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J .. <_ - --- A.P. 28-30-17 DENIM S Y �y e Rd. across from STREET s s LaPorte-Mar sem' Bangor Cemetery, Bango Permit 492-73B,P,E,M F�~� •7� (repair do remodel r6sidence) t LOT BLOCK SUBDIV. ►G A O`Os01W S/S LaPorte Rd., a ross from angor¢ TYPE OF PERMIT NO. PLAN NO. DATE ISSUED Cemetery, Bangor �� J 0/.2A/Q PERMIT 1C /SF) B07-2443 028-300-051 MISCELLANEOUS Ag Exempt POLE BARN (30'X 40'): STORE FEED, a 5568 LA PORTE RD ARNOLDSEN,KATHLEEN REMARKS F� PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION 600.1 p Permit #4477-80B cov.& open dec s 028-300=051 AR-NOLDSON;'1 1 5568 LA PORTS RD,•BANT GOR r£' NEW SINGLE FAMILY 028=300-051 04-2699 75 ARNOLDSEN, KATHT,EEN 5568 LA PORTE RD, BANGOR � Cont: OWNER r 2I�'�^� COMPLETE 03-0539 J — B07-2443 028-300-051 MISCELLANEOUS Ag Exempt POLE BARN (30'X 40'): STORE FEED, a 5568 LA PORTE RD ARNOLDSEN,KATHLEEN REMARKS F� PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION 600.1 p PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE 810. DATE ;C Cz;��`i�o� INSPECTION RECORD - BUILDING APPROVALS - '� N.W z of z a0 I j f'm ' i O'x6 f.fQ UJ IY W �� C� I W z 1 0= 2W OW J WJ ; W V aZ p4Oj IL <QI 1W-J Hg �° Oz>Q IL z ! J . Z(U IW- JQy IWQ a Z m � a z W F IL U RW' IL IL .SIG. I i DATE SIG. DATE I SIG. DATE j .SIG. I DATE SIG. DATE 'SIG. I DATE sla. 1 DATE DACE SIG. - DATE SIG. DATE SIG. a DATE SIG. DATE -PLUMBING APPROVALS PERMIT NUMBER: ROUGH-IN SIG. DATE ' SIG. DATE SIG. DATE SIG. DATE SIG. e f DATE f GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL !� ELECTRICAL APPROVALS K ; PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH-IN FIXTURES & APPLIANCES METERS FINAL A AfY.Qf JVT.T. A A7VAnC A DDD/1T7 I T C PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE 810. DATE s 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 t WEBSITE: www.buttecounty.net\dds _ PROJECT. INFORMATION j Site Address: 5568 LA PORTE RD Owner: Permit No: B07-2443 APN: 028-300-051 ARNOLDSEN, KATHLEEN Issued Date: 01/30/2008 By TMP Permit type: MISCELLANEOUS P O BOX 187 Subtype: Ag Exempt BANGOR, CA 95914 Expiration Date: 01/29/2009 Description: POLE BARN (30'X 40'): STORE FE] (530) 679-0109 Occupancy: U-3 Zoning: A-5 Contractor Applicant: Square Footage: PIONEER CONSTRUCTION ARNOLDSEN, KATHLEEN Building Garage Remdl/Addn PO BOX 455 P O BOX 187 BANGOR, CA 95914 BANGOR, CA 95914 Other Porch/Patio Total (530) 679-0235 (530) 679-0109 1,200 1,200 f , FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 -LICENSED�CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PIONEER CONSTRUCTION 857563 / B / 04/30/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 01/30/2008 Contractor's Signature Date - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to 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. X 01/30/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ',. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: B5475 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that l am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the •+ basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does . the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or ,.}, improve for the purpose of sale.). 0I �{ LI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this 01/30/2008 Date ' I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I he eby certify that I am the party owner or am authori d to act on the property owners behalf -� illi/�l_f\4a AI 01/30/2008 .Owner 1:1 Contractor OR; Agent for Owner ❑Agent for Contractor 'f + FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (5 30) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT 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. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from anyseptic tank or leach fields. Initials G Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet. from a esidence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 5568 LA PORTE RD Permit No: B07-2443 APN: 028-300-051 Square Footage: 1,200 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: 4 _,5 Description: POLE BARN (30'X 40'): STORE FEED, HA`. Required Setbacks: Applicant: ARNOLDSEN, KATHLEEN Front: Side: 5' Rear: 5' P O BOX 187 Type of Construction: BANGORCA95914 (530),679-0109 Type of Siding: Metal Owner: ARNOLDSEN, KATHLEEN Est. Const. Cost: $ 20,000.00 P O BOX 187 BANGOR, CA 95914 Roof Covering: Metal (530) 679-0109 Floor Type: Concrete I declare under penalty of perjury that the building will be used; as statedabove, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division apd obtain the necessary permits, inspections and approvals to comply with the requirements in effect time and prior to occupancy. Signature of owner: Date: Date: 12/03/2007 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecouhty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Address First Name Mailing Address 9,0' City _ State Zip I �1 Phone O O Fax E-mail Q 3 a vat,' CONTRACTOR Name V L Address Address City State Zipg5qp 4 Phone,_,,,) Fax E-mail Lic. # 3 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address City ,� l` 0 p City zip!20) State Zip Phone 6_O Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name £� Address City City ,� l` 0 p State zip!20) Phone 53'�VIT� Fax �..._ E-mail \ _ 6_O tr APPLICANT SIGNATURE PERMIT NO. 10-2qL3 BIN it PROJECT LOCATION API r Property Address 1 r1DA L4� City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning Flood Zone LOPS I SRA I ves No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone I X I SRA I ves No Occ. Type Const. Butte County Department. of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION Anapplication for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder you are the responsible.party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ orotherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the,Intemal 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. . PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1; 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO P VIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR 2. IO/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON.(FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME V �' ADDRESS b _ CITY PHONE _ 2 . CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 PHONE TYPE OF WORK Description: POLE BARN (30'X 40'): STORE FEED, HAY, FARM TOOLS Reference Number: B07-2443 Applicant Name: ARNOLDSEN, KATHLEEN Owner's Name: ARNOLDSEN, EN AP # : 028-300-051 Signature of Property Owner: Date: _ Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become nul void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been cumented by the Building Division during each year during scheduled inspections. No changes may be made in.the original pl s and specifications .for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full p it fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, lease contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of th buil ing or which this permit 's issued without a final inspection. �uo�da,� �e�rmhs EXPIRATION OF PERMIT APPLICATION AND REFUND POICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnex'is.com/codes/butteco/ Reference Number: B07-2443 Location: 5568 LA PORTE RD Parcel Number: 028-300-051 Owner Name: ARNOLDSEN, KATHLEEN Date: 12/03/2007 Phone: (530) 679-0109 Description: POLE BARN (30'X 40'): STORE FEED, HAY, FARM TOOLS Signature of Applicant: / Date: 12/03/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive . Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.butteco6nty.net/dds O o`. O O: i —,rR'fC vV0V1!V-$ National Pollutant Discharge Elimination. System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2443 Date: 12/03/2007 Location: 5568 LA PORTE RD By: KCG Parcel Number: 028-300-051 Sub Type: Aiz Exempt Owner Name: ARNOLDSEN, KATHLEEN Phone: (530) 679-0109 Description: POLE BARN (30'� X 40'): STORE FEED, HAY, FARM TOOLS By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 12/03/2007 'NOTES' RESIDENTIAL PERMIT NO. 0 3 -0 Z_e Po /Z:r E 03 OS PERMIT' 'RENSWAL DATE: 9—/o —05 q -Z"I cl EXPIRES: PERNVT RENEWAL DATF: EXPIRES: 01—P (A SPECIAL CONDITIONS al .—'SRA I FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY CHECKED BY RV USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address - B,o,4q Ott, w GASci Of Meter By Date ELECTRIC Meter By Date L 2. . 10 JOB FINALED (Date) q /2 Signature —o(p )k J=OK D- Not OK • = NotApplicable . =Not Ready (.®BILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C/G-Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L 'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Sticture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Voles-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. -Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 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 ML Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. 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 -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfittration-Wal Is -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. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Fib.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-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 Cl Yes 83. Following InsNdJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. 96rrecti9ps from Previous Inspections . Gas 79st-Meters Tag ZGas-Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date i'y)Vl VrCard 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: • D ON OF iNWA"MON 715 5 MBtesm Brand Nofne ... -- TI (but")- - 7hwmd Reshftm 2. CEILING Bait or BWM7VM—Ebgdm A, SmId Now johnomomp Tf s ) 13 s Themes Redstance (R -Value) �3g - Loose FM Type _ Brand limns Johns McMb Cie aft budoW woWfts9: �. Amman Thkoness inches. chrtei's hWvftdweWpwqm9fMto Thw" ft*W a (R V") & EXTERIOR WALL .8 4. RAISED HOOK Balls �' (& S) 10 'ZS 440 �3. SLAB FLOOR kpewwm Mob" itdcknm PWkneler Inddon Depth a FOUNDATION WALL DECLARATION K1es�orl�� CJAWMSD 10.,q - 0S -S- M ift Ah iYI111 tai ! Brand thm mm M=db Theta Redetance(I�V)221 wand Now Aahm Mmmlb Theand Redstone (R.Va We) Thmud R (R-Vaki9) Brand Nwm Thennd Redeleme (R-vdueL k. ,y. Verticaffechnology ` :ech Engineering 383 Rio Lindo Ave Suite 200, Chico, CA 95926 Ph. (530) 899-8716 Fax (530) 899-1102 Email vertech@sbcglobal.net Structural Calculations Client: Art Corona Project: Arnoldsen Residence Location: 5568 La Porte Road, Bangor,,:CA 57)as /-JA/1 V `0S3 9 - BUTTE COUNTY BUILDING DIVISION APPROVED z jl'�l0( P -4 - Attention: This engineer is not responsible for on site Ovection to assure compliance with the standards, sizes, materials, or workmanship specified herein. This engineer is not responsible for any structural element or system not specifically noted in this set of specifications unless authorized in writing by this engineer. Workmanship is to be of the highest quality and in all cases follow accepted construction practice, the latest edition of the Uniform Building Code, and local building department standards. O�-2.(C G !? -(3539 PROJECT Arza��os�� VERTECH ENGINEERING ENGINEER Co, DESIGN OF e- O'f) 0 1 4 , H r PAGE DATE bo Zx Su 1. �AvP_ Ohat�J Sct�. =p,�✓,pr=rte � y �.� VerTech Engineering Project: Kathleen Arnoldsen Page: Z Engineer: CMR Date: 9/15/2005 Design of: Shear Walls Framing (cont.) Min Wall 3x 2x 2x Number of Wall Shear Length Edge Nail Adjoining Sole Sill Anchor NumberQ n t) in Panel Edges Plate Plate Bolts 1 2612.90 4" Yes Yes 2 2 39813.30 3" Yes Yes Yes 9 3226 15.30 6" Yes Yes 6 4 226 10.20 6" Yes Yes 4 5 226 10.20 6" Yes Yes 4 6 144 6.00 6" Yes Yes 2 7 144 18.50 6" Yes Yes 5 8 481 10.80 3" Yes Yes Yes 9 9215 4,50 6" Yes Yes 2 10 215 4.50 6" Yes Yes 2 11 215 19.20 6" Yes Yes 7 12355 3.00 4" Yes Yes Yes 2 13355 3.00 4" Yes Yes Yes 2 Zx Su 1. �AvP_ Ohat�J Sct�. =p,�✓,pr=rte � y �.� VerTech Engineering Project: Kathleen Arnoldsen Page: 3 Engineer: CMR Dater 9/15/20o5 Design of -Gravity Gravity Loads Gravity Loads: Slope= 8 to 12 Roof Dead Load Ply 2.5 psf Comp Roofing 5.0 psf Framing 5.0 psf Gyp 2.2 psf Insul 1.0 psf Misc. 1.3 psf Total (sloped) 17:0 psf Total (horiz) 19.0 psf Roof Live Load Residential 20.0 psf (Reducible to 16 is slope is >4:12) Wall Dead Load Hardi Siding 9.0 psf (exterior) 3/8 Ply. 1.8 psf 2x Framing @ 16" o.c. 1.7 psf Gyp. 2.2 psf Insul. 1.3 psf Total 16.0 psf Wall Dead Load 2x4 Framing @ 16" o.c. 1.6 psf (interior) Gyp. 2 sides 4.4 psf Total 6.0 psf } 2001 CBC Static Seismic Forces VerTech Engineering Project: Kathleen Arnoldsen Date: Comments: Seismic/Diaphragm Loads Units: Zone = 3 Soil type = Sd _�Soil Profile Types I = 1 Importance Factor Table 16-K R = 5.5 Overstrength and Ductility Factor Table 16-N or 16-P Ca = 0.36 Seismic Coefficient Table 16-Q Cv = 0.54 Seismic Coefficient Table 16-R hn = 9 (HEIGHT TO ROOF) Ct = =•020 FOR ALL OTHERS TA = Ct(hn)"- Max TB = 1.4'TA 17.3 VEQ = (Cv'I"W)/(R'T) 4.2 17.3 Ft = 0.07'T'V (If T<.7, Ft=O) METH A METH 5 T = 0.104 0.104 EQ; Cvl/RT = 0.9448 0.9441 V/W: VEQ = 99.9 100 V: Ft = 0.00 9/15/05 Kips & Feet (UNO) H I -iuo.tui I VD -I I .11 *Ca`I 2.5*Ca"I/R 17.3 .0.0396 0.1636 4.2 17.3 9/15/05 Kips & Feet (UNO) H I -iuo.tui I VD -I I IL VerTech Engineering Project: Kathleen Arnoldsen Page: r! Engineer: CMR Date: 9/15/2005 ;sign of: Wall Line. Shear Forces due to Seismic Roof Area (ft2) Weight (lbs) Roof 4429 84233 Roof Snow (25%) 0 0 Floor 0 0 Height (ft) Length (ft) Weight (lbs) Walls(ext) 9 272 19584 Walls(int) 9 70 1890 Total 105707 Area (ft2) Weight (lbs) Roof 0 0 Roof Snow (25%) 0 0 Floor/Deck 0 0 Height (ft) Length (ft) Weight (lbs) Walls(ext) 10 0 0 Walls(int) 10 0 0 Total 0 Area (ft) Weight (lbs) Roof 0 0 Roof Snow (25%) 0 0 Floor 0 0 Height (ft) Length (ft) Weight (Ibs) Walls(ext) 8 0 0 Walls(int) 8 0 0 Total 0 Veq(lbs) Roof Area (ft2) Floor Area (ft2) Ultimate ROOF 4429 0 17300 0 0 0 0 0 0 0 0 Trib Area (ft) Line Shear (lbs) Wall Line Roof Floor W/S A 1861 5191 B 2177 6073 C 392 1094 1 98 272 2 998 2783 3 2298 6412 4 1036 2890 1.0 2001 CBC Wind Loads VerTech Engineering (UBC CH16 DIV III) Project: Kathleen Arnoldsen Date: 9/15/2005 Comments: Wind Speed: 75 mph Importance: 1 -12.5 Exposure: B -23.3 -25.2 -27.1 El One Story or Partially Enclosed Multi-StoryStructure -14.3 -15.5 -16.7 Primary Frame Elevation Elevation Elevation Method A 15 20 25 Windward Wall :_........_......................._.........._.:....._.-........................................................................__..................._...._..---._._....__ 7.2 7.8 8.3 Leeward Wall .............._........................_............._.......................-................._........................................................._...__.._..._......._.....-............_.__._.............-.................. ---- _ _...__...-.__._.... -4.5 -4.8 -5.2 __ Roof ........_........_......_ _.._ Leeward or FlatRoof -10.8 -11.6 -12.5 ...-...-.....-...._..... __.._...................._............................................_._................................__._............._. Windward Roof _. -10.8 _ ......___._ -12.5 Slope <2:12 -10.8 -11.6 -12.5 2:12 to <9:12 _.._......_.......... ..........._._._.._......_..-.._............................................................_......._....-......_........_.__...............__ -12.6 2.7 -13.6 2.9 -14.6 3.1 9:12 to 12:123.6 _.....-............. _........ ._.................. _._._.._...-._ _ 3.9 4.2 ._....................................... . _............... __..__ >12:12 _..-_... _ _.........__ 6.3 ___. _._... 6.8 7.3 Wind Parallel to Ride -10.8 -11.6 -12.5 Method B -23.3 -25.2 -27.1 On Vertical Projected Area -14.3 -15.5 -16.7 Structure <= 40' High 11.7 12.6 13.5 Structure >40' Hi•�h --� T 12.6 13.6 14.6 On Horizontal Projected Area _ _ -10.8 -11.6 -12.5 Elements and Components not in areas of discontinuity Wall Elements All structures .._-.......... ............ ..__-.................. _. 10.8 11.6 12.5 ...... .......... _............ _..... ............ _...... __................_.._....... ._... Enclosed and Unenclosed Structures _. -10.8 -11.6 -12.5 Partially Enclosed -14.3 -15.5 -16.7 Parapet Walls -11.7 11.7 39.7 12.6 -13.5 13.5 Roof Elements Enclosed and Unenclosed Structures Slope <7:12 -11.7 -12.6 -13.5 7:12 to 12:12 _...........__._............................._..._.._......_...............................-.............. _............ ....... ._................._...__....__.........._.._-...._ -11.7 11.7 -12.6 12.6 -13.5 13.5 Partially Enclosed ..................-....__..._....... - _ ._._.._...._ -._ Slop. ............... .....__..........._............... ....................... .. ..........._...._..._ ............ 2.12 to 7:12 ............................................_....................................................__............................__...._....__............. -14.3 7.2 ......... -15.5 7.8 -16.7 8.3 >.......... . .............. ...............-........................................... - _.............. _....._....._....__.......__..__.._.._...-. ... .. .................... _.._.._.-_......_..._...--- Elements and Components in areas of discontinuity _. �__....._ Wall Corners -13.5 10.8 -14.5 11.6 -15.6 12.5 Roof Eaves, rakes or ridges without overhangs Slope <2:12_._-._.__._...__- -20.6 -22.3 -24.0 _.. 2:12 t6--712 _ _ -23.3 -25.2 -27.1 >7:12 to 12:12 -14.3 -15.5 -16.7 Slope..... at overhangs, canopies _ _ _-25.1 -27.1 -29.2 VerTech Engineering Project: Kathleen Arnoldsen Page: Engineer: CMR Date: 9/15/2005 Desian of : Wall Line Shear Forces due to Wind . House 'Wall Line Trib Area Wind Force Line Shear A 290 12.60 3654 B 459 12.60 5783 c 169 12.60 2129 1 60 12.60 756 2 420 12.60 5291 3 640 12.60 8063 ' 4 280 12.60 3528 VerTech Engineering Project: Kathleen Arnoldsen Page: Engineer: CMR Date: 9/15/2005 Design of : Shear Force Summary House Wall Line Wind Shear Seismic Shear Controls A 3654 5191 Seismic B 5783 6073 Seismic C 2129 1094 Wind 1 756 272 Wind 2 5291 2783 Wind 3 8063 6412 Wind 4 3528 2890 Wind Shear Wall Design. Program VerTech Engineering Project: Kathleen Arnoldsen Location: Panel Thickness 3/8 v Date: 9/15/05 Units (UNO): lbs, in Panel Orientation short Dimension Across studs 3X Sill 3.17 3.73 Nail Type 8d 0.84 1.98 NG 1.52 NG Anchor Bold Diam. 1/2 0.99 NG 0.76 Stud Spacing 16 in o.c. Spec Grav Of Framing 0..5 Spec Grav Of Framing C -D, C -C, UBC 21-2, UBC 23-3 I Fnd Sill Plate Grade DFL AB in 2X Sill 620 AB in 3X Sill 730 Split Anchorage Reduced Index # Nail Nail Length Diam Embed Cd NDSValue Value 1 10d 3 0.148 1.50 0.84 118 100 2 12d 3.25 0.148 1.75 0.99 118 116 3 16d 3.5 0.162 2.00 1.00 141 141 4 20d 4 0.192 2.50 1.00 170 170 5 30d 4.5 0.207 3.00 1.00 186 186 6 1/4" Screw 0.25 2.00 1.00 220 220 7 3/8" Screw 0.375 3.00 1.00 400 400 8 A35 450 9 A34 365 Shear Wall Design Edge Nail Allowable SW Joint Fastening SW Joint Fastening Load Fastener Cond A Cond B Fastener Cond A Cond B 6 260 2 7.1 0 8 20.8 0 4, Note 1 380 2 4.9 0 8 14.2 0 3, Note 1 490 2 3.8 0 8 11.0 0 2, Note 1 640 2 2.9 0 8 8.4 0 44, Note 1 760 4 3.6 Note 2 8 7.1 Note 2 33, Note 1 980 4 2.8 Note 2 9 4.5 Note 2 22, Note 1 1280 4 2.1 Note 2 9 3.4 Note 2 1. Use 3X framing at adjacent panel edges and stagger nailing 2. Condition B fastening is the same as for single sided shear wall with same edge nailing i AB Spacing (ft) 2X Sill 3X Sill 3.17 3.73 1.09 2.56 0.84 1.98 NG 1.52 NG 1.28 NG 0.99 NG 0.76 VerTech Engineering Project: Kathleen Arnoldsen Page: /O Engineer: CMR Date: 9/15/2005 Design of: Shear Walls Frami Panel Shear Walls Lateral Load l� 5191 6073 2129 756 5291 8063 3,528 Resistive Wall Lenqth 10.80 28.20 6.00 2.90 13.30 35.70 ...................... I............................. 24.50 A35 Sill Attachment Attachment Length Length L2 Ll 10.80 10.80 2 8.2 0......._.....__. 2 8.2 0_.._ _6..00._.... 6..00_........ 2 90 2.90 ...........13...:, 3 0 .........................J-3..,..39 ........... . 35.70 35.70 24.50 24.50 Load/ft Edge Nail I�n in 481_..__. 311 2156" _...355_..... _ _41� .... 261^^ .. 411 _...._..........__..._..... 311 2266" 144 6" NOTES • `' U RESIDENTIAL 028-300-051 PERMIT NO., ARNOLDSON,' 03-0539 l �r �`'/� NEW 5161 A PORTS B NGo/R/L o'� % 1 SINGLE FAMILY • ra °r Z SPECIAL CONDITIONS . �. - .. CHECKED j BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ:" z SPECIAL INSPECTION, ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER H 4 OFFICE COPY Address -_GAS Meter ByDate_ ELECTRI -Meter By Dat& .r JOB FINALED (Date) i Signature J=OK 0 = Not OK . = Not Readyable MOBILE HOMES,: Date . MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/0 -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6.. 5: Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat: or/ /" L "ft./ ' P LPG 8. 7. Well Clearance & Disconnect 8. Utilitv Clearance 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) Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Footings; Size -Spacing -Marriage Line Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-'Bracing 3. Blocking Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Gas; MH Test -Demand -Valve -Carports;-Windows-Doors 5. Electricity; MH Test Electric 6. Water; MH Test Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 7. Water and Sewer Connected Siding; Nailing -Veneer -Stucco -Mesh 8. Gas and' Electricity Tagged Roof; Shthg-Roofing 9. Exits 10. License Decals 11.'Verify #'s with Office 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 :. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-'Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. -Carports;-Windows-Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elect; 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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDE OR (Plans) OK except #'s on' =Setbacks -Easements -Flood -Slope , Main; Soils-Elec. Grnd.-/ /" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fiklforches & Decks; Soils -Steel-/ /" Ftg. Depth V--' I5e-stemwalls, Main; Steel-Blockouts-Wrapped (B!Stemwalls, Garage; Steel- Blockouts-Wra ed e (Hold Downs and Special Anchors Slab, Steel -Wrapped r, i" VAhf 8 Piers -Fire lace Ftg. -Steel J D.W_/.-, Fall -Fitting -Test -2 Wav C/O -Sewer Test t&. -UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. PI_4pdMs & Ducts; Clearance -Material -Support -Ins. it ers-Sills-Anchor Bolts-Joists-Vents-Crippies ccess & Ventilation 16. Insulation Dat�,�,/QL_ Card B- Date Card B-1 Date`' Card V Date Card B-1 Date PLU (Permit) OK except #'s .afer Htr.; Vent -Access -Combustion Air Baffle 0. Later Pipe; Test & Anchor -Nail Protection 1 V D.W.V.; Test Fittings & Anchor -Nail Protection 24_.Shower Pan; Test, First Floor -Tub Access st Tub & Shower, Second Floor -Tub Access 2 Gas Pipe; Sixe & Anchors ire prinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 82. 24 Fixture & Transformer Clearance -Ins. Protection 2 ,� Elec. Receptacles Spacing -Lights & Switches at Doors _ 83. 2 Size Boxes & No. of Conductors Stapled 84. omex Installed Close to Edge of 4ds & C.J. 85. ,. Equip. Ground made up w/MechFasteners-Bond &s &-Water 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 29 2 Appliance Circuits in Kitchen & Conductor Size GFI Water Well, Disconnect, Electrical, Plumbing Subfeed Wire Size// a. Cu .C. Wire Size/ / r Al Exterior Elec. Trim, G.F.I. Receptacle -Underground 1 -K1. Range Circle/lo/ C r AI -Oven Circ. Insulated Neutral ❑ Yes O No Ventilation Throughout House r 4. Service -Riser Conductors & Ground Main Disconnect Glass Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. Corrections from Previous Inspections j . Clothes Closet Light -Shower Light -Spa Light 93. 3 1. Smoke Detector Date Date i_XZ_ard B-1 Date Card B-1 Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except #'s 96. L61-4. C. Ducts Insulation & Support Date *.'Vent Fan, Exhaust above insulation Date 3 Condensate Drain & Overflow, Size & Grade Date 3YFurnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Comments at Final: 40. Attic Access & P atform if Furnace in Attic Date p'yCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM ermit) OK except #'s roper Materials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound 4 . Baring Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) - 4 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 41VI'A'eaders & Beams -Size & Bearing I Date FRAMING (Continued) ; 47. ngers Post Caps -Anchors -Connectors . Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Tr -Shting.-Rtng. ( _48-N_cRplace Ties or Type A Flue -Fireplace Throat Clearance t ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 1 t 5 Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Firs, Width -Headroom -Rise -Run -Landing -Fire Protection , Plywood on Roof Overhang -Attic Vents -Rafter O triggers C 57' -Siding -Nailing Veneer ! 58. Stu Mesh -Drip Screed -Fd. Vents=Underflr. Access ! a -Glass Protection -Skylights -Plastic . l O Shear W , Nailing -Bolts 1. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -W IIs-Indows Date K Card B-1 Date Card B-1 Date j1fy11Q6 Card B-1 Date Card B-1 ; Date FI AL (Plans) OK except #'s Fart. Steps -Door & Sidelight Protection -Landings Sy oke Detector Furnace Vents -clearance -Comb, Air -Connector - 1 arage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 66V 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 0 Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing i 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 1 89. Ventilation Throughout House r 90. Glass Protection 91. Corrections from Previous Inspections j 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 f Date Card B-1 Date Card B-1 ) Date Card B-1 Date Card B-1 j Comments at Final: COUNTY OF -BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 }7 NO. (Rev. 12/96) APPLICATION AND PERMIT " (j �/ �,J 1.11 ASSESSOR PARCEL NUM ER y ZONING - BUILDING PERMIT OWNER "" TELEPHONE A- `77 SO. FT. OCC. BUILDING VALUATION fi 1 "l 3y 1 OWNER'S MAILING ADDRESS 1 �, 4 '''` 676 U 12168.00 CONTRACTOR'S NAME-w.. Jime 541-560-3415 TELEPHONE902 C 11 ,726.00 524 0 3 668.00 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace I A LENDERS MAIUNG ADDRESS Total Valuation $166 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 874.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 568.10 BUILDING ADDRESS 5-%8 La Porte Ropti CA Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $1485.10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1. 7.00 91.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 111 @20.00 PERMIT FEE S 141.00 ELECTRICAL PERMIT Filing Fee 20.00 EOOV LESS Main Service zoOA OROR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 2 -1 -as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of.one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XQ t.n 4 . c% pQ. Date gnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction " emoti�y of structures over 3 stories in height. Main Service TO +000A 46.00 W:0 NEW CONST. ( DWEwC. UP. 3,52Ff. 112.5 OR cDONs naiuL�Tcou�rLSS. NON REslo. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 ®+.00 Ex. Occup. OUTLET OR FKTURES BAL @ ,50 FIXED ALIIS Ex. Occup. °. A D.°ER,,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.1 Wiring 23.00 PERMIT FEE $ 155.53 MECHANICAL PERMIT Filing Fee 20.00 Heating 20.00 Cooling 25.00 Hood 6.50 (�• Ventilation 3 4.501. PERMIT FEE $ n • Mobile Home Installation Fee $ Energy Inspection Fee $ 9CC CON TOTAL FEE $ 1892.63 SHA IMP FLooD cDF pgt+O0. TI -P-0 SGE 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. r - ;f By �/"" �' i'/ Date ,'7r - LTi PERMIT EXPIRES ON (• �� �� (Date)'47' ReceiptNo.0 J t y /� �r / l' '7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I SP CJOR„ 49OLDENROD-APPLICANT,J J25 / / /'7 ff t/r:- I BALANCE OF FEES SHEET DATE: O " PERMIT #: ASSESSOR PARCEL #: OWNER' S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban — $ El Medio North Chico Specific _ WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ OT HER " v 1 RECEI?T NUMBER(S) i ,. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541" FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042699 4 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• 09/13/2004 APN: 0287300-061.000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 5568 LA PORTE RD BAN Date: Contractor. Map Index: Description: COMPLETE BP#03-0539 OWNER -BUILDER DECLARATION' exempt I hereby -affirm under penalty of perjury that I am from the Contractors' State License Law for the following reason'(Sec. 7031.5 Business and Professions Code: Any city or county`which requires a Owner: ARNOLDSEN KATHLEEN F permit to construct, alter, improve, demolish, or repair any structure, prior to ' its issuance, also requires the applicant for such permit'to file a P O BOX 187 signed statement that he or she is licensed pursuant to the provisions of BANGOR CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95914-0187 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): , ❑ I, as owner of the property, or my employees with wages as their i sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ARNOLDSEN KATHLEEN F Code: The Contractors' State License Law does not apply to an , P O BOX 187 owner of property who builds or improves thereon, and who does , such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for 95914-0187 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such -projects* with a contractors) licensed pursuant to the Contractors' State License Law.). j ❑ I am Exempt un er Article 3 oft � Busin ss and P f ssions C Date. Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: —' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Policy a: I certify that in the performance of the work for which this permit is issued, I shall not employ any persons any manner so a 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: �J `— q. ?3 Applicant: WARNING: Failure to secureworkers' 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. 1• ^ • CONSTRUCTION LENDING AGENCY J This pe`` "t is ereby issued under the applicable provisions of the Butte County Code an or I hereby affirm that there is a construction lending agency for the Resoluti s dc�work indica d abov r w ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Date: PERMIT EXPIRES ON: D t 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction` I acknowledge it is unlawful to,alter the substance of any offi ial form ordocument of Ile County. I h r y authorize representatives of Butte County to ewer upon thea ove mentioned grope' y for inspection purposes. Print Name: I '/� �x/ /y/�/� Signature: 9— Date: ❑ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY OWNER Last Name irst Name Address City State Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Trp City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Trp City Fax State Trp Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Trp Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Properly Address Flood Zone Cross Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP O BIN # LOCATION AP# 0 Properly Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address escri 'o. or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS It K:\FORMSIBUILDING F0RMS\BIdgADD1SubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received brAk Receipt #: g1c;43Cr Date:/66 Amount: Bldg SRA Sheriff SMTP L� Other 3 �� ! Total REV 7-27-nd SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fwa permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval.(if required). ❑ 4. NPDES Form. " ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can only be made upon written request'by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 O.. 4477=80B PERMIT EXPIRES sh OWNER G. Arnolds6n owner CONTR. 28-30-17 ASSESSOR PARCEL LOCATION SIS LaPorte Rd., across from Bangor Cemetery, Bangor Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E --/ C j/Temp. Gas Service Called PG&E JOB FINAL -11) (Date) Signature = OK = Not OK r = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel=Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels _ 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.N.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72• Insulation -Foam -Looked in Attic ❑ Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral "Yes :1 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes C3 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 29. Equip. Clearances; Panels-Motors-Mech. Equip. - - -- Card B -I Card B -I 30_ _ Clothes Closet Light -Shower Light --- - Date _ Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection _ Corrections from Previous Inspections Date _ Card -BI Card -BI MECHANICAL (Permit) OK except q's 31. A.C. Ducts: Insulation & Support _ 32. Vent Fan; Exhaust above Insulation _ 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 Date Card -BI Date_ Date Card -BI Date 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36, 37. 38. 38. 39. 40. OK except q's Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & -Floor-Nailing _ Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or_Exiting _Doors -Sill Hat. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) k J = OK 0 = Not OK Not Applicable MOBILEHOMES = Not Ready i e MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 'Date DECK OVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-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./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. r Card -BI 1 00 1 ' Date Card -BI ate Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 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-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO11Z. 7 County Center Drive - Orovsiile, California 95965 - Telephone 916/534-4541 APPLICOON AND PERMIT ASSESSORRCEL ER ZONING -_ � T BUILDING E o RTELEPHONE SO. FT. OCC. BUILDING VALUATION vO R'S M ADD ESS C NTRAC TOR S NAME /T TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ logs LENDER'S MAILING ADDRESS Permit Fee $ C12 41 06-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $C) O r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD17 ADDR SS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 v Water piping LOT NO. SUBDIVISION NAME PARE MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Pj Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remodel Utilities ❑ nstallation Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP ORV OR LESS5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. LING OR ADDNS. (DWEACCLBLOGS. OCCUP.&) 20 sq it 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 m license is in full force and effect. y 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 NEWCONSTR MULTI -OUT LET NON •RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS &\ NON-RESID. (SINGLE OUTLET CIR. / 50 @ zs¢ Ex. Occup(OUTLETS OR FIXTURES BAL@IUQ Ex. Occup.(OUTLETS P(RESI D.)RE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 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. 1 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 aga)ns said County in co equence of the granting of this permit. �(���37 z Date Signature of Applicant — Owner 5r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP ( I TYPE of CONST. V / PARCEL v PD ✓ 171 ISSUE !/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /I3 Receipt NO. 10� �R / j � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Owner: Address: Tenant: Building BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A A . n [J_ w A.P. Type of Inspection requested: / / 1. Housing / / 2. Financing ?C/ 4. Other (specify) Present use of building: T 3. Change of Occupancy to 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 wate:r'.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3'. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: r D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments • -- - E. Other 1. Maintenance `and repair: - 2. Fire hazards: . 3. Safety hazards: 4; Weather protection: 5.° Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Rest -room floors and walls: 5. Exits• _ 6. Improvements: 7. Z on ink, : 8. Comments: - G. Field P-rnhl�nc; nr 17inlai-inr,a 1.r 2. 3. What action recommended: T7 A. inforaation only Hold for ten. (10) days, rhe- write letter. �„ Write letter. % D. Other: PERMIT NUMBER - B 492-73B,P2E2M P E PERMIT EXPIRES 3 - ' Z7` OWNER Dennis Young n CONTR: owner LOCATION (A.P. 28-30-1.7 s1s LaPorte -Marysville Rd., across from Bangor Cemetery, Bangor . o wool- COUNTY OF BUTTE Department ofr-Public Works BUILDING INSPECT1014 RECORD Zoning Setback Foundation Piers & Girders _ Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing Plmg. Topout Wtr. Htr. IFFurnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final _ Final Forms Fireplace Lath & Plaster Found. Vents Rough Elec. 0 Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS Y" COUNTY OF BUTTEt—r DEFrARTMENT OF PUBLIC WORKS 10 7 County Center Drive — Oroville, California 95965 / Telephone: 5347-4541 APPLICATION AND PERMIT v authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ? Signature of Permitee o�'(/ nt Receipt No. _ Zd3 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 BLIC WORKS By Date �7 3, Building Permit Expires Date �� BUILDING OwnerD-Jaw SO. FT. OCC. BUILDING VALUATION Mailing Address v rall Fireplace J1U21 10CI-1 Contractor Total Valuation G Mailing Address Permit Fee 77 Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address S y PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q- ✓ -- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,f� Each gas water heater or vent 1.50 / . Q A. P. No. _ J� ^ l Z Hing Gas piping system 1 - 5 outlets 1.50 j D Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ T—co ELECTRICAL No. @ EE ' PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, ach 1.00 Sub -panel (12 or ess) (more than 12) S USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fxtures . 4E M Rd—cep., switches & fix outlets 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: t221,EA, Fan or F.A. Furn. Motor 1.00 ljU Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump (j Misc. wiring License No. Classification — I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $/ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. /I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. d$ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating ` Gs Cooling Ventilation Permit Fee $ I certify that I have read this application and state that the above y pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Instrumentation n gMot $tate Fee for S rg Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ C c7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ? Signature of Permitee o�'(/ nt Receipt No. _ Zd3 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 BLIC WORKS By Date �7 3, Building Permit Expires Date �� ,—rte /`%�/r—�-- /✓��,./a�� •.�'K � �� � �� ..�1� T--~--�Of G � L 1. 4 i a/' 1 ,3UTTE COUNTY APPROVED i his set of plans and specifications MUST be !kept on the job at all times and it is unlawful to make any changes or alterations on same without written parmisson from the Department of Public ` Works, County of Butte. rr� C� 'N'iater:>I�8X Workmanship Shall Be in 1 Acc rdance 'with Recognized Good Practices and F ` of a quality prescribed for the Specified use in the Untorh<Buildino Code, Uniform Plumbing Code, and the National Electrical' Code: ✓ ' Dzi-7 �7 ? s yon y' Rao y o! 9 v� w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 O• (Rev'12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMI ER 028-300-051 ZONING BUILDING PERMIT OWNER TELEPHONE - 0740 SQ. FT. OCC. BUILDING VALUATION 2539 R 1-3-7,1-06.00 OWNERS MAILING ADDRESS PO Box 187 Bangor CA 95914 676 U 12 168.00 CONTRACTOR'S NAE M Jim541-560-3415524 TELEPHONE 902 C 11 726.00 0 3 668.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAILING ADDRESS Total Valuation 1$166.168.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ •. 20.00 -Filing Permit Fee $ 874.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 568.10 BUILDING ADDRESS 9968 TA Portp Road Q9 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $1485.10 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap JJ 7.00 91.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.6o TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 141.00 ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fore following reason: G- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWELLNxi OCCUP. 3,5aS0 ACC. FT. 112. 5 NEW CONST. M NON.RESID. O @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOMRES X9'.50 SAL 9 .50 Ex. Occup. oFuTLEEDTSA RESID.UNISOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 199-53 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation sone hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. n/ ^ � _ Date �6� ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent PnOSHApermit is required for excavations over 5'0" deep and demolition or construction ctures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling 25-00 Hood 6.50 Ventilation PERMIT FEE S 65.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ R3 CONST. TYPE VN TO AL FEE $ 1892 Hoz D.FE IMP FIAOD CDF P�LCEL D SUE 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. -7 By ate -y ? / �.1 PERMIT EXPIRES ON f �> ate Receipt No. U f WHITE-D.D.S.-B.D. CANARY-ASSESSORPIN - NS E TOR DAP NT COUN I Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - SUI DING DIVISION 7 County Center Drive 1, Oroville, California 95965 ► Telephone (&S) 536-1541 a - P-:Pj IJ0. x.12 6i APPLI CATION AND PERMIT ss�soaPnxeF tar�at 00<6, 506 C' �' 1 BUILDING PERMI I �/`� - M FT. OCC. BUILDING VALUATION Jag. Y, G = O c - CnG— _ ©8=9 � eurtnac•�onr� tCAWOMR - � ox e� e/waea �nr�ss arrss l sus wim ' v - USEOFS TRUCTURE + 5 9 e— �F Duplex O Mobilehome O Other s�mr TYPE OF WORK Gas t hteur Addiii� O Aet�del D Lmmmm 0 bsb&grm 0 other l] Bum& descfibe Work IJbbDe �L mq>; X/ f02S!� *?Bt#IT FEE PUD SRI .skdaFF . v "Am" Num �11,) GI (o 4 TO " eur srrro co#nnm re 1 A/,- 1 1-J00 , tahratlon S �' be 20.00 Fee S FTmg Fee hazbno Fee s15 Q IR Pian Chung Fee — aam► 70 u�mA - s PERMIT FEE s 9LUMBING 'PERMIT FMn•+g Fee 20.00 .MP 7.D0 1 T hest pLanp wster hexer ;22.OD 23.OD PFhg 15.00 its waiar hedr or vent t= APPLM OR��eivi:e 15.00 ! -5 mfis s 15.00 1I wooer I JS.DD This pend is hereby issued under the app@=ble proviso= of flee Bute Courq Cade and/or Resohr6ons b do work incrmated above for which fees have been paid By Re ptNo. PERMIT EXPIRES ON VYFirSE.fia i.B d euur.KT-assson Puac-1I5PEesoR 60La�laoD-APPLICkNT Date mvia, POWT Fm $ �-- PERMIT FTmg Fee 2D.DO = COMR 2900 — aam► 70 u�mA 45.OD �Es�'0=T Oft ;22.OD 0=0 oft MMIRM t= APPLM OR��eivi:e Fac6Bes 20.00 2900 PERmrr FIE s KCAL PERMIT FFmg Fee 20.DD $.50 'so PERMIT FEk bss1 aftn Fee s = lion Fee S , This pend is hereby issued under the app@=ble proviso= of flee Bute Courq Cade and/or Resohr6ons b do work incrmated above for which fees have been paid By Re ptNo. PERMIT EXPIRES ON VYFirSE.fia i.B d euur.KT-assson Puac-1I5PEesoR 60La�laoD-APPLICkNT Date mvia, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: YYiy tC..'I� ASSESSOR PARCEL NUMBER Proposed Building Use: 05F Counter Technician: Date: R >v� G Items required in order to apply or a permit. All boxes MUST be checked Omaked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Tlood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑Plot plan and business license approval from the City of Biggs.................................4 1 Letter of intent for nota esid�u�tiad.b gs., r? ; -Sr ;. � ?�, ..r..... � 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form......................................................:........................ _ ❑ 13. Other V4F*ees'as tems needed to issue the permit. Ma require additional plan review upon receipt of the f Ilowin items. g P (May q P P P�j g� /) shown on the attached Schedule of Fees Due Sheet ....................................... V 0 G( Sanitation and plot plan approval from the Environmental Health Dep rtment in 1 Statement of Intent for Non -heated and A/C Buildings .............' ❑ R. City of Chico Plumbing permit ......................:... .. ...........: 8. California Department of Forestry plan approval paid. Sent by� .................... ❑ 19. Planning approval for (A) Use: O 1--- (B)Parking: (C Par el Check: 1 �_ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ Worker's Compensation Carrier and Policy Number ..............:.............................. J- QwaieB_1lder\UerifLcatlioytt(Ij�� enCto ownl r, -❑Mailed to owner) ..................... M6. Letter of Signature authorization..........�-t..I...l.<......................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... :3S ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits........................................................ _ ❑ 0. ❑Grant ❑ M P;J&/StatemerApIA�J, Q Letter gore Legal Owner, ❑ Check to H.C.D. $ When issued Telep`Itdne l9 t` 1 " s-' < j<`" and hold for pickup. I have been informed of the above items an quYements for obtaining a building permit. Applicant: t .c c c,� bc�,�a �oSLQp ��Z _ Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by N phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the da a b ❑ phone, ❑ mail, ❑ counter, �Uj Date: z If Plans reviewed by: !�— Date: -77 Plans approved by: o��ate: Structural reviewed by: P. ffDate: 4/? -, s/0-2 Structural approved by: Date O Note transfer by: Date: Yellnw- Rnildino nivicinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 1 SCHEDULE OF FEES DUE ) OWNER i'1 l (ii� A.P. # GAi��ja l P ED BUILDING USE `� DATE4 1 CE # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. S OL DISTRIC FEES ol L d s ce bl t r e n �� 3. S F FEES (paid at Building Division) Resi ential .................:....x $360.00 = $� (J Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK �,,� $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLIC DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) O.B.- I 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 the proposed property improvement: YES ❑ 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: CITY: ONE: CONTRACTOR'S LICENSE NO. 4. I pan to provide portions of this work, but I have hired the following person to coordinate, sup ise, and provide the major work: N ADD SS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provi a some of the work but I have contracted (hired) the following persons to provide the work ind ated. NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: S C DATE: o NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ 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 carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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. y,L/qrel el C. Vi ira, C.B.O.ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER P.O. Box 187 Bangor, Ca. 95914 (530) 679-0740 Feb 20, 2003 To whom it May Concern: I authorize Jim Sowell to apply for any and all permits that I need from Butte County to build a new residence at 5568 La Porte Road Bangor, Ca. AP # 028-300-051 Kathleen F. Arnoldsen School District 0` A.P. Number VU / Property Owner Property L�ca ioNAddress Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) I U Building Department No. City Lot No. :.................................................................................................................; Residential Development No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # '(No foundation inspection): (................................................................................................................... 0 Addition Department Representative (Floor Plans reviewed by Sldhool D'strict Identification No. 08 0 9 F n I tl School District certifies tha U - 55 40? District Personnel) 0-s- 2--,6(yV0 010� Sq. Footage G/7✓ t.✓ C (Group R) Sq. Footage (Including Exterior Roof Areas) Date (Applicant) Cod 9 -- (Street Address) (Phone Number) (City) �u I(State) has complied with the requirements of Resolution No. i representing I �� square feet. 11AB 2926 FULL MITIGA N School District Representative Paid by Check # _—.;, Remarks: (Zip Code) tent of $ s b5.22�0. Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 0 03-c?,I-o -s ✓�tLuJ (J-1 q -. 0--) April 25, 2003 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Glade and Kathleen Arnoldson P.O. Box 187 Bangor, CA 95914 Assessor Parcel Number: 028-300-051 Building Permit Number: 03-0539 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. kN-STRUCTLMAL COMMENTS: of do riot have a code approved egress window in bedroom 2. I have rioted that the 4050 st open per egress requirements. W vide the location of the furnace. If it is in the attic, a truss detail is required that shows the mechanical load. SU6UCTURAL COMMENTS: Q Please specify hangers required to attach the deck to the house on details 3/9 and 6/8. Please note that the decks must be positively anchored to the primary structure and attachment may not be accomplished using nails subject to withdrawal per CBC Sec. 2320.13. Feel free to have the engineer call me if he would like me to add this information to the plans. If you wish to discuss any of these requirements, please call (530) 538-7541.between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Linda Simpson Plans Examiner cc: Jose Silva, P.E. . Philo Hunt, P.E. Plan Check Engineer 1 of 1 a V.T TFo O RESIDENTIAL PLAN - :--:`+fir- REVIEW GUIDE a • i.:-" o SINGLE FAMILY, DUPL RAND n_ _•� MISCELIANEOUS ONLY Owner. Building Permit Number: b `� ' 6 5 Z Plans Examiner: �;/zdq 5' A. A. P. Number: �?1�9 VZ =ER.. L: oning requirements — (number of permitted living units). lanasigned by the designer. roper description of work on the application. xisting violations on the property. ecorded noticeof violation. uilding permit valuation. PLOT PL .N: Complete parcel size and dimensions. Setbacks, side yard. easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage Sees ❑ Federal :did Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When «indo%%s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in Ibis section. Kitchens. halls, bathrooms and toilet compartments may have a ailing height of not less thttn 7 facet measured to the lowest groiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar. and exterior receptacles (NEC 210). Water heaters "hich depend on the combustion of fuel shall not be installed in a room used.or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (uniform Plumbing Code section 509.0). l•) Fuel burning, equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom. or in a room compartment or alcove opening directly into any of these (Uniform Mechanical Code std wj. . Garage firewall separation - required on garage side including supporting walls and posts (Uniibtm g Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes ([;nifor:n Building Code section 312.4). Wood stove location - Alcove — UbfC section 205 confined space & 223 unconfined space & 304.2). Smoke detectors (Uniform Building Code section 310.9.1). Paget of 2 Water closet clearances (Utriform Plumbing Code 408.5). } ShoWtir compartment minimum 1024 sq. in & 30" circle (Utriform Plumbing Code 412.7). ,W Bearing walls shall be supported on tnasoru3' or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). UCTURAL DETAILS: (713 idWall panels shall start at not more than 8 feet from eachend of a braced wall line. BracedWall panels = be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Sparing shall not exceed 34 feet on anter in both the longitudinal and transverse directions NBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect of registered engineer must prepare a lateral analysis for the areas of the building that do not comply With the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed Clem, and cover sheets of calculations. - . .d' Clerestory requiring balloon framing and/or engineering. 4=' PounWon plans complete enough to construct building (Uniform Building Code Table 18 -I -C). s9: Floor construction details complete enough to construct building. xV Elevations and Wall construction details complete enough to construct building. •7: Roof construction details complete enough to construct building. r8. Fireplace construction details and calculations if necessary. Garage door header size(s). Porch header size(s). Typical header size(s). . Stud heights. 1 , High expansive soil — special foundation design required. Retaining Walls requiring design. Cf* r3=carea Wallboard nailing inspection required. f below the lowest floor is fully enclosed. than a minimum of two openings are required With a total net area of at least one square inch for every square foot of area enclosed With the bottom of the openings no more than one foot above grade. Alternatively. certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on ea�terior Walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction design requirements must be shown on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: Stairway details — landings, rise and run ran head clearance, handrails (Uniform Building Code section 1003 ). Guardrails (Utriform Building Code section 509). Bride or stone veneer (Uniform Building Code section 1403). Exterior plash Weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15 -B -I & 2,15-D-1 & 2). Foam insulation — protection. r" 36" halls and stairways (Uniform Building Code section 1064.3.3.2). v exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 8 2306.7). . Attic access and ventilation (Uniform Building Code section 1505). ound requirements. Energy design compliance and supporting documentation. . CDF responsible area requirements. UILDING PERMIT REQLIRENTEN'TS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire SprinWers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lener. Pace -- of JasOIOOHVQ.-Assessor Name JARNOLDSEN GLADE M & KATHLEEN F i Asmt # Fee # 028-300-051000 ` Status ACTIVE Status Date 05!0311994 Addrl P 0 BOX 187 4 -- - — -- Tax 000 NORMAL OWNERSHIP 7�TRA 052 006 ` Addr2 BANGOR CA 9i914-0187 ,� Situs 15568 LAPOR_T_ERD BANGOR Addr3j Base Dt Addr4 _ - - - r Land 18,731 Timber Preserve Structure 16,006 J AgPres Comments IWAS 028 300 717 RD TAKE BY 94.1921510 Fixtures 0; i Etal - - . Creating Doc# 1 99481 9215 Date 05!03/1994 r Notes Growing _ 0 rJ Bonds Total L&I 34,7371 Current Doc# 1994819215 ] Date Fix. R 0 Killing Doc# Date Q Multi Situs MH PP - - _ Asmt Desc 5568 LA PORTE_RD SuplCnt0 J Flagl J Flagg PP 0, Zoning �--- —�r Dwell5_11 r 910 MH Exempt_ 0, Acres/Sq Ft 8.59 N!C 028 r Asmt PP Pen Net 34,737 Tax PP Pen RIC#_ r Appeal Pending T/R Dt [) Split Pending R!C Stat PHY OWN EXP TAX HON =ATT`: APR. PCL f ► ►� = tea, , :.9 �f t 5 Findt - - j 2002 j[myoung, 08116)20023;22;41 PM', 2 th rrrI?W" n�ti f�"r 07? 3;22:41 fi�F1 AND WHEN RECORD ,MArI,TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 D 3 -05 39 Z®03—��ba9946 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:20PM 14 -Feb -2003 REC FEE 10.00 CONFORM 1.00 MaryR Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A Portion of the Southenst quarter of Scctlon M. 0.!I. b M., more particularly describe ollovs: Beginning at the Section co common to Sections 27, 29, 33 and 34, said Town- ship n:ld Ranke; U:cnc uth 87'7.5' 14:cst along the Southerly line of said Section 2^, n distance 3.l feet to the centerline of Ilangor-Laporte Road; thence along; F. I Itcrline of said L'anl;ur-T.aPorte Road, \crth 25°13' East, 1501.30 feet to t . nst 1foe of said :Srctiuu 28; thence South 2"21' Fast, along said last-racn- oncd ].inc, a distance of 1328.12 feet to the point of beginning. Date 0-2- /-Z/- 05 State of Cali ornia County of k� h pa N L. f � r . kRilida J�J personally appeared known to a (or proved to me on the basis of satisfactory evidence) to be the personf j whose nameis/�� subscribed to the within instrument and acknowledged to me that Wshe/t�y executed the same in Wher/ttfeir authorized capacityi , and that by hoer/th�signature(4 on the instrument, the person S,$)'or the entity upon behalf of which the person(s�acted, executed the instrument. WITNESS my hand and official seal. l,, (��^ SHAWN I. NELSON Signatur CUL�C, V Seal: LONOTA Comm.r11363103 RY %161IC-CAlIfOANIA Yuba County My Comm. Ezpfrea June 30, 2006 A. P. # C) 9,'3 - SOO - 0s ( , RECORDING REQUESTED BY )D1DW L 'I'PIT.Ii .,� I_"' '1tOVV 2014t ANA Order N a 0 AND WHEN RECORDED MAIL TO K�TNLECN F. RAi���i1���1 -Sakid -189 Emmd' LA 20103-10006642 Recorded ' Official Records CO�yE f CANM J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:10PM 31 -Jan -2803 REC FEE W.80 MaryR Page 1 of 2 SPACE ABOVE THIS UNE FOR RECORDER'S USE APO 99--%v- 0"3I -wO Affidavit -Death of Joint Tenant THIS FORA FURNISHED BY BIDWELL TITLE S ESCROW COMPANY STATE Or CALIFORNIA, County of flU TrE } SS. 1C(�TNL��rf F. ARNnu),get That L AcDL f'(1 . 1� LU t�LI�SL. U Certificate of Death, is the same person as L N n J = named as one of the parties in that certain �D F 7RU executed by L AD E rA . A A ND LDS L Iu +- to C-, Ln, U C- m ,of legal age, being first duly sworn, deposes and says the Nec LI�t ju jtioned in the attached certified copy of ST dated Pd IQ , I (l 'I" )(ATut_Cttu IF. AAA)bLb5SGN as joint tenants, recorded as instrument No. a Q 1 on rA AV .in Book/Reel 1 � l l _ Page/Image �^ of Official Records of County. California, covering the following described property situated in the County of .IL ME State of California: A portion of the Southeast quarter of Section 28, Township 18 North, Range 5 East, M.D.B. & M., more particularly described as follows: Beginning at the Section corner common to Sections 27, 28, 33 and 34, said Township and Range; thence South 87 25 West along the Southerly line of said Section 28, a distance of 693.0 feet to the centerline of Bangor -La Porte Road; thence along said centerline of said Bangor -La Porte Road, North 25 13 East, 1501.30 feet to the East line of said Section 28; thence South 2 21 East, along said last mentioned line, a distance of 1328.12 feet to the point of beginning. SUBSCRIBED AND SWORN TO before me, the undersigned. A Notary Public in and for said Slate. � 7 this day of - �C�n%_k%- T� � WCINM- S myand official seal. Signature n \ O<<. �., i 1-0 Qsa2,�- OTE -AFF -02 (250 2/95) 00, / "Wzdy�'�IX6_f_ SHAWN I. NELSON Comm. 1IU & 1901, TAP UIC-GHtrOW W taw. A tYem.tOpf (This area for official nolarial scal) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Feb -2003 2003-0009946 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of the SouUira;t quarter of Section 28, Township 18 North, Range 5 East, M.D.!I. b M., nore particularly described as follows: Beginning at the Secrion corner co=on to sections 27, 29, 33 and 34, said Town- ship n:id Range; LL•cncr South 81'25' 6 -'est along the Southerly line of said Section 2S, x distance of 693.0 feet to the centerli,ie of Ilangor-LaPorte Road; Lhence along said centerline of said Dani -LaPorte Road, North 25°13- East, 1501.30 fret to tl,e East lice of said :*PcLion 28; thence South 2"21' Fast, along said last-men- tioncd line,.a distance of 1323.12 feet to the point of beginning. Date C/�2-/-,/- O--3 PROPF,RTYOWNERS: State of Cali ornia County ofk e - before m personally appeared \LAC�M, `-Q-!� 1� C,-' kn n to ma (or proved to me on the basis of satisfactory evidence) to be the persono whose name is/3subscribed to the within instrument and acknowledged to me that h/she/may executed the same in Wher/tHeir authorized capacity i ,and that by hl�/her/th signature(s� on the instrument, the person _Vor the entity upon behalf of which the person(s acted, executed the instrument. WITNESS my hand and official seal. LQ SHAWN I. NELSON J Signatur '�.�Ci 1 4 C�t c� Seal: No COMM."1C.0 63 fA CALIFORNIA N Yuba County My Comm. Ezpiree June 30, 2006 A.P. #_O - 300 —os r TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.N. USE ONLY Plot Plan Attochod ? �� Roos Plan Attssleed _ ✓ Sent to B.D. 1 J/ Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well t� Clearance for ✓ dwelling. Other- .GTk5 .eazrr�? �c.c9ccG�.c�9 Hold final for: Final clearance O.K. for: - —� NOTE: eV"5-ri�9 004J�F-oC-r4E4 . To �r-o� Date SITE PLAN le -076 .. .. .. _._q...._s..... _............ x--•--^ ---- s------�._._.._.... ti ...... .' ---...e q_.. ...._ .. ..... .--. _ r .. ...... _ _......_-..... .._ _. .. .. .. _ Assessor's Parcel Number ®� ®" s ® © m ® 0 0a mer Namd Address ! Phone NO. p . ti-'� Q . -s 3t} q- Site Location � S �k� ��� � °!- �� ��'��'� � � � � q 1� Contact: Nave r �Phorie ...�, 9 FOR OFFICE. USE 01148 PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): Gerger a8 Plan ®esig: Z.ONONG: Sipa, GEN PL H: �:©� UES: S TE PLAN .-_..... _._ .- . -.:: ._ 001 ' 4M. , ................. .. - •. - . - : .............. .. .. .. - .. . • • -- .................. .. ... ..... .. Assessof's Parol dumber: ®'m ® 0 © m ®- [3-0 OR mor Nernm Address / Perone Nle. Site Location 1, 1` G"D R Contact Naveria. ; t�t��i� � . ��� ���\ Phone � �O Sole: lot = FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres _ PROVIDE FOR ALL. . ADJACENT PARCELS SIZE (AC), ZONMG: .GEN PLAN: USES: .