Loading...
HomeMy WebLinkAbout030-132-024030-132-024 99-1471 ODERKIRK" Jon & Linda; 1281 10"' Street 0� * ille Contr: Owner �-' X74 ',Jew Private Detached Garage k 1 BURWELL, George R. 5276Bt 481-66E) -41. 35' G 0-132" e.a � 1281 10th Street, Oroville--'' (addition) I#add to B.P. 4.463BI-,.f , i a i 4 i Y k v WaLmm ill NOTES r RESIDENTIAL. 1 PERMIT NO 030-132-024 99-1471 -•ODERKIKK; Jon -&Linda- - -- 1281 10`h Street,' Oroville Contr: Owner R , I , New Private Detached Garage SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) • Signature V = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch ` 7 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 46. 6. Gas; Location -Test -Wrap;-/ /" L'ft: / P Nat. or/ /"L"ft./ PLPG 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE ; CARPORTS GARAGES (Plans) OK except #'s t oni Requirements -Se s -Ea ents ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Sea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. A : Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doo ` 7 E.1gatric Fr'll -Anch s -Stu TfuAs ,ng; Nailing -Veneer -Stucco -Mesh 46. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 124 Date Card B-1 Date Date Q _ 1. and ___Date Card B-1 ans) OK except #'s 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 ./= OK 0 = Not OK - = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #y 2. Ftg., Main; Soils-Elec. Grnd.-/ Ir Ftg. Depth 3. Ftg., Garage; Soils-Steel-Ele Grnd.-/ r Fig. Depth 4. Ftg., Porches & Decks; So' -Steel-/ /- Ftg. Depth 5. Stemwalls, Main; Steel- lockouts -Wrapped 6. Stemwalls, Garage; teel-Blockouts-Wrapped 6a. Hold Downs and pecial Anchors 7. Slab, Steel -W pped 8. Piers -Fire ce Ftg.-Steel 9. D.W.V.; all -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, 9fis Pipe; Size Anchors - Yard Gas Piping; Size Test 11. W er Pipe; Test -Anchors -Regulator -Service Test 12. Xiectric Underground 1%.' Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date 46. Card B-1 Date Card B-1 Date 47. Card B-1 Date Card B-1 Date 48. 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 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 56. Card B-1 Date Card B-1 Date 57. Card B-1 Date Card B-1 Date 58. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O 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 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. 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 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 Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date 80. 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 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 O Yes 82. Following Insild./Drive ] Yes ] NoMalks ] Yes J No/Planters ] Yes ] 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: =J COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER = �y PERMIT NO A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date:Y—/2 G� Inspector. REV 10/92 ;a Date:Y—/2 G� Inspector. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE I OWNER PERMIT NO. A routine inspection indicates.that.the'following-viotatio'ns-of-butte county Ordinances exist at the above address and should be corrected.: Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. z Date U 5 Inspector REV 10/9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4�14Z/ ASSESSOR PARCEL NUMBER 030-132-024 ZONING AR BUILDING PERMIT OWNER JON & LINDA ODEKIRK TELE533-3848 SO. FT. OCC. BUILDING VALUATION 1120 U 20,160.00 OWNERS MAILING ADDRESS 1281 10TH STREET, OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 216.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ 140.40 BUILDING ADDRESS 1281 10TH STREET, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ D scribe Work: NEW PRIVATE DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with1hose rovisions. / Date {O — re o Applicant - ❑ Owner ❑ Contractor ❑ Agent NaAnHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 46.00 NEW CONST. DWEWNG OCCUCUP. SO VVEU OR ADDNS. ( & ACC. BLDSNEW . 3.5¢x; NO°MULTI- E ID. O RCETUITS @7,50 OWER APUS a PSINGLE DunETPARATCIR. Ex. Occup.�L OUTLET OR PD(TUREs @'.00 Ex. Occup. ountrs PRL.I .°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 435.60 z D. PE IMP D CLjf !V/ PARCE}l SU 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. �j By ate / PERMIT EXPIRES ON / Z q Date 2/3277/$435ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California '95965 '- Telephone (530) 538-7541 P R IT NO. (Rev. 12/96) APPLICATION AND PERMIT 4V_14-71 F.ER CEL NumBEA ZONING �3©-- BUILDING PERMIT TELEPHONE On ` i SO. FT. OCC. BUILDING VALUATION NO ADDRESS, r XN .11 t 1 /o. I CONTRACTOR'S NAME � / IwQo CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCWTEC'T OR ENGINEERS MAIUNG ADDRESS BUILDINGADDRESS 1 -N Ci I M 1 1 LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF O Duplex O Mobilehome O Other AA s IFv TYPE OF WORK New X -Addition O Remodel ❑ Utilities O Installation O Other O Describe Work: No. Total Valuation s t 5.00 Filing Fee $ 20.00 n Service rE.LECTRICAL Permit Fee s a� a 200A TO 1000A Plan Checking Fee S DWELLING OCCUP. a a nc SO.fDONS. 3.52cr Energy Plan Checking Fee s s PERMIT FEE $ MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 —Building sewer 15.00 Mobile Home S G W @20.00 EX. OCCU . OUTLET OR FIXTURES PERMIT FEE t 5.00 PERMIT Fling Fee 20.00 n Service rE.LECTRICAL s�oai OR mss 23.00 n Service 200A TO 1000A 46.00 CONST. DWELLING OCCUP. a a nc SO.fDONS. 3.52cr EX. OCCU . OUTLET OR FIXTURES 20 W 1.00 BAL 9 .SO Ex. Occup. OunErs ESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE s :20 0 1 MECHANICAL PERMIT Fling Fee 1 20.00 Hood 1 1 6.501 1 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO JAL FEE; q;3 MAZ• I D. FEES I IM FLOOD I COF I PAR Et I PO I HO I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1./ I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESkJ NO[ ]. I HAVE[>(] 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: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following..peisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNEI��V4_066gl� SOCIAL SECURITY NUMBER: DATE: •�G % % NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 U.B.-1 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for"you if you do not carry out these obligations, "and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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. May 1995 2.27 COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: e C ASSESSOR PARCEL ER: Proposed Building Use: n r6 gQ Building Inspector: ate: ' Qo At time of permit app6 ation, I was a ' ed a following data must be u miffed prior to permit rot--- Ing and/or issuance: . All items have been submitted. ------------------------------------------------------- Date Received By 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. -------- : 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) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. --------------------------------------------. !*-4. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- E123. Owner-Builder ---------------------------------------------------.❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - ------------------------------- 024. Letter of signature authorization. ------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. -------------------------------- ❑27. Manufactured Home utility clearance. ------------------------- 028. Existing violations and/or expired permits. ------------------- ❑29. 0433 A, 30. Other: C M.H. Title, ❑ Check to H.C.D $ (Date) When you issue the ermit, process as follows ❑ Mail to owner, ❑Mail to contractor. v Telephone 53 -r 3g 4q and hold for pickup at 0 fou, t p office. ❑ Deliver with inspector. Applicant;�i�t�i �Z Date:Copy Co _ of Haz Mat form sent ❑Health Department, ❑Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 1. Index permit application for the above items numbered: /�'�oe ❑ Plan Check List 2. Additional items required: ° Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o 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 o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Buildin i f sion counter, by D te: Plans reviewed by: Date: Plans approved by: Date: -7 Sets of plans on hold in 0 Plan Cabinet, 11 A.P. folder. Note transfer by: Date: -� q i 71 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. S C30 -13a pa _ OWNER: M . 0D4-- JAFLV PHONE: X33-38� MAIL ADDRESS: -122 ST 5,016 v. CLQ CA 959 5 9 SITE ADDRESS: �V /d 7- V S'T ',Q,6v, L49, PROPOSED USE: G9/jAl� 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 !t) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? 7. Will this building be occupied at any time as an eating area? 8. Will this building be occupied at any time as a cooking area? 9. Will this buiiding be occupied at any time as a living are-? SITE CONDITIONS: Yes: X No: Yes: No: x— Yes: No: Yes: No: Yes: No: Y Yes: No: �( Yes: No: _ Yes: No: Yes: No: _ 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: e 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: X 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: x CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: X 15. Will this building be heated'or cooled? Yes: No: �f 16. Will this building have a water closetttoilet? Yes: No: 7f 17. Will this building have a sink? Yes: No: X 18. Will this building have a water heater? Yes: No: %f 19. What type of floor covering will the building have? 1"'QA/6( 57-9 20. What type of wall covering will the building have? AAQ APE' k ADDITIONAL INFORMATION: 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. 1 understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. '&"A Qbk'&�� R'S SIGNATURE DOE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: INTERWEST I 3 s TEL;1-916-751-3199 Dec 08'99 15:27 No.006 P.01