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027-060-033
27-06-33 %4"j E pting ingE/S Bohemia Ave., 50'S.of O.W.I.D. bridge Npp.3/4 mi.E.of Cutrus,Palermo -Permit #3454-81P,E(�til.,MH) ELEC . Q-,5 $ ZZOOA Z A GAS 2 - 5-!S Z `2,� SUPPORT STRUCTURE REQ: .� COMPACTION TEST REQ. /j�,p 27-06-3 . d _.Permit #3455-81MHI Issuea� -:91,80� 027-060-033 04-0529 EPTING, JIM 7011 SPRINGTIME TRAIL, AtN�lO Cont: HYSMITH CONST NEW PRI DET GARAGE 027-060-033 05-0045 EPTING, REBA 7011 SPRINGTI "T O VILLE Cont: TBDRT NSF/CARPO/CO 1 7-1 ,Ra --• NOTES RESIDENTIAL sow tO A -S 6_y,T6 jvo 2 ?L[ A sc- S 16 m bqi J7rjaC&T ,*"*r e, �/zt/ate tri �L 5?ge,�,�a PERMIT N0. _, 027-060-033 05-0045 I E-PTING, REBA 7011 SPRINGTIME TRAIL, OROVILLE Cont: TBD !t NSF/CARPORT/COV DECK i' SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS e- VERIFY USE PERMIT CONDITIONS f SUB -STANDARD HOUSING LETTER all I OFFICE COPY I a Address -O / / S Q . ,rf'i .O Meter By Date-W±/Of- ELECTRIC ate W ±/ Or ELECTRIC I Meter By Date t Y 6 4 . .1 A JOB FINALED (Date) —O5 Signature yl_ Al c 1_ -t - 't INSULAE -40 N-,"C'ERTILFICATE Job Numher-:::::::::::::::: ............................................. ........... ..., .............. ............................ .... FEATHER: ....... ...... ....... . Contractor/Owner Name Job Address (street, city, state) . . . . .................................... County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF 3. EXTERIOR WALL Frame Type::::::::: .................. A. Cavity Insulation Fiber.. . .... . ..... . .. Material: Thickness I .......... B. Exterior Foam Sheathing Material: . ................................ Tbickness (i ...... ..... nches):: ..................... ..................................................... 4. RAISED FLOOR Material: ..... . ..... .... Thickness (inches): 5. SLAB FLOOR/PERIMIETER Material: Thickness(inches) .....* .. .:.*'..'..*..:.". I ...............".... .-. ....:.. Perimeter Insulation Depth Inches:::::::::::::: : 6. FOUNDATION WALL ..................................................................... Thickness( inches): ........................ ............................... Brand Name: ............... Thermal Resistance ........... . ............ ........................ Brand ........... Thermal ResistanceValue ....................................................... Brand Name: ....... ..... . - ...... - Thermal Resistance ........... . ................................ Brand Name: Thermal Resistance Brand Name: ............. Thermal Resistance ....................................................... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where ficable. f — xy. . .. * r . . /.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . . . . . . . . . . . . * . . . . . . . . . V, VW .... . ... . i: ..................... ............................. &I in /-ra 11 V PYWV. ��/- ................ Item Number's Si tore Di -ate 4 Installing Subcontractor (Co. Name) or V#-6 Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. olI& A 7 ZI -21 Date - Ins ector � t7�iV REV 4/05 Phone # 63t 1 5 T5 U FOR RE -INSPECTION CALL. 538-7636 OR 891-2834 (Wl2E I bE k( -rt r� _mFu'rrrA-L_S USEQ /+FS HOT WITH tBFIZlY 614ENT MARKE/L off - P Z u PIAN 2EU(SlotilS v outi(T �p Z ZC) U 66,D ZUCXA T o OF F I C E w t Ti -r• ;t4 C LOS ET � �,R �2 Emoyc ��I zou t cE -TF-RP 1JQJT POP— 'Y. tik bEr"SA'TIF 9111 rA A (Z-- F SE�rr/J�2S� M i g U h -J ES roe. H U i4c. I o E 8Ari< a of C-, Fog- HOT- mO P rN .0 E f2 I nl lTcr2. ,Q TH f ` nlSTA[CA4Tj0Aj INST12(,(r?"toni S D Date to _?�8 ^ 0-5 Inspectory�60?_AW Sim m iYtSi'V - i REV 4/05 Phone # S 3a &L'�Z_Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 -COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE EPTiAJI� -00YE OWNER PERMIT NO.'I A routine inspection indicates that the following violations of Butte County Ordinances exist atI' the above address and should be corrected. Please call for re -inspection when correction of -: work is completed. If you have any questions pertaining to this matter, or need additional, explanation, pl ase contact the Building Inspector as indicated below. r�a (Wl2E I bE k( -rt r� _mFu'rrrA-L_S USEQ /+FS HOT WITH tBFIZlY 614ENT MARKE/L off - P Z u PIAN 2EU(SlotilS v outi(T �p Z ZC) U 66,D ZUCXA T o OF F I C E w t Ti -r• ;t4 C LOS ET � �,R �2 Emoyc ��I zou t cE -TF-RP 1JQJT POP— 'Y. tik bEr"SA'TIF 9111 rA A (Z-- F SE�rr/J�2S� M i g U h -J ES roe. H U i4c. I o E 8Ari< a of C-, Fog- HOT- mO P rN .0 E f2 I nl lTcr2. ,Q TH f ` nlSTA[CA4Tj0Aj INST12(,(r?"toni S D Date to _?�8 ^ 0-5 Inspectory�60?_AW Sim m iYtSi'V - i REV 4/05 Phone # S 3a &L'�Z_Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTEw 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, please contact this office immediately. r INSULATWN CERTIFICATE Job Number: 5713 ........... :FUA. FEATHER AIUAt ........7011: S...P...P. 1J1 ...N....G....T...E....V.M.......T......... :P..A....L...F....R...M.....O......:.:C....A.......:..:. .......................................:.:.::..:.:.:.:.:.:.:.:.:.:.:.:.' ............... Contractor/Owner Name Job Address (street, city, state) . ......... -** . . ........... Uo" ........... ..................................... County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Thickness(inches): ............... I ..................... —.- .......... 2. CEILING Brand Thermal Resistance ............. 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material:IStier ass Thickness inches : "51%Z' B. Exterior Foam Sheathing Material: Thickness (inches): ...................................................... 4. RAISED FLOOR F.. ............... *'*'* ..................... Thickness (inches): A ...................... 5. SLAB FLOORMERIMETER Thickness (inches): Perimeter Insulation Depth ................ 6. FOUNDATION WALL . ......... Brand Name: . ............... Thermal Resistance ...................... .. ........................ Brand Name: ....................................................... .................. .............. Thermal Resistance (R -Value): .... � i" ............................... Brand Name:ICnauf Thermal Resistance ...................................................... Brand Name: 11 .................. Thermal ResistanceValue ............ ........... Brand Name: Thickness (inches): Thermal Resistance ....................................................... .......................................... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where apjpqcable. ........ . ........... C ....... 4-1 Z404 Am IMIM� ... ......... .......................................................... Item Number's Sig#ure 116 Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner 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 4 + 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ -/Amp-Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit - 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. 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 -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 = OK = NotOK Applicable = Not Applicable RESIDENTIAL (Single & Duplex) S = Not Ready Date FNAMING (Continued) 7 Date UNDER OOR (Plans) OK except #' Gaj4ge Fire Door; Swing -Landing -Closure 1 ' ning-Setbacks-Easements- ood-Slope g. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Gr .-/ ' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. F Gara e• Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Guard Rails & Deck Construction -Post Caps Fjg! ches & Decks; Soils -Steel-/ k /" Ftg. Depth Garage Fire Protection Framing -RC Channel 5!$temwalls, Main; Steel -Blockouts-Wrapped 53. 6. mwalls, Garage; Steel- Blockouts-Wra ed 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Hold Downs and Special Anchors 55. 7. Slab _Steel -Wrapped p/�+� ✓ 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers }ers-Fireplace Ftg.-Steel a 57. Siding -Nailing Veneer D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 10. Uj,Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Glazing Area -Glass Protection -Skylights -Plastic 1 tater Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 12. Electric Underground Vace Iriterior/Exterioryfall Panels Q� �j 13. Plenums & Ducts; Clearance -Material -Support -Ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls -Windows 15. Access & Ventilation Card B-1 Date Card B-1 16. Insulation Card -1 Date Card B-1 Date FINA lans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Furnace Vents -clearance -Comb, Air -Connector - 17. Water Htr.; Vent -Access -Combustion Air Baffle / o 21. War Pi e; Test & Anchor -Nail Protection V.; Test Fittings & Anchor -Nail Protection . Shower Pan; Test, First Floor -Tub Access T t Tub & Shower, Second Floor -Tub Access ,21"Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 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 Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes Q 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 2& 1 % Ment Fan, Exhaust above insulation . 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 Y0 Card B-1 enfDate 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 FNAMING (Continued) 7 47. Hangers -Post Caps -Anchors -Connectors Gaj4ge Fire Door; Swing -Landing -Closure 48. g. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. ,2 t 50. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Guard Rails & Deck Construction -Post Caps 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings -Following Instld./Drive 0 Yes O NoMalks 0 Yes 0 No/Planters O Yes 0 No 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8 . 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers r(&1E;5pAor Elec. Trim, G.F.I. Receptacle -Underground 57. Siding -Nailing Veneer . 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic T -meters T d, Gas -Electric 60. Shear Walls; Nailing -Bolts 61. Vace Iriterior/Exterioryfall Panels Q� �j 3. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date FINA lans) OK except #'s frkt. Steps -Door & Sidelight Protection -Landings �e Detector Furnace Vents -clearance -Comb, Air -Connector - Above Floor-Ducts-Mech. Protection 68-C3,�f.. & Bath Fixtures & Tub Access -Spa 691Eje6. Trim & Subpanel, Breaker Sizes & Labels 7 . S irs & Rails Firep a or Stove, Clearance -Hearth 72,_,EX. Outlets at Wood Panel, Int. & Ext. (WKZixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 lec. Outlets & Receptacles at Kit. Counter 75. Gaj4ge Fire Door; Swing -Landing -Closure 76. C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. EI . Receptacles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic Guard Rails & Deck Construction -Post Caps 82'-Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 80" -Following Instld./Drive 0 Yes O NoMalks 0 Yes 0 No/Planters O Yes 0 No 84. Stu co Brown -Finish 8 . A.C. nit Disconnect, Electrical -Plumbing nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. W ell, Disconnect, Electrical, Plumbing r(&1E;5pAor Elec. Trim, G.F.I. Receptacle -Underground 419'_VqpA ' ation Throughout House . G s Protection Co ctions from Previous Inspections 9L.115as T -meters T d, Gas -Electric 93. W & Sewer Connected -C/0 to Grade -HD Approval ergy Compliance Certificate -Other Certificates 9 Address Posted 96. Fire Sprinkler Date 9 `v rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date q_(q-C)SCard B-1 t1e90 Date Card B-1 Comments at Final: Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical; H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of2 Building Permit Number: 04 - Owner Name: fin q Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. 01 The following parcel map requirements shall be met: All structures Md equipment including overhangs shall be clear of all easements. A setback of � feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. .o CDF FIRE SAFE REQUIREMENTS D D s 2- �O�inl AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are 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 availability, access and utilization of the defensible space provide 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 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide 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 IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 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] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end.. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# PERMIT# NAME [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. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 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 that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [� 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 on page 3. VJ 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. Page 2 of 3 c AN PERMIT # NA4Eµ Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and 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 the side toward property line with insufficient setback Interior automatic fire 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 Date Signature Page 3 of 3 �J5tomer L� �/� [ 07232480 J �_._, y wed Aug 7 15: 42: 49 2002 Project #: 87SET Truss I'D T1 Family # 104 Span 26-0 Quantity 19 Top Pitch 6/12 ACES -32 Ver.2.0, B10 (3/30/1999) ?LATE OFFSETS IX=LEFT, Y=TOP): [j7.3, 2), 3: ,1-6, 7-3-5 14-0 20-8-11 28-0 7-3-5 6-8-11 6-8-11 7-3-5 4X4 3 5X6 3X4 TROJAN 3X5 10-0 18-0 28-0 10-0 8-0 10-0 . L . HL TO PK: 15-7- 13 R. HL TO PK :15-7-13 LEFT HEIGI-?T: 0-4-2 SPAN: 28-0 RISE: 7-4-2 RIGHT HEIGHT: 0-4-2 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER PLATES:M20-220,190 L D TOP 1-2=0.376 TOP CHORD:2X4 No.1&Btr GR DF -L TOP 16 10 BOTT 7-1-0.662 BOT CHORO:2X4 NO.1&Btr GR OF -L .BOTT 0 8 LL.DEFL.@7=0.05 < L/240 WEBS :2X4 STANDARD GR OF -L STR.INC.: LUMB = 1.25 PLATE - 1.25 SPACING • 24.0 in. o. cUBC 97-ICBO,ANSI/TPI95 REPETITIVE STRESSES USED NO. OF MEMBERS - 1 OEFLECTION(IN.) L.L- 0.05, D.L=0.06, T.L=0.10 REACTIONS, SIZE: 1--1044, 3.50 5--1044.3.50 UPLIFTS (LBS): 1-48.5-48 HORIZ. (LBS): 1=75 FORCES - LOAD CASE 01 TOP CHORD: 1-2--1481, 2-3--1266, 3-4--1266, 4-5--1481, BOTTOM CHORD: 5-6= 1317, 6-7= 910, 7-1= 1317, WEBS: 2-7--309, 3-7- 450, 3-6= 450, 4-6--309, TRUSS CHECKED FOR 80 M.P.H WIND, ENCL.BLOG., WALL HGT. 10 FT, BLOC. CAT. I. EXP. CAT. C. 18 (10+8) PSF OL, 100.00 MI FROM OCEANLINE (ASCE7-9: TRUSS HAS BEEN CHECKED FOR 10 PSF NON -CONCURRENT LIVE LOAD AND 8.00 PSF DEAD LOAD ON BOTTOM CHORD PER TABLE 16-B, UBC -94 TOP CHORD BRACING a 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10'0"O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. COUP -" 1,.AU UG 0 9 2002 VA e�' 5 1.0E Ipk9 F 3�q A..WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an individual building component to be installed and loaded vertically. Applicability of design parameters and,proper incorporation of- componentlis responsibility of building designer - not truss designer. Bracing shown is for:lateral support of individual web Members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. �� im Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- �:89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Truss Plelerinstitute, 583 D'Onofrio Drive, Madison, WI 53719 MiTek Industries, Inc. E 311r ' s� CAV 11;, OF. CP.L., -Symbols Numbering System A General Safety Notes PI'ATE LOCATION AND ORIENTATION Failure to Follow Cold Cause Property Center plate on joint unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and J2 J3 J4 building designer, erection supervisor, property securely seat. TOP CHORDS owner and all other interested parties. cz c3 J5 2. Cut members to bear tightly against each 0 0 3 0 L. other. 3. Place plates on each face of truss at each joint and embed fully. Avoid knots and wane O " U at joint locations. For 4 x 2 orientation, locate a 4. Unless otherwise noted, location chord splices C8 C7 C6 O plates 1/8" from outside edge of at 114 panel length (±6" from adjacent joint.) truss and vertical web. BOTTOM CHORDS A J8 J7 J6 5. Unless otherwise noted, moisture content of lumber shall not exceed 19`Yo at time of 'This symbol indicates the fabrication. required direction of slots in connector plates. 6. Unless expressly noted, this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. AROUND THE TRUSS STARTING WITH THE LOWEST JOINT FARTHEST TO THE LEFT. 7. Camber is a non-structural consideration and *For tabular plating format refer to the is the responsibility of truss fabricator. General .MiTek/Gang-Nail Joint/Plate Placement Chart WEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown PLATE SIZE CONNECTOR PLATE CODE APPROVALS - indicate minimum plating requirements. 9. Lumber shall be of the species and size, and in The first dimension is the width 4 4 to slots. Second all respects, equal to or better than the grade x perpendicular BOCA 86-93, 85-75, 91-28 specified. dimension is the length parallel to slots. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. LATERAL BRACING ICBO 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. Indicates location of required SBCCI 87206, 86217, 9190 spacing, or less, if no ceiling is installed, unless otherwise noted. continuous lateral bracing. WISC/DILHR 870040-N, 930013-N, 910080-N 12. Anchorage and/or load transferring connections to trusses are the responsibility of others unless shown. BEARING 13. Do not overload roof or floor trusses with stacks of construction materials. !TM M14. Indicates location of joints at Do not cut or alter truss members or plate without which bearings (supports) occur. MITek Industries, Inc. prior approval of a pr�ofessiorial engineer. 15. Care should be exercised in handling, erection ® and installation of trusses', �- HYDRO -A/R ® PANEL CLIP ,+TM 01993 Mitek Holdings, Inca ' ' �'. • GANG -NAIL ® - f� G��i [ 07232481 ] Customer Wed Aug 7 15: 42: 51 2002 --- G Project M: 87SLi Truss ID 'TiGE Family 0 104 Span 28-0 Quantity 2 Top Pitch 6/12 ACES -32 ver.2.0. 610 (3/30/1999) 3: ,1-6, 7-3-5 14-0 20-8-11 28-0 ,1-6, r 7-3-5 6-8-11 6-8-11 7-3-5 4X4 3 3X6 TROJAN 3X5 5 DEFLECTION (IN.) L.L= 0.00, D.L=0.00, T.L=0.00 NOTES: (1) -Gable studs spaced at 16 inches o.c. (2) -Brace vertical studs in accordance with standard gable end detail (3) -Continuous bearing provided along entire bottom chord (4)—Provide iX4 plates at each end of gable stud unless otherwise noted TRUSS CHECKED FOR 80 M.P.H WIND, ENCL.BLDG., WALL HGT. 10 FT, BLDG. CAT. I, EXP. CAT. C. 18 (10+8) PSF OL, 100.00 MI FROM OCEANLINE (ASCE7-9: TOP CHORD BRACING a 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED a 10'0"O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH 1S ALWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. A-: WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and,ls for.an individual building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. �� TM Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regardlhg fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- ';89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 MiTek Industries, Inc. AG 0 9 2002 QROFESS:p IN �� �fpOt�11 yG Fac' C'1�/ ;d,,,r� 10-0 18-0 28-0 10-0 8-0 10-0 L. HL TO PK:15-7-13 R. HL TO PK :15-7-13 LEFT HEIGHT:0-4-2 SPAN:28-0 RISE:7-4-2 RIGHT HEIGHT:0-4-2 LOADING [PSF) MAX STRESSES MINIMUM GRADE OF LUMBER PLATES:M20-220,190 L D TOP CHORD:2X4 NO.1&Btr GR OF -L TOP 16 10 BOT CHORO:2X4 No.1&Btr GR DF -L BOTT O 8 LL.DEFL.@0=0.00 < L/240 WEBS :2X4 STANDARD GR DF -L STR.INC.: LUMB - 1.25 PLATE - 1.25 SPACING : 24.0 in. o. cUBC 97-ICBO.ANSI/TPI95 REPETITIVE STRESSES USED NO. OF MEMBERS = 1 DEFLECTION (IN.) L.L= 0.00, D.L=0.00, T.L=0.00 NOTES: (1) -Gable studs spaced at 16 inches o.c. (2) -Brace vertical studs in accordance with standard gable end detail (3) -Continuous bearing provided along entire bottom chord (4)—Provide iX4 plates at each end of gable stud unless otherwise noted TRUSS CHECKED FOR 80 M.P.H WIND, ENCL.BLDG., WALL HGT. 10 FT, BLDG. CAT. I, EXP. CAT. C. 18 (10+8) PSF OL, 100.00 MI FROM OCEANLINE (ASCE7-9: TOP CHORD BRACING a 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED a 10'0"O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH 1S ALWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. A-: WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and,ls for.an individual building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. �� TM Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regardlhg fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- ';89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 MiTek Industries, Inc. AG 0 9 2002 QROFESS:p IN �� �fpOt�11 yG Fac' C'1�/ ;d,,,r� Symbols I Numbering System I A General Safety Notes PLATE LOCATION AND ORIENTATION —,?► 1 3/, Center plate on joint unless dimensions indicate otherwise. Dimensions are in inches. Apply plates to both sides of truss and securely seat. For 4 x 2 orientation, locate plates 1/8" from outside edge of truss and vertical web. 'This symbol indicates the required direction of slots in connector plates. 'For tabular plating format refer to the MiTek/Gang-Nail Joint/Plate Placement Chart PLATE SIZE The first dimension is the width 4 x 4 perpendicular to slots. Second dimension is the length parallel to slots. LATERAL BRACING Indicates location of required 40�1 continuous lateral bracing. BEARING Indicates location of joints at which bearings (supports) occur. J2 J3 J4 TOP CHORDS C2 J5 ZC3 L06 ca BOTTOM CHORDS Jl J8 J7 J6 JOINTS AND CHORDS ARE NUMBERED CLOCKWISE AROUND THE TRUSS STARTING WITH THE LOWEST JOINT FARTHEST TO THE LEFT. WEBS ARE NUMBERED FROM LEFT TO RIGHT. CONNECTOR PLATE CODE APPROVALS Failure to Follow Could Cause Property Damage or Personal Injury 1. Provide copies of this truss design to the building designer, erection supervisor, property owner and all other interested parties. 2. Cut members to bear tightly against each other. 3. Place plates on each face of truss at each O joint and embed fully. Avoid knots and wane Q at joint locations. a 4. Unless otherwise noted, location chord splices at 114 panel length (±6" from adjacent joint.) 5. Unless otherwise noted, moisture content of lumber shall not exceed 191Y. at time of fabrication. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. 7. Camber is a non-structural consideration and is the responsibility of truss fabricator. General practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown indicate minimum plating requirements. 9. Lumber shall be of the species and size, and in all respects, equal to or better than the grade BOCA 86-93, 85-75, 91-28 specified. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. ICBO 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, unless SBCCI 87206, 86217, 9190 otherwise noted. WISC/DILHR 870040-N, 930013-N, 910080-N 12. Anchorage and/or load transferring connections to trusses are the responsibility, of,othe(i unless shown. TM 13. Do not overload roof or floor"trusses with stacks of construction materials..-��• 14. Do not cut or alter trussmembers or plate without_ MiTek Industries, Inc. prior approval of a professional engineer.' 15. Care should be exercised�in handling, erection ® TMand installation of trusses. ® PANEL HYDRO -A/R ® CLIP ©1993 Mitek Holdings, Inc. iANG-NAIL BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5004.5 B. G. Buidinq Permn 01-16-04 Pw 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: 02/28/2005 APN: 027-060-033-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 7011 SPRINGTIME TR PAL Date:. Contractor: Map Index: Description: NSF (2080) CRPRT (444) COV OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I -am exempt from the 229 ( )OPEN 408 Contractors' State License Law for the following reason (Sec. 7031.5 ( ) Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: EPTING JAMES DOUGLAS SS signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 171 the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 violation of Section 7031.5 by any applicant for a permit subjects the 530 (530)533-8125 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: EPTING, REBA owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for p O BOX 171 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA 95968 proving that he or she did not build or improve for the purpose of (530) 533-8125 sale.). Od I, as owner of the property, am exclusively contracting with / \ licensed to the (Sec. 7044, Business contractors construct project and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1under Article 3 the Business nd Pr fessions Code igwner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: PURSELL, FRANK JAMES the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 3161 S. F. Policy #: Valuation: $150,048.00 '91/1 certify that in the performance of the work for which this permit is Census Code: issued, t 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 wit�se provisions. V Date: Applicant: WARNING: Failure to secure workers' c pensation coverage is unlawful, and shall subject a( employer to criminal penalties and one hundred thousand dollars $100,000, In addition to the cost of Q / `'7 D Q� / 1 if9 _ , ) /_ 17. `j` compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 175/ • 7 `applicable CONSTRUCTION LENDING AGENCY This permit is hereby Issued under the provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re lution to do work indi a above for vyhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By / �� Date bt Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official for document of Butte County. I hereby authorize repres tatives of Butte County to enter upon the above mentioned property for inspection purpos . Print Name: Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. G. Buidinq Permn 01-16-04 Pw 0 Tr, BP FC -6 r1 �L BUTTE COUNTY l G DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 ' A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name TP D irst Nam Address , / City State Stat Z Phon 53 /A Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name TP D Address Zip City Fax State zip. -Phon Book -Fax— E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name J City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number �f-- APPLICANT NAME Name Address City State Zip Phone Fax E-mail APP (CANT IGNATURE Xr For office use only: Zoning Property ddress- a � Vel& •e. Flood Zone Cross Street SRA res No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 056o4 BIN # LOCATION AP# !) ,.O33 Property ddress- a � Vel& •e. Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY dame Address Descrip 'on or Scope of Work: C.ov Z64 (4 ,j G,4y2Por� T- C4¢�}- o Sq. Footage ❑ 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. OVER FOR SUBMITTAL KF_WUlKtMtN I s I ` KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: l I C7. 7D- Bldg 204--96SRA Receipt #: 4-1 Sher'rff Date: ( . SMIP Other 13 7 %d Total REV 7-27-04 If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date "of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7.27-04 . E SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit.. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non-heated and A/C for Non-Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-signed by the engineer. ❑ 8. Flood Elevation Certificate, wet-stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13_32nite ' appm_vaLfrom"thg_Environmenfal-healti-Depariment" .Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. I I ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner-Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date "of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7.27-04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR LO 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile O 0TO: I FROM: LO 1 SUBJECT: O DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford a1buttecounty.net Plans Transmittal For Review Per Contract 1/12/2005 Applicant: E tin ; Reba Permit No: 05-0045 Project Type: NSF/CovCar ort APN: 027-060-033 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN Fee $ 817.40 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 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: G7PT I ►-I �Sr G ASSESSOR PARCEL NUMBER �� y• �6-� • d -BB Proposed Building Use: (.9460) Cx>v O c a f Counter Technician: �" Date: 1 • � • 0 5 Items required in ordej o apply for a permit. All boxes MUST be checked OR marked NA in order to pply. E� l 1. Site plans! 3 or 4 sets,: signed by the preparer of the plans. ❑ 2. Complete � ns, 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%elails and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form .C� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville,' as applicable. ©Other I-defe (2 F ' 12 T�,4�� nF I - TI J� 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....................................................................... ........ eg)Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval Pfaid. Sent by: Vl• L..!.: L.:�� F o • t 1 •a5 Tanning approval (A) Use:(B)Parking: (C) Parcel Check: h 25. Contact Land Development about _ Improvements, _ Drainage ......................... .j 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) ................... ❑ 30. Worker's Compensation Carrierpnd Policy Number .......................................... r 31. Owner -Builder Verification (_ iven 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......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone ti�iZ_taI Q 9: and hold for pickup. I have bee4infb ed of the above items and requirements for obtaining a building permit. Applicant: X' Date: 1. Index peration for the abo� s numbered:�3-Plan Check L ter 2. Additional items require Contractor, designer,wner, as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: Date: Plans approved by: 1 Date:...f) Structural reviewed by: Date: _ Structural approved by: Date: Note transfer by: Vl'� Date: 24 1 Yellow: Building Division E.H. USE ONLY Plot Plhn Attached . Floor Man Attached �l '^ Sant to S.D. / TO: Building Department t, FROM: Environmental Health SUBJECT: Sanitation Clearance C�� -�,, j -P j ) �,) L- -�-b L) ON) r\h Owner Location AP# Plan Approved for: Sewage Disposa4,-,�((��s� Water SupI Pub 'c Priv tVigr Well �— Clearance for dwelling. Other , I �D OI�l Y1 A31 U (I c� �l Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist F.*TLIU l,:.-6 -&S- 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 . EP"n M G PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 1751-S7 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ SV2. SCHOOL DISTRICT FEES 0J20v 1 t–t.-E y q (paid at School District Of ce) orm available after PlAp Check) 1nCe 1Q3rSHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units A.P. 415B3 DATE RECEIPT # DATE REC. -s�O / , _ 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 12, J tr tZ-, (paid at Recreation District O f�acee)) (form available after_plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00. (paid at Building Division) W7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89:00 (paid at Building Division) to00 304.8 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 = $ i & • 0!5 Sq. Ftg. Amt. _�O10.OTHER 1 P ('< 1s. CO / I —�`�S 4 �t �Y At time of permit application, I was dvised the above fees are required to be paid prior to issuance of the permit. These fees may be changed,"g the plan ch ng pr cess. APPLICANT DATE ' Pursuant to Government Code Section 66020, you are herebytified 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) FEATHER RIVER DRYWALL P.O. Box 171 • Palermo, CA 95968 Phone: (530) 533-8125 • FAX: (530) 533-9009 License No. 320013 January 6; 2005 Dear Butte County...... I Jim Epting give my wife Reba Epting permission to pull permits on property parcel number 027-060-033 and to sign any papers. 4 ��WO 5 �Cltr N/OR� Department ..County J. Michael Crump, Director f Public Works - o f B u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171. National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: 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. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 i Iloeq r i I 1 I i I �` � � l i ., t 1 • a �, ` 1 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM (FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number Building Permit Number�(� Property Owner (s)_ Project Location /Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development v'l Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Comments: FRRPD 0 CARD �PRPD ❑ DRPD certifies that: city State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment J of - Dwelling oG Dwelling Units @ $ /0 56, per unit for a total of $o S6- Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash: and Park District Representative KAFORMSWILWNG FORMS\park-rec standard form rev Ldoc Receipt No: 160,05, Date X Zip BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Og p4. (One form per Building) School DistrictV Le Q '' 1 , Building Department No. J O 1 S v A.P. Number �, � -- ��i - os3urisdiction: City(/ County Property Owner l Property Location/Address r i�zz � Subdivision Lot N. r ........................... _..................................:...................................... Residential Development FT -1 ¢ Sq. Footage No df Living Mobile Home Addition) 'Supplemental to ( roup R) Units Installation Conversion Permit # ` *(No foundation inspection) ..................................................................... ................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q . Sq. Footage~A �� New Addition (including Exterior I Roofed Areas) 0 A as- Alding tment RepresentativeDatee District Identification No. 050229 O� Q0 1 i lK U Ai 01(\ �Iei �N School District certifies that �\ Sart 4P -- P . (Appli ant) 33--91 (Street Address) (Phone Number) uroy',1�j- l9S--qLjS (City) (State) (Zip Code) has complied with the requirements of Resolution No. / (�' r� by payment of $ k representing b D 6 D square feet. 2926 i School District Paid by Check # Remarks: FULL MRIGATION = Date r��r Nodw : You may protest the imposition of the fess Identified above by submitting a wrfiten protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wllfprohiblt you from challenging the Imposition of the fess In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is noHfl by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate. its Impact on the school district's aelrools. White (applicant), Yellow (building department), Pink (school district) feefonn.xle 00/031dmm F,�'�e::ERBIJ�ILD�El�E12IFIC'I'I 1, '•;::-�`r.:S:�••.':s::iL^.'.N "i'=.'xcs 5....?�e1ke� .. :w^.'�Y�a:. a .i-,„?•e'eurtx?:'.'J_'..: Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ] NO [ ]. . 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. '1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: SIGNED: 'i PROPERTY OWNER: L_::� 04,E aLaA/o NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X KV -__1 Mic el C. Vieirl, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. SITE PLAN REVIEW APPLICATION Date: Q' AP# 0-1- Z_Q �0 63 3 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: �ame5 Owners Address: / oo &A l Telephone No.: Situs Address: %// Proposed Use: Residential nlftw New Single Family Residential El 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: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site P1,4n Stamped Approved' By Date C94�,I� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY, Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) 8 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: 11� • Flood Panel No.: APX7609Y5T Index Date: ;"-/ 00 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the Califomia 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: 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 a0, Side , Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 1 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 ❑ Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with C unty Stan ards for Deed Cre Comments:. , .at e�l �1z►. Legal Access Provided: Legal Access Required ❑ No ❑ Yes, Road Name: I—1 mn n vPc ❑ No ❑ No ❑ Yes ❑ Yes �j 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 ❑ Subdivision May/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive -dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa IMI I� Page 4 of 5 0 4 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 117 C Street �VWILLDAN Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com F, ebruary�9 2005 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: 14353-1337 Jurisdiction Job No: 05-0045 Assessor's Parcel No: 027-006-033 Description: Epting New Single Family Dwelling Dear Mr. Rutherford: 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 through 7 dated 12/18/04, by Jim Pursell, P.E. * Structural Calculations: Two (2) copies dated 12/21/04, by Jim Pursell, P.E. * Energy Calculations: Two (2) copies dated 12/22/04, by Jim Spurlock. * Truss Calculations: Two (2) copies dated 06/07/04, by Endeavor Homes. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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. �V W I LLDAN 117 C Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com 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 Califon►ia Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and Butte County permit application. Type of Occu anc Type of Construction Stories 0 Floor S Ft 2nd Floor S Ft Total Sq Ft R-3(Dwelling) V -N 1 2080 NA 2080 R-3 (Covered V -N 1 229 NA 229 Porch R-3 (Open V -N 1 408 NA 408 Deck U-1 (Carport) V -N 1 444 NA 444 ✓ 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, Isaac Kuster Ricardo Guzman, S.E. Plans Examiner Plan Check Engineer Cc`. Alice Mefford, E-mail: amefford@buttecounty.net Reba_Ept g PO:Box_171, Palermo, CA.9596 3 Jim Pursell, P.E. 5 Madrone Avenue, Suite B, Oroville, CA 95966 Fax: (530) 534-0902 Email: jpursell@sbcglobal.net Nae 2 of 2 County of Butte Perini.t Number 05-0045 Willdan 1?.r(&ctNumbe.r 1.4353-1330 4' ' , 4 PERMIT NO. PERMIT EXPIRES OWNER Jim Epting CONTR. owner ASSESSOR PARCEL 27'06-33 LOCATION E/S Bohemia,50'S.of O.W.I.D bridge app.3/4 mi.E.of Citrus,Palermo a t i s Temp. Power Pole Called PG&E Temp. Elec. Servii Called PG&E Temp. Gas Service '- L 1 Called PG&E /.y 1 .6 JVINALED (Date) Signature t � t 4' ' , 4 PERMIT NO. PERMIT EXPIRES OWNER Jim Epting CONTR. owner ASSESSOR PARCEL 27'06-33 LOCATION E/S Bohemia,50'S.of O.W.I.D bridge app.3/4 mi.E.of Citrus,Palermo a t i s Temp. Power Pole Called PG&E Temp. Elec. Servii Called PG&E Temp. Gas Service '- L 1 Called PG&E /.y 1 .6 JVINALED (Date) Signature t a 0 J OK 0 = Not OK - = Not Applicable MOBILEHOMES = Not Ready 1 MISCELLANEOUS Date MOBILE -HOME UTILITIES (' ns) OK except q's Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements 7�Soi s; Special MH Support -Sketch 2. Footings; Size-Depth_Spacing-Connectors Sew r; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails at •; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing lectricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures �rGas; Location -T -W :$£/"L"ft./ /"Nat.or/, 3 L"f I. "LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. d -BI ate �°' i�j` C•' -BI Card -BI Date Card -BI Date r`d- I Date and -BI Date Card -BI Date Card -BI Date -IW OB HOME INSTALLATION (Plans) OK except a's Date _ POOLS (Plans) OK except #'s Requirements -Setbacks -E ements 1. Setbacks -Easements ootings;"ze- c' arr' a Line 2. Soils; Compaction -Structure Stability Gas; MH TC -,t 6e -Va on for 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining I ctricity; M -Cross s- 'r ers-Cle ,ances 4. Elec.; Receptacles and Lighting; Distances-GFI . Drain; MH T -F -Flex C ector 5. Elec.; Pool Lighting; 15 volts-GFI fir; MH est -Re for -Conn or _ 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed r and Sewer Connected -C/O to a -HD oval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Oe'tas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 8.x51ts; Insp.-Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Cgp Date - rd -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK""'' . A, 7 0 = Not OK - = Not Applicable RESIDENTIAI,(Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No, of Conductors -Stapled 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval -_ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except k's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors _ _ 43. 44. Cing. Joist -Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 E CERTIFICATE OF OCCUPANCY = This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 344';:4; % for the following location: km -Y+> <"b' , r, (A t Owner -T+yy-. 0-IL, i }� n Owner's Address -7: s- A k ti `p Mobilehome Mfg. ��` } ► h� rel^ Model-='!rr)3 - Year Insignia No.-'�aS4Q4) Serial No. -!F>µj A -4 + It is hereby certified for occupancy at the above described location and may be occupied. Director f.PPublic Works Date ^ 'ig^.r_ By . �\ +7 i i! THIS CERTIFICATE IS VOID WHEN MOBILEHOMEIIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. c Inspector Date "a — r � (a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ORRECTI N NOTIC �S BUILDING OR PROPERTY ADDRES A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please conta t this office immediately. .jy _— Inspector Date �' 'i County of Butte DEPARTMENT OF PUBLIC WORKS 696 Sles de , Chico — 842 4244, remi. 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 644 2486 CORRECTION NOTICE ............................................................. .:.................. Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this r n d' a itional exp tion, please c�t office i J- _ !,O,�r.......,Gr.... s - ....... ............. .G.`"wrt'�..w�,:.... ...",G/ ... ................................... . Do Not Remove This Tog (400-4) 71 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOVKS JPERMIT NO. • P - 7 County Center Drive - Oroville, California 95965 - Telephone 916 34-4541 &PPLICATION AND PERMIT ASSESSOR PARCEL NUMBER3-3ZONING 3 BUILDING PERMIT OWNER' TELE HONE SO. FT. OCC. BUILDING V LUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME''AA 46 v TELEPHONE 4G CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDERUNKNOWN •. Fireplace Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ box Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING RESS ^ ,�•I(�' � � PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME FfARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeX Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latioXnOther ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. /DWELLING OCCUP.0J) OR ADDNS. 1 ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) tn I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR (POWER APPARATUS 6) NON-RESID, `SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL 1@1�0¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai ounty in cons e e orf the granting of this permit. r� X Date / �� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO No ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2� Receipt No. 5��✓�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS `E 7 County Center Drive, Oroville, CA. PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: J4 L4 n� 3. Is the site currently under permit? Yet / No (If yes, furnish permit number 3�'J�'J' ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome<be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 00 Amps 6. What is the mobilehome site service rating? ------------------- % Amps 7. What is the mobilehome site circuit breaker rating? ------------- 1 8 0 Amps .1 8. Is there any, other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / [ No (If yes, identify the load and size: � V,�na (Load) (Amps) as pipe g ?------------------- ) 9. What is the mobilehome site i e size. --- ( in. 10. What is the type of gas service? ----------------------------- Natural 77 LPG r 11. What is the gas pipe length from meter or tank to the mobilehome? 2`� (ft.) 12. What is the mobilehome gas demand? ------------------------------- k (This information not required if pipe length less than 6 ft. on natural' gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA �{– If other than single wide, MoVilehome Mfr. q furnish Setup Model No. 3 � Year Width �)1 (ft.) Box Length(f)_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single , 1. Wood either pressure treated or n �4 x�6 foundation grade. (ft.)(in:) (in.) (in.) 2. Other: ❑ (specify) Center support locations* Center support footing sizes Supporta (check one) (in.) L Concrete block. ❑ .2. Other, (specify) (in.) (in.) 4—Tagalong or Expando,' (►) 7,41 X30 show support details. (in.) (in.) xj -- Typical Support (in.) (in.) Footing Size x (in.) (in.) S -- Max. Pier Spacing ® 3(o x3a Q -- Max. Overhang (ft.) (in.) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMENT -z *If center piers are other than drawn above, A P P R O VF n K draw in -locations. suacinp. and dimensions. - __ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION AND PERMIT �.., ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMIT OWNER r , TELEP ONE l � SO. FT. OCC. BUILDING VALUATION OWNER'S MA LING ADD CONTR AC TO 'S AME � )I TELEPHONEv� CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER -- UNKNOWN Fireplace Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIyE(i/'1E� ��1V LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR SS PLUMBING PERMIT Filing Fee 10.00 • r Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping t� LOT NO. SUBDIVISION NAME :tA-CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome( they SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New[—] Addition[:] Remodel❑ Utilitiesp--11'nstallation❑ Other[:] Describe work: Permit Fee $ Contractor - ELECTRIC L PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 5.00 �� , d_/D0 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.01� OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. -(Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET NO N•RESID BRANCH CIRC TS 2,50 ea NEW CONSTR ( POWER APPARATUS D) NON•RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ a �@1 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring .7.50 ' o� Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd County in consequence of the granting of this permit. ' X Date Signature of Applicant — Owner Contractor ❑ Agent EJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCE PD HD 99UE This permit is hereby issued under sions of the Butte County Code and/or work ofabove for which fees ELIC //��7�Receipt =79�_ `�Date PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ` No.By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER QRIV� v. OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. 7 Proposed Building Use ' Permit Fee Based Upon: Complete Contract Price Z_DPW Valuation ` Other (Explain) Building Inspector Date At time of permit application, I was ddvised the following data must be submitted prior to peri and/or issuance: DATE RECEIVED All items haveObDesubmitZeR6_�Plot plans i / replicate. . . . . . . . . .3. Complete plaplic�te/ p Icate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. 0 X10 Sanitation approval from 4Q M Health Dept, 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) �14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15: Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . • . �a Pre -Ins ection for Re uired. Fre-Inspec. request t Building Inspec (� q V Other �/ 'a W processing APPROVED (Date) When you issue the permit, process as follows: -Mail ,tto� owner. Mail to contractor. Telephone el� oigi and hold for pickup at 1QYD office. Deliver w/inspector. Other Applicant �Z, Date 9 �d 10V Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at timof ppli ' n, circle item.) , 1. Index permit for above Items No. 1 2. Additional items required: (Contractor, Designer,n r was advised of above required d Telephone Mail Other By w Date -ld Plans checked by Date Plans approved by Date Other: Copy—DPW �l .e 0 0 0 w E This set- of plans and specifications MUST be kept on the job at all times and it is unlawful t; a7-04-33 make any changes'or alterations on same with- out written permission from the Department of Public Works, County of Butte. 1 NOTE:—All Materials & Workmanship Shall Be Accordance with Recognized Good Practices anr' of a quality presc ribed for the Specified use in the. Uniform Buildin , Plumbing & Mechanical Codes and the National Electrical Code. Utility connections sh 14ag 156 4 ft. of the mobilehoi directly behind or wi half of the roadside mobilsI oJc r A permit will be required for the installation of the mobilehome. A setback of 5 ft. from the property lines and a setback of 50ft. f rom the road centerlin a shall be clear of structurI or equipment except for a 2 ftT. eave overhang. II be within ie,'either iin the rear .ft) of the BUTTE COUN 11 BUILDING DEPARTMEN'" APPROVED I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. BUvTE `OUN1.)' ,,,.4:IF. 61FCORDS nFF" 5' h30 30 All iq ! CLARK A. NELSON CLE The property described herein is adjacent to land or included RK'RECpRDER within an area zoned for agricultural purposes, and residents of 81_3013= EE this property may be subject to inconveniences or discomfort arising 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 occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive 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:Zt Yore properly described as Assessors Parcel 034:45_0-027-0 - z'_.+ `�•s?+' �� I also Including APt Q27-06-0-033.0 �..' •'{ `�' Yore particularly described as the Northerly j51.00 feet as measured :',,'tf• _ ;:_'; _'it ti; , J i- alone the easterly line of the following described parcel of land. Date: Excepting therefrom the Easterly 469.0 feet. y. '5t?:` f Together with a right of way for road and utility purposes 30 feetYon i each side of the centerline of the existing road. extending Fortherly' I and Westerly to a,point on the Easterly boundary line of Citrus Ave. D OF DOCt PROPERTY OWNERS: Gloria Jean Epting C. State of California ) On this the 15th day of September , 19 81 , SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Gloria Jean Epting Beine a portion of the Southeztt quarter of Section 4, Township 18 person(s) whose name(s) Above ^• " - = North,.Range 4 East, Y.D.B. 8 Y., more particularly described as follows i Fter.. CM ' MARIA PANDO therein contained. Beginning at the Southeast corner of said Section 4;, 1407.50 feet to NOTARY PUBLIC -CALIFORNIA IN WITNESS WHEREOF, I ` the Fortheast corner of a parcel of land as 'described' In deed to Harold BUTTE COUNTY ' seal. E. Fox Et ax. recorded Y.ay 9, 1969 in Book 1566 of Butte County Official my MVMISSIONE EXPIRES AUG 10. 1%1 e. Records, at page 33; thence South 89° 04' 07" Kest along the Northerly g '' Line of said Fox parcel, 1251.06 feet to a point In the cehter line o f gyp. an existing road; thence along the center;ine of said existing road the Notary Public following courses and distances: South 39 58' 30" East 60.42 feel; South 027� Present A.P. N0. 3 a� Maria Pando 110 25' oo• Kest 278,98; South 210 07' 20" east 189.13 feet; South 120 �CU0•,'s11 END �� j 26'20" East 435.53 feet; South 120 13' 00" West 361.66 feet and South i 70 11' 00" East 128.82 feet to a point on'the South line of said Section i 4; thence Eaat.along said South line. East 1173.80 feet to the point of be ronin ::i_ ' e rt ,, . ; C♦� Excepting therefrom the Easterly 469.0 feet. y. '5t?:` f Together with a right of way for road and utility purposes 30 feetYon i each side of the centerline of the existing road. extending Fortherly' I and Westerly to a,point on the Easterly boundary line of Citrus Ave. D OF DOCt PROPERTY OWNERS: Gloria Jean Epting C. State of California ) On this the 15th day of September , 19 81 , SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Gloria Jean Epting known to me to be the person(s) whose name(s) Above subscribed to the within instrument and acknowledged OFFICIAL SE:A that Sha executed the ' same for the purposes CM ' MARIA PANDO therein contained. . NOTARY PUBLIC -CALIFORNIA IN WITNESS WHEREOF, I hereunto set my hander d official BUTTE COUNTY ' seal. my MVMISSIONE EXPIRES AUG 10. 1%1 rn Notary Public 027� Present A.P. N0. 3 a� Maria Pando �CU0•,'s11 END �� .i.: ar r rr• _ s ry SKIM nab St 0 VL U510. ql r, t.�;fl 1 i . t . _i • r .. _ f �'�� ,i ''+ + ., f. 'r`', � .�' .. L'.!��. •�i ?�.(:a 'fir :1 �. � ti .i.: ar r rr• _ s ry SKIM nab St 0 VL U510. ql r, t.�;fl 1 i . t . _i • r .. _ f NOTES ��— 3 RESIDENTIAL '' a 027-060-033 04-0529 '� PERMIT NO. _ EPTING, JIM t 7011 SPRINGTIME TRAIL, PALERMO Cont: HYSMITH CONST NEW PRI DET GARAGE I ' —� SPECIAL CONDITIONS CHECKED BY YASR FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. v SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature VIC 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.netWds PERMIT NO. BP040529 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: 03/11/2004 APN: 027-060-033-000 the Business and Professions Code, and my license is in full force and effect. /I g License Class: _ Li ens ber: (( I 1 Site Address: 7011 SPRINGTIME TR PAL Date: 3-1 o- U- Contractor. '` Map Index: OWNER -BUILDER D LARATION I hereby affirm under penalty of perjury that I am exempt from the Description: DETACHED GAR (840) 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: EPTING JAMES DOUGLAS SS. _ to its issuance:, also requires the applicant for such permit to file a signed stafemegt.that he or she is licensed pursuant to•the?provisions of. P.O.B.OX 17.1 . the Contractor's State License Law (Chapter"9 commencing with Section PALERMO; CA 7600).:6f Division 3, of :the Business and Professions Code) or that he: or.:: 95968 she'• is`exempt therefrom •and the basis .for. the alleged. exemption. Any, violation. ot-'Section 703.1.5 by any applicant' for a' permit .subjects the applicant.to a.civil:p6alty 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 _ .,... ,.......y,. "e's"'o't"':.:.._,.., . _ pp icant JERRY MI - Code:- The contractors' State License Law does not apply fo"an ELL`"'" " owner. of property who builds or improves thereon, and.who does such work himself or herself or through his or her own employees, 195 WASHINGTON STREET 'provided that such improvements are not intended or offered for sale:' If however, the building or improvements are sold within one GRIDLEY, CA 95948 year of completion, the owner -builder will have the burden of - 'proving that he or she did not build or improve for.the purpose of (530 ) 846-4409 sale.). as ,owner ..of,•. the,...plgperty, . 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: HYSMITH CONSTRUCTION and who contracts for such projects with a contractor(s) licensed RICK HYSMITH -..pursuant to the Contractors' State License Law.). 10480 N STREET ❑.: , I•am Exempt under Article 3 of the Business. and Professions Code LIVE OAK, 'CA 95953 Date:: owner: 530-695-8784 WORKERS: COMPENSATION DECLARATION License #: 791117 I. herebyaffirm under penalty of perjury one of the following declarations: ElFhave 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. l"have and will; mai intain'workers' 'compensation insurance, as Engineer:- required ngineer: required by Section 3.700 the Labor Code, for the performance of ihe:.work for which this permit is issued. My workers' compensation insupqc carrier an licy number are: Carrier. r)3.—) Co Lt Total Square Ft: 840 S.F. Policy ft:' ��� `� Valuation: $20,160.00 ❑ (:certify that in. the performance of the work for which this permit is Census Code: issued, I shall,.not employ any person in any manner so as- to become subject.to the workers' compensation laws of.Califomia, and agree that if I should become subject to the workers' /✓�/ 0 //V�- compensation provisions of Section 3700 of the Labor Cade, I shall Rfi fowithith .co ply wit those provisions. Dale:: �. rs 'Applicant;_. .....:.:...... - ;...::.. :• ........: ^ //��• WARNING: Failure o secure workers' compensation coverage is �J l/�9�� unlawful, -and shall subject an employer to criminal penalties and one hundre&'-thousand -dollars ($100,000), in addition to the cost of 2 0 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 5�9- CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County ode nd/or I hereby affirm that there is a construction lending agency for the Resolut bwdokvork indicated above to which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /` 6 Name: B • ate Address: PERMIT EXPIRES ON: J Date O "', (.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 8; 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 itis unlawful to alter the substance of ny offic14 form or docume t of Butte County. I hereby ' authorize repilisentatives of Butte Coupty to enter up n the above mentioned property for inspection purpo S. q Print Nam l f/-�-' J_ L Signature: Dater- ❑ OwnerContractor ❑ Agent for Owner C3 Agent for Contractor • Y A J=OK 0 = N0l OK . = NotReadyoh'r' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s MISCELL S , 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -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 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Braced Wall Pan 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card 8-1Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 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 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Enclosure; Fencing -Alarms 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking Card B-1 Date Card B-1 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 8-1 MISCELL S , Date DECK k, CQV9RS, CAR OR RAGE fans) OK except #'s g Requirements' - asements ootings; Soils -Size -Dep - pacing -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. , Steps -Doors -Landings Braced Wall Pan Date -(f Card 8-1Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 4 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERF OK except #'s 1. Zoni Setback asements-Flood-Slope 2. Ftg., Main; oils-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 Ftq.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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 24. Fixture & Transformer Clearance -Ins. Protection Date (GLf Card B-1 Date Card B-1 Date I I Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 52. 22. Gas Pipe; Sixe & Anchors 53. 23. Fire Sprinkler; Test 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 Date Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 62. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 63. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No FINAL (Plans) OK except #'s 32. Service -Riser Conductors & Ground Main Disconnect Ext. Steps -Door & Sidelight Protection -Landings 33. Equip. Clearances Panels-Motors-Mech. Equip. Smoke Detector 34. Clothes Closet Light -Shower Light -Spa Light Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 35. Smoke Detector Bedroom Exiting 68. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 71. 36. A.C. Ducts Insulation & Support 72. Elec. Outlets at Wood Panel, Int. & Ext. 37. Vent Fan, Exhaust above insulation Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 38. Condensate Drain & Overflow, Size & Grade Elec. Outlets & Receptacles at Kit. Counter 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Garage Fire Door; Swing -Landing -Closure 40. Attic Access & Platform if Furnace in Attic Date 77. Card B-1 Date Card B-1 Date 78. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Elec. Receptacles in Garage (F.F.I.)-Romex Protection 41. Sills Proper Materials & Anchors Insulation -Foam -Looked in Attic 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Guard Rails & Deck Construction -Post Caps 43. Bearing Walls over Girders & Floor Nailing Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 44. Draft Stop in Walls (rat proof) Clearance Looked under Floor O Yes 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 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: inn^ j'� __ -Mi'.: Jt -P `;'f„` . '� �'• 4'AF � . r.: - - . .-.-� �.-.i-,. . .. , � ..{ R. ' � . -ty 1. i t �a COUNTY OF BUTTE ; r BUILDING DIVISION t r " DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751, - } 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - 2 Hurn, a PERMIT NO. a A routine inspection indicates that the following violations of butte county Ordinances exist at the abpve.,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. ;? �at Y `i Y e� 1 ai COUNTY OF BUTTE N'. 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 t' i OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. PI ase notice this office when correction of work is completed. If you have any questions per ening to this matter, or need additional explanation, please contact this office immediately. t' L < / %C/ v �... cf�I- rf. , it4 ' Tt . �.P �r k� Date �) � � C Inspector �1 r�<. REV 1092,E �. ! ( I :p; f ; - s•s s:: COUNTY OF BUTTE t•� •...s, BUILDING DIVISION R DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE ay - 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. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530)1538-7636'(OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP040529 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: 03/11 /2004 APN• 027-060-033-000 the Business and Professions Code, and my license is in full force and _. effect. /►�' ( License Class: Li ens ber: Site Address: 7011 SPRINGTIME TR PAL Date: J O— 6L` Contractor: Map Index: Description: DETACHED GAR (840) OWNER -BUILDER D LARATION 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: EPTING JAMES DOUGLAS to its issuance;; also requires the applicant for such permit to file' --a • 1 , ; ;'a,.. • . P.0,13,0% signed statement that he or she is licensed pursuant to the provisions of. 171 -_ the Contractor's State'License Law (Chapter 9'commericing with'Section' PALERMO; CA ` 7600),6f.Division 3• of the Business and Professions Code) or that he or,.. 9596$ she%is"exempt therefrom•and the basis for the alleged exemption. Any: violatiorl.of:S$ction 703,1.5 by any appli(ar4 for a permit subjects the applicant.to a civil -penalty of not more than five hundred dollar§ ($500):):•• ? f ❑ 1, as ownerof"ihe 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 "G'ode'`The`�oritractois'S4ate Cicense'Law doe's^riot appfy fo-an" Applicant: "JERRY MhTCHELL-�"Fl "�-` ^'•�'� owner. of property who builds or improves thereon, and. who does ' such work himself or herself or through his or her own employees, provided that •such improvements are not intended or offered for 195 WASHINGTON STREET „• .•, , saie'If however, the building or improvements are sold within one GRIDLEY, CA 95948 ` year of completion, the owner -builder will have the burden of (530) 846-4409 proving that he or she did not build or improve for the purpose of sale.). qs, owner,, of..the,•.prpperty, "am. exclusively. cgnt(acting._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: HYSMITH CONSTRUCTION and who contracts for such projects with a contractor(s) licensed RICK HYSMITH pursuant to the Contractors' State License Law.). 10480 N STREET ❑; • am Exempt under Article 3 of the Business and Professions Code LIVE OAK, CA 95953 ; ,1, f ' 530-695-8784 p Date: ' Owner: I , k License #: 791117 ; 11,>_.;:;.WORKERS"COMPENSATION DECLARATION "'. 1 hereby affitrn under penalty of perjury one of the following declarations: ❑ '' Phave and. will, maintain a certificate of consent to self -insure for :. ": • , �„ w.� T workers' .compensation,. as provided for by Section 3700 of the Labor.Code, for the performance of the work for which this permit Architect: is issued. ° "I"Have and'will;niaintain'workers"-compensation insurance,'as' Engineer: "`" '� " "-' "F •�"'u'-•v required by Section 3700 the Labor Code, for the performance of the•.work for which this permit is issued. My workers' compensation insurance carrier Jnumber are: Carrier: `� Lo y �, • 1 � � Total Square Ft: 840 S.F. Policy* -.. Valuation: $20,160.00 ��� "^O I ..certify that in the performance of the work for which this permit is Census Code: issued; 1 shall,, not employ any person in any manner so as, to become subject.to the workers' compensation laws of California, and agree that if I should -become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall those provisions. forthwith co ply wit`IQ • Date:r•;:�,' / WARNING: J Failure o 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 22�Jj �� compensation, damages as provided for in Section 3706 of the Labor .�/✓(/ code, interest, and attorney's fees. 5-� 9 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County ode nd/or I hereby affirm that there is a construction lending agency for the Resoluti do&ork indicated above fo which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /` 6 Name: B . ate' OV 7 PERMIT EXPIRES ON: Address:• Date I `tieieby ceitily'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 ny offici form or docume t of Butte County. 1 hereby'' authorize rep sentatives of Butte Cou ty to enter up n the above mentioned property for inspection purpo t' s v I L 5 �.i�, Print Nam Signature: Date, • ❑ Owner• • Contractor - ❑ Agent for Owner ❑ Agent for Contractor �» " . ; bar— BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 w PERMIT NO. BP04o5a"1 DATE: � � U APN: � li D - � ZONING: NEAREST CROSS STREET: TRACTILOT#: SITE ADDRESS: ,_ L CITY, ZIP: v OWNER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E -NW L• APPLICANT PHONE: STREET ADDRESS: FAX: CIN, ZIP: E-MAIL' s' CONTRACTOR NAME: PHONE: STREET ADDRESS: f AL FAX I / P CIN. ZIP: E-MAIL LICENSE NUMBER: LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP. LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) LAV6�kx 6")8� SQA 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: Application Received by: Date: aIa4�0 ¢ BP Receipt number: 39 4-q 7¢ Amount Received: c 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 DAz4' SHEET Az *% �jj yy OWNER: e7p TI 6, ASSESSOR PARCEL NUMBER 6 z7. O Proposed Building Use:17 C T A6 hiEb G A-Pke,- E- Counter Technician: Date: A, ;L 4 • 04 - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Site plans, 3 or 4 sets, signed by the preparer of the plans. a-aS .o Vo--�2. Complete plans, 3 or 4 sets, signed by the preparer of the o��f 3. Engineered plans, 3 or 4 sets, with wet sign = ture on plan of stamped and signed calculations. 4. Engineered truss details and layouts in dupllaa k axes. fit./ ❑ 5. Letter from Engineer or Architect for truss dest6a.rev!ew.,._...,,. ❑ -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 1.0 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of.intent for non-residential buildings ,rry 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_,, ' Jr ` 19. Soils Report and/or Engineered Foundation required.....................................�,•,-: � ,....... 20. Erosion Control Plan Required..............................................................���...... 1% 21. Fees as shown on the attached Schedule of Fees Due Sheet..................k-G' ....... 22:., City of Chico Plumbing permit ............................. .,.0..''.,.......,,.. 23. California Department of Forestry plan approval paid. Sent b,Y:P�IK+'I .'/.�:s1r'4" • z 24. Planning approval (A) Use: D<(B)Parking: (C) Pa cdl Check: 3- 8�p� ❑ 25. Contact Land Development about _ Improvements, Drainage ......................... ❑ 26. NPDES Form..................................................��..�'...............,.................. El 27. Encroachment Permit for driveway from the PubliV. orks Dept ........................... 28. Pre -Inspection for " required....... 29 ontraa-t is license infor ation. N b of I at 'f f Q / (,yrra eft roe ye, asst Hca Ion) ................... � 2- y4 Z)4- bo- . �ker's Compensation Carrier and PQIic'y Number ................................ ..!....... ,- �3.1��wner �Btailder-1(erj,�cation-(_ Give, �o owner, _Mailed-to'o"w'ner).-�........--..... 32. Lei'te of Signature authori ti g �o�........:..........................:.............. .............. . 33. Recorded copy of Aghcuituw,01 Acknowledgment Statement ................................. 34. Manufactured home utitd clearance............................................................... . ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction ............. i............................................................................ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone B 4 -ire, • 44eD and hold for pickup. ave been informed Applicant: 1. Index permit applicatio 2. Add4ieaal items ream for obtaining a building permit. '--�?' ��X Contractor, desi ner, owner, was advised of the a v b hone, ❑ mail, ❑ counter, b Date: Plans reviewed by: � Date: � � '� Plans approved by: y Date Structural reviewed by: Date: Structural approved by: Date: _Note transfer by: Date: P/,� Yellow: B ilding D'vision%(�(- _�. !-Y�"•�'..' _..may,..,. -� ti'1.^��. ♦ �r w' TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Pio¢ P4ea dttechad Fiona Man dttschad Sang to O.D. 1 S T 33 Owner Q loca ' n AP#� s Plan Approved for: Sewage DisposalWater Supply: Public Private Well Clearance for dwelling. Other A 4A LT Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF.BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVIL'LE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER eP'Ti t4 6 P ROSED BUILDING USE D&77t-c PtC—y 43 BUILDING PERMIT FEES 50' --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X Sq. Fig. Amt. A.P. # U(vO • 033 DATE ' a 4- •O 4- (paid at Building Division) 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) (paid at Building Division) VAR $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. CIEIPT # /A DATE REC. I! � A 4-874 -*f� �JyqCA- Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER4 - cA41 At timeof permit a ation, I was advised the above fees are required to be paid prior to issuance of the permit. These fees maybe changed � g t e 1 ss. APPLICANT D —� Pursuant to Gove m t Code Se ion 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 fr e date of app oval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specs sed in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) r 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: Mailing Address Phone: �J ✓ �`� Site Address:i�i Assessor's Parcel Number: ��� �(5,® CD -�� 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 NFORML ATION: 1. Is there a primary dwelling on the property? Yes No ❑ 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 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 ❑ N 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 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 15. What type of floor covering will the building have? 16. What type of wall covering will the building have? �1 OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will ofused 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 e. ception) 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 ❑ Pool 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 Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy 2 ❑ Other— Use = 1. Describe type or Wc&%hop 2. Am be approved by the Butte Courcy Plarnting 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, ofs building will require permits from the permitting authority. I understand that Real Estate Disclosure laws ryquirisclosure of tiu formation if or when the property is offered for sale: Owner's Name: Owner's Signature: 2of2 Date: 0 30' G' G' 4CV -wll3046 ___ 304G 4X 12 HD 4X 12 H D R 11211 x 10" ANCHOR BOLTS G' O.C. W/ 2"X2"X3/ 1 G" SQ. WA5HER5'1 12" FROM ENDS AND JOINTS OR USE 51MP50N MAS FOUNDATION ANCHORS. BRACED WALL PANELS TO Bf OSB u 0 m 3068 FLOOR PLAN .840 5f 30G8` 4' flouresc nt SCALE: 1/4"= 1'-0" 4' flourescent * 4" THICK SLAB * 12" X 12" FOOTING, *GXGX IOX 1OREME51-1 I 112" REBAR 2 RUNS i 5D smoke detector I OX9 SECTIONAL DOOR 10X9 SECTIONAL DOO —'� 4X12`^4 4X12 HE DETAIL I 3'-4" eff DETAIL I nro-,,yV 6r4 wcuk. GYxz JIM' AND REBA CF'1ING P.O. BOX 171 PALERMO, CA, • . .. • , 1, hori Zees 6(5t C o r» m ori `yam LD a+ br ; SEE DETAIL I ---)1 3'-4" K— co BUTTE COUN 1=Y 'BUILDING DEPAR"i MEt: APPR0V.-F �e P Box 1038 Gridl CA 95948-1038' 530) 846-4409 - ����� `7 21-811 1. . p 2X SOLID BLK'G @ SHEATHING J NT5. (ORIENT FACE TO 5HTH'G) 8 0513 h � 11_�'-'[ —���:a C 1 ;•,;c�e_.^,_Qt :�—.�4�''-"_511h1�`–'='-:!:. 2 47 Pt e �`'•%� �F _ `f^ }_–`�_''—_ Ih 1. s►�r �t� a -ir :__:r= — a��•r�. J—i'flG�;r,— �� • ii • V �,. 2X P.T. 51LL 51MP50N PHD2-5D53 W/55T13 I G AND W/SDS 1 /4X3 WOOD SCREWS 12" WIDE X 12 DP.,,� CONCRETE FOOTING e,e�" � a.ce�( dbo-.� &;I j • p� YJ MIN. 112"0 ANCHOR BOLT W/ MIN. 7" EMBEDMENT 2'-8° BRACED WALLL PANEL SCALE: 1/2"=1' BITE COON I T BUILDING DEPARTMI" ,4t IPPR V a z_ N INSULATION STOP A5 REQUIRED OVERLAP T.P. @ CORNERS PRI 13 2X4 P.T. 51 LL PLATE FIN. GRADE TRUSSES_@ 241, O.C. 2 6 �— R38 11211 GWB ROOF NAILING: 8d HD GALV. 4°EDGE5, 12" FIELD —2X4 5TU D5 @ I G" O.C. —2X4 P.T. 51LL 112"0 X 10" FDT BOLT @ 6" O.C. W/ 2"X2"X3/ 1 G" 5TL. PLT. WASHERS 4" CONCRETE SLAB W/GXG 10/ 10 W.W.M. OR #4 2 2411 FILL BOTHWAYS OR #3 @ I 5 O.C. #4 REBAR BOTH WAYS 12" MIN. FOU N DATION DETAIL SCALE: I"= I ' -O" Fc=2500 psi 25 YEAR COMP ROOFING O/ 15# FELT O/ 7/1 G" 053 —2X BLOCKING DBL. T.P. -I TYPICAL SECTION FRAMING 0 SCALE: 114" = 1' 2X4@IG"O.C. CONCRETE FOUNDATION BUTTE GOUN f %ILDING DEPARTMF Irl P P R 0 V fir.. uil in Ma erials 1�larehouse P.O Box 1038 . Gridley, A 95948-1038 (5 ) 846-4409 7/1 G" OSB SHEETING 5TAGGERED W/ 15# 30 FELT 25 YEAR COMP ROOFING ROOF PLAN SCALE: 1/4"= -I' -O" BUTTE COUNn- AUILDING DEPARTIA .. y , ^ P P R OV s Buildi 9 Materials Warehou P Box 1038 rGridle , CA 95948-1038 2X4 OUT-RIGGER5 30) 846-4409 @ 24" O.C. @ BOTH GABLE -ENDS �3 t5IMP50N H1 .5-CLIP5.AT EACH. TRU55 TQ -TOP PLATE 301- 0513 0513 058 7/1 G" OSB SHEETING 5TAGGERED W/ 15# 30 FELT 25 YEAR COMP ROOFING ROOF PLAN SCALE: 1/4"= -I' -O" BUTTE COUNn- AUILDING DEPARTIA .. y , ^ P P R OV s Buildi 9 Materials Warehou P Box 1038 rGridle , CA 95948-1038 2X4 OUT-RIGGER5 30) 846-4409 @ 24" O.C. @ BOTH GABLE -ENDS �3 ALL WINDOWS SINGLE HUNG FIN. GRADI FRONT ELEVATION SCALE: 1/4"= 1'-0" BATE COUN gUILDING DEPART F:' '. k P P R 0 V SCALE: 1/4"= I ' -O" 0. Box 1038 :rl_ ey, CA 95948-1038 (530) 846-4409 LEFT ELEVATION SCALE: 114"= 1'-0" REAR ELEVATION SCALE: 1/4"= 1 '-O" BUTTE C0U� Bu d' g Materials Warehouse 38 P. Box 1038 LDIa�G ®SPAR % dley CA 95948-1038 P R \ (530) 846-4409 'IN. GRADE / J ENVIRONMENTAL HEALTH FEB 2.4-: I.CU4 7 COUNTY CENTER DRIVE lSTn�% � ,�•. \ „�• Butte County -environmental Health 14yD Signature i® 14 i t l �11 } n . o z rri z ..... n z � a L, O m ' C m = , i i � S n . o z rri z ..... n z � a m P.3 C m = ,