HomeMy WebLinkAbout027-230-108a
a
027; 23-0 µl08 3-1687 BPEM •�,,
"VEGA, ELEAZARs
`55-. FOUR JUNES WAY, ORIOVI' LES
NEW SF : , wv .
.. ,- 027=23-0-108 't' ' • ,. a : '.93-1796 B
` VEGA_ , •` ELEAZAR
555 FOUR JUNES WAY, OROVILLE•
,"CONTR: •FOX CO, .. ^'' <. •3 a Z�Y
;FIRE-SPRINKLERS/SF:
X27- 23-108 rTr 92-117
EGA', Eleazar.'ka« w
_.
r.
NIS, Four;Junes .Ways^(at end of�rd)-, 0
_ A 'Exempf_ nn ke f `�
Ifeed'far`'m •implements
N
a
a �
a
a
027; 23-0 µl08 3-1687 BPEM •�,,
"VEGA, ELEAZARs
`55-. FOUR JUNES WAY, ORIOVI' LES
NEW SF : , wv .
.. ,- 027=23-0-108 't' ' • ,. a : '.93-1796 B
` VEGA_ , •` ELEAZAR
555 FOUR JUNES WAY, OROVILLE•
,"CONTR: •FOX CO, .. ^'' <. •3 a Z�Y
;FIRE-SPRINKLERS/SF:
X27- 23-108 rTr 92-117
EGA', Eleazar.'ka« w
_.
r.
NIS, Four;Junes .Ways^(at end of�rd)-, 0
_ A 'Exempf_ nn ke f `�
Ifeed'far`'m •implements
N
V=OK
O=Not OK
NotReadyable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / P'Vft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVER8, CARPORTS, GARAGES, (Plana)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh ,.
10. Roof; Shthg-Roofing
..: 11. Ext.; Steps -Doors -Lendings
Date/Initials P000 (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness ,
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
v 5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors - yard gas piping: size- st
11. Water Pipe; Test -Anchor -Regulator -Service (j
L 12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/in[' PLUMBING Permit OK except #'a
18. r Htr.; Vent-Access-Combustlon Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection Pjk t
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -W al Is -Cel Zings
60. Inf filtration -Walls -Windows
Date/Initials FINAL (Plana) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. • Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Klt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Find:
.C(Z-!4NTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive - Oroville,'California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
027-23-0-108
ZONING
A-5
BUILDING PERMIT
OWNER
GA
TELEPHONE
743-8311
SO. FT. OCC. BUILDING VALUAT10N
1651 01 60 2 641
OWNER'S MA LIN ADDRESS
1543 3rd Ave,Olivehurst 95961
CONTRACTOR'S NAME
Fox Company
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3995 OliveHwy, Oroville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
15.00
LENDER'S MAILING ADDRESS
Permit Fee $
45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
22.50
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
555 Four Junes Way,Oroville
Permit fee $
82.50
PLUMBING PERMIT Filing Fee
15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF qX Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New r Addition j_j Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: Fire Sprinkler System
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee
15.00
Main service 600V OR LESS 18.50
200A OR LESS
_
Main service 20CATO IOOOA1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. 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
j6r sale. (Sec. 7044)
21"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 CONST. DWELLING OCCUP.& 3.64 sq.ft.
OR ADONS. (ACC. BLDGS.
NEW CONSTRULTI.OUTLET
NON-RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS y
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES20 761
FIXED LEPLNS R
Ex. Occup. IRESID.IEA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Jaf Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee
15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
LContractor
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 wa accrue
against said County in consequence of the granting of this per .
X �/ Date
Signature of Appli ant — Owner Con for ❑ Agen
An OSHA peris required for ex —ions over 5'0" deep and demolition or construct -
ion of structures over 3 stories in eight.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
'—
CON T
TOTAL FEE $ $2,50
HAz
DFEES
IMP LOOD
FF
CD
PARCEL PD
HD
iSS
11"'
This permit is hereby issued under the applicable
sions of the Butte County Code and/or resolutions
work indicated above for which fees have been
DIR RKS
By4ate
PERM T EXPIRES Date
provi-
to do
paid.
93
Receipt No. N 3z5' `
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
0
may`+}' i� 4J^.Ja1:�."'tj.c•'^v ' v,f't'-h-..11+w-"'","��irktCjR�'.�1.'rjyt✓.�t�'i�.r�+j,,,r""`T'.nr'+'.K'^+f""�"�+y,+'w•.:�.�'t,-..tiY'�..��y.�,,�.....wl7rlri'�v""fC"�M1lr. •.'i...,.a,... . , .. c
COU NTYOF BUTTE - DEPARTMENTt, P`DEVEL` OPMENTSERVICES - BUILDING DIVISION r
4J 11 f 1 r11
/
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPL' ICATION DATA SHEET
OWNER E 46A Z�fl /2- A. P. No.
Proposed Building Use F / &115 G PtZ/N/L Lff 6�-�uilding Inspector /g� /f DateZ / J`' 3
At time of permit application, I was'advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ........................................
...............
2. Plot plans, 3/4 sets, signed by preparer of plans . ...........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ................. ... .
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ...... ....
.. .
5. Hazardous Material Form . ................:.......................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .......................................... .
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). ...P�As�ecdo; n qe -
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the per it, process as follows: Mail to owner. Mail to contractor.
Telephone? .2 O and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant a,' .�� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dale
Copy of plans sent Health Dept. , Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _phone _ mail inter by _Date
Plans checked by Date Plans approved by Date )Mk-.
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Insulation Certificate
BUILDING OWNER: /�j a,e L45 BUILDING PERMIT
BUILDING LOCATION: IZaclr? __7f[Js90. -. e&07d
Description of Installation
ROOF
Material a-lz-r-
Thickness (inches)
Brand Name &W Z4[Z, C-041*46
6
Thermal Resistance (R -Value)
CEILING /
Batt or Blanket Type �UEi2 C� �a„�� Brand Name (f, -/2(f,-/2 f42 7
1.tE�
Thickness (inches) 16 �' Thermal Resistance (R -Value) _ R - 34
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL y
Material s �6� /fir, �� T.r Brand Name 712 iU /BEd
Thickness (inches) Thermal Resistance (R -Value) - I�
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material G g oy
Thickness (inches) fit'
Width (inches)
FOUNDATION WALL
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Material C dy G,�E�r Brand Name
Thickness (inches) /Z Thermal Resistance (R -Value)
;Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
/"'&e current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
General Contractor (Builder) License Number
714;5
atureandTitle
2.),,e Ga
Sub•Cgnycactor (Insulation Installer)
a -v CL
Si ature 'a'§—TTifle
Date
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
E
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.
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents 93-023870
of this property may be subject to. incon-
veniences 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 in
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally 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 tlfat real.:pr•operty:`situate in the County of Butte, State of California, described as
follows:
PARCEL I:
PARCEL 23, AS SHOWN ON THAT CERTAIN PARCEL, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTT, STATE OF - -
CALIFORNIA,ON FEBRUARY 28,1992,IN BOOK 125,OF MAPS,AT PAGE ( S )
50 thru 52.
RESERVING THERE FROM THOSE CERTAIN RIGHT OF WAY AND PUBLIC
UTILITY EASEMENTS AS SHOWN ON THE ABOVE PARCEL MAP.
PARCEL Il:
THOSE CERTAIN_RIGHT OF WAY. AND PUBLIC UTILITY:EASMENTS!;. AS SHOWN
ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF -THE RECORDBR
Date: OF THE COUNTY OF BUTTE, STATE 0'F CAL ON FEBRUARY 28.,-1992,in'
-BOOK 1-255 OF UAP, AT PAGE ( S ) 50 th � 'OWNERS:
."CONVENEYANCES GIVEN FOR NO VALUE. /Lcl Q11
THIS IS A BONAFIDE GIFT AND.GRANTOR RECEIVED OTHING.IN TURN, & T
11911
State of CALIFORNJIA On this the10 day of. dune 1993 before me,. the
SS. undersigned Notary Public, personally appeared
County of YTTRA )
Eleazar VEGA
OFFICIAL SEAL
PAULA S. PIU10SA
CD t NOTARY PUBLIC - CALIFORNIA
YUBA COUNTY
My Comm. Eio'nes May 2. 1994
Personally known to me. E] Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that
executed the same for -the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A. P. No.,/`
Notary Public
�W'iSY-iyyi5-}�'CI.�e ���bYq{`��'.C'�:'.�'�����H`�pp���� �`�`t�b""_�`��iftg�`o'Sia'"?�yY'yw��sm+vnG'v3�auwc.+agv•Kr��;-m: ^' s�e�`�"Y,,r;R'^";
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
District I dentification No. -*
-9- ,7 2 9
{,C/r iO— PK -. rSchooD strict certifies that-�9sflC--
_` ` (Applicant)
(Street Address) - " (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ 6? 702/• /0_
representing
District
square feet.
Paid by Check Numbers Remarks:
Bank Number
Paid by Cash
6/4091
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to
additional school fees to fullv mitiqate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
School District
Building Department No.
A.P. Numbere����-°" � Jurisdiction
D,SS
City 0
County
Property Owner��"
Property Location/Address u'Z
Subdivison
Lot No.
Residential Development E
Sq. Footage
No. o Living
MHI
Addition
(Group R)
Units
Commercial/Industrial .
0
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
Building Departme t epresentative
Dafe
(Floor Plans reviewed by School District Personnel)
District I dentification No. -*
-9- ,7 2 9
{,C/r iO— PK -. rSchooD strict certifies that-�9sflC--
_` ` (Applicant)
(Street Address) - " (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ 6? 702/• /0_
representing
District
square feet.
Paid by Check Numbers Remarks:
Bank Number
Paid by Cash
6/4091
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to
additional school fees to fullv mitiqate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
4RESIDENTIAL '
027-23-0-108 �! 93-1687 BPEM
VEGA, ELEAZAR
`_ "SOUR JUNES WAY, ORIOVILLE
_ ''ANEW SF
, 54
OFFICE COPY
„d r t f' Address
' �• • , ' r' , p�y :�., • % . bate/ -
AS `� � � •
{ ,# Meter BY ~
ELECTRIC�� _ —~ Date .
r �•� ,.: Meter By
vo
• � ,. _ ` • ;��• i 1 til ,jFh� s �2,actse.. . ,
j? ;}� . LLL : __�_„�.__�•._.�._� �.. �.
J�, OFFICE
Address
GAS• •Date
Meter By Q
• { '�t,;Y ELECTRIC q
Meter By Date '
1J ! fl
r +JOB FINALED (Date) ~
Signature
V=OK
O = Not OK o
-=Not Applicable °
Not Ready MOBILE HOMES MISCELLANEOUS
' =•�
i
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s Date/Initial DECKS, COVERS, CARPORTS, GARAGES. (Plans)OK except #'s
1. Zoning Requlrements-Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Teat -Easement Needed (Sketch) 4. Wood Awn.; Posta-Beams-Rftrs: Connectors
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete '' Shthg: Rfg :Bracing
6. Gas; Location -Teat -Wrap: / /" L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Net. or/ /" L"ft./ /"LPG 6. Carports; Windows -Doors
7. Well Clearance & Disconnect V
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements-Setbacka Easements
2. Footings; Size -Spacing -Marriage Line J
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test-Fall=Flex Connector
S. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch f
10. Cert. of Occupancy
e
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plana) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Pane Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
i
"1S
t • -
t �
1 •, -
Y
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plana) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Pane Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
i
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initials W6ERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8.- ' apiece Ftg.-Steel
P.Nf.V.; Fall-Fitting-Test-2.Way Sewer Test
UF. Gas Pipe; Size -Anchors - yard gas g: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/Initials BIND Permit OK except #'s
1_§Aeter Htr.; Vent -Access -Combustion Air -Baffle
17. Wa r Pipe; Test & Anchor -Nail Protection
D.W.V.; Test -Fittings & Anchor-Naii Protection
--__-4#.9how_arPan; Test, First Floor -Tub Access
es b & Shower, Second Floor -Tub Access
Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
& Transformer Clearance -Ins. Protection
Elec. Receptacles Spacrng-Lights & Switches at Doors
e Boxes & No. of Conductors -Stapled
ex Installed CI uds & C.J.
26. uip. Ground ina u ec Fastners-Bond Gas & Water
Appliance Circuts in Kitchen & Conductor Size/GFI
___?$-Subfeed WireSize / / ga. Cu or AI-A.C. Wire Size/ / ga.
Cu or Al
,CKc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
(9_ ted Neutral ❑ Yes ❑ No
. rvice-Riser Conductors & Ground -Main Disconnect
rances Panels -Motors -Meth. Equip.
o hes Closet Light -Shower Light -Spa Light
3: oke Detector -
Date/Initials MECHANICAL (Permit) OK except #'s
34.-' C. Ducts Insulation & Support
5. Vent Fan; Exhaust above insulation
Condensate Drain & Overflow; Size & Grade
_ nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet
8. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. ; Proper Material & Anchors
0 ails Studs -Nailing, Spacing & Bracing -Plates -Sound
wring Walls over Girders & Floor Nailing
Stop in Walls (rat proof)
V(r43..&.Stops; Furred Ceilings -Stairs -Chases -Tub
\_,1d.'Headers & Beam -Size & Bearing
(Single & Duplex)
Date/Initials FRAMING (Continued)
ars-Post Caps -Anchors -Connectors
joist-Rftr. ties- Puri ln=roof Brac-Truss-Shthng.-Rfng.
47 ace Ties or Type A Flue -Fireplace Throat clearance
48- is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
C:; drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
aragi Fire Protection Framing
Property Line Firewall & Openings
`,__52-fxt-0wrs-One 3' -Check Garage -3rd Story, 2 Exits
idth-Headroom-Rise-Run-Landing-Fire Protection
V -ST -plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Siding -Nailing Veneer
h -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
5� 8. Sh ar Walls; Nailing -Bolts
Ins ation-Walls-Ceilings
Infiltration -Wells- in ws
C?
Date/Initials FIN Plans OK except #'s
1.EXt. Steps -Door & Sidelight Protection -Landings
&�__*E'Smoe Detector
61 . -Furnace; Vents -Clearance -Comb. Air -Connector -
In ►age; Above Floor -Ducts -Mach. Protection
edr om Exiting
. G.F I. & Bath Fixtures & Tub Access -Spa
LISeElec. Trim & Subpanel; Breaker Sizes & Labels
6744 & Rails
ace or Stove; Clearances -Hearth
Outlets at Wood Panel; Int. & Ext.
Grnd.-Air Gap -Cooking Clearance
Zlec. Outlets & Receptacles at Kit. Counter
garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
arage; Above Floor -Mach. Protection
Elec. & Mach. Equip. Listed for Location
C'��. eptacles in Garage; (G.F.1.)-Romex Protection
1w-?r_I nsulation-Foam-Looked in Attic ❑ Yes
78. uard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
Following instld.; Drive ❑ es o; Walks 13 Yes o;
Planters 13 Yes 01 o
Brown -Finish
Disconnect, Electrical, Plumbi
Above Roof; Plbg -Appliance-Fireplace: Clearance to
Well; Disconnect, Electrical, Plum
'"(__qS' erior Elec. Trim; G.F.I. Receptacle -Underground
V& itii<ion Throughout House
Glass Protection
88. Corre s from Previous insDectidns /
� Water & Sewer Connected -C/O to Grade -HO Approval
i. Energy ComDliance Certfficate-Other Certificates
Comments at FInal:
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-754
9�
APPUCATION AND PERMIT
ASSESSOR PARCEL NUMBER
027-230-108
ZONING
A-5
BUILDING PERMIT
OWNER
Eleazar Vega
TELEPHONE
743-8311
S0. FT. OCC. BUILDING VALUATION
1651 R 89154.00-
t 7
OWNER'S MAILING ADDRESS
1543 3rd Ave. Olivehurst 95961
502 M 9,03
.00
CONTRACTOR'S NAME
Owner
TELEPHONE
120 C 1 560.00
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 101 250.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 604.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 302.25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 941.75
PLUMBING PERMIT
Filing Fee 15.00
955 Four Junc-, Way, Oroville
Each Trap
8 5.00/40.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
23
NAME
i
PARCEL MAP
125-50
Water piping
1 7.00 7.00
Each qas water heater or vent
1 1 7-001 7.00
USE OF STRUCTURE
SF[N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5-001 5.00
Building sewer
1 15.00 15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New L� Addition Lj Remodel ❑ Utilities ❑ installation[Other ❑
Describe work: New R Bedroom 4i nR1 P Fami 1 V _
Permit Fee
$ 89.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50 50
Main service 200ATO1Oo0A1
_
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Cense Jo. Classification
;460
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&�
OR ADDNS. 1 ACC. BLDGS.
{J 3.60sq.ft. 75.351L
NEW CONSTR.MULTI-OUTLET
NON•RESID BRANCH CIRCUITS)
@ 5.00
I POWER APPARATUS &)
SINGLE OUTLET CIR.
EO
Ex. Ccu p OUTLETS OR FIXTURES
20 76d
Ex. Occup. OUTLETS (RESID )REAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 108.85
-
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
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
119.00 1 9.00
At -tic Split
Cooling
g 3 Ton
1 9.00 9.00
Hood
1 6.50 6,50
Ventilation
1 4.50 4.50
Permit Fee
$44.00
Contractor
I certify that I have read this application and state that the above information
I 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 said County in conse uence of the granting of this permi .
X nThis
Date
Signature of Applican - Owner contract Agent ❑
An OSHA permit is required for exc ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $40-00
occ
CONST TYPE
TOTAL FEE $ 1,223.60
HAz
1 0FEES I
IMP
FLOOD
I COF
PARCEL
I PD
i HD
ISSUE
permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIR
ByDate
PERMIT EXPIRES Date C
applicable provi-
resolutions to do
have been paid.
WORKS
°Y h 3
143945
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
f 1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
+CORRECTION NOTICE
OWNER PERMIT N,
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If a any questions pertaining to this matter, or need additional explanation,
please co t this office immediately.
�/ I
Date �-��� 0 — Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA-- (916) 872-6307
CORRECTION NOTICE
9.11
OWNER— - PERMIT NO.
A routine.nspectio indicates that the following violations of Butte County Ordinances exist at
.-the above addres and should be corrected. Please notify this office when correction of work
is completed. If ou have a `questions pertaining to this matter, or need additional explanation,
pl/ea a (conta this off. immediately. '
1 ��I 1�. 0'aiYi(
MM
1116, /I'�`
r SIR ' moi.
Date Inspector
REV 10/92 /—
r
fir•' i ^,. i, t �:. 7{�,�J`+'�1rx•Y., emir l.vv,�.t.. , �- . .
COUNTYOF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER L & A. P -No /
Proposed Building Use Building Inspector _-iKP Date -1 LI
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted.
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
............
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7- Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). .... 02 3
Mobil home data and manufacturer's installation instructions, 2 sets. ...........
hof $
111 Impact fees as shown on attached schedule. ... . .
12. California Department of Forestry plan approval/fees. . .
Flood elevation letter (100 year flood) by California Engineer. .. t-
4. Sanitation and plot plan approval #- Health Department. /
15. City of Chico plumbing permit. ......
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A).Use: (B) Parking:
AIK"Contact Land Development.a bout (A) Improvements (B) Drainage. ..... .
riveway permit (construction approval required prior to occupancy). .. .. .. .
. Pre -inspection for required. .. o e�,d 9 �sp8� —
21. Contractor's license information. No., Name Style, Classification). c�ece�
22. Certificate of Workmans Compensation Insurance . ......................... .
A. wner-Builder Verification (Given to owner , Mail to owner _. ............
........
24. Recorded copy of Agricultural Acknowledgement Statement . ..... : .... : ..... . .�
25. Letter of signature authorization. . .
..................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..................:....
29. Documentation of legal access. ......................................................... . .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ............................
Pla c ec list. n
33.
34.
When yo ssue the permit, process as follows: Mail to owner
✓Telephone 1'/7'07/.7 and hold for pickup at
Other
Mail to contractor.
- office. Deliver with inspector.
r-arcei t;reation
Acreage Applicant �•
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air P ution D e
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit i
1. Index permit for above items No.
2. Additional items required: /
new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone_ mail _
Contractor, designer, owner, was advised of above required data by _ phone _ mail _
Plans checked by Date Plans approved by
Sets of plans on hold in File cabinet AP folder S
Copy - Department of Pubic Works
Counter by _ Date
Counter by _ Date
S- Date 6= -2P
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
Z—�:-/e4 LeG�
owner
location AP #
J
has been issued for the above property.
Ai Driveway permit Az,,OA -e /1�2af�
date
si ature
TO: Building Department
FROM: Environmental Health.
SUBJECT: Sanitation Clearance
Hol Phan Auachwl .� rc •
Floor'I'lan Auaclu-J _
soil 141 11.1),
L /e- Q7cL 2 _ I—our 3-usaes 44,v
.Owner i Location
Plan Approved for: Sewage ]disposal Water Supply: Public —
Clearance for � bedroom �-home. Othcr
Hold final for: F, na
Final clearance O.K. for:
NOTE:
Environmental(j4ealth Specialist
8/92
CV*1-7 -c:2.3 /08�
AP# //
Private Well_�54113
M4, // - /x-�; - I
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNERI/� (i9 A.P. NO .
v
PROPOSED BUILDING USE �� DATE
REC. # DATE REC
School District Fees C�G2-� (✓y � �. 2
(paid at District Office) / �� /p�
heriff Fees
(paid at Building Department)
.. rL
Residential ... .......(_ =$ ���7
LtlZf-3
unit amt.
Commercial(per sq.ft.) % =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X _$
# units amt.
Commerical(per sq.ft.) R =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development) „ .......................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT
DATE .�
RESIDENTIAL PLAN. CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306Q).
rick or stone veneer.(Chapter 30).
terior plaster - weep screeds (Sec. 4706).
�. roper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
. Attic access and ventilation (Sec. 3205).
erfloor access and ventilation (Sec. 2516):
Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
skiing at all exterior openings.
CDF responsible area requirements.
7
RESIDENTIAL PLAN CHECKING GUIDE
(S. F. , DUPLEX -& MISC. ONLY)
8/91
Bldg. Permi V
_ 3- /
OWNER A. P. - TT
GENE Plan Checker 41-5
.�n'n requirements: (sideyards and number of permitted living units).
/r2. tion.
g. ans signed by designer.
Proper description of work on application.
P.Recorded
xisting violations on property.
tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
notice of violation.
PLOT PLAN
0oomplete parcel size and dimensions.
tbacks, sideyards, easements, etc.
er buildings or structures.
ading, fills, drainage.
od hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non -comb
stible, and.foundations).
AU &-FAS road setback.
Building or utilities across lot lines (Record form).
Complete to scale plan with dimensions.
. ,Required windows for light and ventilation (Sec. 1205).
. required windows for second exit (Sec. 1204).
j, Skylights (Chapter 34 & Sec. 5207)..
�Iuman impact glass (Sec. 5406).
required room sizes, ceiling heights (Sec. 1207).
/ Gr^CIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
�enance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other
0�r gas equipment.
- age firewall, door size, and closer (Sec. 503(d)(3)).
Ku
3'0" exterior exit door (sec. 3304 (f).
eplace and wood stove location, alcoves, and clearance.
ke etectors (Sec. 1210).
mbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
for main -
electrical
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
�7erestory requiring balloon framing and/or engineering.
hree story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
/Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
3"' -after ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
;dobe soils - special foundation design.
+. Retaining walls requiring design,.,..
�Suecial Inspection required. ""
building
CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R
-�------------------------------------------------------------------------
P`-oject Title: V1651N Run: 327 28 -May -93
Project Address: APN27-23-108, FOUR JUNES WAY V1651N
BUTTE COUNTY
Building Title: V1651N Building Permit #
Document Author: MICHAEL F. SROKA
Telephone: 742-6148 Plan Check / Date
Compliance Method: CALRES2 Version 1.30 Field Check / Date
Climate Zone: 11
--------------------------------------------------------------------------------
GENERAL INFORMATION
Conditioned Floor Area: 1651 ft2
Building Type: SFD Single Family Detached
Building Front Orientation: 0 deg (North)
Number of Dwelling Units: 1.00
.Floor Construction Type: Slab on grade
BUILDING SHELL INSULATION
Component
Insul
Assembly
Type
---------------
R -value
--------
U -value
--------
Location/Comments
----------------------------------------
Door
0
0.330
Outside / FRONT
Door
0
0.330
Unconditioned / GARAGE
Wall
13
0.088
Outside
Wall
13
0.088
Unconditioned
Floor
0
0.722
Grade
Floor
0
0.295
Grade
Ceiling
30
0.031
Attic
Slab Perimeter
0
0.550
Unconditioned
Slab Perimeter
0
0.720
Outside
Slab Perimeter
0
0.900
Outside
Slab Perimeter
0
0.500
Unconditioned
FENESTRATION
Area U- Interior Exterior Overhang Frame
Orientation (ft2) value Panes Shading Shading and Fins Type
----------------- ----- ----- -------------------------------- ---------
Window North 50.0 0.870 2 Std Drape Bug Screen Overhang Metal
Window North 46.0 0.870 2 Std Drape Bug Screen None Metal
.Window South 113.0 0.870 2 Std Drape Bug Screen Overhang Metal
Skylight 8.0 0.870 2 Std Drape Bug Screen None Metal
THERMAL MASS Area Thick
Type Exposed? (ft2) (in) Location/Comments
----------------- ----- ----- ----------------------------------------
Floor Yes 465.0 3.5 Grade
Floor No 1186 3.5 Grade
#04e CIL
COW,
�Q
CERTIFICATE OF
COMPLIANCE: Residential
Page
2
CF -1R
Project Title:
V1651N
Run:
327
28 -May -93'
HVAC SYSTEMS
Duct Location
Type Efficiency and R -value
-------------------------- ---------- -------------
Furnace 0.78 AFUE Attic R-4.2
Air cond. -- central split 10.00 SEER. Attic R-4.2
WATER HEATING SYSTEMS
Distrib
Water
Water
# of
Energy
Volume
Wrap
System Name Type
--------------------
Heater Name
------------
Heater Type
Htrs
Factor
(gal)
R-val
-Standard—Gas Standard
StandardGas
-----------------
Storage gas
----
1
------
0.65.
------
50
-----
0
WATER HEATING SYSTEMS MISC
HYDRONIC DISTRIBUTION AND TERMINALS
System/Name Type Number
-------------- ------------- ------
None
SPECIAL FEATURES, REMARKS, AND NOTES
None
J
Pipe Pipe Insul Insul
run (ft) diam (in) thck (in). R -value
-------- ------ --------- -------
Solar savings
Solar system-
Wood stove Wood stove
System Name
------------
fraction
-------------
type
------------
boiler? boiler pump?
-----------------------
Standard—Gas
--
--
No No
WATER HEATER/BOILER
DETAILS
Rated
Pilot
Water
Recovery
Input
Standby' Tank Light
Heater Name
------------
Efficiency AFUE
----------
(kBtuh)
Loss R -value (Btuh)
StandardGas
----
78%
-------
-- 36.00
-------------- ------
-- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
System/Name Type Number
-------------- ------------- ------
None
SPECIAL FEATURES, REMARKS, AND NOTES
None
J
Pipe Pipe Insul Insul
run (ft) diam (in) thck (in). R -value
-------- ------ --------- -------
CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R
Project Title: V1651N Run: 327 28-May-93
COMPLIANCE STATEMENT
This certificate of compliance lists the building features.and performance
specifications needed 'to comply with the Energy Standards in Title 24, Parts 1
and 6', of the California Code of Regulations, and the Administrative regulations
to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted
for a -single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in the Special Features, Remarks, and Notes
section.
DESIGNER OR OWNER
MICHAEL F. SROKA
.DESIGN & DRAFTING
4140 DAN AVENUE
MARYSVILLE, CA.
742-6148
DOCUMENTATION AUTHOR
MICHAEL F. SROKA
SERVICE DESIGN & DRAFTING
4140 DAN AVENUE
MARYSVILLE, CA.
742-6148
ENFORCEMENT AGENCY
Name:
Title:
Agency:
Telephone:
Signed Date
�iw/VIA0
COMPUTER METHOD SUMMARY Page 1 C -2R
Project -Title: V1651N Run: 327 28 -May -93
Project Address: APN27-23-108, FOURJUNESWAY V1651N
BUTTE COUNTY
Building Title: V1651N Building Permit #
Document Author: MICHAEL F. SROKA
Telephone: 742-6148 Plan Check / Date
Compliance Method: CALRES2 Version 1.30 Field Check / Date
Climate Zone: 11
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design
--------------- ---------------
Space Heating 16.92
Space Cooling 14.73
Water Heating 13.33
Total 44.99
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Number of Stories:
Proposed Design
---------------
18.57
9.92
11.79
---------Complies
40.28 Yes
1651 ft2
SFD Single Family Detached
0 deg (North)
1.00
1
Floor Construction Type: Slab on grade
Number of Conditioned Zones: 1
Total Conditioned Volume: 13208 ft3
Conditioned Footprint Area: 1651 ft2
Ground Floor Area: 1651 ft2
BUILDING ZONE INFORMATION
Floor
Zone Area Volume
Name (ft2) (ft3)
HOUSE 1651 13208
OPAQUE SURFACES
Surface Area
Type (ft2)
---------- ------
Zone = HOUSE
Type
-------------
Conditioned
Thermostat
Type
------------
CEC_Standard
Vent Vent
Height Area
(ft) (ft2)
2'0" 21..2
U- Insl Tru Slr Construction
value Rval Azm Tlt Gns Type Location/Comments
----- ---- --- --- --- ------------ --------------------------
Door
20.0
0.330
0
0
90
Yes
CEC_30-Wood
Outside / FRONT
Door
17.8
0.330
0
270
90
No
2868
Unconditioned / GARAGE
Wall
338.0
0.088
13
0
90.Yes
W13.2x4.16
Outside
Wall
80.0
0.088
13
270
90
Yes
W13.2x4.16
Outside
Wall
256.0
0.088
13
90
90
Yes
W13.2x4.16
Outside
Wall
367.0
0.088
13
180
90
Yes
W13.2x4.16
Outside
Wall
158.2
0.088
13
270
90
No
W13.2x4.16
Unconditioned
Wall
16.0
0.088
13
0
90
No
W13.2x4.16
Unconditioned
Wall
13.0
0.088
13
315
90
Yes
W13.2x4.16
Outside
COMPUTER METHOD
SUMMARY
Page
2
C -2R
Project Title:
V1651N
Run:
327
28 -May -93
OPAQUE SURFACES continued
Surface
Area U- Insl
Tru
Slr
Construction
Type,
---------- ------
(ft2) value Rval
----- ----
Azm
---
Tlt Gns
--- ---
Type Location/Comments
Wall
13.0 0.088 13
45
90 Yes
--------------------------------------
W13.2x4.16 Outside
Floor
465.0 -- 0
--
180 No
Slabl40E Grade
Floor 1186.0
-- 0
--
180 No
Slabl40C Grade
Ceiling 1643.0 0.031 30
--
0 Yes
R30.2x4.24 Attic
PERIMETER LOSSES
Insul
,Perimeter
Length F2
Insul
Depth
Type
-----------
(ft) Factor
-------- ------
R-val
-----
(in) Location/Comments
Zone = HOUSE
------
-------------=--------------------
Exposed
9'0" 0.550
0
0 Unconditioned
Covered
11410" 0.720
0
0 Outside
Exposed
47'0" 0.900
0
0 Outside
Covered
15'0" 0.500
0
0 Unconditioned
FENESTRATION
SURFACES
Glazing
Fenestration
Area Tru
Open
Frame Charactr
Name
--------------
Type (ft2) Azm
---- ----- ---
Tlt
---
Type
-------
Type Name Comments
Zone = HOUSE
-------------------- ----------------
W1
Wind 5.0 0
90
Fixed
Metal CEC_Db1StD
W2
Wind •16.0 0
90
Slider
Metal CEC_Db1StD
W3
Wind 16.0 0
90
Slider
Metal CEC_Db1StD
W4
Wind 40.0 180
90
Slider
Metal CEC_Db1StD
W5
Wind 9.0 180
'90
Slider
Metal CEC_Db1StD
W6
Wind 40.0 180
90
Slider
Metal CEC_Db1StD
W7
Wind 24.0 180
90
Slider
Metal CEC_Db1StD
W8
Wind 14.0 0
90
Slider
Metal CEC Db1StD
W9
Wind 10.0 315
90
Slider
Metal CEC_Db1StD
W10
Wind 25.0 0
90
Slider
Metal CEC_Db1StD
Wil
Wind 10.0 45
90
Slider
Metal CEC_Db1StD
SKY1
Skyl 4.0 --
0
Slider
Metal CEC_Db1StD
SKY2
Skyl 4.0 --
0
Slider
Metal CEC DblStD-
GLAZING CHARACTERISTICS
Glazing
Charactr Glazing # of U- SC GIs Interior SC Int. Exterior SC Ext
Name Type Panes value Only Shade Type Shade Shade Type Shade
CEC_Db1StD Clear 2 .0.870 0.880 Std Drape 0.780 Bug Screen 0.870
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title: V1651N 7 Run: 327 28 -May -93
OVERHANGS
Fenestration
--------------------------
Vol
Cond-
Above
Left
Thck
Right
Name
------------
Height
------
Width
------
Mass Name
--------------
Depth
Glazing
Extension
ivity
-----
Extension
W1
510"
1'0"
------
610"
---------
---------
114"
1'0"
3.5
---------
306"
W4
618"
0 Grade
6'0"
1186
200"
28
0.98
104"
48'0"
610"
W5
300"
310"
2'0"
1'0"
3690"
2110"
W6
618"
610"
210"
1'0"
1716"
3616"
W7
4'0"
6'0"
200"
1'0"
316"
5016"
W9
510"
210"
510"
1'0"
9"
1'3"
W10
510"
510"
4'0"
1'0"
9"
3"
W11
5'0"
2'0"
5'0"
1'0"
9"
1'3"
FINS
Left
Fin
Right Fin
Fenestration
--------------------------
Exten
Dist
--------------------------
Exten Dist
--------------------------
Fin
Fin
above
to
Fin Fin above to
Name
------------
Height
------
Width
------
Depth
------
Height
------
glzng
-----
glzing
------
Depth. Height glzng glzing
None
------ ------ ----- ------
THERMAL MASS
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal Mass Comments
------------ -------- -------- ------------ --------
None
HVAC SYSTEMS
Duct Location
System Name System Type Efficiency and R-value
---------------------------------------------------------------
Z one = HOUSE
GasFurn.78 Furnace 0.78 AFUE Attic R-4.2
ACsplit10 Air cond. -- central split 10.00 SEER Attic R-4.2
Vol
Cond-
Area
Thck
Heat
duct-
Construction
Insd
Mass Name
--------------
(ft2)
-----
(in)
----
Cap
----
ivity
-----
Type
------------
Rval Location/Comments
Zone = HOUSE
---- -------------------------
FLOOR
465.0
3.5
28
0.98
Slabl40E
0 Grade
FLOORI
1186
3.5
28
0.98
Slabl40C
2.00 Grade
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal Mass Comments
------------ -------- -------- ------------ --------
None
HVAC SYSTEMS
Duct Location
System Name System Type Efficiency and R-value
---------------------------------------------------------------
Z one = HOUSE
GasFurn.78 Furnace 0.78 AFUE Attic R-4.2
ACsplit10 Air cond. -- central split 10.00 SEER Attic R-4.2
COMPUTER METHOD SUMMARY Page 4 C -2R
Project Title: V1651N Run• 327 28 -May -93
WATER HEATING SYSTEMS
Distrib Water Water # of Energy Volume Wrap
System Name Type Heater Name Heater Type Htrs Factor (gal) R-val
------------------------------------------------- ---- ------ ------ -----
Standard—Gas Standard StandardGas Storage gas 1 0.65 50 0
WATER HEATING SYSTEMS MISC
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
-------------- ------------- ------ -------- --------- --------- -------
None
SPECIAL FEATURES, REMARKS, AND NOTES
None
Solar savings
Solar system
Wood stove Wood stove
System Name
------------
fraction
-------------
type
------------
boiler? boiler pump?
----------
Standard Gas
--
--
-------------
No No
WATER HEATER/BOILER
DETAILS
Rated
Pilot
Water
Recovery
Input
Standby Tank . Light
Heater Name
------------
Efficiency AFUE
---------- ----
(kBtuh)
Loss R -value (Btuh)
StandardGas
78%
-------
-- 36.00
-------------- ------
-- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
-------------- ------------- ------ -------- --------- --------- -------
None
SPECIAL FEATURES, REMARKS, AND NOTES
None
Mandatory Measures Checklist:" Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION �'�j�,,41 I I DESIGNER I ENFORCEMENT
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
R -S 99
_
* §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
,.
* §I50(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perminch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air. leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§1500): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
* §150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
r
§150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved.
Revised January 1992
COUNTY OF BUTTE- PpR TMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, ' LIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT —
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place us�by the public.
ASSESSOR PARCEL NO..� C, - O
ZONING � L�
OWNER ,., 2-14PHONE
L�LEA
N0. /
OWNER'SA12DRESS��/ L / ! /�
/
�/ v TV
LOCATIfO[
LOCATION BUIL I G
6tekdoF Coad
M 17/D F PA tZLE-, L-�
USE OF BURI
1� FF, r --,,D ffa rz-. Ho a� a,-
Xf a (z2 s z aa-<
SIZE OF STRUCTURE
` V X 2
SO. FT. ZL)
_
TYPE OF CONSTRUCT
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
Id l (� 0
ROOF COVERi�IomI _-
FLOOR TY�P-E
_
ESTIMA ED CO CONSTRUCTION
AG Buildings shall comply with the building front,,side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy. ,
Date2
Signature of Owner
Permit Fee --125=- SD • 00 The above described AG Building is exempt from a b.ilding permit.
FLOODS PARC - P.D. ROOFIN ISSU
Receipt No. / / 7 C� C;� D
Director of Public W ks
By Date Z
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
COUNTY OF BUTTE 'PARTMEMT10 PUBLIC WO '1 -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
y
PERMIT A PLICATION DATA SHEET
-_2
OWNER 3-�0
OWNER l/ A. o. 2
Proposed Building Use Building Inspector Date
At time of per I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
20. Pre -inspection for Pre -Inspection request--
required. . to Building Inspector (Date)
21.
All items have been submitted . ........................................
2.
Plot plans '_3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material, form . ............................................
6.
Energy Design Compliance and supporting documentation . ................. .
7.
Statement of Intentfor Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of ..........................................
11.
Impact fees`as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. . . . . . . . . . .I . . . . . . . . . . . . . .
13.
Flood elevation letter V 00 year flood) by California Engineer . ..................
' 14. Sanitation a t n proval HealthDp+terat. ..... -.
A
15. - City of Chi pl b g rmit......................."......... L�O.. .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
' 17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19
Driveway permit (construction approval required prior to occupancy)
20. Pre -inspection for Pre -Inspection request--
required. . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ...............
22.
Certificate of Workmans Compensation Insurance.
/ ► 23.
Owner -Builder Verification (Given to owner , Mail to owner ) ............
24.
Recorded copy of Agricultural Acknowledgement Statement. ........... I:..... .
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
-28.T
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ........................................
1.30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
x 31.
Existing violations/expired permits . ......................................
32.
Plan check list. ..................................................: .
33.
0
,1_
When you issue the permit, process as follows: l/ Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other'
Parcel Creation
Acreage Applicant a.� 1;k Qate
Copy of Haz-I'Nat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following dataaMust be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works r