HomeMy WebLinkAbout027-250-036;�
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NOTES RESIDENTIAL
PERMIT NO. _ 02036 04-2013
BERG, WARREN
^ � � "_w_C.RAI.G AVE, PALERMO R
CONT:'OWNER
NEW SINGLE FAMILY
S y
SPECIAL CONDITIONS
CHECKED
BY
- SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
'v7 - - 3 91-6 ✓3
JOB FINALED (Date)
j Signature
r.
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
1.
2.
Soils; Special MH Support Sketch
Soils; Compaction -Structure Stability
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
4.
Water; Location -Test -Easement Needed (Sketch)
Elec.; Pool Lighting; 15 Volts-GFI
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
7.
6.
Gas; Location -Test-Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
7.
Well Clearance & Disconnect
10.
8.
Utility Clearance
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.,
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
5
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date /UNDE3WLOOR (Plans) OK except #'s
2. Ftg ain; Soils-Elec. Gkid.-/ /" Ftg. Depth
3 g., Garage; Soils-Steel-Elec. Grnd.- " Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Z. 5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls. Garaae: Steel-Blockouts-WraoDed
_ /6a.,Aold Downs and Special Anchors
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof) Fy
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing.
+�w.•Y�`4aitYR�.`o•.VCaat�Jq;.i.C'3.f"a�J'J+•.tw...ir.i`.ata...wS .s .e!-..- •ten .a.ri'!. ... X41
Date
8.
P' -Fire lace Ftg.-Steel
47.
OWOD.W.V.;
Fall -Fitting -Test -2 Way C/O -Sewer Test
48.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test'
49.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
50.
12.
Electric Underground
51.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
52.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
53.
15.
Access & Ventilation
54.
16.
Insulation
Dat
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Card B-1 Date Card B-1
Dat
Date
Card B-1 Date Card B-1
PLUMBIN mit) 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
22.
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
FINAL (Plans) OK except #'s
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 ❑ Yes ClNo
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
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
78.
Card B-1 Date Card B-1
Date
79.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Insulation -Foam -Looked in Attic
36.
A.C. Ducts Insulation & Support
Guard Rails & Deck Construction -Post Caps
37.
Vent Fan, Exhaust above insulation
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth\
38.
Condensate Drain & Overflow, Size & Grade;
Clearance Looked under Floor ❑ Yes \,
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Following Instld./Drive D Yes O No/Walks O Yes O No/Planters 0 Yes O No
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B.1.: s"
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) Fy
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing.
+�w.•Y�`4aitYR�.`o•.VCaat�Jq;.i.C'3.f"a�J'J+•.tw...ir.i`.ata...wS .s .e!-..- •ten .a.ri'!. ... X41
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.
Irifiltration-Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth\
Clearance Looked under Floor ❑ Yes \,
_
83.
Following Instld./Drive D Yes O No/Walks O Yes O No/Planters 0 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 Taaaed. Gas -Electric
t 93. Water & Sewer Connected -C/O to Grade -HD Approval
u, 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:
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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.neAdds
PERMIT NO.
BP042013
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: 11/02/2004 APN: 027-250-036-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 2838 CRAIG AVE PAL
Date: Contractor:
Map Index:
Description: NSF(1344)CARPORT(700)COV(286)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BERG WARREN R.
permit to construct, alter, improve, demolish, or repair any structure, prior
,
to its issuance, also requires the applicant for such permit to file a
6568 THOMAS DR
signed statement that he or she is licensed pursuant to the provisions of
NORTH HIGHLANDS, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95660
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars
I, as owner of the property, or my employees with wages as their
V` sole compensation, will do the work, and the- structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: BERG, WARREN R.
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
-•
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Bus• es s and Professions Code
Date:! Owner: °�`�
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect: 'HOWARD G TAYLOR
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 2330 S.F.
Valuation: $103,136.00
Census Code:
Policy #:
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
+
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor1
)
code, interest, and attorney's fees.
% �
��( ) ` Y / I
CONSTRUCTION LENDING AGENCY
This permit is hereb ssued;}u�nder the applicable provisions of the Brrtte County Code ?nrUor
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions t o iFated above for which fees have been paid.
Name:
By: Dat//e:
PERMIT EXPIRES ON: .
Address:
V
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. 1 agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatiivv s ofButte County toe ter upo!� Ie above mentioned property for inspection purposes
�
Print Name:•' o' / ` -,-/L-j`� Signature:
Date:
Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042013
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: 11/02/2004 APN: 027-250-036-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 2838 CRAIG AVE PAL
Date: Contractor:
Map Index:
Description: NSF(1344)CARPORT(700)COV(286)
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BERG WARREN R.
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6568 THOMAS DR
signed statement that he or she is licensed pursuant to the provisions of
NORTH HIGHLANDS, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95660
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: BERG, WARREN R.
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O I am Exempt under Article 3 of the usj{tass and Professions Code
Date: Owner: %
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect: HOWARD G TAYLOR
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carder:
Total Square Ft: 2330 S.F.
Valuation: $103,136.00
Policy #:
Census Code:
Q I certify that in the performance of the work for which this permit is
/ issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: n
Applicant: t/
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor`
h l
code, interest, and attorney's fees.
��j�( ) 1 T / - 1651�L
.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is hereby 'ssue�nder the applicable provisions of the Butte County Coda ?nrUnr
Resolutions t o ated above for which fees have been paid. ] , J
performance of the work for which this permit is issued (Sec 3097 Civ.)
1 , 6L/
� 7
Name:
By Date:1
PERMIT EXPIRES ON: - G
Date
Address:
O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to. comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize repre�seen�tativ s ofButte County to a ter upo Ie above mentioned property for inspection purposes.
Print Name: 7 IV, `P� 7 /Jj`QY� Signature: �
ZZ —
Date:
jt( Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT Tily PPLI(j �lY 9915d, \�`
ARCHITECT/ENGINEER
OWNER
Name.
AdIrys
Address/
Zip
Phoneg/-
Fax
Ste
Zi
Phone.
Fax
Fax
E-mail
Lic. #F
ARCHITECT/ENGINEER
CONTRACTOR
Nam
Lf-Aa
AdIrys
y
Zip
Phoneg/-
Fax
E-mail
Pmail
Lot #
Fax
I
Lic. #F
lass
ARCHITECT/ENGINEER
Nam
Address
City C
S' v r��
State
L
Zip
Phoneg/-
Fax
E-mail
cpnserid
9
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X4'1'Z'4' Z
For office use only:
Zoning
Flood Zone
I X I I SRA 1 2j,
1 No
Occ.
Type Const. 11
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
: , 3
BP
LOCATION
AP# 01 _ Z /
Prope Addre� J v
il i
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 pennit Issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
„ )S-- 15
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.
Received by:
Amount: � Bldg
`W�
i - g SRA
Receipt #:
��P J Sheriff
SMTP
Date: —1Other
J
15-3•
d
Total
Page 1 of 2
REV 4-30-04
SUBMITTAL 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
LEGIBL~9EUND ININK.
or.
Residential, New, gemodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1.
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4.
Letter from Engineer or Architect for truss design review.
❑ 5.
2 Energy compliance design and supporting documentation (if required).
❑ 6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7.
Statement of Intent for Non -heated and A/C (if required).
❑ 8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b the
❑ 9.
Letter of intent.
❑ 10.
Hazardous Material Form.
❑ 11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04
Butte County Department ofDevelopment Services
YVONNE CHRISTOPHER, DIRECTOR
M7
County Center Drive
/
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
O
N
TO:
'
N
FROM:
r
1
SUBJECT:
O
�
DATE:
LP2A
Scott Rutherford (530) 538-7160
srutherford(cDbuttecou nty. net
Plans Transmittal For Review Per Contract
07/12/2004
Applicant: Berg, Warren
Project Type: NSF
100%
Plan Check Fees $ 972.03
Permit 04-2013
APN: 027-250-036
70%
$ 680.42
$ 972.03 $ 680.42
LP2A Fee $ 680.42
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 o ",\
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER �•
Proposed Building Use: Counter Technician: Date: 1
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orderqb apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND.2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
%p 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 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 Sprinklersffer ......... site ........pr from
....................... ssio ......... rit b ...; ...........
(r.,l 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by� �✓-,qc�
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit .............................. -................... ......
23. California Department of Forepry plan approval aid. `Sent by ...(. SF • 14• a4-
24. Planning approval (A) Use: �(B)Parking: (C)'Parcel Check:-
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
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 Carrier and Policy Number ..........................................
ff 31. Owner -Builder Verification Given to owner, _Mailed to owner) .....................
32. Letter of Signature authorization......................................:............................. _
33. Recorded copy of Agricultural Acknowledgment Statement...:'! �AI.. owME2 ► o 1316+ _
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: eN_
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:
1. Index permit application for the above items numbere Pla Check Letter
2. Additional items repw
Contractor, designe .Zer,vA advised of the above data by ne, ❑ mail, ❑ count , by Date:
Contractor, designZ, ownjpwas advised of the above data by phone, ❑ mail, ❑ counter, by Date:
Plans reviewed b Date: Plans approved by: Date it
Structural review Date:tructural approved by: Date: '-
Note transfer by: Date
Yellow: Building Division
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 A.P. ,�\\
PROPROSED BUILDING USE DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
Additional Fees Due..........
k-- Revised Plan Checking Fee.... $
-
2. SCHOOL DISTRICT FEES 1
(paid at School District Office) (form available after Plan Ch & k
Commercial (sq. ftg.).....
Sq.Ftg.
4. URBAN AREA FEES
X $0.03 = $
(paid at Building Division)
Residential (per unit)..... X . = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
— 7. SRA FIRE INSPECTION AND PL HECK FE
0" aid at Building Division) ,%7
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $.
Sq. Ftg. ,\ Amt.
q4a� 10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking rocess.
APPLICANT •Q/7/r-"2 DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
3. SHERIFF FEES (paid at Bui ding Division)
" A i t, t=o
�J
-Mow 1® t 3
Residential............ _ X $360.00 =$
JL(J
Units
Commercial (sq. ftg.).....
Sq.Ftg.
4. URBAN AREA FEES
X $0.03 = $
(paid at Building Division)
Residential (per unit)..... X . = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
— 7. SRA FIRE INSPECTION AND PL HECK FE
0" aid at Building Division) ,%7
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $.
Sq. Ftg. ,\ Amt.
q4a� 10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking rocess.
APPLICANT •Q/7/r-"2 DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
O�QPgTMeVT O�
�13TT00F
o /
o a
\ O °
c�UNI
A�Q1-10 WORDS
Department
C o u n t
i. micnael k -rump, uirector
Public
f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530)538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1
Project Description: ��
Project Location and/or Parcel Number: 0 / ! _,�) 01�/
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: 19 W
Date: -7 — �' O
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-buildee' building permit has been applied for in your name and bearing your signature.
Please complete and retum 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.
�I personally plan to provide the major labor and materials for construction of the proposed
propeCrYimprnYESJY oveent : NO ❑
HAVE ❑ SAVE NOTja signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed const -action
NAME:
ADDRESS: may:
PHONE:
CONTRACTOR'S LICENSE NO.
I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and pmvide the major work
NAME:
ADDRESS: may;
PHONE:
CONTRACTOR'S LICENSE NO.
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
ADDRESS PHONE TYPE OF WORK
J
1
SIGNED:
PROPERTYOWNER:
DATE:_ �)A -7—
NOTA: This Owner -Builder Vert(kation is required by Section 19831 and 19831 of the
California health and Safety Code. This verification mast be completed and
returned to our office before we are permitted to issue the permit
rVi-5-0
OWNER BUILDER INF
ORMA'j'ION
Dear Property Owner:
An application far a building permit has been submitted in your name listing yourself as the balder of property
improvements specified.
For Your pmtmation, You should be aware drat as "owner -balder" you are the responsible party ofrecord on such
a pemit Building permits are not required to 6e, signed by property owners unless they are personally performing heir
own worm If your work is being lf; you may protect yourself from possible
liability if that person applies fperformed by someone other than yourseor 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 cotmiy. They are also required by law to put their license mnnber on all permits for which they
apply.
If you plan to do your own work with the exception of various trades that you plan to subcontraa, you should
be aware of the following information for your benefit and protection:
P If you employ or otherwise engage any parsons other than your immmaft {may, and the work (Including materials
and other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or
subcaniractars, thein you may be an employer.
0 If you are an employer, you must rat's with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
comPon insurance, disability insurance costs, and unemployment compensation coafril:yufions.
There may be financial risks for you if you do not cany out these obligations, and these rids are
with respect to worker's especially serious
P �suaaace.
♦ For more specific iafornhation about your obligations under Federal Law, contract tha frtemal pevemhe Service (and,
if yon wish, the U.S. Small Business Administration). For more specs about your obligations under
State Law, contact fire 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 factors is to secure an "owner budder" budding
PeMrk
permits are onoIIe t MS]y �ired� � the PYD" owner is providing his or her own labor and material personally. Building
signed by proms' owners unless they ate pig their own woric personally.
Y or at 1020 licensed
eased confractors may be obtained by contracting the � State License Board in your
Please 0 D Shiest; Sammne�a, CA. 95814.
tB the "Owner Budder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The balding penait will not be issued un131 the Verification is returned.
NOTA Y11a 0wner-Bur7derlxf0rr M*ft is required b3' Section 14830 of�lie t fornix Seal9t acrd Safety Code
HGT ARCHITECT
July 6, 2004
TO: Building Plan Inspector
County of Butte -Department of Development Services
BUILDING DIVISION
FR: HOWARD G. TAYLOR
ARCHITECT
RE: 027-250-036
Lot 1, Craig Avenue
OROVILLE, CALIFORNIA
GENERAL COMMENTS
I have reviewed the truss design calculations and drawings
provided by HOMEWOOD truss and found them in conformance
with the design documents with the exception of a change to the
overhang distance. We changed the 24" overhang to 36".
Thank you,
Howard G. Taylor
Architect
HOWARD G. TAYLOR, 2508 FRANKLIN BLVD. SACTO. CA. 95818 456. 1204
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
I ' f
School District (f)0Q-dn v ► is E t'�'! a r-4 Building .Department No.
A.P. Number O�1'%• 2 50 .036 Jurisdiction: City County
Property Owner LJ E�2G
Property Location/Address
Subdivision Lot No.
Residential Development a = Q
No of Living Mobile Home
Units Installation
x
... ,'r r -. ., aww': i+'' �."_ .�+• _ �.- �... '1'' e.F.' �•�,�c-fit.' 'O �,;;,
~� Commercial/Industrial �� r
New Addition
4
Department Repr4sei
...............................................................:......................................
Q Q Sq. Footage 134-4-
Addition/ *Supplemental to (Group R)
Conversion Permit #
*(No foundation Inspection)
................................................................................................_...,
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
District Identification k" No. ((""jj il�� ��
Q7y k'I�i �)I� k School District certifies that
U
Cra�G
vie-,
(Street (Street Address)
r
C—f\
icluding Exterior
Roofed Areas)
. lo•13•c�'A-
Date
61c,".
_ (Applicant)
(Phone Number)
(City) (State) (Zip Code) L�
has complied with the requirements of Resolution No. by payment of $ 1� ' ✓ "
representing r 1344 square feet. 2926 $
FULL MmIGATION $
School District Representative Date t
I Paid by Check # Remarks:
Nofke: You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance with
Govermnent Cods Section 66020(a), within 90 days from the date fees are paid. Fallurs to submit a timely written protest will'prohlbit
you from chMNrging the Imposition of the fees In any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cerdfitatlon Form, the school DishIs
nod by the applicable Local Planning Agency that this project Is being reviewed under the California Envirommntai Quality Ad (CEQA)
this project may be subject to additional school fees to fuiy ntllgate.Its Impact on the school distrid'a schools.
White (applicant), Yellow (building department), Pink (school district) ' feeform.xis (10/03)dmm
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
02 -Nov -2004 2004-0067194
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date (' L r o�
State of California
County of 4 (4
_ PROPERTY OWNERS:
On y)u,1 t j ! j ,O �-4 before me,
personally appeared
know*4o-ate(or proved to me on the basis of satin ctory evidence) to be the person(s) whose name( is/are subscribed
to the within instrument and acknowledged to me that he/oheflfrey executed the same in his4wWtheir authorized
capacity(ies), and that by hisAmThireir signature(s) on the instrument, the person(s) or the entity upon behalf of which
the persons) acted, executed the instrument.
WITNESS my h d and oral.
Signatu Seal: JAMES LAMAR KINSER
COMM. #1377185 -�
fes. NOTARY PUBLIC • CALFORN1A
BUTTE COUNTY
A.P. # MY Comm. Expires Sept 28, 2006
Order No. BU -220207-3 MAM
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
LOT 1 OF BLOCK 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO.
3 OF PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889, ON
WALL MAP NUMBER 5.
TOGETHER WITH THE SOUTHERLY 30 FEET OF CRAIG AVENUE LYING ADJACENT TO AND
NORTHERLY OF SAID LOT, SAID CRAIG AVENUE BEING ABANDONED BY INSTRUMENT
RECORDED MARCH 8, 1911 IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY RECORDS.
ALSO TOGETHER WITH THE EASTERLY 30 FEET OF CITRUS AVENUE LYING ADJACENT TO
AND WESTERLY OF SAID LOT, SAID CITRUS AVENUE BEING ABANDONED BY
INSTRUMENT RECORDED MARCH 8, 1911, IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY
RECORDS.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR A UTILITY LINE ACROSS THE
SOUTHERLY 10 FEET THEREOF.
ALSO RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC
UTILITY PURPOSES ACROSS THE NORTHERLY AND WESTERLY 60 FEET THEREOF.
APN 027-250-036-000
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR UTILITY PURPOSES ACROSS THE FOLLOWING
PARCELS:
A) THE NORTHERLY 10 FEET OF LOTS 5 THROUGH 8, BLOCK 135 OF THE SUBDIVISION
DESCRIBED IN PARCEL I.
B) THE SOUTHERLY 10 FEET OF LOTS 2, 3 AND 4, BLOCK 135 OF THE SUBDMSION
DESCRIBED IN PARCEL I.
C) THE EASTERLY 30 FEET OF LOTS 4 AND 5, BLOCK 135 OF THE SUBDMSION
DESCRIBED IN PARCEL I.
D) THE WESTERLY 30 FEET OF LOTS 1, 5 AND 6, BLOCK 134 OF THE SUBDMSION
DESCRIBED IN PARCEL L
CONTINUED
Order No. BU -220207-3 MAM
PARCEL II: - CONTINUED
E) THE SOUTHERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED
IN PARCEL I.
F) THE EASTERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN
PARCEL I.
G) THE WESTERLY 10 FEET AND THE NORTHERLY 20 FEET OF LOT 4, BLOCK 134 OF
THE SUBDIVISION DESCRIBED IN PARCEL I.
vj.
El
SITE PLAN REVIEW APPLICATION
Date: 3' 916,y q AP# a 2? — Z
Permit Number (if applicable) � l � '� �I �3 Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name: Gia
Owners Address: 52�(�� —� e ell-
Telephone
ll
Telephone No.:
Situs Address:
- r -
Proposed Use:
Residential •
RE New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Septic ❑ Well
❑ Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable ®=N/A
❑ Other: 4sb rct
Brief Explanation (if necessary)- `J
. y
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved* ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
r
Ik
Site an Stamp Approved
By Date ` o
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY e
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)✓/
SRA - (CDF to determine specific requirements) 0
100 -Year Flood Plain:' (See attached)
• Flood Zone: X
• Flood Panel No.: t9 Z °l $-C . Index Date: 1 -?,%g
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section'and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
---------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A = 5-
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. 8A CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
2.10
Side
3�
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. 8A CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees
❑ Fire 1
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
{
Amount
Formula
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre -application review. A fmal determination will be made at the time of
the building permit
Parcel Created.By
0EIDeeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards or De d Cre tion: No ❑ Yes
Comments:e-
ir
❑ 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 Map/Parcel Map:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
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 road maintenance, and stop sign maintenance.
❑
Page 4 of 5
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'
r
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'
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive OroVille, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.htmi
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
Permit Number
C �, 7
District �s.>
APPLICATION
WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
id highways, all in accordance with County ordinances and general laws. All information except signature must be ed or legibly printed.)
AVPcagk';,N� .�
-ts/ N�
I a. Company Name:
Add
7/ o -!q ,7 r 1�Y MCI �ti � y /41
Phone:n33 /f _ O
%
4. A s � V
ParcebNy�er._ ig
/ j
Loc tiozn q�Work to be Done r^
App 'c 's Signature
7. Date:
CONTRACTOR'S INFORMATION
Contractor's Name
Address
0. Phone:
11. Fax:
2. Contractor's License Number:
13. Certificate of Insurance: Yes ❑ NO: ❑
4. Contractor's Signature:
14a. Date Signed:
5. Authorized Agent:
TYPE OF WORK TO BE DONE
6. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑
17. If Driveway List Type: 5`— _ ?
J
8. Other Work - Describe:
19. Plans Attached:
❑ Yes ❑ No
PERMIT GRANTED
n compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
-ennission is hereby granted.
.0. Conditions
Jnderground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600
:I. 19 All work shall conform to accompanying: Detail R: Plans O Special Conditions �
:2. Date Issued 7//,sO V
23. Expiration Date: zl� a�
24. Surety:
15. Date Paid: G 9 G�
26. Amount Paid - )r-
1 C6 do
aid : I/ / Z
((
28. Recep) j�l Z CI
CJ7
Vlike Crump, Director of Public Works
By:
,or County
29. Final Inspection Date:
30. Inspected By:
❑ Completed - OK Completed — Not OK
❑ Additional Comments Attached
Use only:
31. Comments:
dote: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week.
Page l of 2
4 2W4
�OT�'E•° BUTTE COUNTY
°
DEPARTMENT OF DEVELOPMENT SERVICES D
BUILDING PERMIT APPLICATION
o AND SUBMITTAL REQUIREMENTS
c -=� � o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
cOUN'�y OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME
APPLICAQ1Y aS�
ARCHITECT/ENGINEER
OWNER
Name.
ca
Address
"PI 7 �r
City s
% ��/
Ste
Zi
Phone
'
Fax
E-mail
Planner
ARCHITECT/ENGINEER
CONTRACTOR
Nam
Address ,t. V- 13/VV
Address
,y14> r
Ci
Fax
S to
Z'
P ne/_
'
Fax
E-mail
Planner
Lie. #
Class
ARCHITECT/ENGINEER
Na"
a
Address
Address ,t. V- 13/VV
City
? _ 11 149 �r.� �'
Zip
StagZip
Fax
Phonet)
Type Const.
Fax
E-mail
Page
.state'Wcens0tjmb
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
Zoning
Received by:
Q) .
Receipt #:
Flood Zone
I X I
SRA
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
BP
LOCATION
Prope Address
/�
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
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built vrithout 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.
Received by:
Q) .
Receipt #:
Amount ldg
I 1�- l 'SRA
Q Sheriff
• SMIP
Date: -7 o
1 �i
Other
J c� Total
�UT�'E•o BUTTE COUNTY PERMIT
o
DEPARTMENT OF DEVELOPMENT SERVICES
° ° c
BUILDING PERMIT APPLICATION 3
_� _ ° AND SUBMITTAL REQUIREMENTS BP
o ` 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 B
cOUN'�yOFFICE #: (530) 538-7541
A FEE WILL BE REQ UIRED AT TIME Q.k' � SPL C AilP r
ARCHITECT/ENGINEER
OWNER
Name.
c'? %'%�r� .-r,/�'
Address/r/
,&I 7 j �r
City
a,���
Ste
Zi
Phone
,
Fax
E-mail
Planner
f '
ARCHITECT/ENGINEER
CONTRACTOR
NamA,/a
Ad r
Zip
i .�
Cly,
t,r/`
a,���
Ste TFa
eG
P net^
'
Fax
E-mail
Planner
f '
Lic. #
Class
ARCHITECT/ENGINEER
Nam �
6
Address
Address�7
City
Zip
Sta
Zip
Phone�.
Type Const
Fax
E-mail
Page
tetvicens mb
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
Zoning
Received by:
Receipt #:
Flood Zone
Date: -7 �
Q
SRA
No
Occ. I
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
f '
Date Approved:
<4VER FOR SUBMITTAL REQUIREMENTS
LOCATION
AP# %
PropeAddress
lI v''
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
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built %Mthout 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.
Received by:
Receipt #:
Amount: Bldg
Ll SRA
Sheriff
SMIP
Date: -7 �
Q
Other
� Q �3
i Total
July 28 2004 County of Butte- FINAL REVIEW'
Jurisdiction Application No.: 04=2013,
LP2A Job No. 2040015-098
'Mr <M. ichael Vieira 104-1,13
County of Butte.
7 County: enter Drive
Orovdl0`:';`C . A 95965-3397 6 Z 2,s-6 d
P.h6ne_(530) 538-7541
Faz;(530) 538-2140
Re`:, . Plan Review: Berg SFD
Address: 6568 Craig Avenue
Dear_Siir/Madam:
Linhart;.Petersen Powers Associates (LP2A) has completed a final review of the following documents:
1. Plans: Two (2) copies Plan Sheets AO through A6 (9 total sheets) Title/Cover Sheet'dated June
08, 2004 by Howard Taylor.
2. Structural Calculations: Two (2) copies dated June 04, 2004 by Howard Taylor.
3. Title 24 Energy Compliance .Documentation: Two (2) copies dated May 31, 2004 by Howard.
Taylor.
4. Prefabricated Roof Truss Calculations: Two (2) copies dated June 28, 2004 by Homewood
Truss.
The 2001 Califomia'Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our
review. Please note"'there are no further comments. Therefore, we are recommending approval of the
above noted items with the added redlines.
Enclosed for your use are the above referenced documents bearing the LP2A;plan'review stamps along with the
applicant's response letter. Please let us know if you have any questions. Thark'`you.
Sincerely,
LIN HART PETERSEN POWERS ASSOCIATES
Rogers .
eterson S.E
Stuctural Engineer
Enclosures:
:1
f:\butte county 015\butte county 2004\2040015-098-pcf.doc
LINHART PETERSEN POWERS ASSOCIATES
7610 Auburn Boulevard • Citrus Heights, CA 95610
(916) 725-4200 0 FAX (916) 725-8242 • Toll Free (877) 235-0653
BUTTE COUNTY
BUTTE
10 COUNTY
AUG - 5 2004
VELOPMENT
t`1SERCES
AGRICULTURAL BUFFER NOTIFICATION AND/OR t &-%I%
UNUSUAL CIRCUMSTANCES REQUES xh- o4��*s
titi .
Butte County requires a 300 foot buffer betweenr,eighkringg agriculturaloptins and a residence. This
dimension is based on environmental assessmens and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Developme%�t Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name. -� `� // / %-p �% Phone:
p— •� r r
Mailing Address:
Assessor's Parcel Number: 0- 7- a ,2� �`_&A Permit No.
Reason you believe you qualify for the unusual circumstances exception:
lv /,f, z:32-1 / C / 51' _ %✓i ;q 131,111,
C C>hN
o o
a =c
Owner or Authorized Agent's signature
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures a c}doeo-Y�tt or the standard condition f a 300 -foot buffer zone.
ToP _ oechw-Ak a ecu
SITE PLAN REQUIREM T: su it 4 co i s this form
Refer to the Site Plan Submi a an o or specific requirements
.........................................................................................f ................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal)
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS(Building)
❑ Exception Recommended Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations: ^iI f� 'h�.t im 0"
I- <17A�Ax b64e,_ bap-� pr-000sek LO&J ry, is
Agricultural Department Signature:t :2- L1L.-Ci Date: D o
Dq—"41 C 7/1/03
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004-0067 1 94
Recorded
k
Official Records
I
County Of
BUTTE
I
I
CAN IE J. GRUBBS
I
ecorder
I
ROSEMARY DICKSON
I
Assistant
i Jason
09:05AM 02 -Nov -2004
I Page i of 3
REC FEE
CONFORM
13.00
1.00
N
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building _G
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, J
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date r — ?
State of California
County of 4 Ld
PROPERTY OWNERS:
On ,�u, k.4 Li, 'L(0� �,( before me,
personally appeared LA,) r., r-�,N ]Q , A �r.r '
larerrw-te-me(or proved to me on the basis of satis actory evidence) to be the person(e) whose name( is/are subscribed
to the within instrument and acknowledged to me that he/sheAbey executed the same in hisaies4heir authorized
capacity(ies), and that by hisAter>'their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the persons) acted, executed the instrument.
WITNESS my h d and offici seal.
JAMES LAMAR H3NSER
SignattO
Seal: COMM. #1377185 -'
NOTARY Kg= . Ck FOFiiNA
C BUTTE COUNTY
A.P. #72- J rD'3 6 NFy Cafn Expires.Sept. "28, 2006
•.ra.aa=.q�.a��a�,.� A�;.J.�a..^,,.,:s..c..,ca�.,.cs..�.�•�
r "lis
ry
Order No. BU -220207-3 MAM
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
LOT 1 OF BLOCK 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDMSION NO.
3 OF PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2,.1.889, ON
WALL MAP NUMBER 5.
TOGETHER WITH THE SOUTHERLY 30 FEET OF CRAIG AVENUE LYING ADJACENT TO AND
NORTHERLY OF SAID LOT, SAID CRAIG AVENUE BEING ABANDONED BY INSTRUMENT
RECORDED MARCH 8, 1911 IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY RECORDS.
ALSO TOGETHER WITH THE EASTERLY 30 FEET OF CITRUS AVENUE LYING ADJACENT TO
AND WESTERLY OF SAID LOT, SAID CITRUS AVENUE BEING ABANDONED BY
INSTRUMENT RECORDED MARCH 8, 1911, IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY
RECORDS.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR A UTILITY LINE ACROSS THE
SOUTHERLY 10 FEET THEREOF.
ALSO RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC
UTILITY PURPOSES ACROSS THE NORTHERLY AND WESTERLY 60 FEET THEREOF.
APN 027-250-036-000
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR UTILITY PURPOSES ACROSS THE FOLLOWING
PARCELS:
A) THE NORTHERLY 10 FEET OF LOTS 5 THROUGH 8; BLOCK 135 OF THE SUBDMSION
DESCRIBED IN PARCEL I.
B) THE SOUTHERLY 10 FEET OF LOTS 2, 3 AND 4, BLOCK 135 OF THE SUBDMSION
DESCRIBED IN PARCEL I.
C) THE EASTERLY 30 FEET OF LOTS 4 AND 5, BLOCK 135 OF THE SUBDMSION
DESCRIBED IN TARCEL L
D) THE WESTERLY 30 FEET OF LOTS 1, 5 AND 6, BLOCK 134 OF THE SUBDMSION
DESCRIBED IN PARCEL 1.
CONTINUED
Order No. BU -220207-3 MAM
PARCEL II: - CONTINUED
E) THE SOUTHERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED
IN PARCEL I.
F) THE EASTERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN
PARCEL I.
G) THE WESTERLY 10 FEET AND THE NORTHERLY 20 FEET OF LOT 4, BLOCK 134 OF
THE SUBDIVISION DESCRIBED IN PARCELI.
4
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H�ONLYLY-
Piot Plan Anoch" l
Floor Plan Anaclad�
Sam to B.D. !
1-42Rin� 2"16t.21 2s' --3L
Owner Location AP#
Plan Approved for: Sewage Dispos�t--.:,,_ Water Supply: Pu tic Private Well
Clearance for dwelling. Other I sl� ,,,
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health
8/96
cialist
Date
PLAN REVISION-
Owner's
Name:
BP#:
Date:
AP#:
Received By:
Time:
Contact Person & Phone Number: (l tA�_Y1% %%5 ,5>32- — % % c6 6
PURPOSE OF RE -SUBMITTAL OR REVISION
❑ Permit'Application Data Sheet Item -
❑ *Engineering
*PlanRevision
❑ *Requested by Building Inspector's Correction Notice - Inspector's Name:
❑ Requested by Plan's Examiner - Plan Examiner's Name:-
❑ Other.:
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans: If engineering is involved in this revision, the
engineer must put his requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
❑ Mail to Owner/Contractor at this address:
_ Call6-1 and hold for pick-up.
❑ Deliver with next inspection.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
Minimum $54.99 Receipt #:
q(, 3%9/b6 �PP�o�ed
D Fee not required for revisions requested by plans examiner prior to issuance of permit.
❑ Additional Fee Amount: Receipt #:
Rcvised 2/04
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CARPORT = 100 sq. ft.
PORCHES = 284 SQ. FT.
HOUSE = 1344 SQ. FT.
F L 0 0R P L A N
1/4" = 1'-0"
D 2 X 4 OF #t2 • 14" OC
1/2" GYP. BD INTERIOR
5/8" SMOOTH T -III PLYWOOD SIDING W/ I X 3 BATTEN 9 14" OC
R-13 BATT INSULATION TYPICAL AT WALL
R-38 BATT INSULATION TYPICAL IN CEILING / ATTIC
2 X G OF #2 0 16" OC FOR PLUMBING WALL
CONCRETE SLAB FLOOR
EXPOSED AND CARPETED
" MIN.
REVISIONS
ARCHITECT
C -220U
HOWARD G. TAYLOR
2508 Franklin Blvd.
Sacramento, Calif.
916. 156. 1201
916. 454.9413 RX
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TYPICAL
ARCHITECT: HOWARD G. TAYLOR
2508 FRANKLIN BLVD.
UJI
W W
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SACRAMENTO. CALIFORNIA
- W
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CONTRACTOR JIM GLAUZ
EXISTING OLIVE ORCHARD
HDWD. HARDWOOD
W
WEST
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WITH
202. 4813
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REVISIONS
6.8.04 SEPTIC
ARCHITECT
C-22034
HOWARD G. TAYLOR
2508 Franklin Blvd.
Sacramento, Calif.
914. 454. 1204
914. 454.9413 FX
hgtalanset.com
GJ'1 •.•
J •;No. C-- 16
'p�'. It N. 10 4—OG
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OF CA,
DRAWN
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DATE
5.25.04
SCALE
K-
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: 04-015
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SCALE
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: 04-015
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0
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ATI 0 N
REVISIONS
6.9.04 SEPTIC
ARCHITECT
C-22034
HOWARD G. TAYLOR
2508 Franklin Blvd.
Sacramemto, Calif.
914. 454. 1204
914. 454.9413 FX
hgt9lanset.cotn.
CONC. CONCRETE; OTES AND DETAIL
CONN. CONNECTION
N NORTH
CONSTR. CONSTRUCTION N.I.C. NOT IN CONTRACT >
CONT. CONTINUOUS
C.T. CERAMIC TILE NO. NUMBER
NOM. NOMINALV, 0 C,
Ur
N.T.S. NOT TO SCALE
Y *
DEG. DEGREE -ICINIT
DET./DTL, DETAIL:.._j:
O.C. ON CENTER
D.P. DRINKING FOUNTAIN
*No C 2036*:
O.D. OUTSIDE DIAMETER HOUSE PLACEMENT ON CREST or- HILL
f.
TO:�
DIAG. DIAGONAL
OH. OVERHEAD 0
4%
349,
0 DIAMETER OROVILLE POSED RESIDENCE
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MA
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EACH T_
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PR. FAIR
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pi
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<
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ENCLOSURE SE10TIC TANK ENCL. RE: REFER TO ...
M
EXISTING EARTH DA
EQ. EQUAL REFR. REFRIGERATOR PROJECT SITE
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40' 0"
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FIRE ALARM
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F.D. FLOOR DRAIN
F.D.C. FIRE DEPARTMENT CONNECTION SECT- SECTION
PON. FOUNDATION S.F. SQUARE FOOT
F.E. FIRE EXTINGUISHER SHT. SHEET TG;
Sim.
F.E.C. FIRE EXT R SIMILA
INGUISHER CABINET MAR�!SVILLE
F.F. FINSH FLOOR SPEC. SPECIFICATION 1 FUTURE SHOP POLE BARN
F.H.C. FIRE HOSE CABINET 50. OR SQUARE
;
FINISH S.S. STAINLESS STEEL
FIN. !=ROJECT D 4 T /4
F.L. FLOW LINE STAGG. STAGGERED
FLR. FLOOR STD. STANDARD 0
FLUOR. FLUORESCENT STIFF STIFFENER
FND. FOUNDATION STL. STEEL
F.O.B. FACE OF BRICK STRUC. STRUCTURAL
-
OWNER VARREN AND DONNA BERG
F.O.C. FACE OF CONCRETE SUSP. SUSPENDED
SL CRAIG AVENUE
F.S. FULL SIZE TBD TO BE DETERMINED
FT. FOOT OR FEET TR TREAD OROVILLE. CALIFORNIA
FTG. FOOTING 114. 332. 1160
T I B TOP AND BOTTOM
PURR. FURRING
TER. TERRAZZO
REP HOWARD G. TAYLOR
GA. GAUGE T t 0 TONGUE t GROOVE
GALVINIZED THK. THICK ui
GALV. %
ARCHITECT. -HOWARD G.TAYLOR
G.C. GENERAL CONTRACTOR T/ TOP OF ul Lu
G.L. GLASS TYP. TYPICAL 250a FRANKLIN BLVD.
SACRAMENTO. CALIFORNIA
GR. GRADE NOTED U.O.N. UNLESS OTHERWISE N uj
GYP. GYPSUM C4
GYP. 8D. GYPSUM BOARD V.C.T. VINYL COMPOSTION TILE REP- HOWARD
VER. VERIFY 1916. 456. 1204 ;b
H.B. HOSE BIBB
V.I.F. VERIFY IN FIELD
H.C. HOLLOW CORE
VERT. VERTICAL
Cc�TRAtTOR- -JIM GLAUZ
H/C, HANDICAPPED EXISTING OLIVE ORCHARD
HOWD. HARDWOOD W WEST
GLAUZ AND SNYDER CONSTRUCTION
HOWE. HARDWARE
202. -4813
W/ WITH
Nt Sill
H.M. HOLLOW METAL
LOSET
W.C. WATER Cf
HR. HOUR WD. WOOD
HT. HEIGHT ST UCTUIRAL HOWARD G.TAYLOR
W/O WITHOUT N
.HVAC HEATING, VENTILATION AND 4116. -454. 6005
AIR CONDITIONING
>
REP HOWARD
CENTERLINE
PLATE
mvuor_ Qw- r I
DRAWN
k
HGT
J
DATE 5.25.04
SCALE VARIES
100 ROOM NUMBER
SAA
ILNG
WALL
BASE
fi
JOB NO. : 04-015
I I SHEET
ii Ao
AB.
ANCHOR BOLT
I.D.
INSIDE DIAMETERl/
SECTIONS
t
B.U.R.
ACT
ACOUSTICAL CEILING TILE
INSUL.
INSULATION
B.W.
BOTH WAYS,MEM5.
A.F.F.
ABOVE FINISHED FLOOR
INT.
INTERIOR
AO
TITLE SHEET
MFR.
AGGR.
AGGREGATE
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- - - - - - - - -00
1001-0"
C.J.
CONTROL JOINT
M.H.
MANHOLE
AL.
ALUMINUM
JAN.
JANITOR
CLO.
CLKG.
SITE PLAN
MIN.
MINIMUM
ALT.
ALTERNATE
JNT.
JOINT
misc.
MISCELLANEOUSa
APPROX.
APPROXIMATE
JST.
JOIST
CLEAR
CONCRETE MASONRY UNIT
A I
ENLARGE[) SITE PLAN
A4
SHEAR WALL
ARCH.
ARCHITECTURAL
COL.
KIT.
KITCHEN
MULLION
A2
FLOOR PLAN
I G V -E
BO.
BOARD
BLDG.
BLK.
BUILDING
BLOCK
LAB,
LABORATORY
A2.1
ELECTRICAL PLAN
LAM.
LAMINATE
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BM.
BLOCKING
BEAM
LAV.
LT.
LAVATORY
LIGHT
A3
EXTERIOR, ELEVATION
REQUIRES ENCROACHMENT PERMIT
BOT.
BOTTOM
FOR ASPHALT DRIVEWAY CONNECTION
REVISIONS
6.9.04 SEPTIC
ARCHITECT
C-22034
HOWARD G. TAYLOR
2508 Franklin Blvd.
Sacramemto, Calif.
914. 454. 1204
914. 454.9413 FX
hgt9lanset.cotn.
CONC. CONCRETE; OTES AND DETAIL
CONN. CONNECTION
N NORTH
CONSTR. CONSTRUCTION N.I.C. NOT IN CONTRACT >
CONT. CONTINUOUS
C.T. CERAMIC TILE NO. NUMBER
NOM. NOMINALV, 0 C,
Ur
N.T.S. NOT TO SCALE
Y *
DEG. DEGREE -ICINIT
DET./DTL, DETAIL:.._j:
O.C. ON CENTER
D.P. DRINKING FOUNTAIN
*No C 2036*:
O.D. OUTSIDE DIAMETER HOUSE PLACEMENT ON CREST or- HILL
f.
TO:�
DIAG. DIAGONAL
OH. OVERHEAD 0
4%
349,
0 DIAMETER OROVILLE POSED RESIDENCE
DIA. OPG. OPENING It
ON. DOWN PALERMO ROAD *006
� 1,
OPP. OPPOSITE
Ds. DOWNSPOUT
215' 0'
R :AREA
k—SEE Al Po ENLA:k6Eb.'
PCT. PRE -CAST
DWG. DRAWING
P.L.PROPERTY LINE
P.LAM. PLASTIC LAMINATE 4,
EXISTING b
UJI
MA
PLAS. PLASTER ILb: LE
EACH T_
EA.
PLYWD. PLYWOOD
CRAIG AVE
Ln
E.J. EXPANSION JOINT C4
PR. FAIR
E.I.F.S. EXTERIOR INSULATION AND
pi
LEACH FIELD
FINISH SYSTEM
QU
TIO
L E: V'A' N'
EL. Q.T. A RY TILE 7
<
ELEC. ELECTRICAL
ELEV. ELEVATION R. RISER k
R.D. ROOF DRAIN
EMER. EMERGENCY
ENCLOSURE SE10TIC TANK ENCL. RE: REFER TO ...
M
EXISTING EARTH DA
EQ. EQUAL REFR. REFRIGERATOR PROJECT SITE
REINF. REINFORCED IL CRAIG AVE,
EQUIP. EQUIPMENT
E.W. EACH WAY REO'D. REQUIRED —PROPANE TANK
SEASONAL POND
E.W.C. ELECTRIC WATER COOLER RM ROOM
EXP. EXPANSION R.O. ROUGH OPENING Aj
EXT. EXTERIOR
SOUTH EXISTING OLIVE ORCHARD
s 501-01
40' 0"
S.C. SOLID CORE IL2'-O* 501-0"
FIRE ALARM
SCHED. SCHEDULE LOWER HONCUT RD. HONCUT
F.D. FLOOR DRAIN
F.D.C. FIRE DEPARTMENT CONNECTION SECT- SECTION
PON. FOUNDATION S.F. SQUARE FOOT
F.E. FIRE EXTINGUISHER SHT. SHEET TG;
Sim.
F.E.C. FIRE EXT R SIMILA
INGUISHER CABINET MAR�!SVILLE
F.F. FINSH FLOOR SPEC. SPECIFICATION 1 FUTURE SHOP POLE BARN
F.H.C. FIRE HOSE CABINET 50. OR SQUARE
;
FINISH S.S. STAINLESS STEEL
FIN. !=ROJECT D 4 T /4
F.L. FLOW LINE STAGG. STAGGERED
FLR. FLOOR STD. STANDARD 0
FLUOR. FLUORESCENT STIFF STIFFENER
FND. FOUNDATION STL. STEEL
F.O.B. FACE OF BRICK STRUC. STRUCTURAL
-
OWNER VARREN AND DONNA BERG
F.O.C. FACE OF CONCRETE SUSP. SUSPENDED
SL CRAIG AVENUE
F.S. FULL SIZE TBD TO BE DETERMINED
FT. FOOT OR FEET TR TREAD OROVILLE. CALIFORNIA
FTG. FOOTING 114. 332. 1160
T I B TOP AND BOTTOM
PURR. FURRING
TER. TERRAZZO
REP HOWARD G. TAYLOR
GA. GAUGE T t 0 TONGUE t GROOVE
GALVINIZED THK. THICK ui
GALV. %
ARCHITECT. -HOWARD G.TAYLOR
G.C. GENERAL CONTRACTOR T/ TOP OF ul Lu
G.L. GLASS TYP. TYPICAL 250a FRANKLIN BLVD.
SACRAMENTO. CALIFORNIA
GR. GRADE NOTED U.O.N. UNLESS OTHERWISE N uj
GYP. GYPSUM C4
GYP. 8D. GYPSUM BOARD V.C.T. VINYL COMPOSTION TILE REP- HOWARD
VER. VERIFY 1916. 456. 1204 ;b
H.B. HOSE BIBB
V.I.F. VERIFY IN FIELD
H.C. HOLLOW CORE
VERT. VERTICAL
Cc�TRAtTOR- -JIM GLAUZ
H/C, HANDICAPPED EXISTING OLIVE ORCHARD
HOWD. HARDWOOD W WEST
GLAUZ AND SNYDER CONSTRUCTION
HOWE. HARDWARE
202. -4813
W/ WITH
Nt Sill
H.M. HOLLOW METAL
LOSET
W.C. WATER Cf
HR. HOUR WD. WOOD
HT. HEIGHT ST UCTUIRAL HOWARD G.TAYLOR
W/O WITHOUT N
.HVAC HEATING, VENTILATION AND 4116. -454. 6005
AIR CONDITIONING
>
REP HOWARD
CENTERLINE
PLATE
mvuor_ Qw- r I
DRAWN
k
HGT
J
DATE 5.25.04
SCALE VARIES
100 ROOM NUMBER
SAA
ILNG
WALL
BASE
fi
JOB NO. : 04-015
I I SHEET
ii Ao
0 1 wrC
BETWEEN W==N
MAX.
MAXIMUMBUILDING
SECTIONS
TO PUBLIC RO 0
B.U.R.
BUILT UP ROOFING
MECH.
MECHANICAL
B.W.
BOTH WAYS,MEM5.
MEMBRANE
MFR.
MANUFACTURER
FOUNDATION PLAN
- - - - - - - - -00
1001-0"
C.J.
CONTROL JOINT
M.H.
MANHOLE
CLO.
CLKG.
CEILING
CAULKING
MIN.
MINIMUM
ROOF FRAMING PLAN
lb
misc.
MISCELLANEOUSa
CLR.
C.M.U.
CLEAR
CONCRETE MASONRY UNIT
M.O.
MTL.
MASONRY OPENING
METAL
A4
SHEAR WALL
POTABLE WATER WELL 30'-Ov EASEMENT
COL.
COLUMN
MUL
MULLION
REVISIONS
6.9.04 SEPTIC
ARCHITECT
C-22034
HOWARD G. TAYLOR
2508 Franklin Blvd.
Sacramemto, Calif.
914. 454. 1204
914. 454.9413 FX
hgt9lanset.cotn.
CONC. CONCRETE; OTES AND DETAIL
CONN. CONNECTION
N NORTH
CONSTR. CONSTRUCTION N.I.C. NOT IN CONTRACT >
CONT. CONTINUOUS
C.T. CERAMIC TILE NO. NUMBER
NOM. NOMINALV, 0 C,
Ur
N.T.S. NOT TO SCALE
Y *
DEG. DEGREE -ICINIT
DET./DTL, DETAIL:.._j:
O.C. ON CENTER
D.P. DRINKING FOUNTAIN
*No C 2036*:
O.D. OUTSIDE DIAMETER HOUSE PLACEMENT ON CREST or- HILL
f.
TO:�
DIAG. DIAGONAL
OH. OVERHEAD 0
4%
349,
0 DIAMETER OROVILLE POSED RESIDENCE
DIA. OPG. OPENING It
ON. DOWN PALERMO ROAD *006
� 1,
OPP. OPPOSITE
Ds. DOWNSPOUT
215' 0'
R :AREA
k—SEE Al Po ENLA:k6Eb.'
PCT. PRE -CAST
DWG. DRAWING
P.L.PROPERTY LINE
P.LAM. PLASTIC LAMINATE 4,
EXISTING b
UJI
MA
PLAS. PLASTER ILb: LE
EACH T_
EA.
PLYWD. PLYWOOD
CRAIG AVE
Ln
E.J. EXPANSION JOINT C4
PR. FAIR
E.I.F.S. EXTERIOR INSULATION AND
pi
LEACH FIELD
FINISH SYSTEM
QU
TIO
L E: V'A' N'
EL. Q.T. A RY TILE 7
<
ELEC. ELECTRICAL
ELEV. ELEVATION R. RISER k
R.D. ROOF DRAIN
EMER. EMERGENCY
ENCLOSURE SE10TIC TANK ENCL. RE: REFER TO ...
M
EXISTING EARTH DA
EQ. EQUAL REFR. REFRIGERATOR PROJECT SITE
REINF. REINFORCED IL CRAIG AVE,
EQUIP. EQUIPMENT
E.W. EACH WAY REO'D. REQUIRED —PROPANE TANK
SEASONAL POND
E.W.C. ELECTRIC WATER COOLER RM ROOM
EXP. EXPANSION R.O. ROUGH OPENING Aj
EXT. EXTERIOR
SOUTH EXISTING OLIVE ORCHARD
s 501-01
40' 0"
S.C. SOLID CORE IL2'-O* 501-0"
FIRE ALARM
SCHED. SCHEDULE LOWER HONCUT RD. HONCUT
F.D. FLOOR DRAIN
F.D.C. FIRE DEPARTMENT CONNECTION SECT- SECTION
PON. FOUNDATION S.F. SQUARE FOOT
F.E. FIRE EXTINGUISHER SHT. SHEET TG;
Sim.
F.E.C. FIRE EXT R SIMILA
INGUISHER CABINET MAR�!SVILLE
F.F. FINSH FLOOR SPEC. SPECIFICATION 1 FUTURE SHOP POLE BARN
F.H.C. FIRE HOSE CABINET 50. OR SQUARE
;
FINISH S.S. STAINLESS STEEL
FIN. !=ROJECT D 4 T /4
F.L. FLOW LINE STAGG. STAGGERED
FLR. FLOOR STD. STANDARD 0
FLUOR. FLUORESCENT STIFF STIFFENER
FND. FOUNDATION STL. STEEL
F.O.B. FACE OF BRICK STRUC. STRUCTURAL
-
OWNER VARREN AND DONNA BERG
F.O.C. FACE OF CONCRETE SUSP. SUSPENDED
SL CRAIG AVENUE
F.S. FULL SIZE TBD TO BE DETERMINED
FT. FOOT OR FEET TR TREAD OROVILLE. CALIFORNIA
FTG. FOOTING 114. 332. 1160
T I B TOP AND BOTTOM
PURR. FURRING
TER. TERRAZZO
REP HOWARD G. TAYLOR
GA. GAUGE T t 0 TONGUE t GROOVE
GALVINIZED THK. THICK ui
GALV. %
ARCHITECT. -HOWARD G.TAYLOR
G.C. GENERAL CONTRACTOR T/ TOP OF ul Lu
G.L. GLASS TYP. TYPICAL 250a FRANKLIN BLVD.
SACRAMENTO. CALIFORNIA
GR. GRADE NOTED U.O.N. UNLESS OTHERWISE N uj
GYP. GYPSUM C4
GYP. 8D. GYPSUM BOARD V.C.T. VINYL COMPOSTION TILE REP- HOWARD
VER. VERIFY 1916. 456. 1204 ;b
H.B. HOSE BIBB
V.I.F. VERIFY IN FIELD
H.C. HOLLOW CORE
VERT. VERTICAL
Cc�TRAtTOR- -JIM GLAUZ
H/C, HANDICAPPED EXISTING OLIVE ORCHARD
HOWD. HARDWOOD W WEST
GLAUZ AND SNYDER CONSTRUCTION
HOWE. HARDWARE
202. -4813
W/ WITH
Nt Sill
H.M. HOLLOW METAL
LOSET
W.C. WATER Cf
HR. HOUR WD. WOOD
HT. HEIGHT ST UCTUIRAL HOWARD G.TAYLOR
W/O WITHOUT N
.HVAC HEATING, VENTILATION AND 4116. -454. 6005
AIR CONDITIONING
>
REP HOWARD
CENTERLINE
PLATE
mvuor_ Qw- r I
DRAWN
k
HGT
J
DATE 5.25.04
SCALE VARIES
100 ROOM NUMBER
SAA
ILNG
WALL
BASE
fi
JOB NO. : 04-015
I I SHEET
ii Ao