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HomeMy WebLinkAbout040-640-030BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50907 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 qAj Issued Date:/elo,�APN: 040-640-030-000 the Business and Professions Code, and my license is in full force and effect. � � icense Class : �G Licens umber. Site Address: 27 SEGA DR CHI Date: / Contractor: I f19 Map Index: Description: tion: POOL MASTER 507-01 p 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 Profession's Code: Any city or county which requires a Owner: CRAWFORD, ROBERT LEE AND THERESA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ANNE signed statement that he or she is licensed pursuant to the provisions of 27 SEGA AVE 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the applicant to.a civil penalty of not more than five hundred dollars ($500).): 530-891-8129 1 ❑ 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: ADONIS POOLS 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 12 PHEASANT RUN COURT yeal completion, the owner -builder' will have the burden of CHICO, CA 95973 proving that he or she did not build or improve for the purpose of 530-891-1197 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 Contractor: ADONIS POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT CHICO, CA 95973 Date: Owner: 530-891-1197 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 266839 Cl 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 is issued. I ❑ 1 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' comp sation insurance carrier and policy number are: Carrier. 1e ©D� l- ' Policy #: I Total Square Ft: 0 S. F. Valuation: $0.00 ❑ 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 Census Code: 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. i 05 Date: - 1 70 Applicant: WARNING:. Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY _ _ _ _This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s o do work indicated abo e f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By Da e: Name: O Address: PERMIT EXPIRES ON: ate ❑ 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. i ❑ 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 agen of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any off form or doc ent of Butte County. I hereby authorize representatives of Butte Count�uponve mentioned property for inspection purposes. "G kT— rint Name: l l/ Signature: � ZY, 7— z � Date: ` I c � ❑ Owner ❑ Contractor g or w � JA,gent for Contractor B. C. Buildinq Permit 01-16-04 pq 1 BUTTE COUNTY PERMIT' DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION BP AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION ARCHITECT NGINE Name CAL,. 6AC, i% EM A -JJ Address i 3 tCy'77 GA9-t-j Ef�— L-A I� E City 1 C v State CA I Zip E-61 Phone .Z _ 1'3�c Fax -5.4,2. — '�3-7 Z E-mail state license Number ((01 90 3 APPLICANT NAME Name &DUN IS P0OL'5�- Address 12 pts OAC l,li,,j G( City c o l C. o State CA] Z" 9 6q7 Phone _ ' 1 --' Fax 1� `'1� I t g E-mail ,,-APPLICAW SIGNATUReG X Fo r ce u oning Flood Zone SRA F Yes I No ( Tyft Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMEN TS LOCATION APO 1(0� Property Address a 7 Cross Street WORKER'S COMPENSATION Policy Number 00 (b 01 L4 Z Carrier 5 jA 1 C C.O M O9 WS. S. Rt f -J If hiring anyone other titan license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address ,tAx�5 Description or Scope of Work: 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: 3B Receipt M // W ^^ (� 1 m 0-4of1 Date: � I S Amount _.!Bldg SRA Sheriff SMIP REV 4-30-04 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: lc<a`-� L V �' i � l% ,{ n- ^ ASSESSOR PARCEL NUMBER / Proposed Building Use: Q�1 lam' OZ" �U / 0 1 Permit Technician: Date: I ems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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) 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remainins needed to issue the permit. (May require additional plan review upon receipt of the following items.) C*A 15/. sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicableaS� ❑ %T6. Fire Sprinklers .............................. ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ alifornia Department of Forestry plan approval ❑ paid. Sent by: ... 24. tanning approval for (A) Use: 6L(B)Parking: (C) Parcel Check: ... t%.... Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... Cl 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone T� k - 1 vIv) and hold for pickup. I have been informed of theabove'items and requirements for obtaining a building permit. Applicant: I_Df UP c^d 1. Index permit application tQr the above items numbered: 2 al items required ontracto , designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, b� Con ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, o ner, was advised of the abo )ve da by ❑phone, ❑mail, ❑counter, by Plans reviewed by: Date: O - Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: `� I � G Plan Check Letter I Date: ' Date: Date: }- TO: Building Department FROM: Environmental Health -SU13 JECT: Sanitation Clearance E.H. USE ONLY Plot Plan Anschad 9� Roar Plan Anachad Sonata B.D. Owner Location.• Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 NOTES RESIDENTIAL PERMIT N0. _040-640-030 05-0907 CRAWFORD 27 SEGA, CHICO Cont: ADONIS POOLS NEW POOL MSTR#507-01 Yi•fir. . , 9 • f • r e • r1f i 11 SPECIAL CONDITIONS 11 _i qqtl Y v b 1a 7 • . � 1 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER T �a r JOB FINALED (Date f Signature U CHECKED BY OYO - 610 - () �c INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVI.SION,--OFOVILLE FROM: ENVIR. HEALTH, CHICO DATE: D/c RELW/EENV. HEALTH HOLD 0N.-BIJILDING FINAL FOR: OWNER NAME:&59A/& -SEPTIC: WELr AP#: ADDRESS/LOCATION: Comments: GL/memos/releasehold 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. BPO60907 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 41me/05-APN: provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 040-640-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : Licens umber:. a Site Address: 27 SEGA DR CHI Date: Contractor: Map Index: Description: POOL MASTER 507-01 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the follcwing reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CRAWFORD, ROBERT LEE AND THERESA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ANNE signed statement that he or she is licensed pursuant to the provisions of 27 SEGA AVE 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the 530-891-8129 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (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: ADONIS POOLS 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 12 PHEASANT RUN COURT year,of completion, the owner -builder will have the burden of CHICO, CA 95973 proving that he or she did not build or improve for the purpose of 530-891-1197 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Rrofessions Code. The Contractors' Slate 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: ADONIS POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT CHICO, CA 95973 Date: owner: 530-891-1197 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 266839 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' comp sation insurance carrierand are: /policy ✓number G Carrier:x Total Square Ft: 0 S. F. //vQ� Policy#: p�(l� 4L Valuation: $0.00 ❑ 1 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 Census Code: 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: q67,� Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), ii addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resol4,tiq s to do work indicated abo f which fees have been paid. _ performance of the work for which this permit (Sec BY D e: 4? Name: . �P PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. • ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agen of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any oo form or doc ent of Butte County. I hereby authorize representatives of Butte Count to enter upon the above mentioned property for inspection purposes. ♦�rint Name:/ "u' ` , Signature:✓ate: �— ❑ Owner ❑ Contractor or w r�1 Agent for Contractor S. C. Buildinq Permit 01-16-04 pq 1 J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easerrents 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 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 x 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 i 7. Well Clearance & Disconnect Date. 8. Utility Clearance Date POO Ian K except #'s b s -Easements S s; Compaction -Structure Stability Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged Dates OF5 Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. 5 -Card B-1 Date Card B-1 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. Verifv #'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 x 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 i Card B-1 Date Card B-1 Date. Card 1 Date Card B-1 Date POO Ian K except #'s b s -Easements S s; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. EI • ool Lighting; 15 Volts-GFI c.; Enclosures; Conduit Entries -Terminals -Listed Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelbo rds-Ins. to Main Conduit 9. He;oh Department Aply6val 10. P mb.; Cir. Test -Veer Supply Test Light ache 12. osure; Fencing -Alarms Dates OF5 Card B-1 Date Card B-1 DateJ-Gr 5 -Card B-1 Date Card B-1 t ; 008v- � Slu" T uS 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test _ 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 20. Shower Pan; Test, First Floor -Tub Access Garage Fire Protection Framing -RC Channel 21. Test Tub & Shower, Second Floor -Tub Access 53. 22. Gas Pipe; Sixe & Anchors 54. 23. Fire Sprinkler; Test 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card B-1 Date Card B-1 Date Siding -Nailing Veneer Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 64. Ext. Steps -Door & Sidelight Protection -Landings 32. Service -Riser Conductors & Ground Main Disconnect Smoke Detector 33. Equip. Clearances Panels-Motors-Mech. Equip. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 34. Clothes Closet Light -Shower Light -Spa Light Bedroom Exiting 35. Smoke Detector G.F.I. & Bath Fixtures & Tub Access -Spa 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 72. 36. A.C. Ducts Insulation & Support 73. 37. Vent Fan, Exhaust above insulation 74. 38. Condensate Drain & Overflow, Size & Grade 75. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 76. 40. Attic Access & Platform if Furnace in Attic Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Plb.; Elec. & Mech. Equip. Listed for Location 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 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 -Wal Is -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 ❑ Yes ❑ NoMalks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: o�ePSTMEN?- o� �UT7' 1 °° I ° o A � 5 uz?Uc V4 Department C o u n t, J. Michael Crump, Director of 'Pub Iic o f B u t 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 II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: l,2 G� In / 7)a- 4004 By signing below, L 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 law. Signed: Title: Date: Less than I Acre TIPDES & SWPPP Compliance Certification Butte County Storm Water Management Program 17 Butte County 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile .f+ i Department 1 ofDevelopinent Serviceso�uTro ':�..:. o o _.fid o cou 1% { BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUf first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. i I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. i • I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained o I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. i The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. j i Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). . Please print: Applicant Name: Building site addr I have read, understood and submission of the above -refer, 0 Permit No.: )t the terms and conditions as expressed herein as indicated by my building permit application and my signature below: DATE Copy to Applicant/EH/File ; K:Forms/B1dgPermitwithoutClearances 020705 �zo� ��- NOTES o� RESIDENTIAL r 040-640-030 03-1574 PERMIT NO. — MEGHDADI, ANDREW 27 SEGA DR, fi r� I I H ICO NEW SINGLE FAMILY 7-43 I N I 1 1. t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ.*-. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F y OFFICE COPY Address GAS Date �- Meter By ELECTRIC Date -V✓ Meter By — JOB FINALED (Date) Signature i r a ' 1 i r s SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ.*-. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F y OFFICE COPY Address GAS Date �- Meter By ELECTRIC Date -V✓ Meter By — JOB FINALED (Date) Signature J=OK 0 = Not OK = Not Applicable' . =Not Ready Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Skech 3. Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/0 -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Water; Location -Test -Easement Needed (Sketch) 6. Water; MH Test -Regulator -Connector . 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Plumb.; Cir. Test -Water Supply Test 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG Light Niche 7. Well Clearance & Disconnect Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 9. 1. Zoning Requirements -Setbacks -Easements 10. 2. Footings; Size -Spacing -Marriage Line 11. 3. Gas; MH Test -Demand -Valve -Connector 12. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector . Date 7. Water and Sewer Connected -C/0 to Grade -HD Approval " Plumb.; Cir. Test -Water Supply Test 8. Gas and Electricity Tagged Light Niche 9. Tie Downs -Type -Installation Cert. Enclosure; Fencing -Alarms 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 Req uirements-Setbac'<s-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 Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -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 J=ox 0 = NotOK - =Not Applicable Ap RESIDENTIAL . = Not Ready Date UND L0 0R (Plans) OK except Ws (Permit) OK except Ws , Zo ' g etbacks-Easements-Flood-Slope & Support ain; Soils-Elec. Grnd.-/ " Ftg. Depth x aust above insulation g., Garage; Soils-Steel-Elec. Grnd.-//aY' Ftg. Depth rain & Overflow, Size & Grade 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth ent Access -Comb. Ait-Return Air Vent 115 Outlet 5. Stem alts, Main; Steel-Blockouts-Wrapped Date Card B-1 6. mwalls, Garage; Steel-Blockouts-Wrapped Date FINAL (Plans) OK except Ws . H94d Downs and Special Anchors 31 03 16 b, teel-Wrapped Detector Pi s -Fire lace Ftg.-Steel urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection W.V.; Fall-Fifting-Test-2 Way C/O -Sewer Test edroom Exiting 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test F.I. & Bath Fixtures & Tub Access -Spa 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Trim & Subpanel, Breaker Sizes & Labels 12. Electric Underground airs & Rails 13. Plenums & Ducts; Clearance -Material -Support -Ins. 7 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 7 15. Access & Ventilation 74eoETqp.. 16. Insulation Date (0-2 4 4.14U 5-0 3 Card B-1 g,7, ate Card B-1 Date Card B- Date Card B-1 Date PLU G (Permit) OK except Ws 78-Pj,;.Elec: & Mech. Equip. Listed for Location Wdter Htr.; Vent -Access -Combustion Air Baffle ilk 1- Wate i e; Test & Anchor -Nail Protection 1 . V.; Test Fittings & Anchor -Nail Protection ,Q hower Pan; Test, First Floor -Tub Access Te ub & Shower, Second Floor -Tub Access 3 as Pioe: Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC AL (Permit) OK except Ws F' re ansformer Clearance -Ins. Protection *0'50alRec.eptacles Spacing -Lights & Switches at Doors 2 ize & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. aBAquip_Ground made up w/Mech Fasteners -Bond Gas & Water 22. g ance Circuits in Kitchen &Conductor Size GFI gDellu-bfeed Wire Size/ . Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Servic Riser Conductors & Ground Main Disconnect 3Ip. Clearances Panels-Motors-Mech. Equip. . C!qlkes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 (Single & Duplex) Date Card B-1 Date Card B-1 Date MECHA (Permit) OK except Ws , t4,4 -c. awezl-nsulation & Support ent F , x aust above insulation ondens rain & Overflow, Size & Grade 3 . na ent Access -Comb. Ait-Return Air Vent 115 Outlet 61 is Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date " . , • Card B-1 Date FRAMING(Rvr1fiit) OK except Ws 1 s Pr aterials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 45 Fir Stops, Furred Ceilings -Stairs -Chasers -Tubs eadars & Beams -Size & Bearing Date 4"lin . oist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 4,9 rgplace Ties or Type A Flue -Fireplace Throat Clearance ttic A ess; Size & Romex Protection -Draft Stop -Ins. Baffles 5 rm. Windows or Exiting Doors -Sill Ht. & Dimensions arageFire Protection Framing -RC Channel t'Doors-One 3' -Check Garage 3rd Story, 2 Exits 55. S : s; Width -Headroom -Rise -Run -Landing -Fire Protection SFy'fywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. ng -Nailing Veneer W. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls- indows Date r 2 �Card � B-1 Date Card B-1 Dam Card B-1 Date Card B-1 Date FINAL (Plans) OK except Ws 6 fit. Steps -Door & Sidelight Protection -Landings 6!7.-Srgpke Detector 6 . urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 7 airs & Rails 71rFtieplace or Stove, Clearance -Hearth 7 ec. Outlets at Wood Panel, Int. & Ext. 7 �' t-& Appliance; Ground -Air -Gap -Cooking Clearance 74eoETqp.. Outlets & Receptacles at Kit. Counter 7 ara a Fire Door; Swing -Landing -Closure C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78-Pj,;.Elec: & Mech. Equip. Listed for Location 7 . Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Fo!LQwing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No tucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House VC Glass Protection 9a orrections from Previous Inspections as T t -Meters Tagged, Gas -Electric q_ -3, -Water & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ddress Posted ,96'-Firnkler 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: a CertainTeed M � Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation �D T /WI n PC�1 ren S l� t co UL A V. ss \� Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date 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: abs.) Should not be less than: an.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'/2 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 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 7% 13 7.7 129 0.209 51/2 11 6.6 151 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. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. 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 Saint-Gobain Company 02002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE ✓) BAGS USED BATTS/ROLLS (✓) CEILINGS ^� G� WALLS FLOORS 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. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. 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 Saint-Gobain Company 02002 CertainTeed Corporation 11/02 ON s`NIGINEERED WOOD SYSTEMS f mT Certificate of Conform * an( .., - e Certificate 052736 THIS IS TO CERTIFY that the glued laminated timber products identified with acone.., ��-e mark of Engineered Wood Systems (£Ws) were manufactured in accordance with the applicai;i� 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 RITC 117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Soffwood Species ?- k r w e A/ /0AA M A. IT 1S HEREBY CERTIFIED that the APA. £WS trademarked structural -glued laminated tits' - em ers were produced in a manufacturing facility subject to regular audits in accordance with the Frgin ebed Wood Systems.(Ews) Quality Assurance Program.. Routine audits include insp.=ction of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry. standards for lumber grade and giueline bond quality. s _ 0 = ��p X z SEAT:. C. by - Thomas G. Williamsc ; Executive Vice Presici(.;,)t ENCINEERED vmooD S),ST,,mS, a teislea cotprnettpn o1 APA - TjfE EIdG1NEEAED Wool) ' 70115oum 19111 Saee1 - P.O. 60): 117()0 c • 7aome., VJIS PPS 11-07U0 ASSOCL+Tlrjn T.,)evhone: (253) 565-8600 • Far Number. (753) S65-726�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive Oroville, California 95965 • Telephone 530 538-7541 n� PERMIT NO.I Y P � ) (Rev. 12/96) ,, APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 040-640-030 ZONING BUILDING PERMIT OWNER ANDREW MEGHDADI TELEPHONE 624-5189 80. Fr. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 3110 SHADY GROVE CT., CHICO. CA 95973 3593 R 194.292. 811 U 14.598. CONTRACTORS NAME TELEPHONE OWNER 1J9 5 7 C 2. 041. CONTRACTORS MAILING ADDRESS. CONSTRUCTION LENDER LENDERS MAILING ADDRESS - Fireplace Total Valuation $ 201.9 31. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00/ Permit Fee $ 1 028. 0( ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.0( BUILDINGADDRESS 27 SEGA DRIVE CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 171.01 LOTNO. 8 iX. SUBDIVISIONS NAME M$ TWTN J!A1XS PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF SOX. Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1(. 7.00 112.G Solar or heat pump water heater 23.00 Water Water piping 15.00 15.0( as water heater or vent 15.00 15.0( TYPE OF WORK New:d(Addition ❑ Remodel ❑ Ulilifies ❑ Installation ❑ Other ❑ Describe Work: MASTER 97-43 Gas piping system 1 - 5 outlets 15.00 15.0( Building sewer 15.00 15.0( Mobile Home I S I G I W @20.00 PERMIT FEE S 2U / . 0( ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOAORLESS 23.00 23.0( LICENSED CONTRACTOR'S DECLARATION I hereby, affirm under, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. (A-500 2--f8 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens tion i surance carrier and policy number are: ,Carrier 13 comp of + Policy Number "71 3 0/0/oct-0 L (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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. X � ,, �(A�� � Date 5�30JO 3 Signature of Appl`icant - ❑ Clwner ❑ Contractor EAgefit An OSHA permit is 4eqired for excavations over 5'0" deep and demolition or construction structures over 3 stories in heigh1 �4 +4 V-,LBy Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING ffUP. SO OR ADDNS. 3 ACC. BLD S. 3.5QFT. 153.. Np CONST. MULTI -OUTLET 97,50 POWER APPARATUS SINGLE OUTLET CIS. Ex. Occup. OUTLET OR FIXTURES 20 @''50 BAL p .so Ex. Occup. oPlx�eEo�A Aa DEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 196,23 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling 25.00 Hood 6.50 6.50 Ventilation 4 4.50 15.00 GAStTER 2 15 30 PERMIT FEE $ 119.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE �� f TOTAL FEE $ 19 639.73 HAZ. D. FEES IMP ... FLOOD CDF ' PARCEL Pp i r HU' V ISSUE' This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. „// jjj® (, I Vi (� / rr Date i�] ��of ��E%i PERMIT EXPIRES ON Vy &` 1.� a �( aF' p Dele M Receipt No. Q R; 4)/,C) 4 . [9"M I !n(,--7-3 WHITE-D.D.S.-B-1[0- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 j.,; COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT ISERVICES 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 avd should be corrected. Please notice this office when correction of work is j completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. .e� , Kl-C t'4 t'Z° t' r. - '�;l � n Date - / Inspector _�, (-_1A ) REV -10/92 -a. F,. . 1 . . . . . . . . . . . . . . . . . . . . . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53877541 #� CORRECTION NOTICE R G 3 0q v O NEAR 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 a questions pertaining to this matter, or need additional explanation, please contact this offi immediately. '+.7 �. ,'-- r cl R. r `ee .r t� v • i4 i -fy . :tf tth .`i 7{` REV 10192 t.OS Inspector COUNTY OF BUTTE - DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7 1 �� PE IT No. (Rev.12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 040-640-030 ZONING BU I 1 NG P ER M IT OWNER ANDREW MEGHDADI TELEPHONE 624-5189 SQ. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3110 SHADY GROVE CT., CHICO CA 959 3 3593 194,292. 811 U 14.598. CONTRACTOR'S NAME OWNER TELEPHONE 5 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 028.0( ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 23.0( BUILDING ADDRESS 27 SEGA DRIVE CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 1.071.0( LOT NO. SUBDIVISIONS NAME 8 ��� PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )INR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 112. Solar or heat pump water heater 23.00 Water piping 15.00 15.0( Each as water heater or vent 15.00 15.0 TYPE OF WORK New = Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: MASTER 97-43 Gas piping system 1 - 5 outlets 15.00 15.0 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE $ 207.OC ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 2 3.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class_ Lic. No. �� s i� a �/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cQmiensEytion irpsurance carrier and policy number are: Carrier1 1 Gt V�1 Policy Number PjL7 0101 09-0-2-- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 corn with those provisions. X Date Signature of App I ant - ❑ ner ❑ Contractor fit An OSHA permit is quired for excavations over 5'0" deep and molit^ion or construction of structures over 3 stories in height. oc Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so ORADDNS. ( a . glpS. 3.50FT:15-3.2 NEW T.MUL @7,50 NON, -RE ID. 11.R U. OWER APPARATUS 6 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAS p t.w EO A Ex. Occup. oF"LI Ao .°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 tR EMIT FEE P 196.23 MECHANICAL PERMIT Fling Fee 20.00 Heating 1 20.001 Cooling 25.00 Hood 6.50 6.50 Ventilation 4 4.50 18.0 GAS HEATER2 15.00 30.00 PERMIT FEE $ 119.90 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 c coNST.ArPjt TOTAL FEE $ 1, 1.639. ,73 HAZ. D. FEES IMP _.. FLOOD I CD4 PARCEL V H ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fee he a been " B/RJ /^ Dat P IT EXPIRES ON & provisions to do work paid. %, �� b Receipt No. 0 6 .� WHITE-D.D.S.-B.D. CANARY -AS S PINK-INSPECTO GOLDENROD-APPLICANT(date) COUNTY OF BUTTE -DEPARTMENT ORD. 7 County Center Drive, Oroville, CA '95 PERMIT APPLIC L P may .: a,I9 %.O, - 6- VELOPMENT SERVICES -BUILDING VISION 65 Phone'(530)538-7541 Fax (530)53 -2140 ,TION DATA SHEET -�s 7y OWNER: ASSESSOR PARCEL NUMBER4 O V -�y �� Proposed Building Use: Counter Technician: Date: 3 U J Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. f31.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0.4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation 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 -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. , Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 5. Statement of Intent for Non -heated and A/C Buildings .......................................... f 1 Sanitation and plot plan approval from the Environmental Health Department in ❑ City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage...............................a`. 21. Encroachment Permit for driveway from the Public Works Dept. construction approval prior to occupancy).F 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) ..................... ❑ 6. Letter of Signature authorization.................................................................... 19; . 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: When issued Telephone to aqy ^ $ / ,fr 9 " and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. OPP licant: 0 11 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: IWAU Plan Check Letter ❑ phone, h mail, ❑ counter, by Date: _ ❑ phone, ❑ mail, ❑ counter, by, Date: _ Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 e n 1 s SCHEDULE OF FEES DUE OWNER I 0.I� A.P. # 3 d PROPOSED BUILDING USE I �' v s � DATE 373d,12 15� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES yy Balance Due ......... I ............ $ 4�Od�— le/a5�72? Additional Fees Due .... ............ $ Additional Fees Due ... ............ $ Revised Plan Checking Feel ........... . VSCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) M.i v /- Residential ............. ........ x $360.00 = $ ��� Units Commercial (sq. ft.) ...... I ........ x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division Residential ................... x= $� # Units Amt. Commercial (sq. ft.) ............ x = $ Sq. ft. Amt. � rte/ tL'-75—. RECREATIONAL DISTRICT FEES �`__�� (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) i 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 DATES d G Pursuant to Government CoVe Section 66'020, 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. 6/00) BUTTE. COUNTY SCHOOLS IMPACTFEE CERTIFICATION FORM (One form pei Building) School District A A.P. Number '"ru —10 Y Property Owner Property Location/Address Jurisdiction: = City Building Department No. County Subdivision C�( i ! n Qf yV7 ,::� Lot No. Y Residential Development ................................................� ..............;................................. i / Sq. Footage 3,510 7 No'of living Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # ................................................................................................................... `(No foundation inspection)' Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) Date wwor runs reviewed Dy scnooi uistnctyersonnel) District Identification No. 0,30 8 0 0 ��� School District certifies that PO \If rJ (Applicant) 9537 qS1 h (Street Address) (Phone Number) . (City) has complied with the requirements of Resolution No. representing / square feet. School District Representative Paid by Check # Remarks: (State) (Zip 9 5 IV- Q `Z— by payment of $ —76.33, AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm BUTTE COUNTY PARRS DEVIWPMENTI.FEE- CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT r Assessor'Parcel Number(s) b a " q0 30 Property ' Owner �OL! Project Location/Address V Subdivision �� �,{/)-�Q Lot Residential Development: (check one) New Development Alteration/Addition Total Number of Dwelling Units f,:J / �•ae_ Comment: (s) Mobilehome(s) _Non -Residential to Residential r-34 Building Department epresentative ate �r�r�t�rx*x�r�rrr�r�r�r��r�rir�rwr*,r��rx�r*,�vr�rv�,�rrx�rvr,r,�*��r,�***w�rvr�rrr�r�r�c�rrr,t*�rx�r�r�r�r*�c,t�r*rr*,t,�*tr�r Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) v . MEN Street Address) Phone Number) C. h 1(0 CA- 4r SS -) 3 (City) (State) (Zip Code) has complied. with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ CARD Representative PAID BY CHECK N0. REMARKS: BANK NO. qt)- Ll O "1 PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) cp I I �0 I b?) Date f 0b/1�/0:: #7519 10.44AN �+TgTAi $1189.00 Yellow --Butte Co. Building Dept. Goldenrod --City of ,Chico Building Dept. G ANI) WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 3II I11 if H' Ii I III III H HI 11111 LountY Of A'IT 1"E i i.:AH1 JUA J, C-RiN S i Recorder ROSEMARY DiCr,Sam I Assistant s barbar 2t,33M 2J3-0&- 2@@;2 1 page i. Q' 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT i FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building pen -nit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be�subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, -but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property Situate in the County of Butte, State of California, described as follows: **THIS DOCUMENT IS BEING RECORDED TO CORRECT TI -Ir LEGAL DESCRIPTION FOR DOCUMENT SERIAL NO. 2002.-0045904, RECORDED SEPTEMBER, 4, 2002, IN BUTTE, COUNTY, CA.. i Date 10/2.3/02 PROPERTY OWNERS: ANDREW 1 State of California + ) County of Butte I ) On 1.0/23, 2002 before me, J. TUNISON, NOTARY personally appeared, ANDREW M1�GHDA1)I personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and fficial seal. Signature—..... •. ��u j _ Seal:IJ •��...... ,._:.c.:.:..:� a.�:,t� �.:�.:�o..n;,.:., J. TLiNf,"30N i_; 'i(. A. COMM. U1'2134-:71 A.P. # 9UTI E C01.1.11 1'y NlY w .1 Y X14_<43Yr r COMM. EXPIRES SEPT. ?8� 200;1 . Z. Order No. 202500 - C EXHIBIT "ONE" PARCEL I: Lots 1 thru 24, inclusive and Remainder Land, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase 1, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88.. PARCEL ll: A Non -Exclusive Easement for ingress, egress, drainage, public utilities and public services over Lot 6, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase I, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps; at Page(s) 86, 87 & 88. Assessor's Parcel No: 040-640-011-000 S TO LARRY '.f.' PAINIERREINTO CHICO FH VIEW APPLICATIONSI1E PLAN 1Y T Date: A �(� AP# �" C� ` 69W " ,3D . Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: % A C_ Owners Name: Owners Address: Telephone No Situs Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory. ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer • ❑ Multi -family - Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel er KOt Septic ❑ Well Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ' Conditionally Approved ❑ Resolve Problems Prior to Approval IS Site Plan Stamped Approved • BY Date � — -- •�'� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: - - is ❑ 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) o Flood Zone: X a Flood Panel No.: Os 10 C, 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 — 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 is • Zoning Code Streets & Highways Fire Prevention Subdivision Map Front d Side D Side Street Rear f ll 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 is • Formula I = ------------------------------------------------------------------------------------------------------------------------ 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 the building permit. , A final determination will be made at the time of • Parcel Created By ❑ .Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: I 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: f E l ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel i ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger i ❑ 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 • i Page 3 of 5 .�- Applicable Developrl-tent fees: i . Standard Fees Amount • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ 1 Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula I = ------------------------------------------------------------------------------------------------------------------------ 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 the building permit. , A final determination will be made at the time of • Parcel Created By ❑ .Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: I 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: f E l ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel i ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger i ❑ 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 • i Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: 6 ❑ Use Per Use Permit Permit Number: Book: I. S S Date of Approval: Page: 3t 3 es is Parcel Map/Subdivision Map/Use Permit Conditions Comply with the following Conditions of Approval: /)TT-rj C -J- j e:—J-�> jR 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 P must be prepared by a registered civil engineer or other qualified professional and Ve 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 ❑ n Page 4 of 5 r/CGti =c>�zvn+a-.'��' t,.:l il•+ S+nf� �' Z�,\ 29� ";i%'� � \ 'A aTIONAL INFORMATION SHEET � 10.00' P.S. N AS SHOWN OF MAP \ \ \ I. BUILDING SETBACK LINES ARE , I AND AS FOLLOWS: LOT 6 l ;*RON T/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) 0.3 — 10FROM PROPERTY LINE F SIDE ' �L I 2. LEACH FIELD FREE SETBACKS'IARE 5' FROM THE EDGE OF THE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE PROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. / I 3. BUILDING IDENTIFICATION AND%OR ADDRESS SHALL BE INSTALLED / c IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. 01TIHE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT cp / TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE 2 / COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED 'AND CALCULATED AS OF THE DATE `PGS OF APPLICATION FOR BUILDING PERMIT. I 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 A PUBLIC WORKS 6. PER FLOOD INSURANCE RATE MAP NUMBER 06007C 0510 D, REVISED APRIL 20, 2000, THE PROPERTY SHOWN HEREON LIES WITHIN ZONE X AND IS OUTSIDE OF THE 100 YEAR FLOOD PLAIN. coo o� 7. LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12" ABOVE d, 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. I and Pro'er..ts P.2\MRD IWIW =ALM$ :!BOIVlSl0N\dwu\FINAL MAP 5-20-02 DWG 08/09/0' 08:08:34 AM PDT I I (N) WELL \ \ app \ \ \ \ \ IN. 120 0, \ \ \ GAL. SF- TANK ETANK REPLACEMENT FIELD,---"-'� 252' TOTAL' LINEAR FT. OF LEACH. Pans: Landscapi'ns:.�.�.,.... LOT 43700 scj. ft. BUILDING 444-7 sq,. ft. COV ERAOE 10.2% GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894.5'. 19 SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. 3' WIDE LEACH LINE H/12" ROCK, TRENCH 36" MAX \ • DEPTH. \ s, SIG \ • PROP05ED HOU5E 3567 PLAN \ FIN. FLR. EL. \ 215.0' dRIVEHAYd BUTTE COUNTY BUILDING DMS` ON _ APPROV 0 S1A�- LOT 8 TWIN PALMS SUBDIVISION for: ANDREW MEGHDADI CI-IICO CALIFORNIA GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 i i PROJECT: 1 I have reviewed the truss submittal for the above project and all loading design criteria have been met. t Gregory A. Peitz Architect . Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Jun -23-03 2:14PM; Page 1/2 Sent By: BUTTE.CO ENVIRONMENTALHEALTH; 530 895 6512; Jun -23-03 2:15PM; Page 212 SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY (0(0 /� \LINE5, TYP. is "O"Mcntal lieoo�a;i:. �•/ 1.�1' - 5 2003 Califcmjp PqIPE LEACH \ \ \ \ \ r LINEVV 2" \ IN, ROCK, TRENCH APPROVED k 56" MAX 8e+r , !�► . DEPTH. mrd ��elllf ov- \ \ \ \ \ \ IN. 1200-- \ \O Q \ \ \ GAL. 5EPTI \ \ TANK . _ -..- PROPOSED HOU5E \r72r, 67 PLAN �� o�\�LR. EL.5.0' \ \ PORCH REPLACEMENT FIELD'" \ \ \ 'J`�� $9. / • 2 52'TOTA LINEAR FT. OF \ LEACH. o LOT 43700 5CL. Ft. BUILDING 4447 9,q,. ft. COVERAGE 10.2% GREGORY A. PFITZ ARCHITECT %53 t1i. UWp An. CNW. CA. 959I6 15)(1) NW -5719 DRIVEWAY y L N 51 TE PLAN 1"=40'-O" LOT 8 L(.)'C TWIN PALMS SUBDIVISION tor: Q ANDREW MEGHDADI 8 CHICO CAIJ. OMIA e MI! MiTek° a RE: Trusses Supporting AC. Loads MiTek Industries Inc 3033 GOLD CANAL DRIVE SUITE 200 RANCHO CORDOVA CA 95670 USA FAX (916) 631 8225 TELEPHONE (9 16) 631 7811 MiTek Industries, Inc. Trusses are designs are adequate to support up to an additional 150 pounds per truss due to mechanical loads. If this load falls at a panel point, no revision to the engineering is necessary. If it falls in between panel points, a 2x scab of equal size and grade as the top chord is required for the full panel length carrying the load. Attach with 10d nails at 12"o.c. These rules only apply to residential 2' o.c. truss applications with greater than 3/12 pitch. - If you have any questions, please contact meat 800-772-5351. RY/ek -..k, PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correc and legible. it may cause a delay in processing. Owner's Name: Received By: date: AP. #: 40– (o q —03 6 Permit #: ' 3 f/ 7 Time: *, Q ContactPhoneNumber: 15 y Purpose of submittal: O Permit Application Data Item O Engineering Plan Revision 2( ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: Requested By Plan's Examiner- Examiner's Name: ❑ Other. If yov are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call . and hold for pickup at the O Chico Office O Oroville Office O Deliver with nest inspection. Revised Plan Check F& 6.00 Receipt #: E3 Additional Fees Not Required Additional ees m be due based upon complexity and ' involved to process this submittal. Additional Fees: "I`�Fr1 v .. .- • 1 .I+T '.a A ��io•'1--I.1+•.-•T�'^�Mta �'F�9s'.^.""7•'b irTA:'�w�Rs'jR7'RII'a'TM.i' M+^R+yga�Y f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERM�IIT% APPLICATION DATA SHEET OWNER: �"� G�c�(r.t ASSESSOR PARCEL NUMBER��O _� Proposed BuildingUse: A Counter Technician : Y Date: 7/�/ Items � required in order to apply for a permit. All boxes MUST be checked OR marked NA in order toapply. ❑ 1.. Plot plans, 3 or 4 sets, signedity 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! f' c1,•.4.'rs 0,5. Energy compliance design and supporting documentation in duplicate. I�r.. w,NE1':'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 -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ . ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon recei t of the following items.) A , LI 4. Fees as shown on the attached Schedule of Fees Due Sheet.... ' 15. Statement of Intent for Non -heated and A/C' Buildings .....:....................................... ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... - ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development abogt ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................'. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. 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: When issued Telephone and hold for pickup. I have been Applicant: ( / -N '`-- items and requirements for obtaining a build'ng permit. Date: � 0 d 3 1. Index permit application Tor 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: ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: _Structural approved by: . Yellow: Building Division Plan Check Letter Date: _Date: Date: Date_ E.H. USE ONLY r., Rat Plan Attachad Plan A� Sent S©nZ to ®.O. • ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A-c-re,4) 03 d Owner Location AP# Plan Approved for: Sewage -Disposal ✓ Water Supply: Public Private Well Clearance for / dwelling. $t#ef —I&ye . final for: ce O.K. for: NOTE: VV l 5-9�J_3 Environm ntal ealth Specia ' Date 8/96 'x - (N) WELL lb \\ \ \\ \ IN. 120 \ \0 p \ \ \ GAL. SE \ \ TANK 'o \0 \ \ \ REPLACEMENT FIELD \ \ \ 252' TOTAL" LINEAR FT. OF LEACH. LOT 45-700 scL. ft. BUILDING 4441 scL. ft. COVERAGE 10.2% GREGORY A. PEITZ ARCHITECT 353 Rio Lind" Ave. Chico, CA. 95926 (510)594-5719 SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. �nvironmentai Health MAY - 5 2003 Chic®, California 3' WIDE LEACH LINE W/ 12" ROCK, TRENCH PROVM 56" MAX 1W uut \ DEPTH. ��d \ p PROPOSED HOUSE 5561 PLAN \ FIN. FLR. EL. \ 215.0' DRIVEWAY C.I-r= =1 bkI I"=40' -O" S 9 9 Y L N 7 G � N LOT 8 LOT TWIN PALMS SUBDIVISION ANDREW MEGHDADI 8 CHICO CALIFORNIA ----.-,- _____ I I 1! 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