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HomeMy WebLinkAbout028-063-022%J 28-063-22 gPAUL CURRENT f`' r EIS Palermo Honcut Hwy, 600, S of Middle Honcut Rd, Oroville Permit #5204-78E (ele ser ch)- SF 28-063-22 PEGGY10081 SON 10081-Pal-Hon�E(anISF)jj;LC) - Permitl#2564-811-7 � ffl1; 28-063-22 02766-86B(lst renewal 2564-85 028-063-022 04-0951 - MEDINA, FRANK i 10096 AHART RD, OROVILL Cont: OWNERd 2ND METER FOR AG WELL 60,�2��QrL 2_- 3- 22 MEDINA, FRANK i 10081 PALERMO HONCUT HWY, • LE Y � _CCont:ont:OWNER NER f --Cont: 12X20 WELL -SHOP t 1 BUTTE COUNT Y 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. BP040951 T&u V►�e=Iu� ��v,-c�4N LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under J provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ls:sued Date.' 05/04/2004 APN: 028-063-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 10081 PALERMO HONCUT HWY HON Date: Contractor: I. Map Index' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the D! scription: 2ND ELECT. METER FOR WELL ONLY Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a I permit to construct, alter, improve, demolish, or repair any structure, prior } Owner' MEDINA FRANK A 8r ROXANNE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 10081 PALERMO- HONCUT 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966-9608 applicant to a civil penalty of not more than five hundred dollars ($500).): S \ I, as owner of the property, or my employees with wages as their 111 d ; sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions ,. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 'Applicant: TONI MEDINA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for r sale. If however, the building or improvements are sold within one 10096 AHART ROAD year of completion, the owner -builder will have the burden of i OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of sale.). 1 S 530-742-9352 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). �IZ r D 1 am Exempt under Article 3 of the Business and Professions Code f Date: Owner: t ) i OFFICE COPY j t J WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: Address ❑ I have and will maintain a certificate of consent to self -insure for I woters' compensation, as provided for by Section 3700 of the _• Labor Code, for the performance of the work for which this permit is issued. —� C�if/ ' Architect: ❑ I have and will maintain workers' compensation insurance, as y DaTe� , required by Section 3700 the Labor Code, for the performance of Engineer' ELECTRIC the work for which this permit is issued. My workers' compensation Meter By Date insurance carrier and policy number are: I � Carrier:— arrier:Policy#: – Total'Square Ft: 0 S. F. IValuation: $000 Policy #: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Census Code: — — 4-" become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' OFFICE COPY compensation provisions of Section 3700 of the Labor Code, I shall ff forthwith comply withh/ provisions. 1 �those Date: -�•I � t V `I Address , �rno0 ln+i�el GAS _ M Applicant: 1 \ 3 Meter ByDate WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and oneMeter ELECTRICe_Dde:--4� dollars in By hundred thousand ($100,000), addition to the cost of compensation, damages as provided for in Section 3706 of the Labor _ _ J code, interest, and attorney's fees. " I CONSTRUCTION LENDING AGENCY This permit is hereby issued unoRr the applicable provisions of the Bnfte County Code ?nrVor ' I hereby affirm that there is a construction lending agency for the Resolutio to do work iodicptedlbove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ( BY Date: Name: Q S Address: PERMIT EXPIRES ON: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enterupon the above mentioned property for inspection purposes. � Print Name:\' \ Signature: l}� t I Y1 V II Date: ; ) :__ 0 Owner 0 Contractor AAgent for Owner ❑ Agent for Contractor * A>.' �. ' v . Y -*'Yt •'SY' ..JY'+.-_ '+r';Y-'M- .rY- �w'u'-..Ay', �Y'/-ti.-ii"r--.: ,.....,.�;-••: a.,*3ti•;..,..,..X,iq,.:S . ' - - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 1`• 7 County Center Drive • Oroville, CA (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is 'r completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f REV 10/92 COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 - 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. G r " A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. C ,P i- - Date b inspector REV 10792 T, J `k_ r COUNTY OF BUTTE BUILDING DIVISION Y. DEPARTMENT OF DEVELOPMENT SERVICES %-� - 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 rt. CORRECTION NOTICE 4, . • Date Inspector /'y ✓/i i t REV 10/92 _.. . Ai OWNER PERMIT NO. �r ":•' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleases contact this office immediately. / 44 �y. a1 • .S� �r 4, . • Date Inspector /'y ✓/i i t REV 10/92 _.. . Ai COUNTY OF BUTTE , BUILDING DIVISION -- DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico,'CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ��t�� OWNER PERMIT NO. A routine insp-dctioP indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. iif + have any questions pertaining to this matter, or need additional explanation, please contaE.�this office immediately. Htv 10/91 .'J COUNTY OF BUTTE =_ BUILDING D)VISION -^ DEPARTMENT OF DEVELOPMENT SERVICES - - -- 411 Main Street - Chico, 'CA -"(530) 891-2751 - `r., 7 County Center brive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE INC OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. ' If you have any questions pertaining to this matter, or need additional explanation, '1.please,contact this office immediately. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 411 Main Street • Chico, CA • (530) 891-2751 r 7 C3unty Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ��i r�C ►�l � N v�� �. �a OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -0 , C• - T W twf cs A. - Date Date L OC Inspector REV 10792 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP040951 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/04/2004 APN• 028-063-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 10081 PALERMO HONCUT HWY HON Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: 2ND ELECT. METER FOR WELL ONLY 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: MEDINA FRANK A & ROXANNE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 10081 PALERMO- HONCUT 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966-9608 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 JJJ sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: TONI MEDINA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 10096 AHART ROAD year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of sale.). 530-742-9352 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). O . I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: 131 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 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 Census Code: 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: I O `1 AMnallW ReC°R V eCt Applicant: � \ ► f, (, �G��SZ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued un r the applicable provisions of the Butte County Coda anrvor I hereby affirm that there is a construction lending agency for the Resolutio to do work Indic ed 4bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Uadlvn, Name: By: Date: PERMIT EXPIRES ON: 1-5'- y 'Q S 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 owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enterupon the above mentioned property for inspection purposes. Print Name: ��� \ l _ \s ` Signature: Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor fi ,.:{�'�^'+.^..,. rmN ��s"�.7Y`��..,--•-_......�R-+�r^.�n:�-u�' t'c.. Y././�/x'{, �,,,.. �(r/ //) :i�rri'r-S• _ 'a "'. , f *r.: � D ` � l I nor--•. . �,�__ � . COUNTY OF BUTTE -DEPARTMENT OF E ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 "" PERMIT APPLICATION DATA SHEET OWNER: 1/L_/ASSESSOR P CEL NUMBE fiA Proposed Building Use: FWWo ter Technician: / (/� Date: Items required in order to appy for a permit. All boxes UST be checked OR marked NA i orde to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the prepare �f the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ - 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. . ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ...................... I....... ❑ 22. City of Chico Plumbing permit.............................`.......................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ................ ...:..... ❑ 26. NPDES Form ❑❑ // Form,....................................................... 27. EncroachmJn� s ept..........rVio 28. Pre In Qn or required......�..; 29. Contras .. • license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number. ......................................... 31. Owner -Builder Verification (-Given to owner, - ailed to owner) ..................... 32. Letter of Signature authorization41 of 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ Letter from Leoal Owner. ❑ Check to H C D S ❑ � 38. Other: 39. Other: Z�Z I t . * When issued Telephone and hold for pickup. / I have been informed of the above items and requirements for obtaining a building permit. 11T"_W&e44 �l/�/ Applicant: Date: /-I -_6 - (L 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by e, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date Date: April 6, 2004 I, Frank Medina give my daughter Toni Medina permission to sign and get the papers for the permit for 10081 Palermo Honcut Hwy and fill them out in behalf of me. If you have any questions give me a call at 743-0744. Thank You, Frank Medina r-. 0 annLfASI PRE -INSPECTION REPORT OWNER: � _ ��DATE: LOCATION. ; . .l 1 - P. # /I f CONTRACTOR: / / ZONING: ,. REASOI` DATE TO INSPECTOR: I I f' PERMIT HISTORY ( �,NONE (V SEE ATTACHED e BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently ( ) On ( ) Off Condition Sanitation: Plumbing Worldng ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECONUgENDED: ISSUE Hold for permits or verify: e. I / !,-L Mobile home # of Units: ( ) Yes (4lv 0 Inspector: Date:411Vdel SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. e� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION M. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. DATE APN: ZONING: ... OWNER'S LAST NAME: aa- OWNER'S FIRST NAME: T -,(-m fIY-- b2abJ v1 -b— of STREET ADDRESS: \©GQ FAX: CIN, ZIP:0 f0 V � \V1 V ` E-MAIL SITE AD RLQ 1 ous\ \� \� Vy"'o ox -'s\.. CRY, ZIP: Q� 0,4 ` \ —1 NEAREST CRO TRACT/LOT g APPLICANT NAME: - ^ ` \� \ PH -7E - 1 STREET ADDRESS: \b 0CLA FAX -II CRY. ZIP � /� -OV 0A\ N EMAIL: CONTRACTOR NAME: PHONE STREETADDRESS: FAX CITY. ZIP E AAAIL LICENSE NUMBER LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CRI(, ZIP LICENSE NUMEER: E -ML: DESCRIPTION OR SCOPE OF WRK: ❑ S ucture Built w' out permit ❑Vroposed 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other deaartment costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: �� ���� Amount Received://D n 28-063-22 +PAUL CURRENT E Palermo Honcut Hwy, 600' S of rs Middle Honcut Rd, Oroville Permit #5204-78E(ele ser ch) SF a 28-063-82 PEGGY SON 10081 Pal -Hon Honcut/ 4 Permit��25X 85B,E(a 'oniSF) 'g®� ` 28-063-22 mit#2766-86B(lst renewal/2564-85) I ! I NOTES RESIDENTIAL PERMIT NO. ,1028:063=022 04-1258 I MEDINA, FRANK 10081 PALERMO HONCUT HWY, OROVILLE Cont: OWNER 12X20 WELL SHOP ` SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Q JOB FINALED (Date �J Signature A�' J=OK . , 0 = Not OK . = otReadyable 1. ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Plumb.; Cir. Test -Water Supply Test 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance r Date Card B-1 Date Card B-1 , Date Card B-1 - Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve - 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged - 9. Exits 10. License Decals • 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS COVERS, CARPORTS, GARAGES (Plans) OK except #'s -+*02oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carnorts: Windows -Doors Rftrs-Trusses :o -Mesh 10rRToo -, Shthg-Roofin 11. Ext.; Steps -Doors -L 12. Braced Wall Panels Date `/ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Scils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. Siding -Nailing Veneer 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access - 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Elec. Trim & Subpanel, Breaker Sizes & Labels 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stairs & Rails 11. Water Pipe; Test -Anchors -Regulator -Service Test Fireplace or Stove, Clearance -Hearth 12. Electric Underground Elec. Outlets at Wood Panel, Int. & Ext. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Elec. Outlets & Receptacles at Kit. Counter 15. Access & Ventilation Garage Fire Door; Swing -Landing -Closure 16. Insulation A.C. Duct in Garage -Damper 77. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 80. 17. Water Htr.; Vent -Access -Combustion Air Baffle 81. 18. Water Pipe; Test & Anchor -Nail Protection 82. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 83. 21. Test Tub & Shower, Second Floor -Tub Access 84. 22. Gas Pipe; Sixe & Anchors 85. 23. Fire Sprinkler; Test 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing 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 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Date 31. . Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. Comments at Final: 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection y' 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access - 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes O No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: er-''��.k�ti.. . , -� ..ti, -e-•--•.. �-...,.-a Z+-r��"'�1:.�.ri;.%...v- • k'.t-A�=`s''' � K._ -�.`�...+�i"!'�a'L y:9 COUNTY OF BUTTE h` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES f 411 Main Street - Chico, CA - (530) 891-2751 ' 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE ag(/j �zs OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. c C C'yr S-) Date REV 10/92 .t FCOUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE Oq OWNER PERMIT NO. A rouflne inspection indicates that the following violations of butte county Ordinances exist at the abovefaddress and should be corrected. Please notice this office when correction of work is _ completed„Rlf you have any questions pertaining to this matter, or need additional explanation, ;k please contact this office immediately. \ /1 ► V-) (�� t ti ��"A(- �nY.. r Date Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE a t ✓tom �� cl \� O NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the t� above address and should be corrected. Please notice this office when correction of work is F, completed. I( you have any questions pertaining to this matter, or need additional explanation, '? please contact this office immediately. i' r. s. �OJ, 6-Q G CC e SS (�SLi I F` V 0'4,1v Lj �4 r� F, 7i t f NtV 10/92 F:Y. " BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041258 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 07/27/2004 APN' 028-063-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 10081 PALERMO HONCUT HWY HON Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: WELL HOUSE (240) 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: MEDINA FRANK A & ROXANNE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 10081 PALERMO- HONCUT 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966-9608 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MEDINA FRANK A & ROXANNE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 10081 PALERMO- HONCUT year of completion, the owner -builder will have the burden of OROVILLE CA proving that he or she did not build or improve for the purpose of sale.). 95966-9608 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and, Professions Code 1 �«� , vd Z7 Owner: '' Date: WORKERS' COMPENSATION DECLARATION I bereby 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 License #: 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 the Labor Code, for the performance of Architect' the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 240 S. F. I certify that in the performance of the work for which this permit is Valuation: issued, 1 shall not employ any person in any manner so as to $5,760.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4-05(--77 4 54--q. -1 0 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR ?nrvor I hereby affirm that there is a construction lending agency for the Resolutionto do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . 7 By: t x. +-«Lt.�� Date: 3�. 4 Name: PER IT XPIRESON: 7' a7' OS 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 owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: —) \ nt`t \ LA -N Y\C, 0,— sn'\ Signature: Date: 1/-2-7/WA O Owner 13 Contractor � gent for Owner ❑ Agent for Contractor ���Q^` tea"`•:.-rt'.,:.�;��'^ �.J�r�s.�.i�-�'1+��1Fr"F..^,Y��y'`..�;,;'tri'16+r.�':^s'�"�7«+41r:<ti,�:"'A7':'!',tZl:i?",":�'?r.�"�"..�T4r,{�i;.I;:'l71' t, 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �.,,., <r '' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER OpW R Proposed Building Use:... Counter Technician: Date: k Itenjs required in order to apply fora 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.. M --i 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ : " 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statemenfof Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in I duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ) �• ❑ 11. Site plan and business license approval from the City of Biggs t ,% ❑- 12L etter of intent for non-residential buildings 10 owner S-S-C�JT,P 15. Sanitation and site planapproval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other wi Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from'the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......., ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Foresr plan approval aid. Sent by: p/ 24. Planning approval (A) Use: C� )Parking: (C) Parcel Check: ",Q 25. Contact Land Development about _ Improvements, _ Drainage ......................... 1 26. NPDES Form.......................:............................................................... C-ei 27. Encroachment Permit for driveway from the Public Works Dept ...................... % El 28. Pre Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑$ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance................................................................. ❑ 35. Existing violations and/or expired permits......................................................... i ❑ 36. Deed Restriction....................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: m When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: PI . n Check Letter 2. Additional items reZwner,as Contractor, designer,vised of the above data by phone, lawail, ❑ counter, by Date:Contractor, designer,vised of the above data by �l phone, ❑ mal, ❑ cou t r bDate:Plans reviewed by:Date: I Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Flat Plan Attached Rear Plan Attached sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r1 ruOU 1 Owner Location AP# Plan Approved for: Sewage Disposk Water Supply- Public Private Well Clearance for — dwelling. Other X4/.3 Hold final for: Final clearance O.K. for: NOTE: Ad -a/ Environmental Health Specialist 134to 8/§6 EWA O.B.- I OW-1WR-BUILDER VERIFICATIiON 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. K 0 I personally plan to ,provide the major labor and materials for construction of thero osed P P property improvement :YES NO 0 I HAVE'+ HAVE NOT 0 signed an application for a building permit for the proposed work . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: MY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide. pprtions. of this. work, but. I have hired the fol l, theowing person to coordinate, supervise, and major work 4 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 • NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the Cal `brnia Health. and Safety Code. This verification must be completed and returned to aur office before we are permitted to issue the permit. OVER EPWTMeNT T 7' o� ° oo O C \ O OA 11BCI� O 05 Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement %LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: t (Y) By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in'revocation of grading and/or other permits or other sanctions provided by law. Signed:_ �( Title: P� Date: --1 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Building Permit Number: 0''/— 1 z Sk Owner Name: W td i n o,' Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County. of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100-yeai flood plain. Finish floor, electrical, T H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required - Note: We will normally accept the following as compliance with the flood elevation requirements: .1. Building is anchored to concrete 'stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: /M ed-tlA-t. Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side ander feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil'may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. CDF FERE SAFE REQUIREMENTS 1;4 1-0 3 - z2- 04 I z�-i MI1?1 ' 1;✓A-( f-7,?� -/f AP# PERT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Drivewav Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X]:. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 54 AP# 4 (-2-E4' PERMIT# 1-n� /�AeiJ< NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 1 02�-�63 2-72- AN zAP# ��l/ZSR PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves -'�J4 Ft�g%- N [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3of3 -1� ON PU�TV CO ofR D��S-` �Y DA�•�F. D ►,c3vgd as su�rnitt�d cl with ' apt foNls1 ilL 819cvre :kcai�6�",Ptfts' \ g�NvC� SIAAt-t-Cf f OtA THE S �s A o QUO l� HD-1- Np,S s � �. ttN 0\1 BAGS OF R F< pR°pER�1NE S"AUL a cc ii.c;*e, A m F1. F °M Tµ� CoA° Jam. . FRDth S AND E OF STRleA�� o,j��"A� 1 �- cOg 2- aal� /1�ORr 0.r �'C• i r` .1 Lo+ ^ce klk-� Sef+i< Tan k L NOTE: See the attached !fir rel Contruct�on Pages 'r L WO I� PLANNING DIVISION - BUILDING PLAN APPROVAL Use: � Date: .,7- � . Q FIECTAiCAL, MECHANICAL, AND PLl1MS'ING Parking: landscaping: CONSTRUCTION ( .NOT PLAID CHECKED) Other: SKAk.LCOMPLY WITHI CURRENT EDI -110N Signature: Al L CSE NEC, C ..AND ,=UPC• . L sr a I'a' ,f�ri ✓e WAY J, P Z f2)6 ' ' ID A 'Allk oe- 41' tS" 25a ryw-, 13UTTE COUNT-� �P P k�/44 BUTTE COUN 1.T i-IUILDING DEPARTNT- 4 p p R O -V Hv(o Ll 00* S�(s � P 771 100 r 716 BUTTE COUNI �:IWLDING DEPARTMEk P P R 0 V TE COUN I'l G DEPARTME.,. R 0. V r- 0 p -dor zp r secsv\- �,. axLc . yl. U► A P P R V 9 0 p -dor zp r secsv\- �,. axLc . yl. U► A P P R V N Vo , :01 W�AG 011 C--�NQX\ I Owl -y,7vr7 K, w!-7 L -vm .7 v5 6 !k 0 Jn -7 yv .3AIda 8d'V W i �S � � 9 �9e X op �C C� n i • W i �S � � 9 �9e X op �C C� n C� • � o rV. 1 C 2 � GIN p ► � N - a n -161 - d .1 ar, May 05 04 09:15a Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (S30) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMINT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception : Garages and Carports. Owner: ` R k F yf1,A. 0 SAW Pt�z�'hone: S `%� "' Q / Mailing Address _ t o b C/ 6 AA1//-AT Aci ni, Site Address: A D f j) i pC(k.,d *v o "w 15. What type of floor covering gill the building have? c,10,e 7t. 16. What type of mall covering will the building have? `Tv jT TAc_ icXfi -- L OVER l .of 2 Assessor's Parcel Number: n Z(a ~ 0(c)�j ^ t);7 2- Zone: Please answer questions 1-16, and explain any yes answers for questions 2.14 in the space provided on page 2 of this form GENERAL WFOILNEATION: 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, Yes No or under notice of code violation? Yes No 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? Yes ❑ No Yes ❑ No 5. Will any advertising. on or off site. be associated with the use of this building? Yes ❑ No W SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No M 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ NO 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ Noj@ CONSTRUCTION FEATURES: 10. Will this building have insulated floor, wails, or ceiling? Yes 0 No Lz 11. Will this building be heated or coop? Yes ❑ No 12. Will this building have a water closWtoilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 13. Will this building have a water heater? Yes ❑ No 15. What type of floor covering gill the building have? c,10,e 7t. 16. What type of mall covering will the building have? `Tv jT TAc_ icXfi -- L OVER l .of 2 May 05 04 09:15a p.2 PROPOSED USE: (check only o e box) 1. XResidential Storage Shed — I will be storing O not be used for any otherin this building and it w Z •Eception) Private Gara 1 (no bathroom � heating or cooling). ill Ee — "A building or a portion of a building not more that 1,000 square feet (3,000 by in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept."A ager ge door is 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely oven 4. D Residential Occupancy — StructtuEsmeant to be r as Opposed If you checked #4. please check the uses below which best it this bilto a storage shed, garage, or carport D GuestHouse 1:1 Pool House D Recreation RoomD Game Room ❑ Studio Apartment D In-law quarters D Bonus Room ❑ Playroom 0 Dente D Library D Studio D Artist Studio Q Hobby Room D Craft Room D Sewing Room D Canning Kitcben ❑ Music Room ❑ Family Room ❑Sun Room D Private Offs ❑ Workshop r D Home Occupanry Y ❑ Other— Use L aver orwob �A /110 r v A- rte. :. Mot be Wooed by du &w. Co=y pk,vu* ojr� Explanations: This area is for txpWiation of any "yes" atrswers on questions 2.14. Please indicate the question n r before the explanation. w ` Uig V IKIZr /e7 o— Additional Information: Plan review will not be started until this form ie completed and received. A Plane Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under pcaalty of perjury that the above information is true and correct. I understand that chanm to the use. or character of use. of this building will require permits from the permitting authority. I and any t Real Estate Disclosure laws require disclosure of this information if or when the perty is offered for sale. Owner's Name: Please print Owner's Signature: Date: 2of2 O.B.-1 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 personally plan to provide the major labor and materials for construction of thero osed P P property improvement: YES C'( NO ❑ I HAVE+ HAVE NOT ❑ signed an application for a building permit for the proposed work. 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 this work, but. I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Codes This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: OB. -1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourprotection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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 yoursel4 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 busines's 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 youplan 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 fey, 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. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation kozrance. For more specific infom2ation 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 "owner builder" building POTMk 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 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. rely, JW Mic 1 C. ,. M ger, Building Inspection NOTE. This 09Wff-BuiWrinformadon is required bySection 19830 of the California Health acrd Safety Code. OVER J SITE PLAN REVIEW APPLICATION Date: 7 AP# 0 Permit Number (if applicable) © Bin Number APPLICANT INFORMATION Parcel Size: R Owners Name: ' OteJ et Owners Address: / oo i (, & a,-+ &' ybyL (,(f_ Vt l `sg65p'� Telephone No.: `[ " 0-74V Situs Address: 081 446vt.cuj(- l-(.vy Proposed Use: 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): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Wf Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By *Lfit6� Date fill/ Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) [ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attched) • Flood Zone: � ` • Flood Panel No.: �-7Qt5O(, Index Date: l ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A(2 --j 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 a5 Side t� Side Street Rear C©/ 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 1 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area -Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other --------------------- ---------------- 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 4M Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ NoEl Yes / Comments: ' PQ,�'C. e Gt.f �4 d,. r p ) P 9 do P,0 (/ D i /J//1/l�oJ � m/v (7-(' ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4of5 r� 0 Lel x 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:Varrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE.COUNTY BUILDING DEPARTMENT 7 County Center Drive ' Oroville, CA, 95965 PHONE: 916-534-4541 AGRICULTURAL -BUILDING Exemption_Form I, owner of the property located at (please print) Assessor Parcel # intend to construct'a �fll ' ,x�' agricultural building on this property. 0 I declare.the,building will be used to house U� S (sp use from definition low) which conforms to the Ag. building definition. Agricultural building is defined as follows: Agricultural building .is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public.. I understand if I change the use or occupancy of this building I will be sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department,. Signature of Property Owner Building Inspector receiving form Comments: Duplicate to field inspector - Date�—�� . v �yF.r BUTTE.COUNTY BUILDING DEPARTMENT 7 County Center Drive ' Oroville, CA, 95965 PHONE: 916-534-4541 AGRICULTURAL -BUILDING Exemption_Form I, owner of the property located at (please print) Assessor Parcel # intend to construct'a �fll ' ,x�' agricultural building on this property. 0 I declare.the,building will be used to house U� S (sp use from definition low) which conforms to the Ag. building definition. Agricultural building is defined as follows: Agricultural building .is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public.. I understand if I change the use or occupancy of this building I will be sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department,. Signature of Property Owner Building Inspector receiving form Comments: Duplicate to field inspector - Date�—�� 1--5, fdA m4l ACIVPo,J�'`° �TXQZ- �- �y o �J � mm A WarJ oAc/ \,16 d. i i f i i PERMIT NO.9564-815B E j PERMIT EXPIRES . 6nlj;l OWNER PEGG C ESO I CONTR.. owner ASSESSOR PARCEL 2 -22 LOCATION 10081 Palermo-Honcut Hwy. Honcut r Clip 1 1` Temp. Power Pole Called PG&E Temp. Elec. S Called Pt Temp. Gas Sei Called PC JOB FINALE[ ' Signature J = OK 1 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except b's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6: Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Soils; Compaction -Structure Stability _ 3. Gas; MH Test -Demand -Valve -Connector t 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK =-Not OK`d = Not Applicable = Not Ready RESIDENTIAL (Sidgle and Duplex) Date UND OR Plans OK except #'s Date FRAMING (Continued) !ng requirements -Setbacks -Easements i/48,. Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ft�zca1e-3pils-Steel-/ /" Ftg. Depth 5Q._Sta;FS'-Wi1.h-Headroom-Rise-Run-Landing-Fire Protection 4. F ., Porches & Decks; Soil St I /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers . Stemwalls, Main; Steel-Blo ts- ra -Slab 52. Siding -Nailing -Veneer 6. rage; Steel-Blockouts-Wrapped-Slab5 esh-Drip Screed-Fdn. Vents-Underfir. Access Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. - gs-Test-2 way C/O -Sewer Test 9. -Anchors ailing -Bolts 19nater Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. enums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date I Card -BI Date Card -BI Date i Card -BI Date Card -BI Date Card -BI Date Card -BI Date -/S ; Card -BI Date Date F L (Plans) OK except N's Card -BI Date 2 Card -BI Date Date PLUMBING (Permit) OK except q's 14 WateT-RT.-,Ve`n1-- Access -Combust ion Air 6 . Steps -Door & Sidelight Protection -Landings 5 .. 8. Smoke Detector clearance -Comb. Air -Connector Jn Garage; Above Floor-Ducts-Mech. Protection - 5. Water Pipe; Test & Anchors -Nail Protection 16.-n.W.V_;�ttngs & Anchors -Nail Protection fes. Bedroom Exiting 17..Shawer-&an;-Tes1-first Floor -Tub Access LOT G.F.I. & Bath Fixtures & Tub Access 18. T9=u X -Sewer, 2nd Floor -Tub Access 6 panel; Breaker Sizes -Labels 19. nchors 62_41&m -_R R^•ic 63. ov -, Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI C.IC2 Date r Card -BI Date _ 65 : Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. ere�& Receptacles at Kit. Counter 67. Caraaa Fire tL^"wing-Landing-Closer - amper Fixture & Transformer Clearance -Ins. Protection 69-. WTr."Rir�, /ents-Clearance-Comb. Air-Connector-P.R.V.- -12 Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled , PIb., Elec. & Mech. Equip. Listed for Location Romex Installed Close to Edge of Studs & C.J. 71, c • Garage; (G.F.I.)-Romex Protec. 4. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic ❑Yes 26,-2.Appliaaw Circuits in Kitchen & Conductor Size 73. ! s Dec on ction-Post Caps 26i Svbfeed-Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI LW4Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes !rc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes ❑No 28,SeLy,ir�_� onductors & Ground -Main Disconnect 75. Following instld.: Drive Yes o; Walks ❑ Yes ❑ No; Planters El Yes o 76 St -Finish 29 arances; Panels-Motors-Mech. Equip. 30. es Closet Light -Shower Light 77 A.C. U sconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79.--We46&Z8U;_D,isconnect, Electrical, Plumbing 8 . ec. rim; F.I. Receptacle -Underground Card B -I Date �� Card -BI Date 1. Ventilation throughout House Glass Protection Card B I Date Card -BI Date -- ,� Date/ -MECHANICAL (Permit) OK except N's fi83: Corrections from Previous Inspections 8 Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85 &-Raaf Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date CA Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date A Plans OK except q's Sills; Proper Material & Anchors 7. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound ,3f�. Bearing Walls over Girders & Floor Nailing 9: Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thnq.-Rfn_q_.__ /4 pe A Flue -Fireplace Throat (, d 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions g (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise •- Phone: 872-2961, Ext. 57 ORRECTION NOTICE a�s a IWNER PERMIT O. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this atter, or need additional explanation, please contact thn office immediately. -A� i . '1 _ � . -.% & . Inspector _ _ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,kalifor�ia 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Z� 063`z2 ZONA G BUILDI ERMIT OWNER� /�Tewao�7112, TE93-060 S OCC. BUILDING MAIA RIE 0W7b4 LING L SS /F-�T. /VALUATION CONTRACTOR'S NAME TELEPHONE /^J �/ /].. V­'?Firepl CONTRACTOR'S MAILING ADDRESS ce /g- /470d, pa CONSTRUCTION LENDE v1.t� UNKNOWN Total Valuation $ k —0-0 Filing Fee $ 110.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee ,$' 0,v a Energy Plan Checking Fee $ , ♦0-0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUq.DING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 10/T I ar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �,/ USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S��t O.00ea TYPE OF WORK New❑ Addition Remodell❑ Util'ties❑ Installation❑,/Othe ❑ Describe work: /¢�� LAY• eAl• IAII / M N9; _ nr 'CA) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 6001 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. 1 DWELLING oc �ry� v OR ACDNS. ACC. BLDGS. � V� �2QSgft NEW CON5TRMULTI-OUTLET' 2.50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUS A! SINGLE OUTLET CIR. / AL0 Ex. Occup( OR FIXTURES 83t ALoso FIXED PLNS R Ex. Occup. OUTLETS (RESID )EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws -of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ip consequence of the granting of this permit. e Date 7 S�ofApplic.nl Owner Contractor ❑ Agent ❑ An OSHA permit is required for exca tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ 0-4i TOTAL PERMIT FEE $ 35LL ,519 0ccu P. CONST.TYPEJ I f1r, PARCEL PD I NO I ISSUE This permit is hereby issuedsunder sions of the Butte County Code and/or work indicated above for which DI TOR OF' BLIC r By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date ��� // 2j) q[.� Receipt No. to c. r `— WHITE-D.P.W., YELLOW -ASSESS PINK•INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE �`A?LIF�R�{IA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No�_",/ /-GUio-lcsov / A. P. No. ZLOG3 -ZZ Proposed Building Use ADZ>//1 oAJ Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector. Date 3 SEP 85 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED. APPROVED_ 1. All items have been submitted. . . . . . . . . . . . 2_ Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . K�Zi 0. Sanitation approval from of2oI//I�LG Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _ 14. wner-Builder Verification (Given to owner0, Mail to owner ❑.) _ 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Dote) f" 18 Recorded copy of Agricult ral Acknowledgment Statement. ... 19. ther viJ D q When you issue the permit, process as follows: Mail to owner. Mail to contracto . 'f LZ Telephone 73'0602 andfor pickup at office. Deliver w/inspector. Other Applican��_ ,Date 9— 'S Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the fol lowing data must be submitted prior to permit issuance. (For required items not checked above at tmeej applica ion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,'i gwne was advised of above required data by _el phone Mail Other By Date _ Plans checked by Date Plans approved by Date Other: Copy—DPW To: Building Department From: "i�ivironmental Health Subject: Sanitation Clearance Dj 4 - L--- ". er Plan Approved for: Hold final for: P49SA"Locition AP/I Sewage disposal crater supply water supply Final clearance O.K. for: seater supply Clearance for bedroom mobile home. Other 7 anit ari an q,10-9,5, Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT MIT N0. ASSESSOR PARCEL NUMBER $�$ 28-063-22 ZONING A-2 BUILDING PERMIT OWNER PEGGY HUTCHESON TELEPHONE 743-0602 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10081 Palermo Honcut Hwy, Oroville CONTRACTOR'SNAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee original $ 92.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 102,00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1St renewal/2564-85 remodel & addit;ior Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ OR AODNS. ( ACC. BLDGS. / , /a2Sq ft NEW CONSTR. MULTI -OUTLET 2.50 ea, NON.RESID R BRANCH CIC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030t SALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of .Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the,�V. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against al liabilities, judgments, costs, and expenses whi may in any way accrue ainst said Count . in onsequence of the grantin this permit. + to � Si arure of pplicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 39 stories in Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCuP. CONST.TYPEJ I I FLOOD PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D F PUBLIC BY PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS Q� Date p `S�vro 9/11/87 height. Receipt No. f ��-36 115(� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD -APPLICANT I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of •the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. f t 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address ! City Phone Contractors License No. 4. I plan to provide portions of thisiwork, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 r Phone Type of Work I Signed: Property Owner Social Securit umber Date � T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. e . r` I NOTE:—All Materials & Workmanship Shan Be in' Accordance with Recognized Good Practices and Of a qualify proscr;bed For A, e Specified use in the Uniform Building, Pl=Lbir,g "A Mechanical Codes and the National Electrical Code. A setback of 5 ft. from the propdrty lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. ease overhang, ..s / [his set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterati ns on,same wit;�,out written permi cgni from the department of Public Works, Coun - of Butte. �t t \ BUTTE COUNTY BUILDING DEPARTMEN- APPROVED P 9 Q( fr C� -� VJLk BUTTE COUNTY BUILDING DEPARTMEN- APPROVED P • - - �� � �ohS�Yu�'� ae��iS ��✓ .5am l AF #9 D. 13 f 1 � r BUTTE COUNTY 5.��' how alO�� BUILDING DEPARTMEWI APPROVED 1 )Wl -r _ n DI V1. rnnll nn CVT (o' TYF 4"X V GIRDERS — 1Ys" TAG PLYWOOD CC EXT. . pD Ir . C1 m GrUARPRAIL � zo T FRMN G. 3 F DECKIMG W PRECAST \ Qc PIE R j -- I4G„ MIN. FOOT/N6 RS 2..x4,• MOBILE HOME OR ..DEC.y I I 48" MTL. FRMI.1-- MAX. CLIP (ER. IDE 4"x4" POST - 211X 1211. #2DF 3 --- (2) la" TREArE% oR BOLTS WOOD AZA TF' '� L 14j1MfN. I_ GIRDER 4"x,4" POST - ADEQUATE DIACONAL 13RAC1 NG. 2'x 12" STAIR STRIIJGER. 48'0.x. MAX. -TDP VIEW HROVAIL. NOT SHOWM FDR CLARITY. 3/g HOLT — F- Lo a MAX. • 9"MIN. `I : L X GIRDERS — 1Ys" TAG PLYWOOD CC EXT. . pD r . C1 m GrUARPRAIL F DECKIMG W PRECAST \ Qc PIE R j -- I4G„ MIN. FOOT/N6 RS 2..x4,• MOBILE HOME OR ..DEC.y I I 48" MTL. FRMI.1-- MAX. CLIP (ER. IDE 4"x4" POST - 211X 1211. #2DF 3 --- (2) la" TREArE% oR BOLTS WOOD AZA TF' '� L 14j1MfN. I_ GIRDER 4"x,4" POST - ADEQUATE DIACONAL 13RAC1 NG. 2'x 12" STAIR STRIIJGER. 48'0.x. MAX. -TDP VIEW HROVAIL. NOT SHOWM FDR CLARITY. 3/g HOLT — F- Lo a MAX. • 9"MIN. `I : L X t PROVIDE PIERS & GIRDERS ;DER ALL BE�.RING WALLS BUTTE COUNTY IILDING DEPARTMEN NPPROVED • { r,, 7 -e- res s u/ , w Grafi/ �S -�o fo cu s; cl, lnsfcdi smoke dotector per code. BUTTE COUNTY BUILDING DEPARTMENT APPROVED q BUTTE COUNTY BUILDING DEPARTMEN' APPROVED U3AOdddd .N31 idVd3a ONldlino UNnO:) giin9 ry►► -------------- 9 jpj0-,.1 ajosrajd ago faoMl7abf _.-r sP •9 e.►l�•I��, Z/ ei i y� iir, � •xb �/ • z Af"40,�v t N +W 9 �4"/lam dam oycNr al % dos .ro/�f �sova.rar , W� �o?{oa✓1 .��l�s so�./G✓ d� c�w.�1 S�S •�o%/ mor>wshs P� d .iv roo NIAPY XOfij/19 C� sf/�9 aoyawa of � r n _, /Y �,u w w C LY UJ cD Z r Q 5 � P�� Syq_ ems•"""" � � x .S � d Y �mm� A BUTTE COUNTY j 3UILDING DEPARTMENT APPROVED INSTALLED ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. --�5� PACKAGE "A" (Additions) NAME JOB ADDRESS TYPE OF WOR FORM 7 SQUARE FOOTAGE Existing Residence New Addition New Total The following information sheet, showing mandatory features and required features of - Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions,.converti*ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 APPLIES'TO'NEW AREA CEILING R-30 R-30 R-38 WALL R-11 R-11 R-19 FLOOR R-11 R-11 R-19 JA R-11 R- 7 GLAZING ,65 .65 .65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C. WEST- .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL '(Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM.GLAZING'16% OF.AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 f *1 HEATING VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) , *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Iocation of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code: it Z /S GNATU F BUILD NG DiltIGNER OR APPLICANT ❑ Complaint -Date ❑ Other -Data' (P'' o BUTTE=.COUSNTY DEPARTMENT OF PUBLIC WORKSI l SPECIAL INSPECTION REPORT yy Owner: \rjf-? ex a -1 - Address: /O Tenant • Building Location: /.O Type of Inspection requested: 1. Housing / / 2. Financing ZONING X7_ A.P. # OQ"3 -- aq Date of Inspection_T�?.�- Inspector_f--,u V 1 / 3. Change of Occupancy to A4. Work W/O Permit / / 5. Other ' (spec i y} o� , � ' 4" 5 f r��ca M C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: +0 8; Vt wt A Y Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: CL Present use of'building: Q- 3 A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9.; Bedroom window or door for second exit: 10. Infestation of insects,'vermin, or rodents: 11. ,Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14.: Stairs:(Rise, Run, Headroom,,1HR, Tolerances Handrails) 15. Comments: M C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: +0 8; Vt wt A Y Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: CL 12 E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 4rcv r rem are—.) - S �.e� �•,n I r� -AC a d&k+c`o N C't �?� -i-5- Fa N a :_" <kAk b s 2. What action taken (give com ete description): Ow .ie€' /e �b N'0Y Q eo A - ? w I brc NQ i"i m/a,vS 4-0 yb'�ft,VV' sssar-�-kms 3. What action ecommended: A. Information only - file. ,R7 B. Hold for ten days, then write letter. C. Write letter. / /,D. Other: RESIDENTIAL, PLAN CHECKING -GUIDE (S.F., DUPLEX & MISC. ONLY) 7/85 j� Bldg. Permit # OWNER I / 1l _Ci4 P— .Sid %1 A . P . # 6sg — Cob, GENERAL er'. zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer.; �✓nergy Design and Compliance. ,.Y-. xisting violations on property. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards,.easements, etc. ,3"� Other buildings or structures. . Grading, fills, -drainage. Flood hazard. �( Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). " Required windows for second -exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 -.3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. X1'3. Smoke detectors (Sec..1210). STRUCTURAL DETAILS Foundation plan complete enough:to construct building. �L. Floor construction details.complete enough -:to construct building. �3J Elevations and wall construction details -complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR e�1.} Exposure I plywood on exposed locations and overhangs. /�/•A Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j))., Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds.(Sec. 4706). Proper roof pitch for roof covering (Chapter 32).. Rafter ties or.bearing ridge beam. d RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 t MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 8. Garage door or porch header sizes. 9. Adequate bracing. 10. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 11. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 12. Attic access and ventilation (Sec. 3205). 13. Underfloor access and ventilation (Sec. 2516). 14. Wood stoves, clearances, alcoves & 1 -hour shafts. 15. Combustion air for fuel burning appliances. 16. Noise requirements on duplexes. 17. Adobe soils - special foundation design. 18. Retaining walls requiring design. 19. Unusual shape, size or split level house requiring lateral design. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 1i 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 City Phone Contractors 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 5. Address City Phone Contractors License No. 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 .Secur ty umbe Date ?- l�— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I 0 • 0Q I I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephott: 534-1541 APPLICATION AND PERMIT autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A roval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8011 OR LESS - 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER & O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1, ACC`BLDGS.CCUPLING '�) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR MULTI -OUTLET 1 NON.ONS � BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS & NON-RESID. `SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES BAL C 1050M�5C ¢ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE$ autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date '- - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or.ovil'le, California 95965 � O� ^ Tel ephon�,:•53441 APPLICATION AND PERMIT BUILDING Owner P4 L- 0-0W-M_Cnl SO. FT. OCC. BUILDING VALUATION JarMailing Address a Telephone No. Contractor 411 tn. 62 4 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty - $ Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �-� �� -� Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sem-!e?i*n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 BI g. .ns Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00®0 OR LES Main service 10000 AMP ORS SLESS 5.00 J.Q Single FamilV y Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. C ACCLBLDGSCCUP. 4� 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� NEW RES,CO TR / BRANCH CIRCUITS) NON -REBID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXT11RES a �� Ex. CCU / FIXED APPLNS. OR Op•\ OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 t ,® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ lel $_ZyS $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. et),� X Date Signature of Per itee or Agent Receipt No. � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $� 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. qqrA-E­qT 0 PUBLIC WORKS By ' Date Building permit expires tate