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HomeMy WebLinkAbout028-020-006028-020-006 PERMIT#97-0210 LOFTIN, Weslie Palermo-Honcut Hwy,Oroville Mobilehome Utilities ELECTRIC GAS LINE COMPACTION TEST REQ S SUPPORT STRUCT RE S SITE PLAN REVIEW APPLICATION Date: / l%� AP# 4,2z Permit Number (if applicable) APPLICANT INF Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: �0-79'-G6 �s^ Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): Parcel Size: ,e2 -a ❑ Single Family,Remodel ❑ Commercial Remodel ❑ Industrial Remodel C Wella_) DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) C-DUNTY JUL 12 2034 DEVELOPMENT SERVICES 0 Approved . ❑ Conditionally Approved . ❑ Resolve Problems' Prior to Approval Site Plan Stamped Approved' . By Y(2Date 0 �1 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)[Q� SRA - (CDF to determine specific requirements) j ® 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 04h0_L&j15QC,, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Caftofnia 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: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 1 Side Side Street Rear J( 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 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage i ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road . ❑ Thermalito Impact ❑ Other I ------------------------------------------------------------------ ----------------------------- -------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: 021 Q s 'Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments - Parcel Deemed to be legal El Verify 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 .. o Pj. bA (9ft ❑ Subdivision Map/Parcel Maw: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water. system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional' and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ❑0 Page 4 of 5 s 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. C:\La"S\Buildin; Permit Site Plan Reviewl.doc Page 5 of 5 L IRev.12/961 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ` ASSESSORPARC UMBER... VD /. ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S IUNG /1D DRESS ® ^ �� CONTRAC 'S NAME 1— TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION rfNDER 71 Q Fireplace LENDER'S "UNG ADDRESS Total Valuation $ , ARCHITECT OR IN EEA LICENSE NO. Filing Fee $ 20'00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /Rr 11. r w O ~ Energy Plan Checking Fee $ $ t/ ; PERMIT FEE $ t� LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeA Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe Work: CJ /�+ ► Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1,, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.50 FT. NEW CONST. MULTI.OUTLET Cgi7.5O NON•RESID. AN c c PSINW APPARATUS d SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURESBAL @ .50 FDLED APPLNS. OR Ex. Occu . ouTLETS REBID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 1190, 0 0 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ NAZ. D. FEES IMP FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD•APPLICANT (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' ZONINO BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oa .ss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SO FT. KEW -COS NON -R SNDT CTI OCUTCETS @7.50 PGWER APPARATUS &SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURESzo p ,.00 BAL @ .50 Ex. Occup. ouT�rs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 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 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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. / X Date Wit= �_ S r d�Alant❑ Owner [I Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEE IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;we ;. , . . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS ''CONSTRUCTION LENDER Fireplace -.LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENS E NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME a PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa .ss 23.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,L%]1 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200ALICENSED ToING 46.00 NEW CONST. DWELL DWELLOCC OR ADDNS. ( a ACC. BLDSUP. . S 3.S¢�O; CONS9 NON-RESID. MULCTI-OCUTCET'RITS 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 @ ' 50 BAL Q .50 Ex. Occup.OuFTELETS gEglp,oEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,( 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 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�- �—indicated X �Ov�"_ner Sig�'at roof Ap 'Ilcant ❑ Contractor ❑ Agent An OSHA permit is required forexcavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ IM.AZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , •LENDER'? Fireplace MAILING ADDRESS Total Valuation $ ,ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO.SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 ±E PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 NOV OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.FOWER License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: [ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. owEUING occuP. OR ADDNS. ( a ACC. Blass. so 3.5QFT; NEW NON -R SrID? MULTI-OUTLET ANLCI CIRCUETS @7.50 APPARATUS 8 SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 sAL .so FID APPNS Ex. Occup. OUTELETS (RS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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. X _, Datea� CD_ Signatu'r,(�/o Af p6licant � Owner ❑ Contractor ❑ Agent An OSHA permit is required forexcavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 05 �Rev.12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS? R PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 'CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER `LENDER'S Fireplace MAILING ADDRESS Total Valuation $ .ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Oa 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. W OR ADDNS. ( a ACC. BLD.. SO 3.5¢FT: NEWUO9 NON•RESNDT ANC I CU CUT @7.50 OWER APPARATUS 8 PSINGLE OUTLET CSI R. Ex. Occup. OUTLET OR FIXTURE 20 Q 1.00 BAL p .50 FIXED Ex. OCCU UTLETSPRES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 r PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:. Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling- Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) f' 10% 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 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. 1J X ! '7` / �Date `� ��r �/ / Signature,,o& Applicant; Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEE IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT U COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER (/(/�S 1 2 !�O i n P No. 01�0 Proposed Building Use Building Inspector Date cY At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior.to plan check). ..... 9. Mobilehome data aT aaufaet rrt -s-fn=ftatie srrtfi fructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Pre -Inspection requeis 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. . V 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Play/che k lis �0 .......��C................................. . - 33. 34. Whq you issue the Arrp it, process as follows: Mail lichowner. Mail to contractor. Telephone (071-/O*o1-- and hold for pickup at r0 V office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works N COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER ,��°�S �� !�� i n A.P. # 191� 0� (v PROPOSED BUILDING USE DATE ( REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ V/""2. SCHOOL DISTRICT FEES (paid at District Office) _Z3. SHERIFF FEES (paid at Building Division) Residential ........ _ x $360.00 = $1?Z6. 00 Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at* Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. r • 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 9 Original -Owner Copy -Building Div. (Rev. 12/96) 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 materials for construction of the proposed property improvement : YES W NO[ ]. 2. I HAVE[x] HAVE NOT[ ] signed an application for a building permit for the proposed work. .. 3. I have contracted with the following person (firin) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4: I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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: SOCIAL SECURITY NUMBER: DATE: -/, ,[ , / f 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. OVER A, OB. -,1 1. ........................: '. �:. �::::::::::::::::.t.i:<ii4ii:viiii:•iiiiiiiiii: i:iwii:•iiT :::i:?ii:i: ii:<':':?+:::: is �:ti •ii'f.:i ? � ijii:ii:vii: iiiiiii?}:ii;{:i::�:v..t tT. .............................: w::::::::::::::::::::::.iYr'::�ii:: iiiiii:v'i::::: ::•:;•i:vii?:i•; ii::L:v;w::::.�:: '::::: r;{:::............... ....................:. ......... .................... ........... .. .... '. .. '. ::: + .:':•: is •:.� :• . .....v ................................:......... .. .. ... .. ... .. .... .. .. t. is ii�j:Ci:�:v:i�:ivJ'iji:�''iv :': x^�, �,.i. v: h•::. •i:0ii:4:•i ^iiii4: :w::. �. �::.� :•. �:::: }::.. .n\,{•?}:�Attw��p•��� Dear Property Owner: . An application for a building permit has been submitted in your name listing yourself as the builder of 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 I' 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. i. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you i, should be aware of the following information for your benefit and protection: _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as E contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are I subject to several obligations including state and federal income tar withholding, federal social security tales, iz workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ... 0 For more specific information about your obligations under Federal Law, contract 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 loyees, without a licensed contractor or subcontractor, only perform their work personally or through their own emp under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material ed to be signed by property owners unless they are performing their. own personally. Building permits are not requir work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinccrel ` Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�j PERMIT NO. � / (Rev. 12/96) APPLICATION AND PERMIT v(e) o / 0 ASSESSOR PARCEL NUMBER 02O-020-006 � A5 ZONING BUILDING PERMIT OWNER WESLIE LOFTIN _ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 929 GRIDLEY, 95948 CONTRACTOR'S NAME 014NER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE 1 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS PALERMO-HONCUT HWY Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities l7 Installation ❑ Other ❑ Describe Work: 12 X 60 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 On -60 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service loon oa '.ss 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. OW ELLINCC OR ADDNS. ( a ACC. BG O.S.UP. s0 3.5¢FT. NEW CONST. NON -R SID. B gryCl OCIRCUUT 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I.00 BA0 @ .so Ex. Occup. OUTLETS RS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3.0 WORKERS' COMPENSATION DECLARATION 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 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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. X Date Signa re of Ap cant - Ja Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CATYPEI T AL FEE $ 166.00 HAIMP FL000 CDFCCELI� HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. 209861 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .c 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION gtf7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 G�7 PERMIT NO. (Rev.12/96) ,` APPLICATION AND PERMIT I / `�i� CJ ASSESSOR PARCEL NUMBER 028-020 ^O6 ZONING A5 BUILDINGPERMIT OWNER WESLIE LOFTINTELEPHONE r SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 929 GRIDLEY, 95948 _ CONTRACTOR'S NAME OWNER l\3:+i� TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NOl\li Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE A ,.r.+ LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS r Plan Checking Fee $ 23.00 BUILDING ADDRESS r -4 PALERMO—HON= HWY Energy Plan Checking Fee $ OROVILLE PERMIT FEE $ 43.00 LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 6 Installation ❑ Other ❑ Describe Work': 12 �X 60 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Gi W 1 920.00 60.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 eoov oR LESS Main Service 2o°AORLESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Qk 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. DWELLING OR ADDNS. ( 6 ACC. BUDS. b SO 3.5¢FT. - NON -R StIDT MULTI -OUTLETS. CHCIRCUITS 97.50 OWER APPUARATUS PSINGLE OTLET CIR. Ex. Occu OUTLET OR FucruREs 20 @ ' 00 BAL @ .so Ex. Occup, ouTLEErSPa'S .oEE..a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 , Misc. Wiring 23.00 - PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation'insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number `.. (The above sections need n6ML-completed if the permit is for work of a valuation of one hundred dollars ($100) or I ss.)-- I certify that in the performance of the work for wh_ ich'tkiis. •$rmit is issued, I shall not employ any person in any manner so as to becorp'�-w e subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the'La_b_ortCode, I shall forthwith comply with those provisions. ``� , X r Date SigMe—af Ap : icant - m. Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 ` HA2. D. FES.' IMP 1FLOOD J COF ARCEL HD ISSUE _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 209861 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) I. -APPLICATION AND PERMIT C7 .-)C7 ASSESSOR PARCEL NUMBER 028-020-006 ZONING A5 BUILDINGPERMIT OWNER WESI,ZE LOMN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 929 GRIDIEY, 95948 CONTRACTOR'S NAME O��T.L,Tj��LLf[\i II AA TELEPHONE ' CONTRACTORS MAILING ADDRESS rF CONSTRUCTION LENDER NONE Z. .'� Fireplace LENDER'S MAILING ADDRESS ' � Total Valuation $ ARCHITECT OR ENGINEER N ONE NONE t% LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS PALERMO—HONCUT TA4YEnergy Plan Checking Fee $ OROVILLE PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME' PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ll Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities fl Installation ❑ Other ❑ Describe Work: 12 X 60 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. S G W 920.00 60,00 PERMIT FEE SW • 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 23.00 L�• LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a Acc. BLDs. c So 3.52FT: NEW NON-REStID? M�ULCTI-O R. TITS 97.50 APPARATUS SINPOWERGLE OUTLET CIR. Ex. Occup. OUTLET OR FocruRE zo 9 1.00 BAL. @ .50 Ex. Occup. 0u7ELE7gPgEgp,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 LU • Misc. Wiring 23.00 PERMIT FEE $ t) • WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not -be completed if the,permit is for work of a valuation of one hundred dollars ($100) or less.) L7.. 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 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. X� /i �Date Signature of Appf caint - 0. Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HA2. D. FEE IMP FLOOD CDF PARCEL IPO / HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ZU9001 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - (D,-.) i (-) ASSESSOR PARCEL NUMBER02d�'�.y2�6 l/ 20NINOAS BUILDINGPERMIT OWNER T IE LO�N i+})ni•X TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Xyl !.7 EY 929 GRIDax+• * 95948 CONTRACTOR'S NAME 0WHR TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 14ONE 17 V:{ 1 Fireplace LENDER'S MAILING ADDRESS 1 Total Valuation $ ARCHITECT OR ENGINEER NONE V1177GG t LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS a• PAj,.HQN(',,(�'j' HWY Energy Plan Checking Fee $ $ DROVILLE PERMIT FEE s 43.00 LOT NO. SUBDIVISION'S NAME" PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: 12 X 60 { Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile HomeG' @20.00 PERMIT FEE SSUO ELECTRICAL PERMIT Filing Fee 20.00 p Main Service 000V OR LESS 20.A OR LESS l.J. 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Oy 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO 1000A 46,00 NEW CONST. DWELLING Occup. OR ADDNS. ( d ACC. BLDS. so 3.5¢,. NEW TL NON -R S11DT BRANCH CS. It CUT @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. ouTELETS RES o.oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 '�U• Misc. Wiring 23.00 PERMIT FEE S • MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not'be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I I O 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 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. ,�7 y X ^+ r/ �r�',/ �s,., Date Signature of Applicant - © Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP FLOOD ~� COF PARCEL ,PD + i HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. p WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,� '`�=r..:4��'�-'''. �:i � �V+SR+ft's^P. ■ '4�`.� %�'v.�it�' li w'L"•�'�vy� �i�'ti,l�i` '..FS�,�i%.-..%eny3•�rikt�u rr�-,j.��;+: h..� r��:...r:J�=r:,i•.y`.- COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER oes e-c� ✓1 �j P. o. 0�7_ 00 0 -0,06Proposed Building Use 10 Building Inspector Date ,At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items hang been submitted . ....................................... . 2. Plot plans 4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floo by C ifornia Engineer . ................. . Sanitation and plot plan approval #e- Health Department . ............ City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... �18. Contact Land Development about (A) Improvements (B) Drainage. .......... . ,T' 19. Driveway permit (construction approval required prior to occupancy). .. . . st 20. Pre -inspection for required. .. oB�ild 9 �spector (Date) 21. Contractor's license information. (N<'Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ....... ....... ................. 28. Mobilehome utility clearance . ...................... . ................... 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31: Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the r it, proc ss as follows: MaiVi� qq owner. Mail to contractor. _ X Telephone d" �y and hold for pickup at (J,"OV � office. Deliver with inspector. Other Parcel Creation Acreage Applicant 101�_ Date 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder/�a�0 Copy - Department of Public Works / 13 x 7,: 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 materials for construction of the proposed property improvement : YES[ NO[ ]. ' - '2. _ I HAVE[X] - HAVE NOT[ J signed an application for a building permit for the proposed work. .. 3. I have contracted with the following person (firin) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this .work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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 OW SOCIAL SECURITY NUMBER:_ DATE: 10 / l„ 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. OVER yrs, Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 f. yourself from possible liability if that person applies for the proper permit in his or er name. d bonded by the State of California and to have a Contractors are. required by law to be licensed an 'easiness 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed . as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal' Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbtulder" 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. ctors may be obtained by contracting the Contractors State License Information about licensed contra Board in your community or at 1020 Ni Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel , ` Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 0 VA COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. ,Rev 12/961 APPLICATION AND PERMIT ` ASSESSORPAR NUMBEfj.��0 OO O��t ' U ZONING nr BUILDINGPERMIT OWNER j TELEPHONE SO. FT. OCC. BUILDING VALUATION SO. OWNER'S IU1.&DRESS © nom(9 /Y Cl) Y l ITEELEPHPHONE CONTRACT R'S NAME ' cONTRAC ORS MAILING ADDRESS CONSTRUCTION NDER 0 ✓t Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECTGINEER ORE LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ D BUILDING ADDRESS [� a 1 NCJ nN'tl O�Cbt� /�Gu Energy Plan Checking Fee $ $ (i PERMIT FEE $ IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK15.00 New ❑ Addition ❑ Remodel ❑ Utilities�nstallation ❑ Other ❑ Describe Work: _ Gas piping system 1 - 5 outlets Building sewer 15.00 Mobile Home S G W V 920.00 (D PERMIT FEE $ 100 ELECTRICAL PERMIT I Fling Feel 20.00 OR LES <f00Y GFR, Main Service zoOA R LESSS 23.00 3.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.m OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ F, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SO : NEW CONST. MULTI.OUTLET NON-RESID. I U /17.50 l FOWER APPARArus 8 SINGLE OUTLET CIR. Ex. Occup. ounETOR FIXTURES @ 1.00 DAL @ .50 FlXED APPLNS. OR Ex. Occup. ounETs RESIO. EA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 ,� Misc. Wiring 23.00 PERMIT FEE $ 10-00 reason WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE f� TOTAL FEE $ (J(/ HAZ. D. FEES IMP FLOG CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 08 h? Receipt No. WHITE-D.D.S.-B.D. CAN RV -A SE SOR PINK -INSPECTOR GOLDENROD -APPLICANT 1028-020-006 PERMIT#97-0210 ,LOFTIN, Weslie +++ Palermo-Honcut Hwy,Oroville,� �Mobilehome Utilities COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 028-020-006 PERMIT#97-0210 I LOFTIN, Weslie Palermo-Honcut Hwy,Oroville Mobilehome Utilities I PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do' Not Rough Plumbing Rough Mechanical Framing Shower Pan Do Not Insulate :Until: Above 'Signed . .....:.... .......... . Insulation Dol: of CoverUntil ove; Igoe Fireplace Footing . Fireplace Throat Do Not Continue Fireplace; Until!Above Signed _.::.:. Stucco Lath Scratch and Brown Do: Not Cover Until Above: -Signed Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses ;.Information 24- r" ,> l Oroville 7 County Center Dr. 538-7541 538-7636 Chico IN631317MUCTUal 891-2751 891-2834 Revised 7/94 UNITED STATES POSTAL SERVICE TM IMPORTANT Because we know your time and money are valuable, we suggest you call your local Post Office before you install a mniihAv Ask to speak to the Carrier Supervisor; who will tell you the ..proper location for your box and explain current requirements for mail' box installation. The location and other requirements must be approved by the Carrier Supervisor, before your carrier will begin, delivery. Thanking you for your cooperation '� ffatte Count BUILDING DIVISION DEPARTMENT OF DEMOPMEN 13MMCf3 7 COUNTY CENTER OR" - OROVWJ< CALWORN1A 94.966.3387 TELEPHONE: (9161 438.7441 FAX: (9161 538.2140. RE: Attached Mobilehome Permit Dear Permittee: Attached is your mobilehome permit along with the approved set of plot . plans and a job card. Please post the job card on the Job site in a conspicuous location for the inspector to sign during the various phases,..=.. and also have -the.. approved set of plans on the site .'at -all `times Inspections will not be made if the job card and approved plans are.not on the job at the time of inspection:. Please review the approved set of plans before you start work and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed.. Should the inspector not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to ycu, it is illegal to occupy the mobilehome for which this permit is issued without approval from this office. Please do net confuse gas or electrical service to the mobile as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector. Your permit expires one year from date of issuance. If the work has not commenced, a new permit application and fees will be required. Should you have any questions concerning this letter or any other matter pertaining to the installation of the mobilehome or utilities, please do not hesitate to contact this office. Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments i RESIDENTIAL 028-020-006 PERMIT#97-0210 LOFTIN, Weslie Palermo-Honcut Hwy,Oroville_i V Mobilehome Utilities JOB FINALED (Date) Signature V=OK• . - 0 = Not OK Not '=Not Ready MOBILE.HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-Cl"oncrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ / L ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; SizeSpacing-Manage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts -GA 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 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-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) UNDERFLOOR (Plans) OK except #s 47. Cling. Joist-Rftr. Ties-Puriin-roff Brac.-TrussShting: Rfng. 1. Zoning-Setbacks-Easments-Flood-Slope 49. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 52. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel Insulation -Walls -Ceilings 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Ext Steps -Door & Sidelight Protection -Landings 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 65. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Bedroom Exiting 15. Access & Ventilation 68. 16. Insulation Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card E-1 Date Garage Fire Door; Swing -Landing -Closure PLUMBING (Permit) OK except #'s A.C. Duct in Garage -Damper 17. Water Htr.; Vent -Access -Combustion Air Baffle Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection 78. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Insulation -Foam -Looked in Attic 20. Shower Pan; Test, First Floor -Tub Access 81. 21. Test Tub & Shower, Second Floor -Tub Access Following InstId./Drive 0 Yes Q No/Walks 0 Yes 0 No/Planters 0 Yes Q No 22. Gas Pipe; Sixe & Anchors 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Date 86. Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ranee Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Puriin-roff Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepficales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following InstId./Drive 0 Yes Q No/Walks 0 Yes 0 No/Planters 0 Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. 9 / -0@-1 0 rnab- OWNE NNAMERS LSC TI-�/YI VL/LS e NUMBER: 0 — VaO—Q O(� PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: � rJ FLOOD ZONE: FLOOD MAP: 4 9 o r� APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: 39. PARCEL CREATION BY DEEDS _Z OR MAP 9 I S I DEED INFORMATION: No bib VLEF ft -VE AJJEtr0mu qFF. DATE OF CREATION: DEED REFERENCE: 219 pEe-vS 4 3S LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION:yGAYES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO,.. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH.APPLY TO MAP: ALL FEES TO BEPA/D TO THESU/LD/NG DIVISION UNLESS OTHERW/SENOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with°Zoning code for building setback from road. T 4., Maintain a 100 ft. leachfield setback from all existing wells. - 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. of the Butte County Fire Department. _ 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance With the National Fire Protection Association Standard for the installation of sprinkler systems in. one and two family�dwellin'gs and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ a {r ^ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. t• —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning DiW*ion. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code.. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23. 24. 25 26. w 111(18 30 3A1N665 L66L ` 1 833 a31►13M LD 7/96 CAWP51 \FORMS. K\BLDGPERM.CLR :a b UTC C-,Ov&Aar 2418.°1-7 {fru v, o c Fv 2 .fit /dei o c -Q --t (7-c c� ZCn tW5', ENWRONMEAl HEALTH JIJL 0 B 1004 7COUNTyCENTE8 DRIVE C / IT� v _ L 40 • 9 TANNING DIVISION - BUILDING PLAN APPROVAL Use: Ok Date: AV -01 P 9 La dscapng: 9 -7 -t �L�j 1 j �M C . 1� I li �' r �D Nr1 j ESS DM,E i� Cl IP red pl -, S ( 15 c -J AJ L -�S � 171+ON F � 11 � �a l22 n-� c l-}�� e.� i- l -I -w �' • lire-�-' � � I L� -v"' ��a Pip" ; N� 5 Lmi A -no NSL Csj A L57 N -row N Sit f l-1 r_ _ �1 �,...�f G,3.11.- 1::14_ili.,tr1C K+ �. Pro P05 ID art i � w ti k 1 k• I