HomeMy WebLinkAbout040-340-006,.800'W.o`f E/end, l 10
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BUTTE 1.
INTER -DEPARTMENTAL MEMORANDUN,�AN CCtJitifTY 1 7 2006
TO: BUILDING DIVISA , O VILLE • DE E
_ /
FROM:
DATE:
HEALTH, CHICO
RELEASE ENV. HEALTH HOLD ON B DI G FINAL FOR:
OWNER NAME: IL �� ,� SEPTIC: V WELL:
AP#:ys�'� " ADDRESS/LOCATION:
Comments: —
GUmemos/releasehold
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NOTES
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PERMIT
t ovTi u / PLLUA
RESIDENTIAL
040-340-006
r NOE, ROBERT 04 -?934
557 PASEO CAMPANEROS, CHICO
Coni STORNETTA BROS
NEW PRI ART STUDIO
Vi
SPECIACCON DITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ
SPECIAL INSPECTION I—EMS
VERIFY
USE PERMIT CONDITIONS
z SUB -STANDARD HOUSING LETTER
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JOB FINALED (Date) v
Signature Goch
11'/ Alla. PA 0 n
CHECKED
BY
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Mar 30 05 02:53p,,. Western Woods Fup� R4,,ck 5303431124- ( P.1
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APA=v,r4w
Certificate of Conformance
Certificate 054093
THIS IS TO CERTIFY that the glued laminated, timber products identified with a collective mark of
Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards
and associated specifications indicated below: I
ANSI Standard A190.1-1992, For Wood Products — Structural Glued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "CHAP"
Computer Program For Determining Design Stresses i
AITC 117-93 — Manufacturing — Standard Specifications For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
wera.produced In a manufacturing facility subject to regular audits iri accordance with the `Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspe°ction of the.
manufacturing process and evaluation of the in -plant QA program with adequate sampling to verity
conformance to industry standards for lumber grade and glueline bond quality.
Z/, '5 �g � o3 .-2-31
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*0 UA 02�Thomas G. Williamson
�•,�. ♦ �'�: Executive Vice President
Sit
ENGINEERED WOOD SYSTEMS Is a related corporatlon of APA — THE ENG/NEERED WOOD ASSOCIATION
7011 South 19th Street - P.O. Box 11700 - Tacoma. WA 98411-0700
Telephone: (253) 565.8800 - Fax Number. (253) 5657265
Ir
W
PEABODY
IndustriaVMechanical Engineering Contractors
a Division of Testing
A 472354
WELDER AND WELDING OPERATOR QUALIFICATION TEST RECORD
1 .ai
5301 Lord's Mine Trail
Placerville, CA 95667
Phone(530)622-9399 �
Fax (530) 626-6735 y1,
AWS SCWI 99030058 I
Welder or Welding operator's name ......... Anthony.StoutM!hqqy.St94 ............................................................................ Identification No..... 556.65.6228
Welding process ..... GMAW root,.... FCAWfc ............................... Manual .............................. Semiautomatic .. X............... Machine ...................................
Position.....6Q..Up.Wdfd.S........................................................ Joint design ......5..23..................................................................................!..............................................
Material specification/Group/Unified No. ..... A-5.3-.15 ...............................................................................................................................I..... I
i P No—A ...........................
Backing strip/gas specification......N/A................................................
6......................................................................................................... : P No...... "'A......................
Diameter and wall thickness (if pipe) otherwise joint thickness .....°dule.60............................. ...........
.Sche.............................................
Diameter and/or thickness qualified .... .4'.'.x_1975".min..... Unlimited.max............................................................................. Positions'... 1,2,3,4,5,6.G.S. F,,,,.,,,,,,,,,
ELECTRODE/FILLER METAL
Specification No. ...... $F.A.5.1.$,.....5A.................................................... Classification ...... root, E71T-1 f8c
.............................................................................
FNo. ..... 6........................................................................ A No—A .......................................................... Electrode type ....W, . .... :.............................................
Filler metal diameter and trade name ... ................ Flux or gas spec. ....CO2............................................
.............................................
Visual testing results and remarks ..... Acceptable ..... Imegular..GA.ve[.Pas3.P..t�CilfS.....................................................................................I.............................................
Specialtests......N1A.................................................................................................:...................................................................................................................................
DESTRUCTIVE TEST RESULTS
Test conducted b Peabody Division of Testing D1.1 PT000603061
.
y............................................................................... per ......................................................... Test No.....:............................................
NON DESTRUCTIVE TEST RESULTS
----- -.-...-..._.....__............_._..................................................... r............................................................ ......,.....................................................
I
We the undersigned, certify that the statements in this record are correct and that the weld coupons were prepared, welded, and specimens tested in compliance with the
requirements of .... ANSUAWS DU Structural.Welding.Code.Steel.......................................................................................................................................................
..................................................................................................................................................................................................................... I ...........................................
Test Site/Conditions .....Butte -College ......Shop............................t.................................. I...........
Authorizedby .....Date Rogers..................................:...................................... ........................
Date....613100............ Signature .......................................................... .... ....................
Witnessed by ...... Geoffre •D: Peabody -AWS-SCM .......................... ..... ......................
Date .....W�............ Geoffrey -D.-
..................................................... ,...... ............:..........
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Gregory A. Peitz
Architect
383 Rio Lindo Ave. Chico, CA 95926 530-894-5719
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INSULATION CERTIFICATE
...................................................................................................
................ .
Stornetta:Brother§€s[[€
........................................... ..............
Contractor/Owner Name
..................................................................
Butte[[;€
.................................................
County
DESCRIPTION OF INSTALLATION
1. ROOF
Subdivision Name
J, r- s
..........................
..........................
Job t734:`
....... .
.....................................................................................................................
SSZ Paseo Campaneros ' C1iiao CA ( a&... e)
Job Address (street, city, state)
Ut Number
3. EXTERIOR WALL
........................................................................
Frame
A. Cavity Insulation
........................................................................
Material::;`: ` s s Fitie"r.".. ass s s s`sss s
Thickness inches
( ) ......................6..1.4::::::'::::::::::::::::
B. Exterior Foam Sheathing
........................................................................
Thickness (inches):IIEIf sIs
4. RAISED FLOOR
Material :F1ber:glass
Thickness (inches):..... 6 1/4.....
5. SLAB FLOOR/PERIMETER
........................................................................
........................................................................
Material.........................................................................
Thickness(inches):
.....................
c es
Perimeter Insulation Depth Inches: ::::::::::::::::::
6. FOUNDATION WALL
M ri
Thickness (inches) .....
............................................
BrandKna!fssss"€
Thermal Resistance (R Value):[ss19sssi.
......................................................
.....................................................
Brand
Thermal Resistance
-V
st alue
(R ):
Brand Name: _ Knaiif
Thermal Resistance 19 .................::::::.,
Brand Name:'';'€€€€f
Thermal Resistance -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 Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the
Certificate of Compliance, where applicable.
2 _
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::::J : :.:: r :.:..::::::: Chico
�.................:.... �_..l /���U��il%,� _ _
....................
Item Number's Sidature and bate %0 .27.0 Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
Item Number's Signature and Date Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
J=OK
0 = Not OK '
Not
. = NotReadyable
DECKS, COVERS, CARPORTS, GA ZIAGES (Plans) OK except #'s
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/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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, GA ZIAGES (Plans) OK except #'s
1.
Zoning Requirements-SetbackE-Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -D ticking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Col umns-Connect�ons-Splice- Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-RfYs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel-Connectons-Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lightirg, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit En -ries -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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
= OK
= Not OK
Re RESIDENTIAL (Single & Duplex)
= Not Applicable
= Not Ready
Date aj- OyCard B-1 VP Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edoe of Studs & C.J. 1-11
'28. Equip. Ground made up w/Mech Fasteners-Bonck4as & V926
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30 S ibfe rf Mro
7
31. ga Cu or AI
In lated Ne No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35.
Date Q
Date
Al and B-1 Date
Card B-1 Date
.11
Date
UNDE OOR (Plans) OK except #'s
Date
Card B-1 Date Card B-1
on' -Setbacks-Easements-Flood-Slope
OK except #'s
g., Main; Soils-Elec. Grnd.-/ " Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Vents -clearance -Comb, Air -Connector -
I arage; Above Floor-Ducts-Mech. Protection
4.
Ftg., Porches'&Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemw Is, Main; Steel-Blockouts-Wrapped
Date
6.
St walls, G e; Steel- Blockouts-Wra ed
Date
ta,AoV,Oo
ancl Special Anchors
Date
FRAM (Permit) OK except #'s
la el -Wrapped
75.
Sills Proper Materials & Anchors
i -Fire lace Ftg.-Steel
A.C. Duct in Garage -Damper
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
7
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
11.
Water Pipe; Test -Anchors -Regulator -Service Test
81.
12.
Electric Underground
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
83.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
cco Brown -Finish
15.
Access & Ventilation
16.
Insulation
Vater Well, Disconnect, Electrical, Plumbing
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Date
Ventilation Throughout House
Card B-1 Date Card B-1
Date
91.
Card B-1 Date Card B-1
Date
PLUMBING [PpAWiff OYeexcept #'s
93.,,Water
17.
W .; Ve -Access-Comb n Air BAKe
Energy Compliance Certificate -Other Certificates
95.
i e; Test & Anchor -Nail Protection
W.V.; Test Fittings & Anchor -Nail Protection
96.
Fire Sprinkler
r an; es , first Floor -Tub Access
Card B-1 Lter Date Card B-1
Date) Card B-1 WT- Date Card B-1
Date Card B-1 Date Card B-1
est Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
F'
Date aj- OyCard B-1 VP Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edoe of Studs & C.J. 1-11
'28. Equip. Ground made up w/Mech Fasteners-Bonck4as & V926
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30 S ibfe rf Mro
7
31. ga Cu or AI
In lated Ne No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35.
Date Q
Date
Al and B-1 Date
Card B-1 Date
Card B-1
Card B-1
Date
MEC ICAL (Permit) OK except #'s
Date
Card B-1 Date Card B-1
3 A.0 cts Insulation & Support
OK except #'s
3 an, Exhaust above insulation
Sp6ke Detector
38. CorJclefisate Drain & Overflow, Size & Grade
Vents -clearance -Comb, Air -Connector -
I arage; Above Floor-Ducts-Mech. Protection
6
Z.�.
3 urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
70.
Date
Card B- Date
Card B-1
Date
Card B-1___Date
Card B-1
Date
FRAM (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
75.
Sills Proper Materials & Anchors
76.
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. D top in Walls (rat proof)
F' ps, Furred Ceilings -S ' s -Chasers -Tubs
Headers & Beams -Size & Bearing
f
Date FRAMINC14eontinued) i
angers -Post Caps -An rs Connectors
4 g. Joist-Rftr. Ties-Purlin off Bri-q russ-Shting.-Rtng.
49. Fir lace Throat Clearance
50. A ns. Baffles
51.
52.
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 esh- Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Dat 3-05Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FIN4e(Plans)
OK except #'s
t. Steps -Door & Sidelight Protection -Landings
Sp6ke Detector
eV'Purnace
Vents -clearance -Comb, Air -Connector -
I arage; Above Floor-Ducts-Mech. Protection
6
Z.�.
d m Exiting
& Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels 7
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
tr.Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
iry(5arage; Above Floor-Mech. Protection
7
Ib.; 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 O Yes
83.
Fol!win Instld./Drive O Yes D No/Walks O Yes O No/Planters l7 Yes O No
O
cco Brown -Finish
A.C. Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Vater Well, Disconnect, Electrical, Plumbing
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Ventilation Throughout House
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.,,Water
& Sewer Connected -C/O to Grade -HD Approval
K.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date (s
Card B-1 Lter Date Card B-1
Date) Card B-1 WT- 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 FAM (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP042934
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: 12/07/2004 APN• 040-340-006-000
-
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 557 PASEO COMPANEROS CHI
Date: Contractor.
Map Index:
I
Description: ART STUDIO (420) COV AREA (144)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
I
Business and Professions Code: Any city or county which requires a
Owner: NOE ROBERT A
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
557 PASEO COMPANEROS
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95928 i
she is exempt therefrom and the basis for the alleged exemption. Any
i
violation of Section 7031.5 by any applicant for a permit subjects the
i
applicant to a civil penalty of not more than five hundred dollars ($500).):
ZI,
as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: DAVID WASNEY
Code: The Contractors' State License Law does not apply to an
I
1280 ORCHARD WAY
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
CHICO CA
provided that such improvements are not intended or offered for
95928 !
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
(530) 342-3450
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
COntractOr: STORNETTA BROTHERS CONSTRUCTION
not apply to an owner of property who builds or improves thereon,
INC
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Busines and Professions Code
10636 SOUTH MILLER AVENUE
CHICO, CA 95928 '
Date: Owner:
(530) 521-2324.
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
License #: 511917
❑ 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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
9
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 564 S. F.
Polis :
Valuation: $29,604.00 '
I certify that in the performance of the work for which this permit is
Census Code:
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation Section 3700 the Labor Code, I
f
provisions of of shall
forthwith compl With thosepro isions.
Date: /
Lft Z 77/
Applicant:
O
WARNING: Failure to secure workers' compensation coverage is
7
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.
/ 2 .7 (J
F - CONSTRUCTION LENDING'AGENCY
This permit i ereby�issued r t applic Ie provisions of the Butte County Coda an(vor
I hereby affirm that there is a construction lending agency for the
Resolutio to do w i ed ab ve for ich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: } Date: [/
EXPIRES Z
Address:
PERMIT ON:
Date
❑ I 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 to or docu nt of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose I
Print Name: Signature: 1
Date: I Z
❑ Owner ❑ Contractor J Agent for Owner ❑ Agent for Contractor
Q,//10 J Ona„ it SZ CSI �� Wo"IdA41
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834:
OFFICE #: (530) 538-7541
94
A FEE WLLL BE REQUIRED AT TIME OFAPPLICATION 33
**PLEASE PRINT CLEARLY**
APPLICANT NAME
OWNER
Last Name �
City CAC6
ust N e 2%
Address 15-5-7
64, -4P -W&.45
City e,049
Zip c- 'g,
State CA
zip g5?Z3
Phone
Uc. #'5-1 t7 17
Fax
E-mail
State license Number
APPLICANT NAME
CONTRACTOR
Name
City CAC6
Address
solutu 440—�-
City
Stat
Zip c- 'g,
Phone
` q�2 Fax
E-mail
Uc. #'5-1 t7 17
Class
1
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City CAC6
Address
Zip 4 d
�O
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State license Number
APPLICANT NAME
Name at/
Address /Zhv
City CAC6
Stat&`
Zip 4 d
�O
Phone 34YZ=3zlsd
Fax
E-mail
APP (CANT SIGNATURE
X
For office use only:
Zoning
Property Address
5 57 PA 160 (Zd S
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN
LOCATION
AP# o� • 340 • oc �
Property Address
5 57 PA 160 (Zd S
ity
C ep
Cross Street
WORKER'S COMPEN-3ATION
Policy Number
Carrier
If hiring anyone other than license contractoas, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope d Work:
�r l�
Sq. Footag
0 Struc re ilt vAthwl Permits
O 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 oder to renew action on an
application after expiration, a new application, plans and fee will be
OVER FOR SUBMITTAL REQUIREMENTS
vACnoGlCtol 111 fUAln .1....
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 otaer department costs are not
refundable.
85-2•35 = 42&.tg
Received by: ` Amount: 447.04 Bldg
Receipt # 4 I' 77/
Date: I 0. 7.04,
SRA
Sheriff
Z q 6'' SMIP
Other
450 Total
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ y 1., Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ ,,2-",Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Itngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non-heated and A/C for Non-Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet-signed by the engineer.
❑ 8. Flood Elevation Certificate, wet-stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
❑ 13. Sanitation and site plan approval from the Environmental Health Department. `
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner-Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Ketunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
:heck fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
%_7ORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �� ASSESSOR PARCEL NUMBER cs ra
p
Proposed Building Use: A PT T
�'►.L u 4 o 144 Counter/rovTechnician: Date: i. 1 o/'71oA-
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. R
i'
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans rdtlails
r 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss and layouts in duplicate. No faxes! w,
❑ 5. Letter from Engineer or Architect for truss design review.
� 6. Energy compliance design and supporting documentation in duplicate.
'O 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
13. 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.
O 16. Other
i
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 ........................................... ...,....
0
20.
Erosion Control Plan Required........................................................................
21.
1...
Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑
22.
City of Chico Plumbing permit........................................................................
23.
24.
California Department of Forestry plan approval ❑ paid. Sent by: `
Planning approval (A) Use: QK-L (B)Parking: (C) Parcel Check: 1 d
❑'
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 .... :.......................................................... ......
0
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
Tel p .�4/G 34� .} S���SI�I �l�and hold for pickup. i
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: 1d7 d
1. Index permit application for the a - e items numbered: Plan Check Letter.
2. Additional I quired
Contract esigne owner, was advised of the above data by phone, ❑mail, ❑ counter, b ate:
Contractor, a ner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: i
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed b : Date: I Structural approved by:y Date:
Note transfer by: Date: a110
Yellow: Building Division
E.H. W 0�
:Plot Plan Attached V
Hoot Plan Attached
l�J �•. Sent to 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
final for:
rinai c
NOTE:
8/96
ental Health Specialist Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
• l SCHEDULE OF RECEIPT OF FEES
OWNER "—' � � A.P. # 4�'� C—
PROPROSED BUILDING USE ik-Tr .4c+QT' S7zLD ten DATE 9z7j c4
RECEIPT # DATE RE C.
)ZIancMDING PERMIT FEES
e Due ..................... $
--- Additional Fees Due........... $
npa
Revised Plan Checking Fee.... $(�
HOODISTRICT FEESd at Scehool District Office) (form available _ftPlan' Check) /�Z
G, l' c-
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
to 011 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.) .........
SMt p
go -9.40. OTHER,
4'yFt961 C7
X =%
At time of permit application, I was advised the above fees are
may be changed during,�heplyn c4ecking process.
APPLICANT
paid prior to issuance of the permit. These fees
DATE . �
Pursuant to Government Code Section 65020, 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)
utte County Department of Development Services
DNNE CHRISTOPHER, DIRECTOR
WILLDAN
Scott Rutherford (530) 538-7160
o�%3TrFo
O i O
o� o
G ==` o
cOU N �y
I
srutherfordCoMuttecountv.net
Plans Transmittal For Review Per Contract
10/11/2004 '
r
Applicant: Noe, Robert Permit 04=2934
Project Type: JArt Studio APN: 040-340-006
100% 70% `
Plan Check Fees $ 340.94 $ 238.66
$ 340.94 $ 238.66
WILLDAN Fee $ 238.66
Copies Attached: Qty
Chk j
Application !
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations {
Residential Plan Review Guide i
Residential Construction Requirements r
Other
Other t
{
w
. f
7 County Center Drive
M
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
N
TO:
'
FROM:
r
1
SUBJECT:
O
�
DATE:.
WILLDAN
Scott Rutherford (530) 538-7160
o�%3TrFo
O i O
o� o
G ==` o
cOU N �y
I
srutherfordCoMuttecountv.net
Plans Transmittal For Review Per Contract
10/11/2004 '
r
Applicant: Noe, Robert Permit 04=2934
Project Type: JArt Studio APN: 040-340-006
100% 70% `
Plan Check Fees $ 340.94 $ 238.66
$ 340.94 $ 238.66
WILLDAN Fee $ 238.66
Copies Attached: Qty
Chk j
Application !
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations {
Residential Plan Review Guide i
Residential Construction Requirements r
Other
Other t
{
w
. f
le lot 0'7
�TFo Department
/° C o u n t
O o Y
O ° J. Michael Crump, Director
\O O
� cOUN�y
ALb Ic WOP,�9
of Public Works
o f B- u t t e
LAND DEVELOPMENT DIVISION
Storm Water Management Program
;7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
i
National Pollutant Discharge Elimination System (NPDES)" Phase II
Construction Storm Water Permit and Storm Water Pollution 'Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description:
I.
Ari
(::�VD l6 e2mr)
I
Project Location and/or Parcel Number: 9d' 3'` L
i
i
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or othd permits or other
sanctions provided by law. E
Signed: // ///,liL_,� ►'
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
FLOOD PLAIN DECLARATION
I declare the actual value 'of the proposed construction work under build-
ing permit application '� at(G^/�J% ,
A.P. i does
not equal or exceed -the definition of ."Substantial Improvement."*
I am aware the building site is in a flood -plain area, even though I
i
am not required. to comply with the flood plain management criteria.
1
PROPERTY OWNER`�-
{
ADDRESS
PHONE NO. g `?C ' 913 3
DATE `� — �3
i
i
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
50% of'the market value of the structure either, (a) before the improvement
1
or repair is started, or (b) if the structure has been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
a (One form per Building)
School District �✓V I Building Department No.
A.P. Number 0 'TA�LA,00 Jurisdiction: City County
Property OwnerQ�(�
Property Location/Address
Subdivision
Lot No.
Residentia Development
Q -Q
;......
.........................................................
Q Sq. Footage
No of Living Mobile Home
Addition/
'Supplemental to (Group R)
Units installation
` Conversion
Permit #
.......................
*(No foundation inspection)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
b
x,.
Commercial/Industrial Q
New
n
Building Department Representative
F
District Identification No. / V
0��j f. School District certifies that
N
(Street Address)
(City)
(State)
1
has complied with the requirements of Resolution No.
representing i / (J square feet. 2926
Paid by Check # /v / Remarks:
Sq. Footage
(Including Exterior
/RoofAreas)
ed
d
Date
(Applicant
(Phone Number)
(Zip
by payment of $rS/!� C
FULL MMGATION $
Date
• ei
Notfos: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with
Government Code section 66020(a), within 90 days from the date tees aro paid. Failure to submit a timely written protest wlll'prohlbit
you from challenging the imposition of the fees in any court aetlorL
B, subsequent to tin school DlsMet Representative signing ffik Butts County schools Impact Fee Certification Form, the School District In
notified by the applicable Local Planning Agency that this project Is being reviewed under the California Emlronmental Quality Act (CEQAj
this project may be subject to additional school fees to fully nrtipats.Its Impact on the school disMeft schools.
White (applicant), Yellow (building department), Pink (school district) feeforrn.xts 00/031dmm
Serving WI LLDA�N Public
November 29, 2004
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
117 C Street
Marysville, California 95901
530/749.2373 :ax 530/749.2199
www.willdanxom
Willdan Project No:
14353-1212
Jurisdiction Job No:
04-2934
Assessor's Parcel No:
040-340-006
Applicant:
David Wasney
Description:
New Art Studio Addition to SFD
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2"d page of this letter. Tie plans and
documents provided for this review that have been found in compliance with the applicable cedes are:
#. Plans: Two (2) copies sheets Al through A4 dated 08-24-04, by John Anderson Alchitects-
John Anderson A.I.A., two (2) copies sheet S1 dated 06-18-04, by RCE Civil -Structural
Engineering Surveying -Charles Roberts RE, two (2) copies sheets S2 and S3 dated 08-24-04,
by John Anderson Architects -John Anderson A.I.A.
# Structural Calculations: Two (2) copies dated 08-24-04 by RCE Civil -Structural Engineering
Surveying -Charles Roberts P.E.
# Energy Calculations: Two (2) copies dated 08-23-04, by Marty Runnells.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter.
See below for the identification of the codes and standards applicable to the project, a code analysis,
conditions -of -approval and identification of any deferred submittals.
APPLICABLE CODES.
Unless noted otherwise, all comments are based on requirements of the 2001 California Building
Standards Code found in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC".
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC":.
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC".
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC".
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein -as "CECS": ..
�.WILLDAN..
; Serving Public Agencies
CODE ANALYSIS
Type of Type of 1" Floor 2 "d Floor I
O C t t' Sprinklers Stories S Ft • S Ft Total Sq Ft
ccu anc ons ruc ion
R-3 -V-N'. No 1 440. NA
CONDITIONS OF APPROVAL
1. Approval -is contingent upon the review, requirements and approval of other
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
3. All plan sheets shall be signed by designer or person responsible for the plans as
California Health & Safety Code Section 5536.1.
DEFERRED SUBMITTALS
Our plan .review reveals no deferredsubmittals noted at this time.
SPECIAL INSPECTION NEEDS...
Our plan review reveals no special inspection needs pursuant to.CBC 1701.:'
Sincerely,.:,..
)saac Kuster. i ' Gordon W
Plans Examiner Plan Check
Cc: Alice Mefford E-mail: 'amefford@buttecounty.net
Robert Noe, 557 Paseo Campaneros, Chico, CA 95928
David Wasney; 1280'6rchard Way, Chico' CA 95928
440
required by
right, P.E.
Engineer
County of.Butte. PennitNumber 04-2934
Willdan Project Nwiiber74353-1'212
0
SITE PLAN REVIEW APPLICATION
Date: lI /l�l�q AP# OL16 _5Lt0-0069
Permit Number (if applicable) `-(--7-93Y
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Parcel Size: /• 1,,2- 6Z04_CS
5-�_ 7a ca e�F �9'S'?2r
�/ e
�-9 93
0
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
R6Mobile Home t
esidential Accessory at &
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
9 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
IM Site Plan Stamped Approved
i
Mi
Page 1 of 5
I '
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act`Minimum Acreage: ElVerify 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) 1'1�7�
❑ SRA - (CDF to determine specific requirements5
100 -Year Flood Plain: ' (See attached)
• Flood Zone: i'E AA
• Flood Panel No.: 01,0007cps/OC, Index Date: (e q
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the. California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit` r
❑Minor Use Permit � ❑ Administrative Permit
❑ Minor Variance ❑ Variance
----------------------------------
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: —
Ga-A
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
o2a ,
�' S, L
Side
s
Side Street
Rear
5 r
L/ ,�
S.
Height
Td / �- '
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees
❑ .Fire �
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Amount -Formula
. i
----------------------------------------------------------------------------------------------------- -' ----------------
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
I
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. i
Parcel Created By
❑ Deeds: j
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑' No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: I
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
------------------------------------------=---------------------------------------------------------- ----------------------
l
Page 3 of 5
H Subdivision Map/Parcel Man: ka vi cAo-5 4-e-6da-5
Map Date of Recording: 1 I t
Lot: 020
❑ Use Permit/Minor Use Permit
Permit Number:
Book: Page: 2q-k3o
Date of Approval:
Parcel Map/Subdivision MapfUse Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
F
Page 4of5
Summary of Specific Requirements:
r
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A
This information provided in this summary is based on the application information and on the best available data at the time
of review,
CALarryslBuilding Permit Site Plan Reviewl.doc
}I
1
I
Page 5 of 5
r
Si
F-1
Summary of Specific Requirements:
r
i
A
This information provided in this summary is based on the application information and on the best available data at the time
of review,
CALarryslBuilding Permit Site Plan Reviewl.doc
}I
1
I
Page 5 of 5
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
November 18, 2004
Robert Noe
557 Paseo Camponernos
Chico, CA 95928
David Wasney
1280 Orchard Way
Chico, CA 95928
Subject: APN-040-340-006
Dear Mr. Noe,
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Building Permit Application 04-2934 for an art studio, and has found your application
in compliance with the established planning criteria. The site plan you submitted meets the
setback requirements for your zone as well as applicable map or use permit conditions. The
Permit Application has now been forwarded to the Building Division for their consideration and
action.
Attached, please find a copy of any use permits, or map notes and conditions for your property.
We are providing this to your for your information and future reference.
Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-7601.
Since ly,
LQ
G/,
ana Adler
Assistant Planner
i
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EASEMENT -
--_
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I
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S PR.R 57/RC/NG CY7Y BRANCH•
-- —
O
NOTES
THE BA515 OF REARING IS THE SOUTHERLY LINE OF LOTS
S H
—_ -- _— --
— — — — — — — -- —
—
13 8 14 OF THE CARLY TRACT GNEM A; N BO. 07' W ON
RANCHOS ROBLEDOS
FILED MAR AND SHOWN 60'20 30 W ON THIS MAP
'
LEGEND
PUBLIC uTlLltt EASEMENT UNE-----��--
SUBDIVISION
_
SETBACK LINE —
TAG'SET IN CONCRETE MARKED P.E. 7294
FOUND MONUMENT
A PORTION OF SECTIONS 31 9 36 T.22 N.
ANCHORAGE EASEMENT (4'%2E!). ®
SERVICE DROP OVERHANG
R.I E. 9 PORTIONS OF SECTIONS 196 T.21N.
R
�
TOTAL ACREAGE 63.72 AC.
[
R._ 1 E., M. D. S. 9 M.
TOTAL ACREAGE IN LOTS 58.50 AC.
TOTAL ACREAGE IN STREETS 5,22 AC.
OWNER 8 SUBDIVIDER
J. L. SWAIM
SCALE I' = 100' JANUARY 1961
ENGINEERING .OFFICE OF
WALTER B. GRIMES
REGISTERED CIVIL ENGINEER
NO. 7294
i
We, J. L. SWAIM and VERA M. SWAIM, husband and wife, and VOLMER
K. vYIHNS£N and VMAN RUTH ✓OHNSEN, husband and wife, and LOUIS C.
OLKER and ANTONIA F OLKER, husband and wife, as owners, and MID VALLEY
SAVINGS and LOAN ASSOCIATION, A CALIFORNNA CORPORATION as Beneficiary O d
FINANCIAL FEDERATION INC. A DELAWARE CORPORATION as Trustee under deed of
trust dated September B, I%o and recorded September 14, 1960 in Book /076 of
Official Records at page 569, of the fond included within RANCHOS ROBL EGOS
SUBDIVISION, as shown on the annexed map, do hereby certify that we are the Only
Persons whose Consent is necessary to pass clear title to said land, and we consent
to the preparation ad recordation of said mop as shown within the colored borderfines.
PASEO COMPANEROS is hereby offered for dedication to public use fa County
road purposes. We also offer for dedication for pudic use, and do hereby so dedicele
for specific purposes, the following:
(a) Rights of way and easements fa water, gas, sewer, and drainage pipes,
and for overhead and underground wve$ for electric and telephone service, together
with any and all oppxlenances appertaining thereto, On, over, and Wder those strips
of /ad lying between the rear anal side lines of las and the lines designated
' PUBL/G UTILITY EASEMENT LwE."
(b) Easement for light ord air over /hose steps of land lying between the
font adVor side lines of lots and the lines shown hereon aid &signaled SETBACK
LINE, said strips to be kept open and free of buildings.
(c) Easements for guy wires and anchorages extending 20 feel fom Me
center lines of easements referred to in (a) above, and five feet in width, of the
location shown hereon by symbols.
7% ,_, 4u..:�
✓yL AIM VERA M. SWAIM
VOLMER HNS£N �TH JOHNSEN
LOUIS 0 O CER ANTONIA F. OLKER
Trust Officer for
FINANCIAL FEDERATION 1NC.
STATE OF CALIFORNIA As
COUNTY OF BUTTE I
On this d2.adoydf i repro« 1961, before me
o NOTARY PUBLIC in and fa the Canty of Butte, Personally oppeaed J. L. SWAIM
one VERA M. SWAIM, VOLMER K ..OHNSEN and VMAN RUTH ✓OHNSEN, and
LOOS C OLKER one ANTONIA F OLKER known to me to be the persons whose
names are subscribed to the foregoing certificate and acknowledged to me that
they axecored Me some.
Nally Public -
My canmission expires A==7 /3 /jGSr
STATE OF CALIFORNIA Jss _ - _
COUNTY OF BUTTE J
d
On INr'1�' •_ day of At" 1961, before merU.�il . lazp SKA W
o Notary Pubfic in and for the Ca ly of BuRe, personally appeared
known to me to be the Trust Officer of Ifo FINANCIAL FEDERATION PNC A DELAWARE
CORFORATkON, which executed the foregoing certificate and is known to me to be the
person who executed the certificate on behalf of the FINANCIAL FEDERATION PAC
named /herein, and acknowledged to me that said Corporation executed the some.
/votary Polic
My commisfon expires `v.
1, F H SEELY JR., AUDITOR of Me COUNTY OF BUTTE, Slate of
California, do hereby certify /hot Mere are no lox liens against RANCHOS ROBLEDOS
SUBDIVISION, as herein set forth, or unpaid State, County, Municipal, o/ Local loxes, or
jaea%O/ assessments ro//Bc/ed as taxes, a+DeptJoxaS a s tier/ osse5}ment net yet
Payable, h estimate to be the amount of g�.b
F. H. SEEL7.1.Oamly Aadjto,: • ...' c
WALTER B GRIMES, do heredy certify that I am o REG/STEREO CIVIL
EAG/NEER of the Stale of California, that the annexed mop of RANCHOS ROBLEUOS
SUB O/V/SID N, cornet//y repmsmis o sorry mode under my supervision in JANUARY, 1961,
Mot
it is tae and complete as shown, that monuments shown Jherew exist and am of
The character and oroupy the positions shown and as sufficient to enable the survey to
be retraced.
WALTER B. GRIMES':'
Registered CW/ Engineer �hti. 7294'•:
...:.tar'.
/, W. F CHAN, DIRECTOR OF PLANNING of the PL%INhs1NG1:wd k'/SS/ON
OF THE COUNTY OF BUTTE, State of Cakfornio, do hereby cerl;%y'Jhol the annexed
final mop of RANCHOS ROBLEDOS SUBDIVISION, conforms substantially with the
sub Sion design shown on the tentative mop which was approved by ibis commission an
? , 1960
VV. F. ChlAN_
Director of Planning
I, R. B ONE/LL, DIRECTOR OF PUBLIC WORKS of de COUNTY OF
BUTTE, Stole of Colifanio, do hereby certify that / hove examined the final map of
RANCHOS ROBLE005 SUBDIVISION, that it is Substantially the same as appeared an
the Tentative Mop on file and any operoved otterohon thereof, Mal aft the provisions of
the SUBDIVISION MAP ACT of the Statutes of California, and any local ordinances
applicable at the time of approval of said Tentolive Map have been complied with,
and I, am satisfied that the mop is technically correct.
k P O'NE1LL, Director of
_ VPublic Works, County of Butte
—" fhgi3tc1cd —Civil Engineer AO 6696.
I, do hereby certify that an the .9 Z 41A_ day of b -
1961, /e BUTTE COUNTY BOARD OF SUPERVISORS offically approved
the wbdivlsion map of RANCHOS ROBLEDOS SWDIVIS/ON. The receipt
Of satisfactory security in Me Auditors estimated amount of g Ned,
to /nwre payment of taxes which are lien, but not yet payable, was
acknowledged PASO CC fRWEROS shown on said mop and offered far
dedication was accepted on behalf of the public for road purposes.
oar.;eH--L—CA by
County Clerk
DePEU
Recorded in Me office of the RECORDER OF BUTTE COUNTY,
Stole of California of the request o/f Omville Title Co. this .2a_T4day
of � 1961, of IZ minutes post o'clock �.x M,
in Map Book —All'- page ,% 2q oM�- Seriolho. /3181.
""_ �l�-CC6TICW
RANCHOS ROBLEDOS
SUBDIVISION
A PORTION OF SECTIONS 31 a 36 T.22N.
R.I E., a PORTIONS OF SECTIONS I a6 T.21 R.
R. I E., M. D.B.a M.
OWNER B. SUBDIVIDER
J.L. SWAIM
---• —SCALE-�I'e.Ifn'_ JANUARY_.1961_ _
ENGINEERING OFFICE OF --
WALTER B. GRIMES
REGISTERED CIVIL ENGINEER
NO. 7294
J f
,• r 1 � of
A, PERMIT NO. 564-77B,M
— PERMIT EXPIRES J�
• OWNER Bob Noe
CONTR. Al Vial, Chicc
LOCATION (A.P. 40-34-6
NIS Paseo Campaneros,app.800'W�of E/end, lot 20;
Rancho Robledos Sub, Chico
:i 1
i
{
Temp. Power Pole r-1
Called PG&E 3 —/ " %
Temp. Elec. Serv. 7-1;t-77
Called PG&E Al— 7
Tem �. Gas Serv.
Called PG&E
Og
FI NA LED'
(Date)
(Signature)
ti
r `COUNTY OF BUTTE—= D9PARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback - �% '
Firewall
Soil Piping
Forms 5-- --77
Parapets
1st Floor 3-3e
Main Bldg.
Restroom Finish
, 2nd Floor
Footings 3-/L- -7
Windows
3rd Floor
StemwalI 'S -/e--
Siding - 3%-%7
To out
Slab Z '-?
Roof Sheathing • 9$
Water Piping ,3-3a" '.;;96
Piers
Roofing /-/-3 -2,
Sewer 3 -- 'A PP
Garage
Fdn. Vents -1-;>,9'Fixtures
- ZZ- '7
Footings 3-16- %
StemwalI
Garage Vents
Insulation % r / .i
Water Htr. -I j
Heaters
Slab
Carport
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structure
A� Ilances
as Piping &Test -/z
Temp. as -
Slab
Final
Sanitation G�
Patio
FIREPLACE
Final --% s-- % g
Footings
Footing
ELECTRICAL
Masonry Walls
Throatonr
Rough 7-Z 2 -?7
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing r -'.Z72
Test
Water Htr.
Stucco
Final
Subpanels �i
Mesh - / '
M19CHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling `
Temp. Pole -
Finish -- 7 Ducts -30 7 s Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ----- Elec. Service Elec'. Pedestal
Water Piping Sewer Gas Piping
MOBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
nn CmnaECTIONS/
3-16-77
5`730-7 7
92
01
>r' /
.
NN
�� . ..
A
J O -t,, l r/uv�
40�
r' +
H-ER1,t'E.-rU
�. t1 COMPANY
LICBNARD CONTRACTOR
Insulation —Weatherstripping — Accoustical Tile
P. 0. Box 3506
Chico, California
Phone 342-4764 Jam)
, n // Date_�/!J �T
To (�&y "
(Purchaser) ^ ^ ��,^
(No. and Street)lyJ{�f//mss-mac
(City and State)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE C RRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
ST OF CALIFORNIA, IN THE BUILDING LOCATED AT:
S
-e
Stredt Lot Number Tract No.
EXTERIOR WALLS
Manufacturer ` Thickness/TypR Value f
CEILINGS
��yyi
Batts: Manufacturer t9
._V/�— Thickness R Value
Blown: Manufacturer 0 00-- Thi kness A� No. )Bags / Wt./Bag �dL
Sq. Ft. Covered _ R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer - Thickness/Type R Value
Width of Insulation ' Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR
R--ACTOR , LICENSE NUMBER 2716>2 Cl
BY A4Lf/ T LE DATE
Id
NCO RAC O LICENSE NUMBER
B TLE��DATE
SAVE ENERGY - INSULATE!
( DATE)
ACCEPTED FJERSETH COMPANY
Representative)
���.�_(e�o7
��C�
COUNTY OF BUTTE Y• DEPARTMENT OF PUBLIC WORKS
a 7 County Center Drive — OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
I
above-mentioned property for inspection purposes.
'J X Date
Signat a of Permitee or Ag nt
Receipt N f�
White-D.Pa10e otvAWs r P 41-
r194?tor – Goldenrod -Applicant
This permit is hereby issued uncer the applicable)sio
the Butte County Code and/or resolutions to do work) i
above for which fees have been paid. s )0
DIRECTOR,15—FVUBLIC WORKS
BY C. Date 3—� S s 77
ilding permit expires Date
BUILDING
Owner O
SQ. FT. OCC. BUILDING VALUATION
_
ti QO
Mailing Address
O
Telephone No.
Fireplace 44117,3-0,00
Contractor 4 ` !
Total Valuation
Mailing Address ' /�
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $—
Building Address f�✓
�� _��
PLUMBING Ido. @ FEE
PERMIT FILING FEE $3.00
Q� 4J /C
Each Trap 1.50
Repair drainage or vent piping 1.50
/
Water piping 1.50
/ `L ��
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
A. P. o. 0 Z n
Each additional outlet .30
If/es
C.
S tion
Fire Dept.
FireZone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Im pro ents
Lawn sprinkler system 2.00
Bldg. ins Recd
1P el Appr Val
Plan Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL @ FEE
PERMIT FILING FEE $3.00
OR LE
Main service io00o AMP 0RSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 100 OVER 600V
AMP OR LESS 25.00
Main service// EA. ADD'L 100 AMP 1.00
/; G
NEW CONST. DWELING
OR ADONIS. l ACC• BLDGS.CCUP. &) 20sq it
NEW CONSTR. MULTI -OUTLET
NON-RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
NON- R RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
yC.C¢li
Ex. Occup(OUTLETS OR FIXTURES)BAL @ @0921
Ex. Occup. (OUTLETS (RESID )KEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.2 7/S> 7Misc.
q Classification
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
.
PERMIT FILING FEE $3.00 ,1 b
Heating /Q�J D
Cooling —7 75,uQ(�
Ventilation
Hood 2.00
Permit Fee $ 06
$ 0e
I certify that I have read this application and state that the aboveZ.12—id,
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Aiahnri7a ranracantati—c of the r�n,,.,f.. .,f 0 +++ ,. ..
S �Q[
TOTAL ERMIT FEEP44
$
above-mentioned property for inspection purposes.
'J X Date
Signat a of Permitee or Ag nt
Receipt N f�
White-D.Pa10e otvAWs r P 41-
r194?tor – Goldenrod -Applicant
This permit is hereby issued uncer the applicable)sio
the Butte County Code and/or resolutions to do work) i
above for which fees have been paid. s )0
DIRECTOR,15—FVUBLIC WORKS
BY C. Date 3—� S s 77
ilding permit expires Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ �
7 County Center Drive — , O.roviIle, California 95965 11�97
7
Telephone: 534-4541
APPLICATION AND PERMIT
Receipt NO.y J V � LJ 77,-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant HIIt&+Rj permit expires Date y
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor err P C_ I QS L,
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
e J+ l C(:•�-Q
Teh ne
Permit Fee $
Building Address N ts I" S �� �� aka
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
r GCS
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
�/
A. P. No. y0-3 7'-��Gas
Zoning & Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
8e**Ai ft
I FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
provements
Improvements
Lawn sprinkler system 2.00
Bldg-PtUff%-Rev'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No @ FEE
PERMIT FILING FEE $3.00
-41 YJAC01 -09A1"J'1qS6 —7 �/
600V OR LES
Main service 100 AMP ORS
SLESS 5.00
Main service EA. ADD'L loo AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 1100 AMP oR LESS 25.00
Main service EA. ADD•L 100�jAMP 1.00
NEW CONS.LING
OR ADDNST (DACCLBLDGSO C
6 20sgft
NEW CONSTR. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St of: _
/Lr--L-sl\J
Ex. Occup(OUTLETS OR FIXTURES) BAL21
Ex. Occup ( FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
_
License No., UIS2-2-e3 Classification
Misc. Wiring 6.25(�
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL NO @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X " (44� Date 3 `2�—
Signature of Permitee or Agent
TOTAL PERMIT FEE
$
This permit is hereby issued underthe applicable provisions of
the Butte County Code and/or res¢lutions to do work indicated
above for which fees have been paid.
DI CTOR OF PUBLIC WORKS
�� /Z �', 1
C2v
Receipt NO.y J V � LJ 77,-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant HIIt&+Rj permit expires Date y
COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
•�r•���••-a••�� w vu,,ay v� uu uc av cnwi UVVII ana
above-mentioned property for inspection purposes.
X rte_— —2_—O 6o"A�Date
Signature of Permitee or Agent
Receipt No. o, X370
White-D.P.W. — Yellow -Assessor — Pink -Inspector— Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKKSII��''
BYDate`
S, 36 y 77.
Building permit expires Date ...... _...............
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No. j
Fireplace
Contractor C
Total Valuation
Mailing Address f LL/Q
Permit Fee
Plan Checking Fee &/or Penalty
Telephone N
3 s 0o.
Permit Fee
$
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE 00
6d
�Q
Each Trap 1.50
"-
Repair drainage or vent piping
1.50
Water piping 1.50
J -U
Each gas water heater or vent 1.50
ov
��3� / r
A. P. fo
Zoning & Planning
Gas biping system 1 - 5 outlets
1.50
Each additional outlet .30
F VJe
Safb4a4+on
;Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
BJdgrPJuai�Ze:d
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE :3.00
��y
,6
Main service incl: 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20io
Receps., switches & fix outlets bd
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California, Business & Professions Code under the name
style of:/�
f /C_2
Hood, Ex. Fan or F.A. Furn. Motor
-.00
U
.a
Evap. cooler, gar. di sp. or D.W. -.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
�7 CaAIrllD &.)&v
Temp. Power Pole E•.00
License No. 34/
c��- % Classification C— .� C
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions'of Section3700 of the California Labor
Code w ich requires every employer to be insured against liability
for W men's Compensation.
1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
MECHANICAL
No.
a
FEE
PERMIT FILING FEE $3L00
Heating
Cooling
Ventilation
Hood 2A0
Permit Fee
$
TOTAL PERMIT FEE
$
•�r•���••-a••�� w vu,,ay v� uu uc av cnwi UVVII ana
above-mentioned property for inspection purposes.
X rte_— —2_—O 6o"A�Date
Signature of Permitee or Agent
Receipt No. o, X370
White-D.P.W. — Yellow -Assessor — Pink -Inspector— Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKKSII��''
BYDate`
S, 36 y 77.
Building permit expires Date ...... _...............
t4i a RESIDENTIAL PLAN CHECKING GUIDE i
(S.F., DUPLEX, &'MISC. ONLY)
Bld P 't A'
7
OWNER
A. GENERAL
Zoning requirements (sideyards and parking).
Valuation.
Signature by R.C.E.. or Architect. (if required).
B. PLOT PLAN
g, 1—
t
I
Complete parcel size and dimensions..
Setbacks, sideyards, easements, etc. I
Other buildings or structures.
Grading, fills, drainage. t
G. FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
equired windows for second exit (Sec. 1404).
C Allowable glazing for energy requirements (20% max. per State law).
Human impact glass (Sec. 5406). ;
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures,., switches, receptacles,. and exterior. receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment; other electrical or.gas.
equipment, and plumbing fixtures..
Garage firewall, door size, and closer (Sec. 503(d)(4)). --
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation.plan.complete enough to construct building.
Floor construction details completeenough to construct building. ?
Elevations and wall construction details complete enough to construct building.
` oof construction details complete enough to construct building.
Fireplace construction details-and.calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
j
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716). i
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).'
Proper roof pitch for roof covering (Chapter 32). '
Rafter ties or bearing ridge beam, r
Garage door or porch header sizes.
Adequate bracing.
-Living area over garage - complete 1 -hour separation required including supporting
�d --walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
1
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg,
OWNER / 7 J ff'e- A.P.
A. GENERAL
1. Zoning requirements (sideyards and parking).
2. Valuation.
3. Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
1. Complete parcel size and dimensions.
2. Setback4, sideyards, easements,.etc...,
13. Other buildings or structures..
--4. Grading, fills, drainage.
Permit # ej�L 4"- %~%
C. FLOOR PLAN
1. Complete to scale plan with dimensions.
2. Required windows for light and ventilation.(Sec. 1405).
NO 3. Required windows for second exit (Sec. 1404).
30`104. Allowable glazing for energy requirements (20% max. per. State law).
\ 5. Human impact glass (Sec. 5406).
6. Required room sizes, ceiling heights (Sec. 1407).
7. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment. NOT_ St1oW
9. Locations of water heater,,heating & cooling equipment, other electrical or.gas
equipment, and plumbing fixtures.
10. Garage firewall, door size, and closer (Sec. 503(d)(4))..-
'11. 1 - 3'0" exterior exit door (Sec. 3303d).
-12. Fireplace location. e
13. Smoke detectors (Sec.. 1413).
D. STRUCTURAL DETAILS
1. Foundation plan complete enough to construct building.
�, 2. Floor construction details complete enough to construct building.
°3'. Elevations and wall construction details complete enough to construct building..
-4. Roof construction details complete enough to construct building..
5. Fireplace construction details and calcs if over one-story in height..
-6. Sufficient data and details to satisfy energy insulation requirements (State.law).
i
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
,1. CCX plywood on exposed locations and overhangs.
- 2. Stairway details (Sec. 3305).
NO 3. Guardrail details (Sec. 1716).
-,4. Brick or stone veneer (Chapter 30).
.5. Exterior plaster - weep screeds (Sec. 4706 & 4708).
6. Proper roof pitch for roof covering (Chapter 32).
7. Rafter ties or bearing ridge beam.
8. Garage door or porch header sizes.
y 9. Adequate bracing.
10. Living area over garage.- complete.l-hour separation required,including supporting
walls and posts, etc.
-11'. Two (2) 'exits on three-story dwellings. (Sec. .3302).
b
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