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039-210-050
4 1 m 039-210-050 02-0777 TAYLOR, TODD INALED :?_3;?SfIUBBARD LN, CHIC —$O3 NEW SF c f.�e NOTES I PERMIT RESIDENTIAL 039-210-050 02-0777 y' TAYLOR, TODD 33?IUBBARD LN, CHICO NEW SF CIL- pry 1'&e' - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY — USE PERMIT CONDITIONS: — SUB -STANDARD HOUSING LETTER OFFICE COPY i Address ---------------------- I GAS ' Meter By Date � ELECTRI /.� Meter By Date����" 8 t JOB FINALEC Signature ./ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Gas; MH Test -Demand -Valve -Connector Elec.; Receptacles and Lighting, Distance-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Pool Lighting; 15 Volts-GFI 5. Drain; MH Test -Fall -Flex Connector Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test -Regulator -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 8. Gas and Electricity Tagged Health Department Approval '9. Tie Downs -Type -Installation Cert. Plumb.; Cir. Test -Water Supply Test 10. Exits; Insp.-Sketch Light Niche 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. _ Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed . 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 V=OKf ,0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) ' Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) ff 1.g- tbacks-Easements-Flood-Slope Ftg. ain; Soils-Elec. Grnd.-/ " Ftg. Wpth g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. t orches & Decks; Soils -Steel-/ /" Ftg. Depth e ails, Main; Steel-Blockouts-Wrapped P 7 A, S mw s, Garage; Steel-Blockouts-Wrapped n i 4- Downs and Special Anchors iers irep a Ftg.-Steel all- ' ng -Test -2 Way C/O -Sewer Test F, ipe; Size Anchors - Yard Gas Piping; Size Test ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Un ound 13. Plan Ducts; Clearance -Material -Support -Ins. u s -Sills -Anchor Bolts-Joists-Vents-Crippies ccess & Ventilation 16. Insulation Dat!Q2. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1Z. ter Ht,; Vent -Access -Combustion Air Baffle JVWZ Pipe; Test & Anchor -Nail Protection 9. W.V.; Test Fittings & Anchor -Nail Protection AY Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date J/ O; Card B-1 441 j Date Card B-1 Date O,i Card B-1 Date Card B-1 Date E1XCTRICAL (Permit) OK except #'s 2 4i bre Vransformer Clearance -Ins. Protection 2 le eceptacles Spacing -Lights & Switches at Doors 25fe!Etze Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. p. Ground made up w/Mech Fasteners -Bond Gas & Water 2f,4Appliance Circuits in Kitchen & Conductor Size GFI feed Wire Size / / ga or AI-A.C. Wire Size/ / ga Cu or AI 9 . Range Circle / _L/.9a &or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Service -Riser Conductors & Ground Main Disconnect uip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 34.Amoke Detector Date I//' Cr), Card B-1 Date Card B-1 Date Card 13-1 Date Card B-1 Date NjLepHANICAL (Permit) OK cept #'s 3 .C. Ducts Insulation & Su ort 3 t Fan, Exhaust above insulation 41. Conde to Drain & Overflow, Size & Grade 38. ce-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 4VCling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Firepl a Ties or Type A Flue -Fireplace Throat Clearance 48/Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles B m. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3F.dStory, 2 Exits -b4. Stairs; Width -Headroom -Rise -Run- ding -Fire Protection Plywood on Roof Overhang-Atti ants -Rafter Outriggers 56. Siding -Nailing Veneer Stucco Mesh -Drip Screed -F . Vents-Underflr. Access 49WGIazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Krace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date % C:�' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F AL (Plans) OK xcept #'s Steps -Door & Sidelight Protecti n- n'di'ngs t3�Detector Furnace Vents -clearance -Comb, Air -Connector - In G ;29'9';Above Floor -Ducts -Mach. Protection e om Exiting G,En Bath Fixtures & Tub Access -Spa 481 _Elec. Trim & Subpanel, Breaker Sizes & Labels 69. St, -,k<& Rails it o Stove, Clearance -Hearth 71-IE_IWOutlets at Wood Panel, Int. & Ext. 72" -Kit. Fixt!i'Appliance; Ground -Air Gap -Cooking Clearance e' s & Receptacles at Kit. Counter ge Fire Door; Swing -Landing -Closure A.C. ct in Garage -Damper tr. Htr.; ants -Clearance -Comb. Air Connector-P.R.V. in age; Ab ve Floor-Mech. Protection 7 Plb., . & Mech. Equip. Listed for Location U-ereSceptacles in Garage (F.F.I.)-Romex Protection 7J. Insulation -F m -Looked in Attic 80. Guar ails & Deck Construction -Post Caps dn. VBent rawl Hole Door Drainage & Wood -Earth Cle ce Looked under FLqGfl O Yes owing Instld./Drive - s ] NoMalks ly4flPiNotPlanters es ❑ No Stucc own -Finish 86!Vents_Ab15ve Roof, Plbg-Appliance-Fireplace-Clearance to Ooeninas sect, Electrical, G.F.I. Recepta out House 90"Correc'o<from Previous Inspections 9 as T eters Tagged, Gas -Electric 9 . ewer Connected -C/O to Grade -HD Approval En y Compliance Certificate -Other Certificates Date Card B-1 ate Card B-1 Date d Card B-1 Date Card B-1 Date j Card B-1 f Date Card B-1 at Date and B-1- Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40 its Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 4VAearing Walls over Girders & Floor Nailing 4Y Draft Stop in Walls (rat proof) 441 rire,Stops, Furred Ceilings -Stairs -Chasers -Tubs 4WVaders & Beams -Size & Bearing 4VCling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Firepl a Ties or Type A Flue -Fireplace Throat Clearance 48/Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles B m. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3F.dStory, 2 Exits -b4. Stairs; Width -Headroom -Rise -Run- ding -Fire Protection Plywood on Roof Overhang-Atti ants -Rafter Outriggers 56. Siding -Nailing Veneer Stucco Mesh -Drip Screed -F . Vents-Underflr. Access 49WGIazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Krace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date % C:�' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F AL (Plans) OK xcept #'s Steps -Door & Sidelight Protecti n- n'di'ngs t3�Detector Furnace Vents -clearance -Comb, Air -Connector - In G ;29'9';Above Floor -Ducts -Mach. Protection e om Exiting G,En Bath Fixtures & Tub Access -Spa 481 _Elec. Trim & Subpanel, Breaker Sizes & Labels 69. St, -,k<& Rails it o Stove, Clearance -Hearth 71-IE_IWOutlets at Wood Panel, Int. & Ext. 72" -Kit. Fixt!i'Appliance; Ground -Air Gap -Cooking Clearance e' s & Receptacles at Kit. Counter ge Fire Door; Swing -Landing -Closure A.C. ct in Garage -Damper tr. Htr.; ants -Clearance -Comb. Air Connector-P.R.V. in age; Ab ve Floor-Mech. Protection 7 Plb., . & Mech. Equip. Listed for Location U-ereSceptacles in Garage (F.F.I.)-Romex Protection 7J. Insulation -F m -Looked in Attic 80. Guar ails & Deck Construction -Post Caps dn. VBent rawl Hole Door Drainage & Wood -Earth Cle ce Looked under FLqGfl O Yes owing Instld./Drive - s ] NoMalks ly4flPiNotPlanters es ❑ No Stucc own -Finish 86!Vents_Ab15ve Roof, Plbg-Appliance-Fireplace-Clearance to Ooeninas sect, Electrical, G.F.I. Recepta out House 90"Correc'o<from Previous Inspections 9 as T eters Tagged, Gas -Electric 9 . ewer Connected -C/O to Grade -HD Approval En y Compliance Certificate -Other Certificates Date Card B-1 ate Card B-1 Date d Card B-1 Date Card B-1 Date j Card B-1 f Date Card B-1 at a .y a COUNTY OF BUTTE ' T • . - BUILDING DIVISION..... .. DEPARTMENT OF DEVELOPMENT SERVICES "y 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ;a CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be correct d. Please notice this office when correction of work is completed. If you h e any estions pertaining to this matter, or need additional explanation, please contact th' office i ediately O /�vSG` _ _ ., T _. _.-., rv-•-�.r..r..., ♦ �.,.•,.'S"^ .4, cr r Sp. .Y'e't• ...�.,T.-.. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE yz alc 0IR - 077 Z OWNER PERMIT NO. A routine inspection indicates th t the following violations of butte county -Ordinances Ordinances exist at the above address and should be orrected. Please notice this office when correction of work is completed. I( you have any uestions pertaining to this matter, orfieed additional explanation, please contact this of .ice ' mediately. r WU (�ZlTz?La all 0 7 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING D VISION OROVILLE FROM: _ ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: AP#: &�ga/0 �� ADDRESS/LOCATION: GIa 4j�% Comments: GUmemos/releasehold r COUNTY OF BUTTE ----------BUILDING DIVISION .. „ _DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street --'Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 6bllL OWNER CORRECTION NOTICE _� -r/��Z PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE'' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751, 7 County Center Drive • Oroville, CA • (530)'538-7541 _ CORRECTION NOTICE _ OWNER PERMIT.NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is —, completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a • rai tea`. ag &76=� w �i r i Date _ REV 1 •m1 Ii — �^ ° ��������G��l�lE --- ' �� . --_' --- 411 �an^g��et°{�h�o ��°�%�O\8Q1'�761 7�oun�/�enb�rD ' °OrovU|�� �A°��3O\�538'7541 ���������K���� ����U���` ' ~~~~^^^^~~°°^^~°^° "~~~""~~~~ ' �muunoinopovooniomvu�vma momovwinnvw�noovorumwovoun�o�munmmox��oumo ' ouo,eouumao onoaxoum me vv,mvmu� p|oaaa nonvo mix vmoe�xon ov,mvuvn orwm,x iv oom�omu� |ryvu xmmanvouomivnona,�aininwm mi�maoo� mnoou uum�mnu|nx»|unuuvn. ' p|oaoeoonmo mioomonimmommo|v � — COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541`© P RMIT�o. (Rev. 12/96) APPLICATION AND PERMIT ////)7 ASSESSORPARCELNUMBER * 039-210-050 ZONING A-20 BUILDING PERMIT OWNER TODD TAYLOR TELEPHONE 892-2243 SO. FT. OCC. BUILDING VALUATION 3174 R 171,396.00 . OWNER'S MAILING ADDRESS P.O. BOX 4649, CHIM, CA 95927 1996 ti 161�3.00 CONTRACTOR'S NAME TELEPHONE -121 417-1.00 -365 0. 9555-00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 195752.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 975.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Bl1�t<�I m4y LN J HUBBARD �0D Energy Checking Fee EPlan Chking F $ 23,00 . i $ PERMIT FEE $1652.60Q; LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00M00 5.00 TYPE OF WORK New K Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF W/GARAGE Gas piping system 1 - 5 outlets 15.0015.00 Building sewer 15.00 5.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZODAORLFSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I h eby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ` I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION rI "eby 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. ❑ I 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 forthw' comply with a provisions. Rs � J tr l.. �ti► Dae �� _ ture of ApplicarlOwner ❑ Contractor Agent An OSHA permit is requireorfdr excava ions over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.SQSp. -42.45 ( 3.50, ORw CONST. MUL�Tco MON-RESID. @7.50 OWER APPARATUS S SINGLE. _ET CI R. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occu SAL @ .s0 Ex. Occup. pig Rap °EA 5.00 Temporary Service 23.00 23,00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE M85-145 MECHANICAL PERMIT Filing Fee 20.00 Heating 25 m- Cooling Hood 6.50 Ventilation 3 4.50 13.50 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 99 HAZ. .�- D. FE IMP FLAOD 1 CD F PARC Po D I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ABY*ON PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. at Sbdaa ate Receipt No. -10 WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR G LDENROD-AP CANT PI µ•.,F,+v�'+�..�...'��"�'r.A]*»�`7'fr/i+�'-`'v;c,`' ..��+sart�L)"`�Gi"'.�," '+'�6ti..'�v'�:+r�+-•�n.{�.`yy .. . _ .. .: �.-•-•--r-�...-.......,,.,,f„oi�+.t�i�``:.7+C' «w�.r,�...�. . t COUNTY OF -BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ; ' PERMIT APPLICATION DATA SHEET OWNER: `' • ASSESSOR PAR -CEL NUMBER D31 P Proposed Building Use: !"s p Af f%J Q760 4"t/" Counter Technician: Date: `7 ` ✓�''� Items required in order to apply for a permit. X11 boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 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! Energy compliance design and supporting documentation in duplicate. 6 anufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. , Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By 664. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 .................................... ❑ 12. Hazardous Material Form............................................................................... ` ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... . Statement of Intent for Non -heated and A/C Buildings..... .............................. C. _ ... 6. Sanitation and plot plan approval from the Environmental Health Department in �► `I G IT City of Chico Plumbing permit ................................................... ..................... (VA 8. California Department of Forestry plan approval ❑ paid. Sent by: ...................... al. . Planning approval for (A) Use: O� (B)Parking: (C) Parcel Check:. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. k05. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement:....................................Manufactured home utility clearance.........................:..................................... , ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: 1 When issued Telephone 0 r *—Tnoa_ o i p j— I have been inform1e above.!*t s and requirements for obtaining a building permit.. Applicant: / D te: / V i 1. Index permit application for the above items numbered: lI Plan Check Letter 2.'Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑phone, ❑mail, ❑ cou , b Date: Plans reviewed by: Date: Plans approved by: — Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE aq/ov",- 5F I _. PROPOSED BUILDING USE atd o(_a� 4 MVI �✓►�5� OVtu5 0 BUILDING PERMIT FEES --Balance Due ........................................................ $ 0 1 _ q5 --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ \SCHOOL DISTRICT FEES CRIED Yl I I (paid at District Office) 3. SHERIFF FEES (paid at Building Division) -O -OD Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ ' Sq. ft. _Amt. RECREATION DISTRICT FEES n `, A 2 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER I A.P. # a ?- z10- 05D DATE — 7 RECEIPT # DATE REC. 5. eg. 515�06 S' I At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. :APP I C A N - ^ OD E Pursuant to Government Code Se 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 - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) EAI. USE AILV Piot Ptah dttachod Flow P%n A d p TO: Building Department FROM: Environmental Health 69 SUBJECT: Sanitation Clearance Al 32 caner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well �✓ Clearance for dwelling. Other Final clearance O.K. for - NOTE: Environmental Health Specialist 8/96 1111�141"- ..�o Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. l� I personally plan to provide the major labor and materials for construction of the proposed 0 property improvement: YES ❑ NO ❑ I HAVW,, ,, HAVE NOT 13 signed an application for a building permit for the proposed woo& 3. I have contracted with the following person (firm) to provide the proposed consuuction: NAME: RESS: PHONE: 4. I plan to providepo supervise, and provide NAME: ADDRESS: PHONE: 5. I will provide some of the the work indicated: / NAME CITY: CONTRACTOR'S LICENSE N of this work, but I have hired naior work: / CITY: LICENSE NO. I have contracted ADDRESS PHONE person to coordinate, the following persons to provide TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIALS S CURITY NU1 BE -2:' DATE: v Z, NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4tviger ly, C. Vi iia, C.B.O. , BuildingInspection NOTE: Tit is Owner -Builder Information is required by Section 19830 of the Californla Health and Safety Code- OVER oda OVER a. BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREEATION AND PARK DISTRICT Assessor Parcel Number -(s) Property Owner :�q ! or --T ff w Project Location/Address t,#�jb(,tf21 U) . Subdivision Lot Number(s) Residential Development: (check one) _f New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: J5-- i.3- 9,uildiWg'DepdY&ent Representative Date ylr �Ank Ylr Yr�1r 7k yr 9t tk Yr yr yt tk yr yt,r Yr Yr 7k � Yc w yr Yr �r Yr ik Ylr Yr ik Ya Yr �t rt Yrik * tlt tk tk �k �r � Yr Yr �r yr �k �k�k Yr �k 9r yc �k Y�r Y�r tk rt,rylrytY�r �k �k �r * * � * 1t 7k �c Chico Area Recreation and Park District(CARD) certifies that (�1>L0i.. &q ` 22--r--?a (Applicint'Name) (Phone Number) (Street Address) CIA- qS 12-1(0. (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No.. 90-140 by payment for ' dwelling units @ $1,189 for total payment of �... CARD Representative PAID BY CHECK NO. ( REMARKS: BANK N0. Q0"'6504 f Ia.11 PAID BY CASH RECEIPT N0. Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) 5"- t 3 n� 0 Date 05/13/022 4#8226 4;24PM VXTOTAL $1189.00 Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. ,'. ...,, ...},(-„;,,- ., ..... --,• -' _,... .rt � 1 . ",r.i-r.�...,�..,nry.,o,T�-.wY'” +3.' 3-^,7'G`►v^_'+:.,i7+• its BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM n+f 9 Ac ? (One form per Building) School District �/� �J {l�)'(�iBuilding Department No. A.P. Number o3 �� ' V Jurisdiction: +' ^ ' City ®County Property Owner 0 Property Location/Address t) bit V-61 L n . LiV t I G� Subdivision Lot No. .................................................................................................................: Residential Development ® Sq. Foota9 e �l No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial /,-New Addition Building Department (rloor Plans reviewed by School District District Identification No. School District certifies that Sq. Footage (Including Exterior Roofed Areas) -(3-DO- Date b \,Ja'� (Applicant) (Street Address) (Phone Number) 915 09 (City) has complied with the requirements of Resolution No. v representingL L square feet. School District Representative Paid by Check # , Remarks: (State) J /. (Zip Code) J (,/ by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm iJ /- 1 AND' WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 12 -Apr -2002 2002-0018769 Has not been compared with original BUTTE COUNTY RECORDER_ AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date r �� State of California County of L� > On �f%- O-� ���. before me, �a D 0" -T � L -v 2 �,t-112 � i� : I ��- i✓v �'-- personally appeared odes( "� ,e A J &� ,p B/� ersonally (mown to me (or proved to me on the basis of satisfactory evidence) o 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 oMcia -seal !y �„ RICHARD FEIJERSTOIN Signature Seal: CCV1M. #12995.29 A.P. # NOTARY PUBLIC • CALIFORNIA ;— BUTTE C OUN N `'£• Niy Corriri. Expires April 13, 2.005 <' r DESCRIPTION ORDER NO. BU -191136 DMP THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS -FOLLOWS: LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE KONNING TRACT, NEAR DURHAM, BUTTE CO.", WHICH MPTP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 16; 1910, IN BOOK 7 OF MAPS, AT PAGES) 8. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: THE NORTHERLY.295.16 FEET OF EASTERLY 295.16 FEET OF LOT 2, MORE PARTICULARLY -DESCRIBED AS FOLLOWS: BEGINNING AT AN IRON. PIPE MARKING THE NORTHEAST CORNER OF SAID LOT 2 AND RUNNING THENCE .WESTERLY ALONG THE NORTHERLY LINE THEREOF 295.16 FEET TO AN IRON PIPE; THENCE SOUTHERLY AND PARALLEL TO THE EASTERLY LINE OF SAID LOT 2, A DISTANCE OF 295.16 FEET TO AN IRON PIPE; THENCE EASTERLY AND PARALLEL TO THE NORTHERLY LINE OF SAID LOT 2, A DISTANCE .OF 295.16 FEET TO AN IRON PIPE IN THE EASTERLY LINE. THEREOF; THENCE NORTHERLY ALONG THE EASTERLY LINE OF SAID LOT 2, A DISTANCE OF 295.16 FEET TO THE POINT 07 BEGINNING. APNS 039-210-.050-000. AND 039-210-051-000 3 Vis! LARRY -PAINTER - , From: CHICO ENV. HEALTH FS APPROVED Permit a: Genefa/Information Owners Name: EHS� ❑ CONDITIONALLY APPROVED Vp I2002 PERMIT CLEARANCE ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL Date: AP#: 03 5' 1 p?1 D —0,Ft)_ Parcel Acreage: I Z Q Owners Address:. (� ��X �7 ��y ,, AL L. -b 9� 7 ��o� — ps/7 Building Site Address: Ewel&117formation Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home KSFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Muld-Family >2 units per parcel *�eptic II ❑ Other Zone District: A - Zt) Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan Er No ❑ Yes Violation Area &Ao ❑ Yes Specific Plan 2r No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone No ❑ Yes, check use Floodplain No ❑ Yes Zone: ❑ Watershed Protection Zone No Yes �Ir000sed Use Complies With: General Plan ® Zoning ?roposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ::"ommercial/Industrial/Multi-Famil Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes -aoolicable Setbacks: ❑ Other ❑ Other ❑ Cohasset Panel Number: V S 1 S ❑ Accessory Building Use Code S t Highways Fire Prevention Subdivision M ap Front 1'Zoning �/ L Side Side street Rear v Heiaht Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: IS Deeds qqA Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: 11 Legal Access Provided: Deed Reference: Legal Access Required: Parcel Frontage on Publicly Maintained Road: No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: []No ❑ Yes Comments: ❑ Map Date of Recording: ❑ No ❑ Yes No ❑ Yes Lot: Block: Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/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 EHD requirements. ❑ Other General Comments: SEEPAGE TRENCHES (NO PRETREATMENT) , Total Gravel Gallons Per Day (GPD) Gravel Below Depth Pipe (Inches) Inches) i 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm 5 Bdrm -12 6 �, 150 225 s 300 375 450 341 409 13 7 ' 136 205 273 318 381 14 8 127 191 254 298 357 1.5 9 119 179 238 16 10 .112 168 224 280 336 17 1.1 106 158 211 264 3.17 1.8 12 100 150 200 250 300 19 i 13. 95 142 .190 ; 237 285 20 14 90 136 181 226 271 21 _ 15� 22 16 23 .17 24 18 25 19 26 20 � 27 2.1 ;, i Cj w � y 86 82 79 75 72 69 67 _ 129 124 118 113 108 104 100 172 _' 165 158 150 144 139 134 216 259 206 247 197 237 188 225 180 216 174 208 167 201 28 _ 29 30 22U- 23 24 r `-' 65 63 60 97 94 90 129 125 120 162 .194 1.56 .188 1.50 180 31 25 J 58 87 116 145 174 32 33 34 26 27 28 -° Q 56 55 53 85 82 80 113 109 106 1.41 169 .137 133 _.164 iGU 129 .1.55 35 29 ' 52 78 103 36 30 50 75 100 .125 150 37 31 49 73 97 122 146 38 32 47 7l 95 1.19 .1.42 39 _ 33 46 69 93 .1.16 139 .1.13 .136 40 34 45 68 90 110 .132 41 35 44 66 88 _ 108 129 42 36 43 65 86 1 SEEPAGE TRENCHES (NO PRETREATMENT) Total II Gravel Depth (Inches) Gravel Below Pipe (Inches) Gallons Per Day (GPD) 1 Bdrm 2 Bdrm 3 Bdrm 4 B drm _ Bdrm 12 6 ; w �o r = 0, a f 150 225 300 375 450 13 7 136 205 273 341 409 14 8 127 191 254 3.18 381 15 9 119 179 238 298 357 16 10 112 168 224 280 336 17 11 106 158 211 264 317 18 .12 100 150 200 250 300 _ 19 1.3 95 142 190 237 285 20 14 90 .136 181 226 271 21 l 22 16 86 129 172 216 259 82 124 165 206 247 23 17 79 1.1.8 158 .197 237 24 18 75 113 150 188 _ 225 25 19 72 108 144 180 216 26 20 69 104 139 174 208 27 21 67 100 134 167 201 28 22 65 97 129 162 .1.94 29 23 63 94 .125 .1.56 .188 30 24 60 90 120 150 180 31 25 58 87 1.16 145 174 32 1 26 56 85 113 1.41 169 33 27 55 82 109 137 164 34 28 53 80 106 133 .160 35 29 52 78 103 129 155 36 30 50 75 100 .125 150 37 31 49 73 97 122 146 38 32 47 71 95 119 142 39 33 46 69 93 .116 139 40 34 45 68 90 .113 136 41 _ 35 '44 66 88 1.10 132 42 36 43 GS 86 108 129 1 SEEPAGE TRENCHES (NO PRETREATMENT Total Gravel Depth Inches Gravel Below Pipe Inches Gallons Per Day (GPD) 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm 5 Bdrm 12 6 L c cn i I c a a, 1 150 225 300 375 450 13 7 136 205 273 341 409 14 8 _ 127 191 254 .318 381 1.5 9 119 179 238 298 357 16 10 112 168 224 280 336 17 11 106 158 211 264 317 18 .12 100 .150 200 250 300 1.9 1.3 95 1.42 190 237 285 20 14 90 .136 181 226 271 21 15 86 129 .172 216 259 22 16 82 124 165 206 247 23 _ .17 79 1.18 158 197 237 24 18 75 -113 150 188 225 25 19 72 108 144 .180 216 26 20 69 104 139 174 208 27 2.1 67 100 134 167 201 28 22 65 97 129 162 194 29 23 63 94 125 1.56 188 30 24 60 90 120 150 180 31 25 58 87 116 145 174 32 26 56 85 113 141 169 33 27 55 82 109 137 164 34 28 53 80 106 133 .160 35 29 52 78 103 129 1.55 36' 30 50 75 100 .125 150 37 3.1 49 73 97 122 146 38 32 47 71 95 1.19 1.42 39 33 46 69 93 1.16 139 40' 34 45 68 90 113 136 41 35 44 66 88 110132 42 36 43 65 86 108 129 LOERKE MUTATwN CO, MIC.: IMSUt ATION CERTiFiCATE DESCRIPTION OF INSTALLATION 1. ROOF Maw Baind Nam Tit dmm (=hes) 'Mmu al ResbW= (R Vatue) 2. CEILING Braced None Johns Man+n7is Batt or BTardoet Typt� � t3ahs s� � + 13-0 liemmal (RAMM) Tikkness Loom FMI Type--Fibftlms __ __ _-- _ Brand No= JobmManviHe - - Cmnbacbods miw i1uWed weightNtsq. tb. IIII'mbTptrn Tiftbleminches. A, waacturer's Irisiadled w4ht per squwe Imto adtf m Momal R (R Value) & EXTERIOR WALL 4. RAISED FLOOR Brand IWme jahnn NWM'r'..e.--- T mmwRMISMW (RVa ) KZ ( 4 MaWM cttamlass Belts Brand Name Johns ti�[arew Q - Thidu�ss Theniml R (R Yatje) 5. SLAB FLOOR / PERIMETER mdedal Ptaimd u h Dept (hmlwl 6 FOUNDATM WALL Materia! Thk*ness ("idtes) 71, :110 �: Biaad Name Thermal Resibrum (R-VAM Brand Haran Themmi Rhe (R -Value) -- I heeabp certify tieaet the wave u a5on> s itiaRsshed in the 6ttM at �24 � s9�8MIToe R�n� s) as an ms�era�a��carn wtmre /� /�-aa-Da UOERKE INSULATION GO., [PTC. elimmso A; Ac=(Co. �) or Owner ( ') Or Tr PA:Bat3m f"ftmkCA Ift