Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
028-440-008
t 745 AVACADO RD, BANGOR Cont: OWNER PWR POLE FOR NEW WELL ..• -. - _ - � . - " . `� _ - ,� _ .. >.. .�. ALS _ Y ��< �..: - Ott. L _ �_ , r <;r ' � �':'# f .::" • �� ROBERTSON,D ROBERTSON AVO CARO RD., B NG ,�0�22 PRIVATE DET. GARAG . STORAGE r1Le, 4(11 10(o . 028-440-008 05-1304 SMITH, RICHARD 745 AVACADO RD, BANGOR Cont: OWNER PWR POLE FOR NEW WELL ..• -. - _ - � . - " . `� _ - ,� _ .. >.. .�. ALS _ Y ��< �..: - Ott. L _ �_ , r <;r ' � �':'# f .::" • �� NOTES RESIDENTIAL PERMIT NO. _ 028-440 - 05-1304�,— SMITH, RICHARD 745 A{ ACADO RD, BANGOR Cont: OWNER PWR POLE FOR NEW WELL l SPECIAL CONDITIONS CHECKED BY SRA s FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER y OFFICE COPY Address I - - t t GAS Meter By Date ' ELECTRIC Dat Meter By JOB FINALED (D Signature = OK =Not OK = Not Rbie MOBILE HOMES = Not Readyeady eaQy 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/O -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 "ft1 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Tosses 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 -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elm; 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 J=OK D = Not OK = Not ApprKable o = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r 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-Frtting-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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Efec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.G. Dud 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 tnstldJDrive 0 Yes O No/Walks 0 Yes 0 No/Plarrters 0 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. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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, Rrst Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Ught-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 6 Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Efec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.G. Dud 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 tnstldJDrive 0 Yes O No/Walks 0 Yes 0 No/Plarrters 0 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. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051304 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/19/2005 APN: 028-440-008-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Site Address: 745 AVACADO RD BAN Date: Contractor: Map Index: Description: ELECTRIC FOR WELL ONLY OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires.a Owner: SMITH RICHARD permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a BLACKMORE, PAM signed statement that he or she is licensed pursuant to the provisions of 112 BURNT CREEK WAY 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 FOLSOM, CA 95630 she is exempt therefrom and the basis for the alleged exemption. Any 916-769-2119 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the- 'structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SMITH, RICHARD Code: The Contractors' State License Law does not apply to an BLACKMORE, PAM owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 112 BURNT CREEK WAY provided that such improvements are not intended or offered for FOLSOM, CA 95630 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 916-769-2119 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: HURST, MIKE not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 15 OAKCREST DRIVE ❑ I am Exempt under Art Kra - the Business and Professions Code OROVILLE, CA 95966 o. ----- > '� ` V �— 530-589-5330 Date: owner: MIKE-TERRI@SBCGLOBAL.NET License #: 335967 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. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: t I certify that in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d k i Ica ad above for which fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) Name: —��t6 By: Date(:,, Address: PERMIT EXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ % Notification in accordance with Section 18827.5 of California Health & Safely 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 slate laws relating to building construction. I acknowledge it Is unlawful to alter the s Yatefl any official or or document of Butte County. I hereby 2ulhorize repro entatives of ButteCounty too enter upon theabove mentioned property for Inspection'purposes. Print Name: ..� 1/1Ci �'`, t/ Signature: _ Date: ''&Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL R(; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 1. Zoning-Setbacks-Easements-Flood-Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel-Wrapped Shear Walls; Nailing -Bolts 8. Piers-Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 11. Water Pipe; Test-Anchors-Regulator-Service Test Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Door; Swing -Landing -Closure 13. Plenums & Ducts; Clearance-Material-Support-Ins. A.C. Duct in Garage -Damper 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection .15. Access & Ventilation Plb., Elec. & Mech. Equip. Listed for Location 16. Insulation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Clearance Looked under Floor Q Yes 17. Water Htr.; Vent-Access-Combustion Air Baffle Following Instld./Drive Q Yes ] No/Walks 0 Yes 0 No/Planters Q Yes 0 No 18. Water Pipe; Test & Anchor-Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor-Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor-Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 21. Test Tub & Shower, Second Floor-Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sixe & Anchors Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 23. Fixture & Transformer Clearance-Ins. Protection Water & Sewer Connected -C/O to Grade -HD Approval 24. Elec. Receptacles Spacing-Lights & Switches at Doors Energy Compliance Certificate -Other Certificates 25. Size Boxes & No. of Conductors Stapled Address Posted 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Card B-1 Date Card B-1 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36: Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing Dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive Q Yes ] No/Walks 0 Yes 0 No/Planters Q Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V= OK 0 = Not`OK - = Not Applicable • = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rh rs.-Connectors Shthg.-Frg-Bracing 4, Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche 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- Rh rs.-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' L. r.�r�i � � 1 _� • . + t 1 t• NOTES RESIDENTIAL PERMIT Nr 028-44-0-008 �Y_W�6 ROBERTSON, DENNIS 00-0822 � CADO RD., BANGOR PRIVATE DET. GARAGE/STORAGE 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY A.=i:i�V_ �A\+i'CR6rj�iRJ,R9�?v:NC....+,ti.�;•A;���.:� �- '`' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION w 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 SR 1, 0. (Rev.12/96) APPLICATION AND PERMIT9 ASSESSOR PARCEL NUMBER 028-440-008/`� ZONINGA BUILDING PERMIT OWNER 5 DENNTS ROnF.RTRONG TELEPHONE 44 7pq SO. Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 243.9 VF. W NJOSE. 051 1824 lF 1 32.832 CONTRACTOR'S NAME OWHR TELEPHONE �- CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER ff \, LICENSE NO. Filing Fee $ 20.00 Permit Fee . % $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee i $ 7 BUILDINGADDRESS 715 VACADO BAWDOR Energy Plan Checking Fee , $ t $ /1 t PERMIT FEE $ 60 LAT NO. SUBDNNAME PARCEL MAP _ISIONS PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE/STG SPECIFY Each Trap 4 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New)ESr Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 STORY PRI DET GARAGE/STG 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 �• PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service` sooAoaLLESS 23.00 LICENSED CONTRACTOR'S DECLARATION .! L 'I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (ooii mencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. t ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IX I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am.exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5Q SO. OR ADONS. ( 8 ACC. BLAS. FT. COT. MULTI -OUTLET @7.50 OWERAPPARATCI S , 8 SINGLE OUTLET OIR. OUTLET OR FIXTURES 20 @ 1.00 -1 �• Ex. Occu . BAL @ .w Ex. Occup. OPIxL1TELETS R=oEA P 5.00 ` Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _,✓-�'✓�— �'!/ C ,�"----�^"'' Date ���/e-'e� Gidnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent,' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigjat. s s ,�i..r L Mobile Home Installation Fee $ Energy Inspection Fee $ o•c co T.;TVPE TOTAL FEE $ 52� fi0 j /� D ES IMP ` FLOG C pgRC /+HD 5S E This permit is hereb`y�is-sued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �" / ,,, PERMIT EXPIRES. -V6,41/ V / (Date) ,„C1 r Receipt No. �X /a 0') 1- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51304 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under _< provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/19/2005 APN: 028-440-008-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 745 AVACADO RD BAN Date: • Contractor: Map Index: Description: ELECTRIC FOR WELL ONLY OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SMITH, RICHARD to its issuance, also requires the applicant for such permit to file a BLACKMORE, PAM signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 112 BURNT CREEK WAY 7000) of Division 3 of the Business and Professions Code) or that he or FOLSOM, CA 95630 she is exempt therefrom and the basis for the alleged exemption. Any 916-769-2119 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): _ ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and • the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SMITH, RICHARD Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does BLACKMORE, PAM such work himself or herself or through his or her own employees, 112 BURNT CREEK WAY provided that such improvements are not intended or offered for FOLSOM CA 95630 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 916-769-2119 proving that he or she did not build or improve for the purpose of sale:). j I, as owner of the property, am exclusively contracting with V licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: HURST, MIKE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 15 OAKCREST DRIVE ❑ I am Exempt under Art the Business and Professions Code OROVILLE, CA 95966 � Date: owner: 530-589-5330 MIKE-TERRI@SBCGLOBAL.NET License #: 335967 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ` �•V Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees._ fO \ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to9CZ vefor which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) " Name: By: Date: b �• Address: PERMIT EXPIRES ON: D e ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 113827.5 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 slate laws relating to building construction. I acknowledge it is unlawful to alter the s any official or or document of Butte County. I hereby Ziuthorize repre entatives of Butte County to enter upon the above mentioned property for Inspection �rposes. r r r Print Name: I 1 n 1 ' A& l/`-' Signature: Date: l_ F )_©`� •Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name Fi am i►4/ i Address I ee We City-�, State Zi 5'604N Phone 3d Ph , _ - _ FaCc I — E-mail / S— le Or CONTRACTOR _ Name - 1 _ - C Address rJ bGl,L�e L City Sta� Phone�� Fax E mail Lic. Class IAPMCANT SIGNATURE x _% For office use only: ARCHITECT/ENGINEER Name Qv Y'M41 !YM ICAC; il'tCt Address SRA City vr„ State Zip Phone Map Book Fax E-mail Planner State License Number IAPMCANT SIGNATURE x _% For office use only: APPLICANT NAME Name,� Qv Y'M41 !YM ICAC; il'tCt Addres SRA City vr„ State C Zi Phone Map Book Fax E-mail Planner IAPMCANT SIGNATURE x _% For office use only: Zoning Property Address !� '?4/5,4t/a 0 /20 aGQ Flood Zone Cross Street // O aAr , G wa SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 03 7130 BIN # LOCATION AP# oa �- yvo-Oo Property Address !� '?4/5,4t/a 0 /20 aGQ City .c/ or Cross Street // O aAr , G wa 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: Polder ade 0 JV7 C" 4/0,0 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. rived by: Amount: �— Bldg SRA Receipt #: Sheriff 6� SMIP Date:s r? .� Other ~� Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 v SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a ermit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑D 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en iq neer. ❑ 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 Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY, OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET Mona) ( OWNER: .�' ' \ lac r�� ASSESSOR PARCEL NUMBER V�� ' U • dU� Proposed Building Use: � Permit Technician: Date: 65 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord r o apply. 111 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of -the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ - ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required .............................................. *....****"............ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forest Ian approval ❑ paid. Sent by: .......... 24. Planning approval for (A) Use: B)Parking: (C) Parcel Check:. ^.... $�0� 25. Contact Land Development about _ Improvements; _ Drainage ........................ ❑ 26. NPDES Form................................P......................:.,.......,..:.4........................ ❑ 27. Encroachment Permit for driveway froe�Futil Wo ks�Depf ............................ mah ❑ 28. Contractor's license information:'(,Numbe, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Pol p Number .................: ...................... Nr.j j; a T_-. y ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy -of AgOicultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits................................................******... ❑ 34. Deed Restriction......................................................... .... ***.1.. ............... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other:f',-, /r ❑ 37. Other: (� (, l q When issued Telephone" 1 ' -R t I' I and hold for pickup. I have been informed of the above items ad requirements for obtaining a building permit. rj Applicant. �L. ,� Date: 1. Index permit applicatio - bGve.items aumbered:� Plan Check Letter 2. Add itionaUe required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Datek.a /)-N IV Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: \ Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division y: (Rev. 12/96) ..COUNTY OF BUTTE; DEPARTMENT OF DELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cj+lifor..A -95965 • Telephone (530) 538-754 �v0. APPLICATION 11' ND PERMIT (� ASSESSOR PARCEL NUMBER 028-440-008 20NING '• ��A BUILDING PERMIT OWNER DENNIS ROBERTSON (4081 TELEPHONE 3787 SO. FT. OCC. BUILDING VALUATI Ole .041 OWNERS MAILING ADDRESS — 1824 U 32,832 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 197,60 BUILDING ADDRESS f7q5 AVACADO RD— BA-U12,0R. Energy Plan Checking Fee', ee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE/STG SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New)R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 STORY PRI DET GARAGE/STG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P 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( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. OWELLINO OCC OR ADDNS. ( d ACC. BUDS. so. 3.5{!so. Ft. ptOµp�,pT MULTI.'NCHOUTLET CIRCUITS 97.50 OWER APPARATUS 8 SINGLE Oun.ET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @':00550 MED Ex. Occup. DuT PRZ.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) )$( I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. Date Gd Qnaotureof Applicant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 to les in he MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ En rgy Inspection Fee $ D D °� JIRTAL FE $ `, HA p IMP �FLoO C PARC H ISS of This permit is hereb sued under the of the Butte County Code and/or indicated a ove for which fees have By c_ PERMIT EXPIRES L4 appIca a provisions Resolutions to do work been paid. Date eD /_') ID to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I t� ♦y � E.H. USE ONLY Plot Wan Attached µ S Float Wan An had Sent to B.0 I 7.1 e' TO: , Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance .h61s Owner Location AP# Plan Approved for: Sewage Disposal WaterMSply:P blic Private Well Clearance for dwelling. Other 5 2Lf X"3� s' o/2AG-� P Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 4 ..i :� v.. i' N•i: ...71°"+x- '4tK� ...',* Sv.�%�+ �q"� ti: f' F' C1 OF BUaT�TE =~ DEPARTMENT O DE�VE,.�L��OPMENT SERVICES -BUILDING DIVISION 7 :COUNTY CENTER DRIVE - OROVIL)✓'L`Cttt ORNIA 95965 - TELEPHONE (530) 538-7541 'PERMIT APPLICATION DATA SHEET + OWNER: ASSESSOR PARC Z. 0G'`�O `. a-� Proposed Building Use: uilding Inspector: Date: At time of permit applic tion, I was advised t e following data must be submitted prior to permit roces g and/or issuance: ` } „ Date Received By ❑ 1. All iiems have been submitted ------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------- ----------------------------------- 113. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------ ---------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 5. Engineered truss details and layout in duplicate (required prior to plan review) Nb faxes! ---=-------------- ❑ 6. Energy Design Compliance and supporting documentation. --------------------; ------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------=---- --------------- ---------------- 1:1 ------------'---------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------- --- ------------------------- ❑ . Impact fees as shown on the attached schedule. --------- -- ----------------- alifornia Department of Forestry plan approv fees.--L-°2=�IoG Flood elevation certificate. ------------------- --------------------------------------------------- «) r anitation and plot plan approval Health Department. -------------------------- # 5. City of Chico plumbing permit.------------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 7 arming approval for (A) Use: (B) Parking: 8. Contact Land Development about Improvements, ❑ Drainage, Legal Parcel ------------------------- ,9 ----------------------- 19. Encroachment Permit for driveway (construction approval prior to occupancy).' Pre-inspection for required. Request to Building Inspector on- Qate) ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------------- El 22. Workers' Compensation carrier and policy number.----------------------------------------------------------- — ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ ❑2J5. Recorded copy of AgricultL 26. Letter of intent on building 027. Manufactured Home utility 028. Existing violations and/or expired permits. 29 0433 A Grant Deed, ❑ M.H. Tit1p, ❑ Check to . , .D $" 3 0. Other: I oO t' I Clh o[y`G.1� d r ��Y'------- When you is -sue the �ermit process as follows ❑ Mail to owner, []Mail ❑TelephoneJ 3�'-/ 7 d hold for pickup at office. ❑ Deliver with inspector. (0) CRo —O) 9y� Date: r Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air PollutionDate: By:01 Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisio counter, by Date: . r" Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building is' n counter, by D te: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: i,,, Date.- Yellow ate:Yellow Copy -Department of Devejopment Services, Building Division. ,�+� 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 v proposed property-improyement :YES NO[ ]. 2) I HAVE[[ HAVE NOT[ : ]signed an: application_ fora building permitforalie proposed work.,:..d:., A 3. I have contracted with the --following 'person. (firm) to provide -the --proposed construction: NAME: ADDRESS:: :.::_;:::..:.. :.: CITY: '-.. PHONE:—__.,__-.::_._-..._._._.:_....:_ .:..:.CONTRACTOR'S. LICENSE NO.-,---.. = 4." I plan �to`provide",poitions of this *&k; :-but I have hired the following person'to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I willprovide some of the work but I have contracted (hired) the following, persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: r1 PROPERTY OWNER: D�W/ / 5 Robe.- fso.� SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. .. 1. •"i .:.'a'. F:l.... 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 yoursel& 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: �X= 0 If you employ or otherwise engage any*persons other than your immediate family, -and tlie-work (including . materials and other costs) is' 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employei and"you, are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability insurance costs, and unemployment compensation contributions.:. 0 There may be financial risks for"you if you do not carry out these obligations,"and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. . If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 6OUiNTY.OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -r 7 County Center Diive • Oroville, California, 95965 • Telephone (530) 538-7541 No. ay. 12/96) APPLICATION AND PERMIT tiSfEffOR►AflCEI NU►e01 Dag` -69241 2ON"0 BUILDING PERMIT SO. FT. I OCC. BUILDING VALUATION ?NNERi MAUNO DR e�- Z;,RR0=1%-$ NAME c01 TORI "NO --ION 6E -OM IENOEA's MNu00 ADDRESS i ZAc"rtECT OR ENOiNEER ,.CWtcT OR &4WEEA7 MAUNO ADDRESS z�. ADORES$ LOT NO. SUBONISKMS NAME .i �'` USEOFSTRUCTURE ❑ Duplex O Mobilehome ❑ Other SeEcry iTYPE OF WORK .Y ADAdditionO Remodel O Utilities ❑ installation O Other O tribe Work: 9-(4x 0 Fireplace PERMIT FEE $ Total Valuation Is Filing Fee 20.00 Main Service Filin Fee $ Main Service Permit Fee b NEW CONST. OR ADONS. Plan Checking Fee L Energy Plan Checking Fee i S PERMIT FEE _ PLUMBING PERMIT Fling Fee Each Trap 1 7.00 Solar or hent pump water heatere23.00Water i in Each as water heater or ventGas piping system 1 - 5 outletsBLildin sewer Mobile Home S W 20.00 0.00 .---- PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service o. o� LEss 23.00 Main Service 100A To I000A 46.00 NEW CONST. OR ADONS. DWBAJ O OCCUP. • ACC. BIDS. 35¢so . . Ex. Occup. OUTI-ET OR FwP-A"0AL z ,50 Ex. Occup. o,rrlEDs o. EA 5.00 -- Temporary .00Tem oral Servic 23.00 Mobile Home ncilities 20.00 Misc. ' np 23.00 l PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 PERMIT FEt t le Home Installation Fee S Energy Inspection Fee I b occ CONST' TYPE TOTAL FEE S NAZ O. FEES W► I RD00 I COf I rARCQ. oo 6suE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ,,I ADDITIONAL INFORMATION: �hiS i �U / y �/ 16 / N �vr� �n r $ 4 /"-v yd{�/ T GI In / �- .fes ti (J` t✓ !' ,y S v G Y /O .e/ $ 4 c' P S :J i.t/; /� C a.vV %`N1o. e: ►���-/7S hod d-� �oy'�c,� . I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIGNATURE TE 0 ( .z ,w OWNER'S SI9fiATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN:ONE: BUILDING PMT. # OWNER: )0e,41 V1 S e r �s�-v G �-a G' 4yH1o�V tJ PHONE: 7"V 15 .77'8 vL//7 MAIL ADDRESS: SITE ADDRESS: PROPOSED USE: S / �' r A ra e- 01- 5A:::P 0 PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: 4. Will the public have access to this building? Yes: No: X 5. Will any advertising, on or.off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? 16. Will this building have a water closetttoilet? Yes: No: Yes: Uig° No: k 17. Will this building have a sink? Yes: t'p No: 18. Will this building have a water heater? 19. What type of floor covering will the building have? 7�L w6v c/ Yes: &f6r,,e No: C o -vcl ke fe l 20. What type of wall covering will the building have? %I.1 / X7- CDF FIRE SAFE REQUIREMENTSS C;)_e_`-r--0S C9n AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be'superseded by Butte County local regulations which equal or exceed these standards. Field inspections e by the Butte County. Bu iwill be made for compliance. K 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, I 1273.07 culverts and other app-:rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,00.0 pounds. ] I 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have'a-horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical. -curves in roadways exclusive I of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. Ifrequired, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ['N 1270.10 Width: All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3- " AP # PERMIT # NARIE [ 1273.10 Turnouts. Driveways exceeding 150 feet in'length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. rL -/J.' 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification .1276.01 Setback for Structure Defensible Space. J 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels -less than 1 acre, local jurisdiction .shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi:ial.inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback is -Less Than '15 Feet Choose any.3 of the following: - Metal or no doors.on.side toward property line with insuffi- cient setback - Class A or B roof with enclosed.eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 1078.43' q E V I E'Jlt /1 —7- D n Y FTE CO. FIRE DEPT. -'. DEPT. of FORESTRY wed as submitted )Vr-','4 Vvi"th conditions Oil h p .,:-zc ad si j Zt. dale UIPMENT INCLUDING t OF ALL EASEMEN-rS. FRiOP0 THE 34'0,'-�Nl) LiME$ 4:�N-D ZNTEI�UME SNALL SF - EQUIPMENT EXCEPT' N I q COUKIV RUMM MPAWMERW A 90- P ru" NORTH ELEVATION Lj-.,<Hl-L.E-15 EN&NEEMN6 67PAP11r,15 C 01 A-01 EAST ELEVATION A SCALE: 1/4' = 1'-0• NO.: DESCRIPTION: 1 SHINGLES 20 YR COMP OVER 15 LB FELT AS PER MFGR 2 18" OVERHANG 3 3' x 6' WINDOWS 4 1" x 4" TRIM 5 T111 SIDING NAILED @ 6" & 12", 8# GAL 6 3' x 7' METAL DOOR EAST ELEVATION LL✓4GhLLES ,ffNG1NEEIPING 6Pi4PM5 'ArA6,4ri A-0 NORTH ELEVATION B SCALE: 1/4• = V-0" NO.: DESCRIPTION: 1 3' x 4' WINDOWS 2 8" x 8" OVERHEAD DOORS BUTTE COUN-P, 13UILDM DEPARTMEMI APPROVER NORTH ELEVATION LLAGtILLFS �NGINPFPING 6RAPtlICS A-0 WEST ELEVATION C SCALE: 1/4' = 1'-0" 1 1 13' x 6' WINDOWS 6uTrE coubr..w BUILDING DEPARTMM�- ,APPROV,c WEST ELEVATION LL✓4Gl1LLP5 fN6/NfMING 6PAPHIG5 A-04 SOUTH ELEVATION D SME: 1/4• = V -o• NO.: DESCRIPTION: 1 3' x 4' WINDOWS 2 10" x 4' WINDOW f3 LO TOILDNG .t . APPROWED SOUTH ELEVATION U-AGIIL -E5 ENGINEEPING GP/ PHIG5 S-ol FOUNDATION PLAN VIEW w/ REBAR A SCALE: 1/4' = 1'-0- T Of �4 3 8 N e 10 G r 8 � 3" CLEAR 9" 18 S -OI FOOTER ELEVATION DETAIL B SCALE 1/2. N 4 �36 SQ" -I S-01 SUPPORT POST SLAB DETAIL C SCALE: 1/2• = 1'-0- - 16" 1TYP. S -OI CORNER PLAN DETAIL D SCALE: 1/2" = l'— 0WM COUNT' " CN N NO.; DESCRIPTION: 1 5x60" BEND ® 90' 2 #5x CONTINUOUS T&B @ 4" O.C. 3 5x18"x36" BEND ® 90' 4 5x48" @ 32" O.C. ALT FOR #3 5 18" THCKND SLAB, 5®12" O.C. BOTH WA BOTTOM 6 1/2" ANCHOR BOLTS 6" FROM CORNERS JOINTS 48" O.C. 1 3/4" FROM EDGE 7 4 16" O.C. BOTH WAYS 8 3" DOBES AS REQUIRED 9 MIN. 24" LAP ON ALL REBAR JOINTS 10 4 MIL POLY UNDER SLAB 11 1"x3" PT FOR WEATHER SEAL FOUNDATION PLAN VIEW w/ REBAR AND DETAILS B, C & D LL-AGt1LL,ff5 ,ffNG1Nffjff,t'lN6 GPAPt/lGS S � 0 1- 38' S-0 FOUNDATION PLAN VIEW w/ FRAMING A SCALE: ,/4• - -0- N * - OPTIONAL NO.: DESCRIPTION: 1 12" x 1/2" ANCHOR BOLTS 2 P.T. 2" x 4" BOTTOM PLATE 3 DOUBLE 2x4 TOP PLATE 4 4" x 4" DOUG FIR STUDS ® 16" * 5 2" x 4" DOUG FIR TRIMMER * 6 4" x 12" DOUGE FIR. HEADERS * 7 2" -x 4" DOUG FIR SILL * 8 2 2" x 8" DOUG FIR FOR UNDI * 9 4" x 4" DOUG FIR JACK * 10 2" x 4" DOUG FIR * - OPTIONAL 38'-0" S-0 FIRST FLOOR FRAMING WEST ELEVATION C SCALE: 1/4. - 1•-0. FOUNDATION VO.; DESCRIPTION: 1 2" x 4" DOUG FIR TRIMMERS 2 4" x 12" DOUGE FIR HEADERS 3 2" x 4" DOUG FIR 4 2 2" x 8" DOUG FIR FOR SILL 5 4" x 4" DOUG FIR 6 2" 0 7 NOT USED 8 m x 4" DOUG FIR STUDS ® 16" O.C. 9 4" m 10 DOUBLE 2x4 TRIMMERS FOUNDATION VO.; DESCRIPTION: 1 2" x 4" DOUG FIR TRIMMERS 2 4" x 12" DOUGE FIR HEADERS 3 2" x 4" DOUG FIR 4 2 2" x 8" DOUG FIR FOR SILL 5 4" x 4" DOUG FIR 6 2" x 4" DOUG FIR 7 NOT USED 8 4" x 4" DOUG FIR STUDS ® 16" O.C. 9 4" x 12" OVERHEAD DOOR HEADER 10 DOUBLE 2x4 TRIMMERS I st FLOOR . PLAN, SHT #2 UAGHUE5 ENGINEEPING (5PAPHIG5 38' NG.: DESCRIPTION: 1 LCC 5.25-3.5 SUPPORT POSTS 2 4" x 12" #2 DOUG FIR 3 2" x 12" DOUG FIR FLOOR JOISTS 4 IDOUBLE 2" x 12" DOUG FIR RIM JOISTS 5 A35 BOTH SIDES AND ENDS 6 5/8" T&G AC PLYWOOD DECKING GLUED AT JOISTS & NAILED w/#8, 6" ® ENDS & 12" FIELD TYP. 7 4" x 12" DOUG FIR 2nd FLR BEARING BEAM 8 4" x 12" DOUG FIR STAIR BEARING BEAM 9 2" x 12" BLOCKING, TYP., CENTER OF BLDG & C SPAN AND AT PERIMETER 5 RUNS 38'-0" 2ND LEVEL FRAMING EAST & WEST ELEVATION SCALE: ,/4• - ,'-0• 24'-0" - r S -o4 2ND LEVEL NORTH AND SOUTH ELEVATIONS B SCALE: 1/4" _ ,'-0• ` NO.:, DESCRIPTION: 1 2" x 4" DOUG FIR HEADER TRIMMER 2 4" x 12" x 6' DOUGE FIR HEADERS 3 2" x 4" x 6' DOUG FIR SILL 4 2 2" x 8" x 6' DOUG FIR SUB -SILL 5 4" x 4" DOUG FIR 6 2" x 4" WINDOW JACK 7 INOT USED 8 4" x 4" DOUG FIR STUDS @ 16" O.C. 9 IDOUBLE 2" x 4" TOP PLATE 10 4" x 4" STUDS ® 16" O.C. 11 2" x 12" RAFTERS ® 16" O.C. 6&12 CUT 12 12" x 12" LOUVERED VENT BOTH ENDS 13 24°' x 1 1/2" STRAP @ RIDGE 14 2" x 8" DOUG RAFTER @ 16" O.C. 15 2" x 8" DOUG FIR JOIST ® 16" O.C. 16 IA35 TYP 17 2" x 10" TYP 18 1 2"x4'x8' .SHEETING OSB 8# 0 6" END 12" FIELD 19 16# 0 6" STAGGERED TYP. 40 _ 2nd LEVEL ELEVATIONS LLAGNLL�S �N6INEFIPIN6 GA'API1/G5 O I N 38' 16'-4" 3'-3" 18'-5• /87:RN SHEAR PLAN - IST LEVEL A► sero£: 1/4- " �'-o• NOTE: SHEAR TO BE 5/8" T111 NAILED ® 6" AND 12" ALL EXT WALLS. 4' BESIDE ALL WINDOWS AND DOORS EXCEPT OHD WHICH WILL BE SHEARED INT & EXT WITH HTT22 OR SIMILAR. BOTH SIDES, 2 OH DOORS, TYP. N NO.: DESCRIPTION: 1 3'-0" x 7'-0" DOOR 2 8'-0" x 7'-0" OVERHEA 3 4'-5" x 4'-0" WINDOW 4 . ISIMPSON HTT22 1 ice' 3f1 }#' f '-�' ,l.t SHEAR PLAN — 1 st LEVEL UAGHUZ5 ENGINEERING 6PAP11C5 O I co r I 38' 4'=0" 5'-0" - 20'-0" 5'-0" 4'-0" 4'-0' 5'-0" mi. 20'-0" �I• 5'-0" 4'-0' A'--O'6"'\SHEAR .PLAN 2ND LEVEL A SCAM 1/4. - ,._o. 04 N NOTE: SHEAR TO BE 5/8" T111 NAILED ® 6" AND 12" ALL EXT WALLS. 4' BESIDE ALL WINDOWS. NO PANEL LESS THAN 2'-0" IN LENGTH FOR GABLE. NO.: DESCRIPTION: 1 4'-0" x 4`-0" WINDOW - - - 2 5'-0" x 4'-0" WINDOW ITE COUNT*4, .. SUILONG DEPARTMEM,. APPmuvEn SHEAR PLAN — 2nd LEVEL LLACHUZ5 FNG/NfFP1N6 G1zAPIIC5 SITE PLAN REVIEW APPLICATION Date: 5 �� QJ� AP# 0 _y_ 11Y0_00i> Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: / �Z 03'a't ClIq 9-574 30 Telephone No.: 910 — 6 Situs Address: - %y AvgGf',Q Proposed.Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family - . Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other - . ❑ Septic ❑ Well ❑ Agricultural Exempt Build' g '® Other:- 0ZU1c ! J /y 4&ZC& Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) jj Approved -❑ Conditionally Approved ❑ Resolve Problems Prior to Approval K Site Plan Stamped Approved By ,l Date . / 9 r Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) i Flood Zone: Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ElFeather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Front Zoning Code Streets & Highways Fire Prevention Subdivision Map Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable -Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ` ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required El No El Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑. Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 10 fl - Subdivision Map/Parcel Map: (5�u Vt Lj' Map Date of Recording: -7 G/ 5— /3 L --m Lot: CKIt vIn P3 Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: 7Lq_ Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa I Page 4 of 5 VTI ❑ 0 x Summary. of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:V-arryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5