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027-320-011
NOTES t u�s✓���ff � ori,,rr� �:� , k r RESIDENTIAL PERMIT NO. 027-320-011 LASCHIMSKE, BRAD 431�6PARHAM, .PALERMO Cont: DOSS CONST W iNDMILL PERM T RENEWAL DATE: p BP# EXPIRES: C6 - 15 73 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �Gcj'-6 IT G Signaturq444_ kwa 05-1252 CHECKED BY J=OK 0= Not OK • = NotApplicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Specidl MH Support Sketch Card B-1 3. Sewer, Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM (ONLY) 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftl P LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 8. Utility Clearance 4. Gas; MH Test -Demand -Valve 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 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 Vofts-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. Heatth 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing . 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Vofts-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. Heatth Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Appricable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test .12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 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 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 AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 9 Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. 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. Infittration-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.; Stec. & 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/Drfve D Yes ❑ No/Walks O Yes O No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051252 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _- I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/25/2005 APN: 027=320-011-000 the Business and Professions Code, and my license is in full force and effect. license Class : License Number: 77076-3 v Site Address: 64 PARHAM RD PAL,, Date: •2'5'mAV6ontractor: 0tls$ (-1" 5 -77 Map Index: Description: GRID TIE WIND MILL OWNER -BUILDER DECLARATION I hereby affirm under penally 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: LASCHINSKE, BRAD E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4556 COVE LN. signed statement that he or she is licensed pursuant to the provisions of DISCOVERY BAY, 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 94514 she is exempt therefrom and the basis for the alleged exemption. Any 925-323-9115 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 I Applicant: EVERGREEN DEVELOPMENT 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, SCOTT JACKSON provided that such improvements are not intended or offered for 2530 ZANELLA LN SUITE B sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO CA 95928 proving that he or she did not build or'improve for the purpose of (530) 894-5590 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOSS CONSTRUCTION, GLENN pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 4911 VILLAGE DR Date: owner: FOREST RANCH, CA 95942 530-342-1293 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 License #: 772530 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit r is issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance' carrier and policy nurdber are: Carrier: Policy #: .7 � � 9 Total Square Ft: 0 S. F. (� 1/ ❑ 1 certify that in the performance of the work for which this permit Is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2— 0: 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 compensallon, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit �II Klereby issued er the ap icab provisions of the Butte County Code and/or f I herebyaffirm that there is a construction le g agency for the performance of the work for which IN elm it is issued (Sec 3097 Clv.) Resolutio sr to do rk indt led above r w ch fees have been aid. P ��_� By: ( Date: Name: v� PERMIT EXPIRES Address: ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O.% Notification in accordance with Section 18827.5 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 icial form or document of Butte County. I hereby '•2uthorize representatives of Butte County to enter the above mentioned property for inspection purposes. /upon Print Name: ��'`� h ©� Signature: ���, Date:i�i%' O, Owner 0 Contractor IB Agent for Owner ❑ 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 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 64 PARHAM RD Owner: Permit No: 05-1252 APN: 027-320-011 BRAD LASCHIMSKE Issued Date: 05/25/2005 By CRW Permit type: MISCELLANEOUS 64 PARHAM Subtype: WINDMILL PALERMO, CA Expiration Date: 05/25/2008 Description: WINDMILL Occupancy: Zoning: Contractor Applicant: Square Footage: ST CLAIR CONST CO BRAD LASCHIMSKE Building Garage Remdl/Addn 2560 PARK AVE 64 PARHAM CHICO, CA 95973 PALERMO, CA Other Porch/Patio Total (530)894-5590 FEE INFORMATION DBOMSCF Permit Renewal Fee $109.98 Fund 10 BLDG $153.97 Fund 10 BLDG $109.98 Fund 10 BLDG $230.95 Total Charged: $604.88 Fees Paid: $604.88 Balance Due: $0.00 Receipt No: B2938 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ST CLAIR CONST CO 181845 / A B / 08/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 05/25/2005 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number: 713 -16045 -OS Exp. Date:05/01/2007 Contractor's License Law.). (This section nee not a completed if the permit is or one dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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' X 05/25/2005 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 05/25/2005 I hereby certify that I have read this application and state that the above information is coned. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 05/25/2005 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. DAgent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip EVERGREEN DEVELOPMENT 2530 Zanella Way, CHICO, CA 95928 530-8945590 WWW.. POWERSHACKS..COM 26 April 2004 TWORTANT ! ! THIS IS AN IMPORTANT LEGAL DOCUMENT PLEASE ]KEEP THIS ON FILE ISSUED TO: SCOTT JACKSON, for special agency ISSUED BY: ST CLAIR CONSTRUCTION COMEPANY, CSLB #18184.5 2530 Zaneila Way 916-895-5590 Chico, Ca., 95928 DATE ISSUED: 08/28/05 This CERTICICATE authorizes Evergreen Development, Scott Jackson, to use and to cause to have drawn, said construction documents and related sales materials, process said documents, and oversee permit process, to include issuance of said permit from drawn documents. EXECUTED BDATE: 28 AUG., 2005 William F. St Clair / St. Clair Construction Company EXECUTED BY:Z%..` J " DATE: 28 AUG., 2005 D. Scott Jackson Evergreen Development 0- I`lOTES it 120 e� d�lc r2wn� -� Illlrb CyW 7-320-01 i ` 06-0528 + LASCJiTNSKF,, BRAD - PARI-IAM,'O.ROVILLE But CON' : OWNER P&LEQ MO �rrE aE 7 c! NSF (LIV, GAR, COV) , ,--•------- v+ww:uuiiecuimi .nevqun- I RESIDENTIAL � .TI°I u SPF�To►z ' 142 3 YL-iEQR�� A - APN: _ ��LE 1L.Z Owner. a .5"1 LZ ac PSP Pc�� ,� s_- �� ' Site Address: wE� — y9� q.�t2b Contractor. _ I Type of Permit: 15k fA : . V f, D�-6134, OFFICE Permit No. Y Bldg Permit: i Address: I GAS By: JA%7__ Date: 07-7 Electric By. Date: SPECIAL CONDITI SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE L DATE JOB FINALED: CHECKED BY UK NotCK RESIDENTIAL (Single & Duplex) uAIL JU VDERFLOOR DATE JPL MBING oning-Setbacks-Easements-Flood-Slgpe "1„� (L 3 tr Htr; Vent-Acc-Cmbstn Air Baffle Ftt Main; Soils-Elec Grnd j Ftg Dpth __54-Wtr Pipe; Test & Anchr-Nait Prtctn 3.1ztg Garage; Soils-Steel-Elec Gr nd 1 (L Ftg Opth. 4 Ftg Porches/Decks; Soils Dpth V; Test Fittings & Anchr Nail Pr tt -Steel Ftg 6 hwr Pan; Tess, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped ` est Tub & Shwr, 2nd fir - Tub. Acc z 6 St walls Garage; Steel-Blockouts-Wrapped Pipe; Sz & Anchrs 6 ,* old Downs and Special Anchrs SB�ife�Sprinkler; Test2 7 SI Steel Wrapped 60 Yard Gas Piping iers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test (� 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd A L DATErent 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn ultn & Support 14 Girders-Sills-Anchr BoltsJoists-Joists-Cripples haust abv Insultn 15 Acc & VntltnDrain & Ovrflw, Sz & Grade 16.Insulation t Acc-Comb Air RtrnfVent 115 Outlet ,�rltfrm if Furnace in attic D � mac= ° DATE IF R A M I G s Proper Materials & Anchrs DATE F I N 18 Walls Studs -Nailing Spacing & Braces-PlatesSound teps-Door & Sidelt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing Smoke Detector 2 Dra Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr F' a Stops, Furre Ceilin -S irs-Chasers-Tubs In�tage; abv-flr-Ducts-Meth Prtctn ea Sz 23 angers- ost Caps-Anchrs-Cnnctns �5'SBd boom Exiting Bath Fxtrs & Tub Acc-Spa ling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg E�kFrplc /GY1B �,I G�rc Fault Ties or Type A Flue-Frplc Throat Clmc 77% Trim & Subpnl, Breaker Sts & Labels Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles�l33'us, Guard/Handrails Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions T4 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec-Out lets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits E��lec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn �� 7.�Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC ct in Garage -Damper 33 Siding -Nailing Veneer Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc rtctn LPG Appince Undr House 3" drain eh. _ . 3 zing Ar -Glass rtctn-SkyLts-Plastic 0� hear IIS; Na• ng-Boltr . C' IAV J •1lec & Mech Eqp Listed for Loctn Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls /` 83 1 upknn--Foam-Looked in Attic 38 Insultn-Walls-Ceilings Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws ndn Vnts & Crawl Hole Door Drnge & Wood -Earth /,� �� • � ce. 11/4 86 Cirnc Drnge Planters ❑ Yes ❑ No 87 cccco Brown -Finish ° 0: oma` 0 88 'Unit Dscnnct, Elec-Plmb Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE JE L E VT R I C A L 90 Wtr Well, Dscnnct, Elec, Plmb 40 F tr & Trnsfrmr Clmc4ns Prtctn 91 Ext. Iec Trim, GFI Rcptcl-Undrgrnd Elec Rcptcls Spacing-Lts & Switches at Doors Itn thru House Boxes & No Of Cndctrs Stapled ��ss Prtctn 43 ex Installed Close to Edge of Studs & CJ Grnd made Fstnrs l�4 Co. , ctions from previous Inspctns p up w/Mech as Test -Meters Tagged, Gas-Elec Grndng Electrode Bond Gas & Wtr 96 5,W& Sewer Cnnctd-C/O to grade -HD Apprvl Appinc Cires in Ktchn & Cndctr Sz GFl OrE9ePgy Cmpinc Cert Certs wed Wire Sz ga ❑ CU or ❑AL -Other WAddress Posted AC Wire Sz ga ❑ CU or ❑AL 99. Fire Sprinkler 48 Range Circ ga ❑ CU or ❑AL Oven Circ ga ❑ CU or ❑ AL nsulated Neutral ❑ Yes ❑ No o` 0r os ry eice-Riser Cndctrs &Grnd Main Dscnnct eEqp e CImcs pnls-Motors-Mech Eqp ,ABT Clothes Closet Lt-Shwr Lt -Spa Lt Smoke Detector OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings _ 12 Braced Wall pnis DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crclfig Eqp-Pool Ightg Bokes-Encisrs-pniboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide o'`a 0� o'er o`er Pool Drawing i t 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date 2- t q--? REV 4/05 Inspector `'v oy y AN � _-;-1!?Ad Phone # 3$y� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date I .. ` �0 _ Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL 538-7636 OR 891-2834 ' COUNTY OF BUTTE' R; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE , rV1 skt r" OWNER PERMIT NO. :f A routine inspection indicates that the following violations of Butte County Ordinances exist at _ the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explana on, please contact the Building Inspector as indicated below. 0,0 01 wllyjjwS s Obo At 1eo,5F I I; Q c,,l/ lu,I?1 ,n %d Kjam y 1_/ V1CLe a+ /454- I el✓z SS !,J lndJ�j 1;,-7 5.144- lJ Cd i/a I t, MG S1 -<r l e4an-1, 0, ! I n � 4A, I c e-4 Cr-uc �P 4- bll , h✓r�/, ISS -rh rK ► a I I Ll X r,tvqj 0-t Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r*- ' COUNTY OF BUTTE BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 'i k' CORRECTION NOTICE f - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. k U v w/ /%�GwcJr, c.0 a rDltl-\E1 to l �I A 00ro () 11 -TE S('DI�I h -e c i'n 5 4k74 sS�f lV 0 �- a -4D 6i ,t- yJa ke,,s , -efic , L -4k' - KGs Date � Inspector $, REV 4/05 Phone # <' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 C.T ARKE FN GINEERIN G CIVIL ENGINEERS & CONTRAc Y0" License Number 778040 60 Declaration Drive, Suite D Chico, CA 95973 Phone: 530-893-3444 / Fax: 530-893-3425 Email: Matt@Slackfish.com October 25, 2006 Subject: Laschinske Residence To Whom It May Concern: The following issues need clarification: 1) Regarding the 2" nail spacing (8d commons) for the shear walls that were mistakenly. constructed with a 2x plate instead of a 3x,plate, Per NDS Table 11.5.1C nails can be spaced a minimum of 4D (=0.52") without a reduction in strength. 2" spacing is ok. 2) Sheet S1.2, "Shearwall Schedule", "Sill Plate Nailing". This connection is only needed for interior shearwalls (where exterior shearwalls are construction in accordance with Detail 8, Sheet S5). Note contractor may use'h" lags at 4" o/c in lieu of/a" lags @ 10" o/c with a minimum of 4" embed into rim joist/blocking (pre drill holes 1/8" smaller to avoid splitting rim joist). 3) Detail 4, Sheet S3 shows both a MASTA30 Strap and a PHD2xPHD2 connection. Both of these do not have to be done. Use one or the other. 4) Please find attached alternate shear transfer detail; replaces Detail 5, Sheet S5. Should you have any questions, please call me at 530-893-3444 Sincerely, ylarCM. ngi ee, ering hew Clarke, P.E. #58872 BU r OUNTY' . BUILDING DIVISION FES&la�- 4a:��� C5SnS 2 m �kEXP.. zo 02,% . 3 -LO - 0 11 �RXvISION: BP# 2 Xb r?Lle� BUTTE COUNTy 3UOLDING DIVIslor. oyo " -- Z xIlk lo I T't -'I\ P. g::�-rj r> vA e- L b r 12- PukfJ ,OFESS/pN 9 2 C588 � m F ul lQ� m m; Cr- EKP le INSULATION CERTIFICATE Job Number: F 8644 IBrad Laschinske I Contractor/Owner Name Butte 64 Parham Rd., Oroville CA Job Address (street, city, state) Countv Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: I Brand Name: Thickness (inches): I 1 Thermal Resistance (R -Value): I 1 2. CEILING Batt or Blanket Type:1 Fiberglass I Brand Name: i Knauf Thickness (inches): [ 161/4 I Thermal Resistance (R -Value): I 38hd & 49 1 Loose Fill Type:1 I Brand Name: I J Minimum Installed Weight/ft I 1 lb Minimum Thickness: I I inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): I I 3. EXTERIOR WALL Frame Type: I I A. Cavity Insulation Material: I Fiberglass Thickness (inches):1 51/2 1 B. Exterior Foam Sheathing "Material: Thickness (inches): I I 4. RAISED FLOOR.. Material:I Fiberglass Thickness'(inches): 1 51/2 1 5. SLAB FLOOR/PERIMETER Material: I Thickness (inches): I 1 Perimeter Insulation Depth Inches: I I 6. FOUNDATION WALL Material: Thickness (inches): I Brand Name: I Knauf Thermal Resistance (R -Value): I ,..Brand Name Thermal Resistance (R -Value): I 21 Brand Name: Knauf Thermal Resistance (R -Value): I 21 1 Brand Name: Thermal Resistance (R -Value): E I Brand Name: Thermal Resistance (R -Value): I I DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Comphan/c�e,, fwhere applicabie./ l n 2 & 3 , , E/ N�iO /1/Il� lv f ^Chico Insulation & FireulacesV Item Number's Signature and Date Installing Subcontractor (Co. Name) or Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060528 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 03/07/2006 APN: 027-320-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 64 PARHAM RD ORO License Class : License Number: Map Index: Date: Contractor: Description: NSF (3432) GAR (1130) COV (350) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LASCHINSKE, BRAD permit to construct, alter, improve, demolish, or repair any structure, prior 4556 COVE LN to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of DISCOVERY BAY, CA the Contractor's State License Law (Chapter 9 commencing with Section 94514 7000) of Division 3 of the Business and Professions Code) or that he or 530-534-1705 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: LASCHINSKE, BRAD Code: The Contractors' State License Law does not apply to an 4556 COVE LN owner of property who builds or improves thereon, and who does DISCOVERY BAY, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for .' 94514 sale. If however, the building or improvements are sold within one 530-534-1705 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.). 11 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: 2 /-2,—5yowner: 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: Labor Code, for the performance of the work for which this permit is issued. Engineer: CLARK, MATTHEW B ❑ 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: 4034 S.F. Policy #: Valuation: $198,730.00 Census Code: 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. —;;, -1"-2 -0 6 Date: Applicant:;r / 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 1—�/ compensation, damages as provided for in Section 3706 of the Labor ] `!1 j7 I cL� (� n�cv� code, interest, and attorney's fees. M. CONSTRUCTION LENDING AGENCY This permit is hereby issued u der the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the R solutio s to do work indf to aboe for which fees have been paid. /11 performance of the work for which this permit is issued (Sec 3097 Civ.) . ( y d l42--ti/67 Name: By(�l�`%/%l�`. ULl�� Date: ^/ PERMIT EXPIRES ON: Address: _Z (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: _(/) J0 Z_ / TJ C ���Z��j��� Signature: �� 0 Date: AL Owner ❑ • Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060528 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 03/07/2006 APN: 027-320-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 64 PARHAM RD ORO License Class : License Number: Map Index: Date: Contractor: Description: NSF (3432) GAR.(1130) COV (350) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LASCHINSKE, BRAD permit to construct, alter, improve, demolish, or repair any structure, prior . 4556 COVE LN to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of DISCOVERY BAY, CA the Contractor's State License Law (Chapter 9 commencing with Section 94514 7000) of Division 3 of the Business and Professions Code) or that he or 530-534-1705 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: LASCHINSKE, BRAD Code: The Contractors' State License Law does not apply to an 4556 COVE LN owner of property who builds or improves thereon, and who does DISCOVERY BAY, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 94514 sale. If however, the building or improvements are sold within one 530-534-1705 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: /-21—5yOwner: 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: Labor Code, for the performance of the work for which this permit is issued. Engineer: CLARK, MATTHEW B ❑ 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: 4034 S.F. Policy#: Valuation: $198,730.00 Census Code: IK 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 thoseprovisions. 7 J _Q(5 Date: )12 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject a` employ), to criminal penalties and one hundred thousand dollars provide 00 , n addition 0 the cost of compensation, damages as provided for in Section 3706 of the Labor rV1 � �w code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued u der the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutiods t7o�ydyo wwJorrk in to above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) B I/ //!%' (�� Date: T Name: Address: PERMIT EXPIRES ON: -7-12 — D 7 Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O 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 representatives ofCounty to enter the above mentioned property for inspection purposes. Butte upon Print Name: /�)^��F/ / T��/ / �/1/rJ ���� Signature: Date: A Owner ❑ • Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION f�/, F AND SUBMITTAL REQUIREMENTS a ,G . 24 HOUR INSPECTION4: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION z Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** [. OWNER INFORMATION Last Name ,/ first Name Address �66LR Cv� A L Address Stat Zip Phone�-� —�7a Fax "l E-mail a's ARCHITECT/ENGINEER CONTRACTOR Name Address Address City C C City Zip State Zip Phone State License Number Fax E mail Map Book Lic. # Class ARCHITECT/ENGINEER Name Address Address X73 City C C State Zip Phon�� / —2. _8?? Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X r For office use only: AP#0'� ?d�0/ Zoning I Cil Flood Zone WORKER'S COMPENSATION SRA Y No Occ. LENDING AGENCY I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\F0RKAC\RI III nINr: Fr)PhAC\RlrinAnnlCiihRnmts tint PROJECT LOCATION AP#0'� ?d�0/ Prope Address I Cil 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. 9 . q3otal LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living, -4443- Garage//36 Open Cov3 - S 0 ❑ 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. Pace 1 of 2 REV 8-12-05 Received by: Amount: Bldg 0A0+9 SRA Receipt #: q� o (P `j' Sheriff SMIP Date: � � blj' Other 9 . q3otal Pace 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature ori plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\61dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNfiY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: "`� nS ASSESSOR PARCEL NUMBER (JI Proposed Building Use: Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t)apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 3V3 l . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �- TCOk Ca ICS W i I ( re I Ur (� 3. Engineered plans, 3 or 4 sets, with we s' ure on lans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl Letter from Engineer or Architect for truss design review. - 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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. Cl 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other iaini ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1414 Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable `'f5. Fire S rinklers............................................................................................ P., ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... . Erosion Control Plan Required........................................................................ 19 ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit....................................................................... 21. Site plan and business license approval from the CN of Biggs.... .. .. .�. 22. California Department of Forestry plan approval t� paid. Sent by ............ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ �W,967G ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ��„� 26. NPDES Form:............................................................................................ +C� 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (�/ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorizatlon.......................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ... J. )...��....t ....... 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephoned&4- 11 UC5 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: _3-27-66 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items req Contractor, desione owner, ,was advised of the above data by ❑ p one,9P'mail, counter, by Date: Contractor, designer, , was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, w s vised of thea b e�iata b �f6] phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: cJ Date: / 1. Plans approved by: elm Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.btAttecountV.neVdds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner LASCHINSKE, BRAD APN No: 27-320-011 Application Date 3/7/2006 Permit No: BP 060528 Permit Type: NSF 1 BUILDING PERMIT FEES F,ST/MATED AT APPLICATION Plan Check portion of Permit Fee �— 2 FEMA Res Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $3,986.12 $1,594.45 ' $2,391.67 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $1,689.45 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,799.43 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $6,614.12 Balance of Building Permit Fees (from No. 1 above) 4011Z8 / SMTP* -Strong Motion Instrumentation Program (Enter amount from permit system) 14 f ,$fig Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPACT FEES - RESIDENTIAL* JPer DwellingPer Dwelling I JPer Dwelling Applications After 2/14/05 .1 SFD I u MFD ,:I MH RECEIPT DATE Tech/Asst 4 5 6 7 7a 8 ounty hico Urban Area 777 PV Ditch $8,603 RECEIPT DATE Tech/Asst $4,196.87,/,�51,0�jl/7�l 712-�>lo L_.LJ -i-+_–F-o-i Kourtni RECEIPT DATE Tech/Asst 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit ALJ $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES' I Oroville Elementary 091 12a RECREATION DISTRICT FEES' oroville At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: 3 —,-7— /— 0 C Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.41 p�C R-1 ° 8031.53 6850.08 7726.45 R-2 7541.531 6360.081 7236.45 R-3 6780.531 5599.081 6475.45 Processing Fee is automatically added to impact fee total 1 $100.00 9 WATER TENDER FEE mot collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 New construction, vacant 774 Lindo Channel $8,139 land, on 1 acre or less - 775 SUDAD Ditch $6,975 Enter 1 or less acre value 776 Mud-Svcamore Creek $6,070 777 PV Ditch $8,603 RECEIPT DATE Tech/Asst $4,196.87,/,�51,0�jl/7�l 712-�>lo L_.LJ -i-+_–F-o-i Kourtni RECEIPT DATE Tech/Asst 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit ALJ $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES' I Oroville Elementary 091 12a RECREATION DISTRICT FEES' oroville At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: 3 —,-7— /— 0 C Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [>< NO [ ]. 2. I HAVE [SC] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your nine listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Department J. Michael Crunp, Director. of Pubic f B u t - ..t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Orovilie, CA 95965 (530) 538-7266 (FA.") 538-7171 hase 11 National Pollutant Discharge Elimination SYSiem (NPDES) Prevention Construction Storm Water Permit and Storni Wafer Pollution Pr Plan (SWPPP) Acknowledgement (LESS THAN 1 ACS Project Description: _ 57/rI 6-< ::5 - Project Location andlor Parcel Number: Li By signiPermit ng below, I, the project own agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Son whatr on in fron the State of California Regional Water Quality Control Board projects multiple site build -outs of less than one acre but when combinedStorm Water permit from the State uent phases total more than one acre of disturbed soil will require a Construction California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Constraction ol Board for a project. Storm Water Permit from the State of California Regional Water Quality and/o other permits or other that disturbs one acre or more of land may result in revocation of grading sanctions provided by law. Signed: Title: Date: Butte County Departlne.rit of Developnent Ser vices 0 .11, 0 ° ..F.. ° 7 County Center Drive Oroville, CA 95965 °c, �' may° (530) 538-7601 Telephone UUN� (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: / Applicant Name: %!�/ APN: Q o� % ' d Building site address: Permit No.: 6` 03 r2 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0011657 Recorded I Official Records I County of I Butte I CANM J. GR lBBS I County Clerk-Recorderl 1 I 011:01?11p1 08 -Mar -M I REC FEE 13.00 COPIES 6.00 CWOM COPY 1.00 DD Page 1 of 3 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: S-; f— L />dr /!� D Date 3-8-06, —o 06, PROPERTY OWNERS: 'elfj�/J L /' SIsc State of California County of Qufl� On before me, personally appeared /��,od _j A S0/_ ,;,, XZ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and officia al. Signature Seal RICHARD FEUERSTEIN ,2ooa u -� COMM. #1568619 A.P.# 0';�7-320-0 NOTARY PUBLIC -CALIFORNIA ~ o BUTTE COUNTY F a My Comm. Expires April 13, 2009 3 RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Brad E. Laschinske 4556 Cove Lane Discovery Bay, CA 94514 A.P.N.: 027-320-011-000 GRANT DEED 2�QJ5-00sm39 1 8 Recorded I REC FEE 13.00 Official Records I TAX 60.50 County Of T I CANDACEUJ.EGRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 09:00AM 21 -Jan -2005 I Page 1 of 3 Above This Line for Reoorder's Use Only The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $60.50; CrrY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ File No.: 0403-1729963 (AM) X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Volker Ladendorf and Eileen Ladendorf, husband and wife as joint tenants hereby GRANTS to Brad E. Laschinske, an unmarried man the following described property in the unincorporated area of , County of Butte, State of California: PARCEL I: LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3UNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. CERTIFICATES OF CORRECTION RECORDED OCTOBER 24,1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964 AND RECORDED MARCH 15, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-9992. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7,1985, IN BOOK 100 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. CERTIFICATES OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37064 AND RECORDED MARCH 1S, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-9992. Mail Tax Statements To: SAME AS ABOVE 3 12- -w A.P.N.: 027-320-011-000 Grant Deed - continued File No.:0403-1729963 (AM) Date: 01/07/2005 EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED ABOVE. PARCEL III: ALL THAT REAL PROPERTY SITUATED IN SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING A NON-EXCLUSIVE EASEMENT FOR ROADS AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF LAND, 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE; BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 23 FROM WHICH THE NORTHWEST CORNER OF SAID SECTION 23, BEARS SOUTH 87 DEG. 43'56" WEST, 30.00 FEET; THENCE SOUTHERLY AND PARALLEL WITH THE WEST LINE OF SECTION 23, SOUTH 01 DEG. 24' 40" EAST, 967.90 FEET; THENCE SOUTH 44 DEG. 40'28" EAST, 409.87 FEET; THENCE ALONG A TANGENT CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 125 FEET; A CENTRAL ANGLE OF 37 DEG. 15' 14" THE ARC LENGTH OF WHICH IS 81.28 FEET; THENCE SOUTH 07 DEG. 25' 14" EAST, 144.20 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL CONVEYED TO R. J. HUNTER DEVELOPMENTS LTD, BY DEED RECORDED MARCH 9, 1970, IN BOOK 1605, PAGE 104, OFFICIAL RECORDS, AND THE END OF SAID LINE. PARCEL IV: ALL THAT REAL PROPERTY SITUATED IN SECTION 14, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, AND BEING MORE PARTICULARLY DESCRIBED AS A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, ON, OVER AND UNDER THE FOLLOWING DESCRIBED PARCEL: BEGINNING AT THE SOUTHWEST CORNER OF SAID SECTION 14; THENCE EASTERLY ALONG THE SOUTH LINE OF SAID SECTION 14, NORTH 87 DEG. 43' 56" EAST, 60.00 FEET; THENCE LEAVING SAID SOUTH LINE NORTH 01 DEG. 36'04" WEST, 30.00 FEET; THENCE SOUTH 87 DEG. 43' SW WEST 60.00 FEET TO THE WEST LINE OF SAID SECTION 14; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 01 DEG. 36'04- EAST, 30.00 FEET TO THE POINT OF BEGINNING. Dated: 01/07/2005 V f� Volker La endorf Eileen Ladendorf Page 2 of 3 8 Department of Public Works C o u n t y o f B u t t e O 7 County Center Drive O Oroville, CA 95965 J. Michael Crump, Director (530)538-7681 Ax) 538-7171 �C�c woF' Shawn H. O'Brien, Assistant Director Assessors Parcel Number: ()Z-%' L7o-Q11 Building permit # Owners Name: 6p -A- Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road PA P-4 A- tik ❑ Existing driveway conforms to County S-31 standard ❑ Other Appro ve4 b _ Printed Name �•� : r �Q �.S Title { Date 2 C� CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District J q Building Department No. A.P. Number2� r% ��2L) � l Jurisdiction: City County Property Owner Era L /./s a A 1. S Property Location/Address k2tl t�[ - ( )(/,W/I 1., Subdivision C' �"� Lot No. Residential Development Q Q ? Sq. Footage s No of Living Mobile Home Addition/ "Supplemental to (Group_ R) Units Installation Conversion Permit # *(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) r� Commercial/Industrial 0 Q �r� Sq. Footage New Addition (Including Exterior .1 Roofed Areas) -7- /2-6 Buil ina Department Representative Date District Identification No. M -1 S 1 OY'W . ll p 9kA School District certifies that ro� o-�- (Applicant) (Street Address) (Phone Number) 0"4, L kms_ Cl�p0 S °I (a to (City) (State) (Zip Code) has complied with the requirements of Resolution No. d S.J lo— CA by payment of $ (o n t -) . , �-- representing �L- SS square feet. B 2926 S ULL MITIGATION $ School District Date Paid by Check # Remarks: 2-55--1 /a 2 . 6.3 Hotica: You may protest the Imposition of the hes Idendfled above by submitting a written protest to the District. In compliance with Government Cods Section 66020(a), within 90 days from the date hes are paid. Fallum to submit a timely wrMtan protest will prohibit you from challenging the Imposition of the fees In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee CwtMcadon Foran, the School District Is notified by the applicable Local Planning Agency that this project Is being rovbwed under the Ceftmla Environmental Gue ty Act (CEQA), this project may be subject to additional school fees to fully nrltpgate Its impact on the school districts schools. White (school district), Yellow (building department), Pink (applicant) feetormids (305W= BUTTE COUNTY, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner App Date REVISED SQ.FT. 7/10Mnnr: APN No: 027-320-011 Permit Type: F777777 -]Subtype: Permit No: BP 06-0528 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,410.71 Plan Check portion of Permit Fee $1,364.28 $2,046.43 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of fees due at application $1,364.28 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,364.28 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $6,415.41 $2,046.43 $19.87 RECEIPT DATE Tech/Asst 4 5 6 7 7a Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 04/15/06 ,> 1per Dwelling SFD a I Per Dwelling MFD Per Dwelling DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN County 1 4249.11 3183.54 3238. 772 Little Chico Creek $9,088 Chico Urban Area 6146.23 4538.82 5648. 776 Mud -Sycamore Creek $6,275 EI Medio Fire District 3249.97 2385.76 2422. Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. North Chico Specific Plan 9 10 10a 11 11a SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 RECEIPT DATE Tech/Asst $4,349.11 RECEIPT DATE Tech/Asst SIJ CU �c 0 R-1 8897.09 7491.04 8582.40 ° R-2 8390.09 6984.041 8075.40 R-3 7604.09 6198.041 7289.40 Processing Fee is automatically added to impact fee total 1 $100.00 WATER TENDER FEE )Not collected when Impact Fees Applicable) Enter Bat.# $200,00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Elementary 091 12a RECREATION DISTRICT FEES* Oroville At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM B -FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) � r] - ��2,O- �J/ Building Permit NumberC�CO� A 2 Property Owner (s) Project Location /Address Subdivision Name t / New Development Assessable Sq Type of Residential Development (check one) Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date Jssued ) verified by Building Department Comments:7am-4, GZ�n (fn r :7-1-2---Q(,, Building Department Representative Date ❑ FRRPD 0 CARD 0 PRPD 0 DRPD certifies that: Avo L�3-/— / 705`— Applicant Name Phone Number Mailing Address . _ City State Zio Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Remarks: Paid by Check No: Dwelling Units @ $ Square Feet @ $ Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: Recreation and Park District Representative Date BUTTE CPUNTY DEVELOPMENT FEE CERTIFICATION FORM EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) O CHICO AREA RECREATION AND PARK DISTRICT (CARD) O PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Nwnber (s) Building Pen -nit Number 61,2- � Property Owner (s Project Location /. Subdivision Name New Development Alteration/Addition(s) Mobile home Demo Permit ( Comments: Assessable Sq. Ftge Q�A,32 Residential Development (check one)Typle Family -Detached S in le Family -Attached issued Non -Residential to Residential Mobile home replacement �I) 1___ Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: /, 3-3 Applicant N e Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: per unit for a total of $ / / Ub ' ov per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: 66 Co EVERGREEN DEVELOPMENT 2530 Zanella Way CHICO, CA 95928 530-894-5590 powershacks.com PRE -MANUFACTURED TRUSS REVIEW OWNER: LASCHINSKI LOCATION: PALERMO Feb 12, 2006 I have reviewed the truss calculations for the above mentioned job. The truss calculations conform with the design criteria specified, and are approved for the use on this project. TIM LEEFELDT A Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING April 4, 2006 `tel 0 Brad Laschinske &ks 4,56 ov Ln. 1 9��� / _ 9s 3_ I➢lsbov 454 1) r0vl 1 6 , (QIO Assessor Parcel Number: 027-320-011 Building Permit Number: 06-0528 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: Provide detail 1/S3 as specified on the roof framing plan along line 4 on sheet S-3. Should this be detail 4/S3? fV Detail 4/S3 specifies what looks like holdowns connecting the rafter to blocking. Please J specify the type of holdowns and detail connection requirements. Please reference this detail on the plans to indicate where it is located. 3. rovide truss blocking panels as specified on sheet S-3 along line 4. Provide Simpson RBC clips at 18"O.0 as specified on page 61 of the structural calculations. Detail 5/S5 specifies H1 clips. Please revise plans and or calculations to match. Provide type 2 shear wall at the 10' long shear wall along ground level line 1 as specified in e� t e structural calculations. The plans show a type 1 shear wall. Provide two-story footings along lines G and H where they support two floors. The foundation plan references detail 5/S4 and 6/S4 which are only one-story footings. ,,,7"" Specify straps required to connect the ends of the 2"d floor LVL drag strut shown on sheet S2 J over the living room. rovide verification from the truss manufacturer that'the truss BDRAG along line F was esigned to transfer the 7.9 kip lateral force specified in the structural calculations. Provide documentation from the engineer stating that he has reviewed the truss package and t t the trusses are in accordance with his design of the structure. Specify posts and footings required to support the girder truss over the living room. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Jim Peterson Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Tim Leefeltd, Architect Evergreen Development . "• EVERGREEN DEVELOPMENT 2530 Zanella Wy, Suite B CHICO, CA 95928 530-894-5590 Fax: 894-5051 ATTN: Philo Hunt RESUBMIT JOB: ID # 06-0528 CRISANTE 15 APR 05 REVIEW LETTER DATED Apr 4, 06 Please find enclosed the following changes: es, re-labled det 4/S3 �f Revised detail 4/S3 & location of phd2 S3 i3)" Clouded blocking note S/3 ,4) Revised 5/S5 5)` Revised to type 2 ,6)'Revised S0.2 & 1/S4 revised revised S2.1yp ©t, evised Truss B Drag S' ned truss note S/3 Revised A/1, A/2, S0.2 to accommodate Girder truss Loading with 4x4 df post and F2 footing Best Regards Scott Jackson 414A SITE PLAN REVIEW APPLICA'T'ION Date: ��/0 AP# Permit Number (if applicable) 05— APPLICANT 17VFOPMA TION SAPPLICANTINFORMATION Parcel Size: aiC44 Owners Name: Owners Address: qs_ ov (.� 9 `/5 ILI QQ •3 Telephone No.: 5 3,2- .3'"- 921,5 Situs Address: S.S ira fe"J'ga", O Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural� Exempt Building f` Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By /-_ C�''1 Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) �J ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 000 %C ,20— Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali ornia 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: 71-- 5_ 6P_ Applicable Building Setbacks: Front Zoning Code op -0 , Streets & Highways Fire Prevention Subdivision Map Side i Side Street Rear i Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 4� 1A Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By II Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: F-1 No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 19 Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page.:3� Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 1 El x 0 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. CMArrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 � \ SEE S,UEET 3 J AL Til as, R<• — T' - � - — -- — —J I SEE S/IEET 5 sREEr s NOTES THE ROADS WIrMIM 710/5 SUBDIVISi WERE NOT DES,O DE CONSTRUCTED TD COMPLY WITR 5T4"DAROS FDR R04,DS TO A BE CCEPTEp By THE OOUNrY FOR MAINTENANCE. 2) THE TWO ACRES OF USEABLE 3EWg6E D/SPoSAL ARLA IS 5MOWW UNHATCHED O EACH PARCEL (2 AC. USQA.) Xt -. W, vaveEecc+.ulzewecee a-/.�_-9( �'- Xl 77r.z S!lEET 901EANT/C DD' R/W/RY E (SEE .UOT€ SHEET P ) 21777 0. R. /OC J A [EGEND -SET /I/I'.PEB4R (p, OtOY (R)- 94e MAPS P3, 24 3 R h O DINNERS CE/1T/F/ME WE(B744Poe/CIC /NYPCTNINT/ /AC. Al OW.VEAS OF TNA7CER74/N LRNp AS SHOWN CW PARHAM 9UB0S/ON'A,✓p OROV/LLf T/TLE COMPANY AS TRUJTEE UNDER OEED OF TRUST OArED ✓ULY /0 /999 ANO gECOROEO l.PT• O /SBS /N BOOK 1869 OFf/C/AL RECORDS, RAE 99 AN0 Q90✓/GCE T/TGE COWPANY AS 7RL STEE UNDER THAT CERTAIN '0.. OF TRUJT O.OTEO JULY LT, /9B3, 4N0 RECORDED SEPT. B, IV" /N BOLN' 8969 OFF/C/RL RECORDS, PAGE 96 m HEREBY CERT/FY M.4r WE ARE 7NE ONLY -,4A7,/ES WHOSE CONSENT /S NECESSARY 70 Pd SS CLEAR T/TLE M S.41,0 ",V,9 4N0 WE HEREBY CONSENT TO THE PREPORAT/ON ANO RECOROAT/ON OF SA/O MAP, BTdR POC/i/C /NVE6TMCNTJ, /NL•. OROV/LLE T/7LE eaWA YAACOQP. BY: l C. �r%ZaiJ�i v STATE OF CALIF04N/A�9S COL/NTY OF BU((17T��7E OIV 7M/SLDAY do 19PO4 A9 S BEFORE ME, THE IWMRJ/ENEO, 4NOTARYp UBL.0 !N AND CLW SA/O JTATE, PERJON4C[Y APPEARFO izA`/ /Y�A2T1/V KNOWN TO MF TO BE THE f /F_' TNF Me. -M AT/ON TNA7 EXECUTED THE W/TN/N /NJTRUMENT, •!'NOW& TO ME TO BE THE "'?""VWNO EXECUTED TWE/NJTRUMEN7, ON BEHALF Ol THE CO?AGRAT/ON THERE/N &AHED ANO .9CXA/ON/GEOOEO 7D ME THAT Jlt/M CORPORA71O?A �XECUTEO THE JAME. W/TNEJJ MY NANO ANO DFF/C/RL DEAL F-1 /D . /989 MY COMM/SS/ON EXP/RES S/amomeE :AZ .. ELISA ...................Is ot"'a . ra---,s o GCEWiSS PRINTED NAME ., i . V........................p STATE OF CAG/FORN/A TS.S. Cou&rr of BUTTE J ON 7N/SQi OAY OF/R9 BEFORE ME, THE (/NOERf/6NED, A NOTRRY Putt/C N AN JR/O STATE, AtfPWAI CGY APPEAAEp (' kCi DYL{4 QNOWN TO ME TO BEIN— THE Tee a9c/E/c resp Mew/r7W/" T//E CORPOR A170 THAT EXECUTED THE Wxecil /NJTRUMENT, ANOWN TO I7 TO BE THE PERSON WNO EAECG?EO 7NE W/TN/N /.t;PTgIMEN>; ON BEHALF OF TME C .,Day, 7 VO TAE?E/N NAMED ANO ACA'A/OWLEOC.EO TO w 7AATJGCN CO A '.4 /OA e".CUTEO THE SAME. W/TNEJS MY HAND 4,V0 OFF/CRC SEAL SXd�er Z4 1488 MY COMM/JJ/ON EYP/RES J/CiNATU?E OC6lE fh�M•R916N`I I P_81f. YClllpf` 1eow�r,..rc :u, PRINTED NAME l�ti q��a cu.i/uc-d, A(G .3 !s_9i Z,-- '/ /- v99.z -( 0 SHEET SCHEMATIC SI eAfYORyi CERT/F/CATE /N��EEREBY CEQT/FY THAT/AMA L/cEN5E0 LANSU G mew OF TNS STATE OF CAL/FOQN/A, TNA MAP Or <LOgNAM SUBOIV/S/ON'COQgECTCY REP SUQYEY MADE UNOFR MY JUPEPrr/S/ON /N ✓, T /7 /S 7gUE ANO COMPC ETE AS SNL7WN 4N0 SANWN TNEAEDN EXIST ANO A?E OF" THE CE? /'fBpc COPY THE POS/T/ONS /NO/GATED AN AR 1$(/E.,flajyE TO ENABLE THE SG 1R? TO BE RETR �. a • * /cM4R ARr cs 4Y02 C &AITY SURVEYOR'S CERTIFICATE Y HEREBY CERTIFY TN4T / M4YE EXAM/NFO TME F/NAG MAP 'PA?NAM BUBO/Y�(9/ON' TNA7 /T /P SUB4TAM/ALLY TNE,CAME A9 APPEARED ON THE �ENTAT/VE MAP ON Fi[E, ANO ANY APPROVED AGTE?AT/ONS THEREOF, THAT ALG TT/E PROV/S/OA/S OF THE SUED/V/S/ON MAP ACT OTHE STATE OF CAL/PORN/A ANO"" '.ORO/MANCE APP4/CABCE AT TA/E T/ME OF APPv SAID TENTAT/UE MAP NAVE BEEN COMPLIED W/TN, Amo / AANO M SAT/9i/EO THAT THE MAP ,C9 TECNN/CALGY CO??EC7. /LL/A C , Al /42Z5 � /� �O CO Y SURVEYOR I. LOCA T/PN MAP /3 SNEET�2.2. CS _ J. ACCF-35 3CHEMAT GPAS NON 3SNEET/n^ JAKE ON 3NE2T *i2. 4. JNEET 3CNeMAT/C IS ON 3NEET� pv /II,,,, JNEET �2, 3. E ROAD] W/TNIN TNI3 JUBO/Vi3STANOnRA3 01, Q ROAo] TO OG ACCe TVCTEO TO LbMPLY W/ R ACCEPTED BY TNe COUNTY FOR MAINTENANCE. 6. TNe TWO AC4E3 BI USEABL uN HATCHED E JEWAL.E O/3P0 SCS AR aA /] 3NOWN C.N EACH PAACEL (Z AC. U�.O.A) /00--1 aF/ILeBFT1/ERN/SO,PS CERT/FlmE / HEREBY CERTIFY THAT ON THE JLOAY ac -,T96 , TME BUTTEG'OUNTY BOA?D we'? jr OFF/C/ALLY APPROVED THE BUBO/V•CT/ON M1P OF 'PARHAM BUBO/y/S/ON THE RECE/PT OF SAT/ AC70RY SECUR/TY /N THE AUO/TORS EST/M4TEO AMOUNT OF M INJURE PAYMENT OF TAXES WM/CA ARE A L/EN B THE £AMWNfOC /FTORNGO1T� yE PAYABE W..AR9EN4CKTNAOCWCELPEGED. AT TN/f TIME. r"AKIN ✓GI AOL S CL ERK OA'TNE BOARD OF JUPEAY/SORB A&WOR'S CE?T/F/CATS I ✓AME9 C. ✓OAANSEN 4(/D/TOR OF T//E COUNTYOFBUTTE, STATE/ OF CAC/FO?N/4, 00 I/Ee .5Y cERT/FY THAT THERE ARE NO TAX C /ENS A64/NST PARAGOM 9UB0/Y/f/ON :e9 HERE/N PET FORTH, OR C NPA/D STATE, COUNTY MUN/C/PAL OR LOCAL 7AXES, EXCEPT 7AXES OR SPEC/qC A45ESSMENTS NOT YET POYABLc, TAXES OR ASSESSMENTS WR/CN 4RE4G/EN BUT NOT YET YABLE, /EST/MATE TO W- 1,V TAE AMOUNT OFY eil_�9 a.,Wl70f WM/C// /f HEREBY ,erA,VOWLED6EQ ��1f/-�. /T4a.✓n ✓OMfS ✓ONgNlfN COU�N/TY AU�fO/�/TlO2R�� BY: /Elgr`� OEP!/T COUNTY RECORDER I4 CERT/F/C,QTE RECO//OEO /N THE OFFICE OF THE RECORDER OF T//E MUA/TYOF BUTTE, STAJE OF REOC/ CAG/POREST OF B4RNN4BRT-ROWN ANO ASSOCIATES TfJ/SLN/q 47 THE O4 OT N6 /SBS, AT BO AlN�i�_ (/,'S7g'OCCOCN�/A/GOOK /oQ OF M4P94T P46ES SUBO/Y/f/ON NP. 355 l COUNTY RECORDER PARHAM SUBDIVISION A PONT/OA/ OF SECT/ON 13. T/BN, /d4E, M. D. M., /N T//E UN/A/C0/I00/I4TED Al?" OF BUTTE COL/NTY, CAL/FO17N1! u, -Barnhart 7Dr,,)n d Qaaaciatra -A#1911 CIVIL ENGINEERS LAND SURVEYORS BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051252 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 05/25/2005 APN: 027-320-011-000 the Business and Professions Cade, and my license is in full force and effect. License Class :_ License Number: 7�2�3y�y Site Address: 64 PARHAM RD PAL :. Date: .2,5,r*440 6.ntractor: i>asS cc -ns It Map Index: Description: GRID TIE WIND MILL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LASCHINSKE, BRAD E to its issuance, also requires the applicant for such permit to file a 4556 COVE LN. signed statement that he or she is licensed pursuant to the provisions of DISCOVERY BAY, 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 94514 she is exempt therefrom and the basis for the alleged exemption. Any 925-323-9115 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: EVERGREEN DEVELOPMENT 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, SCOTT JACKSON provided that such improvements are not intended or offered for 2530 ZANELLA LN SUITE B sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO CA 95928 proving that he or she did not build or improve for the purpose of (530) 894-5590 sale:). ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOSS CONSTRUCTION, GLENN pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 4911 VILLAGE DR Date: Owner: FOREST RANCH, CA 95942 530-342-1293 WORKERS' COMPENSATION DECLARATION t hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to -self-insure for License #: 772530 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit „r is issued. irxK I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and -policy nu rer are: l C C Carrier: l7�%�G r-1-6 7 3 9 Policy #: Total Square Ft: 0 S. F. (A ❑ 1 certify that in the performance of the work for which this permit is issued, I Valuation: $0.00 1/ shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ^ V / / Il forthwith comply withprovisions. 2-ho { Date: .�",/ 0 l MAY l L\ \A717 �� f✓� < �"cXn s Applicant: < 1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i ereby issued er the ap icab provisions of the Butte County Code and/or I hereby affirm that there is a construction le • g agency for the Resolutio to do rk indi ted above r w ch fees have been paid. performance of the work for which IN mit is issued (Sec 3097 Civ.) D Name: BY - Date: i PERMIT EXPIRES - y Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 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 stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of anypficial form or document of Butte County. I hereby bulhorize representatives of ButteCountyto enter upon the above mentioned property for inspection purposes. 6017 �J, 4 Print Name: Signature: ,9 Date: ,Y, Owner 0 Contractor Agent for Owner 0 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 TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER Last Name _ , j_ 5 ( First Nam Named,3 Address 41575-( CCJ✓� 1. city ,�� ro» State CGc Zip 9y S/ Phone S 3 3 9�/S Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name Oo5s 7 - City �� r L, Address 2 5 3 Zip City �� 1 G State Zip q Phone �r� SSel O Fax 8q V SUS E-mail Lic. # Date Approved: Clas�, APPLICANT NAME ARCHITECT/ENGINEER Name City �� r L, Address Zip City Fax,�. State Zip Phone Page Fax E mail Date Approved: State License Number APPLICANT NAME Name S Address 3 City �� r L, Stated Zip Phone 5 3 V eq5�5-9 U Fax,�. E-mail APPLICANT SIGNATURE X For office use only: Zoning` j Flood Zone City 4P-0;" o SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT BIN # LOCATION AP# oZ% v Pro rt Address pt 5 Z P4 R 9"- wlla City 4P-0;" o Cross Street Lq-L T/q ryj I rQ Z.,-1 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: & Ti -P r_JI vt W1tLL Sq. Footage 2-5- 0 S❑ 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: � . L / Bldg �` SRA Receipt #: ' / %� � v Sheriff SMIP II Il Dates. 1� 0S /S 3, 97 Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations, ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 fv r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewage Disposal Clearance for dwelling. Other e Hold final for: Final clearance O.K. for: NOTE: E.H.-USE ONLY Piot Plan Attached. Floor Flan Attached' Panto B.D. Location AP# I Water Supit, ly: Public Private Well n --,ten® ) A � �) , . 7�-0 4 %1_ Al/_m, .k,,�-o Environmental Health Specialist 8/96 Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDZDIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Z a St� Al %"2�/�J�Gp(. i 6 ASSESSOR PARCEL NUMBER -U-, a V _(5// Proposed Building Use: wfr*0 � / �1 Permit Technician: ' Date:y Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 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. ❑ 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) Installation manual, including 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. must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other All of these Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ 22. Site plan and business license approval from the AC'ty of Biggs .............................. 23. California Department of Forestr plan approval i bid. Sent by: . . 24. Planning approval for (A) Use: (B)Parking.. _ (C) Parcel Check:55:k 9 O ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... JS 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone5s9U',C°eJ�� f011/i-�t?and hold for pickup. 1 I have been informed df the above items and requirements for obtaining a building permit. , Applicant: Date: 1. Index permit application for the abov umbered: Plan Check L Iter 2. Ad ' 'onal items required kaMr-a , designer, owner, was advise of the above data by phone, ❑ mail, ❑counter, by Date: Con ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: -Structural 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 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds nn// OWNER 0 A.P. # 7- PROPROSED BUILDING USE lz�'Mill DATE l �' RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 3LJ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $_ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. 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 durigg the plan checking process. APPLICANT DATE 5 � "2 _05— Pursuant OJ 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. 3/05) p�QF� T po �OTTF, C p _ C � 6 e AcOUN'�s LIC W�� Department of Public Warks _C o u n t y ® f B u� t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538.7266 (FAX) 538-7171 !`National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Wafer Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Description: Project !Location and/or Parcel Number: By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that 1, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 02/1612005 12:16 FAX EVERGREEN DEVELOPMENT 2530 Zanalla Way CHICO, CA 95928 53048945590 WWW.. POWERSHACKS-.COM 10 Feb., 2005 la001;*001 To Whom it May Concern! SUBJECT: SPECIAL ANGENCY Please be advised that Y am appointing Scott Jackson of Evergreen Development to act as`nuy "specific agent as it relates to drawing and preparing plans permits and any associated material for my property at Parham Ave, Palermo, ]Butte Co. Ap# 027-320-011.. Sincerely a _4 Brad Laschinske 0 Scott Jackson Evergreen Development r ()2,'1(),,'2(j05 12.18 Fal EVERGREEN DEVELOPMENT 2530 Zanells Way CHICO, OA 95928 530-894-5590 WWW.. POWERSHACKS-.COM 10 Feb., 2005 To Whom it May Concern.- SUBJECT: oncern: SUBJECT: SPECIAL ANGENCY a001!001 . Please be advised that Y ani appointing Scott Jackson Of Evergreen Development to act as' My specific agent as it relates to drawing and preparing plans permits and any associa.ttd material for any property at Parham Ave, Palermo, Butte Cu. Ap## 027-320-011. Sincerely �e Brad Laschinske Scott Jackson Evergreen Development BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP060136 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/20/2006 APN: 027-320-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 64 PARHAM RD. PAL License Class : License Number: Map Index: Date: Contractor: OWNER -BUILDER DECLARATION Description: pole set and new elec service for lot develo ment I hereby affirm under penalty of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LASCHI NSKE, BRAD E to its issuance, also requires the applicant for such permit to file a 4556 COVE LN. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DISCOVERY BAY, CA. 7000) of Division 3 of the.Business and Professions Code) or that he or 94514 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: ST CLAIR CONSTRUCTION CO Code: The Contractors' Slate 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, 2530 ZANELLA WAY - B provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA year of completion, the owner -builder will have the burden of 95928 proving that he or she did not build or improve for the purpose of 530-894-5590 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: ST CLAIR CONSTRUCTION CO pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 2530 ZAN ELLA WAY - B � ���X� CHICO, CA Date: l�0wnar. 95928 WORKERS' COMPENSATION DECLARATION 530-894-5590 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 181845 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S.F. v_ I certify that in the performance of the work for which this permit is Valuation: $0.00 / issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall /(� L' forth//with comply with those provisions. Date:—/ — 1Z Q^ / Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit i hbreby issued -under a applic le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do work indicate bove for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) %2-a 0 Name: BY / Date: / --1 Address: PER FEXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: iC >/l /✓%J !�+�cSC 1411 T/�Gz� Signature: Date: 1? y _06 Owner C3Contractor ElAgent for Owner 0 Agent for Contractor 0 I 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 TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name lL G ttvlSl irst Name Y �` C( Address m cl IV City State Zip Phone Fax E-mail CONTRACTOR Name Name i Name Address City J State Zi Phone , U Fax E-mail- 5 ,- %D 6 A I ed . Lic. # sClass Book Fax E-mail Planner APPLICANT NAM/'E ARCHITECT/ENGINEER Name Cityf 6N l� d- � 6 Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAM/'E Name 4 rod )-14 S G A P, -'S K 5 Address % T I90,,6 lam Rd Cityf 6N l� d- � 6 State C- Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 64 J oc e Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP060/ BIN # LOCATION AP# D��- �a� -' of►- oop Property Address 64 J oc e C l Le_ Y — 6 Cross Street WORKER'S COMPENSATION Policy Number .� 5 39 Carrier k -a, i3 -r . G e 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 -Addre OVER FOR SUBMITTAL REQUIREMENTS I K:IFORMSMILDING FORMS\BIdgApplSubRgmts.doc Page 1 of 2 . Description or Scope of ork: S-2rUNC 2 6I -e i �ed-- 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. Rece�iv/ed b5 (� Receipt #: q ul Date: ��� v I! Gb Amount: 5� Bldg REV 6-16-04 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 BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. o 9. 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 GRAPHPAPER! ❑ 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 GRAPHPAPER! ❑ 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 by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS161dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 C , M. EN GINEERIN G CIVIL ENGINEERS & CONTRACTORS License Number 778040 60 Declaration Drive, Suite D Chico, CA 95973 Phone:..530-893-3444 / Fax: 530-893-3425 Email: Matt@Slackfish.com October 25, 2006 Subject: Laschinske Residence To Whom It May Concern: The following issues need clarification: 1) Regarding the 2" nail" spacing (8d commons) for the shear walls that were mistakenly constructed with a 2x' plate instead of a 3x plate; Per NDS Table 11.5.1C nails can be spaced a minimum of 4D (=0.52") without a reduction in strength. 2" spacing is ok. 2) Sheet S1.2, "Shearwall Schedule", "Sill Plate Nailing". This connection is only needed for interior shearwalls (where exterior shearwalls are construction in accordance with Detail 8, Sheet S5). Note contractor may use '/ " lags at 4" o/c in lieu of 3/a" lags @ 10" o/c with a minimum of 4" embed into rim joist/blocking (pre drill holes 1/8" smaller to avoid splitting rim joist). Detail 4, Sheet S3 shows both a MASTA30 Strap and a PHD2xPHD2 connection. Both of these do not have to be done. Use one or the other. 4) Please find attached alternate shear transfer detail; replaces Detail 5, Sheet S5. Should you have any questions, please call me at 530-893-3444 Sincerely, Clar e, M.ngi eerie r � atth ew Clarke, P.E. .CE#58872 oz� • 3W'0) FES�j�\ d B�'9l :j C58812 m iii": rn WR7' d D7 tp��r. _CIVl1-_^ d 2 X.(p Vot-& L) itx rt..4w ZX. fru i> VA L -L rTs F -- PLA -4\j A J t4li _- �OFESs/o cm C588 M, �o m D(P 027-320-011 06-1573 / + LASCHINKSKI, BRAD 64 PARHAM RD, OROVILLE NOTES ST CLAIR CONSTCont f � GROUND MNT SOLAR ���■�` pi RESIDENTIAL APN: Owner. Site Address: Contractor. _ Type of Permit: Permit No. ONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED:: SIGNATURE: .=OK o = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr, Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-DIrncs-Grad 'Amp -concrete 6 Yard Gas; Loctn Test -Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Gimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -D/0 to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers Drawing MISCELLANEOUS - DECKS -COVERS -CARPORTS -GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-0pthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handralis 4 Wood Awn; Posts-Beams-Rftrs-C_nnctrsShthg. Frmg-Brcng 5 Alum Awn; Colutinns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rttrs Trusses 9 Siding; Nailing-VeneerStuccalath 10 Roof; Shthg-Roofing ' . 11 Ex+, Steps-Doors-Landtngs 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; CompactlonStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptds/Lting; Distance-GFI 5 Elec Pool 4ting;15 volts-GFI 6 Elec.Endsrs; Conduit Entries Terminals-Disted 7'Elec Bonding; Metal w!.7-Crdtng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Endsrs-pnlboards-lnsultn-to Main Conduit 9 Health Dept Appm 10 'Plmb; Cir Test-Wtr Supply Test 11 U Niche , 12 Endsr, Fencing Alarms 13 Bonding, Diving board or Slide RESIDENTIAL DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ft* Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth" 5 Stemwalls (Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13" Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & VnUtn ' 16 Insulation o' 0s dd ds DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders A fir Nailing 20 Draft Stop in Wails (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & Bie sSi &'Bearing• _ 23 Hangers-Posf•Caps-Anchrs-Citnctns 24 Ceiling Joist4U& Ties-Purlin-Roof Brac TrussShthg 25 Frplc Tie's' or Type A Flue=Frple Throat Clrnc 26 Attic Acc; Sz &'Rini Prtetn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtcfiri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext DoorsAne 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4-anding-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rttr Outrgrs 33 Siding -Nailing Veneer 34 Stucco LathWeep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insults Walls -Ceilings 39 Infiltration -Walls Wndws X41 DATE JELECTRICAL 40 Fxtr & Tmsfrmr Cimc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz gOCU or DAL AC Wire Sz ya o CU or EJAL 48 Range Me 00 CU or O AL Oven Circ Q,CU or OAL Insulated Neutral gYes El No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnts-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector o'' 0-P 4e Single & Duplex) DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 4 If. DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrin if Furnace In attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI 8 S Bath Fxtrs & Tub Accpa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage-Damper- arage-Damper80 80Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dm e & Wood -Earth 86 CImc Dmge Planters Yes O No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frple-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Mer Certs 98 Address Posted 99 Fire Sprinkler �. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 'r 7 Cbunty Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. '.i .. -r Q 1. MINWEM r.� Date ,.; REV 4/05 Inspector Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY PERMIT'NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061573 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 07/27/2006 APN: 027-320-011-000 the Business and Professions Code, and my license Is In full force and effect. License Class: �s LI4e—n s -Ill Num bA r: dd Site Address: 64 PARHAM RD ORO Map Index: Dale:/1 contractor: Description: GROUND MOUNT SOLAR SYSTEM- TO BE OWNER -BUILDS DECLARATION I hereby affirm under penalty of perjury that I am exempt from the MASTERED Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a Owner: LASCHINSKI, BRAD signed statement that he or she is licensed pursuant to the provisions of 64 PARHAM RD 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 OROVILLE, CA she is exempt therefrom and the. basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the (530) 534-1705 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an does Applicant: ST GLAIR CONSTRUCTION CO owner of property who builds or improves thereon, and who 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 2530 ZANELLA WAY - B year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or Improve for the purpose of 95928 sale.). 530-894-5590 ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' State License Law.). Contractor: ST CLAIR CONSTRUCTION CO ❑ I am Exempt under Article 3 of the Business and Professions Code 2530 ZANELLA WAY - B Date: Owner: CHICO, CA 95928 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-894-5590 ❑ 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 License #: 181845 is issued. 1:4/ 1 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 Architect: insurance carrier and policy number are: Engineer: MCGHIE, ROBERT D. Carrier: N,_Nc.;w r s)ju 1 7 l �, — /6Oq �- _ oS Policy #:_ O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Total Square Ft: Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O Date: Al Applicant: %1 L, /► / WARNING: Filure to secure workers' compensation coverage is ! unlawful, ands all subject an employer to criminal penalties and one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i ereby i ued un er the appl' able provisions of the Butte County Code and/or Resolutio to do wo indicate above f which fees have been paid. 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.) �t Date:^� V Name: By: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. i ❑ 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 owl' r 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 o any official fo or docu ent of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection pu oses Print Name: 4., ' r"` ��� � 44 aNDI Signature: Date: 7 ❑ Owner ❑ Contractor % ❑ Agent for Owner 9 -Agent for Contractor n. t_ ounaing rerrnn v i- to-w� ljy i Butte County Department of Development Services. oe rE- �aEx N O T E S 7 County Center Drive, Oroville, CA 95965 EE (530) 538-7601 Ww\,V.buttecojintyneUdds °uwi RESIDENTIAL AP N: 2% —affV d Permit No - Owner. � Site Address: fo � ✓ Contractor" Type of Permit: �ZZE �al6E f2j/L 102i(— OFFICE COPY Address I GAS Meter By Date ELECTRIC Meter By Date q7lz� V SP CIAL CONDIT)ONS CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE a DATE JOB FINALED: / ® - Z-0 ^ SIGNATURE: = OK 0 = ME vn MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPD Inch Sz Ft Lngth 7 Blckrig; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8. Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn-, Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric. 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls a` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7. Elec Bonding; Metal w15'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/S' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide a 4e d� o'er o`er Pool Drawing = OK Nol RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs S9 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 40 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic mac` c, O'• 0` _ O'• O� DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Ins ultn-Walls-Ceilings 39 Infi Itration-Walls-W ndws �c DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ga ❑ CU orDAL 48 Range Circ ga ❑CU or DAL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector Owe o'er A `mac, 0 p O FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Apptnc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain .81 Plmb; Elec & Mech Eqp Listed for Loctn .82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps -85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Dmge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb _ 89 Vnts abv Roof. Plmb-Apptnc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert4)ther Certs _ 98 Address Posted -99 Fire Sprinkler o'`� e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060136 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/20/2006 APN: 027-320-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 64 PARHAM RD. PAL effect. License Class : License Number: Map Index: Date: Contractor. Description: pole set and new elec service for lot OWNER -BUILDER DECLARATION development I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LASCH I NSKE, BRAD E to Its issuance, also requires the applicant for such permit to file a 4556 COVE LN. signed statement that he or she is licensed pursuant to the provisions of DISCOVERY BAY, 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 94514 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: ST CLAIR CONSTRUCTION CO pp Code: The Contractors' Stale 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, 2530 ZANELLA WAY - B provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95928 proving that he or she did not build or improve for the purpose of 530-894-5590 sale.). I, as owner of the property, am exclusively contracting with. licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: ST CLAIR CONSTRUCTION CO pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2530 ZAN ELLA WAY - B ,, � -2 0-60wner. CHICO, CA Date: ,i 95928 WORKERS' COMPENSATION DECLARATION 530-894-5590 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 181845 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number ate: Carrier: Policy #: Total Square Ft: 0 S. F.. I certify that in the performance of the work for which this permit is Valuation: $0.00 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' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall / L forthwith comply with those provisions. / Date: l V ! �p. /'V / r Applicant: WARNING: Failure to secure workers' compensation coverage is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit�tiereby issued u der a applic le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) . Resolutio to do workinBite bove for hich fees have been paid. i / �� performance By: i �^�` Date: / v Name: Address: PER FI` EXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code. which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repres$ntatives of Butte County to enter uponthe above mentioned property for inspection purposes. Print Name: iC JD l eF//A/9u_C �7�/y�/ ��� Signature: _ U —06 Date: Owner ElContractor ElAgent for Owner ❑ Agent for Contractor �»....��.o ..- Ai BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT*NO. BP061573 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 07/27/2006 APN: 027-320-011-000 the Business and Professions Code, and my license is in full force and effect. NuYS Site Address: 64 PARHAM RD ORO License class Li ens m r: Date: _�� Contractor: Map Index: Description: GROUND MOUNT SOLAR SYSTEM- TO BE OWNER -BUILDS DECLARATION I hereby affirm under penalty of perjury that I am exempt from the MASTERED Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: LASCHINSKI, BRAD signed statement that he or she is licensed pursuant to the provisions of 64 PARHAM RD 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 OROVILLE, CA she is exempt therefrom and the. basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the (530) 534-1705 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ST GLAIR CONSTRUCTION CO 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 2530 ZANELLA WAY - B year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of 95928 sale.). 530-894-5590 ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed , pursuant to the Contractors' State License Law.). Contractor: ST CLAIR CONSTRUCTION CO ❑ I am Exempt under Article 3 of the Business and Professions Code 2530 ZANELLA WAY - B Date: Owner: CHICO, CA 95928 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-894-5590 ❑ 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 License #: 181845 is issued. 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 Architect: insurance carrier and policy number are: \ Engineer: MCGHIE, ROBERT D. f J Carrier: P L) gi_W-T— / 5T!111= rry1+�D Policy #: ! ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D Date: D Applicant Sax e to secure workers' compensation coverage is WARNING: F(alulsubject 12 unlawful, ands an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of (/// � 111 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit. ereby i ued un er the appl' able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolutio to do wo indicat above f which fees have been paid. performance of the work for which this permit (Sec gy; Date: Name: _ PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the o or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter the subs ante o any offi ial fo or docu ent of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection p oses ,—. cmc-�c_ �M t�Dl Print Name: Vc Signature: 7 Date: t / 27 �l0 ❑ Owner ❑ Contractor ❑ Agent for OwnerAgent for Contractor B. C. Building Permit 01-16-04 pg 1 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 TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last�N�mg _ (mss 1 irs k p� Addre-s ,�C'irPAQ��� [�1� City t%oj I W1 ' S� Z" Phone Fax E-mail CONTRACTOR Name S, GU%tk Gao3-W&J6Rc+3 AddressZ3(o0 PAO-K WI< City C1.4 I Co Address SRA Phone 530 - � cnr - S590 Fax55, _ Vq - 5051 E-mail Lic."#/$($y5 C�s� APPLICANT NAME ARCHITECT/ENGINEER Name City GNt cz Address SRA City Fax 53 ' o $D51 State, Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name p��Ap W M IN ki Address 2'2X/00 Mtv, City GNt cz State. A SRA Pho �D _ CRY_ 5,96 Fax 53 ' o $D51 E-mail 1rM'N -1✓. 4.01M APPLICANT SIGNATURE X For off ip4 use only: Zoning Property Ad �f ggs GR t9s A. 44, Flood Zone I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. :' BIN # LOCATION AP#0Z7_3W_O11 Property Ad �f ggs GR t9s A. 44, CitXX OI�oIIIC,L� Cross Street WORKER'S COMPENSATION Policy Num¢e1 1� .l �7 0 Carrier �AbLAGOiVL - 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: ASTeVz 0I (002 p4crio aAke- - C.Awa IMOJkri—"TO II'l Sq. Footage -fit f0 ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by: i(&. Amount: *3 5 • Bldg I I K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt d `56 0 lQ Check45Q2r DateG_2Q-0G SRA Sheriff SMIP a Other `( _Cj Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ - 1._ Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ _ 5: Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy) ❑ 6.- Contractor's license ..information. (Number,'Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. - ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF -BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET BPO(61 57 3 OWNER: ASSESSOR ,,,P�A��R,CE NUMBER/ /-;20-01 I Proposed Building Use: ( STD Pee rift Technician: hni Date: CQ' 2el"0(6 Items required in ordeM apply or a permit All boxes MUST be checked OR marked NA in order to apply. � \N 1. Site plans, 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. N 3. Engineered Mans,R or 4 sets, with wet signature on plans AND62 lets 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. ❑ 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) Installation manual, including 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. ❑el 11. Hazardous Material Form \21 XfV 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other RWaining items needed to issue the permit (May require additional plan review upon receipt of t)dfollowing items.) `❑�3TA 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chicovoroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 0 18. Erosion Control Plan Required........................................................................ to 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ` J7 N 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: !........... V"o ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑/ , 25. Fire Marshall Review (commercial projects only). Sent by ...................... � 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ , 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... i&N 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ ❑Legal description, ❑ M.H. Title title sech, registration or MCO ......................... �XXt 36 ther. cNGiN�'1� oYZ ��E�• loNn2tkLi�12 To �j (,1�{ �t.Ec !/ani When issued Telephone (sem) �A -�55JJ CO*nrinY- and hold for pickup. I have been iform of the bove items �id requirements for obtaining a building permit. Applicant Date: Aq 1. Index permit app' ation for the above items numbered: Plan Check Letter 2. Additional ite required Contracto desi'n , owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Z U Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own advised of the abovp data by 9 phone, ❑ mail, ❑ counter, by Date: Plans reviewed by. Date: 10 b Plans approved by: Date: Structural reviewed by: Date: I Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: FROM: SUBJECT: a Owner Building Department Environmental Health Sanitation Clearance Plan Approved for: Sewage Disposal Clearance for dwelling. Other L Location I Water SUDmIV: E.N. 3E OXL Rat ►fen Attecha Floor Man AtUchad h Rana to G.D. / C)�-) _. 1) AP# lic Private Well L Hold final for: Final clearance O.K. for: (VOTE: Environment I H Ith Specialist ` Date 8/96 13k)( EVERGREEN DEVELOPMENT 2530 Zanella Way CHICO, CA 95928 530-894-5590 WWW.. POWERSHAC COM 26 April 200f IMPORTANT ! o THIS IS AN IMPORTANT LEGAL DOCUMENT PLEASE KEEP THIS ON FILE ISSUED TO: J. Michael Madden, for special agency ISSUED RY: ST CLAIR CONSTRUCTION COMPANY, CSLB #181845 2530 Zanetla Way 916-895-5590 Chico, Ca., 95928 DATE ISSUED: 08/28/05 This CERTICICATE authorizes Evergreen Development, J. Michael Madden, to use and to cause to have drawn, said construction documents and related sales materials, process said documents, and oversee permit process, to include issuance of said permit from drawn documents. EXECUTED BY: DATE: 28 AUG., 2005 William F. St Clair v St. Clair Construction-Comnanv EXECUI J. Michas Evergree. DATE: 28 AUG., 2005 O�Qp.RTMENT O 2uTT O r, o O p o A�eILIC WOP�9 Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National 'Pollutant Discharge Elim.ination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Cp-zx)N�> l c )1U l ?H0- a U6aA t C— Project Location and/or Parcel Number: 07,7 — 37—D -- 011 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of Iand and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 29 & Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Butte County Department ofDevelopxnent$UsrF° 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone c0UN1y (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatoryentities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: ® I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I arequired to bring the approved Environmental Health site plan and approved sanitation m clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other.. entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: -T dVICAFL 44 A -� APN: Building site address: (}f 1'� D�Jtu �.,G� Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIG , TURE OF APPLICANT DATE Robert D. McGhie Structural Engineer 4205 Anjou Court (530) 891-0903 Chico, California- 95973 FAX (530) 899-9817 July 26, 2006 Butte county Building Department Attn Philo Hunt 7 County Center Drive Oroville, CA 95965 RE: Ground Mount Solar Master Plan (Evergreen) (oO 2 I� Dear Mr. Hunt: f Evergreen Development has mypermission to use my engineering and stress calculations for their Master Plan for ground mounted systems. Sincerely, vsOFESSio Robert D. McGhie Itr.wpd No. 2320 g Sr U�P� CT riT�Or CAIti�O��\r Robert A McGhie Structural Engineer 4205 Anjou Court (630) 891-0903 Chico, California 95973 FAX (530) 899-9817 July 26, 2006 Butte county Building Department Attn Philo Hunt 7 County Center Drive Oroville, CA 95965 RE: Ground Mount Solar Master Plan (Evergreen) Dear Mr. Hunt: Evergreen Development has mypermission to use my engineering and stress calculations for their Master Plan for ground mounted systems. Sincerely, D. Robert D. McGhie fU No. 2320 Itr.wpd UCTQ OF CA FRONIUS IG GRID -TIED INVERTERS FOR PHOTOVOLTAIC SYSTEMS Light Weight At 26 lbs, the FRONIUS IG inverters are the lightest grid -connected inverters making them easy -to -install. Flexible The wide voltage range of 150-500 V allows you to use different types of modules and system configuration possibilities. Lower Cost Integrated DC / AC disconnects reduce installation time and complexity. LCD Display User-friendly and comes standard with every FRONIUS IG; tracks more than 20 critical system performance parameters. Plug -and -Play Expansion slots in the inverter allow you to easily upgrade the inverter with data communication options. Reliable Fronius has been in business for over 60 years and has more than 125,000 inverters installed worldwide. ff POWERING YOUR FUTURE = • DC Input Data FRONIUS 12000 FRONIUS IG 3000 FRONIUS IG 2500 -LV Recommended PV ower 1500 - 2500 Wp : 2500 - 33_00 Wp 1800 - 3000 Wp Max. DC input voltage 500 V 500 V 500 V Operating DC voltage range 150-45-- V - 150-450V 150 - 450 V Max. usable DC input current 13.6 A 18 A 16.9 A AC Output Data FRONIUS IG 2000 FRONIUS IG 3000 FRONIUS IG 2500 -LV Maximum output power @40° C 2000 W 2700 W 2350 W Nominal AC output voltage 240 V 240 V 208 V Utility AC voltage range 212 - 264 V 240 V +10% / -121/6) 183 - 227 V Nominal AC current 7.5 A 10.4 A 10.4 A Maximum AC current 8.35 A 11.25 A 11.25 A Maximum utility back feed current 0 A 0 A 0 A Operating frequency range 59.3 - 60.5 Hz (60 Hz nom) Total Harmonic Distortion THD < 5% Power Factor General Data 1 ONIUS IG 2000 FRONIUS IG 3000 FRONIUS IG 2500-W Max -efficiency 95.2% 95.2% 94.4% Power Consumption in stand-by < 0.15 W (night) Power Consumption during operation 7 W Enclosure NEMA 3R Size x w x h) 18. 5 x 16.5 x 8.8 inches (470 x 418 x 223 mm) Weight 26 lbs. (11.8 kg) Ambient temperature range -5 to 122 °F (-20 to +50 °C) Cooling controlled forced ventilaton Integrated AC and DC disconnects standard FRONIUS IG 2000 1, FRONIUS IG 3000 FRONIUS IG 2500 -LV Protections Internal GFDI; in accordance with UL 1741 Ground fault protection Internal diode DC reverse polarity protection Internal; in accordance with UL 1741 Islanding protection Over temperature Output power de-ratin Internal DC & AC protection, Tested to 6 kV Surge protection Compliance UL 1741 Safety FCC Part 15; Class A & B EMI Anti-Islanding protection UL 1741 Ground fault detector and interru ter Compliant with NEC Art. 690 requirements, UL 1741 Miscellaneous Maximum AC over Current roteCtion Two -pole, 15 A circuit breaker AC wire sizing Use maximum AWG 6 194°F (90 °C) copper wire Use maximum AWG 8 194°F (90 °C) copper wire DC wire sizing 32 A AC disconnect 40 A DC disconnect 5 Years; 10 Year extended warranty Warranty 71 i Fronius USA LLC Solar Electronic Division 5266 Hollister Ave., #117 Santa Barbara, California 93111 �:E-Mail: pv-us@fronius.com ^° UNari� www.fronius-usa.com L3UILt)I IVI I :m MITSUBISHI PV MODULES -15 Mitsubishi Solar Modules ..., As a general manufacturer of electrical machinery and applianc- es, Mitsubishi Electric Corporation offers a legacy of innovation g^ and achievement that goes all the way back to its founding in 1921: Since 1976, when Japan launched its first commercial satel- lite, Mitsubishi participated in approximately 250 related projects ; around the world. One such project has led to the development of a 1 t number of photovoltaic power generation systems that have proven extremely reliable, even in the harsh conditions of outer space. F ;" Lead -Free Modules Mitsubishi has applied leading-edge technologies from its space- related applications to terrestrial systems to create high-perfor- mance photovoltaic power -generation systems that offer an aston- ishing range of applications. Mitsubishi Electric has successfully produced the first cells in Japan that do not require solder coatings, r $_ a milestone in the development of environmentally friendly com- posite materials and manufacturing processes for the silver elec- trodes used on the surfaces of crystalline silicon photovoltaic cells. Their photovoltaic modules are now made using lead-free solder, completely eliminating lead from the manufacturing process. ' Mitsubishi even achieved higher PV module conversion efficien cy, taking advantage of the new product's ability to more uniformly reflect the sun's rays.Av . PV-MF170EB3 Modules This module is designed for use in high-voltage grid -connected applications, but can be used in large industrial and off -grid ap- plications for battery charging if the system includes an appropriate ' MPPT charge control such as the Outback MX -60 or B1ueSky Solar J '� Boost. These modules use 50 square poly -crystalline 155 mm cells in series behind tempered glass, with anodized aluminum frames and Multi -Contact® output cables. Positive and negative cables come from junction boxes at opposite ends of the module (see diagram below). Made in Japan. UL listed. 25 year power output OR xa, .. ' warranty. — \t]utputcable I iutput cable U BOUNTY t-1KI UlTppROVED I DII0 y Retail prices in this catalog are subject to change without notice. PVMF170Ea3 Peak Power Watts 170 Peak power voltage volts 24.6 Peak power current Amps 6.93 Open circuit voltage Volts 30.6 Short circuit currrent Amps 7.38 Max. system voltage volts 780 Series Fuse Rating 15A Length 62.2" (1580 mm) Width 31.5" (800 mm) Depth (including j -box) 1.8" (46mm) Weight 34.21bs Item Code 11.8857 List Price $1095 — \t]utputcable I iutput cable U BOUNTY t-1KI UlTppROVED I DII0 y Retail prices in this catalog are subject to change without notice. Robert D. l cGhie Structural Engineer 4205 ,Anjou Ct. Mica, CA 95973 (530) 891-0903 + Sheet of By 4+ Checkedby Robert D. McGhie Structural Engineer ' 4205 Anjou Ct. Chico, C.A. 95973 (530)891-0903 I ". Job Sheet of Date__ – 6 By PW Checked by P -_-!'-.._..1 --- t---1 ..._._.T_._ _.1......_.i_-... _.i.-...._._r�-'-i"."_•i,-_ _t __"i._.__T-__.T.............1....._....#_--f`- 1 I €t I • I 1 f 1 I 1 1 € I 1 1 I 1 1 1 i E I i 1 ( 1 1 € # _.-_I__."T___r..__.•€___.t..........,C..__..i_--;--T--'t---t--"f'---y___.f—_T.__.5--....T._...�...__..#_._....�,...._,_#...._»....#........g.,..._�.»_.T....r�.#,._.. , i - F J___ I I J i I i i a _ _--1---}--_�_--t__-�f- ^--f._-_--t---#►�--i---! € 3 �..... ....}...,.. } +� {._-^I----P---i-.-_ 1 1 I z i t i I 1 ! # I 1 1 I 1 1 t I 1 1 I I t ! 1 t 1 1 # € I I d 1 1 t { t i .,.-'1---t---F--`f ---t --€----1--^t _�...._.�._...}«._...i.._._ _ -------- _ -� - Ij-^-T---� -- 7---T-_--__ -__�__+__4_--7--_j__-4 --- ¢ --^j.---4 --- �--_S-_-y___; 1-4-41-1-4-4 1 ! t I f I t i E 4 1 I #.-'-^i"_"^. fi^ "-t'---F^---t _-'-t _-'i---'t--- i --'--a--- fi-�--t�--� 1 ! 1 # ! 1 1 1 I F I 1 1 I f 1 1 1 t € 1 9 # k 1 1 -- ;---------.--'}----j---4----j----r i 1 - i I 4 I 1 i 1 1 I € F t F f V 1 1 1 1 I 1 1 f 1 __.'1___.f.___I___i___t---t----t---t---Y--_.4___.€.__...�....._.{...__.r�.....,.*_......#___1----f•'--'fi-."-t--"€----t-_"t-_'-t--^*---t-- ! -...__. - -!---k..__I 1 1 11 1 1 I t f i , 1 i # --^I---t---t--'-'-^f---T"....---t---t---I ---1_---F--A___�___�__�___�___�__�___�___�__i--_�___�___}___�_ .. a- --- I ----i-- -=_ _ _i-.. ---1---'1----F-----I---4 _..-�D--- 1 1 I f 1 1 1 d P t ! I t I I 6 I I I 1 1 I 1 C 1 - p i - E ---#---r— —,— , r. __F,.---;---t---r---t---t---t----r---r---r----t—...—r---t----r---r --- -t _ _y----r---r ---r --r___ I 3 t 1 1 I t EVERGREEN DEVELOPMENT 2530 Ste. B, Zanella Way Chico, CA 95928 (530) 8945590 5 FT 5 FT CONC PIERS TYP OF 6 EACH 2 PANELS PER RACK, TYP 4 CONC PIERS PER RACK TOP VIEW FRAME/ CONC FTG LAYOUT TYP SOLAR FRAME 1-7/8" OD x .065" ZINC 1 7/8" PRESSED STEEL M#2417 PLATED TUBE EYE TOP, W/ 2— #10 x 3/4" SELF TAPPERS NAT. GRADE •Nri•;i BUTTE COUNTY BUILDING DIVISION \ 6" #3 REB AR DOWEL APPROVED 9" MIN, TYP AT 3" CLEAR TO SOIL (TYP) g FRAME MOUNT CONC FTG TYP Mittsubishi 150 W enerator 1-1/2"x3" Alum `.... Brackets ® 18" O.C. Frame>Tubing Solar Panel CWB Attached To Solar Panel WITH 2— #10 x 3/4" Self Tapping + Within 5" Of Each End ro Self Tapping Hex Head 1091kOFESS10, (Min 2 Per Cap, Typ) 4� D. ,y�cy 0J J�OOI"i W a} :T : iTcr, o. 2320 , z v i�r 5 FT O.C. TYP _� Co llCTU r :4.@ T9�FOP CAl\FO��P I9" MIN, TYP C PANEL FOUNDAT ON CROSS SECTION, TYP "st &5 FT P.L.. 419.45 I 10 X358 _ r � _ _ _ _ _ � -- --- — -- -- -�.� _. -- -- -- -- -- -- —' _' I f 2.3 kw SOL ARRAY kw erge� 1 \ Win III � X00 WELL I 1 PROPOSED NOUSIE \0 10 \ \ It 1 b9 1 ` 1 ' J 15 FT ,1 1 / TURN OUND a ? '1 REPLACE ENT _ } } I A } 1 , h °� I 1 ' U1 �` } I 1a. } 1 1 } I 1 w, I 1 1 I I I 1 1 I } } I 1 1 V failf 1 I 1 rL 1 1 I I 11 } f 1 PCE SERVICE POLE 11 UJ/ SOILAR DISCONNECT } I I 1 AND 200 AMP METER 50 FT SSi3 c,/L OF ROA4 dI � I ! ' } ' 124' > ORIVEWAY PARHAM RD. PLOT PLAN l SOLAR ARRAY GROUND MOUNTED -!,-' NWN'G DIVISION - BUILDING PLAN APPROVAL Use: 4OSDate: Parking: Landscaping: Other: Signature: A1515REV IATIONS 5y June 29, A.B. ANCHOR BOLT N.C. HOLLOW CORE A.P.P. ABOVE PINISH FLOOR H B HOSE BIB BLK BLOCK HCAP HANDICAP BM BEAM INOUL INSULATION D.P. BOTTOM PLATE MECH MECHANICAL BRD BOARD MAX MAXIMUM BTTM BOTTOM MIN MINIMUM CIA CEILING O.C. ON CENTER CLR CLEAR PLY PLYWOOD CONC CONCRETE PR PAIR CONT CONTINUOUS RW REDWOOD D.P. DOUGLAS FIR RS ROUGH SAWN DP DEB' 6C SOLID CORE (F> EXISTING STL STEEL EX. EXISTING T.P. TOP PLATE E.N. EDGE NAIL T.N. TOE NAIL EWWM ELECTRIC WELDED WIRE MESH T 4 B TOP AND BOTTOM ELEC ELECTRIC U.N.O. UNLE66 NOTED OTHERWISE PIP, FINISH FLOOR W/ WITH POB FACE OF BEAM WD WOOD FOC PACE OF CONCRETE WH WATER HEATER POM PACE OF MASONRY W.I. WROUGHT IRON PDP PACE OF P06T • AT POS FACE OF 6TUD P.H.. FIRE HYDRANT F.X. FIRE EXTINGUISHER rU F.G. FINISH GRADE Q PIN FINISH P.N. PACE NAIL z FTG. FOOTING GTP. GYPSUM 6.1. GALYINIZED IRON GAL GALLON U N.F. HEM PIR CODE DATA APPL.ICAIBLE CODE 20010501 CMC, CPC, CEC, AND AMENDED AS PER BUTTE COUNTY REGULATIONS, OCCUPANCY OCCUPANCY GROUP(S), R -9/U-1 TYPE OF CONSTRUCTION, Y -N STORIES, 2 OVER W% BASEMENT BUILDING AREA (eq fkl, +1992 SQFT 04RE04 N/,4 GENERAL NOTES THE GENERAL CONTRACTOR AND ALL OUB - CONTRACTORS SHALL REVIEW THE PLANS FOR ACCURACY AND, VERIFY ALL DIMENSIONS AND COMPLIANCE WITH APPLICABLE CODES PRIOR y TO THE START OF CONSTRUCTION. SUBMITTED SIDS WILL BE ACCORDING TO THE REVIEW, ALL CONSTRUCTION, PLUMBING, ELECTRICAL AND MECHANICAL WILL COMPLY TO THE CURRENT 2001 CALIFORNIA BUILDING CODE, STATE, COUNTY AND MUNICIPAL CODES, CONSTRUCTION SHALL COMPLY TO ANY AND ALL COVENANTS, CONDITIONS AND RESTRICTIONS RECORDED AGAINST THE LAND. SAFETY, CARE OF ADJACENT PROPERTIES DURING CONSTRUCTION AND COMPLIANCE WITH ALL APPLICA51-E SAFETY REGULATIONS 18 AND SHALL BE THE CONTRACTOR'S AND ALL SUB CONTRACTOR'S RESPONSIBILITY, THESE DRAWINGS HAVE BEEN DEVELOPED AS BEST AS POSSIBLE FOR ERRORS t OMISSIONS OR DISCREPANCIES. ERRORS OMISSIONS AND DESCREPANCIES MAY OCCUR THEREFORE, IT 16 744E RESPONSIBILITY OF THE CONTRACTOR, SUB -CONTRACTOR OR OWNER TO REVIEW ALL DOCUMENTS FOR ANY ERRORS PRIOR TO CONSTRUCTION. PLEASE NOTIFY THE p s ARCHITECT OF ANY ERRORS, OMISSIONS, DISCREPANCIES OR CHANGES TO THE PLANS. t THE CONTRACTOR, SUB CONTRACTOR OR OWNER SHALL VERIFY DIMENSIONS PRIOR TO CONSTRUCTION, ANY ERRORS OR OMISSIONS SHALL BE BROUGHT TO THE OWNER OF THE ARCHITECT, OR ENGINEER. i FOUNDATION 1DIMEN81ONS SHALL TAKE PRECEDENT OVER ALL OTHER DIMENSIONS, NOTIFY ARCHITECT /ENGINEER OF ANY REQUIRED REVIEWS OR INSPECTION OF CONSTRUCTION IN A 4 TIMELY MANNER. FAILURE TO INVOLVE THE ARCHITECT OR ENGINEER IN REVIEWS OR INSPECTIONS OF CONSTRUCTION SHALL RELEASE ARCHITECT AND ENGINEER FROM LIABILITY DUE TO ANY CONSTRUCTION ERRORS OR OMISSIONS. MAS r�� 01,('76?z 1 q -73 BUTTE COUNiY BUILDING pp ROVED�Q�- REVISIONS 5y June 29, 2006 Q O O 09: 36 AM z U CL Uj a a QL QL rQ �J rU Q � � 10 N Q "'tel Z z U June 29, 2006 WALEr 1/4"-1'-0" DRAWN: TSL. JOIST SWEET Cl or- SWEETS 5 FT 5 FT CONC PIERS TYP OF 6 EACH !'II\ !! I I 4 I ! \ I I 1 I I ! \ 4# I I 4 PANELS PER RACK, TYP 6 CONC PIERS PER RACK i TOP VIEW FRAME/ CONC FTG ILA=T TYP SOLAR FRAME I ILL- n Ln F - 10 FT COPPER GLAD GROUNDING ROD FROM CONTINIOUS BOTTOM RAIL i I i I I I I I 1 I 1-7/8" OD x .065" ZINC �� 1 7/8" PRESSED STEEL M#2417 PLATED TUB E !�''`---- EYE TOP, W/ 2— #10 x 3/4" SELF TAPPERS NAT. GRADE I I I 6" #3 REB AR DOWEL 7" MIN, TYP AT 3" C LEAR TO SOIL (TYP) B FRAME MOUNT CONC FTG TYP Self Tapping— Hex Head (Min 2 Per Cap, Typ) _-----. — 0 _-1 Z z 0 00 zCN a Y 0 > C-4Uj a V • .r a � i UJ t,� Uj I I I 6" #3 REB AR DOWEL 7" MIN, TYP AT 3" C LEAR TO SOIL (TYP) B FRAME MOUNT CONC FTG TYP Self Tapping— Ma 7" MIN, MITSUBISHI 165 Wz1f Generator Solar Pane:[ 1-5/8" x 3/4" SHALLOW UNI -STRUT U BOLTED TO END POSTS, TYP OF EVERY SECOUND PIER, 10' OC 2" X 4" ZINCPLATED U- BOLT > EACH END 5 FT O.CC. TYP GROUND MOUNTED SOLAR ARRAY Solar Panels In -Series, Not To =xceed 3000 Watts GALVY FRAME Min, 012 AUG COMMON BONDING TO BOX Min 012 AWG { THHN in Conduit or equiv. 1-1/2"x3" Alum Brackets @ 18" O.C. Frame>Tubing C WB Attached To Solar Panel WITH 2— #10 x 3/4" Self Tapping Within 5" Of Each End 2" X 4" ZINCPLATED `U- BOLT > EACH END 2" X 4" ZINCPLATED U- BOLT> EACH END PiANE. FOUNDATION CROSS SECTION, TYP DIC♦ D lsconnec To utility { L2- I k I I SU15 PANEL 1 I f i _I L- - - -- -- -- ---- - - - - - - - - - -- -- ------,,,,. ----- ----------------------------- - --- - - - -- ---- -- - - - 14) MITSU5151-11 165 Watt PV Modules, PV-MF1(o5Ee3 External, Visable, and Lockable Disconnect, Min 120 VDC/125ADC 0 In TWO Serries Strings SIEMENS CN�32i�Or � uiv. O 2 103000 FRONIOUS Inverter DC >240V AC Not To exceed 620 V DG Use 010 AWG If Run xc(eeds 120 1=t. O With CEC Approved Internal Meter � Use 010 AWG If Run Exceeds 60 Ft. ` 3 Dual Pole 15 Amp Breaker Owner KW Meter A/C 14 �pFESSJp None Resetable ���"Ole. 0. �� Array Disconnect Min roOOVDC/12ADC w r Square D P/N HU361 Or Equiv. 9 Typical Utlllty Main Service "ef-DirectiOnal" Meter "®. 2320 EVERGREEN DEVELOPMENT 2530 ZANELLA LUAI' CHICO, C,4., 95928 �✓30-894-590 UTTE COUNTY 13UILDIONG DIVISION APPROVED REVISIONS Hex Head (Min 2 Per Cap, Typ) _-----. — 0 _-1 Z z 0 00 zCN a Y 0 > C-4Uj Ma 7" MIN, MITSUBISHI 165 Wz1f Generator Solar Pane:[ 1-5/8" x 3/4" SHALLOW UNI -STRUT U BOLTED TO END POSTS, TYP OF EVERY SECOUND PIER, 10' OC 2" X 4" ZINCPLATED U- BOLT > EACH END 5 FT O.CC. TYP GROUND MOUNTED SOLAR ARRAY Solar Panels In -Series, Not To =xceed 3000 Watts GALVY FRAME Min, 012 AUG COMMON BONDING TO BOX Min 012 AWG { THHN in Conduit or equiv. 1-1/2"x3" Alum Brackets @ 18" O.C. Frame>Tubing C WB Attached To Solar Panel WITH 2— #10 x 3/4" Self Tapping Within 5" Of Each End 2" X 4" ZINCPLATED `U- BOLT > EACH END 2" X 4" ZINCPLATED U- BOLT> EACH END PiANE. FOUNDATION CROSS SECTION, TYP DIC♦ D lsconnec To utility { L2- I k I I SU15 PANEL 1 I f i _I L- - - -- -- -- ---- - - - - - - - - - -- -- ------,,,,. ----- ----------------------------- - --- - - - -- ---- -- - - - 14) MITSU5151-11 165 Watt PV Modules, PV-MF1(o5Ee3 External, Visable, and Lockable Disconnect, Min 120 VDC/125ADC 0 In TWO Serries Strings SIEMENS CN�32i�Or � uiv. O 2 103000 FRONIOUS Inverter DC >240V AC Not To exceed 620 V DG Use 010 AWG If Run xc(eeds 120 1=t. O With CEC Approved Internal Meter � Use 010 AWG If Run Exceeds 60 Ft. ` 3 Dual Pole 15 Amp Breaker Owner KW Meter A/C 14 �pFESSJp None Resetable ���"Ole. 0. �� Array Disconnect Min roOOVDC/12ADC w r Square D P/N HU361 Or Equiv. 9 Typical Utlllty Main Service "ef-DirectiOnal" Meter "®. 2320 EVERGREEN DEVELOPMENT 2530 ZANELLA LUAI' CHICO, C,4., 95928 �✓30-894-590 UTTE COUNTY 13UILDIONG DIVISION APPROVED REVISIONS JU19 25, 2006 FRAME GRNOING Z a Y 0 > C-4Uj a V • a � i UJ t,� Uj p 0 lu 0 a. C�1 (Y- a V/ n (� M l (Y- z ::3 Uj o LU Z� �- > z VQL VJ 44 A (Y- -3 % 0. ugust 03, 200E C LE= 5Y: D SCOTT J,4CKSON JOB: SHEET or- SHEETS