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040-360-012
1 4D-36-12 Marian Bramwell 58 Fairway Dr., ChicoI contr: Carl Rottschalk, Chico oTW f Permit #554-82P(inst.lawn sprs./SF) .--�-- +�- RAMWELL, Wm. —f 66;5 --69 B 040-36-0-012 �.•. 93-3455 BPE'- r 727-70P 1069-69P - - - - - --- � -': 754=70P#_ -23-70E-- `- •SHILLINGBOBR 58 FAIRWAY DR, •CHICO". 9 40-36-12x ' CONT: ' MIKE LANG,,; 58 Fairway Dr., Chico ,`ADDIT-ION,.;& REMODEL/SFS-' "t / f��, CONTR: Thomas Bragdon, 2/�L,4 Floral Ave., Chico Y' _ r " ( new single amily) ('sprinkler system) ,040-360-01' , ° 94-0049B - $ _ r a -2 a t_ SHILLING, ROBERT, t ' ` - I .: CONT: BUTTE ROOFING",:',/j., 1 J�,,� a 58 FAIRWAY DR. ` CHICO , � 1 �/ B I a REROOF/SF 040-360-012 04-3 22, LAFFIN; RICK X58 FAIRWAY CONT: SUNSHINE POOLS' }' ' NEW POOH_ Wo S i c"' 1, ✓t i. +P �' r NOTES - � "•'. - RESIDENTIAL 040-360-012 f U�1-3(122 r' PERMIT f:EAFFIN,--PJCK - �• 58 FAIRWA-� c' Hlc'O ; ` CONT: SUNSHINE POOLS y� NEW POOL" r * • e -r r• SPECIAL CONDITIONS CHECKED 4 - BY r- SRA 3 FLOOD CERTIFICATE REQ. a• ob SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS l SUB -STANDARD HOUSING LETTER SPECIAL CONDITIONS CHECKED - BY r- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ob SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS ' SUB -STANDARD HOUSING LETTER 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 Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Showef Pan; Test, First Floor -Tui Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except Ws 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25, Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, S ze & Grade Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait -Return Air Vent 115 Outlet Water & Sewer Connected -C/O to Grade -HD Approval 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing C" 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.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters O Yes O 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: j J=OK 0 = Not OK No1RQadvabh 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 B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Setbacks -Easements 2. Soils; Compaction -Structure Stability Pool Structure; Steel -Connections -Thickness D ad Men Lining eceptacles and Lighting, Distance-GFI c.; Pool Lighting; 15 Volts-GFI E c.; Enclosures; Conduit Entries -Terminals -Listed lec.; Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes Enclosures- Panel boards- Ins. to Main Conduit 9. Healt Department Approval 10. P ; Cir. Test -Water Supply Test 1 _t Niche 12. Enclosure; Fencing -Alarms Datel6-13-09 Card B-1 _ Date//Card B-1 Date (0 ,L�, 66 Card B -11Z , k , Date Card B-1 Sg-�yv�`v`E2� 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. OK To C'c�mTw (.t f Date (0'13 —O5 Inspector _D6306,18I14 S C M IMQA(� REV 10192 538 -68.22 t"COUNTY OF BUM .......... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive e Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWN 3,4A PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is comple!pd. If you have any questions pertaining to this matter, or need additional xL explanation, se contact the Building Inspector as indicated below. O vllIf 'T7 A14 tA Date Inspector REV 4/05 Phone# 5-3 5_g_ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurm Conpany Use-. BUILDING OWNER'S NAME Policy Number RICK LAFFINS BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 58 FAIRWAY DRIVE CITY STATE ZIP CODE CHICO CA . 95928 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Pa IN mber, al Description, etc.) APN 0496--. o(46 - 0 BUILDING USE (e.g., Residential, Non-residential, Addition, WVssdry, etc. Use a Comments area, N necessary.) ACCESSORY (SWIMMING POOL) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( ftp-#9-##.#tr or ##.#11###) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP" M) INFORMATION B1, NFIP COMMUNITY NAME fl COMMUNITY NUMBER B2 COUNTY NAME B3. STATE BUTTE COUNTY, 81NCORP. AREAS 060017 BUTTE COUNTY I CA 134. MAP AND PANEL B5. SUFFIX 96. FIRM INDEX DATE 67. FIRM PANEL B8. FLOOD ZONES) B9. BASE FLOOD ELEVATION(S) NUMBER g EFFECTIVEIREVISED DATE NIA t(m) (Zone A0, use depth of flooding) 060017 C 05M C SEPT. 29,1989 JUNE 8,1998 AE 2D3.9 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in E19: Z NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 112. Is the building looted in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date PWA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Constrtdon' ❑ Finished Construction C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this oentificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a dotch or photograph) C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, AR/AH, AR/AO Complete Items C3. -a4 below aocon:4 to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments anew of Section D or Section G, as appropriate, to document the datum convarsim. Datum NGVD 29 Conversion/Comments Elevation reference mark used RM 63 Does the elevation referenoe mark used appear on the FIRM? ®Yes; ❑ No o a) Top of bottom floor (including basement or enclosure) o b) Top of next higher floor o c) Bottom of lowest hor¢ontdi structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery ardor equipment servicing the building (Describe in a Carunr As area) o f) Lowest adjacent (finished) grade (LAG) o g) Highest adaoent (finished) grade (HAG) NIA. -IL(m) 205.1 —k(m) NIA .—ft(m) c NIA —ft(m) g NIA t(m) � �:3 200.1 ft(m) z' in 200.1 ft(m) C o h) No. of permanent openings (flood vents) within 1 ft above adaoent grade _NIA`. B J o i) Total area of all permanent openings (flood vents) in C3.hNIA sq. in. (sq. an) PROFESS/p 0 lz� G A ` No. 27647 A lk EXP. 3/31/06 l� \P yTF OF CAt-�FO� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certffy elevation information. 1 certify that the information in Sections A, B, and C on this ceRificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER ROBERT G. AGEE. JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING. ADDRESS CITY STATE ZJP CODE 5437 BLACK OLIVE DRIVE PARADISE CA 96969 SIGNATURE 1 DATE TELEPHONE November 28, 2005, (530) 8776253 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the cromasponci tg information from Section A For Imurance Company Use: BUILDING STREET ADDRESS (Inftfi g Apt, Unit Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Pob/ Number 58 FAIRWAY DRIVE CITY STATE 7JP CODEI Company NAIC Number I CHICO CA 95928 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Cedificale for (1) community official, (2) insurance agenUoompmy, and (3) Ix kk g ower. COMMENTS BENCH MARK on site. Nail in tree 0. s.w. boundarv. Elevation = 200.OT ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WRHOUT BICE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. ff no diagrarn aoaurately represents the buildiN, provide a sketch or photograph.) E2. The top of the bottom floor (including basenhent orenclosure) of the building is _ t(m) _in,(an) ❑ above or ❑ below (d>eck ane) the highest ad)aoent grade. (Use natural grade, ff available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated door (elevation b) of the building is _ ft(m) _in.(crn) above the highest adjacent grade. Complete items C3h and C3.1 on front of form. E4. The top of the plaftm of mac hhery and/or equipment servicing the building is _ t(m) _in.(an) ❑ above or ❑ below (check one) the highest adjaoent grade. (Use natural grade, if available). E5. Fa Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the comrnun'Itys floodplain management adnance? ❑ Yes ❑ No ❑ Unknown. The local dW must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B. C (items C3.h and C3.1 only), and E far Zone A (without a FEMA4sSu8d or community - issued BFE) or Zone AO must sign here. The sWemert in Sections AS, C, and E are oared to the best ofmy knowledge. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here 6attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local oflicial who is a d iced by law or ordinance to administer the co maunttys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. G1. ❑ The iribmation in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or kxsl law to cealiffy elevation information. (Indurate the source and date of the elevation data in the Conxnents area below.) G2. ❑ A community official completed Section E for a building located in Zane A (Wffnout a FEMAissued or commun'mtymissued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. CERTIFICATE OF G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including baserne nt) of the building is: — _ft(m) Datum: G9. BFE or (n Zone AO) depth d flooding at the building site is: _ . J(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP043622 B. C. Building Permit 01-16-04 pp 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 03/03/2005 APN: 040-360-012-000 effect. Class �` 6!S -7 S Y License ense Numtie ., Site Address: 58 FAIRWAY DR CHI Dal Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: INGROUND POOL MSTR #01-510 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' LAFFINS FAMILY 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 CO LAFFINS, RICHARD H & CAROLYN S the Contractor's State License Law (Chapter 9 commencing with Section TRUSTE 7000) of Division 3 of the Business and Professions Code) or that he or 58 FAIRWAY DRIVE she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the CHICO, CA 95928 applicant to a civil penalty of not more than five hundred dollars (8500).): (530) 520-2323 ❑ 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: SUNSHINE POOLS pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for MERLO, RALPH sale. if however, the building or improvements are sold within one 2185 W SACRAMENTO AVE 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 CHICO, CA 95973 sale.). 530-345-4254 ❑ 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 Contractor: SUNSHINE POOLS pursuant to the Contractors' State License Law.). RALPH ElMERLO, I am Exempt under Article 3 of the Business and Professions Code 2185 W SACRAMENTO AVE Date: owner: CHICO, CA 95973 530-345-4254 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 License #: 356457 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. Cl I have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 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 Census Code: 2 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ^ i / forthwith comply with those provisions. Date: ' Applicant: is WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and one I hundred thousand dollars (8100,000), 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 reby Issued under t pplicabte provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolution o do work indica d a ove for 'ch fees have been paid. r --d performance permit By: Date: Name: 7— PERMIT EXPIRES ON: Address: Date Cl 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 & Safely 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 itis unlawful to alter the subst form or document of tie County. Ihereby authorize reor��vees of Butte Count toe ter upon tthe aabbove mentioned property for inspection r A�offficial Print Name: L'r T G��/ �— Signature: _ vd Date: ❑ Ownerntractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pp 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds -- **PLEASE PRINT CLEARLY** OWNER Last NameN lt�ar k 1���6L�'' Address�6g F4,1R '141 City <2 NI cG Statec State Phone _ a� Fax E-mail ARCHITECT/ENGINEER Name Address m 11 S 4 8,0 Address State City State Zip Phone3/-/.;2-- e7ll3 �o Fax E mail State License Number APPLICANT NAME Name Address m 11 S 4 8,0 City State Zip Phone Fax E-mail APPLICANT SI NATURE 1Xr For office use only: Zoning Property Address O Flood Zone I &I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o43��a1 BIN # LOCATION AP# Property Address O City(2t7f-4CL_) Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name ,t / 6 Address Description or Scope of Work: �OO <!�. M&,76UU– 01-57U Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 4f�j Amount: 4(-7. 42 Bldg SRA Receipt #: ¢I al 71 Sheriff SMIP Other OVER FOR SUBMITTAL REQUIREMEN 16 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Date: r a 9.04 42- Total REV 7-27-04 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 ❑ 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 Engineered 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 Refunds 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 i 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: LF% -1 ASSESSOR PARCEL NUMBER Lo 4-10 • -5 4r, -0 • b 1 a - 0 •# cr•sr� Proposed Building Use: 20a" D Poo I, 0,57X Counter Technician: Date: t Items required in order to apply for a permit. All boxes MUS be checked OR marked NA in order t6 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. 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 frld 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 --roust be stam ed and wet si ned b the en ineer. 10 food 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. ❑ 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. 24. California Department of Forestry plan approval ❑ paid. Sent by: ............. Planning approval (A) Use: oil- (B)Parking: (C) Parcel Check: QS 25. Contact Land Development about _ Improvements, _ Drainage ......................... 0 26. NPDES Form ................................. l ❑ 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 %IA -5 • q a -ISA, and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2 al items required Co esigner, owner, was advised of the above data by ,hone, ❑ mail, ❑ counter, byCkCRn, Date: on or designer, o ner, was advised of the ab ve dat@ by phone, ❑ mail, ❑ co t , by Date: Plans reviewed by: Date: `o/OS Plans approved by: Date: Structural reviewed by- Date: Structural approved by: Date: Note transfer by: EkDate: `D �s Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance `E.H. us E GAILY Plot Plan Attached Floor Elan Attached Sent to S.O. Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other moo e- . / O s< moo Hold final for: Final clearance O.K. for: NOTE: 8/96 alist Date acs,o �ClC wvkp Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Placa (SWPPP) Acknowledgement [LESS THAN `d ACRE Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other. sanctions provided by 1 Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 A SITE PLAN REVIEW APPLICATION Date: /11f3 1 %� AP# etU 0— Old Permit Number (if applicable) U' 34,, d2 APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: O Telephone No.: —o2 ,3,;? -.3 Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory Pw_e F]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): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well 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�,� Date611/ f Page 1 of 5 r 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: Flood Panel No.: _aM 7C05_ -20C, Index Date: �e r _ ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: — 6P-Lo2- Applicable Building Setbacks: ❑. Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � , Side Side Street to Rear s , /` P U' E7 Height Waterway N/A N/A N/A ❑. Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: - , Standard Fees Amount Formula ❑ Fire , ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff r ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes 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 IN Subdivision Ma /Parcel Ma6txLV Map Date of Recording: 3 — i?, -b6 Lot: 71 Z ❑ Use Permit/Minor Use Permit Permit Number: Book: 2 L Page. -3q 3 7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ❑■ Page 4of5 El Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUT7£ CREEK ESTATES, /NC.,o cpm—,k amovin, and— fww—,o av40n;ns Amar,as c+ways of Mr bd i Lo1,d Pdklhfi ft Ove/ Estolas SubmiurmtWA0 ore ns.s✓pn of h»e sexed moo, ab /vet3' a3AYyMaI we mo 1/r ady dxasC Cah.�d4 nsressay bpzss ckvi /old b said Rand, ad we emswit to the preparato o ad recordation of sold m p as shown milmn Me caned border lhes. We offer for detlfmtbn kr pudic use far CouNv Rood purposes ESTATES OR%VE, RIVERV/EW CIRCLE FAIRVIEW CIRCLE, CREENV/EW CIRCLE, 'FAIRWAYDR1VE one PARCELS A, B and C, as shown within the colored bord&-lines. Ive 0150 offer for dedailibn for twbhc use and be hereby e@dcate forspecific purposes, IM fdlbwf/V (o) jWgVs of Pvy Old easemerds for Doter, gas, sewer and dmhve Aces, ad for ovetiead aid urderg vi d wires for ekdric and h*p6aVService, &Wier Pith any and alt 4wo'lSawass gpartaiNlp thereto, on, owr, aid anter IMse OrM Of loud h Ing beMaeT the mor ad/or site biles Of RVs oho fie fines obsignated .SuatC unurY EASEfew LINE. (0 Eoseram for hoM Od Off Over those sfrips of ,bol "I? Leiwem Ite bad and tar sib@ fens of lots and Me lines shown hereon and oW/VW AE78XY LINE, ",,,d sh los to be kgol open aid free of buldings. (c ) Easenents for keg' wires Ord onchorages extending 20 feet firm the canter -limes of eosmnen/s referred to in (o) obOve,Ord five feet hW&M Of the /orations s/KMn hereon LY syntbou. BUTTE CREEK ESTATES o colifornta corporation Q RAC ARD W. G/BERSON NAA Y MCGOWAN JR Vice Presdenf Se relay-77vasurer ISE S FRG BANK a ' ' L SITKF sfrB FresidenJ STATE OF CALIFORNIA / is COUNTYOFBUTrE / On lhf5 27711 aby 0fXZ-7 665, before me fo , 'I'v.va„ o Notary Public fn and for the County of Bu t Je, personally appeared RICHARD W. GIBERSON and HARRY McGOWAN JR., known to me to be Vim Resi*nt and Secretary- Treosurer,rewedhOy dBUT7E CREEK EST47ESoCakf- omio corporation, which executed /he foregoing cerrifimfe and Is kno n to me to be the persons who executed /he certificate an behoH Of the BUTTE CREEK ESTATES named therein, and dcknawledged 10 me 'hot sold Corporation executed the some. Notary Public My commissbo expiresJ,v u,P y 13 /yre STATE OF CALIFORNIA Jss COUNr.Y'OF,,BUTTE J On this�do, of A—k, 1966, before meQ.-11 o Notary 'Pubfk in and for the Cmnly of Sol/$, Peison6to appeared J L. STLLFFEL , known to me to be the Wee President of Wells Fargo Bank, o corporation, wNch exemted Ile foregoing arbficole and is known to me to be the person wfio execoled the araficote On behalf of Wells Fargo Bank named 'herein, and acknowledged to me that sail aapom/fon executed the some. JANE: NcDOH6yC = Notary Public a (Q. Z44,J / 9 y !r�°'::..... My commission ex res fir fn ✓i . WALTER B ORMES, ab hereby Certify # t f am o Registered. CND': Engineer of the Stole of California, that the annexed mop of BU77E, CREEK* EsrwE s suvol m UN? MI ac arrxty mweSenls o surrey na* nor,, ori". . sup i,i,ar n in Am', 965, that it Is lice and oaWkite as shwa, lid the max en's ; - . slow+ thereon exit! Ord OV Of to aWfUZ r Ord acagy Ile P 50)07s 9b*n OW Ore 2drWW to exdle Ile army to be inhoced. WALTER B. GRIMES Registered Ckdl Eigk+eer Na 7294 I, F. H. SEELY JR, AUDITOR of the COUNTY OF BUTTE, Stole of California, do hereby certify thd Mere ae no far liens against BVrrE O4EElr E57A7E5 SL601MIOY UV/T NO.OVE as teem sol tEra, O' mcdud -We, CAff?&, MNapv1, ar(cml h7.1£s a, spec& ozessawl; cd/eaed as kr-,-wf nixes Or -W-/ O55Es9t1341 na1 Fol po),We. 7bxes or ossesvtents which ore o ken but not yet pa)vbh l esNmole to bein the amount Of B 4'/o'- oc F. H SEELY. ✓R. aunty Althea W F. CHAN, 'D/RECTOR OF a4NNIAG dn1^ CLANVIAV COMMISSION OF THE LaNTY OF BUT7F State of Colitcmia, d0 hereby ceoify kA9 aearexed find mop of BUTTE CREEK ESTATES SUBDIVISION UNIT NO OIE anbmis stdsbt- fia/ty with the sctdinso; Cosign shown on he 7tvitafve 4tp whish *vs ggrowd &/ do's ommasion on qPi,/ r3� � 5a3 W. F. CHAN Dreclor of P/artmg /, a vroN0. eAsaFBERRY, avnTc4oFR Ax WCKXSof the COUNTY OF BUTTE, Store YChhbmo, doheeby wtviIyh V/Mee emw dole find/ mydBUTTE may ESrAms &mwism LN/T AQ ONE, Mal a B srdsbnfvky #vz me as Mhotho On Me TtfdWW Aker ori fife od Cry aopaed OKe07ion Mere0f, Ma 0/1 McPIDR*M of Me SUBDIw"; MAPAcr of Kea .'dotes of oditomio and any Lav/ ordSnOnms appimNe of tee time d nppreval of sad Tennolive Mop love been complied with ondl am w5fied that Ile rap ls technimlly caret/. aarr N D.SAS EBERR , OftVOr Of FUNIC sro s R. G E. 14220 W— / do hereby cerfify the, on of M � r < t, 1966, the BUTTE COUNTY BOARD OF SUPERVISORS officldgy approved the subdfnsion mop of Burre CREEK ESTATES SUBDIVISION UNIT NO. ONE. The receipt of satisfactory security fn the Auditors estimated omovnt of 6_ to Insure payment of /axes which are a lfdn but nal yet pdydble, was acknowledged. ESTATES DRIVE, RIVERVIEW CIRCLE, FAIRVIEW CIRCLE, GREENVIEW CIRCLE, FA,RWAY DRIVE Ond RIRCEL A as shown within the called border lines On sold aaPs old offered &oediCO m were accePAV at behalf Che pubic for Canty Rend purposes. li7RCELS B and C Os shown within tte inbred border lines m soid aw and offered for opdfcdfon were nor ott'epfed. e E n ' e by jz.5 - ,Lounty Ctert pu/y . fie"dOn the offke of Me RECORDER OFBUTTE COUNTY State of CaMamfo, of the request of MID -VALLEY T/TLE CO. INSJL&,by Of�h y, 1966, a_�J± mfmdes post 3 O:cbd P.M In MW Capes_ g y- 3( ond-17— Sero/ No. O Cantly Recoroer BUTTE CREEK ESTATES SUBDIVISION 'UNIT NO ONE A PORTION OF SECTIONS 8 8t 17, T.21N.,R2E.,MDB8M. BUTTE COUNTY, CALIFORNIA OWNER a SUBDIVIDER BUTTE CREEK ESTATES A CALIFORNIA CORPORATION :SCALE I 100' WALTER a. GRMES a ASSOC. LICENSED ENGINEERS & SURVE)DRS 1338 MANGROVE AVENUE, CHICO. GAUFORNUI 9 ET h 6 w S EETS FEBRUARY 1966 .:e f sff �r B LOT CREEK \ 56 ®,A 1010 BUTTE COUNTRY CLU Na°zrSiE a B s 6 5A W 00 TTE LEEK COU �\9F "¢w -�'- i� aPMK6A66EaVF. _o �F C' 24. 12 e.�P2• �:ro6°°.">�d'��\`\\ - E°•.EME- ,'. aB_9B _, Y CLUB GOLF COURSE2�S .a« �. --'64 r °� 6'`,°°>\,�� 0, ) �•IB ee SeeldL > ucanr \\\\_ _ f0' � �? • _rro.oi N91141 33"E .. r 325d' �e>•�• er Es q.rl1 ° Jeer r .°. g � �^L:�•�)ie° °•O �� / 4 86 Jn..� es.IT ease' v <• 0 3 23303 ;�•, ` 87 OP4rX4—OE a 9°. _ _12001 1 r2000 _ _ _ _ �— N —_ Mme. [9M.ID• mss, mar 0� n4,� Zi�po a� )°, �" O.\ ia� • w°d ° m 88 8 °u. E. .� E°9FME i 1 $ _ ��0 94 ' °'' �JJ 62 pg.90 T•Qs N"W�"V�•� ,•* / i 85 89 °I 93 8 P• P TS '.�+• Dp eA�• 90BI ww5 92 A' °j .n.n 68 r U� /` > 4•� / �P��eO • - zoos _ � �•> - ..o° p0�8dp+�e w F 6B � � � / g1 Y�� . �'D� -na9e6 84'P,�p _•e. > "Mi• -_ •_ _r2_o.o'�o� w.PpOptS Ptres°' m t A. 70 X -V d N', _ ppY� J• N!°r>'J9'v 29BB!' _ °r ! 0. P BPS• r.�°<i. 4 bT9�W"' . 20000. 10� O�nB6°<' P�.! Y e '•p ;a4 /L.riAetl _ 107 91s•]{ P�.� Sri // a>' 103 c 1 •e]a3 ° ^ .o"+°e "'\i0e°-� 0 ° n / SEE INSERT A 104 �• a •BrFzw- ma •, t .nae m 72 ° ' // e.-s•ISaT' '°°e>T � � ss QQ � 1. o° ° y iu e � ^ !_ / . E°°o IT 2e A w 105 1 i. 95 73 �^ / 8 .,{yz000 101- ,'\ xn° .•o• n•\ f \ �^ �zA� `` j /a •]..>°'o :. < 2"]z szre GO /j \,abeam E.\oe.• �> 100 s PX. ��`�a 96 1. o 74 $ 82 ,° ^m 99 n•4 ,J /BZI4 'Nz4 [ / /a 3�.: QP` A 7 96 '/�•�\y° J\�° ~ <A` sE. Zee 97 b�p� �• 75 k � zw 106 e • - Soz2ao"w �.aT . �Alqs �4 P, .ssfs°as2n"E 4243 Ay P Bim. ] .BP°9 � Y P M1S�� / . 60 sere°rX\ 76 d'a /^ 0 ^{p STATION'C'337+6o 7 mares• .4••n.M a..a° I• mmn or/i 'i. 79 3� eas4° \.\^E • .� 8 �/ Cl B.1I• M boor_.P°o•—omcM1 P•c°rt I I ` (.J QP /` 3-18•u Se.Ie La YYi79 0�' - � •� d) r �/\ r I /� f SIDTE e6G)RiAY MONUMENT k 77 _ � UTI4)T � �/ STATION C ]PB•00 E4"o BUTTE GREEK ESTATES T ' • I.RFFK OVN��y ,I "' CURVE a Daoo c 31.42'_ 107 ° SUBDIVISION UNIT NO ONE L- 90-0 "3 20 °° A- PORTION OF SECTIONS 8a17, T.21N., R 2E., MQB>Bt M. A°2.35'54" L.11.32' ° a9 BUTTE COUNTY - CALIFORNIA R°ZMba' 0 K a• 71>10'os' Q� o a°b E� OWNER R SUBDIVIDER L• 2729' R- 30,00' OJ2' ; .jJG ' BUTTE CREEK ESTATES INSERT A�' '® �,• !�, A CALIFORNIA CORPORATION SCALE 1" = 100' FEBRUARY 1966 d•° e� \�• WALTER B. GRIMES ASSOC IPPB pP CCENSED ENGINEERS B SURVEYORS 1338 MANGROVE AVENUE. CHICO. CALIFORNIA 3NEE1 4 O 4 SX ET9 ENTIAL 040-36-0-01.2 93-3455 BPE SHILLING, BOB 58 FAIRWAY DR, CHICO CONT: MIKE LANG ADDITION & REMODEL/SF JOB FINALE Signature V=OK O = Not OK Not Applicable Not heady MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 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-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect B. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector V. Water; MH Test -Regulator -Connector " 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-SketchI 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR Plans OK except #'a oni ng -Setbacks -Easements -Flood -Slope 2 g., Main; Soils-Elec. Grnd.-/ P' 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 6s. p6ld Downs and Special Anchors iZe"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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL Permit OK except #'a Fixture & Transformer Clearance -Ins. Protection -15-Ere-cReceptaclea Spacing -Lights & Switches at Doors tz. oxes & No. of Conductors -Stapled ,*. Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mach. Fastners-Bond Gas & Water ircuts in Kitchen & Conductor Size/GFI 1487's irwnt Vire-Size / / ge. Cu or AI-A.C. Wire Size / / ga. A Cupp� . / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No Va"taer Conductors & Ground -Mein Disconnect Clearances Panels -Motors -Meth. Equip. . Clothes Closet Light -Shower Light -Spa Light moke Detector / 4 4CL Date/Initials MEC N1CAL Permit OK except #'a Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING Plans OK except #'s Proper Material & Anchors all Studs -Nailing, Spacing & Bracing -Plates -Sound 4 earing Walls over Girders & Floor Nailing 4 raft Stop in Wells (ret proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 44_,,Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors . Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. "? ELr_ pm2L&ge Tles or Type A Flue -Fireplace Throat clearance A&_Au44ccess; Size & Romex Protection -Draft Stop -Ina. Baffles dr Windows or Exiting Doors -Sill Hgt. & Dimensions erage-Fire Protection Framing !riopefty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -Headroom-Rise-Run-Landing-Fire Protection lyw�od on Roof Overhang -Attic Vents -Rafter Outriggers 55e,Sding-Nalling Veneer 5.6. -6"4 -Mesh -Drip Screed -Fd. Vents-Underflr. Access SA-61%�a-Glass Protection -Skylights -Plastic 68%9Fear Walls; Nailing -Bolts nsulation-Walls-Cellings Me -� 60. Infiltration -Walla -Windows Date/Initials FINAL lana OK except #'s 011txt. Steps -Door & Sidelight Protection -Landings . Smoke Detector -63-"Mnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection ,z&drBa&oom Exiting X86-9fI. & Bath Fixtures & Tub Access -Spa gfi!Elec. Trim & Subpanel; Breaker Sizes & Labels -67rSra'Ra & Rails ._ Fireplace or Stove; Clearances -Hearth BpjElec. Outlets at Wood Panel; Int. & Ext. 7j,,Mt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7j_0ec. Outlets & Receptacles at Kit. Counter .;2 -Garage Fire Door, Swing -Landing -Closer ,J3._A-C. Duct in Garage -Damper `74-wd. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 7"IIb., Elec. & Mach. Equip. Listed for Location --i76-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7,Zyffisuletion-Foam-Looked in Attic O Yea 78-GTard Rails & Deck Construction -Post Caps 71;lvdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 4*.-Foffowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No "81--STucco; Brown -Finish -02--A-C. Unit; Disconnect, Electrical, Plumbing e"ents Above Roof; Plbg :Appliance-Flreplace: Clearance to Openings Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 16/Ventilation Throughout House fik, "lass Protection ". rrections from Previous Inspections -49-4ae-Test-Meters Tagged; Gas -Electric �9-Wetei & Sewer Connected -C/O to Grade -HD Approval 9c..Xnergy Compliance Certificate -Other Certificates Comments at Fl n �� S / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ct3 3!9—'5= ASSESSOR PARCEL NUMBER 040-360-012 ZONING r-1 - BUILDING PERMIT � � O OWNER bob shillin TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 58 FAIRWAY DR CHIC 384 R 20736.00 55 M 990.00 CONTRACTOR'S NAME TELEPHE MIKE LANG CONSTRUCTION 1342— 2010 EST 1000.00 CONTRACTOR'S MAILING ADDRESS 13361 SHERPHOLLOW CREEK 11D CHIC0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 22726.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 98 FAIRWAY T)R CHTC() PERMIT FEE $ 429-1 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 7 nn Solar or heat pump water heater 23.00 Water piping 15,00 LOT Nq� SUBDIVISION'S NAME pqR qp Each gas water heater or vent 15.00 USE OF STRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition Ck Remodel ❑ Utilities O Installation ❑ Other O Describe Work: STL ADDITION OF NOOK ENLARGE EXT. DEN AND ADD STORAGE AREA PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service10V OR 1111 ( 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 TO GARAGE & KITCHEN REMODLE . NEW OR ADDNST ( DWELLING &ACBLDSUP ) 3.5C F°: 13 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C and license is in full force an effect. License No. Classification -�kTemporary ❑ I, as the owner, or my employees with wages as�ieir sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) s SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occu FIXED APPINS. OR p I OUTLETS IflES1D.1 EA. ) S.QQ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 33.50 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses ich may in any way accrue against said County in c n of the granting this permit. X Date b Sig a ur o Applicant - O wner ontractor ❑ Agent An OSHA permit is required fo ex vations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46 , 00 C.NOTAL I% FEE $ 535.60 HAZ. D. F IMP F D CDF PARCEL PD HD E 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 WORKS BY J�� C.o Yl Date PERMIT EXPIRES ON 2 9 1 ate) Receipt No. 153236 PC FEES 235.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS ECTOR GOL ENROD-APPLICANT " -2. -COLkNTYOF BUTTE - DEPARTMENT -OF ©EVELOPMENT SERVICES ��BUILDING DIVISION 1 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - IPLEPHO E (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER CJ ��(lrAi A. P. No. Proposed Building UseBuilding•InspectorT""" Date d / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. ....... ............................... 2. Plot plans, 3/4 sets, signed by preparer ofplans. .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and talcs, 3/4 sets, with:;wet signature on plans . ............. 5. Hazardous Material Form. .......... r 6. Energy Design Compliance and supportingdocumentation. .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .. 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees -of-$- 3joCe ^- .1....'/ ......... 11. Impact fees as show.,n on -attached schedule _5je _.. (JN.(`�%����� 12. California Department of Forestry plan .approval/fees. ......... / ............. . 13. Flood elevation letter (100 year --flood)` y California Engineer. . . ,14. Sanitation and plot plan approval Health' Department . ............ 15. City of Chico plumbing permit. .......... ,..<. - .i. �...................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: /- ` (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior"to occupancy). .. .. . 20. Pre. -inspection for y? . required. .. o 8�;, �9i�spedo (Date) 21. Contractor's license information: (No., NamefStyle, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:....................... r 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ..........,.... . 31. Existing violations/expired permits. r 32. Planc .eck lis 33. A'%txo�G�A r�jdV ....................................... } -34. When u issue the permit, process as follows: Mail4to'o ne ! Mail to contractor. Telephone 347. 20/0 . and hold f, r pickup at ,office. Deliver with inspector. Other / Parcel Creation Acreage Applicant. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. r Air Pollution D ee Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must,be submitted prior to permit issgan e: (Circ/PkOw item 1. Index permit for above items No. // XX 2. Additional items required: 775 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by -'phone _ mail Counter by _ Date Plans checked by Date Plans approved byDate - 5 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM. Environmental Health SUBJECT: {Sanitation Clearance te 17) Owner *<4�11—) Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other Hold final for: Final clearanm.,O.K. for: NOTE t �404 Environmental Health Specialist 8/92 F.H. USE ONLY Hot Plan Allachcd —r 1:1,,(,r IT.n Atladh,d S.11t to Ii. U. AP# Private Well Date q f. _ • .#sem _ TUPE, ' - f1 t."5= i„a B' ' 1 i k{ i J __ p: • :_i j Y _ ' H SMI TH 14 �U NO. i ;,�•;+.r �� Yr;� 1,C;?� :•3T! Tf<i1 i-. Gl'tAr:�,�.F'r= ; _. ....._ .. .. --�. __ ..; .� ...... ..aA.R, f t G.uaze she C"un! vzILu(: o;; tJ;� n:�pos,zd Cv:•/jkr�Jiu]r/.T,p±.�1 �QaiC tmt�t:Z b'+uild „•'` J �;e;' . ,' ''. rrr' u. �.'�..i 1 c: it f...`. U:: a-� '------�+......__ ....�..�. "'�� � • r �irT 1��T'.Ri � I ���. � �,���s...�,: �� f C. [:_•' for ? ril:!r (�E:`.`:^,'t1.�:l.QR C� i��a�.'J�.tGT�tLq .l .'ids �0`lH:a`3;•!G ;fa. 4`, 1 cm k.wr_q e Uig : z In a nrtA, even S� nut Trquirc-: �.G f:C?mp'�i�4(i p3.;tisi gtt Z!rPC�CIl� {'tL��i"l. z140, i N ji7u,^•:.��:��'�L�� "c;t�:"Gsr�,'��.rr �.;' '���;Llae?� �.? �oi.:i.n��,: A�� rCp�zT, r�C�i3:JCcuc— :� RY or '/.4'Svrcwf:,.J4iG: of � tS:�ll �i 'i'"f�, ti +3 cos- of w ..a.ch egwi°ru' cr t3%cor.,ft i t sti(` � 6�R •,.f r� � Fj C g�ii` i:t3•�'f'% 61.tir;��,tY' �C� �ilCic:�? c�1�. 3mR:s'n'7v:r.]c:Pl�, or ibi it`, d.0 jt- )U tUXQ T. nd a il' D. r ' ` q -a 7. :If be �":��?tea oC'C� t, i? !13ti$�1�^� ��ii%C C05tsr �• J Doc b.i Lf:, i'_,�.'.''. _�f � ice'' 1 R, s� L.H. USE ONLY Plot 1'I:m Atuchcd v Flow flan Auachcd Scn4to B. U:. �n . I A� �I._h� �• .. -w .T-BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District lC() Building Department No. A.P. Number 0116 — d /Z Jurisdiction City County Property Owner Property Location/Address Subdivison Residential,Development /, No. of Living MHI Units , Commercial/In d us tr ial // / u Building Department Representative ,(FIe Ffaf?reviewed by School District Personnel) District Identification No. 46z4 au_1�2A School District certifies that 0 New Lott No. Sq. Footage Additions„w,*,.� Sq. Footage ' Additionk (Including Exterior Roofed Areas) VAtia . Date .. R„ ( plicant) (Street Address) •-.��` �. (Phone Number) (City) `.� } (State) (Zip Code) has complied with the requirements of Resolution No. % I to- by payment of $ t representing 3 square feet: awe ---- School Distci t 0epres6ntatVwe Date Paid by Check Number Bank Number Paid by Cash r If, subsequent to the School District Representative signing this Butte County Schools Impact Fee r, (,Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA)., this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. 1Nti'fte (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) s r CF; Insulation Certificate r and street city County SIPision Lot Number Description of Installation ROOF Material Thickness (inches) CEILING Brand Name Thermal Resistance (R -Value) Bau or Blanket Type Fiberglass Brand Name Certainteed Thickness (inches) / Thenal Resistance (R -Value) I==Fill Type trat erm . Brand Name Certainteed Contractor's minimum installed weightfle lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Fiberglass Brand Name Certainteed Thickness (inches) Z Thermal Resistance (R -Value) RAISED FLOOR Material Fiberglass Brand Name Certainteed .Thickri (inches). Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) ` Width (inches) FOUNDATION WALL r, } Material Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance (R -Value) Declaration I herby certify that the above insulation was installed irihe building at the above location in confotmmme with the current Building Energy Efficiency Standards for aew residential buildings contained in Title 24 of the California Adm' ' trative Co General Conkacorn udder) t . 3igtrsni;e aadTuk SHASTA INS TION t &mm tatdThk Dan r, } ... 1y . d: hyo - 366,~�1 Z SSS �• rj D IT0 1 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7.County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,V6 _ -7 _ / Z ZONING BUILDING PERMIT OWNERp.7 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 4 CONTRACTOR'S NAME TELEPH ONE CONT ACTOR'%MAILING ADDRESS A,- / �� ,(�,� , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filin Fee g $ 10.00 LENDER'S LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER '9'q' LICENSE ND. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS '� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping L 5.00 Water piping LOT NO. SUBDIVISION NAME .� Arl-,Irr f /fjf/l F-Cy's PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets / USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system / 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other Z'- Describe work: /BOOV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.51) OR ACDNS, t ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesssD and Professions Code and my license is in full force and effect. i • T License No. � Classification , - ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRMULTI-OUTLET 2,50 ea NON•R ESDBRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6 NON•RESID. (SINGLE OUTLET CIR. @ asc Occup(OUTLETS OR FIXTURES BAL@1 FIXEEx. Ex. Occup.(o'T ETS PR (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®I have placed on file with the County of Butte Building Department ' a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consepuence.of the granting of this permit. �_ X ?� T Date L Signature of Applicant — Owner E:1Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By PERMIT EXPIRES -'"Date ? the applicable provi- resolutions to do fees have been paid. WORKS Date S'�y.7 Receipt N0. 4,10A WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. , r ` . .,- , - �t ' Q , i•7 w- .' 1 k 1tf . r pkR A.' : g. r^a;r1:.. 040-360-012vR 94-0049B rSHILLING, ROBERT...; i �1r - CONT: BUTTE. RouFING -58 FAIRWAY DR ,-* CHICO REROOF / SF /• /� �gS.. { Y � T' i + . _.-•-••.�••+-••.••-.--' - .'9+^' ..., r-•.n.--y..-r..,t-,- f..�, . , - �.-.r.,q..- -•,_ •- „ •-�^'�'rma_ `q'gra„��+s�•�.-•t,.wr*4T�c...n--..'r•►y'�"'�i„^.'�-"�^.+.`•'^„^'�,.•-v"�,.- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t M 7 County Center Drive - Oroville,?Cgfornic-,,95965 - Telephone (916) 538-7541 PERMIT NO. �,. APPLICATION AND PERMIT ASSESSOR PARCEL NU E ,'^"""'ii'iPP/ `- ZONING _ BUILDING PERMIT - OWNER /' '. / ' TELEPHONE x3o SO. FT. OCC. BUILDING VALUATION OWNER'S MjAIDNG DflE coN. RACTO I'S NAMEr �' ; 131141 TELEPHONE CONT,RA5•TO 'S MAILING DURESS ll"� Fireplace CONSTRUCTION LENDER, f UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEER UCENSE;NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS . i' Penalty $ BUILDING ADDRESS ..�y.� �,r,,..+ �nan.� y rfi .•, ( „r.:._:r ,� .1 ..c. PERMIT FEE $ V V �:.PLI�JMBING pRMIT .a a=rFilittg Fee.'-;,,:..:20:00'L Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME ` PARCTAP Each gas water heater or vent 15.00 USE OF STRUCTURE j Duplex ❑ Mobilehome 1:1Other SF' SPECIFY � f Gas piping system 1 5:outlets 15.00 Building sewer 1;5.00 Mobile Home S G W @20:00 TYPE OF WORK 1 I„ # New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other r❑ 111 Describe Work: %�t�/L Z� r" �1 ®L'r {,!�C.� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fep 20.00 —� /} ��'���'� SS' -Main Service -"OV OR LEZ3 OO ( 200A OR -LESS ) - Main''Service (20OATO1000A ) 4600'.• - ' 'NEW CONST. ( DWELLING OCCUP. '•) - -SO: '' OR ADONS.3,5 -8 ACC. BLDS. Q'FT--• t •:. - CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O° am a licensed under provisions of Chapter 9, Division 3 of the Business and I ti Professions Code and my license is in full force and `�`� Q � ❑ ffect. License No f 6 I, as the owner, or my employees with wages as their sole corripensation, will:do the work, and the structure is not intended or offered for sale. (Sec 7044) ±. •� ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044j', O I am exempt under Sec. Business and Profe' ions Code forthis reason ? N` NEW CONST. MULTI.OUTLET,;;, y""•; <- .NON-RESID' ( BRANCH CIRCUITS ) �'" .=.., •: @7.50 POWER APPARATUS ) •' B SINGLE OUTLET CIR. -Ex. OCCU P•r ( OUTLET.,?,R FIXTURES 20 @ 1.00 OR BAL. .50 : FIXED APPLNS OR . . p- ( OUTLETS-(RESID) EA.-, Temporary Service ,•, «.:23:00* gMobile Hone Facilities "'" - "”' `1`20.00, Misc. Wiring 23.00 ..v,,.. w»� •' ,.z ,_ *.a } WORKER'S:COMPENSATION INSURANCE " decl'aie under penalty of perjury (check.oneh' j' r r -r I: - I ❑- This permit Is for $100.00.(valuat)on) or less. T� T I have placed on file with the County of Butte Dept. of Development Services, % Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Workers Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permii, will be revoked. PERMIT FEE $ -'Contractor• " .-•-, .. •- ^'>+ � t -• -,:, �^: 7-' -�• _;- MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood r• 1- 6.50 , Ventilatiorti I I- ' ,, ' " x" '•" • 4 • +% PERMIT FEE S, Contractor w I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State, Laws (elating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also .agree to save, indemnify and keep harmless the County of.Butte. against all liabilities; judgments'; costs, and' expenses which may in any way accrue against said County in consequence' of the granting of this permit. X A1114:r�c� 1��i(in•��-' Date �- Signature of Applicant r0 Owner O Contractor. O Agent IV An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEES f HAz. D. FEES '(NIP FLOOD CDF PARCEL PD HO ISSAIE 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 WORKS / By A� Date / PERMIT EXPIRES ON Y (Darcl Receipt No. J L 0 w WHITE-D.D.S.-S.D. CANARY -ASSESSOR' PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oro 1. liforlia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIOWAND PERMIT e? 4-6CD�� ASSESSOR PARCEL NU E ZONING .A ✓� v BUILDING PERMIT OWNER TELEPHONE --030OWNER'S SQ. FT. OCC. BUILDING VAL ATION (LING DR " L / ✓`� RACTOR'S N ,- TELEPHONE p\\�`� CO T TO MAILIN DDRE-` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF , Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installation ❑ Other P Describe Work: _ PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I BOOV OR LESS ) 2GOA OR LESS 23.00 Main Service I 200A TO t000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. I & ACC. BLOS. ) S0. 3.50 FT, CONTRACTORS LICENSE LAW I Ce c are under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a and my license is in full force and�ffect.39 License No O Classification If ❑ I, as the owner, or my employees with wages as their sole con4pensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-fleslD. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.FIXED APPINS. OR I OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 9, This permit is for $100.00 (valuation) or less. 11 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co equence of the gra ting of this permit. c X Date �- Sig ature of Applicant O Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ vv HAZ- I D. FEES IMP FLOOD I CDF PARCEL PD HD I 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 WORKS BY d Date Al I PERMIT EXPIRES ON .Ae lD tel ``n 0 Receipt No. WHITE-D.D.S.-9.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f a Jq, 3. ) 9y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION . ' . 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538.7541 PERMIT'APPLICATION DATASHEETY OWNER ' �� ,- ..a,P. •o: Proposed Buildino Use 00 -1Co-0 / Building Inspector Date S� At time of pe it application, I was advised the following data must be submitted prior to permit processing and/orissuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by pfeparer`of plans.,, 3. Complete plans, 3/4 sets, signed by Preparer of plans. .,Y ..... r .� .. '4. Engineered plans"and calcs, 3/4 sets_; ",with wet signature on plans. ' 5. Hazardous Material Form. 6. Energy Design' Coinpliance and supporting documentation 7. Statement of Intent for Non -Heated and A/C Buildings 8.' Engineered bus`s "details anc'layout in duplicate' (required prior to'plan 9. Mobilehome data and manufacturer's installation instructions,'2 sets 10. Fees` of -11. Impact fees as shown on attached schedul6.. 12 California Department of FoFestri plan approvaUfees. 13. Flood�elevation'letter (100 yeah flood) by California Engineer. 14. Sanitation and plot` plan` approval Health Department. 15. City of Chico plumbing permit.Y�, 16. Plot plan and business license approval from City of Biggs/Gridley. .17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about, (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy) 21,Pre-inspection-for• • required. 21. Contractor's license information. (No., Name Style,'Classification). , 22. Certificate of Workrnans Compensation' Insurance. 23. Owner -Builder Verification (Given to owner . Mail to owner. 1. _ 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization: 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access.' 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. >-Deliver with inspector. Other ,Applicant -bate' �EXPIRATION IOF APPLICATION .... _ • � ^+t•;f; ^fl•' !-fit 'i+. {".. � �.•?- �:'•�� ,a; �...i:.t Applications for which a permit has not been.issued, will expire by limitation one year after date of application.'ln order to renew action on an application after expiration,'a new application,�planeand fees will be required. I FEE - REFUNDST Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits riot issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permiWrefunds'can only be made k no`con`structiori work has been done.'Filing fees, plan chic- king -fees for work plan checked and other'department costs are not _refundab1e � Original - Applicant ' ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET l- ) PACKAGE COMPLIANCE Owner 1 1 /' 16�GI Climate Zone Permit # � 3-3 5S Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component <=100 sqft (•101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins.- R-13 R-13 R-13 R-191 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. , Glass (U) .75 ,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(S&N) Shading NR 40,.66 :40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE-78%- AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 -fl SPF.'6,6] HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 (ISEER 10,,"0J SEER 10.0 SEER 10.0 Split Sys. L- Cooling - SEER 9.7 SEER_ 9.-7- � SEER 9.7 SEER 9.7 Package Increased Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation * One entry/column = req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/ REMARKS (ti%%�1� tV1 J%IlfV - &-5 V'- a- w0�5d' LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, cer ti w�` caulking) VAPOR BARRIER (Zone 16) 1� tv DUCTS .PER UNIFORM MECHANICAL CODE - Ch. 10�•�j'�"�� LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/ DESIGN COMPLIANCE STATEMENT: The ove b In %design meets the requirements of' T'•tle 2� ai' o 'he alifornia Code of Reouiations. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 3 7� OWNER A.P. # Y-0- - ?/ Plan Checker 12 GENERAL .X. Zoning requirements: (sideyards and number of permitted living units). Valuation. ' Plans signed by designer. Proper description of work on application. Existing violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. O,kie'r buildings or structures. rooFd ding, fills, drainage. hazard. Special conditions on creation map, ustible, and foundations). & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). M FLOOR PLAN f�Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec., 5207). Human impact'glass,(Sec. 5406). -Required room sizes, ceiling heights (Sec. 1207). :'-- GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. �� rage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f)'. �—. ireplace and wood stove location_, alcoves, and clearance. Smoke detectors (Sec. 1210). �mbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) 2- Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. - 6. Floor construction details complete enough to construct building. -:�" Elevations and wall construction details complete enough to construct building -.8- Roof construction details complete enough to construct building. -i- Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge -beam. 44 Garage door or porch header sizes. -31t: Stud heights. ...1.3:F -Adobe soils - special foundation design. ��Retaini.ng walls requiring design. Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). f Roof covering type - (fire hazard). Foam insulation - protection. X36" halls and stairways. ' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 6�Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. . Energy design. flashing at all exterior openings. CDF responsible area requirements. c �- p� D 3 fl off, Fa COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMI No. 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 -4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 6 '� �/ Z ZO I N G ►- BUILDING PERMIT OWN/I'/ sl./ _ ) 4" TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO ACTOR'S N E W111 ELEPHONE AC OR (LING ADDRESS Fireplace C NS RR6CTT' ON L ND R UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS i PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. 2,l SUB I VISION N ME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 -' TYPE OF WORK New ❑ Addition Remodel [_1Utilities ❑ Installation[—]OtherContractor Describe work: i ?-emit Fee $ v b ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONSDWELING OR ADDNST (ACCLBLDGS.0CUP- y� 20sgft CONTRACTORS LICENSE LAW _ I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. J G 1-77'— Classification C^2-7 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR T" T OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTFL POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES a �� FIXED APPLNS. OR EX. Occup.�OUTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the aboveinformation 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. 1 also agree t ve, indemnify and keep harmless the County of Butte against liabil' is costs and expenses which may in any way accrue in si ounty in c equ�6ce.of_thnting of this permit. .- Date 9`y�-- �ag Signature of Applicant — Owner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE -OC) OCCUP. GROUP TYPE OF CONST. PARCEL PO No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TOR OF PUBLIC By -Date PERMIT EXPFR te�l�✓ the applicable provi- resolutions to do fees have been paid. WORKS y/� Receipt No. t/%f 6 WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT (.r FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number + R:CK LAFFINS BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 58 FAIRWAY DRIVE CITY STATE ZIP CODE CHICO CA 95928 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 040-260-079 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) ACCESSORY (SHOP) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #i#°-##' -##.##" or ##.) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE COUNTY, & INCORP. AREAS 060017 BUTTE COUNTY CA B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER o c) Bottom of lowest horizontal structural member (V zones only) EFFECTIVEIREASED DATE 00 (Zone AO, use depth of flooding) 060017 C 0520 C SEPT. 29,1989 JUNE 8,1998 I AE 203.9 B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date PNIA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: E Construction Drawings* ❑ Building Under Constriction* ❑ Finished Construction C2. Building Diagram Number 6 (Select the building diagram most similarto the building forwhich this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, ARIAO Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used forthe BFE in Section B, convert the datum to that used for the BFE. Shaw field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 29 Conversion/Comments Elevation reference mark used RM 63 Does the elevation reference mark used appear on the FIRM? E Yes [:]No o a) Top of bottom floor (induding basement or endosure) NIA. Nin) o b) Top of next higher floor 204.9 ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) NIA ._ft.(m) 00 o d) Attached garage (top of slab) C-3.Ot NIA _ft.(m) 0 -1 o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) NIA ft.(m) £ o f) Lowest adjacent (finished) grade (LAG) 200.1 ft.(m) Z o g) Highest adjacent (finished) grade (HAG) 200.1 ft.(m) ;n o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade -N/A_. o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in, (sq. cm) . SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION H ", This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bylaw to certify elevation information:.w' I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. /understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER ~ ROBERT G. AGEE. JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING." ADDRESS CITY STATE ZIP CODE 5437 BLACK OLIVE DRU A �% PARADISE CA 96969 SIGNATURE DATE TELEPHONE FEBRUARY 24, 2005 (530) 877-6253 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions 4 IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company Use: BUILDIN aSTREET ADDRESS (Inducing Apt, Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number - 58 FAIRWAY DRIVE CITY STATE ZIP CODE Company NAIC Number CHICO CA 95928 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. 'COMMENTS BENCH MARK on site. Nail in tree @ s.w. boundary. Elevation = 200.07' 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be competed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed —seepages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(crn) 0 above or 0 below (check one) the highest adjacent grade. (Use natural grade, if available). E5. ForZone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property Dimer or owner's authorized representative who completes Sections A, B, C (Items C3.h and CW only), and E for Zone A (without a FEMA -issued or community - issued BFE) or Zorn AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE COMMENTS 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1, 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or oommunityassued BFE) or Zone A0. G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G5. DATE OF G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ . _ Nnn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ISSUED ❑ Check here 9 attachments FEMA Form 81-31, January 2003 Replaces all previous editions t At