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HomeMy WebLinkAbout040-640-036TO: FROM: DATE: INTER -DEPARTMENTAL MEMORANDUM RT 1TT.T)T7qCT T)TVTCTC)N C)RCIVTT T E NVIR. HEALTH, CMCO J a RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:' OWNERNAME: .Ld /LI64kz�k/_AJEPTIC:,�— WEL AN: ��0 `&'f0 — 49.34ADDRESS/LOCATION: CO� Comments: GL/memos/releasehold COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754,�6gI6 NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-640- ZONING _ BUILDING PERMIT OWNER TELEPHONE Sp. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 8 SEGA DRIVE CHICO CA 95926 23,000.00 CONTRACTOR'S NAME ADONIS POOLS 891-1197 TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 234.00 Plan CheckingFee $ 2300 8 SMA DRIVE CHICK) BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT .00 Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ e1 ❑ Utilities ❑ stallation ❑ Ofh Describe Work: GUNITE POOL MASTER 507-01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 1@20.00 PERMIT FEE $35,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service aOOV OR LESS zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i ull force and effect. License Class Lic. No. _ �� Q 3� ER -BUILDER CLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. So 3.5¢FT, RESID.1. MULTI. OUTLET CIRCUITS @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B� x'.50 Ex. OCCU FIXED APPLNs. DR O.RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PnnT. El RM PERMIT FEE $ 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. ❑ 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' Compensation ssuurance car ' a d policy n bar are: Carrier _ � 2 Policy Number - (The above sections need haf b comp) ed 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' compo ation prov' ' section 3700 of the Labor Code, I shall forthwith co with <10 � ��� X Date-�® S ur Icant - ❑ Owner ontractor [I Agent An OSHA permit is required for excevati saver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 00 3CEL MAz• D. FEES IMP FLOOD CDF PARCEL PD HD IS E PO This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. D e Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 BATA SHEET y OWNER: ASSESSOR PARCEL NUMBE / 11 Proposed Building Use: (� f-1 Q (�{ I/I(i Counter Technician: Date: It ems required in order to ply or a per it. All boxes MUST be checked O m ed NA in order to apply. .. Plot plans, 3 or 4 sets, signedty 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. 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. PFlood 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 ................................ 011. Detached Accessory Building Form filled out by the owner............ ❑ 12. Hazardous Material Form ...................................................... ❑ 13. Other Date Received By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. 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�j ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: GhF- (B)Parking: . (C) Parcel Check:___,__) 0— 1 —llv ❑ 20. Contact Land Development about ❑ 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 V Il— W7 and hold for pickup. I have been informed of the abo teems and-eegvirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above datAy ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data;by ❑'phone, ❑ mail, ❑ counteb Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transferby'. Date: Yellow: Building Division E.H. USE ONLY Piot Piea,Anschad _ 'Roar Pial A�j chod Sent to 8.0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Envir ental Health Specialist Date 8/96 Feb 01 02 08:13a P. 1'... COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 2/96),' APPLICATION AND PERMIT ASSESSORPARCELNUMBER /y,0 _ - z .� BUILDING PERMIT °N"ER �!n In l i�"EI Z SO. FT. OCC. BUILDING VALU ION .23 owNER �ADDREss 1�---- �o _C 5 — CONTRACT 'S ,(yam , cGNrRncrQs MAIuUr11�1U-,1sovi- tt-6 S173 --- CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ _ C-- ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ _20.00 c—,mac-), ARCHITECT OR ENGINEERS MAILING ADDRESS -, Plan Checkin Fee $ __UI_,,.._ BLOING ADORESS C` Energy Plan Checking Fee $ -- -Z tA) i N b-4 Z,j1S S 0 $ PERMIT FEE LOT No. y SUBDIVISIONS NAME )55-,3� 3Q J PARCELMAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTR SF ❑ Duplex ❑ Mobilehome D Other CTUCRF sPezlry Each Trap7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: jj� ,1 L4 (I ( 1 `-' vv Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home S G W (920.00 PERMIT FEE S (� ELECTRICAL PERMIT Filing Fee 20.00 0V OR LE Main Service 300AORLEN 23.00 x� (� t C> �y j v tea+ OPERMIT FEE PAXb S.� SHERIFF 0d1r1 ��^ AMOVNT RECE Mb ; _ C)� �p Win Service SODA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. 6 ACC. BLDS. 90. 3.5QF7. NOH•RFS1D. MULTI.OUTLET RANCH Q7.50; POWER APPARATUS 6 SINGLE OUTLET CIR. ---. I Ex. OCCU OUTLET OR FDLTURES _ to p i.00 SAL ,50 FUL U APRESID OR 6L. Occu . OFLXED ESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring,23.00 2t w - PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 ; Ventilation PERMIT FEE S , Mobile Home Installation Fee _$ Energy Inspection Fee b * "iD tp OCC CONST. TYPE TOT L FEE $ * HAZ• D. FEES P FL C P EL I HD E To ie Pir ngro comm . This permit is hereby Issued under the applicable pYovrsrdns' of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ere -' t NOTES -Iry,4M 4'vrLf ) ( f RESIDENTIAL 040-640-036 _- + Y03-0814 PERMIT NO. METADI, ANDREW SEGA, CHICO NEW SINGLE FAMILY -#97-38 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER } �. OFFICE COPY Address GAS -b Meter By Date r ELECTRIC Meter By Date`Z/S r (II JOB FINALED (Date) •' b • 0 1 }ll Signature — ya SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER } �. OFFICE COPY Address GAS -b Meter By Date r ELECTRIC Meter By Date`Z/S r (II JOB FINALED (Date) •' b • 0 1 }ll Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH SupportSketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / . /'Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Zoning Requirements -Setbacks -Easements 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 8. 6. Water; MH Test -Regulator -Connector 9. 7. Water and Sewer Connected -C/O to Grade -HD Approval 10. 8. Gas and Electricity Tagged 11. 9. Tie Downs -Type -Installation Cert. 12. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking - 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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=OK 0 = Not = NotAApplicable RESIDENTIAL (Single & Duplex) p . = Not Ready Z Date UNDE OOR (Plans) OK except #'s p -Setbacks-Easements-Flood-Slope g. Main; Soils-Elec. Grnd.-/ c /" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd. j ;;_/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls Main; Steel-Blockouts-Wrapped 6. SXmvjdls, Garage; Steel-Blockouts-Wrapped Downs and Special Anchors lab, St el -Wrapped 8. Pi - ireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation /7 Date PLUM NG (P€rmit OK except #'s 1,7 ater tr.; Vent -Access -Combustion Air Baffle 1 r Pipe; Test & Anchor -Nail Protection 1 V.; Test Fittings & Anchor -Nail Protection �cShowe Pan; Test, First Floor -Tub Access 21. Tes ub & Shower, Second Floor -Tub Access 22,6�as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date ELECTL (Permit) OK except #'s 2%F!-FiXrp Transformer Clearance -Ins. Protection. 25. e . Receptacles SDacino-Liahts & Switches at Doors 26 --Si o es & No. of Conductors Stapled o x nstalled Close to Edge of Studs & C.J. 2 . . Ground made up w/Mech Fasteners -Bond Gas & Water 29—I'Appliance Circuits in Kitchen & Conductor Size GFI 30. S eed Wire Size/ /gaLCu or AI-A.C. Wire Size//, /gdgJ or Al ange Circle/ to /ga C' or AI -Oven Circ. / /ga Cu or Al Ins lated Neutral O Yes O No 3 e ice -Riser Conductors & Ground Main Disconnect 33.AW. Plearances Panels-Motors-Mech. Equip. 3 'o s Closet Light -Shower Light -Spa Light 3 moke Detector Date 4 Card B-1 Date Card B-1 Date ing: Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s ig,Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51 - A.C. ucts Insulation & Support 52. 3 Fan, Exhaust above insulation Pro erty Line Firewall & Openings "%_,-'og06qsrate Drain & Overflow, Size & Grade 55. 3 r ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Plywood on Dodf Overhang -Attic Vents -Rafter Outriggers F 4D,Atfic, Access & Platform if Furnace in Attic Date 5 . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM (Permit) OK except #'s 41. Sit Proper Materials & Anchors 42. Is Studs -Nailing Spacing & Braces -Plates -Sound 43. a ring Walls over Girders & Floor Nailing 44. rpift Stop in Walls (rat proof) 45.Ire�Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. aders & Beams -Size & Bearing Date FRAMING'(Continued) 4 a ers-Post Caps -Anchors -Connectors 4 ing: Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49.. Ire lace Ties or Type A Flue -Fireplace Throat Clearance 50._ ig,Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51 - dr, r Windows or Exiting Doors -Sill Ht. & Dimensions 52. arage Fire Protection Framing -RC Channel 53. Pro erty Line Firewall & Openings 5 xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. S ' s; Width -Headroom -Rise -Run -Landing -Fire Protection 5 . Plywood on Dodf Overhang -Attic Vents -Rafter Outriggers F 7. S' g- Ing Veneer r Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 . Ino Area -Glass Protection-Skvliohts-Plastic Wall Panels 637 Infiltration -Wal W' ows Date - G Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date FINA fans) OK excent #'s 6k! teps-Door & Sidelight Protection -Landings oke Detector Fu ace Vents -clearance -Comb, Air-Connector- r2arage; Above Floor-Ducts-Mech. Protection W G.FJ. & Bath Fixtures & Tub Access -Spa / S.qooSTec. Trim & Subpanel, Breaker Sizes & Labels %airs & Rails Fireplace or Stove, Clearance -Hearth 4 ec. Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 c. Outlets & Receptacles at Kit. Counter G age Fire Door; Swing -Landing -Closure ,7&. AfC. Duct in Garaae-Damper i ara e; Above Floor-Mech. Protection 7!!!,%., Elec. & Mech. Equip. Listed for Location Receptacles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic $1- Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth earance Looked undVFloor O Yes F ing Instid./Drive Ctres O NoMalks O Yes O No/Planters O Yes O No sD cco Brown -Finish Ag. Unit Disconnect, Electrical -Plumbing Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8<'Waser Well, Disconnect, Electrical, Plumbing 8 . rior Elec. Trim, G.F.I. Receptacle -Underground V tilation Throughout House ss Protection Cwr6ctions from Previous Inspections Test -Meters Tagged, Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval . E rgy Compliance Certificate -Other Certificates 9610'Address Posted -9&. Fire Sprinkl r DatC), 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: .., f; ._ _ _. _. •. -v -. .-. r,. ...: r mss•--nv _ v ..: i.yr�.....-x ;,' j COUNTY OF BUTTE .. ..... ..... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t,,.Ar�v^�aryTh.{r.r.a r: ar.¢ zs.x.+. r-m..c.-.-�r.�►v�i w -.Fq: at�'c[ -wl... COUNTY OF BUTTE BUILDING DIVISION . r; DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville-CA • (530) 538-7541 CORRECTION NOTICE OWNER f 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. I SrrMs. M —Tri►+ '.'}6�T +srsYeoP�q COUNTY OF BUTTE .. . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA'* (530) 891-2751 i'. 7 County Center Drive - Oroville,-CA - (530) 538-7541 CORRECTION NOTICE PERMIT 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. ji,you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. 13 d C%� iv n aZ2Z� Date / — ii / Inspector REV 10/92 �Y- � ^ - • •• •• 'v^� COUNTY OF BUTTE��� -� _ BUILDING DIVISION w DEPARTMENT OF DEVELOPMENT SERVICES �? 411 Main Street • Chico, CA • (530) 891-2751 ,• 7 County Center Drive • Oroville, CA • (530) 538 -75413th CORRECTION NOTICE r 4 /y 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, t�A please contact. this office immediately., /til O L i� O 117 %� ��� f • bJ/%/z0 Yb/ il- �' i M -Z �"s3.^ �.+r-^- R � .�r�R.-�.v�+..s.+•r+ � i.tm••. ly,�ip:�i•,t+t �•'+�'y'+'r'�-: r•..r r ?S irr�, C.QUNTY OF BUTTE :, ; .� ar:;K I ILDING DIVISION. , ; DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541; CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, , please contact this office immediately. i � 11V y�y�Cr %a lacr o vel Datey [/ Inspector �• REV . . . . . . . . . . . . . . . . . .; i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD NG DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 38-7541(Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-640-036 ZONING qR_J BUILDING PERMIT OWNER MUD ANDREW TELEPHONE SO. FT, OCC. BUILDING VALUATION .OWNERS MARJNG ADDRESS- -5189 3110 SHADY CONTRACTOR'S NAMECHiGOTELEPHONE CA 95973 owmm 2550 R 137 100. 958 U 17 244. 274 COV 3,562. CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace "All 500. Total Valuation Is 160 000. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 853.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 8 SEGA A DRIVE CHICO Energy Plan Checking Fee $ PERMIT FEE $ 896.00 LOT NO.I 1 SUBDIVISIONS NAME C lkylsJPLUMBING PARCEL MAP PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )D( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 98.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Newer Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PLAN #97-38 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 4 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 800VOR LESS Main Service A 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 license is in full force and effect. / License Class 13 Lic. No. lOcS _ (O Z OWNER -BUILDER DECLARATION I 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. 14-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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLD.. SO 3.50FT; r,Dµq�ID. AAICHO RCUFTS T @7,50 POWER APPARATUS 8 SINGLE OLTILET CIR. EX. OCCU OLTTLEi OR FDCTUREs B00 AL S 1.50 Ex. Occup. ouTLFIXEEDrs AE�sIDJOE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. R� 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' co^� pensation insurance carrier and policy number are: Carrier S �-L... e F14 I,. Policy Number 1 I J -12'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 Date 3- 2 -`i -o 3 Signature of Appli t - ❑ O er ❑ Contractor ILAgent An OSHA permit is required fore cavations over 5'0" deep and demolition or construction,' of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 2500 Hood 6.50 Ventilation 3 4.50 13 .50 :d PERMIT FEIE $ 89-00 Mobile Home Installation Fee $ Energy Inspection Fee $ 6 D ccVUTOTAL FEE $ 1.371.01 HAZ. D. EES IMP FLOOD CDF PAR PD/HD IS Th*rsreby . ued under the applicable ounty ode and/or Resolutions 1nfor ihfees have been By /✓`' Date PERMIT EXPIRES ON � Q provisions to do work paid. 149,3 !e Receipt No. R f%D WHITE-D.D.S.- A b PINK -INSPECTOR G DENROD-APPLICANT jV� r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT. APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: �, Date: Ites required in order to apply for a permit. All boxes MUST be checked O arked NA in order to apply. *2.' . Plot plans, 3 or 4 sets, signedity the preparer of the plans. Complete plans, 3 or 4 sets, signed by the l reparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation 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 Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings......................................................:.. Detached Accessory Building Form filled out by the owner ..................................... Hazardous Material Form............................................................................... Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 014. Fees as shown on the attached Schedule of Fees Due Sheet ..................................... ­ Q,V 5. Statement of Intent for Non -heated and A/C Buildings...............................1 16. Sanitation and' lot lana royal from the Environmental Health Department in nice` M ' ❑ 17. City of Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ...................... w ❑ 19. Planning approval for (A) Use: .t9 k (B)Parking• (C) Parcel Check: Zai C 20. 22. ❑ 23. ❑ 24. ❑ 25. 2 ❑ 28. ❑ 29. ❑ 30. . Contact Land Development about ❑Improvements, ❑Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance ...................................... " ,..................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Tile/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Da 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by CQ phone, ❑ mail, ❑ couDate: nter Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: +.-. V,11-- Ruilriino rli.ri6n., Plan Check Letter %,.s - f -t Pio R04 5®n v =i n/� TO: Building Department p�' V FROM: Environmental Health SUBJECT: Sanitation Clearance !/ •wner C."- &I Location•' Plan Approved for: Sewage Disposal Clearance for - dwelling. Other O.K. O.K. for: v ' " NOTE: Supply: Public Private Well -v/'- Environ ental ealth Specialist Date 8/96 G� �� D COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER /. U PROP SED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ........ ....$ 2. SCHOO ISTRICT FE--E�� II-- 0 (paid at '0 c ailatt r 3. SHE RIF EES (paid at Building Division) Residential ...................... x $360.00 = $M :0' Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. �y 4. URBAN AREA FEES (paid atBuil ing Division) Residential ...................I x = $� # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Am 5. RECTIONAL DIS RICT EES (paid s ' t (Ale f 7� 666666 UUUUUU 6. THE LTO DR IAINAGE 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 A.P. # '7 J� ��✓��� DATE RECEIPT # DATE REC. 9�4a-o3 7 rpi 37("ti-/i9 .s-9� 7-P 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. n92000YM11 DATE 3- 2-� -03 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. 6/00) Ap 1 }x O f BUTTS COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Numbtr (s ) �/J �b Property Owner. Project Locatic Subdivision L Residential Development: (check one) New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units / 16. Comment: Building Departfnent Representative // Date Chico Area Recreation and Park District(CARD) certifies that (Applicant Name (Phone Number) 3 00 Shod-, C (Street. Address CA S7 (City). (State) (Zip Code)' has -complied with the requirements of Butte Co. Resolution No. 90-1l440 by payment for dwelling -units @ $1;189 for total payment of $ %6G / CARD Representatilk Date PAID BY CHECK NO, REMARKS: BANK N0. U ' YO /J PAID BY CASH ` RECEIPT N0. Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co.•Building Dept'. Goldenrod= -City of Chico Building Dept. �' �i e k✓L:3� School District A.P. Number (/ Property Owner Property Location/ Subdivision , M I Y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. County ................................................................................................................., Residential Development Sq . Footage No of Living Mobile Home Addition *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); Sq. Footage (Including Exterior oofed Areas) ,5-2,44--t�3 Date jrioor rians reviewea oy acnooi uisinct rersonneq District Identification No. 0 20 7C U School District certifies that (Applicant) gq3- (Street, Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. CJ 7` �--- by payment of $ -5y 5 representing square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # - Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with . 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 Environmental 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.xis (10/98)dmm R01 w- vd I/ sages 5' WIDE LEACH LINE W/ 12" ROCK, TRENCH 56" MAX DEPTH.-----\ GONG. DRIVE REPLACEMENT LEACH PLANNING DIVISION- BUILDING PLAN APPROVAL Use: I� Date: 3—Z�f� Parking:._ Landscraong:® Other - (N) 6AL. 5EPTIGI 1 JJ "IM1VT TANK �. SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM 51-06. �% J AND PROPERTY LINES, TYP. � 9 L � N ti LOT 45611 sq,.. ft. BUILDING 5782 sq,. ft. COVERAGE C1.0% 51 TE PLAN Q�) -�- / I a =504-016 LOT 14 GREGORY A. P E I T Z TWIN PALMS SUBDMSION ARCHITECT for. 383 RI.Linda Ave..Qdeo,CAL 9596 930)594-3719 ANDREW MEGHDADI CHICO CALIFORNIA -71 Z 10 Z abed WN 91:8V01 :aw!1 £OOZ/9Z/£ :oleo fuel :ol Xing Rpnjl:waj 5' WIDE LEACH LINE N/12" ROCK (N) PLANNING DIVISION• BUILDING PLAN APPROVAL j Use: O K Date: T-2� � . Parking: Landscaping: Other• Signature: TRENCH 56" MAX DEPTH. \ GONG. DRIVE � � 3 '• ice/ \ % / ORGH G Srj o f REPLACEMENT LEACH SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM SLD6. AND PROPERTY LINES, TYP. LOT 43641-1 sq,.. ft. BUILDING 3-782 sq,. f t. GOVERAOE q.O% IGJi 1 V 1r,v LINEAR FT. OF LEACH. KIM1200 • 6AL. SEPTIC TANK l� N 517r: PLAN Q,) 10=501-011 LOT 14 LOT GREGORY A. P E I T Z TWIN PALMS SUBDIVISION • ARCHITECT Jfor. 1 393 Rio Undo Ave.CM=.CA.9l926 030)994.6719 ANDREW MEGHDADI 1 4 CHICO CALIFORNIA Z jo Z abed WV 9i:gb:0i 'Mull cool/9Z/c :oleo tijel :ol ting Rpnil :wa j A PA"FA,v- Certificate of Conforman('e, Certificate 052736 THIS IS TO CERTIFY that the glued laminated timber products identified with a collo:., ���e mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applica;ir 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 k- �V 431-i). .i,o:T 14 T wtAl PA4MS IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated firs be- 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 insp:>ction of the manufacturing ,process and evaluation of the in -plant QA program with adequate sampling to verify coniormance to industry standards for lumber grade and giueline bond quality. -2qF 1/4 ®,-10 3 3 /&.-7 S- i6.3 by Thomas G. Williamsci, Executive Vice Presiii(.,!)t ENCwFERED $100D SYSTEms,.% s relsleo CorPrnaIrot- of APA - TryL" F_ 1OGfivE£AED WOOD ASSOC(A710n• 7011Soutn lglh S11e[+1 -P.O. 80>: 11700. 1scomt,., VOA g8411.07b0 711QphOne: (253) 56ti-8000 - Fa>• Number. (253) SG5 7285 r� CertainTeed) C Builders Statement • InsulSafe°4 - • Fiber Glass Blowing Insulation ffi,Q_ Homeowner Njme / Jobsite Name /"o e Address S 03 staller/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. fL 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: On.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181h 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 10'/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 1 0.209 51h 11 6.6 151 1 0.179 1 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 311 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 ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS 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 311 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 ©2002 CertainTeed Corporation 11/02 5' WIDE LEACH (N) WELL LINE W/ 12" ROCK, •, TRENCH 36" MAX DEPTH. 0000<1 PROPOSM HOUSE Z •' / / 2550 PLAN / FIN. FLP, I.FLP EL. GONG. DRIVE / / PORCH0. 9 �S L O ' o REPLACEMENT LEACH LOT BUILDING COVERAGE SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. ,252' TOTAL LINEAR FT. OF LEACH. MIN. 1200 GAL. SEPTIC TANK ENVIRONMENTAL HEALTH MAR 2 12003 CHICO, CALIFORNIA N 43611-1 sq,. ft. SITE PLAN 3-782 sq. f t. 111=501-011 11.00 LOT 14 LOT GREGORY A. P E I T Z TWIN PALMS SUBDIVISION ARCHITECT for: 1 393 Rio Lindo Ave. Chico, CA. 95926 (530) 11911.5719 ANDREW MEGHDADI 1 CHICO CALIFORNIA •,a, —1 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530 538-7157 Ext. 2016 Permit Number Distric�� APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly ted. 1. Applicant's ame , u la. CompanyName. �C - p 2. Address: / -rq % 3 3. Phone: 3 \ 3 + Q l o O 4. Assessors Parcel Number: n 5. Location of Work to be Done (� t ^"-.) ( /J (�)A-` v 6. Applicant's ' atu 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name� © � \ 9. Address 10. Phone:S� Q r �T I –1�� 11. Fax:.. Z.- 12. Contractor's License 14umbe . / O f2S(p �' 13. Certificate of Insurance: yes 1:1 No: ❑ 14. Contractor's Sign n 14a. Date Signed:�- 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: , Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): zt 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions Undetground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. ;K All work shall conform to accompanying: Detail V Plans ❑ Special Conditions ❑ 21. Date Issued / a n S d �c�l 22. Expiration Date: /O �3 "? div 23 Surety.A Lv Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to on Page 1 of 2 General Conditions – See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. Al excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. a The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. Al installations, parallel with roadway, shall be placed as dose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2') of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 'Ag t 1 -- NIIIlIIIIIIIIIIIIIIINIIIIIiIIIII AND WHEN RECORDED MAIL TO: a ON GD 2 BUTTE COUNTY BUILDING DIVISION , 7 COUNTY CENTER DRIVE Recorded i REC FEE ifs. 0 Official Records i OROVILLE, CA 95965 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Barbara . 12:33PM 23 -Oct -2002 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: * TBIS DOCUMENT IS BEING RECORDED TO CORRECT THE LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002-0045904, RECORDED SEPTEMBER 4, 2002, IN BUT'T'E COUNTY, CA.. Date 10/23/02 PROPERTY OWNERS: ANDREW State of California County of Butte On 10/23, 2002 before me, J. TUNISON, NOTARY personally appeared ANDREW' MEGHDADI 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 signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an fficial seal. Seal: J. TUNISO COMM. 91234S72 NOTARY PUBLCCALIFORNIA /J () A.P. # BUTTE COUNTY MY COMM. EXPIRES SEPT. 18, 2003 . �•r�+ rs-tom•,-v`�°c. , L EXHIBIT "ONE" PARCEL I: Order No. 202500 - C Lots 1 thru 24, inclusive and Remainder Land, 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. PARCEL II: 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 j SITE PLAN RE VIEW APPLICATION Date: j(-6 AP# Permit Number (if applicable) • APPLICANT INFORMATION . Parcel Size: Owners Name: --------------- Owners Address: Telephone No.: Situs Address: y i A7— , f i Proposed Use• Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Single Family Remodel ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Mimie) ❑ Temporary Travel Trailer ❑ Multi -family • Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Commercial Remodel ❑ Industrial Addition ❑ Industrial Remodel Other &" Septic ❑ Agricultural Exempt Building ❑well ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE Sm DEE,LOp1lIENrSERT�ICESINFO�A.TION (For Staff Use 0 Approved Conditionally Approved e rior to ppro • ❑ Site Plan Stamped Approved • By Date Page 1 of 5 4^ ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • ❑ Land Conservation Act Minimum Acreage: ED Nitrate Action Plan (See Environmental Health for standards Verify residence can be built per contract ❑❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation designrequired) 11 SPA - (CDF to determine specific requirements)q ed) El100-Year Flood Plain: (See attached) • Flood Zone: _� • Flood Panel No.: 6 S1 d C, T-dexDate: ]] Sacramento River Reclamation District (Approval must be obtained from tl alif0r ]Feather River Reclamation District (Approval must be obtained from the California Reelame ation Boa Board) ]North Chico Specific Plan (See Development Fees Section and attached standards and r ufrtion Board) Chapman/Mulberry (See attached standards and re eq ements) Cohasset Area (See attached standards and quirts). ) Grading Zone (See attached handout) requirements). Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Minor Variance ❑ Variance ❑ Administrative Permit ❑ Detached Building Use Form ❑ Agricultural Worker Affidavit El Encroachment Permit ❑ Agricultural Acknowledgement Statement • Zoning: Applicable Building Setbacks: Zoning Code Streets & Highways Fire Pre Front a Side Side Street O L Rear Height Waterway N/A N/A N/A Subdivision ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development. Fees: Standard Fees Amount Formula ❑ Fire • ❑ School* - ------- El Parks/Recreation ❑ Roads ---- ❑ Sheriff ❑ Drainage —_ ❑ NCSP/CSA 87 ------ ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ~ ~-------------------------------------------------______---------------- ❑ Water Tender 0 -Road Improvement --- ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify, actual fee if pre -application review. A final determination will be made at the time of the building permit Parcel Created By • ❑ Deeds: Date of Creation: Legal Access Provided: Deed of Reference: ❑ No ❑yes Parcel Frontage on Publicly Maintained Road: Legal Access Required ❑ No ❑ yes Complies with County Standards for Deed Creation:[] No ❑ yeSYes, Road Name: Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal parcel ❑ Verify Legal Access ❑ Obtain a Certificate of Compliance ❑provide Deed of Creation ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance ❑Construct road to: (Maps recorded prior to Book 17 of Maps page 23). ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements , Page 3 of 5 Subdivision Man/Parcel Man: � �� � v Map Date of Recording: 10-1—o/2— Lot: C_i_o/2— Lot: 1 ❑ Use Permit/Minor Use Permit Permit Number: M Book: 1 S Page:3� 3 • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions Comply with the following Conditions of Approval: 1 ❑ Meet the Fire Safe Regulations of Butte County and P.RC. 4290 . ❑ Automatic fire suppression sprinkler systems National Fire Protection Association Standard forte' be ��� in accordance with the and two family dwellingsinstallation .1 sprinkler systems in one and mobile homes, NFPA Standard 13D community water system, with hydrants that meet the Fire Department ' gess a pressurized the parcel. specifications, serves ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to requirements of the California Clean Air Act of 1988, as amended, meet the emission ❑ Provide an erosion control plan for building and land disturbance must be Prepared by a registered civil engineer The Erosion Control P� submitted to and approved by the De weer of other qualified professional and be . Department of Public DVorks. ❑ In lieu of a pressurized water system or water storage Battalion Water Tender Fund may. be required, g payment into the appropriate ❑ Measures shall be taken to control fugitive dust emissions from and other civil construction associated with residential development. Approved au�st control measures are found in the fugitive dust control plan for the site Management District, a copy of which can be obtained from the Butte Cooapproved by the Butte Courn tDepartment Quality of Development Services, Building Division." . ty pa tment ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El Page 4 of 5 CGti r=c> 2a�n+a��'L� L•.: i T 1-4 SvIA '�� // 2 A ITIONAL INFORMATION SHEET BUILDING SETBACK LINES ARE AS SHOWN OF MAP kND AS FOLLOWS: -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. 10.00' P.S LOT 6 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 06007C 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. 34 AM P 0.3ZI���/// =ai MC _ iF.fIIVISI0N\dwu\SINAL M'`F 5-20-02M 08:09/0' 08:08: c --7 CONSTRU SPE I AT 7 i4 ON t, 1 -;EXCW tOECIPICATI ANK 'ON AND FLA ',��'�Pevimeter FL on'Job Slle�,­ '.iZ- teft" hallow ON A ra 4'. perrioved by. 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