HomeMy WebLinkAbout027-011-054NOTES
v
RESIDENTIAL
PERMIT NO.- - - -- ~• °04=3252'
• � 027-110-054
P LANO-ROBERT .
_PENDERGAST LN, OROVILLL
Cont: FOX COMPANY
FIRE SPRINKLER 04-2593
�y.25; q-3
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) o
ll'61Qr-
Signature '4t�- '�'
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
;1OBILE 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.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
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 #'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
J=OK
0 = Not
- =Not AAppplicable
. = Not Ready
RESIDENTIAL
Date UNDERFLOOR (Plans) OK except #'s
1.
oning-Setbacks-Easement ood-Slope
2.fig.,
Main; Soils-Elec. Grp .-//'Ji/" Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
/Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
�i
21emwalls, Main; Steel-Blockouts-Wrapped
VAtemwalls,
Garage; Steel- Blockouts-Wrapped
6a/
Hold Downs and Special Anchors
7.
b, Steel -Wrapped
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-Crioeies
15. Access & Ventilation
16. Insulation
I %
Date ' ' /j Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Vy&er Htr.; Vent -Access -Combustion Air Baffle i ✓� N
W Y Pipe; Test & Anchor -Nail Protection
9 .W.V.; TeslFittings & Anchor-NairProtection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date 1/1(/4 Z Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
2 Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
24 Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29! 2 Appliance Circuits in Kitchen & Conductor Size GFI
3V ,Subfeed Wire size/ /gp�tu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /gaCu r AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0; D No
Service -Riser Conductors & Ground Main Disconnect
3;V' Equip. Clearances Panels-Motors-Mech. Equip.
34! Clothes Closet Light -Shower Light -Spa Light
35!Smoke Detector
Date U �� _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
C. Ducts Insulation & Support
3 ent Fan, Exhaust above insulation
ondensate Drain & Overflow, Size & Grade
39. Vinace-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
Sols Proper Materials & Anchors
42. W,afls Studs -Nailing Spacing & Braces -Plates -Sound
43 fearing Walls over Girders & Floor Nailing
44. draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
4 aders & Beams -Size & Bearing
(Single
Date
Duplex)
'�46_" h 48' Clinq„ Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shtina.-Rtna.
i 49.yi, lace Ties or Type A Flue Fireplace Throat Clearance
5 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Ht. & Dimensions
0000'V2. Garage Fire Protection Framinq-RC Channel
p� 54Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
,r5b._ttffWs`- Width -Headroom -Rise -Run -Landing -Fire Protection
I wood on Roof Overhang -Attic Vents -Rafter Outriggers
57--Siding-Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. G!p2ing Are lass Protection-Sk li hts-Plastic
6 hear W s: Nailina-Bolts r .- '
63.
Infiltration -Walls- indows
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.FI.)-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 Instid./Drive D Yes O No/Walks D Yes D No/Planters D Yes D 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 FAM (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP043252
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: 12/06/2004 APN: 027-110-054-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:,�S
Site Address:
Date: l/ Contractor: OK
Map Index:
Description: FIRE SPRINKLERS FOR BP 042953
OWNER43UILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROBERT PABLANO
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
1983 BALLS DR
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
YUBA CITY, CA 95993
she is exempt therefrom and the basis for the alleged exemption. Any
(530) 790-7229
violation of Section 7031.5 by any applicant for a permit subjects the
1
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: FOX COMPANY
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
3995 OLIVE HWY
provided that such improvements are not intended or offered for
OROVILLE, CA 95966
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-533-2730
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
Contractor: FOX COMPANY
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
3995 OLIVE HWY
❑ I am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
530-533-2730
Date: Owner:
License #: 305365
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.
Engineer:
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: _SM72T f W.V
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy #: z 72 CSN Z 3
❑ 1 certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. _ ---"�•
-- - - -- — - -- -
CONSTRUCTION LENDING AGENCY l
This p reb issued under the -applicable -provisions ofthe Butte County COdR gnrUor---
ffi
I hereby arm that there is a construction lending agency for the
Res u d ork indi ted above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
-
By: Date:
PERMIT EXPIRE ON
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu t of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: JC %�yJ(/y� f� LL//SIJ.�.i Signature:
6-G�
or
Date: Aa
❑ Owner / Contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVELLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541 -
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
CONTRACTOR
OWNER
Name
O
Address OD
Address 39gS1 DL/vL—
City D.QD!//at6
S
960
Pho 3 „4568
Fax
E-mail
F &-1,q/82.5—
CONTRACTOR
ARCHITECT/ENGINEER
Name �X /�,/y0
\
Address
Address 39gS1 DL/vL—
.S/u!
Fax
City �.Pov'��G�
Stag
ip_9
Ph a2 7 —30
F &-1,q/82.5—
.
E-mail
Lic. #
I Class
—/6
APPLICANT NAME
ARCHITECT/ENGINEER
Name
\
Address
Zip
City
Fax
tate
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
r
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP o4-3
BIN #
LOCATION
AP#
oz 7 —//0
Pro a Address
G7�'6�T�� O/QO►�/Gtr
ross treet
C-rC i
WORKER'S COMPENSATION
Policy Number
2 ZZ vev Z.3
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footag�/ 8
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done.. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
II Received by: tc?" a, Amount: r02• 26 Bldg I
Receipt #: + l 3 16 j
Date: t i • q - 04
Sheriff
SMIP
Other
I I 109-q6 Total 11
K:\FORMS\BUILDING FORMS\BldgAppISubRgmts.doc Page 1 of 2 REV 4-30-04
NOTES ,' RESIDENTIAL
rPERMIT NO. 0027-11 Q054„Y ' �_.; 04-25973-__-,L-y ty,
PL`NDERGnST LN, UROVILLE
a o-.
F ` Cont: OWNER' t
NEW SINGLE FAMILY '
• � , l�y= 3 �5'Z--ifs K,�, ', . .'
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
SPECIAL CONDITIONS
CHECKED
t
BY
ZSRA
_
OOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
'
VERIFY
b r
USE PERMIT CONDITIONS
a
SUB -STANDARD. HOUSING LETTER
",JOB FINALED (Date) O
Signature
J=OK -
0 =.Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
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.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
= OK
= 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 Ftp. -Steel
� 10L, , 9!D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
', Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Water Pipe; Test -Anchors -Regulator -Service Test
-12, Electric Underground
43. PWhums & Ducts; Clearance -Material -Support -Ins.
1W!Giuiers-Sills-Anchor Bolts-Joists-Vents-Crippies
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PL
BING (Permit) OK except #'s
1
Water Htr; Vent -Access -Combustion Air Baffle
1
. Water Pipe; Test & Anchor -Nail Protection
1
. .W.V.; Test Fittings & Anchor -Nail Protection
21.
Mhower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
3
Date y t
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELE TRICAL (Permit) OK except #'s
47'
fixture & Transformer Clearance -Ins. Protection
49'.,
lec. Receptacles Spacing -Lights & Switches at Doors
2
Size Boxes & No. of Conductors Stapled
7.
Romex Installed Close to Edge of Studs & C.J.
2
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
24'
2 Appliance Circuit in Kitchen & Conductor Size GFI
55/Stairs;
ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
3
Range Circle/ 6'. /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral p'Yes O No
3 .
Service -Riser Conductors & Ground Main Disconnect
3
E ui . Clearances Panels-Motors-Mech. Equip.
30.'
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 MEC ANICAL (Permit) OK except #'s
3 . A.C. Ducts Insulation & Support
37.'Vent Fan, Exhaust above insulation
3e Condensate Drain & Overflow, Size & Grade
3 . Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date '-111249 Card B-1 Date Card B-1
Date ItCard B-1 Date Card B-1
Date FRAM NG (Permit) OK except #'s
4—,"'09411s Proper Materials & Anchors
42. alls Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
4E5/ Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47'
Caps-Anchors-Connectors
49'.,
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
4
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
5K
Aftic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5
5
rm. Windows or Exiting Doors -Sill Ht. & Dimensions
arage Fire Protection Framing -RC Channel
Property Line Firewall & Openings
5
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
. Insulation -Foam -Looked in Attic
S' ing-Nailing Veneer
5A4tucco
Mesh -Drip Screed -Fd. Vents-Underflr. Access
.7
lazing Area -Glass Protection -Skylights -Plastic
W.
Shear Walls; Nailing -Bolts
6),—brace
Interior/Exterior Wall Panels
6 .
Insulation -Walls -Ceilings CL,,,Ty
63.
Infiltration- Wal Is -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
6 . Smoke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
'6.V G.F.I. & Bath Fixtures & Tub Access -Spa
6,V Elec. Trim & Subpanel, Breaker Sizes & Labels
Stairs & Rails
7X -Fireplace or Stove, Clearance -Hearth
7a'Elec. Outlets at Wood Panel, Int. & Ext.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74-
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closure
. A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Plb.; Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
. Insulation -Foam -Looked in Attic
8
uard Rails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
8
. Following Instld./Drive W7e-s O No/Walks 9.&s O No/Planters D Yes W
84.
Stucco Brown -Finish
8
A.C. Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8
. Water Well, Disconnect, Electrical, Plumbing
8..Rkterior
Elec. Trim, G.F.I. Receptacle -Underground
9,/Ventilation
Throughout House
9
. Glass Protection
f 1.
Corrections from Previous Ir)spqdtions
Gas Test-Mhters Ta ged, qyElectric
9
Water & Sewer Connected -C/O to Grade -HD Approval
94,,,tnergy Compliance Certificate -Other Certificates
9.
A ress Post `d
O_KFire
Sprinkler
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
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
ICORRECTION NOTICE
d�
n
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.
Date Inspector
REV 10/92
t
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.
BP042593
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 12/03/2004 APN: 027-110-054-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
�1
Site Address: � � � � �Z "
1
Date: Contractor:
Map Index: AII!J
Description: NSF (3185) GAR (676) COV (447)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROBERT AND JOANNE POBLANO
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
1983 FALLS DR
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
YUBA CITY, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95993
violation of Section 7031.5 by any applicant for a permit subjects the
530-534-4568
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
owner of property who builds or improves thereon, and who does
cw w' * 't�pOBLANO
Applican }, ,-RZ*_ `a�toJ
such work himself or herself or through his or her own employees,
Z�
�3 u3_
provided that such improvements are not intended or offered for
�6SZ-{�� �`�0
sale. If however, the building or improvements are sold within one
;A
year of completion, the owner -builder will have the burden of
n&� t��
proving that he or she did not build or improve for the purpose of
a�ii
sale.).
�v y�3 �,5�"- -
O �
-
❑ 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
•
, ZSZ�
not apply to an owner of property who b or improves t on,
,
and who contracts for such projects it a contractor li nsed
pursuant to the Contractors' State Li e e Law.).
Contractor:
❑ I am Exempt under Article 3 of t Busine n r ssions Code
Date: 12 `3'0 LV Owner.
WORKERS' COMP SATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer: PURSELL, FRANK JAMES
insurance carrier and policy number are:
Carrier:
Total Square Ft: 4308 S. F.
Policy #:
KI certify that in the performance of the work for which this permit is
Valuation: $230,401.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provi ' ns of Section 3700 the Labor Code, I shall
forthwith comply those provisio
Date:
`�-
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
code, interest, and attorney's fees.
compensation, damages as provided for in Section 3706 of the Labor�a
CONSTRUCTION LENDING AGENCY
This permit -is -hereby issued under -the applicable;provisions.of_the Butte.County CgdR anrvor
I hereby affirm that there is a construction lending agency for the
Resolutions to do ated a ve for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
O 4
Name:
By: Date: -
- ' 0
Address:
PERMIT EXPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl 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 corcect, and that I am the owner or the duly aut gent of the I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offic or docume Butt ounty. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
hR((' L J G
Print Name: " b .10 Signature:
Date: /� 3L
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION �y53,o6
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
ARCHIT CT/ENGINEER
CONTRACTOR
OWNER
Name
0VV
[Le Okr o e
Address
L4'_
� 83
City
r
E-mail
State
Zip
Phone
a�
Zip 59�
Fax say_
E -m '
E-mail
ARCHIT CT/ENGINEER
CONTRACTOR
Name
C4
Address
I Q, 3 ./
City
(r State
Zip�� ��
Phone
o -b Fax
E-mail
Lic. #
Class
ARCHIT CT/ENGINEER
Name -
Address S' OA44 iUrX- Ak-
C4
State
Z'N,5' b
Phone I I
Fax `D
E-mail
State License AuZber
T pe onSt.
APPLIC NT NAME
Name a
Address 19 $ fqQcS
City - Cy
Stat
Zip 59�
Phone 53 J���
Fax
E-mail
For office a y:
Zoning
Flood Zone
SRA
No
Occ.
T pe onSt.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
LOCATION
PERMIT
rho. a
BP
OVER FOR SUBMITTAL REQUIREMENTS L
K:\FORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
LENDING AGENCY
Name
k&_e
Address01"r I/p
Description or Scope of Work:
Mew S re--
Q Kr
Sq. Fooiyaje[ It) f -1 l i rg
u ouumure t5mummout rermas T
❑ ,propose Chan a of 0ccupan
pp I�IO�OF �P pICATION
A cati s whit a e t t been i dAe're one
year after the da applic on. t re n an
application a% �pir ion, jew Ap 'cati an11 be
Refundslan 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.
Receipt #:
Da A 04
Amount: Bldg
SRA
Q '—sheriff
a �3 '-?aSMTP
Total
REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply_
for
INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEti�B IN INK.
Residential, w, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑
4.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
5.
Letter from Engineer or Architect for truss design review.
❑
6.
2 Energy compliance design and supporting documentation: (Note: Not required for additions to
❑
6.
mobile or modular homes.)
❑
7.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
8.
Detached Accessory Building Form, filled out by the property owner (if required).
❑
9.
Sanitation and site plan approval from the Environmental Health Department.
❑
10.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
« 3$�,
with*
tode -al 905is.
En eeredtruss1detai,s and layout% (if required) (NO FAXES!).
triplicate, (D)' Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
2 Data sheets and installation instruction manual.
❑
3.
2 Marriage line information.
❑
4.
2 Floor plans.
❑
5.
2 Engineered Tie Downs or Foundation plans.
❑
6.
Sanitation and site plan approval from the Environmental Health Department.
❑
7.
2 Flood�_Elevation Certificate, wet -stamped and signed (if required).
Commercial,
New;, Additions and Rmodels:''
❑
1.
4 Site Plans, signed by the preparer'-NO=GR HPAPER!
❑
2.
4 Engineered plans with -vet signature,on-plans AND 2 sets of stamped and signed calculations,
❑
« 3$�,
with*
tode -al 905is.
En eeredtruss1detai,s and layout% (if required) (NO FAXES!).
El
4.
Letter frorYil Engmeet• or A,rcliitect'for' truss design review.
❑
5.
2 Energy compliance design and Wpporting documentation (if required).
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Statement of Intent for Non -heated and A/C (if required).
❑
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -sided by the engineer.
❑
9.
Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)53.8-2140
PERMIT APPLICATION DATA SHEETr, L
OWNER: V 1 v ASSESSOR PARCEL NUMBER
Proposed Building Use: rq Counter Technician: Date: �• U
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order � 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. `
13 4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
,1 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 find plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed ed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
R aining items needed to issy the permi May require additional plan review upon.rece!pt 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 ..............................
t3 22. City of Chico Plumbing permit ....................... ...../�.....................:....�..........
23. California Department of Forestry plan approval Qpaid. Sent by:
24. Planning approval (A) Use: -OL(B)Parking: (C) Parcel Check:_ 0 �0
0 25. Contact Land Development about _ Improvements, _ Drainage .........................
[� 26. NPDES Form.............................................................................................
iYVT 27. Encroachment Permit -for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrie and Policy Number ..........................................
15 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...............................................................
to * 35. Existing violations and/or expired permits.........................................................
❑36. Deed Restriction......................................................................................... _
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to . D. $
❑ 38. Other: _
❑ 39. Other:
When issued Telephone and hold for pickup. / Z 2 pf
feei
I have been informed o,M a above ite and re irements for obtain4buiermi . /21
LApplicant: _ _Date:
1. Index permit application for the above items numbered: Plan Check Let
2 I items required
W�Asigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: - -
Contractor, design ow was advised of the above data by P- one, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: ( Date:
Note transfer by: Qkm2s= Date:
Yellow: Building Division
D -I
AP
e-0 Tl -rt 5 J
" r e S�pr�.vdClerS
F Pw
� E.M. USE 0Ai4.Y
! i Piot Pian Attached
Flow Plan Attachad\'
Sant to B.D.
1 '
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposa Water Supply: Pu lic Private Well \.
Clearance for dwelling. Other - . '�
i
i
Hold final for:
Final clearance O.K. for:
NOTE:
i
Environmental Health Specialist Date
8/96
i
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 ��0�, Yv b
A. P. # ' l 1 �► OS
PROPROSED BUILDING USE N-
DATE -3 -
1. BUILDING PERMIT FEES
RECEIPT # DATE REC.
--- Balance Due ..................... $
--- Additional Fees Due........... $
_'61---Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEESC��'f t[eqq'V_D�0
(paid at School District Office) (form available after Plan e )
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.).....
4. URBAN AREA FEES
X $0.03 = $
Sq.Ftg.
(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
1 $510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
-48"0 (paid at Building Divisionalt)
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 = $
S . Ft . Amt.
10. OTHER0�4`
lime of permit application, dvised the abov es re required to be paid prior to issuance of the permit. These fees
may be changed during th checking proces .
APPLICANT
DATE — J U
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)
OWNER -]BUILDER VESICATION
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 opporhwity to avoid unnecessary delay
in processing -and issuing your building permit. No building permit will be issueduntil this
verification is received.
f
I, I personally plan to provide the major labor and materials for construction of the proposed
property improvement : YES NO ❑ ' _
2 I DAVE ❑ HAVE NOTKsigaed an application for a building permit for the proposed work.
I have contmcted with the following person (firm) to provide. the proposed contraction:
NAME.
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO
-,) I plan to provide portions of this wort:, but I have 'bired the following •person to coordinate,
supervise, and provide the major work
NAME:
1 ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE N.O.
the work indicated: - - -
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOW- r L
' SO •
DATE: 3 ��
NOTA: This Owner -Builder Very cadon is required by Section 19831 and 19831 of the
California Health and Safely. Code. YMY verrfication must be completed and
returned to our of we before we are permitted to issue the aerndt:
a%Y
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Department
C o u n t,
J. Michael Crump, Director
of Public
o f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement , ILESS THAN 1 ACRE1
Project Description: // V,,64Ar
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit ,
from the State of California Regional Water Quality Control Board.
r°
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of 1 ay result in revocation of grading and/or other permits or other
sanctions provided by law. /
Signed:
Title: �—
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
AND
August 3 1,2404
Butte County Building Department
Oroville, CA 95965
RE: Building Permit
We are submitting our building plans today for permit approval of two side
family homes in Butte County with a special request. We would life to ask the county to
only do an in house county plan review and approval. If this is not possible then we
would only like our plans to be shipped out to Gorden Wright P.E. of W ldan in
Sacramento CA. Thank you in advance for your time and consideration to our request.
Sincerely,
R ohPrt T. Pohlano
Chris T . Pohiano
3100 Oroville Dam Blvd. Oroville, CA 95966 • Phone (530) 534-4568 • Fax (530) 534-3657
School District
la,
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One for rn per Building)
(10VII/e, H, q h Building Department No.
A.P. Number Jurisdiction: city County
Property;
Owner
Property Location/Address
Subdivision Lot No.
I
Residential Development
No of Living
Units
•Commercial/lndustrial
Nau
District Identification No. 05017 8
(,)T\ School District certifies that
(' r L4
(Street Address)
ro'u I) U -
(City)
has compiled with the requirements of Resolution No.
repre senting I b square feet.
District
(State)
Roofed Areas)
. / /- / 17 -/moi
Date
(Applicant)
-790 �QLQIJJ
(Phone Number)
(Zip Code)
by payment of $ . r7 (3q, q 0-
FULL 2926 $
MMGATION $ --]
10. -3 -
Date
Paid by Check # a as Remarks:
Notice: You may protest the Imposklon of the fees Identified above by submitting a written "*M to the District, In compliance with
Government Code Section 66020(a), within 90 days from the date,fen are OM. Failure to submit a timely written pn*M vAll'prohlbtt
i6u from diNal"Ing, the Imposition of the fen In any court action.
K subsequent to the School District Representative signing this Butte County Schools Impact Fee Cirtiftatlon Foram, the School District Is
rrotlller!by the applicable Local Planning Agency that this project Is being revWmed under the Caltfornla Environmer" Qualty Act (CECkA),
this project may be subject to additional school fen to hilly nAl9sts. Its Impact on the school dWbtcft schools.
White, (applicant), Yellow (building department), Pink (school district) feeformods (10/03)dmm
P2
Sq. Footage ?/ Y -S
Mobile Home
Addition)
'Supplemental to (Group R)
Installation
Conversion
Permit #
L........................
*(No foundation Inspection)
Deed Restricted Sq. Footage
(Attach a signed copy
of Deed Restrictiodand Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
District Identification No. 05017 8
(,)T\ School District certifies that
(' r L4
(Street Address)
ro'u I) U -
(City)
has compiled with the requirements of Resolution No.
repre senting I b square feet.
District
(State)
Roofed Areas)
. / /- / 17 -/moi
Date
(Applicant)
-790 �QLQIJJ
(Phone Number)
(Zip Code)
by payment of $ . r7 (3q, q 0-
FULL 2926 $
MMGATION $ --]
10. -3 -
Date
Paid by Check # a as Remarks:
Notice: You may protest the Imposklon of the fees Identified above by submitting a written "*M to the District, In compliance with
Government Code Section 66020(a), within 90 days from the date,fen are OM. Failure to submit a timely written pn*M vAll'prohlbtt
i6u from diNal"Ing, the Imposition of the fen In any court action.
K subsequent to the School District Representative signing this Butte County Schools Impact Fee Cirtiftatlon Foram, the School District Is
rrotlller!by the applicable Local Planning Agency that this project Is being revWmed under the Caltfornla Environmer" Qualty Act (CECkA),
this project may be subject to additional school fen to hilly nAl9sts. Its Impact on the school dWbtcft schools.
White, (applicant), Yellow (building department), Pink (school district) feeformods (10/03)dmm
P2
r .-
M
d7
L0N
NtO
Butte County Department of Development Services
03 tF
YVONNE CHRISTOPHER, DIRECTOR
i0 0
o �i� o
7 County Center Drive
°\/ °
Oroville, CA 95965
CUU
(530) 538.7601 Telephone
N-%
(530) 538.7785 Facsimile
TO:
FROM:
SUBJECT:
1
QDATE:
WILLDAN
Scott Rutherford (530) 538-7160
srutherford(@buttecounty.net
Plans Transmittal,For Review Per Contract
9/7/2004
Applicant: Poblano, Robert & JoAnne Permit 04-2593
Project Type: n APN: 027-110-054
100% 70%
Plan Check Fees $ 1,453.06 $ 1,017.14
$ 1,453.06 $ 1,017.14
W ILLDAN Fee $ 1,017.14
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
12/03x04 FRI 11:17 FAX 916 774 1450 ERICKSON 16002
0P
6UILDING 60UPONENTS
December 3rd, 2004
Butte County Building & Planning Department 7tt- 1--?Lpl
7 County Center Drive
Oroville, CA 95965
REF: Chris Poblanot'Robert Poblano Residences Rft� ® ,
Pendergast Lane `�`
Oroville, California A
APN's — 027-110-053 & 027-110-054
To Whom It %lay Concern:
The purpose of this correspondence is to verify that the above referenced truss jobs are
both capable of supporting the additional '12 pound DeadLoads created from the
installation of 1" PVC Fire Sprinkler System, and it's related components, applied
directly to the top side of the truss bottom chords.
The truss designs inherently provide for a additional miscellaneous bottom chord
DeadLoad of 1.5 pounds psf which more than covers the intended Fire Sprinkler System.
If there are any other concerns with this or any other plan please feel free to contact me
during regular business hours.
Until Such Time
Sober
Designer/Estimator
8350 Industrial Avenue ® Roseville, California 95678 ® (916) 774-1115
�y., ^v�'Mil+FSl�-wr--..v.-•^•.��cr•.-..r ^ ��,-�.,,-.r„•*p.va1 •'.•^R
CERTIFICATION OF.INSULATION
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
ADDRESS OR TRACT �'
SACRAMENTO BUILDING CONTRACTORS
�� �
1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026
'L.. 1 1 .J
❑ 605 S. AUBURN STREET GRASS VALLEY CA 95945 LIC#202026
���
❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026
'❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026
DATE INSULATION COMPLETED
( square feet) (
square feet) ( square feet)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION'
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
, FIBERGLASS
FIBERGLASS
FORM BATTS
FORM BATTS &BLOW
FORM BATTS
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER
MANUFACTURER
MANUFACTURER
CT
OCF
r. KN
CT
OCF
KN
n
CT
OCF
KN
.
,
-2 BAGS r '
R -VALUE
APPLIED
R -VALUE
APPLIED
MIN. INSTALLED
IGHT PERARE
R -VALUE
APPLIED
INSTALLED -
THICKNESS
INSTALLED
THICKNESSAM
FOOT
INSTALLED
THICKNESS
12
f
KNEE—Al I Q IF R -VALUE IS OTHER THAN WALLS ABOVE
MATERIAL
FORM
R -VALUE i . 't
MANUFACTURER
FIBERGLASS
BATTS
CT OCF
KN
AIR INFILTRATION SEALANT ,
MATERIAL _
FOAM
MANUFACTURER '
r
HILTI
HANDY FOAM
THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS'B'EEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES,
MATERIAL STANDARDS AND REGULATIONS
SIG •ATURE- I SULATION CONT AC+"F j R I TITI-DATE
SIGNATURE -. ENERA C6NTRACTO TITLE i y
DATE
REMARKS
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
SITE PLAN REVIEW APPLICATION
Date: /Dhj4/0t'( AP#
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Si
Owners Name:
92i�iU A
0
Owners Address: Q y/ I&A
Telephone No'.:,. > 790- 7a.7- .r. .
Situs Address: P-�M� 4 S;�-
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
.Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
it Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Is Site Plan Stamped Approved* '
By Date l0
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservatiori 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: X p
• Flood Panel No.: _AAp4 _7 5C Index Date: 0
❑ Sacramento River Reclamation District (Approval must be obtained from the C lifo a 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: 4 — 5 -
Applicable
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
� t
Side
J ,
Side Street
Rear
Sr
Q
Height
Waterway j
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Applicable Development Fees:
Standard Fees Amount Formula
❑, Fire
❑ School*
❑ Parks/Recreation ;
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
-------- ------
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
II Deeds: 4
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ' ❑ No El 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
ft Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: /
❑ Use Permit/Minor Use Permit
Permit Number:
Book:—/ 36:, PageLJ1_ cin
:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
IN 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 roa
El
Page 4 of 5
r
'
C
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALarryslBuilding Permit Site Plan Reviewl.doc
Page 5 of 5
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
October 20, 2004
Robert & Joanne Pablano
1983 Falls Drive
Yuba City, CA 95993
Subject: APN — 027-110-054
Dear Mr. & Ms. Pablano,
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Building Permit Application 04-2593. Attached, please find a copy of the parcel map
notes for your property that. was recorded in 1995. In this certificate, it states that you are
required to have automatic fire suppression sprinkler systems installed in all new residential
structures.
For final approval on your Building Permit Application, we will need plans submitted for fire
suppression sprinklers. Please submit these plans as soon as possible for review.
Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-7601.
Sincerely,
Lana Adler
Assistant Planner
SY!5TjO-A45,5-q4LI- A'36 11,1G7ALI-EI) //,/ ALL
STAJVCTV;e,!rS 1AJ.4C4:ORDAAJCE W177-1 -WE A147'10, 41- CIZ6-
a-;SOC1,4T1OAJ S741JD,4Z17 F6')R' 77,e 1AJS7,4UA71OlU OF SPRWok'l-&R
/1V OA45' 4AJO T&IO PEAA,1,14 y 12kA61 / 1Ajj5 s 4Ajo A19*A9:S, A.I. -- A-. A.
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4,c7-1v1n1 kin-alij 74t--- -5410 S7WWA-1 OR S)J,4eZ OCCUR P,4V-Oe 7-0
Pt114D 1"GG AIY7-,U1l-1 'TUTS S41,03DIVII JOAJ 5941J- RiE-colt/ gMUC-re n
TO COhIP4 K IV/ r14 7UG OF. 7-A&r- ZAM4� 1 ,1101AA5 XOR14-45F
1-1041)66 S,414�4 A6 CO1J67RZ4-- lz�ERMAAA1,47
oF 314AZ-e MMT 7-1N6- rlt-e SAF, -
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f7 Ag��'S F.4-1-41-rit
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, _ i5 A
pzyz;5?ZW;j;9i6 OF CI -14P-,," :37, AWITtel-5 IT OF Xi�
oF Zxr,#,"n-5 -& asc- Pap-Awr w 7-i,&= 44-5�
3t p RW SAID Ff. AWEVA17- WZU- A5 &--T,5;OA41A&979 AW 4ALeaIA7---`D
AM -Wei AIIXa)jV,6' PE, -;-W.I7- 0.& 41 Y -e- AW341-r-
L or 7-9,'SE PA=61-9 MOY Z-6=1,06- PWyAfC-1-JT OF
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OF PRIVFWA V AND PlOA,9WAV WX L RE PONE COMC41VSV-rl- Y
WI T1•% qC PR1,09 TO 13EVe4OPbM9Vr OF
/
Edward g. Peadergast" Tentative Parcel Map, AP•027-110-012, 3 �.
parcels located an the south side of Grubbs Road, 1700 ft. east of
country
Club..Drive.;: Palermo area. Engineer: Ron Graves
Associates.',,.,_..'i..
DEVZWrXEXT�: CONDITION
each parcel
Provid®':two sy:;traversable access P.S-B-LD-II to
twined road or state highway.'
- .yfrom a"coiinty;;main
`'jjlr: r z•t:M,,.,'''..`.'\t1•?,t'.`r>°.a:,.�<; x,,:�;�:'=' and'
Z ;' ;access:?foT' be :'reserved in .deeds as per county ordinance
>offered: for: dedication on the final map.
a'S0^ft':' buildiv:� setback line measured Lol« c= e�
_w:: syAShhs . ,
1p -' _ - —access easement.
rF. oad:maintenance agreement.
.• rY;Y."Xi ,^ti.•C,J•;.��.i. ••1'*. �'7. Frit^ .'�':: ..
Deed''top the;iCounty of ;Butte; 30 . ft. right-of-way from the
d.
e
cnteiline :of� GrubbsRoay
V ; ;'.tir: , .,, the centerline of Uj
�r�^` ft >:building setback from
Ih icatetf,'a 50"�` pp : ,u
Parc
-*Grub Road J...:,;,.;..
-
KY�a .•;; e;; v eats: of record on 'the '.inal map.
�r�n::7 Siio�'<;a11'v, asem
n. 'lr•"r.�i";.i.. =;:': .t. .::.,:i •>��?, :.:
aipravida,.street'y:name "signs • per'_requirements of the Depzrtment
of:p� ' r: rior'.to;,recordation of the, final map.
`.�g"b d, ,'.-+ e>,.rl�..,n .r✓. fir•. y:'{'yf-.S;�'•1>Lr.:n.',:.:..;, �.
�,. �'�� �•��'� • w ' , - •- .drama e .
xf provi e. ermaneat:solution%for;; g _
• _�, �5n. fir" '.- .,;��•'iA: r; •, .:'`;y ".', "... -
;�{,� -de=s "'of;the�'street.
1O: Proeid"e•=; n1 ac., at':•;the``end
construct standar.i road
11 Obtain• eaePoachmeat-cl
approach; ,i6VJdinq-.'A equate'sight distance at the intersection
access raia,�1dy
and:Grubbs:.: Road:;
17 Show a 2.00 ft. leachfield setback from the highwater line of
the lake on parcels 2 and 3.
is Show the.:; -sable sewage disposal area proven to meet the
4;='requiremeat3 ofr,the Subdivision Ordinance on parcels 1, 2 and
'y�.+7='�iY;.�i a-wfta?_�„';�nd`�t-`�°ahr.:�`.. ��;f f.6,•:.;,: .'�-i
`�j'h (�'rn; .'.:�'�%t1f•,nrkal''I }' .�..:”. ,if'+..H4 j..<,-_ ..
......:?_.:3.i1:JSs_klv.`:i.:.i"..iy Y�)q����•'��1 •'y.• -
i
in nature',
rips OIL Qcondition:
.._ ., rv�7`'tiJ�,; 2�i�;i.w`•�•'.3ti:d.-.t?f= �:�.: `�.'_.: ..�•-.',�.•".i.'+; ::•:, `
op enti pact ;fee; for .Sheri.ff!s;,.facilities :shall':be
u=suasit moo,"y^the, proyisions:,of.hChapter 3, Artiole': II `of
Fj�111ding-rpe'..'-nits'
'r_r wr�65iTd45.C%sa.Gdc' iF.v�+vr.=. •••s,��_ ____. .--.. .. ..c..''.
ark. Said :fee;" .;
erm t a' the pase.;of a9,mobile
kiome .:p rf .
deteimined`hendxlcalculat'ed as.yof:ah6zz, atey,,of^ '
st'iom for the buildingtpermit�,4or use permit;;+ash,
h��SC��'.a.YY�y`jA
measurest,
7'';j":':.:f:._'•: '.;'•;i::'..If
ghotthe;,additional:.sap::sheet that states: Fire'
ssiaa=sprinkler,;systems ..shall= be installed . in all new
anal st=tictures:; ia`: accordance. with the National Fire
tionF soca at ion`k.'Standard :'for the installation of
ler: systems;':in :one':''and: two - family -dwellings and mobile
rTFPA:;Standard:13D = unless a'pressurized community water
J1F
�with�3iiiydrants.:.that';!meet Fire Dept. specifications
N.
a no`^��stiirbance'setback ,'shall be located ' along both
f^ P -D...,:.
"ofN.the;�:s=ream channel..''.. -"This -.no disturbance zone shall
ntifiedixon`:the;'final' map.:.:. The zone can include the
'?ofAtlii^road:as, shown 'on the. tentative parcel map.
the.,,linaT: map.:stating:j If a 1600 Permit is
"e for #:ueuroad,=ossing'.the•:intermittent stream, this.
®oiitained::pzior toy: any:;;giading - or other activity
t the aid:y"stream.S,6r.r'shall=-occur`.prior to issuance -:of
.Egg'; r�Y't: `: AG_' �t r ° ? <_. :L•' '
e fo to .ing nota":on' the;,final'...map: Reside:ttial
.ngs. tuft$izL this.'{ Eubdivision:5shall - be --constructed:* to
W ^th'"the.requirements;";of„�:.tbe ;.Uniform Building Code.
v::p .s r 'o+:r .. ...... ... .. ...: ..'A: ..
3omes';:shall• be!'constructed�on;"a:.permanent. foundzr*ion.
... r.. y on r� 1: 'tTj'SdrGYf'.:•.y tip; iS'Sp 7r Y. .; .. :...;
i21ING-ALL COiTN'I-2j, ONDITIONSrOF.,-�APPROVAI,. :'•
iges;may be,;approved �administratibely- by the Directors of
tal Healthy Pla' hingror.�Public' Works upon receipt ofa
ta^"rititea regiie:st',by; -the:-applicant- and only as..to those
o{ zFegairements:,gwrecommended i by. -_::•their respective
P=to: 'tb such' approvil;�verification shall be made by'
en
ppii;or ivisiori'?tthat':the° modification is consistent
cate''i4
icn'� <f,esd rand :environmental determination as
lly.approved:==Changes d::emed to be major or significant
shall'require a formal application for amendment."
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CDF FIRE SAFE REQUIREMENTS
0271
- 10-054 BP -04-2593 Poblano
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required by the Butte County Fire
Department and made a part of this permit. These requirements are minimums and will be
superseded by Butte County local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for compliance.
[X] 1272.00
Maintenance of Defensible Space. To ensure continued maintenance of
properties in conformance with these standards and measures and to
assure continued avail -ability, access and utilization of the defensible
space provided for in these standards, annual maintenance must be
provided for by the land owner.
Driveway Standards
[X] 1273.02
Surface. All driveway surfaces and structures 1273.07 (bridges,
culverts and other appurtenant structures which supplement the roadway
bed or shoulders) shall provided unobstructed access to conventional
drive vehicles, including' sedans and fire apparatus weighing up to
40,000 pounds.
[X] 1273.03
Grade. Not to exceed 16 percent unless paved.
1273.04
Driveway Radius
[X]
1. No roadway shall have a horizontal inside
radius of curvature of less than 50 feet and additional surface
width of 4 feet shall be added to curves of 50-100 feet radius; 2
feet to those from 100-200 feet.
[X]
2. the length of vertical curves in roadways
exclusive of gutters, ditches and drainage structures designed to
hold or divert water shall be not less than 100 feet.
[X] 1273.05
Turnarounds. If required, will have a minimum
turning radius of 40 feet from the center of the road.
[X] 1273.05
Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a
minimum 25 foot taper on each end.
[X] 1270.10
Width. All driveways shall provide a minimum 10 foot traffic lane and
unobstructed vertical clearance of 15 feet along its entire length.
[X] 1273.10
Turnouts. Driveways exceeding 150 feet in length,
but less than 800 feet in length, shall provide a turnout near the midpoint
of the driveway. Where a driveway exceeds 800 feet, turnouts shall be
provided no more than 400 feet apart.
1273.11
Gates
[X]
1. Gate entrances shall be at least two feet wider than the roadway
it serves.
2. The gates must be located at least 30 feet from the roadway and
shall open to allow a vehicle to stop without obstructing traffic on
the roadway.
3. Where a one-way road with a single traffic lane provides
entrance, a 50 foot turning radius shall be used.
1
CDF FIRE SAFE REQUIREMENTS
027-110-054 BP -04-2593 Poblano
AP# PERMIT # NAME
Fuel Modification
1276.01 Setback for Structure Defensible Space
[X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot
setback for buildings and accessory buildings from all property
lines and/or the center of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for
the same practical effect. 'See other requirements below.
[X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying,
burning or removal to a landfill site approved by the local jurisdiction, of
flammable vegetation 'and fuels caused by site development and
construction, road and driveway construction and fuel modification shall
be completed prior to completion of road construction or final inspection
of a building permit.
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
Class A or B roof
Enclosed Eaves
[ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and:
Choose any 2 of the following:
- Metal or no doors on side toward property line with insufficient setback
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property line with insufficient
setback
- Siding from the following list:
Stucco — 3 coat
Hardi-Board or Plank
Masonry
Masonry Veneer
Metal
Other Butte county Fire Department approved materials
09/09/2004 Darren Read
Date Signature
is
SWI LLerving iDA�N
November 4, 2004
Scott Rutherford `;,
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
Willdan Project No: 14353-1141
Jurisdiction Job No: 04-2593
Assessor's Parcel No: 027-110-054
Description: Poblano Residence
Dear Mr. Rutherford:
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.wilidan.com
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
Plans: Two (2) copies sheets 1-7, dated 9/1/1999 by Jim Pursell, P.E.
Structural Calculations: Two (2) copies dated 08-24-04 by Jim Pursell, P.E.
Energy Calculations: Two (2) copies dated 06-29-04 by Don Freemyers.
Truss Calculations: Two (2) copies dated 06-03-04 by Erickson Building Components.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to
our previous letters relating to this project, the superseded plans and documents will be discarded within 10
days unless we receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
,
W I LLDAN
Serving Public Agencies
CODE ANALYSIS
Type of
Occupancy
Type of
Construction
Sprinklers
p
Stories
1" Floor
S Ft
2" Floor
S Ft
`Total Sq Ft
e J ''" ; V , 7.
IN,
. 11 -
R-3
V -N
No
1
3185
NA
3185
U-1
V -N
No
1
676
NA
676
Covered
V -N
No
1 ' 447 NA 447 '
Porch t
APPLICABLE CODES ,
Unless noted otherwise, all comments are based on requirements of the 2001 California .Building
Standards Code found in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC"
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC"
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC"
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC"
• _ Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS" _
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments _
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
SPECIAL INSPECTION NEEDS.
Our plan review reveals no special inspection needs pursuant to CBC 1701.
Sincerely, f
Isaac Kuster
Plans Examiner
CC: Alice Mefford, Email: ameffordAbuttecounty.net
Robert Poblano, 1983 Falls Drive, Yuba City, CA 95993 FAX (530) 534-3657
Jim Pursell, P.E., 5 Madrone Ave. Ste.B, Oroville, CA 95966 FAX (530) 534 Email:
jpursell@sbcglobal.net
1, • , . _ ..
Page 2 oft ; County oti.Bu.tte 14353-1090•
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
20�0�+—Q1074 107•Es
Recorded
Official Records
I REC FEE 10.00
I CONFORM 1,00
County Of
BUTTE
I
GRUBBS
I
ROSMRY DICKSON
I
Assistant
I Alyce
02:07PM 03 -Dec -2004
I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT - FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents ofthis.property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date �e& S Z""4 4
State of Calif nia
County of 7(,'1'(F-
�f
f=
PROP, RTS' OWNERS:
12-12,101
v'
lber+ L P b ta.n a
1 .So •ASI ►12.
✓� �o��k�
On / j��J�9 before me, Wfidk'
personally appeareds L (J personally
known to me ( 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 bX/)er/their authorized
capacity(ies), and that by h1s/!0r/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the in trument.
WITNESS my h;7XIclal se r GAYLA WILDER
COMM. # 1399916
Q •o OTA UC-CAUFORNIALy
Signature Seal: BUTTE COUNTY 0
CO M. EXP. FEB; 27
A P. # .� �,, GAYLA WILDER 3 - r- UAYLA WILUkl<
COMM. # 1399916 0 M. it A
b3 % %/12 -Fv O o�c;ri NOTARYPUBUC-CAUFORNIAp NOTARY IC-CAUFOONIA
BUTTE COUNTY 0 UTT COUNTY
COMM. EXP. FEB. 22, 2007 I COMM. P. FEB. -2Z -1b07
LEGAL DESCRIPTION
EXHIBIT "A"
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I:
PARCEL 3 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
FEBRUARY 28, 1995, IN BOOK 136 OF MAPS, AT PAGE(S) 41 AND 42.
RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS
SHOWN ON SAID MAP.
AP NO. 027-110-054
PARCEL II:
A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT WITH A 50 FOOT CUL
DE SAC, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
FEBRUARY 28,1995, IN BOOK 136 OF MAPS, AT PAGE(S) 41 AND 42.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.