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HomeMy WebLinkAbout039-090-055� IVWES RESIDENTIAL -C )_ 5V7 ' PERMIT NO. _`W39 _o .�04-1894 DECKER j 12" BF?RIZ.INGTON FD, CHICO ' Coin: BUNCH. 110N ' TRANSFER BP#03-3547 Tl t I �3 - (J - SPECIAL CONDITIONS CHECKED BY SRAM - FLOOD CERTIFICATE REQ. r FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS a SUB -STANDARD HOUSING LETTER tI L4 fl. . OFFICE COPY Address GAS Meter By— y ELECTRIC ELECTRIC �yt� Meter By Dater' JOB FINALED (Date) Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041894 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' 06/28/2004 APN: 039-090-055-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 3 7 %3 / 3 Site Address' 11,27,$r�2R�/ /,�G 7 on6 Q0� CHI Date: loContractor.. 1 o4p _j �u... o <- Map Index: Description: TRANSFER CONTRACTOR FOR 03-3547 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: DECKER, THOMAS & SANDI to its issuance, also requires the applicant for such permit to file a 49 LOSSE WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO CA 7000) of Division 3 of the Business and Professions Code) or that he or 95926 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BUNCH, RON Code: The Contractors' State License Law does not apply to an pq . owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 9 LACUNA COURT provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of (530) 891-1104 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. BUNCH, RON and who contracts for such projects with a contractor(s) licensed ' pursuant to the Contractors' State License Law.). 9 LAGUNA COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 (530) 891-1104 Date: Owner: License #: 378313 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: p� I 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: //.77W Total Square Ft: 0 S.F. Policy #: r,7 -1"Z -,42 gz6- Valuation: $0.00 ❑ 1 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: 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 F_rsr t is.hereby-issued-under the applicable provisions of the Bntte County Coda-anrVo,— I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for yvhich fees have been paid. performance of the work for which this per�is issued (Sec 3097 Civ.) = 1.10_ ct_ Name:fC/8/ls r�o lo��.+.0 B , Date: PERMIT PIRES ON: Date Address: `�_S`7 8 �., , l�qr• r giy'I, �%� a ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize rep r lives of Butte County to enter upon the above mentioned property for inspection purposes. TaJ Print Name: �v.v�. � Signature: Date: 0 5% 0 Owner ontractor ❑ Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CounljrCefS't'I r Drive • Oroville, California 95965 • Telephone (530) 538'754f PER IT NO. 3 w (Rev. 12/96) - � APPLICATION AND PERMIT ,/ ASSESSOR PARCEL NUMBER 2 / !!) . ' ZONIN/� BUILDING PERMIT OWNER A/�/� /J� ���JD`7� / �t (^ S Q"i}� �f„Jp,0 TE}�WE/TOCC. B ILDIN�G .AL ATION U oWN7-/ NGGt,rr`"+s� ' G(/ � (1 'A�71 CO RA ORj CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Total Valuation $ "' ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ ' (/�J �] /r BUILDIy�ADDS G �/ w Energy Plan Checking Fee $ (q W C 6 $ PERMIT FEE _ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE / SF ® Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 145 -- Each gas water heater or vent 15.00 •-'- TYPE OF WORK New I/Addition ❑ /Remodel ❑ Uilitles ❑ Installation ❑ Other ❑ Describe Work: ! �,J S Gas piping system 1 - 5 outlets 15.00/ Building sewer 15.00 j Mobile Home S G W @20.00 i PERMIT FEE $ ' ELECTRICAL PERMIT Fling Fee 20.00 Main Service OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is i._ full force and effect. License Class Lic. No. y r� t� ` OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will•do the work, and the structure is not intended or offered for sale. Qrl s 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 To ,000A Main Service 200ADWELLING 46.00 NEW CONST. DEILINO OCCUP. OR AODNS. ( a ACC. BIDS. 3 50ST. FT. NEW CONST. MULTI -OUTLET NON RESID. BRANCH IRCUMS 97.50 PowER APPARATUS 8 SINGLE OUTLET CIR. OUTT OR FIXTURES EX. OCCU LE 6AL , 0 Ex. Occup. o'x�E * A Aa D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION, �'r I 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 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. f Date L6_n_atureof Applicant -`❑ Owner ❑ Contractor ❑Agent An OSHA permit is required for excavations over 5'0 d e and demolition or construction of structures over 3 stories in heig . �� p��jr L„ ?j �h --" _.. J MECHANICAL PERMIT Fling Fee 20.00 Hestirig ., CoolingRE Hood 6.50❑ Ventilation to PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TOTAL FEE $ /6-,l HAZ. _Wo D. FEES IM� v CDF r PARCEL Y �PD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Y By r "` ' 1 ' •''['- 111"Date PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. I E ' Date Receipt No. ✓ �✓ �% 4 r ! `,f, -, 1 Q- 41-1.12. WHITE-D.D.S.-B.D. — CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J=OK 0 = Not OK able . = otReady MISCELLANEOUS MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 11. 7. Well Clearance & Disconnect Braced Wall Panels 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 Date POOLS (Plans) OK except ft MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s ( 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ft 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI• 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not - =Not AAppplicable . = Not Ready RESIDENTIAL Date UND FLOOR (Plans) OK except Ws Car B-1 Date Card B-1 Aning-Setbacks- Easements- Flood -Slope . Pg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 'J Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth .4--,Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 66/Furnace �femwalls, Main; Steel-Blockouts-Wrapped . $temwalls, Garage; Steel-Blockouts-Wrapped taier.o�Hold Downs and Special Anchors 7. Sla , Steel -Wrapped 8. P rs- replace Ft .-Steel 1 Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1 ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plen ms & Ducts; Clearance -Material -Support -Ins. 14. " ders-Sills-Anchor Bolts-Joists-Vents-Crippies 4.1�Access & Ventilation 16. Insulation Date Card B-1 Date r- Card B- v Date Card B-1 Date Card B Date P MBING (1114rmitf OK except Ws (17./Water Htr.: Vent -Access -Combustion Air Baffle w8. r Pipe; Test & Anchor -Nail Protection Test Fittinos & Anchor -Nail Protection 1411 `i -l1dLe.,F/29!Shower,Pan: Test. First Floor -Tub Access / 21. TQsaub & Shower, Second Floor -Tub Access 2T.—Gas Pipe; Sixe &Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card BAY Date Card B-1 Date ELEC CAL (Permit) OK except Ws fW! ur -&Transformer Clearance -Ins. Protection 257 EIK. 13eceptacles Spacinq-Liqhts & Switches at Doors 22x. S B x'es &No. of Conductors Stapled t!!R4ex,Jngialled Close to Edge of Studs & C.J. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size(ZO ' u or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Oeor Insulated Neutral 0 Yes O No 32. Service- er Conductors & Ground Main Disconnect 33.E . CI rances Panels-Motors-Mech. Equip. lot Closet Light -Shower Light -Spa Light *_SKoke Detector Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date MECHA ICAL-(Permit) OK except Ws 75�,-A_ ucts Insulation & Support ent Fan, Ex aust above insulation 38. Conde to Drain & Overflow, Size & Grade 39. Fu ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40 -Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING'( mit) OK except Ws Materials & Anchors /42k'TVall.%o8tuds-Nailing Spacing & Braces -Plates -Sound e ' g Wal over Girders & Floor Nailing ra in Walls (rat proof) (4 WStops, Furred Ceilings -Stairs -Chasers -Tubs 48' Headers & Beams -Size & Bearing (Single & Duplex) Date 447--ers-Post Caps -Anchors -Connectors Cli . J ist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. jrWace Ties or Type A Flue -Fireplace Throat Clearance Attic cess; Size & Romex Protection- Draft-Stoo-Ins. Baffles ., 51 _AMrm_AVindows or Exitino Doors -Sill HL& Dimensions 52_Offage Fire Protection Framing, -RC -Channel 53. Pr rty Line Firewall & Openings xt. Do s -One 3' -Check Garage 3rd Story, 2 Exits 55. St ' ; Width -Headroom -Rise -Run -Landing -Fire Protection 5dAlywo on Roof Overhang -Attic Vents -Rafter Outriggers 57. S ' g ailing Veneer St o Mesh -Drip Screed -Fd. Vents-Underflr. Access laljaef-Area-Glass Pr9tection-Skylights-Plastic Wall Date(/-AY{f Card B-1 Date Card B-1 - Date Car B-1 Date Card B-1 Date FIN (Plans) OK except Ws e Sprinkler E_&. Steps -Door & Sidelight Protection -Landings �54moke Detector 66/Furnace Vents -clearance -Comb, Air-Connector- 1,Rearage; Above Floor-Ducts-Mech. Protection 67 B droom Exiting 68 .F.I. & Bath Fixtures & Tub Access -Spa 69o.69o.r Elec. Trim & Subpanel, Breaker Sizes & Labels s & Rails 71A,ireplace or Stove, Clearance -Hearth 72,154ec. Outlets at Wood Panel, Int. & Ext. 7 . t. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7?.r Elec. Outlets & Receptacles at Kit. Counter 7 _ Garage Fire Door; Swing -Landing -Closure uct in Garage -Damper 77 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. arage ve Floor-Mech. Protection Mech. Equip. Listed for Location 0 lec. Fleceptacles in Garage (F.F.I.)-Romex Protec on nsulation-Foam-Looked in.Attic ,,$1r@uard Rails & Deck Construction -Post Caps 8 dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 82-.�Followinq Instld./Drive 0 Yes54o/Walks 0 es 0 No/Planters D Yes o w . Stucco Brown -Finish A • 85 C. Unit Disconnect, Electrical -Plumbing 86 ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings . aZ 1°l er Well, Disconnect, Electrical, Plumbing 88 xterior Elec. Trim, G.F.I. Receptacle -Underground 8 Ventilation Throughout House 9 Glass Protection 91 orrections from Previous Inspections 92/Gas Test -Meters Tagged, Gas -Electric 93. a�tef & Sewer Connected -C/O to Grade -HD Appr ergy Compliance Certificate -Other Certificat Aa Address Posted e Sprinkler Date Card B-1 Date Card B-1 Datil Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For insurance Company Use: BUILDING OWNER'S NAME Policy Number` - BUILDING ST�E^ ADDRESS (Including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC. Number -ITY STATE ZIP CODE (24 51910S DROPERTY DESCRIPTION (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.) A Pill 3UILDIN (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) ATITUDE/LONGITUDE (OPTIONAL)HORIZONTAL DATUM: SOURCE: 1_I GPS (Type): or ##.�°) `NAD 1927 L_l NAD 1983 LJ USGS Quad Map U Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 11. NFIP COMMUNITY NAME & COMMUNITY NUMBER 66 D o C 7 ©has B2. COUNTY NAME �8 TTE B3. STATE C -A B4. MAP AND PANEL NUMBER 0400�osD B5. SUFFIX C B6. FIRM INDEX j DAT 6e B7. FIRM PANEL EFFECTIVE/REVISED DATE B8. FLOOD ZONES) . ® B9. BASE FLOOD ELEVATIONS) (Zone AO, use depth of flooding) .� 0. Indicate the source of the Base Flood,Elevation (BFE) data or.base flood depth entered in B9. JJ FIS Profile JJ FIRM JJ Community Determined J I Other (Describe): 1. Indicate the elevation datum used for the BFE in B9: J_J NGVD 1929 1_1 NAVD 1988 1J Other (Describe): 2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? JJ Yes JJ No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: J_JConstruction Drawings" JJBuilding Under Construction" ; Finished Construction -A new Elevation Certificate will be required when construction of the building is complete. Building Diagram Number _8,__ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the spade provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum ,/5727 Conversion/Comments Elevation reference mark used /z/L( 9- 4/ Does the elevation reference mark used appear on the s J—� No �( a) Top of bottom floor (including basement or enclosure) �'� 7 C� ft.(m) b) Top of next higher floor f �' S ft.(m) a COQ y9� ❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) o o �Q J\� W' BACy F ❑ d) Attached garage (top of slab) 17 ft (m) a - co ?y9 y2 ❑ e) Lowest elevation of machinery and/or equipment w C U .16 3 Z m servicing the buildiyg (Describe in a Comments area.) (7 � ft.(m) ", � f) Lowest adjacent (finished) grade (LAG) 1 -72- o ft.(m) z' in yt g) Highest adjacent (finished) grade (HAG) 1 %'2.. fl -(m) civil,�Q. h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade J 9� Q� ❑ i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) FOF SAL\F� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION is certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. ertify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. nderstand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. RTIFIER'S NAME ^- `, LICENb NUMBER ,/ �y3. 'LE 3-j 1. �l COMPANY NAME 16 DRESS T �0- � n C l l-yrw 1 n.� STATES n ZIP C� 7 7 fX gip, Form 81-31. JUL 00 SFF REVERSE RIr1F FrIR (ONTINI IATION RFPI AC;FS ALI PREVIOUS EDITIONS MPORTANT: In these spaces, copy the corresponding information from Section A. For. Insurance Company Use: 3UILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bid . No.) OR P.O. ROUTE AND BOX NO. Policy Number i�G °'oma �6A =1TY STATE ZIP CODE Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ,opy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. :OMMENTS 1_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT EIFE) it Zone AO and Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is intended for use as supporting ormation for a LOMA or LOMR-F, Section C must be completed. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) :. The top of the bottom floor (including basement or enclosure) of the building is 1-1_I ft.(m) I_I_jin.(cm) 1_I above or Ll below (check one) the highest adjacent grade. (Use natural grade, if available.) For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ,t U ft.(m) 1_1—lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on_front of form. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1_1 No 1_1 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION ie property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A rithout a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to e best of my knowledge. 20PERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME )DRESS CITY STATE ZIP CODE GNATS JRE DATE TELEPHONE MENTS —I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete tions A,'B; C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. I_I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) I—I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 1_I The following information (Items G4 -G9) is provided for community floodplain management purposes. .P PERMIT ISSUED This permit has been issued for: I_I New Construction I I Substantial Improvement Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: :AL OFFICIAL'S NAME TITLE AMUNITY NAM 5�S:CZ7� k Form 81-31, JUL 00 Y Check here if attachments REPLACES ALL PREVIOUS EDITIONS FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For- Insurance Company Use: BUILDING OWNER'S NAME Policy Number _ BUILDING ST EET DDRESS (Inclu ing Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company. NAIC. Number .��fNG 72P A T e,0A_V CITY0 /'/d O C STATE QZ5IP 17 Z PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A Pn! 039-*aCi o _ o S.5 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) IV o /u -F_ E$ L_ LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): or ##.##>#°) NAD 1927 I—I NAD 1983 'USGS Quad Map lJ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAMEI 434 B TE 5 0600 7C b 5 _9 t�TT� b4. NIAt' INNU F'ArvtL - NUMBER) 310. Indicate the source of the Base Flood Elevation (BFE) data or.base flood depth entered in B9. I I FIS Profile A FIRM 1_1 Community Determined I Other (Describe): 311. Indicate the elevation datum used for the BFE in B9: NGVD 1929 1 NAVD 1988 1_J Other (Describe): 312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_J Yes I_I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ;1. Building elevations are based on: 1_1Construction Drawings' 1_1Building Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. ;2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) :3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum q L 7 Conversion/Comments Elevation reference mark used Em 2 " at Does the elevation reference mark used appear on the s 1_1 No D�'a) Top of bottom floor (includin basement or enclosure) 172— 0 ft.(m) 0 b) Top of next higher floor �a _ ft.(m) 0 c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) y o �Q` RC1 W eAC �y O d) Attached garage (top of slab) _ ft.(m)c �y E6�5 y ,Xe) Lowest elevation of machinery and/or equipment — 0i W U (V0. 803 Z ren servicing the building (Describe in a Comments area.) /'7Z ft. m f) E 7i Lowest adjacent (finished) grade (LAG) ft.(m) z' .` ,2�g) Highest adjacent (finished) grade (HAG) Q ft.(m) 4) fS%` O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade L,4R � ,q J, CIVI,. 0 i) Total area 'of all permanent openings (flood vents) in C3.h _AJA sq. in. (sq. cm) F nl: P t11 %Q� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ".... This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME I Ir.PNSF NI IMRFR _ =MA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. pForinsurance Company l'Ise:BUILDING STRQEEET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. mber CITY STATE ZIP CODE NAIC Number Ck4 /cb L►�q 95 2� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS 1_I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) :or Zone AO and Zone A (without BFE), complete Items E1. through E4. If the Elevation Certificate is intended for use as supporting iformation for a LOMA or LOMR-F, Section C must be completed. :1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) :2. The top of the bottom floor (including basement or enclosure) of the building is 1_1_1 ft.(m) I_I_lin.(cm) 1_1 above or I_1 below (check one) the highest adjacent grade. (Use natural grade, if available.) :3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1_I-1 ft.(m) 1_1_lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. :4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1 Yes 1_1 No 1_1 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A ;without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. 'ROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS. CITY STATE ZIP CODE 31GNATURE DATE TELEPHONE :OMMENTS 1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) ie local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete actions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 1. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 2. 1_1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 3. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes. NUMbLK '. This permit has been issued for: 1_1 New Construction 1_1 Substantial Improvement i. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: I. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: OCAL OFFICIAL'S NAME ' TITLE OMMUNITY NAME TELEPHONE IGNATURE DATE TS Check here if attachments MA Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS ,&, ,J, Q -D - - INSULATION CERTIFICATE Job Number:,,, -::::4604 DESCRIPTION OF INSTALLATION 1. ROOF ::::::::A Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value)::::::::::::::: .......... - 3. EXTERIOR WALL Frame Type::::::::::. ........ ........ A. Cavity Insulation ............. Thickness ..................... B. Exterior Foam Sheathing Material: ................. Thickness ................. .... 4. RAISED FLOOR Thickness (inches):: 5. SLAB FLOOR/PERIMETER at ri Thickness (inches): Perimeter Insulation Depth 6. FOUNDATION WALL ........................................................................ Thickness(inches): .......................................................... ..................... Brand Name: leAKAauf:::' Thermal Resistance (R -Value): .......... Brand Name: ...................... Thermal Resistance -aloe).::::::::::' Brand Name::4­­ .... :* ............. Thermal Resistance (R -Value):'::::::::::::::::::::::: ........... -1 . ....................... Brand Name: Thermal Resistance Brand ............ Thermal Resistance (R-Value)::::::::::::::::::::'::::::::i .............. DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. ......................................... ..................................................... .............. ...... ....... ....... ... a .... io, ... n ... ........ ;IL4 ...... .................. : ............. ............. -WU ............ . ......................... Item Number's Siggatureiand Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner NOTES RESIDENTIAL 0397090-055 04-2032 PERMIT N0. ' DECKER, TOM - -- - - - 1127 BERRING TON DR, CHICO Cont: BUNCH, RON NEW PRI DET GARAGE S k a r 1 r, r n z' t, y �i E i� 6-7 03 - 3 5�` f 7 SPECIAL CONDITIONS CHECKED BY SRA x`LOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Po �e Ella -A JOB FINALED (Date) t Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: ,378'313 Date: %2 r-" `i Contractor: 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the or Code, for the performance of the work for which this permit issued. Er,I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: ;?"—+d Policy #: O Sla - Z -Y 2-6- 0 S ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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: 15l- -2 / -- `,( Applicant: PERMIT NO. BP042032 Issued Date: 09/21/2004 APN: 039-090-055-000 Site Address: 1127 BERRINGTON RD CHI Map Index: Description: DETACHED GARAGE (720) Owner: DECKER, THOMAS & SANDI 49 LOSSE WAY CHICO CA 95926 Applicant: BUNCH, RON 9 LAGUNA COURT CHICO, CA 95928 (530) 891-1104 Contractor: BUNCH, RON 9 LAGUNA COURT CHICO, CA 95928 (530) 891-1104 License #: 378313 Architect: Engineer: Total Square Ft: 720 S.F. Valuation: $17,280.00 Census Code: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4,tn)&1803 $ a,4.9. c? O 7• 12 - O 4 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Burie County Cudo anevor - I hereby affirm that there is a construction lending agency for the Resolutions p do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By + t,(,G�r.�_ Date: Name: PERIT XPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:7�eaC�ur c k Signature Date:�- 2 r 0y2 r oy 0 Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor t - A "A MWAAP AA -AGWIP -0 Certificate of Conformance Certificate 0 513 4 0 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products Identified below and marked with a collective mark of Engineered Wood Systeme (EWS) were man- ufactured in accordance with the specifications indicated below. XX ANSI Standard A190.1-1992, for Structural Glued Laminated Timber s� '/s' 3 '/a 2 yl u /2%Pcr r �1 0_✓_ cIQ✓ e!��ZZ ZZ! Job Name WESTERN BUYERS INC. JobLocatfon ,/ ELK GROVE, CALIFORNIA � �a� Y .�--- ---- -• customers Ordor No. WB -98516 Dale c � Mrgr'B order No. 09-0.5.550 DOUGLAS FI.&LARCH. EXTERIOR GLUE, 240OF-V4. ARCHITECTURAL APPEARANCE, INmV.-.DUAL WRAP, ENDS 6 SIDES. SEALED,ZERO CAMBER. Sl4nature ��'"!c eP True ^..---QU9LIICONTRQL SUP RVI SQL _ CwWany BOISE CASCADE CORU,,ddrase _ P: 0. BOX -50 Date__ _ BOISE, ID 83728 IT IS -HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of Engineered Wood Systems (EWS) is subject to regular audit by Engineered Wood Systems, such audit consisting of the Inspection with reasonable frequency of -the -manufacturing process, with -adequate sampling to verify the quality of glufam construction and the adequacy of glue bond. by Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS - A RELATED CORPORATION OF APA J=OK 0 = Not OK . = NotReadyaax.. Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Gas; MH Test -Demand -Valve -Connector 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Water; MH Test -Regulator -Connector 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Tie Downs -Type -Installation Cert. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 11. 7. Well Clearance & Disconnect 8. Utility Clearance 8. Gas and Electricity Tagged 9. Exits Date 10. 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 DECK S, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Requirements -Setbacks -Easements Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 6. 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Blocking Plumb.; Cir. Test -Water Supply Test 4. Gas; MH Test -Demand -Valve 12. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Card B-1 Date Card B-1 1. Setbacks -Easements MISCELLANEOUS Date DECK S, CARPORTS, GARAGES (Plans) OK except #'s 3. I-'Zooirrg Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI - ootings; Soils -Size -Depth -Spacing -Connectors -Steel 6. 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 9. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Plumb.; Cir. Test -Water Supply Test 6. Carports; Windows -Doors 12. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test - 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mss ip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Gla ' rea-Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. ear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter 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 Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No _ 32. Service -Riser Conductors & Ground Main Disconnect 6 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date 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- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. 1 g -Nailing Veneer - . Stucco Mss ip Screed -Fd. Vents-Underflr. Access 59. Gla ' rea-Glass Protection -Skylights -Plastic -t% ear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. 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 _ 3. FA%I&win Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 6 .-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: INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: C.Q�✓i %� J d , ENVIR. HEALTH, CHICO DATE: RELEASE ENV. ;HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME:(BYSEPTIC: WELL: ��yy o AP#: ��Q� O- ��ADDRESSILOCATIO ' Al e7 eex ,l ,E-)/(O� r Comments: b 3 -354-7 GL/memos/releasehold fl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�� (Rev. 12/96) APPLICATION AND PERMIT ��-- ASSESSOR PARCEL NUMBER 0 q— O / D C -- ZONIN�/'� _/ /EC BUILDING PERMIT OWNER r A/ //�-- O /� (�TCJ �+•�j� / T�J / �Jn��lP7 SQ. OCC. IDI 7 A ATION OWN %G�C-4 DaeE.56 . (/O�R'�IAU J C. T cop�id� / ' I COJ T MA /Oq • j — CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace —' Total Valuation $ '— ARCHITECT OR ENGINEER LICENSE NO. —Filincl Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan CheckingFee $ BUILDI ��DS Energy Plan Checking Fee $ JJ V $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE / SF' m Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New fiiT Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: S Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 / Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ' full force and effect. // License Class Lic. No. y�e�l�( OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, wil the work, and the structure is not intended or offered for sale. 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 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDs. 3.5¢SOsQ: NEW ONST. REBIDMULTI-OUTLET @7,50 POWER APPARATUS B SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 @ 100 SAL @ .w Ex. Occup. OvntDrS pESIp.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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ an on in any manner so as to become subject to workers' compensa laws Calrfornia d agree that if I should become subject to the worker ' com ation provl " ns of section 3700 of the Labor Code, I shall Ply with thos rovisions. Date fid �� f Applicant - Owner ❑ Contractor ❑ Agent rOSHArmit is required for excavations over 5'0' d nd demolition or construction over 3 stories in heig & .� -� D .3 10 q Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE / TOTAL FEE $ HAZ. D. FEES IM OD CDF s Pr Pa J H ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have .- By ^�- PE IT EXPIRES ON-B.D. the applicable provisions Resolutions to do work been paid. /s to L•28.09'°XQ Date CANARY -ASSESSOR PINK-INSFEECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION A-17 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. APPLICATION AND PERMIT 0 - 3S 2 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ, FT, OCC. BUIILLDIN/G� VALUATION OWNERS MAILING ADDRESS J -7--)1,o CONTRACTOR'S NAME TELEPHONE r, ^ V� 1Ur T (� `Y CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace O (� Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ $ '50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Z - BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFYEach Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 gas water heater or vent 15.00 15. *' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 15, Building sewer 15.00 16" Mobile Home I S I G W 020.00 PERMIT FEE $ t� , &. ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A OR LESS 2DOA OR LESS 23.00 ;23,,,- 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 effectP License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. so 3.,,so , NEW O NON•RE NST. MULTI.OUTLET SID. (07.50 OWER APPARATUS 8 SINGLE OUTLET CIR Ex. Occup. OUTLET OR FIXTURES 20 00 sp @'.500 Ex. Occup. Duntrs g.,6 °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S a , '� MECHANICAL PERMIT Fling Fee 20.00 Heating S 1-10 Cooling Hood 6.50 Ventilation Z �, j 9,-v PERMIT FEt $ "`% D e `� t7 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $i Ll k0,0 occ CONST. TYPE TOTAL FEE $ i r5 q fy.16 5 HAZ. „^ D. FEES IMP ODD © CDF PARCFy V/ p0 'HD ISsuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1. 4� 0 COUNTY OF BU -,-"TE DE TE - PARTMENT OF DEVELOPMENT SEF3V CES - UILD[Wi3pSsm PERMI NO. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATI(JN AND PE[tMIT 2/96) ,� 20MNG BUILDING PERMIT SSORPARCELNUMB , ry �{ / ` ]1 GV ) ' O r,C. BUILDING VALUATION P S NG o TDJy ND rRESS (� 1 CORUON LENDER / NSTCTI -7 / / 9 Fireplace LENDER'S MARLNG ADDRESS Total Valua on $ ARCHRECT OR ENGWEER LICENSE NO. Filing Fee '$I Permit Fee $ ARCMnE= OR ENGINEERS MAJUNG ADDRESS BUILD NO ADDRESS .� - b Plan Checkin ee $ Energy Plan Ch cking Fee $ $ 12 D% r cmPERMIT FEE $ LOT Np, SUBDIVISIONS NAME PARCEL MAP PLUMBINGPERMIT Each Trap USEOFSTRUCTURE Duplex 13Mobilehome ❑ Other SF/V sFee� Solar or heat pump ater heater Wateri piping Each gas water heats or vent TYPE OF WORK Gas ploing syst-m 1 - d outlets New Addition ❑ Remodel ❑ Lima- ❑ Installation ❑ Other ❑ Building sews Mobile Home Describe Work: CI CPTDIPAI .PERMIT FEE PAID SRA SHERIFF OTHER $Yi5- 6B - AMOUNT RECEIVED $ DATE RECEIVED R F[F I PT ## 1 3 7 7 7 Cit Main Service ( ioin oil Main Service ( 2WA TO NEW CONST. DWELLdG OR ADDNS. ( i ACC. NEW CO MULTI.O NOWRESID. ( 6AANCN (POWER AP & SINGLE D' Ex. Occup. (ovnET OR Zv- Ex. Occup. ( ov�iss Temporary Service Moble Home Facilities ♦ rs iling Fee 20.00 7.00 '►— ,�•/� 23.D0 15.00 S .i 15.00 P 15.00 — 15.001S @20.00 S W:!� Fling Fee 20.00 23.00 46.00 3.5¢� �•� @7.50 23.00 20.00 23.00 /PERMIT FEE T7 i - f IN MECHANICA9 PERMIT Firing Fee 20.00 Heating RAZ A p p Cooling CD F Hood 6.50 Sv Ventilation nt=oulT CCF 4 ' �� — Mobile HoVie Installation Fee $ Energy I spection Fee $ '' =0 CONST. TYPE TO AL FEE $ � RAZ A p p O CD F �D l!/7 1=UE This permit is hereby issued under the appricaUle provisions cif the Butte County Code and/or Resolutions to do work indicated above for which Sees have been paid. By Date PERMIT EXPIRES ON (Date) �4 tJ 7 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 ^�C/ J� /�` OWNER: -P t^, tom/ ASSESSOR PARCEL NUMBER �J`' ( CJ— C Si Proposed Building Use: r, -Q J � Counter Technicia . Date: Items required in•order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 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. m 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Dateceived r By J 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ....... %,e.s 2...•, 1(7 C- �� ❑ 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.":....Y* ...................:....... ❑ 12. Hazardous Material Form ................................. �, ............................................... ❑ 3. Fire Sprinklers............................................................................................ 014. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by DVAS- ❑ 15. Other ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings .................................... .... . Sanitation and site plan approval from the Environmental Health Department in ' City of Chico Plumbing permit........................................................................ LSO. California Department of Forestry plan approval ❑ paid. Sent by: ...................... V/21. Planning approval for (A) Use: tG (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... V%23. NPDES Form............................................................................................. f24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number .....................................,....... ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 190 9.etter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 1. Manufactured home utility clearance..............................................:................ ❑ 32. Existing violations and/or expired permits......................................................... 4*C'Grant Deed, ❑ M.H. Ti a/Statement of Facts ❑Letter from Legal Owner, ❑ Check -to H.C.D. $ Other: Z , KiA , eoi b..�• s I,e F-%c� hen issued Telephone , y ^c� it and hold for pickup. I have been !nforme .of -the -above items and -requirements for obtaining a building permit. ADDIkant: �_ L —�� 1. Ind .permit application for t it'e s u d: Plan Check Letter 2. Additional items requiredgwn Contractor, es n w i d Xf th a phone, 64ail, ❑ counter, by go Date: / i3 ��1✓ �`� Contractor, designer, owne w advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: J /� Plans approved by: Date: Structural reviewed : Date: tructural approved by: Date: Note transfer by: Date: Yellow: Building Division y�,v�i AAC E.N. USE ONLY Biot Ra Ati A n c ad t" Rocs 61n asAed TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ---- Private Well Clearance for dwelling. Other Fina c earance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER q PROPOSED BUILDING USE / Y 1. BUILDING PERMIT FEES / Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .......... $ 2. SC )OL DISTRICT FEES i v0 aid at District Office) (Available after Plan Check) HERIFF FEES (paid at Building Division) esidential ...................... x $30.00 = $� Units Commercial (sq. ft.) ............... x $0.03 = Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (so. ft.) ............ x = $ Sq. ft. Amt. DIS CT FE S (Av r P RAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # DATE RECEIPT # DATE REC. 40b55-1 9- ¢01PS% 10. OTHER At time of permit application,waamed the above a are required to be paid prior to issuance of the building permit. These fees may be changed during Pe plane ng process. APPLICANT/ �� � DAT l- I Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) National Pollutant Discharge Elimination System (NPDES) Phase SWPPP Non -Certification for Project # for Butt�oo otip0�' gs County Storm Water Permit Compliance's Ci, By signing below, I, the project architect/engineer of record, indicate that I am aware that a o; construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than I acre of land: I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant, aliy�s and/or dejays. Signed: Title: Date: A� -moi—O By signing below, I, the project owner/owner's agent, certify that I am aware that a construction P'ect that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the St Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. , a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable t he State Water Resources Control Board to obtain such a permit, if my project disturbs more than macre of land. I, further, certify that this project will not disturb an 1 acre of land. This docur3lent and all attachments were prepared under my dir on or supervision in accordance wa a system designed to assure that quali individuals properly gathered and evaluated the inform on submitted. Based o nquiry of the person or persons directly responsible for gathering the ify, to the best of my knowledge and belief, that the information submitted isle; ccurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan LETTER OF ACKNOWLEDGE RE: Thomas & Sandra Decker AP# 039-090-055 Berrington Drive, Chico CA 95928 Single Family Dwelling and Detached Garage TO: Butte County Building Department Please release the building permits form the above mentined AP# to Ronald Bunch, General Contractor 60-2-3-0(-1S ndra Decker Date BUTTE COUNTY PARKS DEVELOPMENT FBS CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Nit ber (s ) ®�O ��✓ a A�a Property OwnerUenZ� kSj '/" , .-(it/t_, Project Location/Address &,A/ Subdivision Lot Number(s) a Residential Development: (check one) New Development Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: Building Department Representati Date W*WWWWWWWW**WWWWWWWWWWW*WW**WW***WWW**W*WWWWWWWWWWWWW*W*WW*W*WWWWW*****WWW Chico Area Recreation and Park District(CARD) certifies that _7 Tly HAS, sAtia��a (Applicant Name) (Phone Number) (Street Address) 9S92-(, (City) (State) (Zip Code) has. complied with the requirements of Butte Co. Resolution No. 90-1440 by" payment for dwelling units @.$1,189 for total payment of $ a310L1 T CARD Representative Date PAID BY CHECK N0, IQ� (OC REMARKS: BANK N0 . ` J O ' � PAID BY CASH - RECEIPT N0. 06/23/04 94836 11:38AM XXXTOTAL $1.189,00 Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fec (form revised 11/90 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For- Insurance Company Use: BUILDING OWNER'S NAME Policy Number _ 7W atm A) 1,4c;? r/ C,),!FCea:/2 BUILDING STREET ADDRESS (Including Apt_, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company.NAIC.Number R C 2 / /JG'T � /--v/ T�>/4 L7 _ _ CITYr`t 1 �� STATE ZIP CODE Q_ 6A 9592% PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 3UILDI G USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Li S f C7 M1V7_1/9 L-, -ATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: J GPS (Type): _ or #. #) �. NAD 1927 LI NAD 1983 USGS Quad Map Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 11. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE ®(r,©07C. -50-5 v % % . C A B4. MAP AND PANEL B5:SUFFIX 86. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER 0- DATE a/9 19 EFFECTIVE/REVISED DATE - ZONE(S) . AQ (Zone AO, use depth of flooding) /10 0. Indicate the source oaf t�e Base Flood Elevation (BFE) data or.base flood depth entered in B9. JJ FIS Profile I'XI FIRM J_J Community Determined J_J Other (Describe): 1. Indicate the elevation datum, used for the BFE in B9: NGVD 1929 J_J NAVD 1988 �_J Other (Describe): 2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? J I Yes I I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: Construction Drawings" J_JBuilding Under Construction" J_JFinished Construction 'A new Elevation .Certificate will be required when construction of the building is complete. Building Diagram Numbers (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the -Comments area of Section D or Section G, as appropriate; to document the datum conversion. Datum I�`7 Conversion/Comments Elevation reference mark usedz m 2 Does the elevation reference mark used appear'SPYes J_J No a) Top of bottom floor (including basement or enclosure) Z D_ft.(m) ' b) Top of next higher floor '% L ft. (m) N �R� 134 ll c) Bottom of lowest horizontal structural member (V zones only) WA —i— ft.(m) � C}' lEXP '° d) Attached garage (top of slab) 17,1 6-K e) Lowest elevation of machinery and/or equipmentN J Q3 Z rn servicing the building (Describe in a Comments area.) ( ft. m) — IK—f) Lowest adjacent (finished) grade (LAG) i-7 X -g) Highest adjacent (finished) grade (HAG) 1771 . Q ft. (m) �t��\- �1 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade '20 i ,qJ i) Total area of all permanent openings (flood vents) in C3:h_30sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION is certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. �rtify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. ,7derstand that any false statement may be, punishable by fine or imprisonment under 18 U.S. Code Section 1001 RTIFIER'S NAME /;- j n �� , rLICENSE NUMBERLE F _ U COMPANY NAME IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Uses=:=" ' 3UILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number :ITY�' t eQ CSTATE ZIP C DE Company NAIC Number l, - 9592Q7 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) :opy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. 1_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) x Zone AO and Zone A (without BFE), complete Items E1. through E4. If the Elevation Certificate is intended for use as supporting formation for a LOMA or LOMR-F, Section C must be completed. 1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building., provide a sketch or photograph.) ?. The top of the bottom floor (including basement or enclosure) of the building is 1_1_1,ft.(m) ILlin.(cm) 1_1 above or LJ below (check one) the highest adjacent grade. (Use natural grade, if available.) i. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is 1—" ft.(m) L(_lin.(cm) above the highest adjacent grade.. Complete Items C3.h and C3.i on front of form. t. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1_1 No 1_1 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION he property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A oithout a FEMA -issued or community -issued BFE) or•Zone AO must sign here. The statements in Sections A, B, C, and E are correct to -e best of my knowledge. ROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME )DRESS. CITY STATE ZIP CODE -NATURE DATE TELEPHONE DMMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete :tions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 1_1 The information in -Section C was taken from other documentation: that has been signed and embossed by a licensed surveyor, engineer, or architeet'who is.— authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data- in the Comments -area below.) A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO` . 1_1 The following information (Items G4-Gg). is provided for community floodplain management purposes. NUMbtt( This permit has been issued for: .11. New Construction �_� Substantial Improvement Elevation of as -Built lowest -floor (including basementy of the building is: _ ft. (m) Datum: BFE or (in Zone AO) depth of flooding at the building site is: _ ft. (m) Datum: :AL OFFICIAL'S NAME TITLE MMUNITY NAME TELEPHONE NATURE DA 9, Check here if attachments a Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS 4 COPY of Document Recorded 30 -Jan -2004 2004-0005588 AND WHEN RECORDED MAIL TO: Has not been compared with BUTTE COUNTY BUILDING DIVISION original 7 COUNTY CENTER DRIVE BUTTE COUNTY RECORDER OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not,lilhited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, srn6ke,ndise, a6d=odor:1 Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of Lot 3 of Section 3, township 21 North, Range 1 East, M.D.B. & M., and more particularly describes as follows: Beginning at the northwesterly corner of said Lot 3, said point being the southwest comer of Stanley Park Subdivision; thence along the North line of said Lot 3, North 88 deg. 36' 15" east, (shown as north 89 deg. 58' east on map of Stanley Park Subdivision) 294 feet to an iron pipe; and the true point of beginning for the parcel of land described herein; thence from said point of beginning continuing along the North line of said Lot 3, a distance of 104.00 feet; thence at right angles, South 1 deg. 23' 45" East, 221.06 feet to an iron pipe; thence at right angles South 88 deg. 36' 15'.West,, 104:00 feet to a point; thence at right angles North 1 deg. 23' 45" West, 221.06 feet to the point of beginning. Date `/�lavyernb ey ZQ?d0 PROPERTY OWNERS: ef State�ofCalifornia ) County of rj y'tr� ) On IVP V-evh%3gy 17, )•Q�3before me, personally appeared 1-k e w,n S r6. 04,cX o \,- (a)r, �, _S4h �s ro, S �J �c k-� b- personal known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.. WITNESS my hand and official seal. CAROL L J BRAZIEL Signature Seal: < Cammission # 1313926 z Notar-• Public - California County A.P.# 11JR— OqO ( J rrrdCo:rr. - intAug17,2005 "�R3yvri. imY+mna,�mm ' 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) � School District Cr' `(C � _ Building Department No. � � ' ,•�..� y ' T A.P. Number [ �4�� V�J Jurisdiction: Q City County Property Owner 56=t' 0'", f ✓� e �• f'~ 'u Property Location/Address Subdivision Fz Lot No. .. .................... .......... Residential Development © Q Q Q Sq. Footage -7. (,p No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # (No foundation inspection) ............... . ..........................................................................._..., Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition District Identification No. OL P1� y, School District certifies that - (Street (City) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # Remarks: Sq. Footage (Including Exterior Roofed Areas) / l A q Date o da4 (Applicant) (Phone Number) (State) (Zip Code) by payment of $ —7 W .�Q 2926 $ FULL MMGATION = Date / INotice: You may protest the Imposition of the foss IdsntilIM above by submitting a written protest to the District, In compliance with Government code Section 66020(a), within 90 days from the date teas am paid. Failure to submit a timely written protest whii'prohibtt you from challenging the ImpcelBon of the fees In any court actin. If, subsequent to the School District Representative signing thisSults County Schools Impact Fee certification Form, the School Dieb is notlflod by the applicable Local Planning Agency that this project Is being reviewed under the CalKomla Environmental Quality Act (CEQA), this project may be subject to addklonal school fool to fully mltlgale.hts impact on the school dh&kft aeheots. White (applicant), Yellow (building department), Pink (school district) feetorm.xls (10/03)dmm 12-03-203 8 : 3SAM FROM JAMES H. BRAZ I EL S30 8i9.SS 3141 P. 1 X5.36 zagv LETTER OF RELEASE RE: Thomas and Sandra Decker AN 039=090-055-000 0�—���}�f Berrington Drive, Chico CA 95928 Single Family Dwelling Permit Applied for on 11/'17/03 TO: Butte County Building .Department 1, Robert Shrader, am no longer the -contractor of record. 1 release the permit to Thomas and Sandra Decker. p2 _off Robert Shrader Date )0.-3. 63 /,-j-03 TO LARRY PAINTER _$ETURN TO CHICO EH J SITE PLAN REVIEW APPLICATIOINV Date: /� / OPermit Number (if applicable) Bin Number APPLICANT WFOR1tMATION Parcel Size: Owners Name: I lI Of GA Address: Ulo�' t�-d.CT e-, U � A � © , til Telephone No.: / 9 9/'6 Situs Address: e-rr i A� Proposed Use: Xsidential ;ew Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer O ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other 12,Septic ❑ Well ❑ Agricultural Exempt Building SKAgricultural Buffer Form ❑ Applicable S N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Oa Site Plan Stamped Approved By Date 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 atta hed) • Flood Zone: • Flood Panel No.: O S 0 S C— Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance _______w________________________�___________�_____ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. L� Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � � � Side Side Street Rear 5 Height Waterway I N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. L� Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula O ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. OParcel Created By O H .Deeds: �qX Date of Creation: 1 q 6 - 7 fit-' Legal Access Provided: Deed of Reference: 1 S 29 7) Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No Z Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ No ED Yes ❑ No ❑ Yes IsParcel 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 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: • Date of Approval: 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 Pl,* must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by'the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 O L 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. CALatrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 L h N D O F N A T! t R A. i VV E M' i T H A. IN D BEA U T :' A F DEPNR-t MENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH '_'202 }lira Lena Drive X411 Main street —' 7 County Centar Drive Greville, CA 95985 PO. 84ox 5364 Urovdle CA 95965 TEL 30} 538.7282 Chico, CA 95927 TEL- (520153P.,7281 FAX' (530) 538-2155 TEL. (530) 891-2727 FAX (530) 538-7785 December 1. 2003 FAX. 1_.io) 895-6512 koben 5hrade", P G Box 1466 Chico, CA 95927 � � sar Nu Slttad�r: ! he application, which you recently submitted to this Departinent to construct a sewage disposal system on the property located at Berrington Drive , AN 039-090-655 has been reviewed. A permit cannot be issued at this urns for the following reason(s): 1. Flood hazard Prevention: Because the subject property is located within a 10.1 -year flood plain, our .D=artlnent requires the applicant to show that the proposed septic system is located at least 100 feet from the 10 -year frequency flood (Butte County Code Section 26-26). 11,us is usually done- through a licensed professional. If you have any questions, please contact me at the Chico office listen above between 8;00 a.m. and 9:00 a.m., Monday through Ftiday. Sincerely, 01 .1-im Loushinc, R.E.H.S. Division of cnvirownental Health TL I.,;.-prt�j car►tf, oocihazivd,'Betri ngtondr �7 RESPONSE TO PLAN CHECK Project: Decker Residence Berrington Road Chico, CA APN: 039-090-055 Building Permit Number: 03-3547 Structural Comments: 1) See revised truss talcs 2) See added detail 2/S4.0 3) By others 4) See revised plan 5) By others 6) By others 7) See revised plan sheet S1.0 8) See note added to plan sheet S4.0 9) By others 10) See revised plan sheet S2.0_ for girder line under bearing wall 11) By others 12) See note added to plan sheet S1.0 ale tQ March 11, 2004 VerticalTechnology Engineering M ft LnbAxe #24 Chun` CA %M5 fK(So)WAF% ftC )899-U e RE: Decker Residence,,Chico,'CA To Whom it May Concern: I have reviewed the truss calculations by Longfellow Lumber Co. dated 9/26/03 and have found that the trusses appear to be designed in accordance with the general design concept of the structural documents. The specific design shall remain the responsibility of the engineer who has sealed the calculations. C 60387 at p �,�►.6130104 Z OF C,���'�� F; l� rd RESPONSE TO PLAN CHECK Project: Decker Residence Berrington Road Chico, CA APN: 039-090-055 Building Permit Number: 03-3547 Structural Comments: 1) See revised truss calcs 2) See added detail 2/S4.0 3) By others 4) See revised plan 5) By others 6) By others 7) See revised plan sheet S1.0 8) See note added to plan sheet S4.0 9) By others 10) See revised plan sheet S2.0 for girder line under bearing wall 11) By others 12) See note added to plan sheet S1.0 March 11, 2004 VerticalTechnology Engineering MRbUxbA%e#2M,CNA CA, %M6 PK(SM) swm ftc5o)ffl!�-uae RE: Decker Residence, Chico,'CA To Whom it May Concern: I have reviewed the truss calculations by Longfellow Lumber Co. dated 9/26/03 and have found that the trusses appear to be designed in accordance with the general design concept of the structural documents. The specific design shall remain the responsibility of the engineer who has sealed the calculations. Fri qua. C 60387 '-4 p �Y.p. 61n 104 OF cx' RESPONSE TO PLAN CHECK Project: Decker Residence Berrington Road Chico, CA APN: 039-090-055 Building Permit Number: 03-3547 Structural Comments: 1) See revised truss calcs 2) See added detail 2/S4.0 3) By others 4) See revised plan 5) By others 6) By others 7) See revised plan sheet S1.0 8) See note added to plan sheet S4.0 9) By others 10) See revised plan sheet S2.0 for girder line under bearing wall 11) By others 12) See note added to plan sheet S1.0 i' XAAA12r March 11, 2004 VerticalTechnology Engineering M Pm Uxb he#2DQOx4CA, %Q PK( -'W) MMM F�K CSM)899-11M RE: Decker Residence, Chico, CA To Whom it May Concern: I have reviewed the truss calculations by Longfellow Lumber Co. dated 9/26/03 and have found that the trusses appear to be designed in accordance with the general design concept of the structural documents. The specific design shall remain the responsibility of the engineer who has sealed the calculations. r�y . 6l7 yvn ell a .. ... 6 oro- S0104 COF C 1 RESPONSE TO PLAU CHECK Project: Decker Residence Berrington Road Chico, CA APN: 039-090-055 Building Permit Number: 03-3547 Structural Comments: 1) See revised truss calcs 2) See added detail 2/S4.0 3) By others 4) See revised plan 5) By others 6) By others 7) See revised plan sheet S1.0 8) See note added to plan sheet 54.0 9) By others 10) See revised plan sheet S2.0 for girder line under bearing wall 11) By others 12) See note added to plan sheet S1.0 Verticaffechnology er Engineering M PmLF ke #2O, ChK4 CA 9S% ech PK PD) W.W"b r-bK(So)899--= March 11, 2004 RE: Decker Residence, Chico,'CA To Whom it May Concern: I have reviewed the truss calculations by Longfellow Lumber Co. dated 9/26/03 and have found that the trusses appear to be designed in accordance with the general design concept of the structural documents. The specific design shall remain the responsibility of the engineer who. has sealed the calculations. 1 g too. c 6038i� p .6/30x134 January 13, 2004 Thomas & Sandi Decker 49 Losse Way Chico, Ca. 95926 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 039-090-055 Building Permit Number: 03-3547 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NO (STRUCTURAL COMMENTS: The enclosed school fee form to be completed by the Chico Unified School District and the . pleted form returned to this office. Provide Environmental Health Dept. clearance. (IVA copy of the recorded Agricultural Acknowledge Statement to be submitted to this office prior to issuing the building permit. loo e energy compliance design and supporting documentation to be modeled for actual square tage and window sizes. Please provide a complete sectional drawing and show framing member sizes and o.c. s acing. Flood elevation certificate lines C3- h and i to be completed. Flood vents are required since structure is on a raised foundation. This includes the garage since line CM is lower than line C3 -g 7 The elevation shown on line C3 -a can not be lower than elevation shown on line C3 -g. This would result in the under floor area considered as a basement. .-8—S'ection F of Flood elevation certificate to be completed. lease provide a letter from project engineer stating he has review the truss calculations and layout and they conform to his structural design. STRUCTURAL COMMENTS: Provide 2150 lb. drag truss along wall line 2 as specified on the roof plan and in the structural L/alculations. T --is 4 3 0 Truss detail A6, note #9 to be addressed. 1-ru55 Specify model number of hangers required to support trusses by the girder truss. 4/Fhe A5 truss bearing point locations and the interior bearing point location of truss A4 do not appear to correspond with the foundation plan. Please correlate. 1 of 2 10 3-�f`easeshow over framing of roof on the roof framing plan with size and o.c. spacing of fra g members noted. orrelate foundation, floor and roof framing plans in regards to the exterior wall of the dining in. Plans do not match. �. Floor plans shows a 4x4 post supporting a 6x12 beam at the entry. Please revise to provide full bearing. (4x6 or 6x6) V" pecify top plate splice nailing as specified in the structural calculations. 9"Please revise foundation detail 1 page S 1.0 to show interior grade at the same elevation as the e erior grade. Refer to item 7 of the non-structural comments above. Please provide double floor joists under the great room bearing wall per CBC 2320.8.5 or provide a foundation detail showing the wall supported directly by a girder without floor joist between. kl Please specify size of pier foundation at the master bedroom on the foundation plan. 1a/l�lease specify pressure treated wood members below the base flood elevation on the foundation details. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Mike Hubley, P.E. 2 of 2 w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041894 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/28/2004 APN: 039-090-055-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 37 �3 / 3 Site Address: //a7 ,SF�2R�/ „�� Tort 120, G�} / Date: G'Z�'-o`f Contractor.�o ••.� ��-� < <- Map Index: Description: TRANSFER CONTRACTOR FOR 03-3547 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: DECKER, THOMAS 8r SANDI to its issuance, also requires the applicant for such permit to file a 49 LOSSE WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO CA 7000) of Division 3 of the Business and Professions Code) or that he or 95926 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BUNCH RON Code: The Contractors' State License Law does not apply to an PP , owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, g LAGUNA COURT provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of (530) 891-1104 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 not apply to an owner of property who builds or improves thereon, Contractor:. BUNCH, RON and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 9 LAGUNA COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 '(530) 891-1104 Date: Owner: License M 378313 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perl'ury 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: Issued. p� I 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: -5 ,Vr .,ted Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 ❑ 1 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: Applicant:o. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 4-0(o 5513 compensation, damages as provided for in Section 3706 of the Labor 04' code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY" This permit is hereby issued under the applicable "p"rdvisionw6f the Butte County Code enwor - I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for Which fees have been paid. performance of the work for which this pe is issued (Sec 3097 Civ.) ^� - �l� G' Name: GC/8 //5 B - Date: By: y' PERMIT PIRES ON: 2S • OS Address: YJ'r `7$ .�� i� f�iy C1, 40.,,11 ,, Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize rep r tives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 2" 2" Signature: __ O Date: -2 O ❑ Owneronlid�Ctractor 0 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 "PLEASE PRINT CLEARLY" OWNER Last Nam�r-Gler-R first Name ��O /—, Address LoS5 E V✓ City tfil G0 S ate �� ZP �f591(o Phone Fax E-mail 1-10" T SIGNATURE X For office use only: CONTRACTOR Name R6M &LA4 e—'e-f Address 9�,,, GT - City G'O-j Go City State C� Zip g59Z Phone p/. Fax Fax E-mail E-mail Lic. #5,7g-3 13 Class 8 T SIGNATURE X For office use only: ARCHITECT/ENGINEER Name City G4-1e_o Address City St - Zip Phone Fax E-mail , State License Number T SIGNATURE X For office use only: APPLICANT NAME Name City G4-1e_o Address City I Yes State Zip Phone Type Const. Fax E-mail Map Book T SIGNATURE X For office use only: AP# Zoning City G4-1e_o Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 4>4-1894' BIN # LOCATION AP# Prope Addres rl1 ,gyre. 7ZV! City G4-1e_o Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Tv 3 • .n 54 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Yt'2Nj Amount: fy • 99 Bldg SRA Receipt #: +O(o 558 Sheriff Date: Iola 809 SMTP Other 54- • 9q Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts '(if required) (7VO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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 t� 'neer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. _ ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SUbRgmts.doc Page 2 of 2 REV 6-16-04 BUTTE COUNTY 'DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042032 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/21/2004 APN: 039-090-055-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: ,373'313 Site Address: 1127 BERRINGTON RD CHI - - Date: y i�u y/ Contractor: "RO � •�JJNt c. Map Index: Description: DETACHED GARAGE (720) OWNER-BUILDER DECLARATION 1 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 Owner' DECKER THOMAS SANDI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 49 LOSSE WAY signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95926 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BUNCH, RON Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 9 LAGUNA COURT provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 891-1104 proving that he or she did not build or improve for the purpose of sale.). O 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• BUNCH, RON 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.). 9 LAGUNA COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 (530) 891-1104 Date: Owner: License M 378313 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 La or Code, for the performance of the work for which this permit Architect: issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: �T� ;�;111& Total Square Ft: 720 S. F. Valuation: $17,280.00 Census Code: Policy#: 041a -zYi-s- ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �7-2/-�'% Applicant: a 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 4d7&eez> 3 :t a4-1. c7 Q 7. code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit hereby issued under the applicable provisions of the Butte Counly Code anwor I hereby affirm that there is a construction lending agency for the Resolutions do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)r_ • 2 f • O¢ Name: By: Date: PERIT XPIRES ON: Q ' ;' I • (:> 9- Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: o. i �ui-. e 1% Signature: - Date: c%_ 2 — 0 5�1' 0 Owner ontractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY Awi3 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 OWNER Name,-, Address y5 /.o ss E w City ! d State Zip z6 Phone 39(z _ 572,-F6 Fax 9*,3 _ 3.,V1 E-mail CONTRACTOR Name Address City �h !co State Zip,'Z5-9Za- Phone Fax E-mail Lic. #�7�3�3 Class ARCHITECT/ENGINEER Name Address _ City !G State Zip5�Z Phone- �S�o Fax E-mail State License Number APPLICANT NAME Name Address City �� Statea Zip5�2_e, Phone f /o `< Fax E-mail i SIGNATURE For office use only: Zoning SQ-) Flood Zone Iia I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AN 0s'S .39 - o 90 Property Addres Cross Stre 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 dila 6�?h D scription o yqrf ork: 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. Received by: �e_ Amount: 54 q • �� Bldg SRA Receipt #: +64,j963 Sheriff I. 7 3 SMTP I I Date: 7-1:1 04— S 5 1 • to3 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 • c SUBMITTAL REQUIREMENTS 4 The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of pians, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. o 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FABS!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9'. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 OWNER: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES;PUILDING. DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax. 530)5381,2140 ASSESSOR PARCEL NUMBER a 39 • 9-':>9 O • 0$3 Proposed Building Use: Counter Technician: Date: I s required in order o apply for a permit. All boxes DUST be checked OR marked NA in order to apply. 1. Site plan 3U3, s, signed by the preparer of the plans. 2. Complete plan4 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 eesig view. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate b 11. Site plan and business license approval from the City o Iggs 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner ,jcjll 4. Hazardous Material Form / ChtSanitation and site plan approval from the Environmental Health Department in ico ❑ Oroville, as applicable. 16. Other V� Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19.. Soils Report and/or Engineered Foundation required ........................................... ........ Erosion Control Plan Required....................................................................... ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ q/ 23. California Department of Forestry plan approval ❑ paid. Sent by: f Planning approval (A) UsaO &1--(B)Parking: al- (C) Parcel Check-.Q� 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....,.. ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ........:........................ ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. al items required Ransfor designer, owner, was advised of the above data by parone, ❑ mail, ❑ counter, b Date: designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: viewed by: Date: Plans approved by:Date Structural reviewed b : _Date: Structural approved by: W l� Date: 16 Note transfer by: �C Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER �C2 A.P. # o6;_3 PROPROSED BUILDING USE �fi-2 ( ?Z Ol DATE �• 12.0 4- RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ ' --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ cSq. Ftg. Amt. 10. OTHER M / P It / . 73 A ' of permit c' ation, fwas advis eddtthe ab e'fegs are re utred to be paid prior toissuance of e permit. Tlies e fees / may be changed during thepjaweigcjciugprocess. APPLICANT DATE %— i Z-0 SL Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) TMEW,' Y %� �U T TF i' ° ° ° ° CO(IN't� Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACREI Project Description: Project Location and/or Parcel Number: //Z7 —,->_ —� � � �^-- - By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: j Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Department of Development Services Building Division 7 County Center Drive OrovWe, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner:-� V" (A S �, 3A fA U iZ l G!�k--X—Phone: 5 q Z- 9 2-8 (P Mailing Address —4q L_C�SS t, LO H� 9 Q59 Z(-. Site Address: -TT3A Ck1 t Cb (� A 9 �S9 Za Assessor's Parcel Number: d a- G90 - Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL INFOILMATION: 1. Is there a dwelling on the Yes primary property? No 2. Is the structure already built, under construction, or under notice of code violation? Yes'o NOR 3. Will items produced in this building be offered for sale? Yes ❑ NoE r 4. Will the public have access to this building? Yes ❑ No -Er 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ Nal=—Y SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ i4da 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ Nom 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No -a 9. Will the proposed structure encroach within any recorded easement? Yes ❑ NQ a CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No4 Will this building be heated or cooled? [311. Yes No 12. Will this building have a water closet/toilet? Yes ❑ Nom" 13. Will this building have a sink? Yes ❑ No$ 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? 16. What type of «-a11 covering will the building have? n QYr1Q— OVER 1 of 2 PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. -Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is reouired. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked 94, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ FamilyRoomZ ❑ Sun Room ❑ Private Office [--]Workshop [I Home Occupancy ❑ Other— Use = Deur,be tvpc orwor shop — blast be approved by the Buse Courcy Pbuming Divisim Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please, indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information 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 the property is offered for sale: Ourner's N Owner's S 2 of 2 utte County Department of Development Services )NNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 7/28/2004 Applicant: Decker, Tom & Sandi Permit 04-2032 Project Type: Detached Garage APN: 039-090-055 100%, 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive M Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: ' M FROM: r 1 SUBJECT: ® � DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 7/28/2004 Applicant: Decker, Tom & Sandi Permit 04-2032 Project Type: Detached Garage APN: 039-090-055 100%, 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other SITE PLAN REVIEW APPLICATION Date: l' l0/ G y AN 3Q — 0 Permit Number (if applicable) APPLICANT 17VFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: (j4 - 203 2- Parcel Size: 0• U ± AC Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home LR"Residential Accessory ' De� • Sam Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well. DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER UICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved* By -.i Date R /tole) . 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) 0(abO76- v Flood Zone: AO O 506 G Flood Panel No.: aComiftm Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the Califomia Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit _ ❑ - Administrative Permit ❑ Minor Variance ❑ Variance ------------------- ----------- ------------------------------------_-------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 51 Side Street 20 Rear S 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 t 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: 1g "'lo 7&* t'nk I Legal Access Provided: ❑ No Yes Deed of Reference: k'�51<r- Z6i `l Legal Access Required ❑ No L] Y_es Parcel Frontage on Publicly Maintained Road: ❑ No Dites, 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 ❑ Subdivision May/Parcel Map: Map Date of Recording: Lot: ❑ Use PermitlMinor Use Permit Permit Number: Book: Page: Date of Approval: 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 El ❑0 Parn- A ^f < F , x C 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. CA arrysSuilding Permit Site Plan Reviewl.dOC N;�VSWI LLerving ,DA�N August 24, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1061 Jurisdiction Job No: 04-2032 Assessor's Parcel No: 39-090-055 Applicant: Tom and Sandi Decker Description: Decker Detached Garage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the following Conditions: 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Notes as red -lined on the plans. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies Sheet C1 and Al dated 5/6/04, by Evergreen Development, Chico. 2. Structural Calculations: None—conventional frame. 3. Truss Calculations: Two (2) copies dated 7/2/04, by Redong Yu, P.E., MiTek Industries. 4. FEMA National Flood Insurance Program Certificate: Two (2) copies dated 7/9/04, by Calvin Bachman, P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the page to follow is the identification of the codes and standards applicable to the project, a code analysis and identification of any deferred submittals. WILLDAN SVving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Type of Type of 1" Floor 2° Floor Occu a cy Construction Sprinklers Stories Sq Ft Sq Ft Total Sq Ft U1 Detached V -N No 1 0 NA 720 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Rick Essenwanger Plans Examiner Ricardo Guzman, S.E. Structural Plan Check Engineer Cc: E-mail Alice Mefford at: amefford@buttecounty.net Tom and Sandi Decker, FAX: (530) 895-3141 Ron Bunch, FAX: (530) 891-6053 Evergreen Development, 2530 Zanella Way, Chico, CA 95928 Page 2 off County of .F.icnte 14353-1061 idiom I buutl C'N ilp, REVISIONS October 16, 2003 o I fik CIA �o 0 A# , no, 10 tull -0 lu w October 16, 2003 SCALE- 111=10.-0.f BY: D SCOTT JACK60N . . ... . . . . . . . . 50 AMPWP GFI C3 C3 1=LUCfRE5CENT LAMP. 7 . . . . . . . . . . . . INCANDESCENT LAMP 1 4 4 4 X Gq SWITCH / SIKGILE --- ----------- ---------- ----------------------- SWITCH / THi'-RE� WAY Ent FRONT ELEVATION RIGHT ELEVATION GF, �1116•A • 6 t1% I.- to #. LEFT ELEVATION DUPLEX OUTLE 110 V. / GROUND FAULT WATERPROOF wp DUPLEX OUTLET 220 V, DBL EXT FLOOD !LITE OVERHEAD DOOR OPENER a•'4 4 4 4 4 A V6 A% Al V6 A*4 V4 0*4 A 9 x - - - - - - - - - - - - - - - 9 Ln REAR ELEVATION 25 AMP -SUB GUTTERS FRONT & REAR 3/8', CDX OR 065; �,OIR T�1-11 81DING - E N V I R iXl ikel H �411' I P, i -E A L -T WALL INSULATION, AS PER OWNER O.C.NAILED ll/.-OdED>�ES- '121, FtIELD APR 0 1 2004 1/2" AN-C,40R BOLTS -12": 0,C,," GARAGE FLOOR PLAN (ZII I KIAII W/1- III/ today" 3 COAT STUCCO By I//- GYP t5KIJ 31, 2004 H I C 0, CAI IF 'rl N I U.O.N. 1/2"X'10" AB 6'O.C. J A -35F CLIPS a BLOCK>FLAT-E 6 32" D.rto CONT GI By March 31, 2004 WEEP SCREEDj 1/2"X'10" AB 6'O.C. J ROOF F ZfRAM IN6 NOTES': 2% FALL OUT 5' (MIN) =00 �z -,-�,4'1 CO NC SLAB 4 < NAT GRD 11 -: IIIIIII 1-12:1 --#4 kE-BAR (CONT 4" COMP. FIILL T Z )�T "TOP & BO OM 1) PROVIDE FULL BEARING UNDER ALL. HEADERS, 'BEAMS AND GIRDERS TRUSSES TYPICAL, UNLE-55 NOTED OTHERWISE, 1211 CONT. CONC. PERIMETER FOOTING 2) ROOF SHEATHING SHALL BE 15/32 CDX(4)20) 'NAILED ATOP ROOF FRA -MIN& MEMBERS N WITH Od NAILES AT ro",12". CDX RATED O.S.B. MAY ESUI5 5 STITUTED. rC TYPICAL 14 FRAMING SECTION - 3) HEADERS AT BEARING WALLS SHALL BE MINIMUM 4XI2 DF2+ TYPICAL UNLESS 03:36 PM OTHERWISE NOTED, SEE PLANS. Lu (D (D n LLJ k 0 -011 0 0 C Loll, REVISIONS By March 31, 2004 4 4 N 14 03:36 PM Lu (D (D n LLJ (1) 0 0 C Loll, CL d� O u a% �:v 4k o v ac � w � a March BI, 2004 SCALE. 114%V-011 DRAWN: DSJ JOB: SWEET OF SHEETS T7 I ... 7a R.,