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039-460-098
NOTES RESIDENTIAL PERMIT NO. /:039-460-098- I MAGERS, MARK 04=1342 9327 LA ROSE CT, CHICO Cont: ROBERT HILL & SSO POOL MASTER #01-506 C N } r 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED ( t F Signatur CHECKED BY ' 4 O r 0 Not OK . = No(Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-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 1 Date Card B-1 Date 4EOO (PI s) OK except #'s 4eeloe cks- sements oil • ompaction-Structure Stability ool Structure; Steel -Connections -Thickness D Men -Lining I .; Receptacles and Lighting, Distance-GFI EI ool Lighting; 15 Volts-GFI 6. c.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec., rounding; Equip. w/5' Circulating Equip. -Pool Lghtg. B s-Enclosures-Panelboards-Ins. to Main Conduit 10. P.Kfmb.; Cir. Test -Water Suooly Test Date�Z_&-,'/ � Card B-1 4 Date Card B-1 Date Card B-1 Date Card B-1 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 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFR Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters 7 Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type 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. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.FI. & 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 ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters 7 Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041342 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/20/2004 APN- 039-460-098-000 the Business and Professions Code, and my license is in full force and effect. License Class: —�S License Number:- �i �( Site Address: 9327 LA ROSE CT DUR Date: �20 �Z4- Contractor: �� EI �LZ <<� Map Index: Description: POOL MASTER 01-506 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: MAGERS FAMILY REVOCABLE TRUST 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 C/O MARK AND MARY MAGERS TRUSTEES 7000) of Division 3 of the Business and Professions Code) or that he or 9327 LAROSE CT she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95938 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).): 530-518-0880 ❑ 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 Applicant: MAGERS FAMILY REVOCABLE TRUST 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.). ❑ 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HILL & ASSOCIATES, ROBERT T. ❑ I am Exempt under Article 3 of the Business and Professions Code 199 E. SHASTA AVE Date: Owner: CHICO, CA 95973 530-891-4280 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: RHill@SunSet.net ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 377409 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: ROBERTS, CHARLES insurance carder and policy number are: Carrier: 17i'r rL�� Pony #: 2Z °L -v t - a a"o V 7ri14-- Total Square Ft: 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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: % �/� 6 /04- y� c / eel 0 C 66, (11�1 (.) Applicant:_i�)�Pcnt 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 I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Birtte County .odP Bnrttor Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)Ar BY r Date: J D Name: C PERMIT EXPIRES ON: ✓ Address: ate ❑ 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. 1 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 purpos c Print Name: 2oSignature: Date:�� 2 � 0 0 Owner Er'C--ontractor ❑ Agent for Owner 0 Agent for Contractor M 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 K. CORRECTION NOTICE C=3:. OWNEREP RMIT 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 h e any questions pertaining to this matter, or need additional explanation, please contact t office immediately. ;T Date Inspector' -T'/ _ 1� u REV 10/92 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 y ' WEBSITE: www.buttecounty.netldds PERMIT NO. BP041342 LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date•' 05/20/2004 APN: 039-460-098-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Numb/(e-�r:-�'� 37174det Site Address: 9327 LA ROSE CT DUR Date: 20 04' Contractor: IY w (C?L Map Index: Description: POOL MASTER 01-506 OWNER43UILDER 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: MAGERS FAMILY REVOCABLE TRUST 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 C/O MARK AND MARY MAGERS TRUSTEES 7000) of Division 3 of the Business and Professions Code) or that he or 9327 LAROSE CT she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95938 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).): 530_518-0880 ❑ 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 Applicant: MAGERS FAMILY REVOCABLE TRUST 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.). Contractor: HILL & ASSOCIATES, ROBERT T. ❑ 1 am Exempt under Article 3 of the Business and Professions Code 199 E. SHASTA AVE Date: Owner: CHICO, CA 95973 530-891-4280 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: RHIII@Sunset.net ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 377409 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: ROBERTS, CHARLES 9 insurance carrier and policy number are: Carrier: 11fv ki ELLAD Z'12-0 ®gyp V 5o Policy #: (— Total Square Ft: 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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: 5-116 �./_ c Vee — 'Y— ' f -F Q t� c : 6 (10 Applicant:_ P,u,t �mC(/ ove ,- & WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County F.odp. and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)0 D Name: By: --77 Date: Address: PERMIT EXPIRES ON: o�0 ate ❑ 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 purposQQ Print Name: Zna Signature: Date: S/ZJ( 0 d,— ❑ Owner 0 ontractor 13 Agent for Owner 0 Agent for Contractor ., .7 - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) t ^ OFFICE M (530) 538-7541 PERMIT NO. DATE:�f ( ` (� APN: —46(9 —U ZONING: OWNER'S LAST NAME: NAA&ac' OWNER'S FIRST NAME: PHONE: S-(2'-686(-3 STREET ADDRESS:�n � � � S� �. 'Y�, FAX: CITY, ZIP: (�L� C E-MAIL: SITE ADDRESS: CITY'ZIP: Z -4A- Al 4704 NEAREST CROSS STREET: �TR,i�CT/LOTP) 5� — n 5^ 5 / ''P''��F1 APPLICANT NAM r✓.. E: Sr?0 Bit-4zg STREET ADDRESS: FAX: CITY, ZIP: CA' � U4c E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: u ❑ 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 fees 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. For office use only: Notes: Application Received by: )-eDate: Receipt number: 46-5 611) Amount Received Master application 34-04 . ✓ . «� �. €.H. USE ONLY Flan Plan Ariechad Floor Elan Attache Sent :o S.D. I r s-7 w� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Z/, Owner Location AP# . Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other .4 Hold final for: Final clearance O.K. for: NOTE: r- 576//7 5�� Environmental Health Specialist S- 7 Date c� 8/96 ,,.....�.._....._---- _-•...-�--...�•7f,�•'.'- -r. +.�-^+�p,"*+e".*".,.••�,+�.•.+*-•:�::M"fRKr.'YKYanlcr+Xa•�y'}ee.7:iq.M.�,P!jk•,'!"'Y�P,J�j7�r'ylw`r��_"r`"'�t.'�M•"►[„+!+,J�T'� y7„`.r : �...-.p�•�-.. �..----�•-1 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 PARCEL NUMBER 39 --C O - V Proposed Building User= Counter Technician:KJ Date: ltems!pquired in order to ap ly for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1Site 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 calculaf ns. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! a 1/I ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. I ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 2. Letter of intent for non-residential buildings ❑ 3. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other 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 ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ ' 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit.... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: Q1(B)Parking: (C) Parcel Check: ❑ 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 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 numbere . P n Check Letter items required ontr, signer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by ate: ✓ Q T ontractor, designer, owner, was advised of the ab to b phone, ❑ mail, counte 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 1 n n NOTES RESIDENTIAL Uv 039-460-098 - �03-2512 , rBLACK, JAMES PERMIT NO. _ , 9327 LA ROSE CT, DURHAM fi Cont: GRAVES, STEVE t NEW SINGLE FAMILY r .•r } OFFICE COPY } * Address i'GA3 O Meter By Date r% ELECTRIC . �� O�f ✓`© 4ti Meter B Dat b - - SPECIAL CONDITIONS CHECKED BY a SRA FLOOD CERTIFICATE REQ. �ti^h FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS '. VERIFY USE PERMIT CONDITIONS t . "# SUB -STANDARD HOUSING LETTER' I ed�� �-c%lam. ' • � mow' 1A - I )JOB+INALED ( to Signature J=OK 0 = Not OK = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 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./. P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 -to Grade -HD Approval 8." Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify#'s with Office Date Card B-1 Date Card B-1 Date Card B-1• Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors 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 POO PI ) OK except #'s Se c asements Compaction -Structure Stability ool 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 ec.; 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; Fenc' g -Alarms Date G ' Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s !!:�Z�ning-Setbacks-Easements-Flood-Slopej tg., Main; Soils-Elec. Grnd.epth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. ' /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ V'Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Yernwalls, Garage; Steel- Blockouts-Wra ed o do.Downs and Special Anchors 7 S Steel -Wrapped iers-Fire lace Ft .-Steel �b ^^O • .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Dat ( • Card B-1 L k Date Card B-1 Datd,j I Card B-1 Date Card B-1 Date PLUMB (Permit) OK except #'s 117. ater Htr.: Vent -Access -Combustion Air Baffle W.V.; Test Fittings & Anchor -Nail Protection lower Pan: Test. First Floor -Tub Access ✓ -1- t Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors �8. Fire Sprinkler; Test Date 14, 0 Yard B-1 g S.J . Date Card B-1 Date X2.1,1•. 6 -Card B-1 Date Card B-1 Date ELECTRICAL Wermit) OK except #'s ZVFjiXKre & Transformer Clearance -Ins. Protection 2 1 eceptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors Stapled R ex Installed Close to Edge of Studs & C.J. 2 Equip. Ground made up w/Mech Fasteners -Bond Gas & Water pliance Circuits in Kit en & Conductor Size QF1 3 bfeed Wire Size 5/ a. or AI-A.C. Wire Siz g�Qor Al anae Cir / u r AI -Oven Circ. / /qa Cu or AI Insulated Iddutral EI -Yes ❑ No Date FRA"G (Permit) OK except #'s 4'r Sil roper Materials & Anchors 4 "IIs Studs -Nailing Spacing & Braces -Plates -Sound B.94ing Walls over Girders & Floor Nailing 0.raft Stop in Walls (rat proof) - . F Stops, Furred Ceilings -Stairs -Chasers -Tubs 41 ' Headers`& Beams -Size & Bearing Date F NG (Continued) rs-Post Caps -Anchors -Connectors 4 rnci, Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 F' eplace Ties or Type A Flue -Fireplace Throat Clearance 5 At Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 2.age Fire Protection Framing -RC Channel perty Line Firewall & Openings . Ext. Doors -One 3' -Check Garage 3rd Story, 2 exits 55-S-tar(rs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. S' g -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Sh alls; N ' g -Bolts I -isC 1. O#Wce In /Ext rior Panels Insulation -Walls -Ceilings 63. Infiltration -Wall -Windows Date , \ .3Card B-1 _ Date Card B-1 Date Card =1 • Date Card B-1 Date MNAnsj OK except #'s eps-Door & Sidelight Protection -Landings oke Detector ur ace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection Broom Exiting G,FI. & Bath Fixtures & Tub Access -Spa 6 . Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fir place or Stove, Clearance -Hearth I Outlets at Wood Panel, Int. & Ext. 7.3,4Ct. 'x"t. & Appliance; Ground -Air -Gap -Cooking Clearance ee: Outlets & Receptacles at Kit. Counter Mr,Oarage Fire Door; Swing -Landing -Closure 76. . Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ,>earage; Above Floor-Mech. Protection Plb • Elec. & Mech. Equip. Listed for Location 7r9 ec. Receptacles in Garage (F.F l.)-Romex Protection 80. Insula 'on -Foam -Looked in Attic 81. 54rd Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes -P-",Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No rI Xfl WStuc_96 j3rown-Finish nit. Disconnect, Electrical -Plumbing 8 .en b ve Roof -Plbg-Appliance-Fireplace-Clearance to Openings at el Isconnect, Electrical, Plumbing ter Elec. Trim, G.F.I. Receptacle -Underground 8a_A9n'tMi6n Throughout House ass Protection 91. Aorrections from Previ us Inspections { AVGas Test -Meters Ta ed, Gas -Electric 93. Wat S er Connected -C/O to Grade -HD Approval 94_Eflergy,16ompliance Certificate -Other Certificates 91,15 Ad'4r Posted 6. Fire Sprinkle Date ( Card B-1 Date Card B-1 \ Date Card B-1 Date Card B-1 Dat Card B- Date Card B-1 Comfinenfs,at Final: r Service -Riser Conductors & Ground Main Disconnect Egdip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light moke Detector ul. .fir s races y y�� Date 2. 16, C�Card B-1 I - Date Card B-1 Date Card B-1 Date Card B-1 Date ME NICAL (Permit) OK except #'s Ducts Insulation & Support V Fan, Exhaust above insulation 3 . densate Drain & Overflow, Size & Grade rnace-Vent Access -Comb. Ait-Return Air Vent 115 Cutlet 4 .' Attic Access & PI tform if Furnace in Attic Dater r t Pi Card 8-�1 - Date - Card B-1 Date Card B-1 Date Card B-1 Date FRA"G (Permit) OK except #'s 4'r Sil roper Materials & Anchors 4 "IIs Studs -Nailing Spacing & Braces -Plates -Sound B.94ing Walls over Girders & Floor Nailing 0.raft Stop in Walls (rat proof) - . F Stops, Furred Ceilings -Stairs -Chasers -Tubs 41 ' Headers`& Beams -Size & Bearing Date F NG (Continued) rs-Post Caps -Anchors -Connectors 4 rnci, Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 F' eplace Ties or Type A Flue -Fireplace Throat Clearance 5 At Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 2.age Fire Protection Framing -RC Channel perty Line Firewall & Openings . Ext. Doors -One 3' -Check Garage 3rd Story, 2 exits 55-S-tar(rs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. S' g -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Sh alls; N ' g -Bolts I -isC 1. O#Wce In /Ext rior Panels Insulation -Walls -Ceilings 63. Infiltration -Wall -Windows Date , \ .3Card B-1 _ Date Card B-1 Date Card =1 • Date Card B-1 Date MNAnsj OK except #'s eps-Door & Sidelight Protection -Landings oke Detector ur ace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection Broom Exiting G,FI. & Bath Fixtures & Tub Access -Spa 6 . Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fir place or Stove, Clearance -Hearth I Outlets at Wood Panel, Int. & Ext. 7.3,4Ct. 'x"t. & Appliance; Ground -Air -Gap -Cooking Clearance ee: Outlets & Receptacles at Kit. Counter Mr,Oarage Fire Door; Swing -Landing -Closure 76. . Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ,>earage; Above Floor-Mech. Protection Plb • Elec. & Mech. Equip. Listed for Location 7r9 ec. Receptacles in Garage (F.F l.)-Romex Protection 80. Insula 'on -Foam -Looked in Attic 81. 54rd Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes -P-",Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No rI Xfl WStuc_96 j3rown-Finish nit. Disconnect, Electrical -Plumbing 8 .en b ve Roof -Plbg-Appliance-Fireplace-Clearance to Openings at el Isconnect, Electrical, Plumbing ter Elec. Trim, G.F.I. Receptacle -Underground 8a_A9n'tMi6n Throughout House ass Protection 91. Aorrections from Previ us Inspections { AVGas Test -Meters Ta ed, Gas -Electric 93. Wat S er Connected -C/O to Grade -HD Approval 94_Eflergy,16ompliance Certificate -Other Certificates 91,15 Ad'4r Posted 6. Fire Sprinkle Date ( Card B-1 Date Card B-1 \ Date Card B-1 Date Card B-1 Dat Card B- Date Card B-1 Comfinenfs,at Final: r APR -30-2004 09:40 AM Chico Insulation 530 894 2475 P.01 INSULATION CERTIFICATE . Job Number. 3694 Jim Black La Rose Ct., Durham Contractor/Owner Name Job Address (street, city, state) Butte 41 County Subdivision Name Lot Number DESCRIPTION 1. ROOF Material: Brand Name: Thickness (Inches): Thermal Resistance (R -Value): 2. CEILING Batt or Blanket Type:- Fiberglass Brand Name: Johns MaavillgXmuf Thickness (inches): 12 Thermal Resistance (R -Value): 38 Loose Fill Type: Fibendass Brand Name: ' Jahns Mgnvllle/Knauf Minimum Installed Weight/ft .642 lb Minimum Thickness: 15 y, inches Installed weight per square foot to achieve Thermal Resistance (R -Value) of:$ 3. EXTERIOR WADI. Frame Type: A. Cavity Insulation Material: k'lberglass Thickness (inches): B. Exterior Foam Sheathing Material: Thickness (inches): 4. RAISED FLOOR Material: )F"iberglass Thickness (inches).- 5. inches):5. SLAB FLOOR/PERIMETER .Material: Thickness (itches): Perimeter Insulation Depth: 6. FOUNDATION WALL' Material: Thickness (inches): Brand Name: _..J bville/Knauf Thermal Resistance (R -Value): 21 Brand Name: Thermal Resistance (R -Value): Brand Name: JohffiManvillof Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): Brand Name: Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy �ciency Standards for residential buildings (Title 24, Part 6, Cal0braia Code of R ' as) as the Certificate of Compliance, where applicable. Lj Chico Insulation Item umber's Signature and Date �/ Installing Subcontractor (Co. Name) or /! /) Cener Contractor (Co e) or Owner Item Number's $iguafurc and Date I eg Subcontractor (Co. Name) or General Contractor (Co, Name) or Owner Y . ; r 4 K.�.,.�sr .-. �—.+ . , -M+�'e W i "+.may a��-.T c= +. y;. .•.a. � • '.�"'SF �A:f�'�.... . �. - .- 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 CORRECTION NOTICE 131a�l�� 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. � t Date f t -z' ' Inspector REV 10192 n COUNTY OF BUTTE ` .x • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 �7 County Center Drive • Oroville, CA • (530) 538-7541 rt CORRECTION NOTICE 0 OWNER tr t 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 queq(ons pertaining to this matter, or need additional explanation, pl a e cont(`a this office iTmymdiatelyl (J 1 A/ P! / ;vi��✓ / A n OdIL:7k /It I h F F, f r,vWt LO t . Date specfor REV 10/92 , / - -- l COUNTY OF BUTTE a :... , 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 contM this office immediately G % C _ lr✓1 Ali lI% % d� 7 Ar zwele r' Date � ( r `+ - ri inspector REV 10/92 . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 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. J.C)'LA 116 )**-t I,\ 1�j 6 Date !J'k «' Inspector 0�_6_kt_ REV 10/92 COUNTY OF BUTTE w BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street • Chico, CA • (530) 891-2751_,, 7 County Center Drive • Oroville, CA • (530) 538=7541 r: CORRECTION NOTICE IF OWNER PERMIT NO. v. A 'u line inspection indicates that the following violations of butte county Ordinances exist at the a ove address and should be corrected. Please notice this office when correction of work is 1> ompleted. Ii you have any questions pertaining to this matter, or need additional explanation, lease contact this office immediately. 1 1 _ C1,V, �:.� T' �� � ISS fM1 • � a./ V r\Z DateOi �l Inspector d /�( REV 10/92 S 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, Date I t- -' t J' �� > Inspector REV 10/92 .� ...�w. a..._,_»�,... -�,�,� {'"'...'Yn,'.f ..'-^l..ti�i...�h.. �•> ��....-:.,.,.1 �,,,^.. .. .-.. .,,rte-•........-. � -tr COUNTY OF BUTTE f t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA i (530) 538-7541 CORRECTION NOTICE R -1-'A -? PERMIT NO. A routine inspection i9elcates that the following violations of butte county Ordinances exist at the above address an hould be corrected. Please notice this office when correction of work is completed. I( yo have any questions pertaining to this matter, or need additional explanation, please conta,�Xis office immediately. Ll �' l%l�/1_ O;C�1 ST, J, 9 74 A 1 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE ZIFROM: , ENVIR. HEALTH, CHICO DATE: D RELEASE E HEALTH HOLD ON BUILDING FINAL FOR: . • 1 ; OWNER NAME:SEPTIC: ¢'� WELL: AP#: ADDRESS/LOCATION:.1, 07-4I4 071 Comments: GL/memos/releasehold rA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96)' APPLICATION AND PERMIT !/ ASSESSOR PARCEL NUMBER 039-460-098 ZONING SR BUILDING PERMIT OWNER JAMES & CYNTHIA BLACK TELEPHONE SQ, Fr, OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS BOX 636 DURHAM 95938 2837 R 153 198.00 822 fi 14796 ' CONTRACTORS STEVE GRAVES TELEPHONE 864-0380 377 C 4 901 CONTRACTOR'S MAILING ADDRESS PO BOX 81 DURHAM 95938 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1-500 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 902.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9327 LA ROSE CT, DURHAM Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 154-35/37 USEOFSTRUCTURE �� RR SF ❑ Duple�i ❑'((�� Wbilehome ❑ Other SPECIFY Each Trap 7.0091 _00 Solar or heat um water heater 23.00 Water piping 15.00 1 9_00 Each as water heater or vent 1 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF MASTER 01-09 Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 1 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S186- 0 ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service eoov oR LEss 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 11 force and effect. //°° / f License Class Lic. No. t�7 V Z ( (, �% 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Main Service 200A TO IOOOA 46.00 NEW CONST. OwEwNo occuP. OR ADD S. ( a ACC. BUDS. 3.50"sa NEW CONST. MULTI.OUTLET CIRCUITS ipµRalD, 7.50 R APPARATUS , POWELE OUTLET CIR. a SIN G Ex, Occup. DurLFT OR Fan,REs 20 Q '.°° BAL @ .so Ex. Occup. ourLEEDT3R6ID.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 Heating 29-00 Cooling 2500 Hood 6.50 Ventilation PERMIT FEt SC91 0 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' compensaptin provisions of section 3700 of the Labor Code, I shall fort ith omply ose provisions. X Date �r 0-3 re of Applic ner ❑ 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 $ zir, 00 occ CONST. TYPE V N TAL FEE $ 1452.05 Hf- ... D IMP FLOOjI CDF PARCEL pp HD u This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By noi PERMIT EXPIRES ON ale ReceiptNo. oZ .Sopi, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `COUNTY OF BUTTE -DEPARTMENT OF D' - OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 P RMIT APPLICATION DATA SHEET OWNER: — \C ASSESSOR PARCEL NUMBER 6 U' v 9 X Proposed Building Use: Counter Technician: Date: Items rrequired in order to apply for a permit. All boxes MUST be checked OR marked NA in order '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. ❑ 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 orfnd 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. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 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 ..................................... ❑ 12. Hazardous Material Form................................................................................ ❑ JX Fire prinklers.................................................................................. ....... 4..i cultural Buffer clr� plan apr from the Ag Commissioner Sent by 'I JAO . Othef -:Pslr V18.eining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ees 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 ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: .............. .. 1. Planning approval for (A) Use: O )<(B)Parking: (C) Parcel Check: ❑O4Encroachment ontact Land Development about E)Improvements, ❑ Drainage ............................... PDESForm ............................................................................................. ❑ 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) ..................... 9 Letter of Signature authorization.................................................................... Recorded -copy of Agricultural Acknowledgment Statement ............... t....... ............ t-" .5-6 3"+ ❑ 31. Manufactured home utility clearance .................................................. ❑ 32. Existing violations and/or expired permits .................. i................... I.................. t �, ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑tefter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone } and hold for pickup. I have been informed of t bove items and req Quir ents r obtaining a building permit. Applicant: Date: X '' i �7 03 1. Index permit pp kation for the above iterp,spu N Plan Check Letter 2. onal items required ontrac , designer, owner, was advise of the ave' t hone, mail, ❑ counter, by Date: ontractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: 0 Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: 61 Yellow: Building Division E.H. USE ONLY 9402 Plea Attached ilia Floor Plan A cho ` Sent t0 8.0 •—� I . 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 - ---- - � _— old final for: Final clearance O.K. for: NOTE: 114, Environmental Health Specialist 8/96 Date 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 . �'i - A.P. # o 39' PROPROSED BUILDING USE `, W \ DATE 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES aid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Buil ing Divis�D_ sidential............ X 360 Q Unitl Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. _-- r 4. URBAN AREA FEES _ (paidiat Building Division) RECEIPT # DATE REC. Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. RECREATION DISTRICT FEES 1` Y1-� (paid at Recreation District Office) (form available after Plan heck) fir. D 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.) ......... Sq. Ftg. 10. OTHER At time of permit application, I as advised the ; may be changed during thepfkeking pro/ APPLICANT X =$ Amt. 7e fees are required to be paid prior to issuance of the permit. These fees DATE Pursuant to Govemm4 Code Sectio 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) "3-: �• COUNTY OF BUTTE - DEPARTMENT OF DEVELQPMENT SERVICES - BUILPING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 -7 A ev.12/96) ; 7� ^/-TPP ICATION AND PERMIT �-- ASSESSORPARCELNUMBER I ` n, /\!�I ZONINO�n BUILDINGPERMIT OWNER-- `J v_ II TELFPNO`NESO. FT. O C. BUILDING VALUATION fes/ CONTRA t--,TEL�PHO`E 1 T 1G-CAN/o 'S`S'' V I I \l WL N CO R5 MAIUNO ADDRESS �1 _ A _, _ _ i CONSTRUCTION LENDER v l LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MALUNG ADDRESS BUILDING ADDRESS _.I_ � LOT NO. 1 Sv1- %��7 USEOFSTRUCTURE C.-1c9-c�� SF Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: � L V -6D S Xj 0 S'2 -C) C— PERMIT FEE PAID $ i SRA $ � rl SHERIFF $ d OTHER $ $ GAJ AMOUNT RECEIVED-$- I Nj a - 6--05 DAT �CEIIED. RECEIPT # Fireplace - ;v— PERMIT FEE V / L3%-(' — Total Valuatlote $ Filing Fee 20.00 Main Service Filing Fee ) $ 20.00 Permit Fee ' $ U Plan Checking Fee $ NEW CO NON-RESID. Energy Plan Checking Fee $ POWER APPARATUS b SWGLE OUTLET C" $ Ex. Occup. PERMIT FEE S Ex. Occup. PLUMBING PERMIT 5.00 Filing Fee 20.00 Each Trap Mobile Home Facilities 7.00 Solar or heat pump water heater 23.00 Water piping 15.00)5— 5.00 `Each Eachgas water heater or vent 15.0015 Gas piping system 1- 5 outlets 1 15.00 Building sewer I 15.00 Mobile Home I S -1 G W @20.00 I PERMIT FEE 1 $ 1 / I -y 0 MECHANICAL PERMIT I Filing Fee 1 20.00 Cooling5 Hood 6.50 S Ventilation U U PERMIT FEE $ 5 C Mobile Home Installation Fee $ En gy Inspection Fee $ CO T TO L FEE $ HAZ. I D. FEES FfD I CDF I PVEL I D I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE V / L3%-(' — ELECTRICAL PERMIT Filing Fee 20.00 Main Service SODA OR LESS 23.00 Main Service 200A To 1000A 46.00 NEW CONST. OR ADDNS. ( DWELLINGoccuP. 8 ACC. BLDS. 3.SQF°: . G NEW CO NON-RESID. MULTI.OUTLET @7.50 POWER APPARATUS b SWGLE OUTLET C" Ex. Occup. OUTLET OR FDTTURES BA20. O 1.00 ' Q .50 Ex. Occup. OvnFrs AP a.)' A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 I PERMIT FEE 1 $ 1 / I -y 0 MECHANICAL PERMIT I Filing Fee 1 20.00 Cooling5 Hood 6.50 S Ventilation U U PERMIT FEE $ 5 C Mobile Home Installation Fee $ En gy Inspection Fee $ CO T TO L FEE $ HAZ. I D. FEES FfD I CDF I PVEL I D I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance l By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. L 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 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Stora: 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 penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief that the information submitted is true, accurate, and complete. Signed: Title: Date: a NPDES & SWPPP Non -Compliance Certification Draft Butte County Stotmwater Plan f7"..,,��.:.)dY.'1r'^iYF'"'";��1?µ"`q�,...•y�„-�.�,:,.�i�+vy.�,�, ;;t:.tf;�+—'�a.til-`s�.fi`a'�,,.9a�..,n'1'j;y�'`t�+.*sirv'1''b+%�['+sy:I�.Y�r +r'�?wi-*t+�'7�'rAr•�y,,,rN+rye►''o'.�"`e"y�n'�7y�.1�'"'�tln.�•y,y�..y• n... r BUTTE COUNTY PARK FACILITY 'FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number s: Property Owner (s): I C C, Project Location/Address: Uc, G 7L„—Kc�^ Subdivison Name:t 1'�o,vY� %mrd 6 - Assessable • Square Footage: o� J Type of Residential Development (check one): New Development Comments' Alteration/Addition Mobile Home (s) ❑ Non -Residential to Residential 'Building DiVUion Representative Date. Durham Recreation and Park District (DRPD) certifies that lock-, 12 — 2.1 ted Applicant Name. Applicant Phone Number Al CC+ Street Address CA City State Zip Code has complied with the.requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for 41�53- square feet at $ 1.04 per square foot for a total payment of $ 29 60 .-4 g. .� Cri x DRPD Representative PAID BY CHECK : _75I BANK No.: 9 )-35J 4 - PAID PAID BY CASH: RECEIPT No.: Remarks: v Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION 0 } _ ... .. ,. � -7 ,. � ., - ., .a � +` . \ ?^�y' k<rx � y'�»�e.�-•:��.!¢iz.�,•.`i'�?ii:� � .... - .. � .as�. .. .. .. .._ jb D BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One form per Building) School District r 1 Building Department No. A.P. Number -t�_R ' Jurisdiction: City County . Property Owner Property Location/Address � tom.-�1' �/ \ �l,� Subdivision Lot No. ......................................................................................................:........... Residential Development w S4 Foota 9 e No'oLiving Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... Commercial/Industrial Sq. Footage (Including Exterior Roofed real) Date (moor /mans reviewed Dy 5cnooi uistnct rersonneq District Identification No. Jou N/�n ON rF/ L School District certifies that .7-1�-ra) L`s 6 R C L (Applicant) C1 3.�-% •LA C77— (Street 7T(Street Address) (Phone Number) D A (City) (State) (Zip Code) has complied with the requirements.of Resolution No. representing � 83 % square feet. by payment of $ 60 71. / b AS 2926 S FULL MITIGATION $ School District Representative i Date Paid by Check # Remarks: Notice:' You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with r Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the Califomia Environmental Quality Act (CEQAI, 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 00/98)dmm a REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the'fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on , issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim CLAIMANT'S NAME: � bimes L� A31 MAILING ADDRESS: Y:L)' ASSESSOR'S PARCEL #: BUILDING PERMIT #: RECEIPT NUMBER(S): e . A request for refund of fees paid on the above receipt number(s) is for the following reasons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) () Building Permit Fees ( ) Sheriff Fees ( ) . SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans .Signature Date�/_S-/o `3 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. FOR BUILDING DIVISION USE ONLY.- NLY:Receipt ReceiptInformation: Number: _ Date: Issued To: 4 Amount: Fees Retained: • Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $ TOTAL REFUND DUE: $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ COMPLETE THIS INFORMATION: RECORDING jREQUESTED BY: . 6G6 v%Z�t& AND WHEN RECORDED RETURN TO: ✓.:,_ 1.. ter. " . 11111!1!1!1111111111!111111111!111 20413—Q�VJ55577 Recorded Official Records Coun__ty_Of EE CANDACJ. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 19 -Aug -2003 REC FEE 13.00 CONFORM 1.00 Kathy Page 1 of 3 THIS SPACE FOR RECORDER'S USE ONLY Document Titles) THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) AND WHEN REARXCATOTer BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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: —5'eR Date: PROPERTY OWNERS: Ju n, t State of California) County ofd Q) On (Q- - fl 3 before me, - ��� ersonally appeared So.��,.� & !SQ\cs„cic ersonally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) 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) r5le instrument, the person(s) or the entity upon behalf of which the persons) cte , executed the instrument. WITNESS my ha an official seal. . PRICE Signature eal: DE OMNEI ,M 41x60 NOTARY PUSM * CAIRMIA COLSM OF ITTE Comm'asgn Expires Jan. 24, 2006 _ .__.. ORDER NO. BU -200179 DMP EXHIBIT "A" THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOT 41, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM LAND ESTATES, PHASE 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 18, 2002, IN BOOK 154 OF MAPS, AT PAGE(S) 35, 36, AND 37. APN 039-460-040-000 (PORTION) National Pollutant Discharge Elimination System (NPDES) Phase Iq Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of gradip&and/or other permits or other sanctions provided by law. Signed: Title: Date:����'4' • C] TO LARRY PAINTER ET URN TO CHICO EH SITE PLAN REVIEW APPLICATIO Date: //i�r� AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: 1 ► Q �. Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: 9L Co 9 r5�� Residential New Single Family. Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling F-1. Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Single Family Remodel . i ❑ Commercial Remodel ❑ Industrial Remodel lk Septic ❑ Well ❑ Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable 13 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 Site Plan Stamped Approved By Date Page 1 of 5 0 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) • Flood Zone: 98 • Flood Panel No.: D 52 b 0, Index Date: 6 — u ❑ 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 (S --e 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: S " Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. 0 Page 2 of 5 Zoning Cede Streets & Highways Fire Prevention Subdivision Map Front -5p c'LL Side Side Street Rear Height Waterway j N/A N/A j N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. 0 Page 2 of 5 • • Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads M Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ . Thermalito Drainage Area . ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees Amount . Formula ❑ 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 II Deeds: Date of Creation: Legal Access Provided: ❑ No. ElYes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements •-------- -------------------------------------------------------------------------------------------- ------------------------- Page 3 of 5 IM Subdivision Map/Parcel Map: DOQHP —r*) LA j0 la Map Date of Recording: G -I 8—Or-2, Lot: q 1 ❑ Use Permit/Minor Use Permit Permit Number: Book: 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 is ❑ 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 PldO 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. u Page 4 of 5 r. 112.02' REPLACEMENT FIELD — — — — ----------- 0 b I PC79E BUTTE COUNTY ''--a WATER LINE] BUILDING DEPARTMENT o el&o'- 0,7 p A, P P n Ro vr, �S ELA R05E COURT LOT 38631 sq. ft. I=30-O �-BUILDING PLAN APPROVAL BUILDING vNNINGON$ION 10051TE COVERAGE Use: Date: parldRg: Landscaping: Other.---=---- �, signat re: 1 - s 3 oQ'uTTFo b O p � O Building Permit Number: Owner Name: L Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. w 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than l foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. —. i e Page 2of 2 Building Permit Number: Owner Name: fit J Parcel lies within the State Responsibility .Area (SRA). Comply with attached 0 requirements.' ' Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Uftfq I;u Co ite LAND OF NATURAL WEALTH AND BEAUTY f ; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .-.: 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965-3397 _ .• ,• TELEPHONE: (530) 536-7541 FAX: (53D) 53B-2140 ' October 6, 1999 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County n Effective Date: January 1, 1998 To Whom It May Concern, e back page) In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, (e County. Due o the poor ' we initiated a letter of explanation, and a scion haveto l Pool arisenconcerning compctors in liance with the Act and how io ns r of west are wording of the Act itself, a number q enforcement will occur to Butte County, and our letter to describe how to enforce It. We have revised again conducting a mailing to notify pool contractors. concemin our enforcement of the letter should clarify several common questions or problems g 'Sed V1 ' This re swimming Pool Safety Act including: g considerations, we discovered that when accommodation was Pr ovid ed 'slative co conforming review of le 1 ed that a g In our rev g e pool, ' It was assumed 1• access , ce s 'n direct ac P pro g a r allow exit alarms on do p 's no re-existing pool o to ere t e in many cases P ever, Y imeter fence was already in place. How `which entirely surrounds the per ire P 'de o f an enclosure 's one side closure and unless the residence i par enclosure, compliance. 1 Poo of installation of exit alarms alone does not constitute comph e 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform 2• 4 Division 1, specifically allow the use of chain link fencing- • . Appendix Chapter e 2-1 /4 inch A a Code of 11 , m � PP use g ]d e u g Building allow th 'al. In Butte County we will continue to 'eyed on a pool barrier mater cin will be considered asp Other es of fencing g ' 1. Oth battler materia types mesh, chain link fencing as pool ` of the Swimming pool Safety Act. Please call case by case basis, based upon there uiremenis .for clarification ' 'on prior to installation. 'c ati — pen away aY from the swimming ming P ool, an d be self 3. All access gates through the enclosure shall ownd. This device lacedno lower than 60 inches above the gr closing with a self-latching - includes largegates `ates for vehicle access. on tact this office at the address or phone this matter, pleasec Should you have further questions concerningnumber listed above. ic e r el Sincerely, jae&1C. i e it a, C.B.O. Ma�a;gtr,Building Inspection ection �I CALIFORNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWihBIiNG POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool Iocated on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (AST 1), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, conthmous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building: . 115922. ` Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool. d) All doors providing direct access from the home to the swimming pool shall be equipped with a self-closing, self latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d),inclusive, as determined by the building official of the jurisdiction. issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground. b) A minimum height of 60 inches. C) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Gaps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside. surface free of protrusions, cavities, or other physical characteristics that would serve.as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) Public swimming pools b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials Emergency Performance Specification (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. of be subject to further modification or interpretation by any article shall n �P w this arts 115927. 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