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Home My WebLink About027-330-011027-330-011 06-0444 / SNYDER,ROBERT f CONT: OWNER POWER POLE TEMP RRA OurrE NOTES 1 RESIDENTIAL APN: Permit No. Owner. Site Address: CA Contractor. Type of Permit: I OFFICE COPY i Address E G AS IC Meter By Date ELECTRIC /� ' p� —4--j Meter By W ` Date — L SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE rucrvcn cv DATE JOB FINALED: -__ SIGNATIIR;:- OK 0 = Not OK MANUFACTURED HOMES- MISCELLANEOUS. - DATE" PERMANENT FOUNDATION Li SOFT -SET DATE IDECK S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists=Dcking-Brcing 4" Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails S Elec Loctn-Clrncs-GrndAmp Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat Q or. LPE Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade. 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs" Q Foundation Q 12 Braced Wall pnls 14 Exits " 15 Cert of Occupancy 16 HUD LabelAnsignia Numbers Serial Numbers DATE JROOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI o'`a o� o`er o`er 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crc1tng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-Insultn 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 Drawing OK (dot OK RESIDENTIAL (Single & Duplex) UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg 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-Frpic 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 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE (FRAMING 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 -An chrs-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 3' -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 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws ,c o'er m o'er o` DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing -Lis & 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 93 ❑CU or [:1 AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑cu or DAL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAIt 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 flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insults & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 55 Attic Acc & Pltfrm if Furnace in attic DA FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lottn .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 Clrnc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-DIrnc 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 lnspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted -99 Fire Sprinkler BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP060444 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: 08/15/2006 APN: 027-330-011-000 the Business and Professions Code, and my license is in full force and - effect. License Class : License Number: Site Address: 81 DACK WAY PAL Date: Contractor. Map Index: Description: TEMP POWER FOR LOT DEVELOPMENT OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SNYDER, ROBERT H. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 16221 INDIAN SPRING RANCH RD signed statement that he or she is licensed pursuant to the provisions of GRASS VALLEY, 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 SACRAMENTO, CA 95949 she is exempt therefrom and the basis for the alleged exemption. Any (916) 723-7380 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: PETERSON, T.H. Code: The Contractors' State License Law does not apply to an 7831 SUNSET HILLS LN owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, ANTELOPE, CA provided that such improvements are not intended or offered for 95$43 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (916) 871-9394 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, 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 i% a Law.). ❑ I am Exempt under Article 3 o Buie and Professions Code �- Date: Owner: License #: WORKERS' COMPE SAT ON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: El 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: 0 S. F. Policy #: Valuation: $0.00 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. Date: Applicant: WARNING: ilure 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 is he eby,jiyued under the applicable provisions of the Butte County Cody anrUor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to indicate ve for which fees have been paid. S' C Name: B Date: l y' PERMIT EXPIRES 0 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 ow00oeauth ized 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 substanlly umenI of Butte County. I hereby authorize representativveys�of Butte County tter pon theabove mentioned property)for inspection purp H, �� Print Name: 1 1 Y Signature r Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE "• OWNER 7 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 ed additional explanation, please contact the Building Inspector as indicated below. -e P^o 0 -c -A 1 vt 1 `r r) v i dtP c, M,I/ti IV - (_c,b. t/i�rt�.;., r% Date � / cp - Inspector � � � 5, -,NJ - REV 4/05 Phone # > L) FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#:'(530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP060444 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: 08/15/2006 APN: 027-330-011-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 81 DACK WAY PAL Date: Contractor. Map Index: Description: TEMP POWER FOR LOT DEVELOPMENT p OWNER-BUILDERDECLARATION I hereby affirm under penalty'of of pery"ury that t 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: SNYDER, ROBERT H. to its issuance, also requires the applicant for such permit to file a 16221 INDIAN SPRING RANCH RD signed statement that he or she. is licensed pursuant to the provisions of GRASS VALLEY, 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 SACRAMENTO, CA 95949 she is exempt therefrom and the basis for the alleged exemption. Any (916) 723-7380 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: PETERSON, T.H. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 7831• SUNSET HILLS LN such work himself or herself or through his or her own employees, ANTELOPE, CA provided that such improvements are not intended or offered for 95843 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (916) 871-9394 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 Lica Law.). ❑ I am Exempt under Article 3 o Busi aFrofessions Code �- Q Date: Owner: License #: WORKERS'COMPEtYSAY ON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ . I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: 'is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I& Census Code: 16 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date: Applicant: WARNING: ilure 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. - ) (/ 14 CONSTRUCTION LENDING AGENCY This permit ishy he si ued under the applicable provisions of the Butte County Coda anrt/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to indicate ve for which fees have been paid. j Name: By: ) Date: PERMIT EXPIRES 0 I G Address: 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 owne o e duly auth "zed 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 substanc o y off' ument of Butte County. I hereby authorize representa�0vves of ButteCountyt ter on th�ee above mentioned property for inspection purpo 6 r �� Print Name: 1 T i� Y v Signature Date: ❑ Owner 0 Contractor Agent for Owner ❑ Agent for Contractor �X)T r BUTTE COUNTY o I o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION 0) 0 AND SUBMITTAL REQUIREMENTS o '-- 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 o — o OFFICE #: (530) 538-7541 SO�y A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" OWNER Last �+ Oyd�r First ame Address,Jw ! City 1 State Zip P Fax E ail "7 2.3 - 773SO APPLICANT NAME CONTRACTOR Name Address 7R Q 3> S 4 N3& -f hLf' 1/5 Address State(A� City Phong� _ State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address 7R Q 3> S 4 N3& -f hLf' 1/5 Address State(A� City Phong� _ State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name f.50n J Address 7R Q 3> S 4 N3& -f hLf' 1/5 City �1 ,�/C &-- State(A� Zip 5 Phong� _ Fax E-ma{i WX F®R,.' 111 For office use only: Zoning I J Flood Zone I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AP# 02� -3 11 0 1 ! Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built 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: 0 Receipt #: �I}63 G IDate2-2y-0� OVER FOR SUBMITTAL REQUIREMENTS II K TORMSWILDING FORMS\BIdgApplSubRgmts.doc Page 1 of 2 Amount: p a� Bldg SRA Sheriff SMIP Other OD Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora 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. t ❑ 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. ❑ 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 GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. I I •. ❑ 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 K\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 41 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: " S �I �� ASSESSOR PARCEL NUMBER OOrl L { 353-011 Proposed Building Use: TM P. pow [dr tV Permit Technician: l�. 6 ` Date: 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 faxesl ❑ 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. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ 401 A 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 .............................. o/ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use: (B) Parking: Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ rainage........................ ❑ 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) ................... Worker's Compensation Carrier and Policy Numbe�r. ......................... . Owner -Builder Verification( -Given to owner/ Mailed Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction....................................................................................... ❑ 35. 11 Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 0 36. Other: �{ 37. Other: D�- Roof o t0_ r -t nn n T N • Pe When issued Telephone��A' A and hold for pickup. I have been informe o'f-f a above items and requirements for obtaining a building permit. Applicant: Date: 0 2 - 2• O (41 1. Index permitbolicalionTor the above items numbered: Plan Check Letter 2. Additional items required Contractor, 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: 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 K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 . 0r7 . 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. (I --)I personally plan to provide the major labor and material for "construction of this proposed property improvement: YES [X] NO [ I. I HAVE [ ]HAVE NOT [ X] 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: 5%k6Y,-1-f- " PHONE:��Jo�" u 919 �1 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: NANM ADDRESS PHONE TYPE OF WORK SIGNEL 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 �%JTT ADMINISTRATION * BUILDING * GIS * PLANNING o O - o / 7 County Center Drive 0 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 naive Misting 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 owner's 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, C-� Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. REHS . SITE PLAN REVIEW APPLICATION d!p AP# Date: Permit Number (if applicable) Pin Number APPLICANT INFORMATION Parcel Size: J ,4 c :e e -s Owners Name: Owners Address: .. 'v 41 c> ' Telephone No.: P `J Site Address: Zone: Proposed Use: CP: AZT Residential R , ❑ 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 {ell ❑ Agricultural Exempt Building, ❑ Agricultural Buffer Form ❑ Other: Brief Explanation/Issue: t DEVELOPMENT SERVICES INFORMATION (For Staff Use) ""t'pAppro e Conditionally Approved ❑ Resolve Problems Prior to Approval. ❑ Resolved BY 14� Date l 2006 I t ALL IMNIS CHECKED APPLE' TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ ,Residence can be built per contract Watershed Protection Overlay Zone SRA - (CBF to determine specific requirements) LJ 100 -Year Flood Plain: o Flood Zone: e Flood Panel No.: Index Date: f ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) . ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: ' ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Zoning Code Streets & Highways Fire Prevention Subdivision Map •Front 1 Side f Side Street r Rear S Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 i �l Parcel Created By: Deeds: Date of Creation: i . 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: El 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 ❑ Construct road to: , ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision MaP/Parcel Map: Map Date of Recording: 4 P �l Lot: Book: 116b Page: i 3 13 � 'Stf° Grass Va11ey,Ca 95949 Om -Ya .00225607-001 2006-0002133 Rvorded I FEC FEE 18.16 Official yRecords .I TAX 118.91 CoButteof CAISm L GRLM I County Clerk -Recorders I ldt 12e1113M 13 -Jan -M I Page 1 of 2 • � Illllllllillllllllllllllllllllllll SPACE ABOVE THIS LINE FOR RECORDER'S USE Pared No. 027-330-011 GRANT DEED ' THIS FORM FURNISHED BY BIDWELLTM.E& ESCROW COMPANY The Undersigned Grantor(s) Declarc(s) Documentary Transfer Tax is $108.90 O Cityfrown of -1 computed on full value of interest or property conveyed, or Unincorporated Arca O full value less value of liens or encumbrances remaining at the time of sale 13 Monument Fee of S 10.00 FOR A VALUABLE CONSIDERATION, receipt of which is.hereby acknowledged, Cynthia M. Martin, An Unmarried Woman and Jack E. Bequette Jr; An Unmarried Man hereby GRANT(s) to Robert H. Snyder, An Unmarried Man u the following real property in the O City of Unincorporated Area County of Butte, State of California: M. Martin SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Document Date: December 19, 2005. State of California Count of SItf tri.+'Y1040 } SS. , On PCrw.ber D(,_)006 , before me, the undersigned, a Notary Public ' , personally appeared Cynthia M. Martin and Jack E. Beauette Jr Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP evidence) to be the person(s) whose names) 4&We subscribed to the within instrument and acknowledged to me that lr kWthey executed the' same in his4whheir authorized capacity(ics), and that by hia4er/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. K FEIMMO WITNESS my hand and official seal. Commlrslon 01601038 Sacavtnallo Ca9rc111ie Signature itY1 co"MR B[;IIIQttA{ MAIL TAX STATEMEM TO : Same as Above aTEUGRANrOEED 0 a �V RECORDING REQUESTED BY Bidwell Title & Escrow Company / — AND WHEN RECORDED MAIL, TO N■s• Robert H. Snyder sum 16221 Indian Spring Ranch Rd 13 � 'Stf° Grass Va11ey,Ca 95949 Om -Ya .00225607-001 2006-0002133 Rvorded I FEC FEE 18.16 Official yRecords .I TAX 118.91 CoButteof CAISm L GRLM I County Clerk -Recorders I ldt 12e1113M 13 -Jan -M I Page 1 of 2 • � Illllllllillllllllllllllllllllllll SPACE ABOVE THIS LINE FOR RECORDER'S USE Pared No. 027-330-011 GRANT DEED ' THIS FORM FURNISHED BY BIDWELLTM.E& ESCROW COMPANY The Undersigned Grantor(s) Declarc(s) Documentary Transfer Tax is $108.90 O Cityfrown of -1 computed on full value of interest or property conveyed, or Unincorporated Arca O full value less value of liens or encumbrances remaining at the time of sale 13 Monument Fee of S 10.00 FOR A VALUABLE CONSIDERATION, receipt of which is.hereby acknowledged, Cynthia M. Martin, An Unmarried Woman and Jack E. Bequette Jr; An Unmarried Man hereby GRANT(s) to Robert H. Snyder, An Unmarried Man u the following real property in the O City of Unincorporated Area County of Butte, State of California: M. Martin SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Document Date: December 19, 2005. State of California Count of SItf tri.+'Y1040 } SS. , On PCrw.ber D(,_)006 , before me, the undersigned, a Notary Public ' , personally appeared Cynthia M. Martin and Jack E. Beauette Jr Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP evidence) to be the person(s) whose names) 4&We subscribed to the within instrument and acknowledged to me that lr kWthey executed the' same in his4whheir authorized capacity(ics), and that by hia4er/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. K FEIMMO WITNESS my hand and official seal. Commlrslon 01601038 Sacavtnallo Ca9rc111ie Signature itY1 co"MR B[;IIIQttA{ MAIL TAX STATEMEM TO : Same as Above aTEUGRANrOEED 0 a �V • . Order No., 00225607-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA,`DESCRIBED AS FOLLOWS: PARCEL I: LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH 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) 36 AND 37. AP NO. 027-330-011 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DACK COURT AND DACK WAY AS THE SAME ARE SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS.RANCH 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 PAGES) 36 AND 37. PARCEL III: A 60 FOOT .WIDE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ON, OVER AND UNDER A STRIP OF. LAND THE CENTERLINE OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M. D. B. & M., THENCE SOUTH 63-15'23" EAST, 419AO FEET TO A TANGENT CURVE CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52° 30'26-, AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 640 14' 11" EAST, 249.28 FEET TO THE CENTER OF A 50 FOOT RADIUS CUL DE SAC; THENCE.NORTH 750 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. 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B .. .. ..._ S .. .. .. .. .. ._...................... .. .. .. .. ._...... ._ .. .. ... .. ._ .. .. .. .. .. .. .. .. .. .. ..�. .... .. .. .. .. .. �A "A 1•— :.._............ .. .. .. .. ... .. .. .. .. .. .. -- .. .. ... .. . ............................... .. .. - - ...... .. .. ............. .. ............. ... .. ................... .. .. ............ .. ._ .. .. .. ._ .. .. .. .. _...................... .. .. .. .. ._ .. .. .. .. _ .. .. ._ -' BUILDIIitGf'ffii 'IPPA �' „: • �LAIVNI D . . . . . . . .. . . N .. -_.. •��.. rt3ete. r . . . . .. _:..... :ad .. .. .. ._ .. r tura: Si 9 n t . . . . . . . . : . . . . . . Assessor's Parcel Number. Q ®0 — ®®®- .O D Scale: 1" _ Owner Name n�` Address / Phone No. / CALK*,_�� Site Location Contact Name 8-v � l S Phone FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres. GEN PLAN: a.00r. USES: J