HomeMy WebLinkAbout043-730-023043-730-023 05-0307
STOTT, MONTE
22 LA PLACITA WAY, CHICO
Cont:-BAIRD ROOFING
REROOF
KENNICOTT CONST. CO. 145-70B
Vents- - 232-70P 173=7Gf
Evap.Cooler- 242-70E 3 OE
22 LaPlacita Way (LOT ') Chico
(new single family '�-/� �p
(044
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y.
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043-730-023 05-0307
STOTT, MONTE
22 LA PLACITA WAY, CHICO
Cont:-BAIRD ROOFING
REROOF
KENNICOTT CONST. CO. 145-70B
Vents- - 232-70P 173=7Gf
Evap.Cooler- 242-70E 3 OE
22 LaPlacita Way (LOT ') Chico
(new single family '�-/� �p
(044
;jo
y.
0
p
�'
Z Y,?.d{,. ,-.4!.. �`i `�'.t*K 6•�:,�"^� v.f'��hTi..`-�, "'+F_ .La
NOTES
• � RESIDENTIAL
PERMIT N0. 043-730-023 05-0307�F
STOTT, MONTE ;
i 22 LA PLACITA WAY, CHICO
Cont: BAIRD ROOFING '
REROOF
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
t
USE PERMIT CONDITIONS
{ SUB -STANDARD HOUSING LETTER
JOB FINALED (
CHECKED
BY
J=OK
0 = Not OK
able
. = otReady
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1.
Zoning Requirements -Setbacks -Easements
Gas; MH Test -Demand -Valve -Connector
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
8.
4.
Water; Location -Test -Easement Needed (Sketch)
Zoning Requirements -Setbacks -Easements
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
2.
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
Braced Wall Panels
7.
Well Clearance & Disconnect
8.
Utility Clearance
Gas; MH Test -Demand -Valve
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
5.
Electricity; MH Test
Health Department Approval
Date
6.
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
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Date
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
Card B-1 Date
Card B-1
Date
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
1.
Zoning Requirements -Setbacks -Easements
10.
Roof; Shthg-Roofing
2.
Footings; Size -Spacing -Marriage Line
12.
Braced Wall Panels
3.
Blocking
7.
4.
Gas; MH Test -Demand -Valve
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
5.
Electricity; MH Test
Health Department Approval
6.
Water; MH Test
11. Light Niche
7.
Water and Sewer Connected
Enclosure; Fencing -Alarms
8.
Gas and Electricity Tagged
Date
9.
Exits
Card B-1 Date Card B-1
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
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
49.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
50.
18.
Water Pipe; Test & Anchor -Nail Protection
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
57.
Siding -Nailing Veneer
Date
58.
Card B-1 Date Card B-1
Date
59.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Shear Walls; Nailing -Bolts
24.
Fixture & Transformer Clearance -Ins. Protection
Brace Interior/Exterior Wall Panels
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Insulation -Walls -Ceilings
26.
Size Boxes & No. of Conductors Stapled
Infiltration -Walls -Windows
27.
Romex Installed Close to Edge of Studs & C.J.
Card B-1 Date Card B-1
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
_
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
70.
Stairs & Rails
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
36.
A.C. Ducts Insulation & Support
Elec. Outlets & Receptacles at Kit. Counter
37.
Vent Fan, Exhaust above insulation
Garage Fire Door; Swing -Landing -Closure
38.
Condensate Drain & Overflow, Size & Grade
A.C. Duct in Garage -Damper
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
81.
41.
Sills Proper Materials & Anchors
82.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
83.
44.
Draft Stop in Walls (rat proof)
84.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
85.
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (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 0 Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 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
BUI�DING PERMIT
24 HOUR INSPECTION M (536) 538-7636 (OROVIL'LE) (530) 091.2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE4 www.buttecounty.netldds
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
the Business and Professions Code, and my license Is In full force and
effect.
License Class : License Number.
Date: Contractor. ASI i�>! P�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish; or repair any structure, prior
to Its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Stale License Law (Chapter 9, commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she Is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than live 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' Slate License Law does not apply to an
owner or property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
Year of completion, the owner-bullder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
❑ I, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professlons Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves [hereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Stale License Law.).
O 'I am Exempt under Article 3 of the Business and Professions Code
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
O 1 have and will malnlaln a certificate of consent to self -Insure for,
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Is Issued.
I have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
Insurance carrier and policy number are:
Carrier: V // I 7 `t(1AMO
Policy#: ?? � �� 7
❑ 1 certify that In the performance of the work for which this permit Is
Issued, I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale:
#L
Applicant:
WARNIIjG; Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code; Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 CIV.)
Name:
Address:
I hereby certify that the use of this facility shall comply with Sections 25605, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
O Notincallon 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 hereby certify that I have reed this application, that the above Information Is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and slate laws relating to building construction. I acknowledge Ills unlawful to alter the substance of any ofllcial form or document of Bulla County. I hereby
authorize representatives of Butte County to enter upon the above mentioned properly for Inspection purpose
wiY
'Signature:
Print Nam -A
e: % NLY�
Dale:
❑Owner ❑ Contractor ElAgent for Owner 1 Agent for Contractor
PERMIT NO.
Issued Date: 02/07/2005 APN: 043-730-023-000
Site Address: 22 LA PLACITA WAY CHI
Map Index:
Description: RE ROOF COMP 19 SQ.'S
Owner: STOTT MONTE SS
P 0 BOX 190093
SAN FRANCISCO, CA
94119
Applicant: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631
Contractor: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631
License #: 631460
Architect:
Engineer:
)tal Square Ft:
Valuation:
Census Code:
0 S. F.
$0.00
This permit Is hereby Is ued under Ih
Resolutions to o wo Indicated abp
By.
PERMIT EXPIRES ON: a
provisions of [he Butte Cnunry Code 9nrU0r
fees have been paid. �7 /.j
Date:, _ /'1-
C
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT NAME
OWNER
Last Name
S-ron TT
J
irst Name
pi,4-r'f✓
Address
rp ® ack J(g60 13
City
S F
CA
Zip q4-1 I ,
Phone
Fax
±Fa
E-mail
V-2 /„lJ/
`J "/
APPLICANT NAME
CONTRACTOR
Name
Name
Address
Phone
Address
V
o 00 l 1'4
State
City
x
Stat :�JZi
Fax
Phone
V-2 /„lJ/
`J "/
Fax 4( / J / V0
E-mail
Lic._T
# ,/
CIw
APPLICANT NAME
ARCHITECT/ENGINEER
Name
_.
Address
Phone
City
E-mail
State
Zip'
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
7
Zip
Phone
Fax
E-mail
APPLICANT SIGNATUff
X •�
I
For office use only:
Zoning
Pro :='nCit
Flood Zone
Cross Street
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
11)
7
PERMIT
��NO.
V<
BP
BIN t#
LOCATION
AP# 0Y3- ! 3 -- -.�_3
Pro :='nCit
Cross Street
WORKER'S COMPENSATION
Policy
Policy Number ze V /
Carrier
5/_1 4
If hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Descrl tion or Scope of Work:
AoF
Sq.. Foota e -
❑ Structure Builf without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: �l �: Bldg
SRA
Receipt #: Sheriff
SMIP
Date:Other
C Total
REV 7-27-04
w'
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper.!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph papers) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.Pote: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst; (B) Marriage line info, (C) Floor Plan, (D),Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.) -
❑ 1. Agricultural -Buffer clearance and site -plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees::- ... .:.:.......: - --
❑ 3..Californi.a_.Dep�rt . nt of.Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroaclimentpermit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's -license'information.(Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number:
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
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