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040-640-040
NOTES f i RESIDENTIAL (f4-3 ;PERMIT N0. _040=640-040`.: 6 VIALE, MICHAEL 16 PHENDIX DR, CHICO CONT: HILL & ASSOC NEW PRI DET GARAGE SPECIAL CONDITIONS CHECKED BY: SRA FLOOD CERTIFICATE REQ. - FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY +" '•. USE PERMIT CONDITIONS.'. -< SUB -STANDARD HOUSING LETTER i`l Id '3 f JOB FINALED (Date) r Signature C NTLc/z 1 COUNTY OF BUTTE A BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER 4 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above,address and should be corrected." Please call for re -inspection when correction of t work is completed. If you have any questions pertaining to this matter, or -need additional explanation, please contact the Building Inspector as indicated below. V e.1 9 { �'f x Date ��J Inspector �� �� / �! 1-R n q� I .ter REV 4/05 Phone # .Al FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t A COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541, CORRECTION NOTICE == S�v OWNER PERMIT NO.. A routine inspection indicates that the followifn%-' violations of Butte County Ordinances exist at ^r the above address and should be corrected. Please call for re inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. , Date ( 773 _0 Inspector 7 r'',,% -j �>P A_ REV 4/05 Phone # .x FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' �z i l •t 9 . I 1 , s r' i Butte County Department of Development Services. eu' re, FR6a IN O T E S 7 County Center Drive, Oroville, CA 95965 : c ' (530) 538-7601 vnvev.buttEeoimty neVdds �uwY RESIDENTIAL AP N: Permit No. Owner. 040-640-040 06-0523 VIALE, MICHAEL Site Address: 16 PHENDIX DR, CHICO i CONT: KEN YOUNG r� ,r Contractor. TRANSFER 04-3568 Type of Permit: - — --- - v� 3 COY SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE El 77 DATE JOB FINALED: _ �` SIGNATURE: r 4 SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE El 77 DATE JOB FINALED: _ �` SIGNATURE: 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. BP060523 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 Issued Date: 03/07/2006 APN: 040-640-040-000 the Business and Professions Code, and my license is in full force and effect. 7 License Class: License Number: Site Address: 16 PHENDX DR CHI /� Date: " 7'�G Contractor: l�[! ' V2 r e,Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: transfer permit# 04-3568 to new contractor Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: VIALE MICHAEL & SHEILA to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 16 PHENDX DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928-9648 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7.031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: KEN YOUNG GENERAL CONTRACTOR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P O BOX 157 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose.of PARADISE, CA 95969 sale.). (530) 873-2701 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: KEN YOUNG GENERAL CONTRACTOR ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: P O BOX 157 PARADISE, CA 95969 WORKERS' COMPENSATION DECLARATION (530) 873-2701 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 License #: 383479 Labor Code, for.the performance of the work for which this permit is issued. . have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: + (,Ll>/®" 75 Policy #: 1 ❑ I certify that in the performance of the work for which this permit.1s Total Square Ft: 0 S. F. "/ issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: F ' re to s r workers' co pens on coverage is unlawful, and s all subje a employer to im• penalties and one hundred thousand do rs ($100,000), in ddition to the cost of compensation, dama s s provided for in Section 3706 of the Labor code, interest, and at ey's fees. CONSTRUCTION LENDING AGENCY This per is hereissued un r the app ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol ons to ork fi7 to above f hich fees have beenaid. p performance of the work for which this permit is issued (Sec 3097.Civ.) %"-77 V By:. Dater Name: PERMIT EXPIRES ON: Address: ; (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections'25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that.the above information is correct, and that I am the owner or the duly authorized agent -of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official d of Butte County. I hereby authorize representatives of Butte County upon the above mentioned property for inspection purpo 'to/enter Print Name: 1 r�/�N� Signature: Date: ❑ Owner AConlractor ❑ Agentor O/ner ZI ❑ Agent for Contractor B. C. Building Permit 01-15-04 pg 1 OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Suppoit Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH CntntyTest-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade • 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S'C O V E R S`C A R P O RTS `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls c DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp wl5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboardsdnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing Alarms 13 Bonding, Diving board or Slide 41. �. o' i Pool Drawing r ' = OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE IPLUMBING - 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Fig Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Fig Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders -S ills-Anchr Bolts,)oists-Vnts-Crippies 15 Acc & Vntltn 16. Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-LLs & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga D CU or DAL AC Wire Sz sra ❑ CU or DAL 48 Range Circ , El cu or DAL Oven Circ ga ❑ CU or D AL Insulated Neutral D Yes []No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & OvrfIw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic A �C Oqa O O' 0 FINAL 66 Ext Steps -Door & Sidelt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge'& Wood -Earth 86 Clrnc Drnge Planters F ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb _ 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netlidds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class: _ �_ License Number: %7 �rj Date: ( 26. d (__ Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a permit to construct, alter, improve, demolish; or repair any structure. prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuanl.lo the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): PERMIT NO. BP043568 Issued Date: APN: 040-640-040-000 Site Address: 16 PHENDX DR CHI Map Index: Description: Detached Garage w/ bath 912 sq. ft. Owner: VIALE MICHAEL & SHEILA ��rrt2 16 PHENDX DR CHICO, CA 3 95928-9648 V ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Applicant: VIALE MICHAEL & SHEILA Intended or offered for sale (Sec. 7044, Business and Professions pp Code: The Contractors' State License Law does not apply to an Z2� owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, /�1P► provided that such Improvements are not Intended or offered for `1 o�8101, sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of��(•�- proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons 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 pursuant to the Contractors' Stale License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 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 J Is Issued. e I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. Policy #: O 1 certify that in the performance of the work for which this permit Isl Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,'. and agree that if I should become subject to the workers" N compensation provisions of Section 3700 of the Labor Code, I shalli forthwith -comply with those provisions. Date: I txe I J Applicant: WARNJUG. 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. UONZ) fRUCTiON LENDING AGENCY - — - I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Clv.) Name: Contractor: . 199, � STA VE ,538=83'r-4280 LJ:"@Srtfmeet- _f License #: 377409 r Architect: Engineer: Total Square Ft: 912 S.F. Valuation: $21,888.00 Census. Code: n..1• Iauy-mbuteu unud appiiGnhio p.uvlstona of the Butte Cnunty-Gnda 2nrt/or nn o do work Indlcate �abqe for which fees have been paid. //,& Date:~OF� PERMIT EXPIRES ON: Address: ❑ 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 & Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that'l am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge Ills unlawful to alter the substance of any o Ictal form or document of Butte County. thereby authorize repres tatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: 8kLL1 'd¢�KJh*-r Signature: Date: GO Z ❑ Owner 0 Contractor @-Ogg—ent for Owner Agent for Contractor 7 J=OK 0 = Not OK- + = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG ' 7. Well Clearance & Disconnect Date 8. Utility Clearance ng Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Date Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 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 4 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy 1. Setbacks -Easements 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 ' ISCELLANgWS Date DECKY, COVERS, CARPORTS, RAG fans) OK except #'s ng Requirements -Setbacks -Easements ootings; 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. ports; Windows -Doors Electric 8. Fr9g.; Sills-Anchors-Studs-Rftrs-Trusses g,00Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Vaced Wall Panels G (/y 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 OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Garage Fire Protection Framing -RC Channel 1. Zoning -Setbacks -Easements -Flood -Slope Property Line Firewall & Openings 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped 57. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 58. 6a. Hold Downs and Special Anchors 59. Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Insulation -Walls -Ceilings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 64. 15. Access & Ventilation 65. 16. Insulation 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date Bedroom Exiting Card B-1 Date Card B-1 Date G.F.I. & Bath Fixtures & Tub Access -Spa 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 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Insulation -Foam -Looked in Attic 24. Fixture & Transformer Clearance -Ins. Protection Guard Rails & Deck Construction -Post Caps 25. Elec. Receptacles Spacing -Lights & Switches at Doors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 26. Size Boxes & No. of Conductors Stapled Clearance Looked under Floor ❑ Yes 27. Romex Installed Close to Edge of Studs & C.J. Following Instld./Drive O Yes D No/Walks O Yes O No/Planters O Yes O No 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Stucco Brown -Finish 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI A.C. Unit Disconnect, Electrical -Plumbing 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Water Well, Disconnect, Electrical, Plumbing 32. Service -Riser Conductors & Ground Main Disconnect Exterior Elec. Trim, G.F.I. Receptacle -Underground 33. Equip. Clearances Panels-Motors-Mech. Equip. Ventilation Throughout House 34. Clothes Closet Light -Shower Light -Spa Light Glass Protection 35. Smoke Detector Corrections from Previous Inspections 92. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 95. 36. A.C. Ducts Insulation & Support 96. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes D No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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: BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP060523 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/07/2006 APN: 040-640-040-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 16 PHENDX DR CHI �j� Date: ^% Contractor: Aic / l Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: transfer permit# 04-3568 to new contractor Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: VIALS MICHAEL &SHEILA to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 16 PHENDX DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928-9648 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: KEN YOUNG GENERAL CONTRACTOR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P O BOX 157 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of PARADISE, CA 95969 sale.). .(530) 873-2701 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: KEN YOUNG GENERAL CONTRACTOR ❑ 1 am Exempt under Article 3 of the Business and Professions Code �• Date: Owner: P O BOX 157 PARADISE, CA 95969 WORKERS' COMPENSATION DECLARATION (530) 873-2701 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' Compensation, as provided for by Section 3700 of the License #: 383479 Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy#: ❑ 1 certify that in the performance of the work for which this permit.is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3-7— 45116 Date: Applicant: ' WARNING: F pens on coverage is re to se r workers'Addition unlawful, and s all subje a employer t' penalties and one hundred thousand do rs ($100,000), to the cost of compensation, dama s s provided for in Section 3706 of the Labor code, interest, and at ey's fees. CONSTRUCTION LENDING AGENCY This peris here issued unor the app' ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol .ons to f hich fees have been paid. ?_76to above performance of the work for which this permit is issued (Sec 3097 Civ.) BY: Date:`�� Name: PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official d of Butte County. I hereby authorize representatives of Butte County upon the above mentioned property for inspection purpo `to/enter Print Name: NC\ Signature: d! Date: ❑ owner Contractor ❑ Agent r O ner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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. BP060195 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 Issued Date: APN: 040-640-040-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 16 PHENDX DR CHI Date: Contractor: Map Index: Description: PERMIT TO REPLACE 04-3568- NEW p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the CONTRACTOR Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for -such permit to file a Owner: VIALE MICHAEL & SHEILA signed statement that he or she is licensed pursuant to the provisions of 16 PHENDX DR 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 95928-9648 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).): ❑ 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: KEN YOUNG GENERAL CONTRACTOR such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of P O BOX 157 proving that he or she did_ not build or improve for the purpose of PARADISE, CA 95969 sale.). (530) 873-2701 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: KEN YOUNG GENERAL CONTRACTOR ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: owner: P O BOX 157 PARADISE, CA 95969 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 873-2701 ❑ 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 License #: 383479 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �J�� bC FAX 5 10 U(245(0 MICHAEL L. VIALE, DOS JFAMILY- DENT18TRY vv Cobblesto®e Court - 6585 Clark Rd., Ste. 420.'# Pipra4lsej CA 95969- (530) 872-5233 'V- 441 i1q, c/ dA L "WN 4' 11 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. BP043568 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. l LICENSED CONTRACTORS DECLARATION I herebya irm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/26/2005 APN: 040-640-040-000 the Business an Professions Code, and my license is in full force and effect. �Q License Class : License Number: L Site Address: 16/PHNDX DR CHI . Date: ��mctor: SCC—/l/ [/Gl C7 � Map Index: Description: Detached Garage w/ bath 912 sq. ft. OWNER-BUI ER DECLARATION I hereby affirm under penalty o erjury that I am exempt from the Contractors' State License Law for a following reason (Sec. 7031.5 Business and Professions Code: Any ity or county which requires a OwneVIALS MICHAEL &SHEILA permit to construct, alter, improve, demoli or repair any structure, prior to its issuance, also requires the applica for such permit to file a 16 PHENDX DR signed statement that he or she is licensed pu uant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 c mencing with Section 7000) of Division 3 of the Business and Profession Code) or that he or 95928-9648 she is exempt therefrom and the basis for the allege exemption. Any violation of Section 7031.5 by any applicant for a pe it subjects the applicant to a civil penalty of not more than five hundred do rs ($500).): ❑ I, as owner of the property, or my employees with wages s their sole compensation, will do the work, and the structures, not intended or offered for sale (Sec. 7044, Business and Professns Applicant: VIALS MICHAEL &SHEILA Code: The Contractors' State License Law does not apply to a owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within on year of completion, the owner -builder will have the burden f proving that he or she did not build or improve for the purpos of sale.). ❑ I, as owner of the property, am exclusively contractin with licensed contractors to construct the project (Sec. 7044, irsiness and Professions Code. The Contractors' State License aw does not apply to an owner of property who builds or improv s thereon, Contra .tor: KEN YOUNG GENERAL CONTRACTOR and who contracts for such projects with a contracto s) licensed pursuant to the Contractors' State License Law.). \PO BOX 157 ❑ 1 am Exempt under Article 3 of the Business and Pr fessions Code PARADISE, CA 95967 Date: owner: 530-521-1227 License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the f.611owing declarations: ❑ 1 have and will maintain a certificate of c nsent to self -insure for workers' compensation, as provided for y Section 3700 of the Labor Code, for the performance of the ork for which this permit s issued. have and will maintain workers' ompensation insurance, as Architect: required by Section 3700 the Labor ode, for the performance of Engineer: the work for which this permit is iss ed. My workers' compensation insurance carrier and policy numb r are: Carrier: �i2�E'e�22-U Policy #: Total Square Ft: 912 S.F. Valuation: $21,888.00 ❑ 1 certify that in the perfor ance of the work for which this permit is Census Code: ` issued, I shall not enploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if/l should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �/ Applicant: v \ \ WARNING: Failur secure work compensation coverage is unlawful, and sh ubject an emplo r to criminal penalties and one hundred thous 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 issp4d under the applicable provisions of the Butte County Code and/or vo for fees have been I hereby affirm that there is a construction lending agency for the Resolutions to do ndicated ab ve which paid. % �' performance of the work for which this permit is issued (Sec 3097 Civ.) \p Name: BY ) )) Date: PERMIT EXPIRES ON: /lP Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f of document f Butte County. I hereby authorize representa?,vesButte County to enteruppon the above mentioned property for inspection purposePrint Name: (��, Signature: Date: ❑ Owner K Contractor ❑ Agent for caner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 4 w 9?obert'T Hiff & ASSOCIATES 199 E. Shasta Ave. • Chico, CA 95973 (530)891-4280•FAX (530) 891-0394 www.PobertTHill.com • e-mail: RHill@Sunset.net January 3, 2006 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 To Whom It May Concern: • CONSULTANTS • DESIGNERS -CONTRACTORS •CRAFTSMEN Please accept this formal authorization to remove Robert T. Hill & Associates as the contractor of record for the building permit #043568,A.P.640-0.40, a detached garage for Michael & Sheila Viale, located at 16 Phendx Dr., Chico, CA. If you may have other questions, please feel free to call me at 891-4280. Thank you for doing business with Hill & Associates. ; Sincerely, Robert T. Hill Robert T. Hill & Associates -' 4 General & Pool Contractors • Lic. #377409 l� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.nettdds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: B - License Number: 712 44ri Date: ( 24 f.— Contractor. &eyo— U al ifm(. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cily.or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to Its issuance, also requires the applicant for'such permit to file a signed statement that he or she Is licensed pursuant.to the provisions of the Contractor's State License Law (Chapter g. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the, alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Lew does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdasions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: 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 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. I A- A01AN Policy #: )-:I?, —ori ► O 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' N compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: tte I t) Applicant: _ P22�2� &&e!, 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Clv.) ` Address: PERMIT NO. BP043568 Issued Date: APN: 040-640-040-000 Site Address: 16 PHENDX DR CHI Map Index: Description: Detached Garage w/ bath 912 sq. ft. Owner: VIALE MICHAEL & SHEILA 16 PHENDX DR CHICO, CA 95928-9648 Applicant: VIALE MICHAEL & SHEILA I 41 Contractor: HILL & ASSOCIATES, ROBERT T. S 199 E. SHASTA AVE CHICO, CA 95973 I 530-891-4280 RHill@Sunset.net ' ° 'License #: 377409 "I" Architect: Engineer: Total Square Ft: Valuation: Census Code: permit is hereby is ilulion54lo do work 912 S. F. $21,888.00 applicable provisions of the Butte Cnunty CodA ) for which fees have been paid. PERMIT EXPIRES ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represI lives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: 9(%&ki &A,116" 'Signature: Date: J -4a 60� O Owner 0 Contractor R-Kgent for Owner UAgent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES a1 0/3 BUILDING PERMIT APPLICATION y?J. , 0'9 AND SUBMITTAL REQUIREMENTS ✓ 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name , p I First Name M tGM4641 Address City Gtr a State 64 Zip Phone 23 Z Fax E-mail APPLICANT NAME CONTRACTOR Name �� -�'Lc Address A41c, Citya Fax State Zip Phone 9cli_4-Zeo Fax g, 1 -0374- E -mail Map Book Lic. #.� Classff APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Tip Phone Type Const. VAI I Fax E-mail Map Book State License Number APPLICANT NAME Name SAAAL Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X (� For office use only: AP# 0 qO r (e4ro 04-o Zoning I 3R—)Flood Zone SRA I Yes Carrier S M-T'L Occ. —3 LENDING AGENCY Type Const. VAI I Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMSIBUILDING FORMS\BldgADDlSubRgmts.doc Paoe 1 of 2 PERMIT �� BP ' LOCATION AP# 0 qO r (e4ro 04-o Property Address r� r City , t CZ Cross Street WORKER'S COMPENSATION Policy Number 272 -o-d l Carrier S M-T'L If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: '8e 4 l= C Sq. Footage � . _ ❑ Structure B ilt 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: Amount 54 Bldg /y SRA Receipt #: ` "! Sheriff SMIP Date: Other Total RFV 7-97-na utte County Department of Development Services 3NNE CHRISTOPHER, DIRECTOR coM7 County Center Drive ' co Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: ' FROM: 1 SUBJECT: O M DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford Wbuttecountv.net Plans Transmittal For Review Per Contract 12/2212004. Applicant: Viale, Michael Permit 04-3568 Project Type: Det Garage APN: 040-640-040 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT R SERVICES- DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V ,�� f 1 ! I�ld ASSESSOR PARCEL NUMBER 66�� Proposed Building Use: Counter Technician: •-AP Date: Items required in order to apply fo ar to -apply All boxes MUST be checked OR marked NA in order to apply. ,Q 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal .bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in R<hico ❑ Oroville, as applicable. O 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit......................................'.................................. ❑ California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use:Qr-- (B)Parking: (C) Parcel Check: :�&- ❑ Contact Land Development about _ Improvements, _ Drainage ......................... 1- 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. , ................. tatement................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... Restriction.........................................................P-eed Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone _ and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ,u 1 Date: 12,1 ?w in 4 1. Index permit application for the above ite s numbered: Plan Check Check Letter nal items required Contracto designer, owner, was advised of the above data by ph ne, ❑mail, ❑ counter, b Date: Q� or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I A 11 Date Structural reviewed y: Date: Structural approved by: Date: Note transfer by Date: Yellow: Building Division �QW,rMaN7- O % T o o o 0 0 11�Lrc WO?�65 Department .0 o u n t i Michael Crump, Director Public 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 [LESS THAN 1 ACRE1 I Project Description: (,l1X1,tQof� Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: NaeA— Title: Date: Zc Flo 4 - Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 12/20/2004 13:10 FAX 530 8724570 MICHAEL L. IUTALE, DDS fa004/005 Sent.6y:•HILL AND ASSOCIATES; 530 891 0394; Dec -20-04 12;18PM; Pege 4/5 Department of Development Services Building Division ? County Center Drive Oraville. CA 95965 (530) 539-1541 (530) 539-2140 FAX DETACHED ACCESSORY BUILDING O'WNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use—Exception: Garages and Carports. Owner: k tGl"�L' 1l Il—L,r" . Phone: Mailing Address — ;?,5 Site Address: ` fit &�) Assessor's Parcel Number:O — Zone: t ileasea t questions 1-16, and explain any yes answers Por questions 2-I4 in the space provided on page 2 of this fom-L GENERAL INFORMATION: I. Is there a primary dwelling on the property? YesNo 0 2, is the struanzre already built, uAder construction, or under notice of code violation? Yes No � 3. Will ltetns produced in this building be offered for sale? Yes 0 No 4. Will the public have access to this building? Yas 0 No 5. Will any adveWsing, on or off slit, be associated with the use of this building? Yrs 0 No SITE CONDITIONS: 6. Is the stnxtwe foundation within S' of septic tank or 10' of leach lines? Yes ❑ No 7. 1s any portion of the structure located closer thea 20' to your front property line? Yes 0 No S. Do you plan to add a driveway or modify existing access to a county ma.iatained road? YOE] No 9. Will the proposed structure encroach within any recorded easement? Yes 0 No CONSTRUCTION FEATURES; 10. Will this bulldin` bave insiOated floor, want;, or ceiling? Yes ❑ No 11. Will Ihis building be heated or coaled? Ya No 12. Will dais building bave a water elosetltolleO Yes No 13, Will EMS building have a sink? f ��j f r� Yea No 14. Will this building have a water heater? Cp0 lis 0t> Yes No 15. What type of flow covering llill the building have? 16. What typc of ivall covering will the building have? OVER I of 2 12//2004 13:10 FAX 530 8724570 MICHAEL L. VIALE, DDS 12005/005 Sent•E3y: HILL AND ASSOCIATES; 530 891 0384; DeC-20.04 12;lePMi Page 5/5 • .1 �'�+1� it s �4 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Sbed— I will ba storing in this building and it will �n`qt be used for any other purpose (no bathroom and no beating or coating), 2. D5 Private Gsrage -- "A building or a portion of s building not more tical 1,000 square feet (3,000 by exception) in arca in which only motor vehicles used by tenants of the building or bulldings on tho prrmises are stored or kept" A_r_mg* door is required. 3. ❑ Residential Carport — A covered suuctwa iatatded for paridng of vehicles. Two or more sides mustbe entirely open, 4. ❑ Residential Occupancy -- Structures meant to be Qccupit d, as opposed to a storage shed, ganger, or carport If you checked #4, please check the uses below which beet fit this building ❑ GuestHouse ❑ Pool House ❑ Studio Apartment Q In-law quarters ❑ Recreation Roorn ❑ Game Room [I Study ❑ Library Bonus Room ❑ Playroom ❑ Den ❑ Studio Artist Studio [] Hobby RooritCmit Room C]Sewins Room Canning Kitchen ❑ Music Room 8 Family Room ❑ Sten Room ❑ Private Office Q Workshop' ❑ Home Occupancy Z ❑ Mcr-- Use = t. D064W "4 0twNLAW bCM W rprno.od by The DkA4 Courcy MWTJ It DIC61 L Esplagatlons: This arca is for explartiadon of any "yes" answers on questions 2-14. Please indicate the question number before the mxplanation. jW. /2� �JiGl- Rt* A _M/Lir- FSG "zo AAgA Plan review will not be atarted until this form Is completed and received. A Plass ki miner will contact the owner with specific requirementu per the use indicsted- I hearby affirm under penalty of perjury that the above Intbrmatlon is true and comet I undera"d that any changes to tho use, or character of use. of thio building will require permits fmm the permitting authority. I understand that Real Estate Disclosure letvs require dis o of this irttbrmation if or when the property Is offered ibr sale Owner's Name: Nae: Please Print C 4 0&1 Vj G 14- 14r Owner's Signature; Date: 2 of 2 WILLDAN Serving Public Agencies January'20, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com S Willdan Project No: 14353-1309 Jurisdiction Job No: 04-3568 Assessor's Parcel No: 040-640-040 Description: Vaile Detached Garage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies sheets H-1 through S-1 dated 10-11-04, by Robert T. Hill and Associates. # Structural Calculations: Two (2) copies dated 12-02-04, by NorthStar Engineering -Jeffrey Richelieu P.E. # Truss Calculations: Two (2) copies dated 12-10-04, by Longfellow Lumber. # Miscellaneous Documents: One (1) copy Owners Statement of Use form, by sign by owner, dated 12/20/04 The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Specific Type of Type of 1" Floor Use Occupancy Sprinklers Stories Construction p Total Sq Ft S Ft Garage U-1 V -N No 1 912 912 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. The Detached Accessory Building is a U-1 Garage/Shop that has ceiling insulation but is not heated. If it is later proposed to heat any part of the building, a new building permit and plan -review shall be required prior to commencement of construction and approval shall also be contingent upon the submission and approval of Title -24 Energy Calculations and on a deed restriction being recorded. County of Butte Residential Accessory Building & Space -Use Matrix DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Michael LeBeau Plans Examiner Cc: Alice Mefford, E-mail: amefford@buttecounty.net Michael Viale 16 Phendix, Chico, CA 95972 Robert Hill and Assoc. Fax (530) 891-0394 Page 2 of I� Gordon Wright, P.E. Plan Check Engineer County of Butte Permit Niiniber 04-3568 Wil.ldan P.roiect Number 11.353-1309 'V [ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES �C q,R BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS ✓ 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name EO , f+�� ,. irst Name Pf1Gtw� Address t(o Pt�rJji7i� VOW& City � � State Zip Phone 3� -_7 Fax E-mail APPLICANT SIGNATURE X W 4;'� 1�e - For oft -ice use only: ARCHITECT/ENGINEER CONTRACTOR Name iwx `�R d ., . (d G� Address hcl State City G( -a Planner I State CQ ZP Phone�I_�7u State License Number Fax 914— E -mail Lie. #'� � Class APPLICANT SIGNATURE X W 4;'� 1�e - For oft -ice use only: ARCHITECT/ENGINEER Name �eGl �A--f2 Address Occ. > City Subdivision Name State Zip Phone Planner I Fax E-mail State License Number APPLICANT SIGNATURE X W 4;'� 1�e - For oft -ice use only: APPLICANT NAME Name I Yes Address Occ. > City Subdivision Name State Zip Phone Planner I Fax E-mail APPLICANT SIGNATURE X W 4;'� 1�e - For oft -ice use only: ZoningS�) Flood Zone SRA I Yes Cross Street Occ. > Type Const. [/1V Subdivision Name Map Book Page Lot # Planner I Date Approved: I I DVER FOE, SUBMITTAL REDUIRFMPNT P, ENT BP B LOCATION AP# Property Address City Cross Street WORKER'S COMPENSATION Policy Number 272 —cry l Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage _R/2L22 ` ❑ Structure B ilt without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPE ATION 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: Amount Bldg SRA Receipt #: �' �'C� ti. P ��'` Sheriff VSMTP Date: �" Other Total '� WILLDAN Serving Public Agencies January 24, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: BUTTE COUNTY PLAN REVIEW, APPROVED Willdan Project, No: 14353-1308 Jurisdiction Job No: 04-3567 Assessor's Parcel No: 040-640-040 Description: Vaile Pool House/Covered Patio Dear Mr. Vaile: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed an initial plan review for the above referenced project based on the following documents: * Plans: Two (2) copies sheets H-1, A-1, and S-1 dated 10-11-04, by Robert T. Hill and Associates. k Structural Calculations: Two (2) copies pages 1-4 dated 12-02-04, by NorthStar Engineering -Jeffrey Richelieu P.E. �k Truss Calculations: Two (2) copies dated 12-10-04, by Longfellow Lumber Co. * Miscellaneous Documents: One (1) copy Owners Statement of Use form, by sign by owner, dated 12/20/04 On the pages to follow is the identification of the codes and standards applicable to the project, our request for additional or clarifying information, required revisions to the plans and or documents, information regarding resubmitting plans and documents, and our policy on discarding superseded plans and documents. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5; known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Type of Vt Floor Occupancy Construction Sprinklers Stories Sq Ft Total Sq Ft R-3 V -N ' No 1 288 288 CONDITIONS OF APPROVAL 1. Approval is contingent upon the.review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. Because this Detached Accessory Building is a Pool House, approval is contingent on a deed restriction being recorded. Please contact Butte County as soon as possible about initiating the required deed -restriction recording process. County of Butte Residential Accessory Building & Space -Use Matrix DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Michael LeBeau Gordon Wright, P.E. Plans Examiner Plan Check Engineer Ce: Alice Mefford, E-mail: amefford@buttecounty.net Michael Viale 16 Phendix,.Chico, CA 95972 Robert Hill and Assoc. Fax (530) 891-0394 Nae 2 of 2 Coartt} of Butte Pcriru.t Number 04-3567 Willda►.i'RroiectNumbe.r 14353-1308 SITE PLAN REVIEW APPLICATION Date: /o�J� �� AP# c/NO —6o L/Q —Q Li 6 Permit Number (if applicable) APPLICANT INFORMATION L ✓ / Parcel Size: Owners Name: %t Owners Address: ��%�X f7. KXu Co �'I—T 7 3 Telephone No.: ` -` 3Y ,3' Situs Address: S Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory Pow/o �OT,� ❑ 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 Other ❑ Septic t ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ji Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site Plan Stamped Approved' By -`,nom Date < ALL ITEMS CHECKED APPLY TO THE PROPERTY J Parcel Is In: ❑ Snow Load Area: El 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) y� �// Expansive Soils (Test for expansive soils and if verified proper foundation design required) // ( cc . ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: . (See attached) ' • Flood Zone: • Flood Panel No.: . `(000 Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Calif rnia 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 ❑ Minor Variance . •. - El Administrative Permit ❑ Variance' ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of S Zoning Code Streets & Highways - Fire Prevention Subdivision Map Front �O , f I Side Side Street Rear c 1 J Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of S • Applicable Development Fees:' �J Standard Fees Amount 'Formula ❑ Fire - ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. - Parcel Created By - - ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Parra I of S tr Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use PermiVN inor Use Permit Permit Number: Book: Y S S Date of Approval: Page: 3l113? Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as --amended: ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa t❑ Pa-ae 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Pa QP 5 of,; OWNER'S STATEMENT MBD INC.. A CALIFORNIA CORPORATION, AS OWNER OF THE LAND SHOW HEREON, AND FIDELITY NATIONAL TITLE COMPANY AS TRUSTEE UNDER INSTRUMENT NOZOM- ooz'LSc4, DO HEREBY STATE THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS NECESSARY TO PASS CLEAR TITLE TO SAID LAND AND WE CONSENT TO THE PREPARATION AND RECORDATION OF THIS MAP AS SHOWN WITHIN THE BORDER LINES. WE HEREBY OFFER FOR DEDICATION FOR SPECIFIC PURPOSES THE FOLLOWING 1. SEGA DRIVE, PHENDX DRIVE, RHAPIS DRIVE AND ENTLER AVENUE, TO BUTTE COUNTY IN FEE SIMPLE FOR ALL PUBLIC PURPOSES. 2. RELINQUISHMENT TO BUTTE COUNTY OF ALL ABUTTER'S RIGHTS OF ACCESS ALONG THE ENLTER AVENUE FRONTAGE OF LOTS 1, 2, 21, 22, 23 AND 24. 3. A 10' PUBLIC SERVICE EASEMENT (P.S.E.) ADJACENT TO ENTLER AVE AND ALL PUBLIC STREETS WITHIN THE SUBDIVISION AS SHOWN ON MAP. 4. AN EASEMENT OVER A PORTION OF LOT 17. AS SHOWN ON MAP, FOR FIRE PROTECTION FACILITIES AND ACCESS, UTILITIES, AND APPURTENANCES THERETO. WE HERE BY ESTABLISH AN ACCESS AND PUBLIC UTILITIES EASEMENT OVER A PORTION OF LOT 3 FOR THE BENEFIT OF LOT 2 AS SHOWN ON MAP, TO BE RESERVED IN DEEDS. _ACKNOWLEDGMENT: STATE OF CALIFORNIA I S.S. COUNTY OF BUTTE ON .9_17"03_ 2002, BEFORE PERSONALLY APPEAREDAridau). rftealaCiadt' _ 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 %iS EXECUTED THE SAME IN_..S .-AUTHORIZED CAPACITY(IES) AND THAT BY 116 SICNATURE(S) ON THE INSTRUMENT THE PERSON(S), OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT. WITNESS MY HAND _ niso✓1 SLAT_ - No7J9Ry PuAuc. _ PRIN TED NAME (J�' _--_ COMMISSION ON EXPIRES COUNTY ANDREW MEGHDADI FOR MBD INC. FlDELITY NATIONAL TITLE COMPANY, ROBERTJ TRUSTEE BEHALF OF THE COUNTY OF BUTTE. (J�' ACKNOWLEDGMENT:__ 0 SIRE ANDREW MEGHD I, OWNER MBD INC SIG E _ STATE OF CALIFORNIA I S.S. • Qtt� 1�1�-. IE6T•, �IC.E FR6FfO0aT COUNTY OF BUTTE NAME AND TITLE ON .��1.'O�__, 20Q� BEFQLE ME. TS.lY1 ✓12_Nu-r�cTz.���2ss2c_ plt<{}e PERSONALLY APPEARED —KIC,K tip�2� COMMISSION EXPIRES PERSONALLY KNOWN TO ME (OR PROVED TO ME ON THE BASIS OF' _ CLERK OF THE BOARD OF SUPERVISORS' STATEMENT SATISFACTORY EVIDENCE) TO BE THE PERSON(S) WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT ha _. EXECUTED THE SAME IN_k_\LS .. AUTHORIZED CAPACITY(IES) I PA L MCLiN705H, CLERK THE BOARD OF SUPERVISORS. DO HEREBY STATE THAT AND THAT BY i�, SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S), OR �OF ON bW 2, 0a4.Q^, THE BUTTE COUNTY BOARD OF SUPERVISOR'S THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED. EXECUTED THE OFFICIALLY APPROVED -THIS FINAL MAP OF TWIN PALMS SUBDIVISION. INSTRUMENT. WITNESS MY HAND ITEMS 1-2 AS OFFERED IN THE OWNER'S STATEMENT ARE ACCEPTED ON ROBERTJ BEHALF OF THE COUNTY OF BUTTE. (J�' T T1AYll�l� ITEMS 3-4 AS OFFERED IN THE OWNER'S STATEMENT ARE ACCEPTED ON SIRE PRINTED NP.ME BEHALF OF THE PUBLIC. 4 l�_03 plt<{}e THE OFFER OF DEDICATION OF THE INTERIOR STREETS AND THE ONE FOOT COMMISSION EXPIRES COUNTY NO -ACCESS STRIP ALONG ENTLER AVENUE, AS OFFERED ON THE MAP OF THE CHAMBERS SUBDIVISION /12, PHASE 1 IN BOOK 147 OF MAPS ON PAGES 86 THROUGH 88, ARE ACCEPTED IN FEE SIMPLE. PUBIC RIGHTS AS GRANTED TO COUNTY IN THAT DEED RECORDED MAY 11, 1961, 1115 OR 63, WITHIN THE BORDER LINES OF THIS MAP ARE TO BE ABANDONED IN CONFORMANCE WITH SMA 66499.20 1/2. MBD INC., 3110 SHADY GROVE CT., CHICO CA 95973, HAS CONSENTED TO THESE DEDICATIONS FOR PUBLIC USE AS SHOWN UPON THIS MAP AND IS PUT ON NOTICE THAT PURSUANT TO GOVERNMENT CODE SECTION 66,477.5. ANY DEDICATED PROPERTY SHALL BE RECONVENED TO THE OWNER OR SUCCESSOR IN INTEREST, IN THE EVENT THAT THE LOCAL AGENCY DETERMINES THAT THE DEDICATION IS NO LONGER REQUIRED FOR THE PUBLIC PURPOSES INTENDED. PAUL CLERK OF THE BOARD OF SUPERVISORS, COUNTY OF BUTTE RECORDER'S CERTIFICATE FILED THIS /.Sr..- DAY OF61lfo_a TA 1 2002, AT_fo/ 9 M. IN BOOK LtT OF MAPS, AT PAGFS26,.3V&AT THE REQUEST OF FEENEY ENGINEERING. SERIAL NO. 3LV2 -S/ 171 BUTTE COUNTY RECORDER CANDACE J GRUBBS BY DEPUTY COUNTY ENGINEER'S STATEMENT I, STUART EDELL, DEPUTY COUNTY SURVEYOR OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DO HEREBY STATE THAT I HAVE EXAMINED THE FINAL MAP FOR TWIN PALMS AND THAT IT IS SUBSTANTIALLY THE SAME AS APPEARED ON THE TENTATIVE MAP AND ANY APPROVED ALTERATIONS THEREOF, THAT ALL PROVISIONS OF THE SUBDIVISION MAY ACT OF THE STATE OF CALIFORNIA AND LOCAL ORDINANCE HAVE BEEN COMPLIED WITH AND I AM SATISFIED THAT THE MAP IS TECHNICALLY CORRECT. STUART EDELL R.C.E. 29132 COUNTY ENGINEER, COUNTY OF BUTTE. DEPUTY COUNTY SURVEYOR EXP. 3/31/0 ENGINEER'S STATEMENT l4d" 1" Zoog DATE 3 W a 29132 tn6 THIS MAP WAS PREPARED BY ME OR UNDER MY DIRECTION AND IS BASED UPON A FIELD SURVEY IN CONFORMANCE WITH THE REQUIREMENTS OF THE SUBDIVISION MAP ACT AND LOCAL ORDINANCE AT THE REQUEST OF ANDREW MEGHDADI ON THE 3 DAY OF MAY, 2002. 1 HEREBY STATE THAT 'THIS FINAL MAP SUBSTANTIALLY CONFORMS TO THE CONDITIONALLY APPROVED TENTATIVE MAP, THAT THE SURVEY IS TRUE AND COMPLETE AS SHOWN, AND THAT THE MONUMENTS SHOWN HEREON EXIST AND ARE OF THE CHARACTER AND OCCUPY THE POSITIONS INDICATED AND ARE SUFFICIENT TO ENABLE THE SURVEY TO BE RETRACED. pg1F L a �4 ROBERTJ FE NEY R. E. 22972 nm REGISTRATION EXPIRES 12/31/05 4V L1m of CAL1i0F�" I11"!P`a ?A.1 MS SU3DIV?SIN M A F' (PUBLIC STREET SUBDIVISION) T. 21 N., R. 2 E., M.D.M. REMAINDER LANDS CHAMBERS SUBDIVISION #2 PHASE 1 BOOK 147 OF MAPS PAGES 86, 87, & 88, ALSO BEING LOTS S, 6, AND A PORTION OF LOT 7 OF THE REVISED MAP OF THE 2ND SUBDIVISION OF THE J. F. ENTLER RANCH BUTTE COUNTY, CALIFORNIA RSN: 2000-0008459 A.P.N. 040-640-011 FOR ABD INC. BY FEENEY ENGINEERING 1250 EAST AVENUE, SUITE 10 CHICO, CA 95926 PHONE: (530) 899-0409 SEPTEMBER 2002 SHEET 1 OE S L OO OR / S.f FlIG4r 76 LEGEND BASIS OF BEARING e`'i. PROPERTY LINE ---------- \ TFE"BCARING 0 `0 \ LOT LINE 15.71 575 CENTERLINE OF ENTLER AVENUE BETVEEN ��.RIGHT OF WAY N34'57'19"E/� 7\ f SRR R/W FOUND COUNTY MONUMENTS IN BOOK BO OF p P.S.E. - MAPS AT PAGE 35, VAS TAKEN AS THE BASIS I CENTER UNE - L=18.70' / �]4 OF BEARING SHO HEREON. FOUND BUT COUNTY R=12.00 l DWELL r� MONUMENT (R2) D=8977'18" •� +�.�,��j .0+ SET 5/8" IP TAGGED 22792 0 - L=47.34' S \ ° FOUND MONUMENT AS 3' `" INDICATED t9 R=30.00 1 � Oh, DETAIL A -- SET BUTTE COUNTY Q D=90'25'36"I Ah�� 91 Q• P NO Sv4E MONUMENT CALL. POINT oA•� h GS' G.563 a9 �. -\- .. MEASURED (C) �h/ CALCULATED () ,y RADIAL (R) h ii „Vi1 LOCATION MAP yla 40' P.SE PER m �- ACCESS RELINQUISHED r -,s `NxpT Ss�IL LOT 9 ' RRVTi£ A,q At.�� EBtE PRDtEcua+ FAWTIEs D-9'06 }6" MR. - R -50.00 i /9� REDARt.a9a MES ROTS ; f�lli N7579'51.W � EASCUENT -SEE oEruL DETAIL ( RCE 29113 (RI) ." LOT a 16 y, -'\,_01 M) '�_� ifR?`l'R0'rEC¶n6N'F'ADILIIYES RECORDS _ _ Eo s/e' REOAR �!�` LOD ACRES GROSS ,a0 ;a0'1+s S, \� RRE PROIECDON HELL EASEMENT RI -RECORD DATA PER BOO%147 OF MAPS AT RCE 28998 (m) ., \ 0.9E ACRE) NET P l01 10 'Pel - G��-�- NO SC.NE PA 86RECTHROUGH DATA PER BOOK 130 OF SURVEYS 1O ACRES GROSS LOT 17 � "' _ AT PACE 94 0.90 ACHES NET ,f g, GRAPHIC SCALE; ` Nn.'8p6•E o p9,,�0,.Bas ACRES GROSS ���\\\�,, p 13:18 N R s7JM a. o,�AMU�IT I® q; LOT 11 2416�� A WACRES IitOSSa Dl PST) �'• 1 0.90 ACRES NET I loch - 1°0 M (� f LOT 20 LOT 7 S• � ,P' 'T' 1.00 AtltCS GPM '` ,l 1.00 ACRES Ot055 i �a \ h$�IB:A •Fp „6 '0,, , QB ALINES NET V):\ OBI ACRES NET ,y Ug a 1 B'rJ� C Y �9? f •b �" LOT 12 LOT 16 `EJ, e 5 -�- b. 1(C) �. LINE TABLE c,` N6` aie \ 1.00 ACRES GROSS 1.00 ACRES GIR LOT 19 s L07 2t , LINE LENGTH HEARING :\ / `p ,� \ O.B] ACRCS NET 0.8] ACRES NET �j IM7 ACRES E GROSS 1.00 ACRES ONO55 LI 201.26 N2921'S0'V 0.]1 ACRES NET �• R 0.91 ALTiES HF.T ` 9 L2 MM N29.1- LOT 6 oq .Jy yy)• y�y : `(>. ry ey's` LO 116.22 N28'21.50•v LOO ACRES CROSS 11239 t28'21'JYV 0.88 ACRES NET L] ITi16 N28'21'JYV ` ..tt S5� +�6 212.5] -M N2B'21' � 2 f 7• �'� ti LOT 15 La 39 m� °� '� s LOT 73 1.00 71 i ` a0i ,y E1 v 1.00 ACRES CRO55 ' 0.89 ACRES NET E LOT 5 �i°o R 1.7 AM CROSS L39 DETAIL '/i ul ACRES NET (SEE •y i _-NO ;l` f o�� DETAIL) �i s'A Lor 14 LJ9 (SCF 1.00 ACRES GROSS �' py1 10 'TAIL) V £ M72 ACRES NET LOT ` 100 ACRES CROSS 0.90 ACRES NET 1s° S•.• .�Rf.?. C16 �0 / Sp0• pk SEA WOE ACCESS ,••� \` N6S •tiyfi��`)+..�Ilk EASEMENT TOP LOT \ LOT 3 1.01 ACRES GROSS /'• '` 'I� 0.94 ACRES NET 0 f 6 �g y�l q•+'' V" ?, LOT 1\ V C; �,p` p.J>�O + 1.00 ACRES 5 ^' CROSS ••' Z;' NRNAROUNO �OING TREE' 063 ECRES \ Y MEA \ LOT 2 �-L31 ` LOG ACRES MOSS 0.98 ACRES NET ,- L31 DETAIL N0 SCAT):✓` �JJ �°' /i6�1+ v Vii. ED 3/4• B.I.P. -1 30.00 DEDICATED PER RI - SEE +' �REON DETAO A .��� _. •�... P.O.E. NOT A LOT 6 -BK 14 N3J18'SJ' 'g \ MOD CR055 LOT 22 S aT I00 ACRES CNE59 ASEMENT: 2JJ O.BS ACRES NET SN:211-39028 + o PER LOT 23 100 ACRES CROSS } 9.71 ACRES NEI .' LOT 24 f, 100 ACRES CROSS 'o.]I ACRES NET tip TAGGED010(L5. • 1010 (RI) � PER RI PART +m gj5p'1� 7MP86 30' DEOICATED TO THE W Ai COINIY OF BDTTE PER I}li147 M W. ACCEPTED HEREON. i NO-ACESS STRIP OFFERED FOR DEDICATION Ljl PER 147 M W. ACCEPTED HEREON NOTES 1. THE EASEMENT DESCRIBED IN TIE EASEMENT SWTHGATE ACRES GRANT DEED RECORDED MAY 71, 1961• IN THE wIIDNo. 2 110 OFFICIAL RECORDS OF BUTTE COUNTY, BOOK BD M N 1115. PAGE 63, WITHIN THE BORDERLINES SHOWN HEREON. IS NOT SHOT ON THIS MAP AND IS ABANDONED HEREON PURSUANT TO THE SUBDIVISION MAP ACT SECTION 66499.20 1/2 2. THE GROSS PARCEL AREAS ARE CALCULATED TO THE CENTERUNES OF THE INTERIOR STREETS AND TO THE 25' RICHT-OF-WAY LINE ALONG ENTLER AVENUE LOT 1 GROSS AREA EXTENDS ACROSS THE INTERIOR STREET TO THE DISTINCTIVE BORDER. DEDICATED HEREON TWIN PALMS SUBDIVISION MAP (PUBLIC STREET SUBDIVISION) T. 21 N., R. 2 E.• M.D.M. - REMAINDER LANDS CHAMBERS SUBDIVISION B2 PHASE I BOOK 147 OF MAPS PAGES 86. 87, & 88, ALSO BEING LOTS 5, 6• AND A PORTION OF LOT 7 OF THE REVISED MAP OF THE 2ND SUBDIVISION OF THE J. F. ENTLER RANCH BUTTE COUNTY, CALIFORNIA RSH: 2000-0008459 A.P.N. 040-840-011 FOR MBD INC. BY FEENEY ENGINEERING 1250 EAST AVENUE, SUITE 10 CHICO, CA 95926 PHONE: (530) 899-0409 PTFMArR 2002 SHEET 2 OF 3 a00 k iSs PAf, ?-7 U - �\ / \ •.\`/ 'y: ��.:XQ/NC. SPT ',!(' "' j\-_ `i� Sa ED -'9` LOT 70A. y4 \\•V LEGEND �_• GRAPHIC SCALE PROPERTY LME (E) PUBLIC WORKS BUILDING SETBACK LEACH FIELD AREA LOT LINE ( R7 FC6r ) RIGHT OF WAY 1 Ine6 - Im IL 10' P.S.E. — CENTER UNE — B.' LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12- ABOVE 10.5' WIDE STORM -• •• - , . BUILDING FREE DRAIN TRENCH FLOW UNE "'-'• """" - 9. WELLS ARE TO BE LOCATED OUTSIDE THE ROADSIDE BUILDING DOMESTIC WELL 41 BUILDING SETBACK PER SET B.C.C. 10-136 LEACH FIELD AREA Lr.a E5 EA6 ENT j LFR .•LF0. .�\4 � � t Lf.A'/ .+, a I ; %� \- _ ' LOF 20'+ OT 19 - ' C .075,AC J / •� 't1 / 1 ,p•. \'i /i09t372/ +%il��' - .:.. ..; �, .3 ,, ,4 QAC ��c' ��; •F ADDITIONAL INFORMATION SHEET ,60o'v.:41� �. %,i; ,,,.,i,, � •� J ��� �,�, ... .. LOT 6.' 1. THE ADDITIONAL INFORMATION SHOWN ON THIS SHEET IS FOR ATEO INFORMATIONAL PURPOSES, DESCRIBING CONDITIONS AS OF THE �' i % j y ! \I' ' TS':*,, DATE OF FLUNG. AND IS NOT INTENDED 70 AFFECT RECORD TITLE '%%%' %''!/ / :,-0!T,)'�'.%%'; ' % 0' 9 INTEREST. 7 '� \+\a 2. BUILDING SETBACK LINES ARE AS SHOWN OF MAP AND AS FOLLOWS: FRONT/REAR/SIDE YARD -- 50' FROM CENTERUNES OF NTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE SOUTHERLY UNE OF THE OLD S.P.R.R RIGHT OF WAY. /,LO V T4 ' ✓ �+ REAR - 10' FROM PROPERTY UNE EXCEPT WHERE NOTED 1, / •\ `O(l,8., ( ) /LOT.!4jj;� \ t.:�:A�:, , dT24;i. SIDE - 10' FROM PROPERTY UNE /�i- / 0.'31:AC,•/\. /;:' ;�''�' 'i r1.8: •AC, 3. LEACH FIELD FREE SETBACKS ARE 5- FROM THE EDGE OF THE STORM DRAIN TRENCH. 5- FROM THE EDGE OF THE PROPERTY UNE AND 100' FROM EXISTING AND PROPOSED WELLS. �• \`` "'� •�'''s•'Cq�i? %. +� -.. �' j -.� �I •.0:34, AE,/;;: •� NOT 1 PART 4. BUILDING IDENTIFICATION ANO/OR ADDRESS SHALL BE INSTALLED �,�;+:%_;4{:A; j'!„ /' i N CONFORMANCE WITH PUSUC RESOURCES CODE 4290 AND SHALL 'P `d, .' • %'� \ , LOT 6-147 M 86 �BE POS -IED AT THE BEGINNING OF BUILDING CONSTRUCTION AND WELL TO MAINTAINED CONTINUOUSLY THEREAFTER. 5. THE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, \ \ ^^ PURSUANT 70 THE PROVISIONS OF CHAPTER 3. ARTICLE II OF THE V BUTTE COUNTY CODE. PRIOR TO THE ISSUANCE OF A BUILDING "f .� ...{j PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS I - OF THE DATE OF APPUCA71ON FOR BUILDING PERMIT. Y, L'_., \ � j `'• \W 1\,/%\ 4Q; 6. THE LEACH FIELD AREA IS N07 TO EXTEND BEYOND THE s• ��• --' \ ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING `YLOT l' �'- `\ '•Ey ' SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY PER BUTTE COUNTY PUBLIC WORKS 7. 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. B.' LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12- ABOVE BUILDING FREE THE HIGHEST ADJACENT GRADE. TRUNARG ANO 9. WELLS ARE TO BE LOCATED OUTSIDE THE ROADSIDE BUILDING / BUILDING SETBACK PER SET B.C.C. 10-136 ET SETBACKS PER BUTTE COUNTY CODE SECTION IG -B, WHICH DOES NOT INCLUDE THE 50' BUILDING SETBACK ALONG THE S.P.R.R. . Aa ADDITIONAL MAP SHEET TWIN PALMS SUBDIVISION MAP (PUBLIC STREET SUBDIVISION) T. 21 N.. R. 2 E., M.O.M. REMAINDER LANDS CHAMBERS SUBDIVISION #2 PHASE 1 BOOK 147 OF MAPS PAGES 86, 87, ✓t BB, ALSO BEING LOTS 5'6. AND A PORTION OF LOT 7 OF THE REVISED MAP OF THE 2ND SUBDIVISION OF THE J. F. ENTLER RANCH BUTTE COUNTY, CALIFORNIA IM : 20 (XKII— A.Y.N. 040-64o-011 FOR MBD INC. BY FEENEY ENGINEERING 1250 EAST AVENUE, SUITE 10 CHICO, CA 95926 PHONE: (530) 899-0409 HER 2002 SHEET 3 OF 3 gook ass /o/K so BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7638 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: a_ -{_s_ License / Number': ,/ 3r`2 7"-7 Date: (1 � 6 Contractor: 1pm& _ f'� `t /frflC• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clty.dr county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9.commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the. alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Lew does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving [hal he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 7044, Business and Profdssions Code. The Contractors' Slate.License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. S T4 -TZ J vim Policy #: Zi 2- — 60( ' ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' N compensation provisions of Section 3700 of the Labor Code, I shall forthwithcomply with those provisions. Date: 1 (21rz `0 /I'',,!!'' 1 Applicant: fZ*Ztr— �1I�t.. WAR IPJG 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 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP043567 Issued Date: APN: 040-640-040-000 Site Address: 16 PHENDX DR CHI Map Index: Description: pool house/cov. patio 288 sq. ft./ gas line Owner: VIALE MICHAEL & SHEILA 16 PHENDX DR CHICO, CA 95928-9648 Applicant: VIALE MICHAEL & SHEILA Contractor: HILL & ASSOCIATES, ROBERT T. 199 E. SHASTA AVE CHICO, CA 95973 530-891-4280 <., RHill@Sunset.net ' ,''L�'cense #: 377409 Iw.: ,Architect: Engineer: Total Square Ft: 288 S.F. Valuation: $18,720.00 Census Code: 472ai(e(.0 7S2.3S Ameago �5o. 00 This permit -Ss hereby issued u der the applicable provisions of the Mille County Codn and/or Res ution o do work Indi ate above for which fees have been paid. Bv: /!/%�%/i I/Date: 5 PERMIT EXPIRES ON: :% o ❑ 1 hereby certify that the use of this facility shall comply with Seclions. 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 1 am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It is unlawful to alter the substance of y official form or document of Butte County. I hereby . authorize reprelatives of Butte County to enter upon the above mentioned property for Inspection purpose s n Print Name: Ota ;Signature: Dale: ❑ Owner 0 Contractor • '' Agent for OwnerAgent for Contractor BUTTE OUNTY DEPARTMENT OF DEVELOPMENT SERVICES 3y0.%y BUILDING PERMIT APPLICATION a3� 66 AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name , tI k(k_ d kfo first Name p, �G� Address City City Gib State State � Zip Phone4-33 Z Fax 'qj (-03 1 4— Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name k(k_ d kfo Address " City Geo State Zip �Z Phone $fit—¢Ze�o Fax 'qj (-03 1 4— E -mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address " City Fax State Zip Phone Map Book Fax E-mail Planner State License Number ' APPLICANT NAME Name SAAAt _ Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X (,r For office use only: Zoning Property A ress lQti�� Flood Zone Cross Street SRA Yes o Occ. Type Const Vo Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 0/-/— oL BP LOCATION AP# 0 4O — &- 4o -- 0 4-o Property A ress lQti�� C' X Cross Street WORKER'S COMPENSATION Policy Number 272 -o-d t Carrier S J If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ('31 ly 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 OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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. 8-4 Received by: Amount: O c-2.Idg SRA Receipt #: Sheriff SMIP Date: _ '-� o-01 Other Total REV 7-27-04 .- SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN /NIG ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). El 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS metunas can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford(ftuttecounty.net Plans Transmittal For Review Per Contract 12/22/2004 Applicant: Viale, Michael Permit 04-3567 Project Type: Pool House/Cov Patio APN: 040-640-040 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Q0 Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile in M TO: , ' LO FROM: 1 SUBJECT: O M DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(ftuttecounty.net Plans Transmittal For Review Per Contract 12/22/2004 Applicant: Viale, Michael Permit 04-3567 Project Type: Pool House/Cov Patio APN: 040-640-040 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other �+wr°t:'�'Krvr"'i� 'wn`/Y'rv}':r�'�r'�1.'i. ,- . � v. �.+w . �••._.�. ,. . 1-�r_�"'.. ,. .. .,--..� . � i V V 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: I `' �(" `?i% ASSESSOR PARCEL NUMBER 411Z - (�11� ��(J Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. y 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner O 14. Hazardous Material Form 11. 15. Sanitation and site plan approval from the Environmental Health Department in PKico ❑ Oroville, as applicable. ❑ 16. Other__ _ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.................:.......................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by _ ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ p 20. Erosion Control Plan Required ............................................. ..G........... 6ees.as shown on the attached Schedule of Fees Due Sheet...... �..��U. .��. ''22-2Y�City .. Al�q�X1 * s�7(vgU of Chico Plumbing permit.................................................................. t, ❑ 23 California Department of Fores ry plan approval ❑ paid. Sent by: ............. Plannin a roval A Use: B Parkin C Parcel Check:❑ qContact Land Development about _ Improvements, _ Drainage ......................... 0 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ......................................:... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization..................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: I `l7 144tAA Date: 1112,)104 1. Index permit application for the above it ms numbered: Plan Check Letter 2. Additio al items required ontractor, , esigner, owner, was advised of the above data by phone, ❑mail. ❑ counter, b Date: 02 OS� nr -aeto , designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed y: Date: Structural approved by: Date: Note transfer by: 4990fsDate: Yellow: Building Division i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Pian Attasfiod �S Rona Plan A shod Sant to 8.D. Co-� V i a I /b Ph -6,0 dx 0y. ---040 Owner Location AP# Plan Approved for: Sewage Disposal >-' Water Supply: Public Private Well ,24 Clearance for Other 11?aG4,r-nW-ai4,f7er. 1&fu%z hdkzo Hold final for: Final clearance O.K. for: NOTE: . f 2fy5 /v - Z, � Environmental Health Specialist Date 8/96 1,/20/2004 13:09 FAX 530 8724570 Sent Sy: HILL AND ASSOCIATES; v Lha MICHAEL L. VIALE, DOS 530 891 0394; Dec -20-04 12:18PM; Department of Development Services Building Division 7 Couray Ccntar Drive Ormrille; CA 95965 (530) 538-7541 (S30) 538,2140 FAX DETACHED ACCESSORY DUELDING OWNER'S STATEMENT OF USF, 1&002/005 Page 2 Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Guages and Carports. Owner: i/ Y Phone: Mailing Address Y"Irt'.�V lig i;k, Site Address: rt�'4m c Assessor's ssor's Parcel Number: Zone- Zone: ^ Please Please1q-6and answerquestions exp�Lil�aa'ry�a�s rqons2-14 in the spaea provided on page 2 of Us form GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes No ❑ 2. Is the structtue already built, under construction, or under notice of code violation? 3- Will Items to this building be offered for Yrs No prWuccd sale? Yes No 4. Will the public have access to this building? Yes ❑ No 5- Will any advertising, on or off site be associated with the use of fids bullding? Yes ❑ No SITE CONDITIONS.- ONDITIONS:6- 6-Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer tltatt 20' to your front property line? Yes NO 1 8, Do you plan to add a driveway or modify =Jsting access to a county maintained road? 9. will the suueturz encroach within any recorded Yes No proposed easement? Yes No CONSTRUCTION FEATURES; 10. Will this building have ittsvlated floor, walls, or ceiling? Yes ❑ No 10 11. Will this building be heated or cool cd? Yes ❑ No Ez 12. Will this building bavC a water elaset/toilol? Yes No 09 13, Will this building have a sink? Yes No lu. Will this building have a water heater? &V� � Yes No ❑ 13. What type of Hoot covering Hill the building have? e!:�Py 16, What type of %-all covering will tha building have?.s�%,.. OVER 1 of 2 ` 12/20/2004 13:09 FAX 530 8724570 MICHAEL L. VIALE, DDS 003/005 Sent -By: HILL AND ASSOCIATES;530 B91 0394; Dec -20-04 12:18PM; Page 3/5 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed - I will be storing in this building and it will not be used for arty other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage - ~A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in arra in whi ch only motor vehicles use4 by tenants of the building or buildings on the pmadses axe stored or kept:" A gauge door is roeuire& 3. ❑ Reeldential Carport - A eovemd structure Intended hr prarldng of vehicles. Two or more sides must be enajy oven 4. ❑ Residential Occupancy - Stntcturrs meant to be ocettplect as opposes to a storage sbed garagc. or carport If you checked 04, please check the uses below which best fit this bullding. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room U Game Room [] Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio Q Artist Sa:dio ❑ Hobby Room ❑ Craft Room Sewing Room © Canning Kitchen ❑ Music Room ❑ Family Room Sun Room 0 Private Office El Workshop ❑ Home Occupancy 2 Other- Use - 0 �-el���(� �. oa«,be ova nraodahop :. rknt a WprwW m' de Bu¢W Cour y rtux&g Di.uioR Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please Indicate the question number before the rxplamdon. Additional /l 'ti : 11�� /� o / Plan review will not be started until this form is completed and reccired. A Plans E:taminer Will Contact the owaer with specitle requlrementa per the use iadlcated. I hearby affirm under penalty of perjury that the above information iS true and come= I undetua6d, that My rhangewq to the use, or character of use, of this building will require peratits ftm the *na tting authority. I undeismnd that Real Estate Disclosure laws requlm disclosure of this ido/rmation If or when the property is rued for sale Owner's Name: Please Print M r e% k �, r( V i Chmer's Sigr�attue: / /: ��/% `�`/ bate: /.A f z0/O c� 2 of) Department .0 o u n t J. Michael Crump, Director Public 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 [LESS THAN 9 ACRE1 Project Description: VlA- PV�di?&I ('mkgA/A Project Location and/or Parcel Number: d"— -0 4.0 By signing below,.I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: �(Iti Lz,� Title: Date: 10L Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 ..NOTES RESIDENTIAL 040-640-040 43-1468 PERMIT NO. _ MEGHDADI, ANDREW • 16 PHENDIX, CHICO +' NEW SINGLE FAMILY #97-42 1 s SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER / CHECKED BY OFFICE COPY Address_ y r Date ECTRIC + Meter By NDate JOB FINALED (Da Signature I' L i r . ryi t fi ra s SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER / CHECKED BY OFFICE COPY Address_ y r Date ECTRIC + Meter By NDate JOB FINALED (Da Signature J=OK 0 = Not OK . = No Readiyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zonirig Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch' 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch - 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer_Connected 8. Gas and Electricity Tagged . 9. Exits 10. License Decals 11. Verify #'s with Office - Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 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- Panel boards- 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 OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDESnOOR01ansl OK except #'s 2!FfgwMain; Soils-Elec. Grnd.-/ 1p/" Ftg. Depth Se -fig., Garage; Soils-Steel-Elec. rnd.-/ 142_1)' Ftg. Depth 4. Ftp., Porchesg-Decks; Soils -Steel-/ /" Fto. Depth Q&, Kgld Downs and Special Anchors 8. Piwf-Fireplace Ftp. -Steel J)!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 it Date (2 -JZ -(Z - Card B-1�`fjFate Card B-1 Date „ jtN Carte -1 Date Card B-1 Date ' r PLUMBING (PeoKit) UK except #'s 1 r -rater Htr.; VeDL-,Access-Combustion Air Baffle Anchor -Nail Protection s & Anchor -Nail Protection First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 8Y. Gas Pipe; Sixe & Anchors Fire Sprinkler; Test Dat j / Card B-1 - Date Card B-1 Date Car B-1 Date Card B-1 Date ELE RICAL (Permit) OK except #'s xture & Transformer Clearance -Ins. Protection . frlec. Receptacles Spacing -Lights & Switches at Doors XV Size Boxes & No. of Conductors Stapled _Rognex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water Ne ?/Appliance Circuits in Kitchen 4Conductor Size 9Q 404 %bfeed Wire Size - aa. Cu o A.C. Wire Sizer a u dr Al aai Han �irclei iga cu or Ar -even cu�7ir r At I ated Neutral O Yes O No ice -Riser Conductors & Ground Main Disconnect quip. Clearances Panels-Motors-Mech. EauiD. Zlothes Closet L Smoke Detector Dat.F?. 01j 3 Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICA L (Permit) OK except #'s Ducts Insulation & Support Ant Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade e3` rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 41Y' Attic Access & P atform if Furnace in Attic Date ,( 0. O3 Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date FRA G (Permit) OK except #'s . . s Proper Materials & Anchors 'Als Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing r Stop in Walls (rat proof) 5. a Stops, Furred Ceilings -Stairs -Chasers -Tubs ;gAeaders & Beams -Size & Bearing Date FRA G (Continued) 4YXapgers-Post Caps -Anchors -Connectors ing. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. . FjWplace Ties or Type A Flue -Fireplace Throat Clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles m. Windows or Exiting Doors -Sill Ht. & Dimensions q age Fire Protection Framing -RC Channel �erty Line Firewall & Openings 94Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -65 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Ve"Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -C _Sigiag-Nailing Veneer Mesh -Drip Screed- Wall Is-Ceil Underflr. Access i b3. Infiltration -Wall -Windows Dat2Q, ( Q , y 3Card B-1 - Date Card B-1 Dat— a Card B-1 Date Card B-1 Date FIN (PI OK except #'s Steps -Door & Sidelight Protection -Landings . Smoke Detector -6e"' Furnace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection room Exiting F.I. & Bath Fixtures & Tub Access -Spa OV Elec. Trim & Subpanel, Breaker Sizes & Labels iW.` 5Wrs & Rails ireplace or Stove, Clearance -Hearth /Elec. Outlets at Wood Panel, Int. & Ext. Ve YA Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure `rPt. Z.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. /Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location 72.06c. Receptacles in Garage (F.F.I.)-Romex Protection W. Insulation -Foam -Looked in Attic -et- Guard Rails & Deck Construction -Post Caps -0& Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. owing Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. cco Brown -Finish Unit Disconnect, Electrical -Plumbing )(,Fits Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ylh3ter Well, Disconnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground 8 . ntilation Throughout House ,p ss Protection 0L16rrections from Previous Inspections as Test -Meters Tagged, Gas -Electric . pilfer & Sewer Connected -C/O to Grade -HD Approval F�e"rgy Compliance Certificate -Other Certificates csvr Address Posted Fire Sprin r Dat , t Card B-1 Date Card B-1 Dat4 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P NQS (Rev.1"2/96) APPLICATION AND PERMIT J U ASSN �F,SStiOR� NUhI VYV- Z 5 t 1 ` - BUILDING PERMIT OWNERTELEPHONE ;EC`aWlI ~ ANDR94 855-8005 SO. FT. OCC. BUILDING VALUATION 3101 R 67 4 54. OWNERS MAILING ADDRESS 3110 SIMY GROVE Cr.,CHICO CA 95973 870 U 15.660. CONTRACTOR.JM'S NAME Col TELEPHONE 343 41459, CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 187.573. ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 706 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 16 MMIX DRIVE. aiCIO Energy Plan Checking Fee $ $ PERMIT FEE $ 749.00 tA. u to wuv r� tWIXIISUBDNNAAAL'�LS PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ©XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 14 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 15.00 TYPE OF WORK New O(Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: tlA= 97-42 Gas piping system 1 - 5 outlets 15.00 1500 Building sewer 15.00 15.00 Mobile Home ISI GI W 1 1@20.00 PERMIT FEE $ 1 7A. ELECTRICAL PERMIT Fling Fee 20.00 RLESS 600VMain Service 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 in full force and effect. r� '^ ti 1 /� ` _ License Class , Lic. No. W� J 1 i f/ 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. 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 TO 46.00 WEIL200A CCU000A NEW CONST. DWEWNO OCCUP. OR ADDNS. ( & ACC. BLDS. S5 .1 - 3.5¢FT. .39. NEW MULTI -OUTLET 97.50 _NON-RESID. POWER APPARATUS a SINGLE OUTLET CIR. �(. Occu OUTLET OR FVTuREs 2L @ 1.00 Ex. Occup.OUTLETSFIXEREES,D°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 1$2.OQ 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' c mpensati n ins rance carrier and policy number are: Carrier S 44 -0 4� r7 Policy Number -7 i -N U I V 1 U 5 -5 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 t.i� Date S ho / G3 Signature of Appjicant - ❑ Owner ❑ Contractor 1,1.egent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 40.00 Cooling Hood 6.50 6.50 ventilation GAS FIREFUCE 1 15.00 • PERMIT FEE S 131.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 11286.50 HA2. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. // ii �y � Date f/ �' 0 -,o v PERMIT EXPIRES ON (/ �% Date ReceiptNo.5A 1 f01' (i 1 t i -%Sqf WHITE-D.D.S.-B.D. CANAR ASSESSOR PIN -INSPECTOR LDENROD-APPLICANT CertainTeedll � Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation I l w � Y%" LD Home Address 0 C.—k . 92eek s 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. It.) 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 0.800 181/2 44 26.4 38 0.712 163/. 38 22.8 44 0.615 143/. 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 0.353 9 19 1 11.1 90 0.301 73/. 13 1 7.7 129 0.209 51/2 11 1 6.6 151 0.179 43/. :/ THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. fL 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 F /. R -VALUE AREA (SQ. FT.) INSULSAFE 4 BAGS USED BATTS/ROLLS (✓) CEILINGS %THICKNESS � 12 WALLS 3 � FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. fL 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 F /. f. .,. Al"Certificate of ConXP7- formain Certificate 0 5 2.7 3 6 THIS fS TO CERT1l=Y that the glued laminated timber products identified with a Engineered wood Systems (EWS) were manufactured in accordance collet.; ve and associated specifications indicated below mark of with the applica'* standards ANS{ Standard A-1 90. 1 -1 P92, For Wood products - Structural Laminated Glued Timber NER-486 Glued Laminated Timber Combinations And "GAP" ComPuter Program For Determining Design Stresses AIT C 117-93 - Manufacturing'- Standard Glued LaS,Pebifications For �tructurai Laminated Timber of Softwood Species 1T 1S HE Tull, . Al , � HEREBY CERTIFIED that the APA. EWS trademarked structural -glued laminated were Produced in a manufactubng facility -subject to regular audits in accordance with tti� E t�r�;;;e- members Wood systems .(EWS) Quality Assurance Program.. Routine audits include ins �.t- . of t�. manufacturing process and evaluation of the in -plant QA program with adequate sarnpl;ng to yeti . corlDrmsnce to industry.standards for lumber grade and giuprog bond haht . P he 7-41-63 .� .• a* ® 3 Q� dIle, Zr 01 by Thomas G. Williamsci; Executive Vice Presio(i!jl ENCrNFFRELP »pOD Se'STEnas„ s rele�e° cot 70a 1S— i' �°7H11pD o1 4A` –TNF FIJGINEEAFP W �— 91h.Saeer- P.p, Box IT700. OODf+SSOCU7�Un T^3•ahorir: (253) 56t 1--b- WA 91"11 -0>00 $BOD - Fer tuumber. t353j S65 -7215f, ''COUNTY OF BUTTE' \` BUILDING DIVISION z DEPARTMENT OF DEVELOPMENT SERVICES 6` 411 Main Street - Chico, CA - (530) 891'-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 F 1 IF �:. CORRECTION NOTICE, 1v � bw'h E PERMIT -NO. It. 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 works t completed. If you have any questions pertaining to this matter, or need additional explanation, I` please c actthis o ce immediately. i. O O� a . - n z CA/ I��U1/ t.. n t/1 -4 1 421- . ./, Date I'. Inspector /11� r. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SE=RVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530),538-7541 CORRECTION NOTICE i-T;Dn 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. ar rT0.�►I� Date 1 1 % I r u l Inspector uv —•r ��yv REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7 ®�, P (Rev.12/96) APPLICATION AND PERMIT ��+�Op +c�N� +� '# . Z SR -1 LDING ERMIT OWNER MEGHDADI ANDREW TELEPHONE 895-8005 SO, FT, OCC. BUILDING VALUATION 3101 R 16 7,454. . OWNER'S MAILING ADDRESS 3110 SHADY GROVE Cr. CHICO CA 95973 870 U 15,660. CONTRACTORS NAME Wm TELEPHONE 343 coy 4,459, CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 187 573. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 706.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 9-3-00 BUILDING ADDRESS 16 PHENDIX DRIVE CHCIO Energy Plan Checking Fee $ $ PERMIT FEE $ 749.00 lLS ITT. sus FST MS ESV, PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF QKXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 98.00 Solar or heat um water heater 23.00 Water piping 15-0015.00 Each as water heater or vent 15.00 15, 00 TYPE OF WORK New 9XAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER 97-42 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 1 . 0 Mobile Home I S I G w @20.00 PERMIT FEE $ 1 7R no ELECTRICAL PERMIT Fling Fee 20.00 Main Service AORLESS 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. r� License Class 13 Lic. No. 15 1 / U ii OWNER -BUILDER DECLARATION 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. Q! 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. ❑ 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 workersSgmpensan insyrance carrier and policy number are: Carrier 4 to JF10k Policy Number -7 1 ® 10 Q -OZ (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 compl with those provisions. X Date A L14 013 Signature of App ant - ❑ caner ❑ Contractor (gent An OSHA permit is required for excavations over 50"deep and demoli ' n or construction of structures over 3 stories in 2ight. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5QF°: 139.00 ( ORNEW cors . MUAicTlcou�TLES. NONI.RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. @1'50 Ex. Occup. OUTLET OR FXTURES s„L @ ,50 FIXI Ex. Occup. OUTLETS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1 2.00 MECHANICAL PERMIT Filing Fee 20.00 Heating 40.00 Cooling Hood 6.50 90 Ventilation GAS FIREPLACE PERMIT FEE $ 131.50 Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 Occ CONST. TYPE TOTAL FEE $ 1,2 86. 50 HA2. _ p. FEES IMP FLOOD CDF PARCELPO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatep a ove for which fees ve been paid. y D to O P MIT EXPIRES ON Date rReceiptNo. HITE-D.D.S.-B. D. CANARY -ASSESSOR PI INSPECTOR EIDEN P100 -APPLICANT COUNTY OF BUTTE-DEPARTMENT .>� 7 County Center Drive, Oroville, 1 PERMIT AP`s �LOPMEN,T SERVICES-BUILDIN SION 2�,,6,5 Phone (530)538-7541. Fax (53 8- KlTION DATA SHEET OWNER � �` A , i\SSESSOR PARCEL NUMBER /6- (J 116 t);,. Proposed Building Use:. f' Y V 7 /-/ S4 t�lr "/ / - 2 Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. c16 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. 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. i. ❑ 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.) V/14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... + Statement of Intent for Non -heated and A/C Buildings ................................ :.. . 16. n.tation and plot plan approval from the Environmental Health Department in (��_0 3 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 about ❑ Improvements, ❑ Drainage ...................... ......... ..1. 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.................................................................... -t�L7. 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: M. When issued Telephone c "' j f F'e and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 11 �% Date: s- 2 I" 63 1. Index permit application for the above items numbered: 2. Additional items required &I Plan Check Letter Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: 4,_ Note transfer by: Date: . • - - Yellow: Buildine Division o3 -lye f TO: Building Department FROM: - "Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY 0401 Plan Atto"ad Floe Plan Alta hod Sent to B.D. Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other final, for: Final c NOTE: ra ecn O.K. for: LID EnvironmentalEnvironmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIy~ORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER i t PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES L4 I (paid at District Office) (Available after Plan Check)— Gi Pvl �0 Jens 3. SHERIFF FEES (paid at Building Division) Residential ......................60.00 $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) - GO esidential ........... .... —x—=$ 'T . # Units Amt. Commercial (sq. ft.) ............ x = $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (( (paid at District Office) (Available after Plan Check) G Ueti! ioqey� 6. THERMALITO DRAINAGE DISTRICT FEES (f ' $510.00 (paid at Building Division) R07. 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. # a")() le "'/0 4 6 DATE R�E�C--EIIPT�# DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE /-z I L& � - Pursuant to Government Code Stiction 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) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLL', CA 959(5 X16 i 11 ► I; 410,11"N I "N 2�! 90 rz� CRII f Recce:"dP f ii,f, is i.'.i,4J:i Lahiltj� 1�? LFfiti%I�dGr r= sMiHASROSEMARY DICKSON i �SECRY'Ltl'' I Assistant i barbcar 3-0&-2@02 I 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: ;; 'THIS DOCUMENT IS BEING RECORDED TO CORRECT TJ -1E LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002.-0045904, RECORDED SEPTEMBER, 4, 2002, IN BUTTE COUNTY, CA.. Date 10/2.3/02 PROPERTY OWNERS: l , ANDREW MEGHDA.I State of California ) County of Butte ) On- 7.0/23 2002 before me, J. TTJNISON, NOTARY personally appeared ANDREW .. MEGHDADI known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are ubscribeld 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/Icer/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 and official seal. Signatu a-. •._.;�.-•° �, �.��-�' Seal: c.J {y< ,' s� COMM. 0123.1(,""/� i 1 `Yf.. A.P. # i J (�T<'� rL t ' �' y r• / .. /�� j / _ S!r Y f arn.r..v ru�l_IOG IJIn wnr cou, rry 0 til' COMM. EXPIRES SEPT. 16, 200:1 .. ?-^,.mac. -••r.. v ."7`T'F•S� yl,-�7.:—t C"V'C^ Order No. 202500 - C ' f EXHIBIT "ONE" PARCEL I: 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 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone`(530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forrm.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530 538-7157 Ext. 2016 Permit Number District 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 printed. 1. Applicant's ame• la. Compan ame: 2. Address:` o (gg__O V Eo C'--' G&k- 1 Go C 9 SCJ 7 3 3.tPhone:5 30 \ 3 Q l K 47 a 4. Assessors Parcel Number:n 5. Location of Work to be Done 6. Applicant's atu 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name� 9. Address 10. Phone:S ,�Q Q �� I –1 11. Fax:. 3 t f 3 —� 12. Contractor's License Number' . � 40 S_ p z 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Sign 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ - 17. Driveway (List Type): 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 !� W a J /4GC A 1 'o � l � F 1it C Undetground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. VAll work shall conform to accompanying: Detail 3 ( Plans ❑ Special Conditions ❑ 21. Date Issued, O/ / 22. Expiration Date: `Q G_r 2y� 3 Surety: S 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 onAeek. 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 66 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 anytime. 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 Pernittee 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. All 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 (6) 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. " T Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All 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 orjetting. 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 (7) 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 V o&k. 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, rights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of worliauthorized 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 .. �,p. :.rv..,5.4; r....•u,.�e'r. ;.•. .��ayl.:3.y�«ier•C(V 'T: o, BUTTE COUNTY PARRS DEVELOPNEN'T FEZ CERTIFICATION FORK CHICO AREA RECREATION'AND PARR DISTRICT Assessor Parcel Number (s) (_j Property Owner Aq Project Location/Address Subdivision 1 of k7 Residential Development: (check one) ;Lot Numbers) __Ie'New Development _Alteration/Addition _Mobilehome(s) Total Number of Dwelling Units Comment: uilding Department Representative Date Chico Area Recreation and Park District(CARD) certifies that 1 1 M. iLv I rlv G a 1 be- `J !11 (Applicant Name) (Phone Number) 3ily Sh � wf C (Street Address Non -Residential _to Residential Ch ► ry CA- (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by 00 payment for. dwelling units @ $1,189 for total payment of $ % CARD Representative Date PAID BY CHECK N0. REMARKS: BANK NO. 90- U I� PAID BY CASH RECEIPT N0: Distribution White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. 06/12/0.3 #77A 9:28AM tX+TOTPL $1189.00 park.fec (form revised 11/90) I _ f IT- BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One biffilhmr Building) f.r Lii School 6" n`);t _ �r _ CtLe;` Building Department No. A.P. Number MO - 6/0 Q J D.Iurisdiction: 0 City ©County Property Owrier Property Location/A( Subdivision ................................................................................................................... Residential Development 0 Sq. Footage % No'of Living Mobile Home Adddiord *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection): ................................................................................................................... Commercial/Industrial New Addition Building Department Representative t Sq. Footage (Including Exterior Roofed Areas) % —(J3 Date,.,/ J Irioor rlans reviewea oy Jcnooi uisinci rersonneip District Identification No. School District certifies that (Applicant) - W116 (Street Address) (Phone Number) /12 (City) has complied with the reequireejments.of Resolution No representing v �V/ square feet. School District Representative Paid by Check # * Remarks: (State`) (Zip Code) by payment of �$ Q • /� IFABi 2926 $ FULL MITIGATION S 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 660201a), 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 —4 c FIRE WELL _ 7 �J- .:, (J9 65U- 0R O fr � U fid( 9 cc9 WO <19 ui w �, E 0 0 ®� S PLACEMENT FIELD �S�• 3' WIDE LEACH LINE W/ 12" X52' TOTAL I r • • p 84. // � ROCK, TRENCH 56" MAX DEPTH. X97' L I NEAR FT. 7 Q • /—OF LEACH. $ IX > >\ L_ LOT BUILDING COVERAGE A� '6 Sz, 57QQ0 sq,. ft. 4260 5cL. ft. 11.2% GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Ohico, CA. 95976 (530) 894.5719 MIN. 12001 / GAL. jSEPTIC TANK / I PROPOSED Houm I 3101 PLAN \ FIN. FLR. EL.. I 215.0' (N) WELL It,, \ •'�\ ADJACENT • • GONG. DRIVE N S1 TE PLAN 111=401-011 LOT 18 TWIN PALMS SUBDIVISION for: ANDREW MEGHDADI CMCO CALIFORNIA WELL 0 0 SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY L I NE5, TYP. LOT BUTTE COUNTY BUILDING. DIVISION APPROVED �i 6l�/03 LOT 18 � S PLACEMENT FIELD 1 r ` �`' • -26.4 FIRE WELL �N 152 TOTAL 0 A APPROVED 3' WIDE LEACH LINE W/ 12" ROCK, TRENCH 36" MAX DEPTH. ,J,0Y LINEAR FT. 7 vi /,QF LEACH./ 90 LOT BUILDING COVERAGE •s Sz•, 37aao sq,. ft. 4260 sq,. ft. 11.2% GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530)894-5719 /MIN. 120011 GAL. SEPTIC \ �� N TANK \� / I PROPOSED HOUSE I 3101 PLAN \ i WELL 0 a� O . SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY FIN. FLR. EL. _ LINES, TYP. 1 215.0' �j 1\ � �/ (N) WELL IN 1-11 ADJACENT LOT i i • GONG. DRIVE Environmental Health N SITE PLAN 141=401-011 LOT 18 TWIN PALMS SUBDIVISION f ANDREW MEGHDADI CHICO CALIFORNIA MAY 2 12003 M100, CaIROM19 \ Z<,- \ •s Sz•, 37aao sq,. ft. 4260 sq,. ft. 11.2% GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530)894-5719 /MIN. 120011 GAL. SEPTIC \ �� N TANK \� / I PROPOSED HOUSE I 3101 PLAN \ i WELL 0 a� O . SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY FIN. FLR. EL. _ LINES, TYP. 1 215.0' �j 1\ � �/ (N) WELL IN 1-11 ADJACENT LOT i i • GONG. DRIVE Environmental Health N SITE PLAN 141=401-011 LOT 18 TWIN PALMS SUBDIVISION f ANDREW MEGHDADI CHICO CALIFORNIA MAY 2 12003 M100, CaIROM19 \i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO50846 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/13/2005 APN: 040-640-040-000 the Business and Professions Code, and my license is in full force and effect. License Class: P> -CC- License Number: ��j_ Site Address: 16 PHENDX DR CHI Date: OC9 Contractor. PZV2�-ML d J,S O, Map Index: Description: NEW POOL/SPA W/HEATER . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the MASTER#506-01 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: VIALE MICHAEL & SHEILA signed statement that he or she is licensed pursuant to the provisions of 16 PHENDX DR 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 95928-9648 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).): ❑ 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: HILL & ASSOCIATES, ROBERT T. such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 199 E. SHASTA AVE sale. If however, the building or improvements are sold within one 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 530-891-4280 sale.). RHill@Sunset.net ❑ 1, 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: HILL & ASSOCIATES, ROBERT T. pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 199 E. SHASTA AVE CHICO, CA 95973 Date: owner: 530-891-4280 RHill@Sunset.net WORKERS' COMPENSATION DECLARATION I her y affirm under penalty of perjury one of the following declarations: License #: 377409 ❑ 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. ❑ 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' compensation insurance carrier and policyare: number Carrier: tt"T tEork Total Square Ft: 0 S. F. 0��-}1 Policy #:_ yl 1-�� 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. ` �/ J o Date: 4-1100 Applicant: IZ'"%&Ty I-�t�,l- ��v� (467. 4,�L- 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 Bnfte County Code anrt/or I hereby affirm that there is a construction lending agency for the Resolutio do work indicated abe f which fees have been paid. performance of the work for which this,permit is issued (Sec 3097 Civ.) /2L Name: By: Date: `a J PER T EXPIRES ON: I D 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 agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of anno icial form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. se Print Name: 1'o`9ti60,1- nature: AN0 6 ate: ❑ Owner 0 Contractor ❑ Agent for Owner 7r7 Agent for Contractor BUTTE COUNTY PER DEPARTMENT OF DEVELOPMENT SERVICES NO.. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # Website: www.buttecounty.netldds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Name Address N 01 CAT 1 irst Name S Address(6,} OEMO State City State Zip q2b Phone 34-3 —529 2 Fax E-mail Lic. # CONTRACTOR Name peo-T �WLA A -e 6G Address N 01 CAT 1 Address City 6,kc,6 State Ck 7 Zip Phone Fax f2,',V3 c1 E-mail Lic. # R— GS CI ss LIA APPLICANT NAME ARCHITECT/ENGINEER Name G� Address Zip City Fax State Zip Phone �J 094-J& 3 3 Fax E-mail Ma Book �' State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE. X For office use only: AP# pl�j�r&40 r.O% Zoning S Flood Zone SRA Yes No Occ. Typ4 Const. Subdivision Name 1� < U/1 l� Address Ma Book �' Page Lot # Plan�41 7z;A4 ate ARproved: 1 ,2 OVr=R FOR SUBMY`TTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc nJ LOCATION AP# pl�j�r&40 r.O% Property Address 10 1240AX. 0" City 1 Cross Street WORKER'S COMPENSATION Policy Number 'L42 -© Carrier S'Wr_ POW If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address \ Description or Scope of Work: Sq. Footage ❑ Structure Built withbut Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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 bye ,k Amount: (� Bldg SRA Receipt .. ��Sr Sheriff Date: C U� SMIP �J _Other C ° 04\ Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ = 5. -Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 f t6� 5nm-oi 4 �A. �fNGI.LbE �eA3 asp �y� 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 ViDwww.buttecounty.net/ddsOWNER: (� ASSESSOR PARCEL NUMBER v �D (- l• Proposed Building Use: oo C7 Permit Technician:wn- Date: U� Items required in order to Ipply fora 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ,:27 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers ❑ 17. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 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. ❑ / 23. California Department of Forestry plan approval ❑ paid. 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 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. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ❑ 36. Other: ❑ 37. Other: � When issued Telephone }- f 1 c),� D and hold for pickup. 1 have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees, and other department costs are not refundable. Original -Applicant COUNTYFQ 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: 1%O D Permit Technician: Date: ( " Items required in order to-ppplly for a permit. All boxes MUST be checked OR marked NA in order to apply. l 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 AIC 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable'' ❑ 16. 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 .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24 Planning approval for (A) Use: (B)Parking: (C) Parcel Check:.Qr� ... / • o �� ❑ 25. Contact Land Development about _ Improvements, _ Drainage......................... ,. -CC 26. NPDES Form............................................................................................. r ❑ 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......................................................:...:............................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration: or MCO ......................... ❑ 36. Other: ❑ 37. Other: C�a When issued Telephone l� 1 - -J TIt3,� O and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:�Uy-bA. C-72c�- /\ ,f� Date: 1. Index permit application►for the above items numbered: Plan Check Letter 2. Additional items required Contractor, esigner, owner, was advised,of the above:data by,❑ pMo,�n�e, ❑mail, ❑counter, by Date: Contra�Cor�esigner; owner, was advised.of the above data by&O phone, o mail, ❑ counter, by Date: Contractor, d6signer� owner as advised 2Lte above dat by- ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed b�: �n 1) j Da e: i1 C,� Plans approved b Date: Structural reviewed y: Date:Structural approved by: Date: Note transfer by: Date: 0 Yellow: Building Division E.H. use ONLY Plot Plan Antschod Root Ron A d Sent to 8.0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance V; Of - �d Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Other 14,,,?,,, O/C 4,-&4/1� hdA-,-0 V -.1 / a Hold fin al for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date �/06vTT` 0 I , O O - \O \ AcpUN'(' S otic WCR� Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant. Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: Illi M-0 —(0 46 r0 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. J 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: ff wwat- Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 V -Tv INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON 7UILDIN AL FOR: IC. OWNERNAME:& EPTIC- WELL: AP#: ADDRESS/LOCATION: (0 0 Comments: GL/memos/releasehold 0/� — ( q �� CA& W F-77151-1 L rlel& I 11H / 03