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HomeMy WebLinkAbout047-100-145COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. - 01 D5g L' (Rev. 12168) ` APPLICATION AND PERMIT' ASSESSOR PARCELINUMBER ,. 047-100=145 ZONING A-10 BUILDING PERMIT OWNER MILLER MARK TELEPHONE 93-8737 SO. FT. OCC. BUILDING VALUATION 2048 30 854. . OWNERS MAIUNG ADDRESS BOX 3437 CHICO CA 95927 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Fee $ 20.00 -Filing Permit Fee $ 330.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 214.50 BUILDING ADDRESS 5126 WILL T RD. CHICO 95926 Energy Plan Checking Fee $ $ PERMIT FEE $ 564.5 LOT NO. SUBDIVISIONS NAME COC 2092-118 PARCEL MAP 8-4-76 PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE 40 AC SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7 1 7.00 J49. 00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE BUILDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1 9 -nn Mobile Home I S I G I W (9?20.00 PERMIT FEE $ 99,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class IL No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lathe following reason: Vas owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith Com with those provisions. X L.a Date 26-61 Signature of Applicant - ❑ Owner 13 Contractor 13 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. D7UNG OCCUP. SO OR ADONS. 6 ACC. BLDS. `3.50FT. 71.70 IpµRESID T. MULTI. OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FDITUREs Ex. Occup. BAAL @ .50 Ex. Occup. o TLETS Asslo °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wifina 23.00 PERMIT FEE $ 114.70 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ TT CONST. TYPE ATTV TOTAL FEE $ HAz. D. FEES IMP CD FLo PARCyEL HD uE �. v This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for which fees have been paid. I 2,,, 0 B 4 Date 4 7� PERMIT EXPIRES ON 2, Dete Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'I�r S %,.wn r a vr, ww v � v=rnn i ratan i vr' v�vt�vrmr-n r ocmvttrt� t UILulNG DIVISION i 7 County Center Drive a Oroviller California 95965 • Telephone (530) 538-7541 PE NO. R/N.12Ji(T) APPLICATION AND PERMIT �� cg •• ,., c 'BUILDING PERMIT - r m _��3 S0. FT. OCC. BUILDING VALUATION owwi� nvl:ioaer ril � n P 1n ���5 / " a�Ca'") uvoora wasro Aooaas AlICM[GT ort orow[oi AKNTCCT Ow o�oum�s was+o.00asa Total Valuation Is �aNO` Filina Fee Permit Fee Plan Checkin Fee {�TN0. t1A0NsiDM7RY11t G ?b9 2, - T T2,_ J I P(�cQMA► I USEOFSTRUCTURE 401AL SFO Duplex O Mobliehome O Other specs~ TYPE OF WORK New O Addition O Remodel O UdN" O Installation O Other O Energy Plan Checking Fee PERMIT FEI PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlet_ Building sewer Moble Homs I S I G W V PERMIT FEE ELECTRICAL PERMIT Main Service a0°v °A `E`s soon an Iss M ain service IoM TO ioeM OWl31N0 OCCVP. a ACC. eina. / Q_. � �rPOWER ANAMT%A a O p0. . ounaORnauRESu P=0 APPLM. ORovur" aw u Service ome Facilities *PERMIT FEE PAID 7 � S SRA SHERIFF OTHER $ AMOUNT RECEIVED $ *RECEIPT NUMBERJ�6 �I * TO BE PUT INTO COMPUTER 0.00 iung Fee 0.00 7.00 23.00 15.00 j g .- 15.00 15.00 15.00 -/,S - 020.00 5.00S020.00 I. Una Fee 20.00 @7.50 1 90 1.00 N L 5.00 23.00 20.00 23.00 PERMIT FEE _) I `'C MECHANICAL PERMIT Flina Fee 1 20.00 Hood PERMIT FEE ! Mobile Home Installation Fee 5$4t\ Energy Inspection Fee u,oo" 7 TOTAL FEEKkL D. n o YP R.000 This permit Is hereby Fsaued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. a By Date i PERMIT EXPIRES ON TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached�� Floor Plan Attach F$ Sent to B.D. 'off Al lam 5 7- Owner Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well >< Clearance for dweflirrg. Other s%o42 lS7a�-ara 61 rc f ,6� 1irm Hold final for: Final clearance O.K. for: (VOTE: "-zi J -r- -/ A:F�� Environmental Health Specialist Date CdUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: Mark Mdle,-ASSESSOR PARCEL NUMBER:/7- Proposed Building Use: G [ Building Inspector: Date: At time of permit application, I was advised thdJbilowing data must be.submitted prior to permit processing and/or issuance: Date Received By All 1i ems have been submitted -------------------------------------------------------------------------------------- v rplot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 0�1. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------- 09. Manufactured Home data and ipstgUation instruc ©10. Fees of $ V,192 . Impact fees as shown on the attached schedule. . California Department of Forestry plan approv, ❑ 13. Flood elevation certificate. including Tie Down Specifications .------------------ Gd14. Sanitation and plot plan approval ti .O Health Department. ------------------------------------------- O 1� ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: 0� k_ (B) Parking: 2�---�-�- L------------ 1:118. ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage)K-egal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. ------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. (92 -6 -Utter -of -intent on building use. -------------------------------- El 27. Manufactured Home utility clearance. ----- E128. Existing violations and/or expired permits. ❑ 9. E3433 A, ❑GrantDeed, 11M.H. Title,, 11 Check to H.C.D $ /.. O. Other: sDe�A@he11 fz Bid 4,, (Date) When you issue the permit, process as followst Mail to owner, ❑Mail to contractor. 11Telephone5W-M-?9T7 and hold for pickup at 0(60 office. ❑ Deliver with inspector. Applicant: Dater ^ 20e Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisfion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin i ' ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A,P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information. at your earliest . opportunity to' avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major la or and materials for construction of the proposed pro erty improvement: YES[ NO[ ]. 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide .,=the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. '= 4. I plan to provide portions of this work, but I have hired the following person` to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following.pefsons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTY OWNER: SOCIAL SECURITY. NUMBER: DATE: �• NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. ' 1. This verification must be completed and returned to our office'before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or co are also required by law to put their license number on all permits for which they apply. If you plan to do your wn work, with the exception of various trades that you plan to subcontract, you should be aware of the follo ' g information for our benefit and protection: 0 If you employ or othe se en a any pe other than your immediate family, and the work (including materials and other co ) is 00 or for the entire project, and such persons are not licensed as contractors or subcontra ors, n you an employer. 0 If you are an employer, y u nmi-ust re ' er with the State and Federal Governments as an employer and you are subject to several obligatio i a g state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for'you if you do not carry out these obligations,'and,these risks are especially serious with respect to worker's compensation insurance. ` 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors, are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure inJ"ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ji ply, /Vi ira, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. - • " G'1� l L L L lz 5 (-�Q f' 760 -7��- lii r (3oX 343 7 Cf+l co -co (i 15. 7 So U V4 of ���} lZC L L 512(. WILL RP$t 4-7 - !oo- 145- toe 51TE PLAN JCS I zo' Q = -7o' APR 2 2001 Chico, Califomia ' G 12oo ,1 yoo ' L ,L . 3l4„ toAT4:--2 C r -o f ZZU'+� WELL L.JJI L 1 7, 2U a� 1 GA 7-/D/J VAI.YC HOUSE ,-- T 5 7 _(,JA7L" - - ---. -� Z fiAlL.L6-Z-5ya P 7e- PZ 14AI 77� L, 5-126 LOLL -T. (Z D. AP # q 1-/D 0-15 -/60 40 AL tbi1L.ZONE A -l0 -53a-843-8737 --766 -761-If11 LjjV L. 76 1 Zoo al, Zzz WPRUVED Buw- i ,!vjnty a alth lit/+ auk D1Mc, M jjlln • 9NARONMEDAL hEALYH APR 23 2001 kA A Chico, Califomia -� J A U Get v 2ao' MS,L. So i �I• re -s S GA 7-/D/J VAI.YC HOUSE ,-- T 5 7 _(,JA7L" - - ---. -� Z fiAlL.L6-Z-5ya P 7e- PZ 14AI 77� L, 5-126 LOLL -T. (Z D. AP # q 1-/D 0-15 -/60 40 AL tbi1L.ZONE A -l0 -53a-843-8737 --766 -761-If11 LjjV L. 76 1 Zoo al, Zzz WPRUVED Buw- i ,!vjnty a alth lit/+ auk D1Mc, �� ° ;ff�� . � : 3:� ,. �. ,''* 1� �t�.^:. ... ..M� ...._.._..._. r �........._. .IV ENVIROfiSEfeMAL r EALTN APR 23 2001 0 Chico. California �l�A�-C70� �IMPL�i�C �T 13�(ZN �- I i - - „i.;,^, . - - j - APR 2 3 2001 Chloo, California ■ Ou // ~ l joIS1 �!$} Qy 2X/2- oN ��' cNnr reps, NUN6 V/sy�z.. ages. AlAhV . LoAp /5CA 2tNL. TMOAI .. . ^ ' / / Or , .'.__--'-_---' ---- '-_ --- - A i -Z'5337 QC)x'^'34.3.7. -7 . . . 5l2.(.. koitLL. T !? APS X1-7 -.loo. - 1457100 51 TE. PLAN. A CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and -will be superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00'Maintenance of Defensible Space. To ensure continued maintenance -of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided.for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-arteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius NPI 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ['J 1273.05• Turnarounds. If required, will have a minimum turning .radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum. of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. JJ ITE COUNI) Page 1 of 3' , - 0 7 - AP AP # PERMIT # NAME �] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 8.00 feet in length, shall provide a turnout near the midpoint of the driveway. There a driveway exceeds 800 feet, turnouts'shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites -on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates ] 1. Gate.entrances shall be at least two feet wider than the roadway it serves. ()(J 2. The,gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance,' a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�} 1276.02. Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r f__ial inspection of a building .permit. Page 2 of 3 AP # PERMIT # NAME other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet. Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not,to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 5ffaf? :. _; 50u.r1A1 4;of.hlroc.6-,L -� 3=x_73 7 _ 512�r- CJI L L. T . tz t. ,760- f(W--W ! . . . . .: . AP#.4'7 /m°:' 145- (o e. �i6X 343.7. _ SI:_'_I?L.R N. co. . CA C ! _PLANNING DIVISION; BUILDING PLAN�APPROVAL ! Pse .Date ; I Parking ' i Landscaping. Other"- - ._ -Signature - - - - - I : I : ; ; I --- -- - - j( - - - - - - - -- - - --- - - --- .. - - --- -- - 7 !- r i ------ I I ! 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ONE MEN ®AMEN `ems ia�.�s�.�z;; • 1:,= — - Fj S o t\j 6` u ?C R1 -,-� .rs�ta.. It •s rl VN Q.. .....�-- J— s t � i _ � ' 11 1Ii Fj ?C R1 Fj -,-� .rs�ta.. It •s rl 71 .....�-- J— s t � i _ � ' 11 1Ii i t Fj N _ (S.-_� � E f ! j 1• 1 f �' I ` f i I i l � t ` I 4 � i i � i 4 i 1 «�• • •-i t t 4 F -- t t 1 { Vis%` (t. 1r^Ina }}I • , ' 4 1 1 � � J 1 _. (�. �.._._... --t- • ---- --t----,--,�-� - � -:--' � -- ---+--..-,_I _`_:fit --- --*- =-�'�_ � �__ i i � f i� �{ ! If ____} - t __..�i_._._.:.__. __�,.F,_-.,.i�.i ._ _�. .',_.�._ T..-.�.._. _,. _6_�-f' --�r--•--}.._^.y.,._..._4 - t �t----{ - i it f t 7 ... ...... 14- I T -7 J. _T_ ----- ----- - M TF &L 7 ail .tel—_-�_ — _..�.._ ..L___�_ _-�—--j---{--�I_ . �_!. E � s '• i_._._.. .y I • _._� ! 1 F ! — s ; — -� riIL t T J I LL • _ _ `, , _ f �wvie�y�i�' A i n' I�'• -4i - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-100-145 ZONING .4 BUILDING PERMIT OWNER Miller, M;3rk TELEPHONE 893-8732 SO. FT. OCC. BUILDING VALUATION OWNERS MAIIJAG ADDRESS CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $2011000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 207.00 Plan Checking Fee $ BUILDING ADDRESS 5126 Wi 11 1 Road QW CA 9-5926 Energy Plan Checking Fee $ -co $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Permit t0 complete BPIF 01-0598 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1@20.00 PERMIT FEE t ELECTRICAL PERMIT I Fling Fee 20.00 Main Service P".' DOREN 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section. 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P J rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service PGOA TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR AODNS. ( a ACC, gLpS. 3.5,x: NON-RESID MULTI -OUTLET @7.50 I POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ournEr OR FxTURES BAIL @':50 Ex. OCCU W(EO APPLNs. OR ovrLErs ESI=. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE FEE $ 997 nn HAZ. D FEES IMP I FLOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Siatte Co, `\,, N LAND OF NATURAL WEALTH AND BEAUTY `LS BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 July 19, 2002 FAX: (530) 538-2140 Mark Miller Re: Building Permit # 01-0598 PO Box 3437 Expiration Date: 4/30/02 Chico CA 95927 P A.P. #047-100-145 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [x] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the Bui 1 d; ng office. Thank you for your prompt attention concerning this matter. YQyrs very truly, C. Vieira, C.B.O. Building Inspection MCV:lt Attachments Chico Office - 411 Main Street,.Chico / 891-2751 Date SITE PLAN REVIEW APPLICATION Permit Number (if applicable) APPLICANT INFORMATION AP# Parcel Size: L) 0 A C IL-15" Owners Name: - h--) 21C I LLQ Owners Address: �' C) r30 X 3� l"3-7 G N 1 C a nA Ci5 9 Ftp Telephone No.: Situs Address: 121 W 1 L -L_ `T ' 2� 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 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well •❑ Agricultural Exempt Building ® Other: STO 2A G sH o i:�;, 0 Ub Cr, Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPiVENT SERVICES INFORILIATION (For Staff Use) ❑ Approved " Conditionally Approved a Site Plan Stamped Approved By Date L4 Page 1 of 5 ❑ Resolve Problems Prior to Approval Parcel Is In: ALL ITEMS CHECKED APPLY TO THE PROPERTY 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 attached) • Flood Zone: • Flood Panel No.: DS 10 Index Date: L1 -`Z-D— ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: . ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A — t o Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pale 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front © L Side O so Side Street —�--� Rear O 3 O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pale 2 of 5 1 , Water Tender f Applicable Development Fees: Road Improvement ❑ ° Standard Fees ❑ Fire ❑ School* . ❑ Parks/Recxeation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other n Amount Formula ------------------------------------------------------------------------------------------------------------------------- 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 Q 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: c o 20 92— 1A to Tq_ 7 (o a 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 1 Page 3 of.5 ❑ Subdivision.Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: rt : Book: Page: Date of Approval: ❑ 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 on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall.be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 Summary of Specific Requirements: S 7-2. V L t V t2 / S i a✓ U S D �Pe) r2 S70 TZ A 6-E D E QU l 1-� , 1 U� &1'�) 7'27 h-xaA->� 12�)EeI— (�� E) 1J©l 70 Q G US A P2 ES OW 71 A L This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 A`l Yt� i y Y i' .a Summary of Specific Requirements: S 7-2. V L t V t2 / S i a✓ U S D �Pe) r2 S70 TZ A 6-E D E QU l 1-� , 1 U� &1'�) 7'27 h-xaA->� 12�)EeI— (�� E) 1J©l 70 Q G US A P2 ES OW 71 A L This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING D4N: ', ONE: BUILDING PMT. # f/ ��/J , OWNER: 6� �" /��t A-J� e (dam[ l i c le— . 1 PHONE: MAILADDRESS: DX, 3 q3 % %5_?2-7 SITE ADDRESS: ��� � C(1( e- r �� PROPOSED USE: O PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the properly? 2. Is the structure already built, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? 7. Will this building be occupied at any time as an eating area? 8. Will this building be occupied at any time as a cooking area? 9. Will this building be occupied at any time as a living area? SITE CONDITIONS: Yes: No: L� 'Yes: No: (/ Yes: Yes: No: No: 16. Yes: No: I/ Yes: No: Yes: L"'_ Yes: No: Will this building have a water heater? Yes: No: o/ Yes: No: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: t� 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 1/ 13. Will the proposed structure encroach within any recorded easement? Yes: No: 4/ CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: g/ No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? / Yes: No: 17. Will this building have a sink? Yes: L"'_ No: 18. Will this building have a water heater? Yes: No: 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? D P67N _ R -A -S 7 -Le- 8- D ADDITIONAL INFORMATION: ry �P �P lb- (U E G -d -b I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL usE REVIEWED BY: DATE: COMMENTS: �s APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING TESTING AND INSPECTION August 28, 2000 Mark Miller P.O. Box 3437 Chico, CA 95927 Attn: Mr. Miller We have completed an Expansion Index (EI) Test per the 1994 Uniform Building Code (UBC) Standard 18-2 on the underslab soil obtained from the building pad area for the future shop building located at 5126 Will T. Road in Chico, CA. It is our judgement that the sample obtained for testing is representative of the worst case for expansive soils on this building pad. The soil described above was sampled for expansion index testing. The test result was an EI = 19. The UBC classifies this soil as having a "Very Low" potential for expansion. The Butte County Building Department requires no recommendations for mitigating the effects of soil expansion if the EI is less than 20. Applied Testing Consultants does not represent that these test results and/or recommendations are suitable whether or not modified, for any other site or structure on this site than the one for which they were specifically prepared. Applied Testing Consultants disclaims responsibility for these test results and/or recommendations if they are used whole or in part at any other site or structure on this site. Thank you for the opportunity to be of service. Please contact us at the address and number above if you have any questions. Sincerely yours, Brad Forsythe Vice President Director of Operations 3060 Thomtree Drive, Ste. 10 • Chico, CA 95973 • Telephone: (530) 89176625 - Facsimile: (530) 891-4243