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040-640-043
03-02 MEGHDADIAND -517 RHAPIS, yhr t A OV6- -0113, PERM IT r , ALr �. 41 t t l'. ,(/i- L CE OF FEES SHEET r � V DATE: PERMIT #: ASSESSOR PARCEL #: (J OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: ADDITIONAL FEES: REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban — El. Medio North Chico Specific— WATER pecific_WATER TENDER FEES $ BATTALION # } FEMA $ SMIP $ OTHER $ S RECEIPT NUMBER(S) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 5384636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040966 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: 040-640-043-000 the Business and Professions Code, and my license is in full force and effect. License Class: C 53 License Number: O42- o Site Address: 517 RHAPIS DR CHI Date: d C Contractor: [ .t u p Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: IN GROUND GUNITE POOL MASTER#502-01 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 Owner: MILLER JAMES M & SUZANNE E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 517 RHAPIS DR 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 violation of Section 7031.5 by any applicant for a permit subjects the 95928-9646 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: CARE -FREE POOLS such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 9 ALYSSOM WAY year of completion, the owner -builder will have the burden of CHICO, CA 95927 proving that he or she did not build or improve for the purpose of sale.). (530) 342-4639 ❑ 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: CARE -FREE POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 9 ALYSSOM WAY CHICO, CA 95927 Date: Owner: (530) 342-4639 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: 380826 El 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 i issued. 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: Carrier-:,<& `�'� Policy#: re Total Square Ft: 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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. 69 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the ResolutioniVo work indicateWfh ees have been paid. performance of the work for which this pe it is issued (Sec 3097 Civ.)/� a Name: BY Date: V Address: PERMIT EXPIRES ON: ate ❑ 1 hereby certify that the use of tis 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. O Attached are copies of the required E.P.A. notification forms. i 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 unty to enter upon the above mentioned property for inspection pu e G/ Print Name: t l Signature: % Date: 0 0 Owner. Contractor ❑ Agent for Owner 0 Agent for Contractor 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. DATE: zlaO APN: g cj— a q (j— 0 3 ZONING: IS NEAREST CROSS S . �jRPCT/LOj/k� C SITE ADDRESS: ^l CITY, ZIP, ` 60 V OWNER NAME: , PHONE: STREET ADDRESS: FAX, CITY, ZIP: E-MAIL: APPLICANT NAME: _ PHONE: STREET ADDRESS: CITY, ZIP: P / c4j f -Fo E-MAIL: 17* CONTRACTOR NAME: PHONE: STREETADDRESS: FAX CITY, ZIP: E -MAIL - LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: CENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: Z I Q ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) 'C>510 C 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: 'd �� Amount Received: B. C. Building Permit 01-23-04 pg 2 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�K J� (n (� (� (�_�>OWNER: t �_� ( I ASSESSOR PARCEL NUMB D"4 0 "' l `" 4- ,, p Proposed Building Use: � t' t �' � � %� ` '`' � Counter Technician: Date: I e s required in orderto pa ply for a permit. A l 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. d 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. 0 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 ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.10 i) 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 De artment of Forestr Ian a roval ❑ aid Sent b I have been informs f the above -it ms and requirements for obtaining a building permit. i Applicant: � � Date: 1. Index p ,mit application for the above items numbtred: PI Check Letter 2. Additional items required C-oq actor, signer, owner, was advised of the above data by hone, ❑ mail, ❑ counter, by Date: G�A5 r, designer, ow w s advised of thea ve data b phone, ❑ mail, ❑ c y Date Plans reviewed by: Date: 0 Plans approved by: Date': Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 24. P I PP P I y ............. Planning approval (A) Use:01G(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 ........................... ❑ 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 ................................. El 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, E)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 informs f the above -it ms and requirements for obtaining a building permit. i Applicant: � � Date: 1. Index p ,mit application for the above items numbtred: PI Check Letter 2. Additional items required C-oq actor, signer, owner, was advised of the above data by hone, ❑ mail, ❑ counter, by Date: G�A5 r, designer, ow w s advised of thea ve data b phone, ❑ mail, ❑ c y Date Plans reviewed by: Date: 0 Plans approved by: Date': Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. WE a r Plot Plea Attechad Floor Plan A Chad sr, Sam to S.D. — ►: TO: --"" Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance a,6tir-/� s'/7 /Nos hp/me ®13� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: NOTE: Environmental Heal : Specialist S of Date 8/96 (1� SITE PLAN REVIEW APPLICATION \. pp Date: AP# © L4 U' 01', Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: i A N 2zs1�J Owners Address: 1 �' flay G�D� G 1 - e-1-� ICO CJC Telephone No.: 1 Situs Address: 1 62-H R PIS Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well Brief Explanation (if necessary): TO MC- &labA27 I F1 +J I t ,L— ov E --r g 6, H b v s1s D v —i _S l S —t -N ,r i_ 1i2 12 r? -/w . DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved a Conditionally Approved ❑ Resolve Problems Prior to Approval 9 Site Plan Stamped Approved By �"� Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY '0 Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attac ed) • Flood Zone: • Flood Panel No.: CS 'j Index Date: 6 " 9 ❑ 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/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side d Side Street Rear 1 (D 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 �g c;/ Applicable Development Fees: Standard Fees Amount ' Formula ❑ Fire . l . ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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 Page 3 of 5 I Subdivision MVTarcel Map: T' W 1 J-) F P► l,1 -^s S U {3 Map Date of Recording: Lot: 2 I ❑ Use Permit/Minor Use Permit Permit Number: Book: S C3 Page:S, S Date of Approval: 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 road maintenance, and stop sign maintenance. Page 4 of 5 .4 r�r•. V � 1 A �ITIONAL INFORMATION SHEET s 10.00' P.7s . \\ ACK LINES ARE AS SHOWN OF MAP \ . BUILDING SF - +ND AS FOLLOWS: 'RONT/REAR/SIDE YARD - 50' FROM CENTERLINES OF VTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE ;OUTHERLY LINE OF THE OLD S.P.R.R RIGHT OF WAY. ZEAR - 10' FROM PROPERTY LINE (EXCEPT WHERE NOTED) SIDE - 10' FROM PROPERTY LINE / ?. LEACH FIELD FREE SETBACKS ARE 5' FROM THE EDGE OF FHE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE DROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. 3. BUILDING IDENTIFICATION AND/OR ADDRESS SHALL BE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. OT 6 / I \ / 0.3 L.F. /. y / LC / 10. 01 4. THE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE Za / COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS OF THE DATE `PGS OF APPLICATION FOR BUILDING PERMIT. L 5. THE LEACH FIELD AREA IS NOT TO EXTEND BEYOND THE o� ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY PER BUTTE COUNTY PUBLIC WORKS vo� \ / 6. PER FLOOD INSURANCE RATE MAP NUMBER 06007C 0510 D. REVISED APRIL 20, 2000, THE PROPERTY SHOWN HEREON LIES WITHIN �y 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. _ I 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. IWIIV =ALMS �vBDIVISION\dwQ\FINAL MAP 5-20-02.DWG 08/09/02 08:08:34 AM P 0 cp 01 NOTES - = IIINNN RESIDENTIAL OPE 040-640-011ptn V/03-0254 RMIT NO. MEGHDADI, ANDREW 517 RHAPIS, CHICO NEW SINGLE FAMILY -MASTER -13 #97-37 I 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 / I GAS Meter By Date OL'� ELECTRIC AL'Meter By Date 3 - \ J JOB FINALED (Date) J Signature COUNTY OF BUTTE, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 ERMT`N0� (Rev -312196): APPLICATION AND PERMIT f7� � ASSESSOR PARCEL NUMBER _-n1 ZONING BUILDING PERMIT OWNER j TELEPHONE SO. FT. OCC. BUILDING VALUATION / J / 1 1 % V� V . OWNERS HARING ADDRESS - •" �1 I v a n` rri^ r Trn rA aao7� g �1 CONTRACTOR'S NAME - MNEn TELEPHONE 7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER o- - CM /� Fireplace A 1500.00 LENDER'S MAIUNG ADDRESS j Total Valuation $ 168_64 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $881.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING/ Sl\C'lt•1L�, MIW j r fit+IBJ Energy Plan Checking Fee $ $ PERMIT FEE $ 924 00 LOT No. 21 SUBONISIONSNAME w�N PALMS SUBDIVISION �w PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 UiSEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other • SPECIFY Each Trap 7.00 ()() Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.001-,_()() TYPE OF WORK New+❑ Addition ❑ Remodel ❑ Utilities ❑ 'Installation ❑ Other ❑Buildin Describe Work: NEW SINGLE FAMILY-111AM'R #97-37 Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G W @20.00 ' PERMIT FEE S qq ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�o.AORLE S 23.00 7� 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 i's .I full force and effect.r License Class Lic. No. 1�� •"10 -L.r� 1 / 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. 0,,,'ras owner of the property, am exclus6ely contracting with licensed contractors to construct the project. „ /f - , ❑ 1 am exempt under Sec. ( Business and Professions' Code for this reason { Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( d ACC. BLDS. 3.5¢FT. ,, ,1 NONREOSID. MULTI -o IViLET @7.50 a e POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU oun.Er OR FOcruREs 20 Q 100BAL Q .50 Ex. Occup. ounces PR91.oEE 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $164.77 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' cornRensation insurance carrier and policy number are: Carrier -tl fi it •rd Policy Number --,p -] („ /„ U8 (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, ,l shall forthwith comply with those provisions. X • !n- Y'W G r _ _ Date / �� G Signature of Applicaa ❑ O liner ❑ Contractor O,Agent An OSHA permit is required for excavations over 50" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 2 15.00 30.00 CoolinNg 2 15.00 30.00 Hood 6.50 6.50 Ventilation 4 4.50 18.00 PERMIT FEE S 104.50 Mobile Home Installation Fee $ Energy Inspection Fee 1 $ 46' 00 OCC CONST. TYPE TOTAL FEE $ 1438.27 HAZ. -, FE IMP Loop CDF PARCEL pp HD ISs�FU s This permit is here y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By i 1 Date , / 0_?of PERMIT EXPIRES ON��"''. -' f Date ReceiptNo. 369946 $103.[>O / .'%. �, �Ca��� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN -INSPECTOR GOLDENROD -APPLICANT R J=OK ' 0 = Not OK . = NotReadyable 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. Health Department Approval 11. Cert. of Occupancy 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 J=OK 0 = Not OK Not Applicable . = Not Ready Date ren RESIDENTIAL (Single & Duplex) t #'s Date FRAMER (Cont if t ., Main; Soils-Elec. Gr .-/ /" Ftg. Depth 3 t ., Garage; Soils-Steel-Elec. Gr6'd.-/ /" Ftg. Depth tg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, G e; Steel- Blockouts-Wra ed 6 old DGwrigand Special Anchors vo-✓ iers-Fireplace Ftg.-Steel 2 J ® .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-Suv pport-Ins. (, 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date o 3 Card B-1 Date Card B-1 Date Installed Close to Edge of Studs & C.J. Card 13-1 Date Card B-1 Date PLUM G erm') OK except #'s 2 Appliance Circuits in Kitch uctor Size GFI Ll 7 a er Htr.; Vent -Access -Combustion Air Baffle 31. 1 r Pipe; Test & Anchor -Nail Protection Service -Riser Conductors & Ground Main Disconnect 33. V.; Test Fittings & Anchor -Nail Protection 7.— T} Closet Light -Shower Light -Spa Light Shower Pan; Test, First Floor -Tub Access 21. Tes ub & Shower, Second Floor -Tub Access 22�4as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date , Card B-1 Date Card B-1 Date ELECTRWAL (Permit) OK except #'s 25.. 066,6€ceptacles Spacing -Lights & Switches at Doors 26.- 6xes & No. of Conductors Stapled 27o�e�c Installed Close to Edge of Studs & C.J. 2 Ip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitch uctor Size GFI 30. Subfeed Wire Size/ .` /ga. Cu r Al- . Wire Size/'k4g Size/'r Al 31. Range Circle/ /ga Cuo�AI-Oven Circ. / ,3/gkgrAl Insulated Neutral pis ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Eg4ZIIearances Panels-Motors-Mech. Equip. 34-Tipffies Closet Light -Shower Light -Spa Light 31.'Smoke Detector Date Card B-1 Date Card B-1 Date Card B -11 -Date Card B-1 Date MECH ICA& (Permit) OK except #'s 3 A.0 ucts Insulation & Support ent 5 n, Exhaust above insulation 3 ansate Drain & Overflow, Size & Grade ur ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40e4ftir, Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI G ermit) OK except #'s i roper Materials & Anchors 4 . al t s -Nailing Spacing & Braces -Plates -Sound 43 ea g Walls over Girders & Floor Nailing 4 r ` Stoin Walls (rat proof) 454A r!ops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing , 4+ .'Han rs-Post Caps -Anchors -Connectors 4 ng: Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 . Ir ace Ties or Type A Flue -Fireplace Throat Clearance 5 • i ccess; Size & Romex Protection -Draft top -Ins. Baffles d . Windows or Exiting Doors -Sill H Dimensions arage Fire Protection Framing-PRthannel 53. Pr erty Line Firewall & Openings 5 . xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Sta' ; Width -Headroom -Rise -Run -Landing -Fire Protection 5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. ing-Nailing Veneer Stu Mesh -Drip Screed -Fd. Vents-Underflr. Access 59 lazing Area -Glass Protection -Skylights -Plastic FZ:6O. Shear Walls; Nailing -Bolts � race Interior/Ex all Panels .O Insulation -Walls -Ceilings < < tj 63. Infiltration-Wa ndows Date p Card B-1 % Date Card B-1 Date Card B-1 Date Card B-1 Date FINA�(PI s) OK except #'s Steps -Door & Sidelight Protection -Landings furnace Vents -clearance -Comb, Air -Connector - In Ga e; Above Floor-Ducts-Mech. Protection 7 om Exiting G . & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 70. rs & Rails Fire lace or Stove, Clearance -Hearth Outlets at Wood Panel, Int. & Ext. 7.21 Ki kt: & Appliance; Ground -Air -Gap -Cooking Clearance 7 c. Outlets & Receptacles at Kit. Counter 7,8' . Gar§ge Fire Door; Swing -Landing -Closure 74K -41C. Duct in Garage -Damper i ara e; Above Floor-Mech. Protection 7 . P ., Flec. & Mech. Equip. Listed for Location 7W.' Flef. Receptacles in Garaqe (F.F.I.)-Romex Protection W dation-Foam-Looked in Attic guard Rails & Deck Construction -Post Caps 82'Fdn. Vnts & Crawl Hole Door - rainage & ood-Earth P_Wgrance Looked under FW 0 YPg- C1_1,F6llowinq Instld./Drive D Yes-614o/Walks es O No/Planters es 0 No moi.' , Stucco Brown -Finish W.041nit Di�onnect, Electrical -Plumbing 8 . ents ve Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87.!, t I, Disconnect, Electrical, Plumbing 8 x�or Elec. Trim, G.F.I. Receptacle -Underground enjlation Throughout House 94!Corr ions from Previous Inspections est- eters Tagged, Gas -Electric r & Sewer Connected -C/O to Grade -HD Approval yFnergy Compliance Certificate -Other Certificates JcK. Address Posted 96. Fire Sprinkler Date 7-(j" Card B-1 Date - Card B-1 Date r% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE— , . , ..... , t� �,BUILDING DIVISION, '. . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE &9 ) t VA-- -/0 O3 - OWNER PERMIT NO. A routine inspection ind•cates that the following violations of butte county Ordinances exist at the above address and sh uld be corrected. Please notice this office when correction of work is completed. If you hav any questions pertaining to this matter, or need additional explanation, please contact this of ce immediately. APA P Certificate of C'onfo irmance Certificate 052736' THIS IS TO CERTIFY that the' glued laminated timber products identified with a colic` , s mark of Engineered. Wood -Systems (EWS) were manufactured in accordance with the applica i� standards and associated specifications indicated below: ANSI Standard A190,i-1992, For Wood Products - Structural Glued Laminated Timber NER-466 Glued Laminated Timber Combinations And "GAP" Computer. Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural /Glued LaminatedTimber-OfSoftwood_ Species CA - IT 1S HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated tir?;LFr members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing, process and evaluation of the in -plant QA program' with adequate sampl;ng to verify conformance to industry standards for lumber grade andiueline bond quality. i 4-46%03 . r, 4-3.03 W D y�RppRgr CM SEAL, z T" Op ,,,•�9 $N iN G� Oma,• by _41J_ Thomas G. Williamscil Executive Vice Presici(.!)I " ENCINE£RED »R7pD S)'STEMS,Z' a re1E1c0 CO,pO1611Da 01 AAA - 7rfE ENGWEERED WOOD ASSOC/ADC)lr 7011 Scum 19111 Sneo1- P.O. flex 11700 • 7acom>,." WA BLit 11-0700 7olephone:.(?53) SG5-8000 • Fer Number: R!)3) 565726;, Port BUildei inTeed M Stater` bndI/ /A .a InsuKfe 4 " Fiber Glass 13lowing.l.nsulation Hoomeeownef Name / Jobssite Ndme Home Address "iz), ��' k Co j/ C'k' Installer/Contractor (sign) Company Name Date Builder (sign) Inspected By (sign if required) Company Name Date Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain aBags Thermal Resistance (R) of: per 1000 sq. It. of net area: Contents of bag should not cover more than:'(sq. ft) Weight per sq. ft of installed insulation should not be less than: Obs.) Should not be less than: On.) 60• 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 161/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129, 0.209 51/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT'APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 s R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓ BAGS USED BATTS/ROLLS (✓) CEILINGS / 22 - WALLS 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 s ;p STM"emr^s'.•�y,.•.-.y�•+q�or-..�.n.r w- q�. • v�iv --,.� •.-,;nvsr---w•-- r.-^*w�-_•'.-"'s--r.. amu.. ,Pv-.T-�,..-vr'..-•-.�--- ' • • • • • . • • .... • ..COUNTY OF BUTTE... BUILDING DIVISION ..... , . DEPARTMENT OF,DEVELOPMENT SERVICES =R 411 Main Street • Chico, CA • (530) 891-2751 ;. 7 County Center Drive • Oroville, CA • (530) 538-7541 -.. CORRECTION NOTICE R Z- (V PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address an should be orrected. Please notice this office when correction of work is completed. If y hay es ns pertaining to this matter, or need additional explanation, C please conta this o i i ediately. Com/ i /l l �1- I f i/ e -/'?7u'2 ( .40z 1 � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 (Rev.12/96)e; APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-340-011 ZONING BUILPtNGPERMIT OWNER i A• �. TELEPHONE SO. FT. OCC. BUILDING VALUATION R J 038 . OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME' TELEPHONE f 19 9 12,276 00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAIUNG ADDRESS Total Valuation $ ^ ARCHITECT OR ENGINEER LICENSE NO. Finn Fee $ 20.0 Permit Fee $,981.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 SUILDINGF?Off$,TAPISr, CHICO ``�) / Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. 9 1 1 SUBDIVISIONS NAME 'rvIIN PALMS SUBDIVISION PARCEL MAP PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑. Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0011 9-00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 7 Describe Work: ����� SINGLE FAMILY-MASTE"Z ir97-37 Gas piping system 1 - 5 outlets 15.00 15 Building sewer 15.00 Mobile Home S G W @20.00 v PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is,' full force and effect. �C"' License Class LIC. NO. ICLI� I lJ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation,Mobile �I do the work, and the structure is not intended or offered for sale.531_ 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 PooA TO I000A 46.00 NEW CONST. D %NG OCCUP. OR ADDNS. ( a ACC. Blas. SO 3.5¢FT;21.77 pNEWESID. T.MULTH1 CRR UT ITS @a 7,50 POWER APPARATUS SINGLE 011TLET CR. E(, OCCU OUTLET OR FIXTURES BAL 9 1.00 Ex. Occu onxxE'AR pOEA.E123.00 Temporary Service❑ Home Facilities Misc. Wirin PERMIT FEE $164.77 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' corppen a on i2sue carrier and policy number are: Carrier L .FGt;ranp Policy Number --7L& (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. y X Date l — 2G -n Signature of Applic - ❑ O r ❑ Contractor ["gent An OSHA permit is required for excavations over 60" deep and emolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 2115.00 130.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46-00 occ corer. TYPE TOTAL FEE $ HAZ. FE IMP CDF PARCEL pp HD S This permit is here y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ch fees have been paid. By 4vqRbate PERMIT EXPIRES ON to Receipt No. 369946 n103,on1l S'27? WHITE-D.D.S.-B.D. CANARY -ASSESS PI K -I SP CTO GOLDENROD.P v,8+�dvr,,;r,i'�'��v'4�'#'���,.�,�F�'llr�' ","`�`r���`.�'�''�{'�:'�'3 �,^l�"�St-��i'''�:A �i43_�'f��i,�.i�+�.�t,,''„Y•�•:.--'"1 COUNTY OF BUTTE-DEPAPTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovill6, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER G Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR ma ed NA in order to apply. Ir L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. J ❑ 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. ❑ 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 Re aining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... c3 03 1 Statement of Intent for Non -heated and A/C Buildings ........................................... I 4W Sanitation and plot plan approval from -the, Environmental Health Department in -'�' 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: Q) K (B)Parking: (C) Parcel Check: r�_2,�._ O 14-2 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ` 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupa cj 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance.............................................................. ❑ 29. Existing violations and/or expired permQits.........—,.,� ��..:-""" :.............................. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered`_ 2. Additional items re uired Contractor, designe own r, as advised cf the above data -by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: LEI Date: I- Z� - 0 3 Plan Check Letter phof; _ E�Vmail, ❑ counter, by d7 fj %Date: `7- 0 phone; El mail, ❑ counter b Date: Plans approved by: 7, Date: t7 _Structural approved by: Date: of Yellowy Building Divisinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # d I 1 P ROED BUILDING DATE RECEIPT # DATE REC. BUILDING PERMIT FEES $�, 01 Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES04) (paid at District Office) (Available after Plan Check) U d.3 czl^� 3. SHERIFF FEES (paid at Building Division) Residential ......................$360.00 = $ _� S� L a3 Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) ) ? Residential ................... I x lylo =.$ # Units Amt. Commercial (sq. ft.) ............ -x - Sq. ft. Amt. v RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) THERMALITO DRAINAGE DISTRICT FEE $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees . may be changed during the plan checking process. APPLICANT DATE -1 -2-J-03 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) q , , REPLACEMENT FIELD 2,501 PLAN . FLP,. EL. _ 411.0' OGH _ N"R • .wry � RInap is Dr iva � O v _ (N) WELL PLANNING DIVISION- BUILDING PLAN APPROVAL Use: C> l< Date:3-2�— Parking: Landscaping:�— BUI LDINO GOVERAOE 252' TOTAL LINEAR FT. OF LEACH. t4IN. 1200 OAL-:- SPT I G TANK 3' WIDE J LEACH LINE '• W/ 12" -ROCK, / _ TRENCH 56" — _ "MAX DEPTH. 7 O O \ �` v' • SEPTIC, TANK AND p / LEACH L I NE5 TO BE 5' MIN. FROM BLDG. i • • AND PROPERTY L I NES, TYP. �•• BUTTE COUNTY 410cf8 scL. ft. 5(o80 sq,. ft. 1.0% GREGORY A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530) 8945719 7 4.) CO�pc/ BUILDING DIVISION (N) WELL IN APP VED ADJACENT jZ . LOTS - -PLAN 111=406-011 LOT 21 TWIN PALMS SUBDIVISION for: ANDREW MEGHDADI CHICO CALIFORNIA m. o-- j k- r q7-77 BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number 04bCo) 0 4,o G Property -Owner Project Location/Address,�� �+. G ,� i C►2> Subdivision-tY �...Q� W) Lot Number(s) Residential Development: (check.'one) _,./New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: a` 03 Building Departme Representative Date Chico Area Recreation and Park District(CARD) certifies that Awi ttw dc d,, S (Applicant Name) (Phone Number) I I S k6d., Grow C4 (Street Addres (City) Ck (State 1S; _) Z (Zip Code has complied with the requirements of Butte Co. Resolution No. 90-1440 by payment for dwelling units @ $1,189 for total payment of $ '18 J CARD Representat&ke PAID BY CHECK NO,S3 REMARKS: BANK NO. 9d ' ya PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) o U� Date 03/201M #3351 10:7M IVIRTOT►AL $1189.00 Ycllow--Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. * - qh BUTTE COUNTY SCHOQL3 IMPACT FEE CERTIFICATION FORM (6n0drm per Bullding) School District �-■!"✓ Building Department No. Jurisdiction:A.P. Number City •County' Property Owner Property Location/Address 1 T VAC� Subdivision Residential Development Nting Units Commercial/Industrial ! Lot No. i Sq. Footage Mobile Home Addition/ 'Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection); .................................................................................................................. . W irioor dans reviewea oy Scnool uistrict Personnel) 'District Identification No. o� -^f /- .3 y5 (Street Address) (City) Sq. Footage (Including Exterior Roofed Areas) Date School District certifies that / /' (Applicant) 3., WV, ? has complied with the requirementsofResolution No. representing / square feet. F School District Representative Paid by Check # Remarks: , (Phone Number) (State) (Zip Code) S�7 • ig a, by payment of $a��S� 11AP 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 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.x1s (10/98)dmm 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 2 j Distric •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 County ordinances and general laws. All information except signature must be typed or legibly ted. 1. Applicant's ame � c- 1�-� u la. Company Name: "M 2. Address: 3. Phone: \ 3 l O J 4. Assessors Parcel Number:n 5. Location of Work to be Done too 6. Applicant's ' atu 7. Date: /o A O Z CONTRACTOR'S INFORMATION 8. Contractor's Name� 9. Address 10. Phone:,3v Q r �� I I�� 11. Fax:. 3 t f 3 —� 12. Contractor's Lice(p License 14umbe . , v 13. Certificate of Insurance: YCS El No: 11 14. Contractor's Sign c 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 4/ 41 ace G Ons ioh Jori - _ %uq Undetground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. NrAll work shall conform to accompanying: Detail •N Plans ❑ Special Conditions ❑ 21. Date Issu?.0 n ' Z 22. Expiration Date: / a) /v3 / 23 Surety: 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 one w ek: 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 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 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 backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. a The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. Al installations, parallel with roadway, shall be placed as dose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (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 waming 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 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 THE LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002-0045904, RECORDED SEPTEMBER 4, 2002, IN' BUTTE COUNTY, CA. Date 10/23/02 PROPERTY OWNERS: State of California ) County of Butte ) On 10/23, 2002 before me, J. TUNISON, NOTARY personally appeared ANDREW 'MEGHDADI personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an fficial seal. ��� Signatur�' Seal: -- "w"'`° ^ J. TUNISON COMM. 01234872 — � F ��J NOTARY PUBLIGUNTY NIA A.P. # 'J{ e, /' '. BUTTE COUNTY O y 'py MY COMM. EXPIRES SEPT. 18, 2003 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION Recorded I REC FEE 10. i 7 COUNTY CENTER DRIVE Official Records i OROVILLE, CA 95965 County Of BUTTE i CANDACE J. GRUBBS i Recorder- ecorder ROSEMARY ROSEMARY DICKSON I Assistant I Barbara • 12:33PM 23 -Oct -2002 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: **THIS DOCUMENT IS BEING RECORDED TO CORRECT THE LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002-0045904, RECORDED SEPTEMBER 4, 2002, IN' BUTTE COUNTY, CA. Date 10/23/02 PROPERTY OWNERS: State of California ) County of Butte ) On 10/23, 2002 before me, J. TUNISON, NOTARY personally appeared ANDREW 'MEGHDADI personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an fficial seal. ��� Signatur�' Seal: -- "w"'`° ^ J. TUNISON COMM. 01234872 — � F ��J NOTARY PUBLIGUNTY NIA A.P. # 'J{ e, /' '. BUTTE COUNTY O y 'py MY COMM. EXPIRES SEPT. 18, 2003 Order No. 202500 - C EXHIBIT "ONE" PARCEL I: Lots 1 thru 24, inclusive and Remainder Land, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase 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 ll: A Non -Exclusive Easement for ingress, egress, drainage, public utilities and public services over Lot 6, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase I, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88. Assessor's Parcel No: 040-640-011-000 a\ ( E.M. USE ONLY 1V ///jjj 1 Piot Plan Anechod Floor Plan Anschad D Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance e 517 ale Ix �h�}D-G9d -043 ner location AP# Plan Approved for: Sewage Disposal >e Water Supply: Public Private Well k Clearance for dwefliAg. Other Rev/somV Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 _.- S REPLACEMENT FIELD GONG. DRIVE v.�/ �wi v✓iY T7VV✓L � � 2,501 PLAN . FLP.. EL. 411.0' H . •wry• � Rhap is Drive% x� � O v � PB�� O� Newt 5 L BUILDING COVERAGE (N) WELL 252' TOTAL LINEAR FT. OF LEACH. �rtlN. 1200 GALS OPTIC TANK 3' WIDE J LEACH LINE �W ' • W/ 12",ROCK, TRENCH 56 • \ '-MAX DEPTH. i >000" \ \ / i SEPTIC TANK AND. p / LEACH LINES TO BE 5' MIN. FROM BLDG. i AND PROPERTY L I NES, TYP. \ /i�l�► wealth mAR 2 12003 ghigo, Califomia N (N) WELL IN ADJACENT 410x8 sq,. ft. LOT SITE PLAN 3610 sq,. ft. 1.0% LOT 21 LOT GREGORY A. P E I T Z TWIN PALMS SUBDIVISION ARCHITECT . for: 2-1 383 Rio Lindo Ave. Chico. CA. 95926 (530) 8945719 ANDREW MEGHDADI CHICO CALIFORNIA r' TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U§✓ ALV $#ot Plan AttacMd rMna Main Atuc ad Sant to ®. �,cJ42E� /%% A:21000j J-/ /-7 /l2 . d / -, ' d i13' Owner .. Location AP# Plan Approved for: Sewage Disposal ✓ Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 8/96 upply: Public Private Well ✓ mental ith Specialist Date XREPLAGEMENT FIELD GONG. DRI VE /o/ — _ , • . 252' TOTAL • / S p' _ — , ' • Ui LINEAR FT. A _ , OF LEACH. cn PROPOSED HOUS • . 2801' PLAN O.0 � MIN. 1200 1 PIN. PLR. EL. = GAL. SEPTIC J • 1 215.0' TANK 3' WIDE #"1.1' RIn o p i s D r I v \ \ v \ 00 • . \ (N) WELL '' 41198 191U®wuaIAUS unot) eung 83A01Addti LOT BUILDING COVERAGE 11 • LEACH LINE / N/ 12" ROOK, / >000000, \ TRENCH 56" • \ \ 'MAX DEPTH. \ / x SEPTIC TANK AND LEACH L I NES TO BE / 5' MIN. FROM BLDG. AND PROPERTY / L I NES, T -Y -P. / . • _.,,.,.rrA ,ntal Health 1 / / .• F E B 9 3 2003 (N) NELL IN ADJACENT 41088 scl. ft. LOT 36010 scl. ft. C1.0% Chico, CA N S 1 TE PLAN 111=401-011 GREGORY A. P E I T Z LOT 21 LOT TWIN PALMS SUBDIVISION ARCHITECT for: 383 Rio Lindo Ave. Chico. CA. 95926 (530) 8945719 ANDREW MEGHDADI 21 CHICO CALIFORNIA RHAP 6 N090202 4_fywlw PLANNING DIVISION - BUILDING PLAN APPROVAL Use: ® L'—"Date:` 7' © L� Packing: Landscaping: Other. Signature: is I*;,. OWNER: •t ., Pearn, jt� o 1 - so z� a, JD Ow R<. OTE; I Cr Pages A+fachxn e, ntz sw mmi' Poo t SO- � TO DETERMINE APPROXIMATE ELEVATION NOTE SCALE 1/8" = 110• OF POOL ON DAY OF EXCAVATION. PLASTER 6R Y OWNER: POOL AREA TO BE FENCED, PER COUNTY POSSIBLE PE$ BLE -TEC OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF -LATCHING. BY OWNER OWNER: WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR 1 DAYS. DO NOT TURN ON PDOL LIGHT WHEN POOL IS EMPTY. DO NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL MARK PLASTER. ELECTR6CAL, MECHA N11CAL; AKI PLLIIO19N�e CONSTRir0110' " ( I'JOT F'{Lfo' SHALL M%IIPLY Ji TH CURRENT � `11 N OF PEC, Lik!C MID UPC. PERMIT OFFICE SALES OFFICE PHONE NO. MGR. JOB NO. SALESMAN. MAP BOOK N0. DATE LEGAL DESCRIPTION AP 0 4 0-640-0 43 AFT LOT NO: TRACT NO. BOOK PAGE BLOCK MAILING ADDRESS GENERAL SPECIFICATIONS SIZE 2_6 x 40 AREA 7 6 0 C5DEPTH L&_ TO7r6' SHAPE CU S TO M PERIMETER 11 0 TEMPLATE NO. CUSTOM TILE SIZE 6 " x 6 " TILE COLOR 0 T C COPING N 0 COPING COLOR N 0 POOL CAPACITY 31,000 GALS. PUMP CAPACITY 1 1 0 G.P.M. MOTOR H.P. I ( Z H.P. FILTER 48 SO. FT. FILTER RATE 110 G.P.M. TURNOVER 5 4- HRS. VACUUM LINE & SKIMMER 2 - RETURN RETURN LINE Z MAIN DRAIN (( 2 SKIMMER - MODEL `2) Q -.3 BACKWASH TO DIS LINE 50-' OF Y:" FILL LINE ANTI -SYPHON VALVE AUT FILL HEATER N O SIZE N O BTU GASLINE BY: N 0 VENTED BY: No LIGHT 500 (W CLOCK 220 (rV ELECTRIC BY: C F P ELECTRICAL BONDING BY: C F P POOL CLEANER POO L -VA C CHLORINATOR NO BOARD -SIZE N 0 COLOR N O BOARD SUPPORTS- N 0 LADDER -Model C N 0 SLIDE-# �.R.S Color O• , STUB PLUMB ❑ YES Or<D TILE & COPING ASAP ❑ OTN DECK BY: C F p TREES, ETC. m 0 CONCRETE REMOVAL BY: N 0 RAISED BOND BEAM YES ❑ NO 0 HEIGHT WIDTH SWIMMING POOL NAME JIM AND SUE MILLER ADDRESS 517 RHAPIS DR CHICO CA L�+► �,�I CROSS STREETS I a"sg luslI, DEFT/L "` ' =K•D. BY RES. PHONE 8 22-1 44Ar J?u H0 -RINTS CARE -FREE POOLS SS _ #9 Alyssum Way C _ Chico, California 95928 Bill Bell Contr. Lic. #380826 7i/t a2,4_1_Phone 342-4639 C I --- c - Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: M f- l (,P-✓ El Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MI The following parcel map requirements shall be met: 1• A�j All structures and equipment including overhangs shall be clear of all easements. A setback of 4-0 feet from the side and Z 'O feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. N October 6, 1999 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 536-7541 FAX: (530) 53B-2140 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 1, 1998 To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, (see back page) we initiated a letter of explanation, and a mailing to all pool contractors in Butte County. Due to the poor wording of the Act itself, a number of questions have arisen concerning compliance with the Act and how to enforce it. We have revised our letter to describe how enforcement will occur in Butte County, and are again conducting a mailing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including: 1. In our review of legislativc considerations, ect acwe ices to thvered e that lh t was assumeden accommodation that a conforming to allow exit alarms on doors providing perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code , Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing - as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2-114 inch mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. ng pool, an be 3. All access gates through the enclosure ed no ower than 6l open away 0 the inches above the grou da This self closi fclosing with a self -latching device placed includes large gates for vehicle access. Should you have further questions concerning this matter, please contact this office at the address or phone number listed above. *MagerC,4jBuilMng irel '&=:=— iC.B.O. Inspection CALIFOitNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWIIW41NG POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over 18 inches deep. "Swimming pool' includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool Iocated on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTIvI), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access: from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building: - . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for con.=fiuction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool. d) All doors providing direct access from the home to the swimming pool shall be equipped with a self -losing, self= Iatching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the building official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground. b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Craps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside surface free of protrusions, cavities, or other physical characteristics that would serve.as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) Public swimming pools. b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials -Emergency Performance Specification (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved exclusively to local juHsdictiors, as provided for in sLbdivision (e) of Section 114922 and subdivision (c) of Section 115924. ITIA9GN5 DY N H .UN W) WW) ',y U u .0 U 'v W c a a/ a 00 M MEC HDAD I 2801 SCh.E 7KhNN Xb `h1:Et FIVE r5