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HomeMy WebLinkAbout040-640-029BUTTE COUNTY PERNIIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060379 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: � � t5-:3 License Number: Date: 7`% O Contractor: 0044-e �& —"4-- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sea 7044, Buslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit . issued. 0, I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier._%�A q Policy M Q-1cerlify that in the performance cf the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: � %/O 7� Applicant:��.1� _ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 03/20/2006 APN: 040-640-029-000 Site Address: 23 SEGA DR CHI Map Index: Description: INGROUND POOL MASTER# 502-01 Owner: BROWN DAVID C & HEATHER D 23 SEGA DR CHICO, CA 95928 Applicant: CARE -FREE POOLS 9 ALYSSOM WAY PO BOX 8689 CHICO, CA 95927 (530) 342-4639 Contractor: CARE -FREE POOLS 9 ALYSSOM WAY PO BOX 8689 CHICO, CA 95927 (530) 342-4639 License #: 380826 Architect' Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This. permit 1 hereby affirm that there is a construction lending agency for the Resolu ' s to performance of the work for which this permit is issued (Sec 3097 Civ.) Name: I. By: Address: PERMIT EXPIRES ON: 0 S. F. $0.00 i Gfq(l� q � F2 3,2,0,_o6 icabie provisions of the Butte County Code and/or which fees have been paid. L lt'111-1� Dater ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to bui,ding construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte my to enter upon the above mentioned property for inspection pur Print Name: r° "1 Signature: dila Date: ❑ Owner dYContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 3 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 OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name A2 I irst NameIf lfG Address _5Z5611 _D /2 - City City ( 0 f co State(, Zip Sya • Phone ,8 9'9— 13613- Fax E-mail Name Address CONTRACTOR Name (a /c ,2 . Address O .3 0)( 76.? 9, - City( W I C v State( 4 Zip f; -S- V7 . Phone 3q;)- q(0 3y Fax 3q9-'6 24-�L- E-mail Planner Lic. #3d'DB-�� C�s� Name Address ARCHITECT/ENGINEER C. `` yI �-I �T City A2,6,67 LS State Zip Phone (.O Fax E-mail Phone State License Numb APPLICANT SIGNATURE 31�y X For office use only: APPLICANT NAME Name 04 A2,6,67 LS Address O a 6 IFC0 3 !� City OW (.O State Zip��� Phone q- Il3 q Fax .3 fol— O i�� mail FF Planner APPLICANT SIGNATURE 31�y X For office use only: Zoning 5 ,, Flood Zone Cross Street ,E/U 7-C E'/Z SRA Yes No Occ. TypEf Const. 'Subdivision Name Map Book Page Tot # Planner Date Approved: PERMIT NO. BIN # LOCATION AP# ®'f/� 0 —" qO — 6 Property Address )3 S � City l'Hrcv Cross Street ,E/U 7-C E'/Z WORKER'S COMPENSATION Policy Number / 3 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address I U/ Description or Scope of Work: (=—U) iiiGv eve— rJL Sq. Footage O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In 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. OVER FOR SUBMITTAL REQUIREMENTS II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: K.G yu Receipt #: ('aid to oil Date: Amount:2— Bldg SRA Sheriff SMIP ¢ Z --Total Other 7- 1 L Total REV 7-27-04 v ' � 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 AIC 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\131dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: brawn IASSESSOR PARCEL NUMBER • D'40-alln- (» Proposed Building Use: �)Wl 111601,160A KqS1(T*5024erit Technician: f� ,U Date: ItSps required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. WA 1. Site plansCor 4 sets, signed by,the preparer of the plans. 'i7 �( 2. Complete plana r 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 faxesl ❑ 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Reyttaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) j1 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers.......................:.................................................................... ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... �❑ 18. Erosion Control Plan Required.. �..................................................................... 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit......................................................................... ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use: ! (B) Parking: (C) Parcel Check: ............ . 7 (O ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ KN 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form ......................... i................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractors license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ liven to owner, _Mailed to owner) ..................... 1131. Letter of Signature authorization!................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expiredpermits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: Ka -0 a en apP�t When issued Telephone C530t2' y �o3�{ CoYlk. and hold for pickup. have been informed of the above items ands, requirements for obtaining a building permit. Applicant: Date: / 1. Index permit application for the abov3im number d: Plan Check Letter 2. Additional items required I Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: / Structural reviewed by: Dat Structural approved by: Date: (P Note transfer by: Date: Yellow: Building Division I K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E. Plot Plan Attached Floor Plan Attactied Sent to BD/DS TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance 2pawy5D �0 -Oaf Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other _ Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public Private Well — Environmental Health Specialist Dat Building Clearance 9/2005 NO Department of Public Works. ® p. o u n t y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DN e 1510N / Storm Water Management Program ,O _ 7 County Center Drive Uc Oroviile. CA 95965 (530) 538-7266 (FA)Q 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pallution Prevention Pian (SWPPP) Acknowledgement rLESS THAN � ACREj Project Description: 0�, Project Location andlor Parcel Number; = �a 3 6 C(O -- 0 tP9 By signing below, L the project. ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water. Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: c Title: �' e��i 4_4 Date: 2-1-1: A� ;, LD 7 SITE PLAN REVIEW APPLICATION Date: Z AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: t Z Ac— Owners Name: G CTS L-> R t-) �- t 2 Vj Owners Address:) D �� l� `I Gn 4 C�1„ . C �-11 e, cI S9 i '� Telephone No.: Situs Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ 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 Is Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: IX_ • Flood Panel No.:DS ) 0 Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------------------------------------------_ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: . S R 9 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. D--- 1) _r c Zoning Code Streets & Highways Fire Prevention Subdivision Map Front o C A— Side 0 Side Street Rear j Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. D--- 1) _r c I' �b Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads. jS Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ' ❑ Other ----------------------------------------------------------------------------------------------------7------------------- 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation Comments: ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain Certificate of Compliance ❑ Obtain_a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: --w I jj 4IR S U T3 Map Date of Recording: ) O — I D I -L Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ) S rj Page: 3 (b 3 Date of Approval: ® Comply with the following Conditions of Approval: A -r7° A e-1 tel, , 0 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 on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 I S� -- 36 C Ja-I- 02 A ITIONAL INFORMATION SHEET I! .c, 9 10.00' P.S . BUILDING SETBACK LINES ARE AS SHOWN OF MAP \ kND AS FOLLOWS: � `',— LOT 6 -,,/ -RONT/REAR/SIDE YARD — 50' FROM CENTERLINES OF NTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE SOUTHERLY LINE OF THE OLD S.P.R.R RIGHT OF WAY. REAR — 10' FROM PROPERTY LINE (EXCEPT WHERE NOTED) SIDE — 10' FROM PROPERTY LINE 2. LEACH FIELD FREE SETBACKS .ARE 5' FROM THE EDGE OF THE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE PROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. 3. BUILDING IDENTIFICATION AND/OR ADDRESS SHALL BE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. 4. THE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR BUILDING PERMIT. 5. THE LEACH FIELD AREA IS NOT TO EXTEND BEYOND THE ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT—OF—WAY PER BUTTE COUNTY PUBLIC WORKS , 6. PER FLOOD INSURANCE RATE MAP NUMBER O6OO7C 0510 D, REVISED APRIL 20, 2000, THE PROPERTY SHOWN HEREON LIES WITHIN ZONE X AND IS OUTSIDE OF THE 100 YEAR FLOOD PLAIN. 7. LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12" ABOVE THE HIGHEST ADJACENT GRADE. 8. WELLS ARE TO BE LOCATED OUTSIDE THE ROADSIDE BUILDING SETBACKS PER BUTTE COUNTY CODE SECTION 10-8, WHICH DOES NOT INCLUDE THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT—OF—WAY. - 1WIN PALMS SU3DIVlSi0N\dwo\FINAL MAP 5-20-02.DWG 08/09/02 080834 AM P �.F.A,\ ; jLO ly 0. cp 2� sG G O, =oZ< 0 00 ` cp 01 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: , �n-}}� ,�,�. )� ' , ENVIR. HEALTH, CHICO DATE: 3-7-63 RELEASE ENV. HEALTH HOLD ON B DING AL FOR: ! c � OWNER NAME: SEPTIC: WELL: AP#:Q O' O ADDRESS/LOCATION: Comments: GLJmemosheleasehold oz 2�yiZ� NOTES RESIDENTIAL_ d PERMIT NO. _ 040-640-011 02-2899 j EGHDADI, ANDREW, �rc / _ �SEGA DR., CHICO NE SINGLE FAMILY -MASTER #97-37 e, SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t' i� JOB FINALED (Dat Signature Address— GAS Meter By_ ELECTR Meter By C ! re�_ I OFFICE COPY Date24L-"/ Date��° v 0 0 = Not OK Not Applic . = NotReadyable 6. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. Soils; Special MH Support Sketch Siding; Nailing -Veneer -Stucco -Mesh 3. Sewer; Location -Test -Fall -C/O -Concrete Roof; Shthg-Roofing 4. Water; Location -Test -Easement Needed (Sketch) Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Braced Wall Panels 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Card B-1 Date Card 8-1 8. Utility Clearance t Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date 2. Card B-1 Date Card B-1 Date 3. Card 8-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Footings; Size-Spacing-Marriage,Line Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Gas; MH Test -Demand -Valve -Connector . Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 5. Drain; MH Test -Fall -Flex Connector Health Department Approval 6. Water; MH Test -Regulator -Connector 10. Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date Card B-1 Date . Card B-1 Date Card B-1 Date Card 8-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking s 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 8-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11., Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i J=OK 0 =Not OK = NotApplicable RESIDENTIAL (; . = Not Ready Date UN FLOOR (Plans) OK except 's oning-Setbacks-Easements- food -Slope V. IN., Main; Soils-Elec. Gr d / " Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth tg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemyvalls, Garage; Steel- Blockouts-Wra ed . H Downs and Special Anchors 7 lab, Steel -Wrapped 8. liers-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ven ilation 16. Insulation 2 . quip. Ground made up w/Mech Fasteners -Bond Gas & Water c. TriM & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING'(Permft) OK except #'s 1 Z W6ter-}ttr Vent=Access-Combustion Air Baffle 1 er i e Test & Anchor -Nail Protection urp. Clearances Panels-Motors-Mech. Equip. V.; Test Fittings & Anchor -Nail Protection 0 21. . Shower Pan; Test, First Floor -Tub Access Te tJdb' & Shower, Second Floor -Tub Access Smoke Detector Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date 0 g Card B-1 Date Card B-1 Date ,7 Card B-1• Date Card B-1 Date ELECT . ICAL (Permit) OK except #'s ps-Door & Sidelight Protection -Landings Fixture°8 Transformer Clearance -Ins. Protection e Detector �Eteq Receptacles Spacing -Lights & Switches at Doors Vents -clearance -Comb, Air -Connector - In Gae A ove Floor -Ducts -Meeh. Protection 26rS ze oxeis & No: of Conductors Stapled onylExiting ex1ristalled Close to Edge of Studs & C.J. F. Bath Fixtures & Tub Access -Spa 2 . quip. Ground made up w/Mech Fasteners -Bond Gas & Water c. TriM & Subpanel, Breaker Sizes & Labels Z9._2— ppliance Circuits in Kitchen & Conductor Size GFI Staipgl Rails 30. Subfeed Wire Size/ /g . Cu or AI-A.C. Wire Size/ /gW6rqDAI 81. 31. Range Circle/ g rC or AI -Oven Circ. / /ga Cu I Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect urp. Clearances Panels-Motors-Mech. Equip. -397. CI tties Closet Light -Shower Light -Spa Light . Smoke Detector 8BAeXAbove Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 9 3 Ducts Insulation & Support 37 Ve an, Exhaust above insulation °L 9JY Gas st-Meters Tagged, Gas -Electric 38rtFrLOefi§ate Drain & Overflow, Size & Grade Sewer Connected -C/O to Grade -HD Approval ur ace=Vent Access -Comb. Ait-Return Air Vent 115 Outlet er ompliance Certificate -Other Certificates ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN (Permit) OK except #'s Comments at Final: ills,roper Materials &Anchors a -Studs -Nailing Spacing & Braces -Plates -Sound Be • g Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4 . Fir tops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing 1 Tingle. & Duplex) Date FRAM G (Co ,tinued) Ha a s -Post Caps -Anchors -Connectors 4 ing.,,Joist-Rftr`.'Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49 ep�ace Ties or Type A Flue-Fireplace.Throat Clearance 5 is ecess; Size & Romex Protection -Draft Stop -Ins. Baffles 5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Progert Line Firewall & Openings 5 xt. 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 2� 7 9_ Stucco Mesh -Drip Screed -Fd. Vents-Undeffli. Access -CL.). Brace Interior/Exterior Wall Panels Insulation-Walls-Ceilinqs Date - ] �.. (j ?, Card B-1 Date Card B-1 Date Card B-1 = j Date Card B-1 Date FINAL fPI[apij4K except #'s it. j ,&"Appliance; Ground -Air -Gap -Cooking Clearance ps-Door & Sidelight Protection -Landings 6 . e Detector 6..C,Xurnace Vents -clearance -Comb, Air -Connector - In Gae A ove Floor -Ducts -Meeh. Protection . Duct in rage -Damper onylExiting fib F. Bath Fixtures & Tub Access -Spa 69 c. TriM & Subpanel, Breaker Sizes & Labels 70. Staipgl Rails 71 it p1a e'or Stove, Clearance -Hearth 72e—fl utlets at Wood Panel, Int. & Ext. 7 it. j ,&"Appliance; Ground -Air -Gap -Cooking Clearance 7 e .-Outlets & Receptacles at Kit. Counter 7 ar ire Door; Swing -Landing -Closure 7 . Duct in rage -Damper 7. tr. r.; n %Clearance -Comb. Air Connector-P.R.V. ar e; bove F oor-Mech. Protection . PI ., E . & e& Equip. Listed for Location 9 I . Rec acles in Garage (FF.I.)-Romex Protection sul n -Foam -Looked in Attic 81. qp6rd 59iis & Deck Construction -Post Caps Fdn Bents & Crawl Hole Do rDrainage & Wood -Earth under or 0 Y _p6earangelooked Fo r g I stld./Drive s 0 No/Walks Qofes 0 No/Planter es O No . cc rown-Finish A. . U2illDisconnect, Electrical -Plumbing 8BAeXAbove Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, isconnect, Electrical, Plumbing 88.,YExteS0rI5ec. Trim, G.F.I. Receptacle -Underground tilat rfThroughout House 9 %fK Protection orrections from Previous Inspections °L 9JY Gas st-Meters Tagged, Gas -Electric 9&oKajW& Sewer Connected -C/O to Grade -HD Approval 9 er ompliance Certificate -Other Certificates 9 ddress Posted 6. Fire Sprinkl r Date Date Card B-1 62Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ' CO,UNTY OF BUTTE BUILDING DIVISION 1 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 141 14r, 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 tc this matter, or need additional explanation, please contact this office immediately. /IC�41 /ff 6111 ff i--As��•; �Y '4f.�..—�.ry -. —. :^r '.f' �i �iy.--.-.—.r Cl.t�-ir OUNTY OF BUTTE iBUILDING DIVISION + • t r .4 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 I 7 County Center Drive • Oroville, CA • (530) 538-7541 ! CORRECTION NOTICE r L !) �!- 122 -;;?.5q _-__ Itr OWNER PERMIT NO. r' 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, 5 Im 5 COUNTY OF BUTTE BUILDLNG DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 1/1 l' (2 /-/ LAW / - - (% --:2 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. Date.*? / - 3 Inspector -L 1 REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P2 Q• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-640-011 ZONING QD-1 BUILDING PERMIT OWNER TtttPHbNE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS' 3110 SHADY GROVE CT_ Or,071�c 29p5 3;835.00 CONTRACTOR'S NAME TELEPHONE DC7 82 OU 12 270.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAILING ADDRESS - Total Valuation $ 168 649.00 ARCHITECT OR ENGINEER LICENSE NO. -FilingFee $ 20.00 Permit Fee $ 881.00 ARCHITECT OR ENGINEERS MAILING ADDRESS dc A Plan Checking Fee $ BUILDI AlMSS Energy Plan Checking Fee $ PERMIT FEE $ 924.00 LAT NO. ] SUBDNIS IONS NAME TWIN PALMS Smuiyi2i(li PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 119.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY MASTER #97-37 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ 199.00 ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service ZOOA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licens 's in full force and effect. License Clas Z Lic. No. SI 7 GZ OWNER -BUILDER DECLARATION I hereby affirm under penal y of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1 as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. ;,was owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compRensg�ti.on insurance carrier and policy num er are: Carrier z t n� # �� WOKE G t r S &® u N Policy Number -� D (The above section need not be comp eted d the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code; I shall forthwith comply with those provisions. �p , ! X �_s1G�s_ ;-^ Date �O/ W3 �D 2� Sign ure of Applicant - EF15wner GYContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 NEW CONST. DWEILNG OCCUP. So OR ADDNS. ( a ACC. BLOS. 3.5¢FT. 121.77 NEW RESIST MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. �(, QCCU OUTLET OR FIXTURES 94L � , .50 Ex. Occup. oFlx Ds Aa OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 164.77 MECHANICAL PERMIT Filing Fee 1 20.00 Heating 30.00 Cooling 30.00 Hood 6.50 Ventilation 4 4.50 18.00 PERMIT FEE $ 104.50 Mobile Home Installation Fee $ EneW nspection Fee 1$46.00 CV c E PTAL FEE $1438.27 HAZ. D. FE IMP FLOOD_ V/ CDF pqq�[' V D ssuE 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. B Da/teQ PERMIT EXPIRES ON �[l��`� (Date) rReceiptNo....4�41 ITE•D.D.SCAN RY-ASSESS PINK-INSPECTGTR GOLDENROD•A LICANT YIr7r•TiV'Np�R f". ...... �-. - -.. ..�_ _ _ _ _. ,.. _ j . ', .,-, •. _ ,. _-�t.•rtiTcrr..r's.r•v• rygvieL+\'�. r, ,.rllt4�,.,v�� rl,�j,.':i.s tr.sjS^• �✓I•isq.{.w COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County CenterDrive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 606 ASSESSOR PARCEL NUMBER U ` Proposed Building Use: %G�ounter Technician: Date: (6-,-).5 Items required in order to apply foria permit. All boxes MUST be checked OR m bred NA in order to apply. �1.. Plot plans, 3 or 4 sets, signed ty 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 andNayouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A).Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ned by the engineer. I Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan reviewi line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form.... ................................................................... ❑ 13. Other I Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ees as shown on the attached Schedule of Fees Due Sheet ....................................... V5. Statement of Intent for Non-heated'and A/C Buildings ............................................. 6. Sanitation and plot plan approval from the Environmental Health Department in — / 3 Z ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 1). Planning approval for (A) Use: c)-.)4 (B)Parking: (C) Parcel Check: '`"""" -v f2,0.) C-- 2�3-- Contact Land Development about ❑ Improvements, ❑ Drainage ...............................' 1. Encroachment Permit for drivewaylfrom the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25 Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 028. Letter of Signature authorization... i................................................................Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits..............:.......................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: -i''" - w i — e- -h When issued Telephone I have been informed of the above items -,A , Applicant: and hold for pickup. requirements for obtaining a building permit. 1. Index permit application for the above items numbered: _ 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Date: /,o/4 3%g)'-7 —, Plan Check Letter 0 phone, Q tnail,.-.❑'counter, by Date: _ Q phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date: Q _Structural approved by: Date: Yellow: Buildine Division E.H. USE ONLY, b� y 'Piot Plan Attached May Plan Attact".ad Sent to 8.0.1 a TO: Building Department FROM:' Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓� Vater Supply: Public Private Well Clearance for dwelling. Other final for: Final clearance O.K. for: NOTE: Env ronmental Health Specialist Date �P i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER PROPOS] SCHEDULE OF FEES DUE 1. BUILDING PERMIT FEES 3 i Balance Due ....................... $ l Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES OAS (paid at District Office) (Available after Plan Check) 6IVY1't ge4f" 3. SHERIFF FEES (paid at Building Division) Residential ....... x $360.00 = $ Units Commercial (sq. ft) ............... x $0.03 = $ Sq. ft. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. A.P. # U a 1 DATE lU a3 ' oe7 RECEIPT # DATE REC. 4414 // - 1 �3-6 3WLW� Y/5. Commercial (sq. ft.) ............. -x_=$ Sq. ft. Amt. / 43. RECREATIONAL DISTRICT FEES �l • V (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (]Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT' '! DATE /27 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) MIN. 1200 P 6AL. 0 . s SEPTIC TANK 252 TOTAL r LINEAR FT. �S"�!S OF LE H. _ - - � •� p� .p V- . 1 � 3' WIDE LEACH LINE W/ 12" ROC TRENCH -5V' MAX DEPTH. REPLACEMENT FI 6-r lv v CA- f a N LOT BUILDING COVERAGE ' N ZZ ;"\ PROPOSED HOUSE 2801 PLAN FIN. FLR. EL. = ' s • p 9 • o -.44 : m �\ 0' \ v� \ GONG. DRIVE SEPTIC TANK AND LEACH LINES TO BE 5'.MIN. FROM BLDG. AND PROPERTY LINES, TYP. U� 43-73-7 5R. ft. 3680 SR. ft 8.49 SITE PLAN I "= 50'-O" LOTLOT GREGORY A. PEITZ TWIN PA �� 'R g�l ARCHITECT 11D 383 Rio undo Ave. Chico, C.4. 95926 (5301994-5719 ANDREW 7 CHICO C� r i i BUTTE COUNTY PARKS'DEVEWPMENT FSS CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) a din - 6tj 00 Property Owner Project Locati Subdivision Jim in �' rns Lot Number(s)—#7 Residential Development: (check one)' _ZNew Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: Bt 1 Ing Department Representative Date Chico Area Recreation and Park District(CARD) certifies that Applicant t1/ c-_7 - _.3 to / Phone Number) (Street Addressl Gh ► cc, C+ 95I 73 (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-C140 by payment for dwelling units @ $1,189 for total payment of $ #4O CARD Representative PAID BY CHECK NO. � REMARKS: BANK NO. "iO' H C PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) Date 11/19/02 #8519 9.55AM 3; XTOTAI $1189.00 Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM V, (One form per 'Building) School District ID r 1</ hr, A.P. Number Jurisdiction:, •City Property Owner Property Location/Address Building Department No. County Subdivisionk— I i IDA Lot No. ............................. ..................................................................................... Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (brodp Units Installation Conversion Permit # ..*(No foundation inspection):: ................................................................................................................ ; Commercial/industrial New Addition %rouur ridns revieweo oy zicnooi uisinct Sq. Footage L- z Date (including Exterior Roofed Areas) /iI — - District'identfication No. 1) 5 7 �7 �< - - f School District certifies that Lor (Applicant) aMLA" al =1) 4 9 A0 '(Street Address) (Phone Number) 0 JA 'I Let) i, (City T (State) (Zip Code) has complied with the requirements of Resolution No. '? . - representing e—v square feet. School District Paid by Check # Remarks: M--02-- by payment of $ IAB 2926 $ FULL MITIGATION $ Date 1 ' Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within, 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition . of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Enovironmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.x1s (10/98)dmm • CertainTeed Cmi'!*',` Builders Statement I Homeowner Namd / Jobsite Naaq�J TW 1•(1 Home Address } Installer/Contractor (sign) InsulSafe 4 Fiber Glass Blowing Insulation I" � ns(.-dCi Cil"( I Company Name Builder (sign) Company Name Date �' `•t Inspected By (sign if required) _:� Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: (n.) 60 36.5 27n 0.986 22 49 29.6 341— 0.800 181/2 44 26.4 38' 0.712 16'/4 38 22.8 44' 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 1 13.1 77 0.353 9 19 ,• 11.1 90 0.301 7% 13 7.7 129. 0.209 1 5'/2 11 6.6 151F% 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. 11 • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above t66 pecified minimum thickness for each R -Value. i• • -Failure to install the required minimum welghtYper's.'ft of insulation at or above the minimum thickness will result in reduced R -Value. ...... • This product should not be mixed with other` blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO,.TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Sainj Gobain Company ©2002 CertainTeed Corporation 1/02 } R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS 1 WALLS 13 r yLi FLOORS I THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. 11 • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above t66 pecified minimum thickness for each R -Value. i• • -Failure to install the required minimum welghtYper's.'ft of insulation at or above the minimum thickness will result in reduced R -Value. ...... • This product should not be mixed with other` blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO,.TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Sainj Gobain Company ©2002 CertainTeed Corporation 1/02 } Manufacturer Insulation Fact Sheet CertainTeed Col This is CertainTeed Corporation I nsu Sae 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 ,4 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application:. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 •44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 ` 65 0.418 1072 22 13.1 is 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 1572 11 6.6 151 0.179 14 3/4 R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. ' R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. -of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 77/4 22 27.2 37 0.733 572 16 19.8 51 0.533 4 15 17.9 56 0.483 3s/8 14 17.3 58 0.467 37/2 READ THIS BEFORE YOU BUY What you should know about R -Values. 1 The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. 0 • 1 APA Aw"IWr47 Certificate of Conformance a Certificate 052736 THIS IS TO CERTIFY that thel glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1.1992, For Wood Products - Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species Atyp;o w m f A46,411 IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to'regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verity conformance to industry standards for lumber grade and glueline bond quality. d \4, ,VJ! 0- RAm S .0#% w 0 040**** Rq -,A�� , 4� T� tJ► �i �Z Xdio 10. s go %W y 4 SH IN tttt� � by . XL I , AtA Thomas G. Williamson Executive Vice President ENGrnrEERED vwOD SYSTEMS ss a rusted CoWehun 01 AM — TME ENG/NBBAED WOOD ASSOCIATION 701 l South 191h Street - P.O. Box 11700 • Tacoma. WA 09111.0700 Tasvphone: (253) 585-9000 • Fax Number: (253) 565-7285 ' 1 i i 252' TOTAL r - - LINEAR FT. je116 OF LE�H.. 0 r, \ ,0 V 1 5' WIDE LEACH LINE W/ 12" ROCk MAX DEPTH. , REPLACEMENT FI APPROVED Butte County Environmental Health LOT BUILDING GOVEP,A6E MIN. 1200 GAL. �,Fi�Tlr. \ 1 \I I\ /moi \� \\ (N) WELL 4373-7 Sc[. ft. 3680 Sci. ft 8.496 SITE PLAN 1 °=50'-0° ENVIRONMENTAL HEALTH OCT 3 0 2002 CHICO, CALIFORNIA PROPOSED HOUSE 2801 PLAN FIN. FLR. EL. _ \ 215.0' CONC. DRIVE SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, T`(P. LOT 7 LOT GREGORY A. P E I T Z TWIN PALMS SUBDIVISION ARCHITECT for: �% 383 Rio Lindo Ave. Chico, C4. 95926 (530; 894-5719 ANDREW MEGHDADI / CHICO CALIFORNIA A i i o i 1.8E 6 MIN. THICK. SILL: PLATES ALL OF- FASTENED'., � COFFERED CL6._ � 12° GL6. ._. _,.,.. .: ol I I a _... WITH ;_}fiL71 kt3ii 12 234,5LEi:VE pNGHORS !� 12 . I -- ., CARPET TILE I �,.. , , ...., ., t._. _ .. i CARPET . i t _ FROM EACH "END 0 EACH BRACED PANEL, IIO _ ; a . r >� .,_._.:.. . , 2USE .S1MP50N BP :5/8WASHERS. -- LE :-. ._ _ . alis �-