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040-640-042
NOTES f RESIDENTIAL PERMIT NO. 040-640-042 / V 04-0986`'— MEGHDADI,ANDREW 514 RHAPIS, CHICO CONT: ADONIS POOLS NEW POOL MSTR#01-507 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS h Y SUB -STANDARD HOUSING LETTER f JOB FINALED (Date) 1 Signature G �� J=OK 0 = Not OK = NotReadyaD1e 1. •� MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Ext.; Steps -Doors -Landings 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. Verity #'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 POO I ns) OK except #'s acks-Easements 42- So',<ompaction-Structure Stability Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Groun g; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -En sures-Panelboards-Ins. to Main Conduit K; Cir. Niche Date,-j4&Card 13-1:,� I Date Card B-1 I Date `] Y Card B-1/ n / Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 49. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test-Anchors-Regulator-Seryice Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes 0 No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes D No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 ilL Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes D No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 536-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040986 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/27/2004 APN• 040-640-042-000 the Business and Professions Code, and my license is in full force and effect. G' ���i License Class: Licen eyNumber: G Site Address: 514 RHAPIS CHI Date: S =,7-�Y Contractor:1/�'J"��' Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RESIDENTIAL SWIMMING POOL (MASTER Contractors' State License Law for the following reason (Sec. 7031.5 01-507) 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: MEGHDADI, ANDREW signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3110 SHADY GROVE CT 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 95973 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).): ❑ 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: MEGHDADI, ANDREW such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or -improve for the purpose of sale.). ❑ 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: ADONIS POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT CHICO, CA 95973 Date: Owner: 530-891-1197 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 266839 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: BACHMAN & ASSOCIATES the work for which this permit is issued. My workers' compensation insurance andpolicynumber are: 7carder �1 �/�j "" y Carrier: __/�✓ c-�1// /` Policy #: % �� �, 3 '" Total Square Ft: 0 S. F. Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ r '- %--'7 Date: tT/ '�ZO,411-S 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 3q t 55( 41,11o4- $ 4-(-7-4-_-2_ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR and/Or I hereby affirm that there is a construction lending agency for the Resolutions to 0 or)\c indicated above for ich fe s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)V By: Date: Name: �7 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 8 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 fore or document of Butte County. I hereby %" authorize representatives of Butte County to enter.Vipo?4hy above mentioned property for inspection purposes. ,.� I ���i�%Signature: Print Name: U�45:7 Date: ❑ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 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.netWds PERMIT NO. BP040986 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'' 04/27/2004 APN: 040-640-042-000 the Business and Professions Code, and my license is in full force and effect. ��� License Class :G License Number: Site Address: 514 RHAPIS CHI Date: v�%'Gy Contractor: ���f 9� �S' Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RESIDENTIAL SWIMMING POOL (MASTER Contractors' State License Law for the following reason (Sec. 7031.5 01-507) 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: MEGHDADI, ANDREW signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3110 SHADY GROVE CT 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 95973 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: MEGHDADI, ANDREW such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: ADONIS POOLS pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT CHICO, CA 95973 Date: Owner: 530-891-1197 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 266839 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: BACHMAN & ASSOCIATES the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: �T�✓ <�// ��5 f Cartier: /""`//S Total Square Ft: 0 S. F. Policy #:_ Valuation: $0.00 ❑ 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 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 pr�ovisiioons. ; —6w— 4 Date: Applicant:���5 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 3q 5 55 -4/0/o 4 - code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda an(vor 1 hereby affirm that there is a construction lending agency for the Resolutions to o orkc indicated abovefor ich fe shave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �l Name: By: (� Date: V Address: PERMIT EXPIRES ON: C 7 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 fop or document of.Butte County..1 hereby authorize representatives of Butte County to enter po aabove'mmentioned property for inspection purposes. !.. ��drVy2�`-?'!�C✓1' Print Name: Signature: Date: 13 Owner 13 Contractor ❑ Agent for Owner 0 Agent for Contractor I C 1. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. `CROSS AM: r / LZOMNING, T STREET: CTILOTR: SITE ADDRESS: CRY, ZIP OWNER NAME: PHONE STREET ADDRESS: FAX: CRY, ZIP: E-MNU APPLICANT NAME: ®�� PHON STREET ADDRESS: CRY. ZIP: E-MAIL: CONTRACTOR NAME: PHON STREET ADDRESS: ' 9/ CRY. ZIP: � � EMAIL UCENSE NUMBER UCENSETYPEC 6-3 '6 / ARCHITECT/ENGINEER NAME: �� PHONE. STREET ADDRESS: CITY. ZIP � / s LICENSE NUMB _ E-MAIL DESCRIPTION OR SCOPE OF WORK: U ❑ 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 fees will be required. 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. For office use only: Notes: Application Received by. Date: Receipt number: n Amount Received:F �/� �,.. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET/, OWNER: G� ASSESSOR PARCEL NUMBER G U •� Proposed Building Use: /� Ci Counter Technician: / Date:`T_,9 G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order top ly. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ' f� ❑ 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 ❑ Chico ❑ Oroville, as applicable. /❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 24. Planning approval (A) Use; (B)Parking: (C) Parcel Check: L4 -2 -� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 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 .................. 41�.................""............................ ❑ 33. Recorded copy of Agricultural Acknowledgmen tStatement................................. ❑ 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: r ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the460ve items and req.Giremenfs or obtaining a building permit. Applicant. Date: 1. Index perm't�applica� e.R oa a above iterms_ numbered, _.,-- Plan Check Letter 2. Additierra items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: ;Structural approved by: Date: Note transfer by: Date: JOV Yellow: Building Division �E.H. USE ONLY Plot Plea Attochad � _ Root Plea Attached Set" B.D. ! TO: Building Department FROM: Environmental Health - SUBJECT: Sanitation Clearance 21 4 0 /'s OwYer Locati n AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well X Clearance forOther .l h avwr-/ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8196 4-0,7-0 Date 03-IP17 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE 1 Old- (3 03 FROM: ENVIR. HEALTH, CHICO DATE: RELEASE2.�' HEALTH HOLD ON Bf7 � D G FINAL M Id/ OWNER NAME: VILL / SE : "t/ AP#: 0 --D�1- �DDRESS/LOCATION: Z) Comments: GUmemos/releasehold ,0 C0 NOTES RESIDENTIAL 040-640-042 03-1017 i PERMIT NO.—, MEGHDADI, ANDREW 514 RHAPIS DRIVE, CHICO r Cont: OWNER NEW SINGLE FAMILY ' I rte._ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER-' OFFICE COPY + Address GAS Meter By Date1���r ELECTRIC Meter By Date —/ ' `+ JOB FINALED (Date) v /��✓� " C Signature I' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT 10� 3 `7 ASSESSOR PARCEL NUMBER 040-640-042 ZONING SR -1 BUILDING PERMIT OWNERTELEPHONE MFMMADI. 'ANDREW 624-5189 SO. FT. OCC. BUILDING VALUATION n " 167,454.00 . OWNER'S MAILING ADDRESS 3118 SHADY GROVE Cr. WIGO 95973 870 U 35"660.00 CONTRACTOR'S NAME l/YY[YiM TELEPHONE r I/ 4. 45 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 87 573,00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ?06,00 ARCHITECT OR ENGINEERS MAILING ADDRESS • S Plan Checking Fee $ 914 ,00 BUILDING ADDRESS 514 RHAPIS DR. CHIOD 95928 I Energy Plan Checking Fee $ PERMIT FEE $ 749.00 LAT NOSUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE q SF IN Duplex ❑ 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 aas water heater or vent 15.00 15.00 TYPE OF WORK New 9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF MASH 4497-42 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 178.00 FLOQDtXt 05100 ELECTRICAL PERMIT Fling Fee 20.00 EOSS Main Service zo.A °A OR LEOR LESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful�force and effect. SVS. ' �O � License Class Lic. No. VVV OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. H li 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 Mein Service zooA TO L000A 46.00 NEW CONST. DWELLING OCCUP. SOS OR ADDNS. ( 6 ACC. BLAS. 3.5¢F7i 39.00 NON-ROESIUT MULTI.OunET @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. GurLEr OR FIXTURES 20 Q 100BAL @ ,50 Ex. Occup. ..FED A DD ° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 " PERMIT FEE t 182.00 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' com ensationinsurance carrier and policy number are: Carrier �' �� Ft. ,k Policy Number t 3U If U lull - f/ -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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I'shall forthwith comply with those provisions. ` Date q- /0-63 Signature of Appl�ant - ❑ %caner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 40.00 Cooling 50.00 Hood 6.50 6.50 Ventilation GAS SIUVE 15.00 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R3 CONST. TYPE VN TOTAL FEE $ 1,286.50 .�M HAZ. D. FEES I P ` / •r FLOOD CDF PARCEL PD 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. /ls / 1,�?� f DateAz APTT EXP1RES ON Date :t . ReceiptNo. C1Y Y 0 S� � e� i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK.INSPECTOR GOLDENROD -APPLICANT J = OK-. 0 = Not OK = Not Applicable . = Not Ready DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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;-/ /" L 'ft. / P Nat. or / . /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Date Card B-1 - Date. Card B-1 Date 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- 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 (O � J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDE LOOK fans) OK except #'s on' etbacks-Easements-Flood-Slope Main; Soils-Elec. Grnd.-/ " Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls; Main; Steel- Bloc kouts-Wrapped 6. Stewr�06s, Garage; Steel-Blockouts-Wrapped o ,, owns and Special Anchors b, Steel -Wrapped iers-Fireplace Ftg.-Steel W. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation �, DateA�_0 2 Card B-1 /� Date Card B-1 Date 07, /I'1 Card B-1 Date Card B-1 Date PLUMBING (Rdrmit)'OK except #'s ' 1 er Htr.; Vent -Access -Combustion Air Baffle 1 Wafer Pipe: Test & Anchor -Nail Protection 1. .W.V.; Test Fittings & Anchor -Nail Protection 0 Q `.err3e Shower Pan; Test, First Floor -Tub Access Q4 st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 429- Fire Sprinkler; Test Dat , Card B Date Card B-1 Date Card B-1 Date Card -B-1 Date ELECTRICAL (Permit) OK except #'s ` . E!kture &Transformer Clearance -Ins. Protection Qr E ec. Receptacles Spacing -Lights & Switches at Doors 2 . Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2.Appliance Circuits in Kitchen AlConductor Size feed Wire Siz Z/ga. Cu or I- .C. Wire Size25-4aCdor Al Range Circl — /g or AI -Oven Circ. / /ga Cu or Al Insulated Neut I O Yes O No Qe - Service -Riser Conductors & Ground Main Disconnect ui . Clearances Panels-Motors-Mech. Equip. . C hes Closet Light -Shower Light -Spa Light Smoke Detector Date , and B 1� Date Card B-1 Date Card B-1� Date Card B-1 Date MEC NICAL (Permit) OK except #'s . Ducts Insulation & Support JWWht Fan, Exhaust above insulation ,491.0'gorid6nsate Drain & Overflow; Size & Grade ' Vnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4 Attic Access & Platform if Furnace in Attic Dat Card B- Date Card B-1 Dat 6= Card B-1 Date Card B-1 Date FRA)MI IG (Permit) OK except #'s . §jlls Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound 4 ea 'ng Walls over Girders & Floor Nailing 4 aft Stop in Walls (rat proof) re Stops, Furred Ceilings -Stairs -Chasers -Tubs - Headers & Beams -Size & Bearing Date FRAM!G (Continued)' 490 -Post Caps -Anchors -Connectors ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. -49—Fireplace Ties or Type A Flue -Fireplace Throat Clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Ht. & Fire Protection Framing 54!Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -5&. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection IT% Plywood on Roof Overhang -Attic Vents -Rafter Outriggers •5ts- Siding -Nailing Veneer Access Area -Glass Walls; Nailing -Bolts Interior/Exterior Wall Panels 63. Infiltration -Walls- indows Date M J�Card B-1 IL Date Card B-1 Date 'Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s _ 64: xt._$teps-Door & Sidelight Protection -Landings mo�e.Detector 66- . Jurnnrp Vents -clearance -Comb, Air -Connector - Above Floor-Ducts-Mech. Protection F.I.. & Bath Fixtures 69-Elec. Trim & Subpanel. Breaker Sizes & Labels Rails ire ce or Stove, Clearance -Hearth le_q- utlets at Wood Panel, Int. & Ext. 74 --'Kit. Fi 'Appliance; Ground -Air -Gap -Cooking Clearance et. Outlets & Receptacles at Kit. Counter G age Fire Door; Swing -Landing -Closure j�'L U ASC Duct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location ec_. Receptacles in Garage (F.F.I.)-Romex Protection 8Qi45_§lation-Foam-Looked in Attic u ails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes ollowing Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing 8 Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. er-Well, Disconnect, Electrical, Plumbing a}g�drior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House 90. lass Protection rrections from Previous Inspections Meters Tagged, Gas -Electric s est- ate; & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Pf!Vress Posted ge"Fire Sprinkler Date Card B-1 Date Card B-1 -Datta_, V Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 :,,Comments at Final: uenamieeaee 0 Builders Statement - • • InsulSafe 4 Fiber Glass Blowing Insulation o4- �2_ D .� 7-3,� Add ss Installer/Contractor (sign) Company Name Date Builder (sign) ; Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft) Weight per sq. ft. of installed insulation should not be less than: abs.) Should not be less than: an.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'/2 44 26.4 38 0.712 16'/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 1 13.1 76 0.353 9 19 11.1 90 0.301 1 73/4 13 7.7 129 0.209 1 51/2 11 6.6 151 0.179 1 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 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 ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 6 BAGS USED BATTS/ROLLS (✓) CEILINGS SIB l 2, WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO -TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 ■ Manufacturer Insulation Fact Sheet Certai 01nTeed Cq This is CertainTeed Corporation I nsu Safe 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION' When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 774 22 27.2 37 0.733 5'/2 16 19.8 51 0.533 4 15 17.9 56 0.484 31/8 14 17.3 58 0.467 3'/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. 0 40 • MA . Certificate _ f � onforman Certificate 0 5.2 7 3 6 THIS IS TO CERTIFY that the glued laminated timber products identified with acollet., ve mark of ,Engineered Wood Systems (EWS) were manufactured in accordance with the applicaiJiF standards - and associated specifications indicated below. ANSI Standard A:190.1-1992, For Wood Products— Structural Glued Laminated'Timber NER-486 Glued Laminated Tmber Combinations And "GAP" Computer Program For Determining Design Stresses RITC 117-93 — Manufacturing =Standard Specifications For Structural Glued Laminated Timber Of Softwood Species k�e�s e IT IS HEREBY CERTIFIED that fhe APA.EWS trademarked structural -glued laminated timber members Were produced in a 'rnanufacturing facility subject to regular audits in accordance with the Engineered Wood Systems.(EWS) Quality Assurance Program..Routine audits include' insp c -non of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verity gpniorrnance to industry. standards for lumber grade and giueline bond quality. X4, # 7/3 1 %%%1114ylllt C Tri � r l,, •3 C",= 0. by LJ_ _i&, Thomas G. Williamscll Executive Vice Presi.d(-- )i EivGfNEERELD wooD SvS7-E.MS rs s re+B�eo ""prnelion 01 APA _ 7KE ENLEAED ►y00D 4SSOCL(7�[jn 70t IS. 191h.Saeet - P•O. $or. v1lop • 1Wim+,_ "' NGIIV 1-o7D0 •7olephor�ir: (253) sr..e6ov- Fey Number. (253)-565-726:+ � r A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 r- CORRECTION NOTICE c�hdc-d t +7 OWNER ✓ PERMIT NO. r A routine inspection indicates that the following violations of butte county Ordinances exist at the J;"—` above address and should be corrected. Please notice this office when correction of work is It completed. If you have any questions pertaining to this matter, or need additional explanation, 'I>• please contact this office immediately. i _ x \ A a. Date Q r r Inspector w r REV 10/92 L ' - COUNTY, OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530),538-7541 6CORRECTION NOTICE O N 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, r,Y - Y '1 ry Date Inspector REV 10/92 Y\ q S`97j COUNTY OF BUTTE--- � BUILDING'D1VIS10fl --- �;� DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • ChicorCA •_(530) 891-2751 a �.. 7. County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE. �3-LO)7 OWNER PERMIT NO. A routine inspection 'ndicates that the following violations of butte county Ordinances exist at they above address a should be corrected. Please notice this office when correction of work is completed. If y" have any questions pertaining to this matter, or need additional explanation, please contac his office immediately. Date Inspector REV 10/92 .5 Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. . (Rev. 12/96) APPLICATIONAND'PERMIT 63 -- ASSESSOR PARCEL NUMBER 040-640-042 ZONING SR -1 BUILDING PERMIT OWNER MEGHDADI ANDREW TELEPHONE 624-5189 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3119 SHADY GROVE 3101 R 16Z 870 U 15 -454.00 660.00 CONTRACTOR'S NAME OWNER TELEPHONE -343 C 4,499.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 185 3.00 ARCHITECT OR ENGINEER LICENSE NO. -Fling Fee $ 20.00 Permit Fee $ 706.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1.00 BUILDING ADDRESS 514 RHAPIS DR.- CHICO 95928 Energy Plan Checking Fee $ $ PERMIT FEE $ 749.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap4 7.00 98 �� Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New IN Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: NSF MASTER -r 7-42 it Gas piping system 1 - 5 outlets 15.00 15.00 Buildingsewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE S 178.00 FLOOD'X 0510C ELECTRICAL PERMIT Fling Fee 20.00 600V OR IES: Main Service zo.A OR LESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( 9 ) and my license is in full ce and effect. / License Class Lic. No. 1015 I �Q � 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. SO 3.5QFT 39.00 NEW CONST. MULTI -OUTLET NON•RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDMAES BAS p x.50 Ex. Occup. oNE% A oD °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 182.00 , WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. (,I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this Perm R is issued. My workers�,cQm ensation ins rance carrier and policy number are: Carrier J f:w2n >1� Policy Number i 13 -0 10 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �r X Date 10-63 Signature of Appli16, nt - ❑ ner [3 Contractor T�Agent 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. Cooling50 �� Hood 6.50 Ventilation GAS STOVE 15.00 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R3 coNsr. TYPE VN T AL FEE $ 1,286.50 HAZ. D. FEES IMP __ / FLOOD X COF --- PARCEL PO HD ISSUE This permit is hereby issued under of the tte County Code and/or indica d above for which fees have B� PER 514ES ON the applicable provisions Resolutions to do work been paid. Z Date ��/ry 29 _ C!� Date Receipt No. 8 76 f z 7 0 700 a WHITE-D.D.S.-B.D. CANARY -ASS SO PINK-INSPECTORII GOLDEN ROD.APYLICIFANT E•.'j acv �,*- .'/i.��.. �Ri�zsw �rm-w vI:A_rw"�.v .. V r K. -. T�,V,,.y�� _ '...'�"'Rf•'6a77 '-s•�„�•�• ry i' '� '( f '^i'i 7 .d::" ' OS - 1617 COUNTY-OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive;�Orovill& CA 95965 Phonej030)538-754LFax (530)538-2140 PERMIT APPLICATION`D'ATA SHEET OWNER: lf(d d -t ASSESSOR PARCEL`,NUMBER Proposed Building Use: /U / { Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 'LlI�te�� . Plot plans, 3 or 4 sets, signed ty the preparer of the plans. t- 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 duplicates No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevationviewsin triplicate. (D) Floor plans in triplicate. All of these must be stamped'and wet -signed b tengineer. 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. 'l. Date Received.... By 018. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 4,. ❑ 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 iiems.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... a Statement of Intent for Non -heated and A/C Buildings s :•'r,J° Q g .......................................... 16. Sanitation and plot plan approval from the Environmental Health Department in a2 t ❑ 17/? City of Chico Plumbing permit ............................................... ......................... "- ❑ N. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ t19. Planning approval for (A) Use: OY (B)Parking: (C) Parcel Check: y_1 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............:................ 4Z O 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ? :� ❑ 25. Owner -Builder Verification (❑ Given tolowner, ❑ Mailed to owner) ..................... t '11�7-26. Letter of Signature authorization..........'. t ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... t ❑ 28. Manufacturedhome utility clearance..........'..................................................... A ❑ 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. $ . - r ❑ 31. Other:_ When issued Telephone I have been informed of the above items and requirements for '1 s ' Applicant: _ 1. Index permit application for the above items numbere 2. Additional items required Contractor, designer, owner, was advised cf the above data -by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by:. Date: Note transfer y: Date: C hold for pickup. ig a building permit. -10 -0-3 Plan Check Letter phone, ❑ mail ,I V7 counter, by Date: phone, ❑ mail, ❑ .counter, b Date: Plans approved by: Date: _Structural approved by: ' Date: TO: FROM: SUBJECT: Building DepartmeFfit Environmental Health Sanitation Clearance E.H. USE ONLY $lot Plan AttecMd Floor Plan Attachad Sort to B.D. l G3�1et7 -6 Y6; y z 0.wner- ocation AP# Plan Approved for: wage Disposal Water Supply: Public Private Well -L. clearance O.K. f6r: NOTE: Environmental He Ith Specia ist Date 8/96 COUNTY OF BUTTE Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... _I x clg-p =$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 3 r/fray ` - Y S �b 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 EA -03 Pursuant to Government Code Section 66020; you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100) DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE f� OWNER G A.P. # O Y O n 1 G PROPOSED BUILDING US + .. L/t d / DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES C Balance Due ....................... $ 3 • 5 o f 7 S O� Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .......... . ..$ DISTRICT CL C 2. SCHOOL FEES J --Q (paid at District Office) (Available after Plan Check) `=�� v �✓� 3. SHERIFF FEES Building Division) (paid at Residential x $360.00=$3& —` 3 g-1A"S jd ...................... Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... _I x clg-p =$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 3 r/fray ` - Y S �b 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 EA -03 Pursuant to Government Code Section 66020; you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100) BUTTE. COUNTY'8CHOOL3 IMPACT FEE CERTCFICATION FORM (One form per Building) `; r School District (� e� y Building Department No. —10 1 A.P. Number 0 - O - D It Jurisdiction: City County Property Owner Q Property Location/Address e, (24U 0 �� s Subdivision Lot No./'fd 7 :.......:......................................................................................................... Residential Development Sq. Footage �' l 1 N*oLiVing Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection): Commercial/Industrial New Addition Building Department Representative moor rians reviewea oy acnooi uiszncz rersonneq 513 �6 District Identification %No. School District certifies that (Applicant) �"`73 - -7//Op/� Sq. Footage / (I tudin Exterior �Qof _Sreas) ry .3 Date (Street Address) (City) has complied with the requirements of Resolution No. representing/v/ square feet. School District Representative Paid by Check # Remarks: L (Phone Number) (State) (Zip Code) / 8 by payment of $l0 . AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written.prot'est will prohibit you from challenging the imposition of the fees in any court action. a 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. t White (applicant), Yellow (building department), Pink (school district) feeform.xls 110/98)dmm 03-101-7 BUTTS COUNTY PARRS DBVSLOokm FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR`DISTRICT Assessor Parcel Number(s) D 14 V 6"` y- 0 / Property Owner Project Location/Address Subdivisio(,� j1,� �QQ U1nn Lot Number(s) V S Residential Development: (check one) New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of.Dwelling Units 07 Comment: C !ID' f "1 jfjp 41 �=I�y1�YkJL�. Building Department Representative � %4D J - . Date / *7r ti Chico Area Recreation and Park District(CARD) certifies that i n P. `--.(Applicant Name (Street Address Ch Ito (City) kdGd 0 I (State) (Phone Number s Zip Code) has. complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ CARD Representative PAID BY CHECK NO. REMARKS: BANK NO. Qb _t4C,)q3J.12_JJ PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised.11/90) 5' 1,:ro 03 Date 05/30/T'). 96470 10:41AM XXXTOTAL $1189.00 Yellow --,Butte Co. Building Dept. Goldenrod--City,of Chico Building Dept. �g (N) WELL I N 5' HIDE ADJACENT LOTS, LEACH LINE • • H/ 12" ROCK, \ ` • �` TRENCH 56" MIN. 1200 GAL. \ •. MAX DEPTH. 5EPTIG TANK (N) HELL— S L — — •� REPLACEMENT FIELD — /pO' R — — �— — — — • . y \ 5EPTIG TANK AND LEACH L I NE5 TO BE 5' MIN. FROM BLDG. AND PROPERTY L I NE5, TYP. — — 0 ,252' TOTAL — — J • • i LINEAR FT. ORGH i OF LjH- / PROP05ED Hou5e\'00� / 5101 PLAN FIN. PLR. EL. = r-? / 215.0 = 0 1 GONG. DRIVE �J / Q t U� �r N LOT 36602 sq,. ft. S �!—� BUILDING 4260 sct. ft. COVERAGE 11.6% LOT 20 LOT GREGORY A. P E I T Z TWIN PALMS SUBDIVISION ARCHITECT for: 20 383 Rio Lindo Ave. Chico, CA. 95926 c5M) 894-5719 ANDREW MEGHDADI CHICO CALIFORNIA w c z z_ Q6 v F5 o c: 6 Ez 31 G n r (N) WELL IN 51 WIDE ADJACENT LOTS, LEACH LINE • W/ 12" ROCK, oe0000r'\ ` - TRENCH 56" MIN. 1200 GAL. - • MAX DEPTH. SEPTIC TANK (N) WELL / r ' • . REPLACEMENT FIELD \ /-000' '000,y \ 1-1 SEPTIC TANK AND \ 'o LEACH L I NES TO BE v 5' MIN. FROM BLDG. AND PROPERTY 00,00 L I NES, TYP. GONG. DRIVE LOT 56602 sq,. ft. BUILDING 4260 sq,. ft. COVERAGE , 11.6% GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95976 (530) 8945719 O .,252TOTAL — J • LINEAR FT. ' OF LF,g�H- / • / PROPOSED HOUSE\,000� 5101 PLAN J FIN. FLR. EL. = 215.01 00;01O coup -p3 Q� �r�friro. S 1 T PL.ANI I"=40'-0" LOT 20 TWIN PALMS SUBDIVISION for: ANDREW MEGHDADI CHICO CALIFORNIA N n EWIRON"EN--A, HEALTH APR 10 2ci CH'CP, CAUFoH. LOT 20] SITE PLAN REVIEW APPLICATION Date: 6'-03 AP# ' yG ck) - C/ -,;Ll • Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: B - Owners Name: ' ,9 (a Owners Address: Telephone No.: Situs Address: L� T Proposed Use: Residential IN New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family �.�.,... Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial . ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ® Septics, ElAgricultural Exempt Building Well ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For, Use ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved • By Date I_ - Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • ❑ Land Conservation Act 'Minimum ❑ Nitrate Action Plan (See Environmental Health for standards Verify residence can be built per contract ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: _ r', 1 Index Date: ❑❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Minor Variance El Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front C� Side C) Side Street Rear Q Height Waterway N/A N/A _ N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 f Applicable Development Fees: 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 Deed of Reference: Legal Access Required No Yes El Parcel Frontage on Publicly Maintained Road: ❑Yes Complies with County Standards for Deed Creation: E] No ❑❑ yeS' Road Name: Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel • ❑ Verify Legal Access ❑ Obtain a Certificate of Compliance ❑Provide Deed of Creation ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Man/Parcel Man: 6:,.) ; ;.,; �� L, S 0 V �� Map Date of Recording: Lot: G Book: �• Page: - 6 8 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ® Comply with the following Conditions of Approval: A-T -f qcA C_4,1 tD IN 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 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. PP pnate ❑ 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 AirQuality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 �(� �;�� .ter � � . ,z � `\\�� OTj7/j � •. : ��C� �-�4 Cc;n� rc> �m+a,--'C� t,•.; I i�+ SMA r' \ 29� ,i%'� � \ \� oo '\A7ITIQNAL INFORMATION SHEET i •�6 �� ��,� 0 1. BUILDING SETBACK LINES ARE AS SHOWN OF MAP AND, AS FOLLOWS: FRONT/REAR/SIDE YARD - 50' FROM CENTERLINES OF INTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE SOUTHERLY LINE OF THE OLD S.P.R.R RIGHT OF WAY. REAR - 10' FROM PROPERTY LINE (EXCEPT WHERE NOTED) SIDE - 10' FROM PROPERTY LINE 2. LEACH FIELD FREE SETBACKS ARE 5' FROM THE EDGE OF THE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE PROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. 10.00 PS LOT 6 3. BUILDING IDENTIFICATION AND/OR ADDRESS SHALL BE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. *HE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR BUILDING PERMIT. 5. THE LEACH FIELD AREA IS NOT TO EXTEND BEYOND THE ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY PER BUTTE COUNTY PUBLIC WORKS 6. PER FLOOD INSURANCE RATE MAP NUMBER 06007C 0510 D, REVISED APRIL 20, 2000, THE PROPERTY SHOWN HEREON LIES WITHIN ZONE X AND IS OUTSIDE OF THE 100 YEAR FLOOD PLAIN. 7. LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12" ABOVE THE HIGHEST ADJACENT GRADE. 8. WELLS ARE TO BE LOCATED OUTSIDE THE ROADSIDE BUILDING SETBACKS PER BUTTE COUNTY CODE SECTION 10-8, WHICH DOES NOT INCLUDE THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY. :\Land Proiectc PP\MFD IVI!d =A!-K-;BDIVI°.I rn-n.- nvr, nR.,n4i0? 08:08.34 AM PDT (N) WELL IN 5' WIDE ADJACENT LOTS, LEACH LINE W/ 12" ROCK, •' \ `• �` TRENCH 56" �� / • . MAX DEPTH. (N) WELL is , 71t — Ile, I — — _ — y •� 46 �. 5EPTIG TANK AND \ r LEACH LINE5 TO BE \o' 5' MIN. FROM BLDG. AND PROPERTY •' LINE5, TYP. v GONG. DRI\/E �i LOT 56602 sq,. ft. BUILDING 4260 sq,. ft. COVERAGE I I.6Y GREGORY A. PEITZ ARCHITECT 383 Rio Linda Ave. Chico, CA. 95926 (530) 894-5719 lv MIN. 1200 AL. 5EPTIG TAN A 09@S • • . • REPLACEMENT FIELD -- 0 —0 — — '>252' TOTAL — — — J • LINEAR FT. ORCH 0 OF LF,�� / PROP05ED HOUSE / 5101 PLAN FIN. FLR. EL. = 215.0' lool Vy \N eq r�� (� N y j5�y BUT11-6 `®✓ }pp Tip Tl� DFRA R' �y Q1 t3 l LOT 20 �S TWIN PALMS SUBDIVISION for: ANDREW MEGHDADI CHICO CALIFORNIA ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/pubhcworks/forms.hbnl NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530 538-7157 Ext. 2016 Permit Number Q z I 7dct z 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 Countyordinances and general laws. All information except signature must be typed or legibly ted. 1. Applicant's ame• la. Company Name: �� C . 2. Address: ` C&-1 GO 9 3. Phone: \ 3 l 0 4. Assessors Parcel Number:n 5. Location of Work to be Done %'t._.q t N ( E)A4 �' l.L QS . 6. Applicant's ' atu 7. Date: CONTRACTOR'S INFORMATION " 8. Contractor's N� 0 . b/.� \ N 9. Address 3 \`o 10. Phone: S --%,c 4 �T ( L 11. Fax:. 3tf3 12. Contractor's License blumbe . / v-12_ f5 13. Certificate of Insurance: Yes ❑`j No: El 14. Contractor's Sign a 14a. Date Signed: Z_ 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Garb: ❑ 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, emussion is hereby granted. 19. Condition CA ►1� ' n J � t)7 R' � 4, � r ar cc G ►� r o o f >r i Undetground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. ®'All work shall conform to accompanying: Detail 5( Plans O Special Conditions 0 21. Date Issued/U 22. Expiration Da ` d % 3 0 23 Surety. �. ) Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to onalweek. Page 1 of 2 General Conditions — See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit Is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be badfilled 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. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. 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 cows 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 work. 10. The future safety and convenience of the traveling public shall be given every consideration In the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, rights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Z�bPJ2—fbQe565 1 Recorded I REC FEE 10.& Official Records I County Of I CANDACEUJ.rEGRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Barbara 12:33PM 23 -Oct -2002 I Page i of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date *THIS DOGUMENT IS BEING RECORDED TO CORRECT THE LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002-0045904, RECORDED SEPTEMBER 4, 2002, IN BUTTE COUNTY, CA. 10/23/02 PROPERTY OWNERS: ANDREW State of California ) County of Butte ) On 10/23. 2002 before me, J. TIINISON, NOTARY personally appeared ANDREW-. MEGHDADI personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an fficial seal. Signatur Seal: ^J.TUNISON COMM. ,# 1234872 # (/ a - [ / ` l/ lJ ` NOTARY PUS A.P. ray RUTf-CgUNTYl'y' M" O J / '�' E CO �,, py MY COMM. EXPIRES SEPT. 18, 2003 EXHIBIT "ONE" PARCEL I: Order No. 202500 - C Lots 1 thru 24, inclusive and Remainder Land, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase I, filed -in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88. PARCEL 11: 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 - kv IIitIsIW&M C at A ZITO 4 � , QW, Yom F�T do itMW MAXA-Agy PI�QIx, ." -you iKTin 11 - note's aANA! lookf Icy 'I �7 In OR II --Owl QK .......... 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