY: LIGHTS-. POOL SPA LENS E KIT 8 0 AR D STAB D A R D 5 AV D fi H IALLY Fp s. 4ff SLIDE STRT.lLC/RC RrGJLCDIR GRAB TRAILS/STEPS -��ALADDE :4=f HANDRAN'-' POOL CLEANEn TYPE VACUUM HEAD AND' FE6 OF HOSE MAINTENANCE XITAi�k!) POLE �f ENIARONMENTALHFALTH Ho MAP BOOK Pfl MAY 3 2005 K 4 N 11; c\) W: I .01 coun-ky rural POOL SPECIFICATIONS I —%�AREA q, It, DEPTH --,,I 'ftp voLumE ALS. CONSTRUCTION SPEC INCAT10,14S RAMP SHALLOV/DEEP SWIMOUT kf- LOVESEAT WAI EXCAVATION (CopINGS FENCE. DOWN By UP By HOURS or GRADING LOADS TO DUMP STUMPS Lr-AVE/HAUL CONCRETE: STEEL/GUNITZITILE/PLASTEk RAISED BOND BEAIVI� FT. RAISED BONID BEAM — FT. iiesglat DECK TlE3—_jjLF COLOR OF PLASTER CAP FOR BOND BEAM .-c; 1-11li/7"Z22, CAP FOR RAISED BOND BEAM �J' ry") I rl q, SPA — ,c — LEiIGTH Of DAM CAP FOP DAM = SPILLWAY===_ PtUJMB]'Nt3 SPECIFICATIONS POOL: NO. OF RETURNS MAIN DRAIN SIZE SIZE OF SUCTION LINE .,qoM SI(,M MER- E —-2 FILL LTEA' FOUNTAIN L' SLID INFZ'7"" h SO AR HEAT 'T'.z, POOL ZL CLEAINER -4-I— REVERSE FLOW PLPAG. — Div. BjD. PRONG JIG SPA MAIN DRAIN SIZE� . j_ NO - OF JET$ LIGHT2 RETURN ILVALVE TYPE L121V NOTE- ALL AIR Ll6"ES PLUMBED BACx TO Etzcmic By —40 GAS BY ----------------- 0Sfpo L (C4 MiLEVUR Q. FT. TYPE FINISH FOOTINGS _ f MASTIC DIVIDERS: TYPEDRAINS r4L�71-, il RISERS._____ fi. 4L P X OOL EQUIPMENT F I L T E R: T Y P E# k' — ZE DM I — ?'nY - r "i illf � iX1 5 1 L IEATER: TYPE SIZE 'A 0001TU GIOWER- TYPE -jZ AMPS POOL CLEANER TYPE jp EPARATI. S OiN V,0, Ap w POOL ACCESSOGRIF-5 , TLT V r sa let n —�m g '52 HE UNDElSI0jqr-D APPROVr-S T HISWORKING PLAN AND ACKNOWLEDGES RECEIPT OF A COPY: LIGHTS-. POOL SPA LENS E KIT 8 0 AR D STAB D A R D 5 AV D fi H IALLY Fp s. 4ff SLIDE STRT.lLC/RC RrGJLCDIR GRAB TRAILS/STEPS -��ALADDE :4=f HANDRAN'-' POOL CLEANEn TYPE VACUUM HEAD AND' FE6 OF HOSE MAINTENANCE XITAi�k!) POLE �f ENIARONMENTALHFALTH Ho MAP BOOK Pfl MAY 3 2005 TI? '\C L 'A 4 N 11; c\) W: LN Lb r ,s .. ^a,.a .,a;.., :. ,•� ... -_., -. �_ ..ra.,: rr;,sv_ _V Y+. ..£ T i�3�•`• :.moi^ e,� �.�rw__� _�. rv, r ... _ f4, , ,. a•:,'�_T�..,-a.. Fa[ ..t-.. ,�J .. a— ;.. ..,_ e, il'�'m,� Fn „ _ zs-...w3T' n- x. , ,� �,?_.�...�.:,^'� �.,_r.�F ..,� �•�,",�"re "�-.._....e__.Jt:.,..s.W......:_.__ .F.s�'�.�".....=,.._.�'..��_.:.�___, ;'r�:. ,. �:,a=� mc+ s, �:!^:".�-, .. :':s F+^%i.n ,._�._L __ ..<,s� ^� :._.a�._�S_...._. •.5',",,,�-y..�.,",w�":._..r ,--=-u3.:�:at,.,=�..:� T" .`..___ ---_"ate. f�._���.��.�ex... _.'_ s, �1 ! it , 3 VERT BARS s-rAGGERF.0 (2 IV oc 19" BELOW `fOF OF 5014D ,START DQVqN 7919,U COVE AND LAP de M m ^yr w ft JN FLOOR ARRA WHERFE F001 DEPT" Al « m s A -4 i ! I xpDSasiONWILDING aLI 1 d0 C. Ep�c y 1 14g y _ Date A 3 WAY TIkROUGHO T n 4An L Taping: TH���� t gg b1 ler t i as m - ''�'�y PF - F1CATiO 1S 21 _s 22 PERoviETE sq. It. SIZE DEPTH LS CONSTRUCTION SPECIFICATIONS 4A� r_ r r a _i,�PrrdP 5a'iAl,4ti"'�J/@1��P 5�a�JIMi3UT c�: x F' r L OVESEAT. V u r , ,x 5 _ o E;i*,aAVAT9ca�3 (�;TSP9�3Gr. : M6,�,r1�Ti — I r FES1 CE PJt3WNr_e_:.__,�r BY UP i-i1)UR5 OF SalfAD9Nfl L43AS55 Yi7 DUMP' tea: S°iLiPAa°S ��T L A/E(2AJLCONCRETE, dT2E7E: F EMO/ �s . $ t , , '/PLASTER (V��TE[AVaS 5TEELlCLN8TElT33EF0— heighi aA15ED BOND BEAA1W4 RAISED BOND BEAM ._._._ FT. x _ hesyiaY ;. a f c: COLOR OF PLASTER f aJ . CAP FOR BOND BEAM r .CAP fOR RF`i05ETJ SL3s9!? EEAe,. SPA _ x LENGTH OF DAM SAP FflE JAPaT ,,..:.<._,,:_..�.-, SPILLS/A/ 3 _ i -� „ter+.-wi. j r..... . _t . -.F1 9 a _.._ a w _, 4� a _, _f . .. a PLUMBING__....�___.�s:......, SPEC1NAT11*1S xlL. NO. OF eras MAIN iaAR _ SIZE OF SaJ_T9t36;i L9N.. r 3T SKIMMER SLIDE FILL F3LdTdlrLi lFk� ft. Z�, 543�_An �lE�P T s'w POOLLLEAaTE I - 3 _ua ER5E L4 � ��/ • FLOW P L�Ji G. I�ov. BRD. ' � PSiflPIG JIG rn I i ETs a • / � a ��n MAIN DRAIN � z� �a. � � hh y,� WAY a,. ;s'— I.iG,�iT � RETURN1_ VALVE TYPE .,�,.r.., FLOOR ,9I_�.T�6: ALL AIRLINES PLUMBEDBACKT9e unum UAS BY 361 t x .:a 1 r POOL DECKING iER ,`,ti,a.,,< �y e t�e ppg P ?x S. FT. TYPE FINISH '4, ����fF dulrl!\ � kJ.�1��i-1 !'A 5.4'4 d�. l if a�`•'�.�' � `' :,..t.�_s4,i. �pp FOOTINGS AdiA57iCDIVIDERS-. TYPE 7_`3 -'yi�J• ,r,vDRAINS - a 2 1 i I PTOOL ECIUMENT F ILTI.R. TYPE L_� _ SIZE r a y� 1� y� I PUMP; TYPE 2'14. 5 —� v--- =^-- LOtC i 3�UDt1V�1km CT:1®N1t1 1' � . . 4 HEA7x B: tYP& sI E �/04€I i3 ie ## il SLOWER: TYPE _..�� 56�E _ _ _ �— _ AFiPS G � 1 =� „ .--.y �,. Pi101. CLEANER TYPE � SEP l , OL ACCESSORIES „k <.;: ., - E XIT THE UNDERSIGNED APPROVES THIS 13ie4:9�36£ING PLAN . I.I. HTS.- P�L%L � — .PA � L�91� . BOARD—�)AiSSTANDARDS A���fl�L���Es �e�Es�r �� o ca�r- P ��. ... $�.IDE._...___..__`._. 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T 1 Payer MAIN i0'r� ➢ 1 L U ,a P ���1...� � 811-110111 � a� i® l �� � �I�g� PER k�,P�' a�k7C T 4aQ dr �Q8�3 1 POOL 1, 1 k 3/6 CEtilEh `T th E F,'00F'UV H TE kCk SECTION INT DEEP END OF VOO I -- v :� ,. - MAIN DRh5m s v�� s� H _ �1APPR 1t!ACH WAY .r SCALE 1 -I'D" S'ECT)IO k 1\T 4-'G" RS1\ s, �1 ! it 7j. Al A -4 i X77 3