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025-340-028
NOTES ' RESIDENTIAL PERMIT NO._ 025-340-028T _ t _ {-- 04-0160 BIRKHOLZ, KEVIN FAVORITE CT, OROVILLE i -� Cont: OWNER NSF 3 C C, OW SPECIAL CONDITIONS 4 CHECKED BY SRA . -54LOOD CERTIFICATE REQ. 1RE SPRINKLERS REQ. . SPECIAL INSPECTION ITEMS n VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat t f JOB FINALED (Date) Signature .„ ? 3 J=OK o = NotRESIDENTIAL - =Not AAppplicable . = Not Ready Date UNDE OOR (Plans) OK except #'s oni =Setbacks -Easements -F d -Slope g., Main; Soils-Elec. Grnd.- g. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth , Porches & Decks; Soils -Steel-/ /" Ftg. Depth ells, Main; Steel-Blockouts-Wrapped St 'ells, Garage; Steel-Blockouts-Wra ed 6 . old Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pi - ire lace Ftg.-Steel 1N.V.; Fall -Fitting -Test -2 Way CIO-SejWer Test UF, Gas Pipe; Size Anchors-Yar s 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 (Single & Duplex) 2&'Sjx6 Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 2 E . Ground made up w/Mech Fasteners -Bon Gas to Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ / Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ or AI -Oven Circ. / /ga Cu or Al I lated Neutral ❑ Yes O No Service iser Conductors & Ground Main Disconnect 33. E Clearances Panels-Motors-Mech. Equip. dg,thes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date MEC ICAL (Permit) OK except #'s M. A.C. Ducts Insulation & Support 3 . Ye6t F n, Exhaust above insulation Mr CqFf6ensate Drain & Overflow, Size & Grade Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date — Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIW (Permit) OK except #'s 4A_,&Ilspf6per Materials & Anchors 42. -Wal IvStuds- Nail ing Soacino & Braces -Plates -Sound 3. earing Walls over Girders & Floor Nailing 4 Dr Stop in Walls (rat proof) it ops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing Date FRAM ontinued) tt!ig Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 Fireplace Ties or Type A Flue -Fireplace Throat Clearance Atti Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Dpors-One 3' -Check Garage 3rd Story,, 2 Exits 55. irs; Width -Headroom -Rise -Run -Landing 'ire,Frotection 56,.'�F.4wood on Roof Overhang -Attic Vents -Rafter utrigget_ Siding -Nailing Veneer 58.9W66o Mesh -Drip Screed -Fd. Vents-Underflr. Access ;JSGlazing Area Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 1. Br a Interior/Exterior Wall Panels Date (, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date f FINALRIandf OK except #'s Ext. Stens-Door & Sideliaht Protection- Landinas eke Detector 6. Furnace Vents -clearance -Comb, Air -Connector - Ig -Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa �i6. c. Trim & Subpanel, Breaker Sizes & Labels ,7�BtSire&fhdflS^ replace or Stove, Clearance -Hearth Vic. Outlets at Wood Panel, Int. & Ext. ixt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter 7 rage Fire Door; Swing -Landing -Closure 7 . .C„Duct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection b.; Elec. & Mech. Equip. Listed for Location eptacles in Garage (F.F.I.)-Romex Protection sulation-Foam-Looked in Attic and Rails & Deck Construction -Post Caps 8T7FTVBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes o Igxdng Instld./Drive D Yes O No/Walks O Yes D No/Planters D Yes O No tucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 8 . xterior Elec. Trim, G.F.I. Receptacle -Underground dation Throughout House Protection 91: Corrections from Previous Inspections F. Cas Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 94- E rgy Compliance Certificate -Other Certificates Address Posted 9 • . ire Sprinkler ate 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: 16. Insulation Date Card B-1 Date' Card B-1 Date Card B-1 Date Card B-1 Date BIJLABING (Permit) OK except #'s r Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21.T Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 3 Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT AL (Permit) OK except #'s 2 i e & Transformer Clearance -Ins. Protection 2 : c. Receptacles Spacinq-Liqhts & Switches at Doors 2&'Sjx6 Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 2 E . Ground made up w/Mech Fasteners -Bon Gas to Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ / Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ or AI -Oven Circ. / /ga Cu or Al I lated Neutral ❑ Yes O No Service iser Conductors & Ground Main Disconnect 33. E Clearances Panels-Motors-Mech. Equip. dg,thes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date MEC ICAL (Permit) OK except #'s M. A.C. Ducts Insulation & Support 3 . Ye6t F n, Exhaust above insulation Mr CqFf6ensate Drain & Overflow, Size & Grade Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date — Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIW (Permit) OK except #'s 4A_,&Ilspf6per Materials & Anchors 42. -Wal IvStuds- Nail ing Soacino & Braces -Plates -Sound 3. earing Walls over Girders & Floor Nailing 4 Dr Stop in Walls (rat proof) it ops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing Date FRAM ontinued) tt!ig Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 Fireplace Ties or Type A Flue -Fireplace Throat Clearance Atti Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Dpors-One 3' -Check Garage 3rd Story,, 2 Exits 55. irs; Width -Headroom -Rise -Run -Landing 'ire,Frotection 56,.'�F.4wood on Roof Overhang -Attic Vents -Rafter utrigget_ Siding -Nailing Veneer 58.9W66o Mesh -Drip Screed -Fd. Vents-Underflr. Access ;JSGlazing Area Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 1. Br a Interior/Exterior Wall Panels Date (, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date f FINALRIandf OK except #'s Ext. Stens-Door & Sideliaht Protection- Landinas eke Detector 6. Furnace Vents -clearance -Comb, Air -Connector - Ig -Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa �i6. c. Trim & Subpanel, Breaker Sizes & Labels ,7�BtSire&fhdflS^ replace or Stove, Clearance -Hearth Vic. Outlets at Wood Panel, Int. & Ext. ixt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter 7 rage Fire Door; Swing -Landing -Closure 7 . .C„Duct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection b.; Elec. & Mech. Equip. Listed for Location eptacles in Garage (F.F.I.)-Romex Protection sulation-Foam-Looked in Attic and Rails & Deck Construction -Post Caps 8T7FTVBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes o Igxdng Instld./Drive D Yes O No/Walks O Yes D No/Planters D Yes O No tucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 8 . xterior Elec. Trim, G.F.I. Receptacle -Underground dation Throughout House Protection 91: Corrections from Previous Inspections F. Cas Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 94- E rgy Compliance Certificate -Other Certificates Address Posted 9 • . ire Sprinkler ate 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 1. MOBILE HOMES, Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete 8. '4. Water; Location -Test -Easement Needed (Sketch) Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Braced Wall Panels 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp."-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test '6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-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 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891'=2751 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE 1 tz (C- / !SU- 6 ( (-7 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed., It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. V) - - GC SSSS' fo 2 -�' Tjk 13o- t-32� e& -7T!,- 6 L--7T!,- c Lk -f- f ` -ZL s &S, c a u 1- S Date 5 ` G`' I Inspector REV 10/92 60-UNT,_ 'd—FBUTTE BUIL61G DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street- Chico:,CA - (530) 891-2751 7 County Center Drive -Oroville, CA - (530) 538-7541 -T CORREG ION NOTICE /31 641 - V6,0 OWNER PERMIT NO.��-,' A routine inspection indicates that the following violations of butte county Ordinance xist at the above address and should be corrected. Please notice this office when correction of work is" completed. It you have any questions pertaining to this matter, or need additional explanation, A' please-eqntact this office immediately. 4 CA—) Date✓— Inspector REV 10/92 '�I COUNTY OF BUTTE, BUILDING DI�VIS10N DEPARTMENT OF DEVEUOPMENT SERVICES „c.. 411 Main Street - Chico'tA• (530) 891-2751 e= �7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE (ZAZ, c Z • OWNER PERMIT NO. A routi/Ifou dicates that the following violations of butte county Ordinances exist at the r above ould be corrected. Please notice this office when correction of work is comple any questions pertaining to this matter, or need additional explanation, pleaseice immediately. C e:> d'-' %-7G fir( (A)DZN ('1?`J1Je yr-. ov— i� rk4 OWNER 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 I U -e)/(, PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the y above address and should be corrected. Please notice this office when correction of work is completed. If you have any-queslions pertaining to this matter, or need additional explanation, please contact this office immediately. C -.{f.:'��; - «....-3;s :...e;�,.z- �t;4.t�+rlr-- '-. -• . _ ..?r;.;:.. _ ..-':moi.-'�rF s:.r -., a:-.".;;_.►:_.;... .-...... . 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 /3 jn,< LTa L a'f O16U OWNER . PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions"pertaining to this matter, or need additional explanation, please contact this office immediately. C� Date In h --G y REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-.7541 CORRECTION NOTICE ER vine PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. rA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04-' 01(6o ASSESSOR PARCEL NUMBER o254 340 O t2o =��N9, 2/2-BUILDINGPERMIT t'ft� OWNER ry frl ' jK OI Z TELEPHONE LD SO FT OCC. BUILDING VALUATION . OWNERS MAIUNG ADD 3 S 171'1 fro D i IO ^ o _ 21-1 v 2 a I• -- CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Iq OC>. — Total Valuation $ 04 . ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ tj , r.J� ARCHITECT OR ENGINEERS MASUNG ADDRESS Plan CheckingFee $ . C{ [!OESS O out.} OV -vv i I Energy Plan Checking Fee $ 23.'- $ PERMIT FEE $ I Q(o8, 4 8 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF "A, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap IQ 7.00 F70,— Solar or heat pump water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.00 I — TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: "� S Gas piping system 1 - 5 outlets 15.00 Is— Building sewer 15.00 cJ— Mobile Home S G W @20.00 PERMIT FEE S O. ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORlESS 23.00 23.— LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law, for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO iOOOA 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. 3.5¢SOF7: Ee• NON-REOSID. MULTI -OUTLET @7.50 OWER APPARATUS 8 SINGLE OUTLET CSR. EX. OCCU OUTLET OR FIxTURES BAS @';w Ex. Occup. oirnFrs�n�D.Den 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S O / . 80 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 cc a provisions. X Date a Sign'atu Viiscant -❑ Owner ❑ Contractor ❑ AgentAn A peequired for excavations over 5'0" deep and dem li ' n or construction o ructures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15- Coolin O Hood I 6.50 .90 Ventilation 2 L_+ - 50 C1 — PERMIT FEE S r% 0. 5O Mobile Home Installation Fee $ Energy Inspection Fee $ y ca Occ CONST. TYPE J TOTAL FEE $ HAz. D Es IMP D CDF �.. p HD SU This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By [�. to PERMIT EXPIRES ON C D e Receipt No.on-5-77 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-IN6PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7�� O f h0 APPLICATION AND PERMIT ZONING BU ILDING P ERM IT rR NUMBERG35•340 • oTELEPHONE SO. FT. OCC, BUILDING VALUATION � /� ADDRESSORO �2/ `! � %TELEPHONE AME 0 t/11n1 r,12 1�1 NS ONLENDER LENDERS MARM ADDRESS ucEDSE NO. ARCHn= OR ENGINEER ARCN4TEcr OR ENGWEERS MAILNG ADDRESS SULLDING ADDRESS D R 117E: , I i2 -r- ` iz n LDT (' USEOFSTRU TORE 7,711 AQ_ SF Ot Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New [iil"'Addition ❑ Remodel ❑ Uh'Gties ❑ Installation ❑ Other ❑ - Describe Work: ' v �- v $1143 46. 78 OTHER --*7 2d0. AMOUNT RECEIVED DATE RECEIVED as ° ^� 39,-Zdjj"j Fireplace 1 0* 15G0 . '— PERMIT FEE Total Valuation ELECTRICAL PERMIT 6 O Main Service Flin Fee $ Main Service 20.00 Permit Fee $ &Z1. S Pian Checking Fee $ i AGO. �.DS t%x 4 Energy Plan Checking Fee $ 23. $ PERMIT FEE $ I D H. PLUMBING PERMIT Fling Fee 1 20.00 Each Trap Ip ; 7.00 70 .� Solar or heat pump water heater 23.00 Water piping 15.00 �• Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 FDCTURES Ex. Occup. OVTLET ORNJQW PERMIT FEE $ 1 S V •- ELECTRICAL PERMIT 1 Filing Feel 20.00 Main Service mw a G=, 1 23.00 229 Main Service zo" TD *wA 46.00 NEW CONST.DwEILNNG ODCUP. 3.5QS7 VOR ADDNS. i AGO. �.DS . FDCTURES Ex. Occup. OVTLET ORNJQW eql @ .So rues. Fix. Occu UTLEM (REslD OEA 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 PERMIT FEE S (I. D MECHANICAL PERMIT Firing Fee 20.00 rCHeating I S Cooling Z O Hood 6.50 ,5 4. 9. PERMIT FEE $ V . . C" Mobile Home Installation Fee $ Energy Inspection Fee $ - ' TO AL FEE $ 1 HOZ.0. FEES .1 FLOOD CDP g !m UE �( J� This permit is hereby issued under the appricabie provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 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 �� 2tz HCt_=-� Kc—�1.4 A.P. # 4D2S •340 •o28 PROPROSED BUILDING USE 5 r DATE 1/22/e,4- RECEIPT /22/o4RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES 4>120,V t t_t,E `41 G 4, (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ i X $360.00 =$ 3/00 • 314449 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. 'Commercial (Sq. Ftg.).... X _ $ Sq. 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) P. 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 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code 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) f T TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. U" CidL7 Slot Plan AttecMd . Floor Plan Attached \ Sent to S.D. ! Owner Location AP#\ Plan Approved for: Sewage Disposal UVater Supply: Public rive e II Clearance for dwelling. Other . a 521 b� L" e% /). At ► Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date ,q r 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: �Ict_Z ASSESSOR PARCEL NUMBER d '34o • 0_�2 S Proposed Building Use: ~I F Counter Technician: Date: lb -n. 64- Itms required in order to apply for a permit. All boxes ST checked OR Srked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer,of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! P 5. Letter from Engineer or Architect for truss design review. :' y 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) Data sheets and installation inst, (B) 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings e 13. Detached Accessory Building Form filled out by the owner -0 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fire Sprinklers ®wr C✓f �j 17. 18. ................................................................I........................... Agricultural Buffer clr and site planar from the Ag Commissioner Sent by .. Q K ❑ 19. Soils Report and/,o [;t�e�'e'd= ne o req red ........................................... ........ 20. Erosion Control Plan Required........................................................................ 09 14441,14 ........ 28. Pre -Inspection for required......... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 22. City of Chico Plumbing permit......................................................................... d 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... rj I have been informed of'tfi-e above items and requirements for obtaining a buildin ermit. ' t Applicant: V ate:,. 1. Index permit applicati above items numbere x; Plan Crie6krLette 2. Additional items requ e Contractor, designer, owner, was advised of the above data-Uy-phon , ❑ 'I, ❑ c er, by Date: 3 ' 12S Contractor, designer, owner, wa vised of the above d to by ❑ phone, ❑ mail, cou ter, by Date: Plans reviewed by: Date: Plans approved by: e,7 Date: Structural reviewed by: Date: Structural approved by: - Date: Note transfer by: Date: r Yellow: Building Division ' 23. Callfornla Department of Forestry plana rova, ❑ paid. Sent by. ............. 24. Planning approval (A) Use: 0G�(B)Parking: (C) Parcel Check: _'In_ oil ❑ 25. Contact Land Development about _ Improvements, _ Drainage ................ 426,.,NPDES Form................................................................................... ......... 27. Encroachment Permit for driveway from the Public Works Dept .................... »rte { 0 28. Pre -Inspection for required......... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ...........................•................ d 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. %( 34: Manufactured home utility clearance............................................................... ❑ ,`• ,35. Existing violations and/or expired permits......................................................... x`;36. ❑ Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, E)M.H. Title/Statement of Facts, ❑'Letter from Legal Owner, ❑ Check to H.C.D. $ ' lid 38. Other: -1 ems jre.. v60� CR' 39. Other:.5 i c. e- r r� When issued Telephone 5 3 3 a S 3:315 Iie - qand hor r pickup. rj I have been informed of'tfi-e above items and requirements for obtaining a buildin ermit. ' t Applicant: V ate:,. 1. Index permit applicati above items numbere x; Plan Crie6krLette 2. Additional items requ e Contractor, designer, owner, was advised of the above data-Uy-phon , ❑ 'I, ❑ c er, by Date: 3 ' 12S Contractor, designer, owner, wa vised of the above d to by ❑ phone, ❑ mail, cou ter, by Date: Plans reviewed by: Date: Plans approved by: e,7 Date: Structural reviewed by: Date: Structural approved by: - Date: Note transfer by: Date: r Yellow: Building Division ' '•::fir=a'�, e' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 09L� D V 0 (One form per Building) School DistrictBuilding Department No. A.P. Number U �' .3'jl() "n� ,P Jurisdiction: City \ County Property Owner Property Location/Address i Subdivision Lot No. Residential Development m Q No of Living Mobile Home Units installation Commercial/Industrial Q Q New Addition Building Department Representative ...................................................................................................... Sq. Footage 14 Addition/ 'Supplemental to (Group R) Conversion Permit # *(No foundation inspection) ................................................................................................ _.... Deed Restricted Sq. Footage �7 (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage / 67 kQ (Including Exterior Roofed Areas) Date "District Identification No. O -40169 '01�oV i' p14C/N—..S.chooI District certifies that (Applicant) (Street Address) (Phone Number) (City) " has complied with the requirements of Resolution No. representing 1410�� square feet. - — . UyU 1 School District Representative Paid by Check # -35 Remarks: (State) (Zip Code) by payment of $ 3 % Q S. 2926 i FULL MmGATIOW--' f oq- Date v Notice: You may protest the Imposition of the tees Identl1i above by submitting a written protest to the District. In compliance with Government Coda Section 66020(a), whhIn 90 days from the date fees are paid. Failure to submit a timely wrilbn protest wi0'prohibit y6tilrom challenging the Imposition of the fees In any court actlom N, subsequent to the School District Representative signing this Butte County Schools Imiuket Fee Certification Foran, the School District Is MR- by the applicable Local Planning Agency that this project Isbeing wl-wed under the California Envborwrsntal Quality Act (CEQAh this p -1 , may be subject to addiflonal'iehool feel to fully mitigate.lts Impact on the school dlsbict`a sehoob. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm O.B.-1 OWNER -BUILDER VERI]F'IC' ATION 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. 14o building permit will be issued until this verification is received <VI personally plan to provide the major labor and materials for construction of the proposed property, improvement : YES NO ❑ �I HAVE.PC HAVE NOT 11 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. S. 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: SPR ERTYowNE NOTE. This Owner -Builder Veriyuation is required by Section 19531 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER o•B•-I I OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party ofrecord on such a permit Building permits are not required to 6e signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, Hien you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an. employer and you are subject to seveial 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 cagy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific khmnation about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure as "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. lY. Mic 1 C. ua ira, C.B.O. ger, Building Inspection NOTE.• 771is Owner -Builder btfornzadon is required by Section 19830 of the California Health and Safety Coda OVER A 'NOTES RESIDENTIAL Rj 025-340-028 PERMIT NO. LZ, KEVIN . 04-0161, } Cont: Oy�ER ORITE CT; OROVILLE 2 DET GARAGE a J i SPECIAL CONDITIONS ;1 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS # VERIFY USE PERMIT CONDITIONS f ~ SUB -STANDARD HOUSING LETTER IL f 3 j i f j JOB FINALED (Date) J 2' Signature k 4 O 0 Not OK . = Not Readyable 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date_ Card B-1 Date Card B,-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch . 11. Cert. of Occupancy Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -.Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv ti's with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date -DECK,%rCOVERS, CARPORTS, GARAGES (Plans) OK except #'s . Zo ' g Requirements -Setbacks -Easements 3. ootings; Soils -Size -Depth -Spacing -Connectors -Steel 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 9. Car endows -Doors ectric Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh. . 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 2. Braced Wall Panels Date ,,. Card 13-1 Date Card B-1 Date Card 13-1 Date Card B-1 Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting,. Distance -GA 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 J=OK = Not OK - = Not AAppplicable . = Not Ready Card B-1 Date Card B-1 RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s PLUMBING (Permit) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 19. D.W.V.; Test Fittings & Anchor -Nail Protection 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd,Story, 2 Exits 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 22. Gas Pipe; Sixe & Anchors 5. Stemwalls, Main; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped 24. Fixture & Transformer Clearance -Ins. Protection 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Card B-1 Date Card B-1 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 32. Service -Riser Conductors & Ground Main Disconnect 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 33. Equip. Clearances Panels-Motors-Mech. Equip. 15. Access & Ventilation 16. Insulation (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Vlearance 17. Water Htr.; Vent -Access -Combustion Air Baffle 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd,Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width- Head room -Rise -R -Landing-Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang- is Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Insulation -Walls -Ceilings 24. Fixture & Transformer Clearance -Ins. Protection Infiltration -Walls -Windows 25. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. Clearance Looked under Floor 0 Yes 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat 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 Vlearance 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- Head room -Rise -R -Landing-Fire Protection 56. Plywood on Roof Overhang- is Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -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 inGarage-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 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O 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: I' COUNTY OF BUTTE l BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538=7541 Ilk CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need -additional explanation, Data 3 A ILI _ Inspector REV 10192,_ ,r COUNTY OF,S-_BUTTE '' I BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 411 Main Street • Chico,' CA • (530) 891-2751 7 County Center Drive � OrojviQt ,-QA + (530) 538-7541 CORAECTIO,N NOTICE - D�6- a /6-0. OW OWNER r PERMIT NO. , al� 1 A routine inspection indicates tC t the following violations tbutte counN,Qrdinances 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. i a a Date Inspector REV 10/92 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE .� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 7 leas contact this office immediately. 0 j If D -SLtb W - ' REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Lt• -JI tol ASSESSOR PARCEL NUMBE9D 2 G . J� D LDrL g ZONING 2 V-7— BUILDING PERMIT Khc?3&/+0 OWNER ( , 2 eV TELEPHONE SO FT OCC. BUILDING VALUATION . OWNERS 11DRESS l r\�ov 1K/—+Lzu/`VJ CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ . -7 fnQ BUILDING ADD v® r e o I $ Energy Plan Checking FeeLA PERMIT FEE $ 242.�j LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE j. SF ❑ Duplex ❑ Mobilehome ❑ Other n d 1 qcLra sPECIFv Each Trap 7.00 Solar or heat um water heater 23 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5atj#ets 15.00 Building sewer 15.00 Mobile HoW ITFKW F (920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 800VOR UE Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La lnl for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 wit rovisions. C/ X Date ! P Loy Signature o I a ❑ Owner ❑ Contractor ❑ Agent An OS ermit i quired fore avations ova V' deep and demolition or construction of tura r s ri h Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OccUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50P.2-1. =RESIOT' MULTI -O11 UTLET 97,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES 20@1'00 BAL @ .SO O Ex. Occup. o,n,EED,S ES, 6.) E PA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEES ' MECHANICAL PERMIT Fling Fee. 0 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mo ' e Home Installation Fee $ Xnergy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. —� I D. FEES 1 ooDTDFPARC PD D SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By D e D PERMIT EXPIRES O AV B� afe COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5341 PERMIT NO. R�96) APPLICATION AND PERMIT - 01,6( a� m G tBUILDINGPERIIIIIT RPARCELNUMSER 5— �/ J1 X331F SO' �' 00C' BUILDING VALUATION S MAWN6 AD t r1� � i r o D TEUDI NE dmwRA=Frs NAME FSTR =ONUMER MAILING ADDRESS ARCHrrKT OR ENGINFi31 ARCHTECr OR B1GINFERS U&JUNG ADDRESS LOT NO. I SUBDMSIONS NAME I USEOFSTRUCTUR1E SF ❑ Duplex ❑ Mobilehome ❑ Other �/ TYPE OF WORK New kAddition ❑ Remodel ❑ USGties ❑ Instelietion ❑ Other ❑ Describe Work: Fire lace PERMIT FEE S Total Valuation $ FlingFee 20.00 Main Service ln Fee $ 20.00 jermitFee' $an NEW CONST. Checkin Fee Snergy OR ADDNS. Plan Checking Fee $ OoNs . MULTI.OUTLPT 1 $ PERMIT FEE S �7S PLUMBING PERMIT Fang Fee 20.00 Each Trap OTHER 7.00 Solar or heat pump water heater 29.0 Water piping .00 Each gas water heater or vent 15.00 Gas piping stem 1 - 5 0 1 15.00 Building sewer 15.00 Mobile Ho S G W @20.00 T PERMIT FEE S ELECTRICAL PERMIT FlingFee 20.00 Main Service �o OR L 23.00 Main Service 2WA TO 1000A46.00 Tem or Service 23.00 NEW CONST. DwaLM 0 P. 3.5QF7 OR ADDNS. i AOC. BLDS. OoNs . MULTI.OUTLPT 1 a7. 50 PERMIT 4E PAID $ ��i -- Pov AuARA� a sw� ourl>:T aR m ®I.oO \ Ex. Occup. ovLLET OR FDLTURW SAL @ .50 FDOED UTLM AMUNS. DE 5.00 Ex. Occup.Dvn.ETs 1D. EA. `\T'_ SRA O $ Tem or Service 23.00 Moble Home Facilities 20.00 Misc. Wiring 23.00 SHERIFF $ PERMIT FEE $ • MECHANICAL PERMIT FFin g Fee 2 . Heating OTHER $ Cooling Hood 6.50 Ventilation $ PERMIT FEIE $ Moble a Installation Fee $ $rgy Inspection Fee $ 17VTOTAL FEE $ CDF EL ItD UE FLAZ D. REFS P AMOUNT RECEIVED , $ This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. DATE RECEIVED By Date 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 I �' l C7 I Z ASSESSOR PARCEL NUMBER C� ' 3 I U'' v o� V Proposed Building Use: Counter Technician: A*i�Date: Q /F Itgms required in order to a ply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. / 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. /XD '' 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 011 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. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 O: 11. Site plan and business license approval from the City of Biggs O; 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ : 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer 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 ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use.Q)<,_(B)Parking: (C) Parcel Check: q L 25. Contact Land Development about _ Improvements, _ Drainage ......................:.. /k 26. NPDES Form......................................................................................:...... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 030. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................•.............................................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits..................................I...................... ❑ 36. Deed Restriction......................................................................................... 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 8. Other:S iv V 9. Other: �- ed Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: G%✓ /; V �,XDate: �� y 1. Index permit applruired f above items numbered: 1 / �fY Plan Check Letter 2. Additional items r r Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by ate: Contractor, designer, owner, was advised of the above data by ;6 phone, p mail, ❑ counter, b r Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: AIR / #0 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: /`ate-oY i NOTES w RESIDENTIAL 025-340-028.. 04-0552 BIRKHOLZ, KEVINE )ERMIT NO. FAVORITE CT; OROVILLE'""`""" Cont: SQUYRES, WILLIAM as : FIRE SPRINKLERS ! o4 -(D( oy- SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D Signature CHECKED BY >• J=OK 0 = Not OK = NotReadyab1e Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements-Setbacks-Easements 9. 2. Soils; Special MH Support Sketch Roof; Shthg-Roofing 3. Sewer; Location-Test-Fall-C/O-Concrete 12. 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Date 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 1. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not 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 Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 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 ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters O Yes O 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: 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. BP040552 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: 04/01/2004 APN: 025-340-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License � mber2Z K Site Address: Q�5 l(;4 (Nu� — I� " �� Contractor: W - c Date: S \ Map Index: Description: fire suppression system for by 04-0160 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BIRKHOLZ, KEVIN to its issuance, also requires the applicant for such permit to file a 300 SUNNYBROOK LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE 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 95969 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: WAYNE BIRKHOLZ owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 300 SUNNYBROOK LN provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of 530-533-2833 530-743-1096 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: SQUYRES JR, WILLIAM and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 3176 ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 Date: Owner: License #: 275206 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: 0 S. F. Policy #: Valuation: $0.00 Census Code: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shallforthwith comply with those provisions. A,o Date:�t Mq 116Applicant WARNING: Failure to secure workers' comp ns Non 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 is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency fq- the Resolutions 1 do work indicated ab oy for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Data: PERMI -EXPIRES ON: S 0S` Address: Date ❑ 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. ❑ 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. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspecti purposes. r \ l Print Name: \ 1 1 1 4 V\ S Signature: Date: ❑ Ownerontractor ElAgent for Owner ❑ Agent for Contractor BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2634 (CHICO) � OFFICE #: (530) 538-7541 J DATE _ C APN: /a ^ - t , ZONING: NEAREST CROSS STREET: TRACT/LOT#: SITE ADDRESS- FAt�©2�r CITY, ZIP: 0 0 %GLii OWNER NAME: Izv PHONE- '6T-32-.293? STREET ADDRESS: 300 Sc �.u,r� ,6 2a0 A) , F 7! 3 -IO f CITY, ZIP: D9x-o v L E-MAIL APPLICANT NAME: PHONE: ! /2!£ ,R - W.0 G 2 - STREET ADDRESS: 300 S /oak 4', FAX 7S'3 — CITY, ZIP: r1s �7 6 S E-MAIL: TRACTOR NAME: PHONE ADDRESS: P q wok .7 FAX LCMYLv/ZLQ P: Cf / I COE-MAIL ht G'/ -J 95�'J.� 7 NUMBER a7sa�� LICENSE TYPr HITECT/ENGINEER NAME: PHONE aBESSy FAX: CITY, ZIP. LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: d . ❑ 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 fees 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. For office use only. Notes: v Application Received by: Date: Receipt number: Amount Received: U I I March 10, 2004 Kevin Birkholz 300 Sunnybrook Lane Oroville, CA 95965 0 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 025-340-028 Building Permit Number: 04 -0160 -house Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. None STRUCTURAL COMMENTS: 1. Provide a letter from the truss company's engineer that states that the trusses are adequate to support the dormers, fire sprinklers, and furnace in the attic. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the D4ta, Sheet. Linda Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer 1 of 1 Ater closet clearances (Utriform Plumbing Code 408.5). SbOper compartment minimum 1024 sq. in d: 30" circle (Uniform Pltunbing Code 412.7). Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: Braced Wall panels shall start at not more than 8 feet from each end of a braced v%all line. Braced wall panels must be in line or offset from each other by not mors than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on arec center in both the longitudinal and transverse ditions (UBC section 2320.4.1_) Braced wall lines must be continuous throughout the strucnue. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not oomph With the Uniform Building Code. This must include the designer's `wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerestory requiring balloon framing and/or engineering. Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C�. Floor eoumction details complete enough to construct building. evasions and wall construction details complete enough to construct building. construction details complete enough to construct building. Fireplace construction details and calculations if necessary. ge door header size(s). orch header size(s). apical header size(s). . Stud heights. . High expansive soil - special foundation design required. g calls requiring design. �swm wallboard nailing inspection required. 1 : If the area below the lowest floor .is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed -A ith the bottom of the openings no more than one foot above grade. Alternatively. certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior v►alls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Conswction design requirements must be shown on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other sen'ice facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLATTOUS ITEMS: Stairway details - landings, rise and run head clearance, handrails (Uniform Building Code section 1003). . ° Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). -4.' Exterior plaster - weep screeds (Uniform Building Code section 2506.5). ,,5' Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2). Foam insulation - protection. a! 36" halls and stairways (Uniform Building Code section 1004.3.3.2). -8' Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 8 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. ergy design compliance and supporting documentation. . CDF responsible area requirements. BUILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. Wire Sprinklers required. 4. '❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lever. PP-ee -- )f T TF / :<v ° RESIDENTIAL PLAN ° ` ° �,.: ° ID REVIEW GUE °O SINGLE FAMILY, DUPLF..YAND MISCELL NEOUS ONLY Ov, -rer. Building Permit Number: t�1 d� � Plans Examiner: �iAdn ���njo.,nn A. P. Number: 6', !j Edi ER�L: Zoning requirements - (number of permitted living units). Plans signed by the designer. Proper description of work on the application. Existing violations on the property. Recorded notice of violation. Building permit valuation. PLOT PLA\: Complete parcel size and dimensions. Setbacks, side yard. easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on Parcel flap: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender C1Traffic and Drainage fen ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10°'0 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feeL The minimum net clear openable height dimension shall be 21". The minimum net clear openable width dimension shall be 20". When %indo%%s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glaring in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise pa'mitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling bight of not less than 7 fiat measured to the lowest aroiection from the ceiling (Uniform Building Code section 310.6.11 All habitable roams except kitchens shall have an area of not less than 70 square feet and not less than 7 Aw in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). dCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). _-4— W3cer heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening bw abath bedroom (Uniform Plumbing Code section 509.0). Frel burning equipment shall not be installed in a closet, bathroom or a roomreadily usable as abed:+oom. or is oom. compartment or alcove opening directly into any of these (Uniform Mechanical Code sectZon 301.5). Garage fire%vall separation - required on garage -side including supporting walls and posts (Uniibttn 8 Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.1). Food store location - Alcove - U1v(C section 205 confined space & 223 unconfined space & 304.2). 6.&--Smok_ detectors (Uniform Building Code section 310.9.1). Pagel of 2 Opp Err. Tfl7 =vv TRUSS Mitchell's Building Supply 195 Washington Street Gridley, Ca 95948 5033 FEATHER RIVER BLVD., BOX 5010 MARYSVILLE, CA 95901 March 17, 2004 RE: kBirMTO-1d Re is dencemv Sunny Brook Lane Palermo, CA . To Whom It May Concern: Item # 1 Trusses HI; LF, & L3 have all been loaded,to carry the FAU in the attic space. Item # 2 the trusses have had additional loading added to them to carry the fire sprinkler system and the inactive dormers. Standard loading for this job is 16 pound live load, and a 12 pound dead load per square foot. However the trusses have been designed at 16 pound live load and a 28 pound dead load per square foot for this job. If you have any further questions regarding these issues please don't hesitate to call me at (530) 743- 8855. ti Sincerely, Bryan J. Pagper Design Manager r (530) 743-8855 Fag: (530) 743-8856 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: AEU%A1 B/,_ky©LZ Yes ❑ Phone: 533-,2833 2. Is the structure already built, under construction, or under notice of code violation? Mailing Address' -;)00 Su.vuc,,,deoo* L.v. @',20U/GLS CA, Yes ❑ 11 4. Site Address: Assessor's Parcel Number:. �� - 3� Q "' Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LNFOR�NIATION: I. Is there a primary dwelling on the property? Yes ❑ No L 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No.R 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No ED CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? ,:. Yes ❑ No (a 15. What type of floor covering «ill the building have? Gem" f 16. What type of %vall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Poof House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family RoomElSun Room ❑ Private Office ❑ Workshop ElHome Occupanry 2 C Other — Use = 1. Describe cape or Worblrop , 2. &hist be approved by the Butte County P►am ing Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: I Owner's Signatus L 2of2 go subdivision Map/Parcel Map: Map Date of Recording: Lot: 5 2"2..— 0 2 2- ❑ Use Permit/`Minor Use Permit Permit Number: Book: ) J5 LI Date of Approval: Page: (�P Parcel Map/Subdivision Map/Use Permit Conditions U Comply with the following Conditions of Approval: ® Attached ❑ None M Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 1 Page 4of5 Applicable Development Fees: r. 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 M 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: 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 ❑ Meet current Environmental Health Department requirements Page 3 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: • Flood Panel No.: 0c)- 60 C. 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 fe 'Z , 47 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 CIL- Side Side Side Street Rear 3 Height Waterway N/A N/A N/A -T ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 SITE PLAN REVIEW APPLICATION Date: V2_ _ O Ll AP# ® 213 — Tj Q — C`L Permit Number (if applicable) Q Bin Number APPLICANT INFORMATION Parcel Size: "2- A, C_ OwnersName: f (2)< H 0'L_ _Z__ G-\0 1 TJ Owners Address: �©C> cS t),K) `% '� � �- Gr-®yi L_LG CA G Telephone No.: 2 8 3 Situs Address: F'w0fZ?`C C -T -- Proposed Use: Residential . New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural, Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel 31 Well ❑ Agricultural Buffer Form' ❑ Applicable 4 N/A Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved a Conditionally Approved ❑ Resolve Problems Prior to Approval R Site Plan Stamped Approved By Date Page 1 of 5 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: S//e� //at Z 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: NPDES & SWPPP Non -Compliance Certification Butte County Storm Water Management Program Revised 7/07/03 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 06 -Feb -2004 2004-0007034 Has not been compared with original BUTTE COUNTY•RECORDER 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: 'y0 /J&� AAk C tLC. 1 09 5 $flow .0 AJ T Ito i «i1L T/�ies / ,41C A !?9.�3/° �it f �.2/✓1C� 714 Fi a :moi G �c r` if 4�...� 2 �l: i� i T N ri G.� c� ..� f-� !� %`� / STe�'T/t o Date ' - t PROPERTY OWNERS: fl•.c 5 �,;p G�r�r r State of California ) County of Lkf ) On `f i t c "g- before mi personally appeared Ke-vLAL 3 i IZi( ff o L 21 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 instrument. WITNESS my hand and official s 1�'� �-- C ` \ ^ Seal: �Gno. 11377226 W CMY DE Signature f. �oturc tvax,ou> r, x Iooc A.P. 4 026 •3 40 • oag wiron, ni,9y Co vcne-,Aja C/16.6k /4j uS� yo 14.1 (AIJ,49ux