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047-430-034
OWNER PERMIT NO. A routlne-inspection indicates that the following violations of butte county Ordinances exist at the above address and should'be corrected. Please notice this office when correction of work is `r completed. Ifou heave ar�'y questions pertaining to this matter, or need additional explanation, please contact this office immediately. Ry. , ijy- Datey _ `? �� Inspector I'ZI RREV 10/92 iN f + COUNTY.OF BUTTE BUILDING DIVISION Ire DEPARTMENT OF DEVELOPMENT SERVICES ,<x# 411 Main Street • Chico, CA • (530) 891-2751 4; 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE � S' OWNER PERMIT NO. A routlne-inspection indicates that the following violations of butte county Ordinances exist at the above address and should'be corrected. Please notice this office when correction of work is `r completed. Ifou heave ar�'y questions pertaining to this matter, or need additional explanation, please contact this office immediately. Ry. , ijy- Datey _ `? �� Inspector I'ZI RREV 10/92 iN f . . . . . . . . �' ". ... COUNTY OF BUTTE -; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 Ja 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER ✓PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the abovaddress and should be corrected. Please notice this office when correction of work is co leted. If you have any questions pertaining to this matter, or need additional explanation, pt e co act this office immediately. r -1 A / Y s'I Mtv ivroe M J .T �^.T. •,L 1 Y s'I Mtv ivroe ' .. .. of _ r• +. � .. a. ti-.- •\ "" �+ _ ). �"ln'-.-yr:iw.. .�. COUNTY OF BUTTE. BUILDING DIVISION r . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE S - / q �-8 OWNER ( ) PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. .dA ';5r 7 fi. :ya4 Ft ,y Date ��1-� Inspector r REV 10/92 NOTES 9OENTIAL 047-430x034 03-1478 F; PERMIT NO COY GARY 13966 CARRIAGE ESTATES, CHICO; t Cont: PERFECTION POOLS POOL-MASTER#01-500. } 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i 1= JOB FINALED (Date)_�• v i Signature J=OK 0 = Not OK . = NotReadyar1e 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date 1. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. 1. Zoning Requirements -Setbacks -Easements Electric .8. 2. Footings; Size -Spacing -Marriage Line Siding; Nailing -Veneer -Stucco -Mesh 10. 3. Blocking Ext.; Steps -Doors -Landings 12. 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 POO Ian OK except #'s Setb ,s -Easements 2 s, ompaction-Stru a Stability 3. Pool Structure; St 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. s Boxes- Enclosures- Panelboards-Ins. to Main Conduit t 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-Blockouts-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/O -Sewer Test 10. 'JF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Nater Pipe; Test -Anchors -Regulator -Service Test 12. =lectric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. 'Insulation 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 19. D.W.V.; Test Fittings & Anchor -Nail Protection 51. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Garage Fire Protection Framing -RC Channel 22. Gas Pipe; Sixe & Anchors 53. 23. Fire Sprinkler; Test 54. Date ward B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 24. Fixture & Transformer Clearance -Ins. Protection 57. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26 Size Boxes & No. of Conductors Stapled 27 Romex Installed Close to Edge of Studs & C.J. 28 Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Brace Interior/Exterior Wall Panels 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 62. Insulation -Walls -Ceilings 31- Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 63. 32. Service -Riser Conductors & Ground Main Disconnect Date 3:. Equip. Clearances Panels-Motors-Mech. Equip. Card B-1 Date Card B-1 3,. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3i. A.C. Ducts Insulation & Support Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 37. Vent Fan, Exhaust above insulation 67. 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet G.F.I. & Bath Fixtures & Tub Access -Spa 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 71. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (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 O Yes O No/Walks 0 Yes 0 No/Planters O Yes O 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: 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 123 —2132. ASSESSOR PARCEL NUMBER 0441 M Ll". O 1? V ZONING 4s t BUILDING PERMIT OWNER eo ��� �� Y,�,,,,.EUvj /)`� SO, Fr. OCC. BUILDING VALUATION . OWNERS MAIU I�DDBESS /1�1 l s ' (��j l/ / •+i �� CONTRACTOR'S(,NA•ME1, JJ}}MjAAILI'JNNG TELEPHONE - CONTRACTORS ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Cc, I/ /' ' ��5JL`1 _k iii D r ctttl (� Ener Plan Checking Fee Energy $ .�3J�-�''�, 9 $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME - PARCEL MAP / PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Describe Work: /� t {� / (,�-/ �,t a� A65 l�f -- ����' 1 f-+���1A1� Gas piping system 1 - 5 outlets 15:901 00 Building sewer 1'6!'00 Mobile Home S G W @20.00 PERMIT FEE $ b?) — ADO ELECTRICAL PERMIT Fee 20.00 ` UEsFiling Main Service '*OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. 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, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. Bins. SO 3.50FT; NEW CONST. MULTI-OUTLETUT. NON REs1D. @7.50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup:oun.Er OR FocruREs 20 � � 00 BAL 9 .50 Ex. Occup. oFlxuTLEE°�A 15.) RE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 1 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. �j4, —of X Date g ��i _ Signature of Applicant O O.Oer ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FE6 IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicateeab - ve for which fees have By J PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date y f+ C� 5 —0 L 'Pate) r Receipt No. ��1 'rJQ—)�' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �y�GGfy n j5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) . APPLICATION AND PERMIT , Q V472PMUL614 JONIN SR1 BUILDING PERMIT V Y , GARY AND LONDA TELEPHONE SO. FT, OCC. BUILDING VALUATION CONT ST 34 000.00 ADDRESS OMT CARRIAGE ESTATES WAY CHICO CA 95973 CONTRACTOR'S NAMETELEPHONE PERFECTION POOLS 95-0437 CONTRACTOR'S MAILING ADDRESS 897 EAST 2 OTH STREET CHICO, CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 34 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 310.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13966 CARRIAGE ESTATES CHICO CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE s 353.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: NEW POOL MASTER # 01-500 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect.,[ License Class — Lic. No. 5 1&(p j -1 OWNER -BUILDER DECLARATION 1 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' comp sa on Ins,,,u,re�r��re carrier and policy number are: Carrier e'1-_ fJ Policy Number (The above sections need not be competed 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall �foith comply ' h ose provisions. X Date ��Z� _03 Signature of Applicant - ❑ Owner Contractor [3AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in h 'ght. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. sins. 3.52FT. MULTI -OUTLET @7,50 NNON-REOSID. H CCU, POWER APPARATUS 8 BINDLE OUTLET CR. Ex. OCCU . OUTLET OR FIXTURES 20 @''50 BAL Q .SO Ex. Occup. D7n' q 6.)0ERw 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELECTRIC 1 30.00 0.00 PERMIT FEE t 5 Q , QQ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 438.50 HAz. D FEES IMP FLOO CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicatAab.e for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date ) m_ joate) Receipt No. r WHITE-D.D.S.-B.D. CANARY- ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. � �.. � .. f � •fir l COUNTY OF BUTTE -DEPARTMENT OF DE' ELOPMENT SERVICES-BUILDING'DIVISION Ry ' 7 County Center Drive, Oroville, CAa 95.9'•`- `Phone (530)538-7541 Fax(530)538-2140.,; =,•`s.� PERMIT APPLICATION DATA SHEET OWNER: % ASSESSOR PARCEL NUMBE Proposed Building Use: O (/' ° Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST'be checked O marked NA in order to apply. 4 Plot plans, 3'or 4 sets, signedty the preparer of the plans. ` V2Complete plans, 3 or 4 sets, signed �y the preparer of the plans. 2'*'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, (10-4,,Tie down or foundation plans, all in duplicate. - ` 0"7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. i (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en 'neer. Items required for initial plan review. If checked items have not been received, plan revieLw.tcannot proceed. The permit will be indexed and returned to the plah 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 I icense, approval from the City of Biggs .................................... ❑ 10. Letter of inteni for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ...................................... &Vsa tatement of Intent for Non -heated and A/C Buildings..................................� .. l... nitation and plot plan approval from the Environmental Health Department in , v ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ` ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.................................................:............. R �� ', ❑ 29. Existing violations and/or expired permits ..................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been inform d of th bove items an requirements for obtaining a building permit. Applicant;: �__ Date: O 1. Index permit application for the above items numbered: 2. Additional items required Plan Check Letter Contractor, designer, owner, was advised cf the above data by ❑, phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:_ Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division r E.H. US ONLY -Flat Pian : tnchad Floor Flan It !c ad is Sant to S.D: IZ- TO: - Building Department *. FROM:, Environmental Health, SUBJECT: Sanitation Clearance r O ner Location AP# `Plan Approved for: Sewage Disposal Water Sup < lY: . Pub 'c Private Well p Clearance for - �-�-� AW .. a .�AW rance O'K.,for: NOTE: Y Environmen 1 alth Specialist 1 Date, 8/96 ; , COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 8-7541 3 � g &196) . APPLICATION AND PERMIT T ESSORPAPireow em /•j 2 /1 _ q mm So I BUILDING PERMIT ER Q� TELEPHONE c - UI DI "TION ER ,CONT , • (/J TRU=N LENDER Fireplace IENDER•s MAIuNG ADDRESS Total Valuation S' ARCHITECT OR ENMUM LICENSE No. Flinn Fee $ 2D.00 Permit Fee ARCHITECT •OR ENOMEMS MAJU14 ADDRESS Plan Checking Fee $ BLM.DMG ADDRESSEnergy Clio Plan Checking Fee S ' S PERMIT FEE t LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 Each Trap 7:00 "---- USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 6PEcFy, 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 ❑ U6Tities ❑ Installation ❑ Other ❑ Describe Work: Gas piping systom 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WT— 920.00 PERMIT FEE t ELECTRICAL PERMIT I Firing Feel 20.00 Main Service 2004 OR LESS 23.00 ' ,^ SP X > oter-bi 044hle.w- MOM e ELTYPE � Main Service 20" To 1000" 46.00 NEW couaT: EWELL G OCCUP. 3.5¢ OR ADDNS. i ACC. WDS. NON•RESTD.MW MLILT'FOUTItT @7.50 POWER APPAAAnIS t SMILE OMM CIR. Ex. Occup. OUTLET OR FIXTURESm ty 1.m DAL O . 0 Ex Occup.o ,sA= ,ORA 5.00 Temporary Service Moble Home Facilities 20.00 E[E23.00 Misc. Wiring 23.00 v PERMIT FEE _- l PERMIT Firing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Moble Home Installation Fee $ Energy Inspection Fee S Dec CONST. TOTAL FEE $ D. FEES IMP FLOG CDF PARCEL PD ' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /c7e mJ BUTTE COUNTY : DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR ONSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.bu(.tecounty.net\dds PERMIT NO. BP041625 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: 06/07/2004 APN: 047-430-034-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 13966 CARRIAGE ESTATES WAY CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: GAS WATER HEATER & 3 TRAPS TO Contractors' State License Law for the following reason (Sec. 7031.5 BP03-1200 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a Owner: COY FAMILY REVOCABLE TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or COY GARY F & LONDA M TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 214 CANYON DR violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): EUREKA, CA 95503-6531 ❑ 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 such work himself or herself or through his or her own employees, Applicant: COY FAMILY REVOCABLE TRUST pp provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of COY GARY F & LONDA M TRUSTEES proving that he or she did not build or improve for the purpose of sale.). 214 CANYON DR 1, as owner of the property, am exclusively contracting with EUREKA, CA 95503-6531 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 oft a Business and Professions Code Contractor: "'04 Z Lj� Date: Owner: - WORKERS' COMPENSATION D LARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 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 I / a Architect:17 insurance carrier and policy number are: I Carrier: Engineer: Policy #: Jz I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation' $0.00 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith co//mplyw/ith 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 I I i�J compensation, damages as provided for in Section 3706 of the Labor C code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued der the applicable provisions of the Butte County Cods ?nr(/or 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.)_ Resolutions(to dbwork indi 17 which fees have been paid. 01- �� Name: BY Date: ,.r bv, Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: L�, 49 7 q Date: �[ - Owner 13 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY LDEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netkdds PERMIT NO. BP041625 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: 06/07/2004 APN: 047-430-034-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 13966 CARRIAGE ESTATES WAY CHI Date: Contractor: Map Index: Description: GAS WATER HEATER & 3 TRAPS TO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 BP03-1200 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: COY FAMILY REVOCABLE TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or COY GARY F & LONDA M TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 214 CANYON DR violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): EUREKA, CA 95503-6531 ❑ 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 such work himself or herself or through his or her own employees, Applicant. COY FAMILY REVOCABLE TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of COY GARY F & LONDA M TRUSTEES proving that he or she did not build or improve for the purpose of sale.). 214 CANYON DR 1, as owner of the property, am exclusively contracting with EUREKA, CA 95503-6531 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exemptunder Article 3 of IV Business and Professions Code Contractor: Date: / Owner: WORKERS' COMPENSATION DOCLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 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 Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: Jz I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith co//mply,w/ith those provisions. Date: (O 7 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued der the applicable provisions of the Butte County Code anrUor 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.) Resolutionso ork ind' t d r which fees have been paid. / v Name: By: Date: 62 Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:LO%Z�,�/ Signature: -Y 0 Date: Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor K� 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 APPLICANT NAME CONTRACTOR OWNER Name Address l Address 3 Fax k) _46,e_ Cc PJ City Phone Type Const. State w6, Zip 49r3�22 Phone 53, Lic. # Class Fax E-mail Date Approved: APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. off -I BP BIN # LOCATION AP# o I —1 , / 92 0 . 0,1j V Property Address 19)gl � L" C1l ✓y (�` G c5. Cross Street ` WORKER'S COMPENSATION Policy Number Carrier If. hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: add w�+u- Ke,4-yY d- 00V +0 Sq. Footage r 0' -) "ZJ ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which* a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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: t/ >' - Bldg SRA Receipt #: 'al 05 75Sheriff SMTP Date:�- Other V. I � ` Total REV 4-30-04 SUBMITTAL REQUIREMENTS P _� 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. o 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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 en ' eer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 Jan 28 04 08:40a P•2. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 " (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: Vt Phone: Mailing Address Site Address: t!i ' Assessor's Parcel Number: Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL 1. MORMATION: Is there a primary dwelling on the property? Yes& -NO ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yesfil No ❑ 3. Will items produced in this building be offered for sale? Yes NO E3 Yes ❑ No 5- 4. 5. Will the public have access to this building? Will any advertising, on or off site, be associated with the use of this building? Yes ❑ Noz SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No f9 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No Q- 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No,® CONSTRUCTION 10. FEATURES: Will this building have insulated floor, walls; or ceiling? Yes,® No ❑ 11. Will this building be heated or cooled? Yes [I No 0 12. Will this building have a water closet/toilet? YesS No ❑ 13. Will this building have a sink? Yes ®. No,❑ 14. Will this building have a water heater? Yes No ❑ 15. What type of floor covering gill the building have? &- dz 16. What type of %%-all covering will the building have? 6,r-- OVER , OVER I of 2 Jan 28 04 08:41a p:. 3 PROPOSED USE: (check only one box) 1. E2.Residential Storage Shed -I will be storing 99X'— __ in this building and it will riot be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are pored or kept." A garage door is required.. 3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. F) Residential Occupancy - Structures meant to be occupied, as opposed to a storage shed, garage, or carport 1f you checked #4, please check the uses below which best fit this building. ❑ C uestHouse ❑ Pool House. ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Eonus Room ❑ Playroom ❑ Den ❑ Studio ❑ P-rtist Studio ❑ Hobby Room ❑ Craft Room ❑ Sig Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy Z ❑ Other - Use = Dess-ribe type Orwothhop _ bhut be approved by the Buie Caumy Plmu&4 Divisim Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Ad 3itional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I htarby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to ahe 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 the property is offered for sale. OtiZ1er's Name: Please Print t%%a17- L � 0,.vner's Signature: Date: to - - 2of2 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 -0. - lann ASSESSOR PARCEL NUMBER 047-430-034 ZONING :71 B U I LD I NG P ER M IT OWNER Gary Co - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4011 Spyglass / 2577 U 46,386.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 46.386.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 395.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 296.75 B 9 Carrage Energy Plan Checking Fee $ $ PERMIT FEE $ 671.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each rap 2 7.00 14.00 Solar o eat um water heater 23.00 r pi ' g 15.00 5-00 Each as ter heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal_lation ❑ ❑ \ Describe Work: garage Gas i •n stem 1 - 5 outlets 15.00 Building sew r 15.00 15.00 Mobile Hom I S I G I W @20.00 PE EE $ 64.00 ELECTRICAL P IT Filing Fee 20.00 Main Se 000V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S D LAR N I hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co and my license is in full Orce and effect. License Class Lic. No. OWNER -BUILDER DECLARATION' 1 hereby affirm under penalty of perjury that I am exempt from the Co actors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as th ' sole compensation, will do the work, and the structure is not intended or off ed for sale. ❑ 1, as owner of the property, am exclusively contractin ith licensed contractors to construct the project. ❑ I am exempt under Sec. Business nd Professions Code for this reason M8 ervlce 200A TO 1000A 46.00 CONST. OWE LING occUP. OR ADDNS, ( a Acc. BLDs. sD 3.5¢FT: 90.20 NEW CONST. NON RESID. MULCTI-CUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup, OUTLET OR FIKTURES BAL p';so Ex. OCCU • OFIXUTLEEDTS (REFS D DEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE CLARATION WORKERS' COMPENSAT/theollowing 1 hereby affirm under penalty of perjury one odeclarations: ❑ 1 have and will maintain a certificate ent to self -insure for workers'Coolincompensation, as provided for by se00 of the Labor Code, for theperformance of the work for which this 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.) 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' compensatio provisions of section 3700 of the Labor Code, I shall41W fo with mpl wit ose provisions. p� X Date t!__ Sign a of plican• - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ sT TYPE TOTAL FEE $ 45.95• ° FLO D CD F vAR s _ _ This permi h sed under of the tte County Code and/or indic ed a ve r w 'ch fe ave By PERMIT EXPIRES ON the applicable sions u ions to do work been paid. Date _ ` /' Date Receipt No. 777 , 7377C 22 Z 2 -S 9 Jf S,2 T WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-4CECTCR GOLDENROD -APPLICANT I% E NOTES RESIDENTIAL ii i•. 03-1200 F2�430-034'PERMIT NO. r CY, GARY--,- �. CARRAGE, CHICO f , 'Cont: SCHUSTER HOMES NEW PRI.DET.GARAGE L 2.3.03 o - �ZS +f SPECIAL CONDITIONS CHECKED BY SRA, FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 1 i i k r!k 1 SPECIAL CONDITIONS CHECKED BY SRA, FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 4 O 0 Not OK . = NotReadyable 9 Gard B-1 nY ate Card B-1 Card B- . Date • Card B-1 v POOLS (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete 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 11. Light Niche 7. Well Clearance & Disconnect 8. Utility Clearance Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 5. Electricity; MH Test 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 9. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Verify #'s with Office 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLAN Date DECIRS, COVERS. CARPORTSAARAGES (Plvilg OK except #'s te- ootings; Soils-Size-Depth-Spacing-Connectors-Steef, 3 -Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails (/ Wood Awn.; Posts Beams-Rftrs-Connectors ! Shthg-Frg-Bracing 1419m. Awn.; Columns -Connections -Splice -Decal -Enclosures 6 arp rts; Windows -Doors Panels Uate Date1, 1 Date 9 Gard B-1 nY ate Card B-1 Card B- . Date • Card B-1 v POOLS (Plans) OK except #'s 1. Setbacks -Easements Date 2. Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date 4. Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1. Zoning Requirements -Setbacks -Easements 9. Health Department Approval 2. Footings; Size -Spacing -Marriage Line 11. Light Niche 3. Blocking 4. Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 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 MISCELLAN Date DECIRS, COVERS. CARPORTSAARAGES (Plvilg OK except #'s te- ootings; Soils-Size-Depth-Spacing-Connectors-Steef, 3 -Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails (/ Wood Awn.; Posts Beams-Rftrs-Connectors ! Shthg-Frg-Bracing 1419m. Awn.; Columns -Connections -Splice -Decal -Enclosures 6 arp rts; Windows -Doors Panels Uate Date1, 1 Date 9 Gard B-1 nY ate Card B-1 Card B- . Date • Card B-1 v POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date 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-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.'✓.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W'.V.; Test Fittings & Anchor -Nail Protection 20. Shcwer Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 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 O 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 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments'at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -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. Htc; 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 O No/Walks 0 Yes O 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: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538.-7541 k#41 COR RECTIONNNOTICE \j OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the • above address and should be corrected. Please notice this office when correction of work is completed. I It you have any questions pertaining to this matter, or need additional explanation, plea onta\ct this officq-iTmedialely. �T C,/" r A LJ 492f r V -2 L 9-- Ej.04 Date Inspector 4�f REV 16192 COUNTY OF BUTTE BUILDING DIVISION 3" >DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -1-1Zn0 OWNER PERMIT NO. A routine inspection indicates that the following violations'of butte county Ordinances exist at the abovead gess and should be corrected. Please notice this office when correction of work is compl d. If you have any questions pertaining to thismatter, or need additional explanation, 41�econtact this office immediately. A S / , . / .4 -3rS i v: W=A�AWT�, i- ! Date Inspector REV 10/92 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ,, APPLICATION AND PERMIT 0:�� - lano ASSESSOR PARCEL NUMBER 047-430-014 ZONING BUILDING PERMIT OWNER Gary Coy 894-08942577 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4011 S gl U 6 386.00 CONTRACTOR'S NAME ch894-0894 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 46.38 .00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 395.00 ARCHITECT Oi ENGINEERS MAILING ADDRESS Plan Checking Fee $ s ` 6 Carrage Energy Plan Checking Fee $ $ PERMIT FEE $ 671.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00nn 19.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: garage Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15,00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 64.00 ELECTRICAL PERMIT Fling Fee 20.00 I'00VOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full orce and effect. //y License Class Lic. No. O ' OWNER -BUILDER —D—MCA—RATION' I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. so 3.50FT. 90.20 NON -RID. MULTIOIRC. @7,50 POWER APPAwLTUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES aAL @ .50 FD APP Ex. Occu . PUT .=.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 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.) 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' compensatiop provisions of section 3700 of the Labor Code, I shall fowijpjhose provisions. X Date ® Sign a of plican - n Owner 'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep nd demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ C T TYPE TOTAL FEE $ .845.95J D I FLo D _ This perm' h sed under 01 the tte County Code and/or indic d a ve r w 'ch fees have By E;iiXDate PERMIT EXPIRES ON cDF PAR Is the applicable provisions Resolutions to do work been paid. ele Receipt No. C, -2,5Jrot WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-IJOPECIrnGOLDENROD-APPLICANT Feb 01 02 08:13a P.1 •.. •1• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center.Drive e Oroville, California 95965 - Telephone (530) 538-7541PERMIT NO_ (Rev. 12/96) APPLICATION AND PERMIT U ASSESSORPAACELNUMBER 0 q7,1130 - 0 3 y ZON,Nas R _ BUILDING PER OWNER CO'( i "Y TELEPHONE $9I/ 0 61 y SO. FT. OCC. BUILDING VALUATION 2 �'� ( `� � OWNERS MAILING ADDRESS C lea D 91 / 73 X1011 LSpYGwJ3 � COMRACTO •S NAME .�C: H 0 Ir rA >Ines - TELEPHONE e 9 Y 91 ." CONTRACTORS MAILING ADDRESS ••CONSTRUCTION LENDER ^' LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Feb $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ - L7IL5 r-ZREss Energy Plan Checking Fee _ $ PERMIT FEE $ 67J. %;� LOT NO. i SUBDIVISIONS L LSIONSNAME 1 .7 �N,ZZ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE 133 %�C SF ❑ Duplex ❑ Mobilehome ❑ Other, ePECIPv Each 7.00 r Soler or heat pump water heater 23.00 Water piping 15.00 W5, Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service zoos oa mss 23.00 x / ©� 2D r� 11%1NEW J� fi 7 " PERAUT FEE PALO S"�� SHERIFF OY�Cp r %S� AAkbVNT RECEMb : �S �� Z * WAAAM * TO lle K. INTO Main Service 200A TO 1000A 46.00 CONST. DWELLING OCCUP. O. C3� OR ADDNS. a Ace. Bens. -3.50,s,,L D _ NtWLoUID.MUCTI.OUTLETBRANH CIRCUTS @7.501 POWEA APPARATUS 8 SINGLE OIRLET CR i OUTLET OR FIXTURES 10 ® 1.00 - Ex. Occup. SAL p .so FU ED APPLNS. oR FAL. Occup. Da,ne+� es,0. Ew 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 _ Misc. Wiring 23.00 - PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ / / HA2• D. FEES M FLOOD I CV P is I HD I ISSUE - This permit is hereby issued under the applicable p'ruvisbns " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date PERMIT EXPIRES ON + ere - ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I Pie,< ��- fypf - 4- ��Jex, L.LD COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: CAAY CQ ,� ASSESSOR PARCEL NUMBER 0 Y% - -7 3ro - O 3 `/ Proposed Building Use: G AAM4 E Counter Technician: C i/��o Date: V12 do 3 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. RX.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Eb . 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. M. Engineered truss details and layouts in duplicate. No faxes! Wil&: Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ;a4.. 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 .................................... /J10. Letter of intent for non-residential buildings......................................................... oIQ 1. Detached Accessory Building Form filled out by the owner ..................................... 47—;�'E ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .... aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings ..................................... 16. Sanitation and plot plan approval from the Environmental Health Department in CN/ ' Z(a-Cl/VI S ❑ 17. City of Chico Plumbing permit.......................................................................... ❑ 18. California Department of Forestry plaji approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (9-M (B)Parking: (C) Parcel Check:—19--_�"3 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................; ❑ 23. Contractor's license information. (Number, Name Style, Classification) ....................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given 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 permits......................................................... ❑ 30. ❑ Grant Deed, O 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 infor a oft a ab v items and equirements for obtaining a building erm'. Applicant: Date: v,3 W� 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required ' Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Dattz-51 Plans reviewed by: Date: Plans -approved by: Date: Structural reviewed by: Date: .Structural approved by: Date Note transfer by: l Date: '0 b '" Yel o it ng Dt ision' �� E.H. USE GAILY - Ral Pian Attachad Flaaa ftn Atta had L S. Sam to B.D. TO:. Building Department. % G -ZS-O; FROM:. Environ ental Health N . 3 SUBJECT: Sanitation Clearance o Owner Location AP# Plan Approved for: Sewage Disposal ve Water Supply: Public Private Well v'-- A- Clearance '--AClearance for �. Other ISAO LJ le -17 F al`clea�ance O.K. f r NOTE: Environmen l ealth Specialist 8/96 , Lp —.:�-3 -03 Date F 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 C.4KY C`"9'L/?' q3 ' A.P. # PROPOSED BUILDING USEe 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due .................. $ ditional Fees Due ................ $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ x =$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) JJ—'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 DATE�! L Y v -s "P RECEIPT # D E 2S YOY10-3 575, 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 Burin thonhcess. APPLICANT DATE 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) Department of Development Services Building Division 7 County Center Drive Oroville, Cts 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: Phone: .s-30 — S`-� yk-OKi Mailing Address 33/0 -e2,�d� 40"Ce O`F.,'*3 Site Address: e5wAel4 2L11- ellIce Assessor's Parcel Number: 1�9 s!7 —y30 — 035/ Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? YesE3"'No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No.3-- 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 0--' 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the stricture foundation within 5'. of septic tank or 10' of leach lines? Yes ❑ No 0' 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No.Q`- 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes Quo ❑ 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No a -- CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes, -10 0 11. Will this building be heated or cooled? Yesf:�-No ❑ 12. Will this building have a water closet/toilet? Yeses No ❑ 13. Will this building have a sink? Y 14. Will this building have a water heater? Yes . No ❑ 15. What type of floor covering «ill the building have? 16. What type of mall covering will the building have?�G h OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will Lobe ed for any other purpose (no bathroom and no heating or cooling). 2. rivate Garage —'*A building or a portion of a building not more that 1,000 square feet (3,000 by xception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked ##4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ElPrivate Office ❑ Workshop 1 [1Home Occupanry 2 ❑ Other — Use = 1. Describe type or Workshop :. Must be apptovcd by the Bune Cowry Planning Divuiom Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information 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 the property is offered for sale. 0-wrier's Name: Please Print Owner's Signature:Date: t-16' 2of2 fig , -C I e ENVIRONMR,i—, JUN 2 CHIC®, iiNof0 L ' � Akh-O e - W). 6jj*--,e t a— I I I I 00 �JAPPRqVE� I AP --A, mr�-JL,� I G- r r 1 �9 iFS 3 erti fi cate 6f Conforma Certificate :052736 ' THIS IS Tp CERTIFY that the glued laminated timber products identified with a collet., ve mark of Engineered Wood Systems (F'WS) were manufactured in accordance with the applica Ai standards and associated specifications indicated beiovmr. ANSI Standard A190.1-1992, For Wood Products- Structural Glued Laminated Timber I NER 486 Glued Laminated Tmber Combinations And "GAP" Computer Program For Determining Design Stresses A17C 117-93 -Manufacturing -Standard Specincations For Structural Glued Laminated Timber Of Softwood Species IT. IS HEREBY CERTIFIED that the APA. EWS trademarked structural glued laminated timber members were produced in a manufactujing facility subject to regular audits in accordance with the Engineered Wood Systema .(LWS) Quality Assurance Program.. Routine audits include insp.<,�tion of the manuiacturing. process and evaluation of the in -plant QA program with adequate sampling tb vDi conformance to industry. standards for lumber grade and giueline be5d Quality. To C-4 TWr 7Wf- 44) s -le 7 G4!04 -b15 <Svs,-,o410 'dK 1'1T1'1 -KS 611416e) 7-0 7 -1 -lit Ae c X9 z b Y Thomas G. Williamsci, .Executive Vice Presid(=°)t E/vCmrEERED A00D S'YS7Emsn a 1WB3eo corpn+atmn of Apm - 7.YE EsJGl11rr_CAEDWOOD ASSOCIA710h- 701ISoum i9Ih Saeei - P.L.t . 8= 11700 • 70ma., WA GezI1-0700 T^J--ho�: (253) 5565-8600'• Far rvun-,bel. (.753) 563.7265 4' ti ._......,.�.,,, .2"10 • I , L 3®° 1 ALL STRUCTURES AND EQggJ�IP LINO OVERti NGS SHALL BE CLEA►r4. EAS MENTS. OD A SEAT ACK OF FT. FROM THE- SIDE AND FT. FROM THE REAR PROPERTY LINES AND . FROM THE ROAD CENTERLINE SHALL BE CLEM F STRUCTURES AND EQUIPMENT EXCEP' cOR A FT EAVJgQytRHANG. b ze a V lu 0 � e a WaLL � IAG- F. E:ST ro w .w �► J r �. Y • I • r a w ..rr vl w r rJi dhr r M .� .• w r W 1. � �.1... � 1 GAlt y, coy slq. X269 - c - REVIEWED BY .~I BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted approved with conditions per attachT Ise et. Signature Date / ♦ ^ �� �. PG E r�.�pff 30° f • 1 � r .96 ''IZ1-z- 1 1 . f � ooh � N 3 D a b►� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 4ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �2�Z ASSESSOR PARCEL NUMBER O / '� _ x-11 j O — O-b ZONING S 2 f BUILDING PERMIT OWNER C 6 y�a,,�NEU SO. FT. OCC. BUILDING VALUATION .OWNERI!M43DOSS ) CONTRACTOR' TELEPHONE CONTRACTORS MAILING ADD SS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS q' n� rte, /') / Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Describe Work: Gas piping system 1 - 5 outlets 15. 0 01 1 70_() Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t 3 ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service . AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. 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, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00So WEE200A CCU000A NEW CONST. DWELLING OCCUP. 3.5Q �, OR oNi�tS. ( BL S. INUL�CC. NON•Rf51D. @7.50 POWNGLEER APPARATUSOUTLET 8 SI CIR.EX OCOLI OUTLET OR FIXTURES BA L @ 1 00 Ex. Occup. o xurltis RES,6.APPLNSOEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with those provisions. X Date _ 5 ..�D _ Signature of Ap ant - ❑ r ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionS_�o of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ. CONST. TYPE TOTAL FEE $ S �� HAZ. I D FEES IMP I FLOOD I CDF PARCEL PD HO ISSUE This p mit is hereby issued under the applicable provisions of Bu County Code and/or Resolutions to do work ind' ate ab ve for whic f s ave been paid. n By //D��atte�e(( YYYY PERMIT EXPIRE ON �Dete Receipt No. % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t 3q_ Uj A CA . - - -- z "7 o' WCL& Ir° lT�f'ti tom. .1c 4{2 WMDTU RES AND EQUIPMENT INCLUDM O QNKRU6M 9 iALL BE CLEAR OF AI:L EMENTS. A SET BCI F 3.0 FT. FRM THE SIDE ANn . , FT. Ftp M THE REAR PROPERTY LINES AND -- --74,44' B'-- M0 W THE ROAD CENTERLWE SHALL BE CLEAR OF STR JCTURES AND EQUIP XT:EXCEPI I c 2 F'B. EA E OVE1 HANC►. 310 ti 1 A. 1#4- r 1 REVIEWED BY J BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted approved with conditions per attached sheet. 5� 2r-63 j .!gnature Date BUILDING PLAN Parking: Landscaping:® [ Other• r. Signature: 14, FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM E -spires July 31, 2002 ELEVATION CERTIFICATE hTportaft Read the instructions on pages 1.7. SECTION A- PROPERTY OWNER INFORMATION Foe Iii�arioe:corrparry::Use` BUILDING OWNER'S NAME P Gam COVY .: BUILUNG STREEI ADDRESS (mWdi ng Apt,-Unt, Sufte, andlor Bldg. No) OR P.O. ROUTE AND BOX NO. 13966 Carriage Estates Company NAIL Number CITY STATE ZIP CODE Chico CA 95973 PROPERTY DESCRIPTION -(Lot and -Mock Numbers, Tax Parcel Number, Legal Description, etc.) Lot 16, Carriage Estates (APN 047-430.34) BUILDING USE (e.g., Residential, NwH- dsiderrtial, Addbon, Accessory, etc. Use a Commerce area, if necessary.) - Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( ##° - ## - ##.##" or ##.1 ❑ NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. 394843 // 12154-06 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMINITY NAW & COMMUNITY NUMBER 82. COUNlY NAIVE B3. STATE Butts Coady Uni coweladAreas Bulgy CA B4. MAP AND PANEL B5. SUFFIX Leslie W. Coke B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER �fgTF B6. FIRM INDEX DATE EFFECTiVENWSED DATE BE. FLOOD ZONE(S) (Zane A0, use depth of ftxw OWC0310 D 4-242000 4-20-2000 X 131U. Ind¢xle the source of Une Base Food Elevation (BFE) data or base flood depth entered in B9. ❑ AS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe): _ B11. Indicate the elevation datum used forthe BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Desabe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPAr []Yes ❑No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Builclingetevatbrtsare.based.on:[IConstrudaonDrarwings* ❑B.uldig.Under Con&Ldion* ❑.Finbhed.ConsMucian *A new Elevation Certificate will be requited when construction of the building is complete. C2 Building Diagram Number_ (Selectthe buldrng diagram mostsimlarlo the buidirg forwhich this eertiTicate is being eompleled -see pages 6 and 7. Mno diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations-ZonesAIAM, AE, AH, A (& BFE), VE V1 -V30, V (wBh BFE), AR, ARIA ARAE ARIAI-A30, ARIAH, AR/AO Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used, If the datum is d'rf erentfrom the datum used forte BFE in Section B, convert the datum to Mused for the BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to docurnerd the datum conversion. Datum ConversionlComments_ Elevation reference mark used Does the elevation reference mark used appearon the FIRM? ❑ Yes []No U a) Top of bottom floor (mdudi g basement orendosrure) _ --ft(m) U b) Top of next higherf oor _• —ft(m) U c) Botbm of bvest horimntal sb ucbural member (V nines onty) _• _ft(m) U d) Attached garage (top ofd) U e) I -m estelevation of machinery and/orequpment servicing ft buidirg (Describe in a Comments area) —.---t(n1) U t) Lowest adjacent (finished) grade (LAG) _ _ft(m) U g) H9►>esr adpoent ( grade (HAG) (m) U h) No. of pemnarient openirgs (flood vents) within 1A above adjacent grade U � Total area otait pwnanentopeniugs (ttmd mrAs) K%C&b sq, in (sq. =1 i W w� W- �B Ea E2 aU3 SECTION D - SURVEYOR, ENGINEER, ORARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001 CERTIRER'S NAME Leslie W. Coke LICENSE NUMBER PLS 5712 TTfLELand Surveyor COMPANY NAME Pression Surveying AUUKt,';Zj CITY STATE ZIP CODE 717 51' Street i � -4 Orland CA CA 95663 0 5TELEPHONE ' %0 a 53D8654194 v Leslie W. Coke J No. 5712 Q, �fgTF OF SECTION D - SURVEYOR, ENGINEER, ORARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001 CERTIRER'S NAME Leslie W. Coke LICENSE NUMBER PLS 5712 TTfLELand Surveyor COMPANY NAME Pression Surveying AUUKt,';Zj CITY STATE ZIP CODE 717 51' Street i � -4 Orland CA CA 95663 0 5TELEPHONE ' %0 a 53D8654194 IMPORTANT: In these spaces, copy the cuff essponclinfor ng information from Section A nor lrsiranoe Company use BUILDING STRfftADDRESS (inolrc5>!q Apt, Unrk Suit, andrar i ft ND.) OR P.O. ROUTE AND BOX NO. Polo/ Number 13966 Caniage Estates CITY STATE ZIP CODE Chim CA35973 CarpeiyNA1C Nuri SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CER71MCATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) oommundy official, (2) insurance agenVoomparry, and (3) building owner. ,CCOMMENTS -- — -- C�ning b the RRM, this properly lies entirely in Zone T. ❑ Check here I attachments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONEA0 ANDZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number_(SeIW the building diagram most similar to the building forwhich this oeffcate is being completed—see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.) F2 The bP of the bottom floor (including basement or enclosure) of the budding is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6.8 with openings (seepage 7), the Head higherfiooror elevated floor (elevation b) of the builfalg is _ ft(m) _in.(an) above the highest adjacent grade. Complete items C3.handC3.ionfront ofform. E4. ForZone AO only: If no flood depth number is available, is the bP of the bottom tloorelevaled in accordance with the community s floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local offidal must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CER71RCATION The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued orcommuniy- issued BFE) orZone AO mustsgn here. The dements in Sections A, B, Q and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE UUMMtN 1 S Check here if attachrnents SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authormed by law or ordinance to administer the c ommunitys floodplain management ordinance can complete SectiDns A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The intimation in Section C was taken from otherdocumentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E fora buffing located in Zone (without a FEMA -issued orcommunity4ssued BFE) or Zone A0. Gil. ❑ The following information (Items G4 -G9) is provided forcommunity floodplain management purposes G7. Thspermit has,been issued for. ❑New Construction ❑ Substa G8.E3evationofas-ounbwestfloor(no ingbasement)ofthebuddingis: _ft(m) Datum:_ G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ fL(m) Datum: LOCAL OFRCIAUS NAME TIRE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments ��6Sb � -f/� �����q. �'4 J� '�v^°� L I 4 yi • I� iY a NOTES RESIDENTIAL PERMIT NO' 047-430-034,,'' 03-0483 I SCHUSTER, STEVE' z , i fa,CCARRIAGE ESTATES, CHICO NEW SINGLE FAMILY ' hr v j62V 3743 A rA, OFFICE COPY 03 Address � GAS �� Meter By Dat��i'�,� � i 2 ELECTRIC I r7' Meter By Date. • srECAPECONDITIONS �§ CHECKED a BY SRA r - , *,. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ry- VERIFY a ` USE PERMIT CONDITIONS } SUB -STANDARD HOUSING LETTER A-9-�3 va lJOB FINALED (Date) 1 ` � � 3 a ` Signature' WT � r yF3 {y 1 r yF3 {y n y, 3Ri I .03P, f __.. v"thy l%� f _ �<�l E _�e11.%mit• -- if 93 T3 c'VP?,, a. •1+i (14fsC1) 03JA 3I3 301f r� J=OK 0 = Not OK - = Not Applicable s = Not Ready Date RESIDENTIAL (Single & Duplex) OK except #'s Mai • Soils-Elec. Grnd.-/ • /" Ftg. Depth VD Ir Ftg. aragp; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth :� 11 h3tFfq., P ches & Decks; Soils -Steel-/, /" Ftq. Depth alls, Garage; Steel- Bloc kouts-Wra ed 6 bl ns and Special Anchors v 1. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. U s Pipe; Size Anchors -Yard Gas Piping; Size Test 1 . 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLU ING (Permit) OK except #'s Wlater Htr.; Vent -Access -Combustion Air Baffle 1 ter Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor-Nail.Protection 21. . Shower Pan; Test, First Floor -Tub Access Test Tub & Shower; Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date , ; Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 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 ❑ Yes O 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 Date / 'Zard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 347A C Ducts Insulation & Support 3 . Vent Fan, Exhaust above insulation 38' Condensate Drain & Overflow, Size & Grade 3Q Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date (f / 07 Card B-1 Date Card B-1. Date fCard B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41,,Aills Proper Materials & Anchors 4 Walls Studs -Nailing Spacing & Braces -Plates -Sound 4L/Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chaser . 46! Headers & Beams -Size & Bearing Z Date FRA ING (Continued) 4 ,. n ers-Post Caps -Anchors -Connectors 413'.,C -ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. ,Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 rm. Windows or Exiting. Doors -Sill Ht. & Dimensions . �arage Fire Protection Framing -RC Channel W. P tperty Line Firewall & Openings 5 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits irs; Width -Headroom -Rise -Run -Landing -Fire Protection !j6 ,Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ,Siding-Nailino Veneer ' 5$! Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Area -Glass falls: Nailin( Insu Oj63. Infiltration -Walls -Windows Date ,Q Card B-1 Date — 's' Card B 1 Date r Card Date Card B-1 Data IFIN fans) OK except #'s Detector ,e&.- Furnace Vents -clearance -Comb, Air-Connector- JR,tarage; Above Floor-Ducts-Mech. Protection j5edroom Exiting 1d'F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels -?e-_,%tairs & Rails Jiit'eplace or Stove, Clearance -Hearth . I;)ec. Outlets at Wood Panel, Int. & Ext. }kff Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance . ec. Outlets & Receptacles at Kit. Counter M'Garage Fire Door; Swing -Landing -Closure -7-6. jeC. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. !p.(hrage; Above Floor-Mech. Protection Pfb.; Elec. & Mech. Equip. Listed for Location E}ec. Receptacles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic '8i: Guard Rails & Deck Construction -Post Caps 9Q' Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ prance Looked under Floor O Yes FpHowing Instid./Drive s'fl No/1Nalks es D No/Planters O Yes 0 No 84��ucco Brown -Finish 86.'�4. Unit Disconnect, Electrical -Plumbing 69'*nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ter Well, Disconnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground 8491'ypntilation Throughout House Mass Protection Corrections from Previous Inspections 9 Gps Test -Meters Tagged, Gas -Electric JOer & Sewer Connected -C/O to Grade -HD Approval �dergy Compliance Certificate -Other Certificates Address Posted -9e" Fire Sprinkler Date11 ®3 Card B-1 r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J =, OK 0 = Not OK - = Not Applicable =Not Ready MOBILE HOMES ,n��r Date MOBILE HOME UTILITIES (PlansyOK except his ot1;Q r.;nsa,: 901 1.4m, Water*,; I_ocation:-TestTE0sement Needed: (Sketch) .-P-il--(j-o+?-.51,�---E-I-e--ctri-ci-t-y.:,--.-L-Oc-ati-o--t.i,-.Clear.an-c-es-.-G-rhd-=/tA ./Amp -Concrete !s.'jjfsfi., YN fL ./Iq 7. Well CIearanc.e.-j&)Qisconn#-ct)nij jmqui'i enO-mooO Jx ;'-tj.A-t:_nsfh9v0 toc.0 no boot. j!9 ba Date Card B-1 -priioiF, iCard B-1 Date rl'!EIM o:),)LjjLl 8,Card B-1 Date:MQ.BiLEIMPkMEri.N$;T-ALL-Ajl-Qt4-(P;Ians):O.,K,-exc.opt #'s 1. Zoning Requirementst$etbacki§fE-Usem6nts�)d 2. Footings;Sitd=SpaCiFig7MNrriageiLlinef.-jS Jo 3. Gas; MH Test-Demand.,,YaLl.v.e,Copr.tetc-to.r:! sa 7 4. Electricity; MH Test-Crcissov.ers.-Break6r.s, Clearances i .7.r> :5. Drain; MH Test-,EAII-Flex Connector -8 bis;) e js r] [-3 iyi6�,6. Water; MH Test=RegulatorConnectOilj b-isD Z, GO 7. Water and Sewer;Con_ReeteA4,/Q,tp;,G:,rzLOeil() Approval e!�rj ..)8.,,:.Qasiand7EIecAriciitY.gTagged)c.C--eq.9i..j,/D .4C� 9. Tie Downs-Tipe-installatiQn:C-,eL6..IoAo,-ri2".88 -1J.Q.-.z,!Exits;4nsp 6j,,mmiu�i.aa ri,-.1baG6ft of...0ccupan'Cy,:,.-:,i-! ev,-,aA:9pLisa !,l pf:i-,;.x3:nooA,o8 .';a 3 efjnjfxi I rIllso Z AAZ 1;3 Date Pl9Card13v1-.,F3 I9ri,Qate.; Z mnT OCard B-1 Date Card B-1 Date alis? .3 .(,Card B-1 Date PERMANENT6END:SYSTEMj(ONLY)3or;,icii-i 1. Zoning.Requiremonts;Sotbacks-.Ea'semoehtsSC 3.)zBlocking.'q 1r; 3 4. Gas;:MH.Test--Dem and -Valve eiR f:rjf-v,@ c'i 5. Electricity; IVIWTest.'!,e,c-:z�)nn %uC .O.A Z7 "I*AA 7. Water7and!Sewdr:Conriected:h.,9;)�-,E:.E) (!: :!Gas.and EIdctricjfy.'Tdgqed%! F, .a fci :.r.119 rc;j3s,c9" Exits,'�i._! -!.9) ni e9!0- tqoD3P, .0(";3 -eN 10. License Decals!' be. Oi M --s3 bodW OoH Ivr6l.. .21n92V.rb9 !1 Date Card 'R-11. -iooH -i.-;'bnuDatinc.j Card B-1 Date ard--&_.J� n 'C _�j:g*!ACt4 ' 1,: ClDate,�b�!cnl v iwolio:i .C,Card B-1 Jo9nnoo2i(I eaucH tleof;PU(-j)f!T livoig(,.A QH-ebG-!C OT i9wea 'S r-8 wG0 Cl sYSU qtGO qm(] 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-Con nectors 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 Vs 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 e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 3 ' 9 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NP, (Rev. 12/96) APPLICATIONAND PERMIT �3 ' O yX i ' ASSESSOR PARCEL NUMBER IrZONING 047-430-034 SR -1 BUILDING PERMIT OWNER Schuster. Steve TELEPHONE 894'0895 SO. FT. OCC. BUILDING VALUATION 3062 R 165.348.00 . OWNERS MAILING ADDRESS 4011 S1ikw, lass 111d Chico CA 95973 462 C 6006.00 RS CONTRACTO'NAME owner TELEPHONE 1060 U 19.080.00 1(� y CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace IX2 3 D0 LENDER'S MAILING ADDRESS Total Valuation , $193.434.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 968.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BLIDRESS Carriage Estates Way Qdco VO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1034.59 LAT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF k,' Duplex ❑, Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 1 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15 TYPE OF WORK ! New, Addition `❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: New SF Mastyr #97-35 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 192.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service "*.AoR1Fss 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 ill force and effect. License Class Lic. No. f h OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will.do„the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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, forthe 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo h ith o ply ith tKoA provisions. /q X _ Date .2.63 Signa ure6of 91 plicant - ❑ Owner M Contractor ❑ Agent 1-1 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. 3.5QFa 144.27 &ACC. 8LDS. NEW CONST. NON•RESID. C 97.50 PSINGE OUTLET OWERLAPPARATUCIR.S d20 @'•0° Ex. Occup. OUTLET OR FLxruREs BAL- 9 .50 Ex. Occup. oFtmEFrs AESID.OEA 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 210.2 MECHANICAL PERMIT Fling Fee 20.00 Heating 50.00 Cooling Hood 6.50 Ventilation /� Q PERMIT FEE $ 135.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 R3 c lrsT. TYPE TOTAL FEE $ .6 8.27 :1HAZ. FEES, IMSo 145 cDP P L ISsu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo hic fees have been paid. By Date G.) PERMIT EXPIRES ON Date ReceitNo. p 3707 Ll & I V 49c)// 770175177 I,5 7 WHITE-D.D.S.-B.D. CANARY -A SE SOR PINK -INSPECTOR GOLDENVtD-APPLICANT ie= erje/ 1U. 10 1*1=KS — l.H1W � b'J 2-25b Hb. 754 G(D APAAG"O Certificate, of ConformanCe Certificate 0 5 2 7 3 6 THIS IS TO CERTIFY that the glued laminated timber products identified wrh a toll;- mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applica .i, standards and associated specifications indicated be!ow: ANSI Standard A19t,. 1-1992, For Wood Products - Structural Glued Laminated Timber ! NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses RITC 117.93 - Manufactur,ng - Standard Specifications For Structural Glued Laminated Timber of Softwcod Species i IT IS HEREBY CERTIFIED that the APA EWStrademarked structwpl glued laminated membi rs ` were produced in a manufacturing facility subject to regular audits in accordance with file 6ng;reered Wood Systems (EWS) Quallty Assurance Program. Routine audits include inspc<;.;ion of the manufacturing process and evaluation of the OA program with adequate sarn;!:-,y to yer.'y conformance to industry: standards for lumber grads and giueline bond quality. I ' 1/1# W 0 pQa##oe �- t � $� by -� Thomas G. Williamsc:: 604 ,�� �,� Executive Vica PrFs0i :11 111,11... ENCwCFRED 1'11700 5>'SITMS,p a rCIA leo cr,pp1a1,CM 01 Ar" — 71iC F/JG(IJEEAL'P• 1 70:1$puny 1y11) 5neE1 • F.O Pox 11700 • 1acOrno.. W� 0hen•p7u0 Tn.vPhon. • G'S3I �E;.8607 • For 1vv'liiu•. (: y3J :GS 7: G:• Jk-l-?1-2`0020 THU II:2b6k-1 ID: ASSOCL 7;GN' PAGE: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-430-034 ZONING SR -1 BUILDING PERMIT OWNER Schuster, Steve TELEPHONE 894-0894 SO. Fr, OCC. BUILDING VALUATION -3062 R 165 348.00 . OWNERS MAILING ADDRESS ass Rd Chico CA 95973 C 6 006.00 CONTRACTOR'Sa] owner TELEPHONE 1060 U 19,080.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 1X,2 1 -3000.00 LENDER'S MAIUNG ADDRESS Total Valuation 1$193.434.00 ARCHITECT OR ENGINEER UCENSE NO. Film Fee $ 20.00 Permit Fee $ 968.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 DFIESS Carria e Estates WayChico Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $1034.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap Jq 7.00 112.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New.16 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: New SF Master #97-35 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 600V OR LESS Main Service 200.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Class I License Lic. No. 6 OWNER -BUILDER DECLARATION- I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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.) 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 grovisions of section 3700 of the Labor Code, I shall fqrthyvithVply ith o provisions. X Date �- 3-- Signa ur plicant - ❑Owner Contractor ❑Agent An OSHA permit is required for excava Ions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BIDS. 3.50FT. 144-971 Ipµq Off, j. MULTI.OUTLET 97,50 " a PSINGLE OWER OUTLET CIR. APPARATUS 20 Q 1.00 Ex. Occup. ounEr OR FaTLIREs BAL @ ,50 Ex. Occup. DFIx�LE�Ds R DEl 5.00 Temporary Service 23.00 23 00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 6.50 Ventilation 9.00 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ no RT. �� TOTAL FEE $1 8.27 HAz. FE IMP o co PAYL P,HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo hic fees have been paid. By Date PERMIT EXPIRES ON 3 1da/1� !� ete �+ ,Receipt No. U C� / 1 WHITE-D.D.S.-B.D. CANARY -A SE OR PINK -INSPECTOR GOLDEN OD -APPLICANT FROha : PRECISION SURVEYING PHONE NO. : 530 865 0162 FEDERAL ffMMNCY MANAGEM> W AGENCY NATIONAL FLOODwSIIRANCE PROGRAM ELEVATION CERTIFICATE Read ft irrsMscd its on Pam 3 - 7. SECTION A - PROPERTY OWNER INE'O 170N —Gary Cc)Y _ Bun.I NG S I REEi ADDRESS (ftbabV p M, jkj� Sufte, andior ewy: rho.) OR P.O. ROUTE AM Box No, 13966 Carriage Estates Mar. 10 2003 11:09AM P1 O.M.B. No. 3067-0077 Expires July 31, 2002 +=or rra� cnm pun POL-y Nuri....;. . _ .... ...... CSTATE ZIP CODE CtnN co CA 95973 PROPERTY DESMPTION (Lot and Mode Nares,,, Tac Pamd kolber, Legal pew, etc.) Lot 16, Carriage Esf� (" 047-43D,34) BU --D G USla (e,g- , Nmq Adan, Acoesmy, eu,- Llse a Commailsagea dnecessary.) Redderft ($ ° -; -$ p #l2 sQURCE: UGPS (Type); - 39-48�3 /1121444)6 ❑NAD 4927 �] NAD 1883 ®tlSG3 Quad Map ❑ Ofhet: SECTMN 8- FLOOD INSURANCE itAiE MAP(RRW IM MATiOM DA f3rQorclQrUnitOopor�rdAteas ! Bid&- _ _ CA ar, rn�rnrxrwt 88.6QSE R00D6.ENA710N(; BB,F1f2M DATE U ISEDDATE B8. F42DOOD 40= L= (7meAU.�ed�9tdioor6� 810.kdC8te the source offhe Base Rood 6era6orr ( dad or hese good deter in I�. ❑ RS Pro% ❑ F1RM [] Commumi y Detem*ied oow pwr ba B11. trrdiaft em elevation daftim used forft BFE In W. ❑ NGVD 1926 ❑ NAVD IM ❑ Odle pewbbg _ 312 s the bulidsrg bested In a coal! sanfar ReBorrr ss spm (CBRSi area or Oft wise Pmtacw Area (0PAr Q Yes Ct No C1.8u3dsve ambasedon,.[] QDmfttabnDmwjVe �i d�gUtzdar a n" ❑Fjnd*dCvo� "A new Elevation Cett>'f CadqwA be mqubed when corm oHhe budrrg b oompfete. C2 &*I9 Dagon Num_ (Selatft,s bA tg d6g m mo twaart o the wdiv ix4uch ftwfta$e, is berg =rplebd -see pages 6 and 7, firm diagram aoRHw* reprewtsthe bd6rg, p ume a Omt h oroubgrapK) C3. Rwdions-7nrmAi-=Al~ ARA" &#%VE, Vi VM V (wrih BFE), AR AR(A.ARIAE, ARfAt.p3p, AR1AH ARAO Compfete Mems C3.,a-i Below according m the bukrffeg dMram spec&d m Nam CZ Side theddn used Vthadah n Is 0want from the datum used forthe a% in Section B, oonvedtlreda4rm b Stmt used 16rthe SSE. Showfa meastaamerrls aril detLgn aarrvemn cafaklon I)3e the raoe pm wbd or the C=merds a=of Semon D or Sedan G, as appropdafe, to doaurrenrihe dahrm coram Dattgtt____., CornrambVCbrrtments� Bavafmrr ewe maAc us®d D=fhe elevOon refer a mask used Wpearan ft FfIZM? []Yes [] hlo O a)Top dballb torljjdftb doren*am) Ob)Top ofneAhowfbtor _ _ O Boosom otloaeSthori$a9COrral member(Vmrres onM m m 0 d)Aba had garW (bp ofs1ab) © w e)Lefeva9onolnrareryarrdlor serviin9Shebuldots(F)esameinaarea) _ f<(m ) r Q Q Lowest adk(9� (1-AGi _ � R(m) E � (a h)Naoipamcpenr(rloodiw4 abanreatent8re,�� }Tatala�acf�pertnalaps(fl�odt)C3ir( ,- —1) SECT= D - SURVEYM BN R, OR ARCHffECT CERTUMAMN, This ceffa tion is to be signed and sealed by a land surveyor, engineer, orarchbd audxn4ed by law to w* efevatbn information. 10"fy that the information in Sections A, A and C on this certificate represents my best efforts to intelprel the data available. 1 understand Ihat wvkdse statamentmaybe punishable byfine orimpr�onmentunder 18 1) S Code, Section 1001. _ CERTIFIERS NME Lesb W, Coke UCEWSF M MAPPIPER 5719 "" iTiLEland °f COMPANY NAL* PreL&n Sury ADDRESS CITY STATE - ZPCODE 7175080we�rnu rx rtx n _._QJt31d CA 9,10,0 3 TELEPFK%E 5308%4494 P FEB -9-2002 SAT 08: 50AM ID: A E� O� Z FRGj1 : PRECISION SURVEYING PHONE NO. : 530 865 0162 Mar. 10 2003 11:10AM P2 WO PANT: M these ooW the oortespmrtdrtg ptfmnabion from Sedan A. I R r oaCow y Usc: E t3966 Carnage Esus AND ROX N0. CITY STATE ZIP CODE Chim CA SECTION D - SURVEYOK ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sidesof this Bevarlion Cel tar (i) aommurtdy of c!A (2) insurance agsntoompany, and(3) W d-a>g owner. COMMENTS �ACaofdb'ig b!►ts FlR11A, Ute properly kss sr�r inZorie "X"'"'-'� Q Coed: hm 1 attarhmerft SECTION E - 8tSI1! M B"ATION INFORMATION (SURVEY NOT RK21ff M F0R ZONE At7 ANDZOME A (INR W W:q For Zone A0 and Zone A (WrduA BFI;), mffO to Its E1 thmugh E4. U Ute E wt*n C s intarded for tee as sjppo ft irdortnatm bt a LOVA or LOMR-F, Section C must be omrpleted. E1. Buidag Diagnttn Number_(Seted the buidc>s disgrarrt rrtostsitniar b the b�dtrtg ftuytrich this aerhTt isbeatg -see pW6 and 7. if no a=rat* mpresents the bukkig, pmvide a sl a#dt or photograph) E?- The by of itta bottom ibor (mdu tg basementorerdosum) of the but ft Is _ t(m) ut.(an) Q above or Q bebN (ched;ow) Ute highestadpCetdgada (Use rtahral grade, ff avaiabia} E3. ForBuld'xtg DvGrams 6-8tw'th openm (see page 7), the rte:d tuglterftowordevafed lbor(eleva b) d die b A&V Is _ ft(m)_fn,(an) abate the highest utter t grade. Complete tams C3.h and C3.i on frontoffnrm. E4,RxZbeAOv4, ItnOt t 1�I1U►1b9f�4 IB 6tflel�OfthBbOt)flmtt00reiCY8fEd9180001i�anG�V41�1fi7eC07nM�fllh%3fl000 Ymdtla�(n@rytprCtA7gnpe� Q Yes Q No Q UN=wn. The bog otfj ad muet cer%fhs HomwMon in Section G toff ' '1.' '1 0 na 11.,• The property owner orcwners authorized mpmsentaM wfm oompWw SedionaA, B, C Qtems C3.h and C3.i o*t and E for Zone A ( fttd a FEMA -issued or communit - ssued BM orZnne AO mustsign here. The aiabamertts ct Seftm & B, C, and E se aorradto the test d my Ivtaaft PROPERTY OWNER'S OR OWNER'SAUTHOR2ED REPRESENTATfVE'S (NAME ADDRESS CRY STATE ZiP CODE -Y SIGNATURE DATE TELBDf*NE COMMENTS Q Check here iE attachrrtertitis SECTION G-COMMUNITYWNFORM 7= (OPThwL) The lace!ofcdvrhoisauthorizedbylaworordirawthad hstertemmmwWsQoodpWnrrtart ttordrtarroecat Seat wA,B,C(orQj andGaff3risBevalion Csd�& CompW the apptr able tan%and sgn below. Gf . Q The d=*n In Seclbn C was mien from ofherdooumentamort Crdt.haa been signed acrd embossed by a lceroed swveyor, ergi mer orarofti ct4o, is aurmfiaed by sura orfocaf law to osrfdy slevaton ittfurrrid= Qrtdicale fhe souroe and data of the elavati m date b the Comments area below.) GZ©A=mnurdyaMcefaidSecbmEforabukftbcethdvtZmteA4thoUaFUNWsmWoroomm BFQorZoneA0. G3.0 The b1lmW9 dwmation (harts 04 -GO) s pmvd9d fbr=ri-. ky iio#p Un managamer putpoaes. G7. Tftis permit has been issued for. ❑ New Con&u*n Ga l�tfon oi` ao�uit bwest door (utdudog f>ase�i) of @te bu�ia g i� f9. BFE or (ln Zone AO) depth of Roodrng atthe budding site is: Datum: � Datum: LOCALOFFICIALS NAkf TIRE COMMUNftY NAME - TREPHONE SIGNATURE -- DATE COMMem w FEB -9-2002 SAT 08:50AN ID: PAGE:2 G OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OF FEES DUE PROPOSED BUILDING USE �—Q 1. BUILDING PERMIT FEES Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ........... . .$ 2. SCHOOL DISTRICT FEES –� A(paid at District Office) (Available after Plan Check) 3.. SHERIFF FEES (paid at Building Division) �% T Residential...................... Units mercial (sq. ft.) ............... x $0.03 = $ Sq. ft.. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 114 CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)41 10. OTHER A.P. # w�7 DATE RECEIPT # DATE REC. 32033 �!� 3 7<:)3 5 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 decking process. ILICANT /ED A1 -E2 /1 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) Co grcr�l/Industrial 3 Sc(i* 7 46New Addition (Including E terior ' ` Roofed Areas) Building Department Representative Date L-3 (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that /-/Oh (Street Address). (City) has complied with the requirements of Resolution No. representing �OtIJO square feet. Representative by C e k # Remarks: (Applicant) (Phone Number) (State) (Zip Code) by payment of $ lQS, AB 2926 $ FULL MITIGATION S ,ya t: Date I—P _. 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 66020(x), 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 (CEGA), 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.xis (10198)dmm t� s BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �'� ' School District Building Department No. i A.P. Number w Jurisdiction: City E::;�C unty Property Owner Pro/pe tion/Address �j () . G.. ������-3 -7G Subdivision Lot No. L� j Residential Development ................................................................................................................... Sq. Footage �06'+ No'of Living . Mobile Home Addition/ *Supplemental to (Group' R) Units Installation Conversion Permit # *(No foundation inspection) .................................................................._.......................... °.,°, •"•. •;tiny .� Co grcr�l/Industrial 3 Sc(i* 7 46New Addition (Including E terior ' ` Roofed Areas) Building Department Representative Date L-3 (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that /-/Oh (Street Address). (City) has complied with the requirements of Resolution No. representing �OtIJO square feet. Representative by C e k # Remarks: (Applicant) (Phone Number) (State) (Zip Code) by payment of $ lQS, AB 2926 $ FULL MITIGATION S ,ya t: Date I—P _. 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 66020(x), 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 (CEGA), 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.xis (10198)dmm f r7 K BUTTE, -COUNTY PARRS DEVELOPMENT FSE CERTIFICATION FORK[ 'CHICO AREA RECREATION AND PARK DISTRICT '7 110 - ,3 -4 Assessor Parcel Number(s) 1 Property Owner Project Location/Address Subdivision Lot Number (s)63 Residential Development: (check one): ew Development _Alteration/Addition _Mobilehome(s) Total Number of Dwelling Units Comment - 6 Buil ng Department Representative .t D e `l Chico Area Recreation and Park District(CARD) certifies that Applicgfnt Name Street Ad (Phone Number) _Non -Residential to Residential 5-/6-6 5 (Gityd (State) (Zip Code) a , atas tcomplied with the requirements of Butte Co. Resolution No. 90-140 by !� pa ym,ent 'for dwelling units @ $1,189 for total payment of $ I' anw t CARD Representative PAID BY CHECK NO. REMARKS: BANK NO. q D -y ao I ai PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) Date Q3/07/Q' #2570 11:Q8AK 'X;TOTAL WOMB Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. ♦ ; .: is rf',..t•.• .,...r.,,...n.•.: .im ... .r, ..'•1t� r.' sl.: �' aTyV`r - 7 :nY .�-{"; �:•:++.p�,-.»..,-err,. tilrK�k�.�f"'+,�, i`t'f�',;^+:wRo•+.'Tl'r-.#„ecir..r...' T COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ��i'�,l�yD ASSESSOR PARCEL NUMBER '( -7 L/3. y' Proposed Building Use: kJ�-�it•� :� Counter Technician: - Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. _Cl.. Plot plans, 3 or 4 sets, signedAy the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ; ❑ 5. 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)i�',ie down or foundation plans, all in duplicate. a ,t ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views 4riplicate. (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. Thep t w4l bk xed and returned to the plan review line-up when required items are received. 7— Date Received By D3 Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ . 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.............................................................................. i ❑ 13. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings....................................,�..... , 6. Sanitation and plot plan approval from the Environmental Health Dep rtment in 7. City of Chico Plumbing permit ............................................. ..... . 18. California Department of Forestry plan approvaal,,Aaid. Sent by: Q. ............ 19. Planning approval for (A) Use: D l',' (B)Parking: (C) arc Check: Z 27,0' ❑ 20. Contact Land Development about ❑Improvements, ❑Drainage .............................. ❑ 21. Encroachment Permit for driveway from.the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ti„❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... t M , ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... a . Letter of Signature authorization.................................................................... . Recorded copy of Agricultural Acknowledgment Statement .................................... 3, 21 8. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items ##equirements for obtaining a building pergiit. Applicant: 1. Index permit appfication for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone, ❑ mail, ❑ counter, ❑ phone, ❑ mail1. ❑ counte _ Plans approved y: _Structural approved by: Yellow: Building Division Plan Check Letter _Date: _ —Date-- Date: Date:Date: _Date E.14. USE ONLY Sion Pian Attachad CS Floor Plan Attachad �PS Sant to S.D. aLa'6..ae�,1_f,X U TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance - Own r Loc tion AP# Plan Approved for: Sewage Disposal, x Water Supply: Public Private Well .>< Clearance for dwe8ing. Other 3 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 ?►Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ��/j County Center Drive • OroAlle, California 95965 • Telephone (53038-7541 p' No. APPLICATIONANDPERMIT � � PARCELtitJ6®ER BUILDING PERMIT —y_0-q)3� r"11 7A01* / 1 Sa FT. I O= SUILQwG VALUATION orana-stets MUM ADORM amt SCM WMM ADZE= azc= oa E1MxM uZEM No. DrNL M=="s KUM PAR :El YAP USEOFSTRUCTURE �F� Duple 0 Nbb9shome O Other 1 Ne►v� AdOm D N Describe Work 1 TYPE OF WORK 0 L916es 0 hu&adm 0 01hw 0 *?SkMrr FEE ?,lb SRI SHWFF , Oita. "Ovw Rib F Firne i Fee '$ 20.00 Permit Fee s :� Pian Checidno Fee S 0 a Energy Plan Checking Fee s al o. O.. NIECHAWCAL PERMIT S I 20100 PERMIT FEE S 70 r, PLUMBING 'PERMIT Filing Feel 20.00 End Trap ! 7.00 , Solar or heat pLunp water heeler 23.00 it Water Anng 15.00 /-s — Earh ges wet=s heater or vent 15.00 / -- Gn pwmg aystam t - 5 outlets 15.00 /5- suadrmg sewer 15.00 Nbbile home I 5 I G I W • +@20.001 S 20.00 3•ur M"70in" II Ex. • oe :uo. ( te OR FLWM ) I I Af wo � 1 Mobile Home FacNes 20.00 h5m wain 2s o0 PERMIT FEE s al o. a NIECHAWCAL PERMIT Filing Fee I 20100 Heatmg 150 - Ccormg 150 -- Hood 6.50 I f'-, -� Mob6e Home InstellaTon Fee Energy hupe:Lon Fee s'R• r � /YE TO AJ " TO"Pir zwo COQ "�EM This permB y IM d the appGosble provisions of the Butte County Code and/or Resolutions to do work incketed above for wh1rh fees have been paid. By Date RezeiptNo. PERMIT EXPIRES ON WHrr6-n_es.e.1L caHaRr-assessoR p=4=PZ=0R G=ENRoD-APPLr-kW �8�,, To: LARR?f'AINTER . From: CHICO ENV. HEALTH ❑ APPROVED larmit #: Genera/Information Owners Name: Wle'4,4 Address: EHS� _ -JUL I.0 28 ITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Date: AP#: ®y7` ' VJ�/ ON Parcel Acreage: 1) 33 A Building Site Address: ProvVlz Infornnarion ynPNs 76Q Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑SepticWell q --?-39 IS SFD ❑ Other Zone District: S �— 1 Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Parcel Is In: • Variance: ❑ Residential Accessory Land Conservation Agreement SNo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan W No ❑ Yes Violation Area -RNo ❑ Yes Specific Plan ❑ No Yes N Chico 1 ❑ D2N ❑ Cohasset Enterprise Zone a No ❑ Yes, check use Floodplain ❑ No N Yes Zone: 'A y Panel Number: � 3 U✓� Watershed Protection Zone No F-1 Yes Proposed Use Complies With: 0 General Plan 9 Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Familv Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: • Zoning Code Street & Highways Fre Prevention Subdivision Ma Front 5O L Side --Sl Side street O L' Rear 2_0 Height 3S' o 1 JUG Environmental Health Issues: Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: 'Drainage Pian (Com/Ind/Multi) ❑ No ❑ Yes Parcel Created by: ❑ Deeds Date of Creation: Legal Access Provided: Deed Reference: Legal Access Required: Parcel Frontage on'Publidy Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ No ❑ Yes ❑ No ❑ Yes JgMap Date of Recording: 12y �27 Lot: LDBlock: Book: � Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). • ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/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 EHD requirements. ❑ Other General Comments: L "1. FAstg- P,e \ A DuTTE Co: FIRE DEP CALIF. DEPT- Of FORESTRY 0 approved as submitted ,rii�innS l� approvwit� per aftac+tec+ sh yet. 3(3 signature BUTTE COUNTY BUILDING DEPARTMENT APPROVED .o 4al Pew y PCIV ALL STRUCTURES AND EQUIPMENT INCLUDING Lr OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. SET BACK OF FT. FROM THE SIDE AND r aro SFT. FROM THE REAR PROPERTY LINES AND 0LX r FROM THE ROAD CENTERLINE SHALL BE C EA OF STRUCTURES AND EQUIPMEW .EXCEPT =OR A 2 FT. EAVE OVERHANG. �l - 4al Pew y PCIV ALL STRUCTURES AND EQUIPMENT INCLUDING Lr OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. SET BACK OF FT. FROM THE SIDE AND r aro SFT. FROM THE REAR PROPERTY LINES AND 0LX r FROM THE ROAD CENTERLINE SHALL BE C EA OF STRUCTURES AND EQUIPMEW .EXCEPT =OR A 2 FT. EAVE OVERHANG. �l - CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME 72 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, I 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or 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 1. No roadway shall have a horizontal inside radius of r 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. 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. [yl 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -1-- AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�I 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. 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. 00 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 and 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. [ 1 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 ba completed prior to completion of road construction )r flaal inspection of a building permit. Page 2 of 3, 47-43 AP # 03_oge3 PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves C&T.'-C %, NAME [ ] 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 spri_ikler system per NFPA 13D - Glass area not to exceed _0* 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 .F`► X• 47-43 AP # 03_oge3 PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves C&T.'-C %, NAME [ ] 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 spri_ikler system per NFPA 13D - Glass area not to exceed _0* 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 [it PLANNING DIVISION- BUILDING PLAN APPROVAL Use: 0 K Date:2 Parking: Landscaping: Other AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIII III III I IIII I II IIII I III II I IIIII 203—�� 1 4823 11 Recorded Official Records I REC FEE 10.00 I CONFORM 1.00 County Of 1 COPIES 2.50 BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICK80N I Assistant I Marti 01:53PM 10 -Mar -2003 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Z L FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date t_A A iGlen 10 _ 0 State of California County of On -j/ 10 /0 3 before personally appeared eny known to me (or proved to me on to the within instrument and a, capacity(ies), and that by.hi/he the person(s) acted, executed,the WITNESS my hand%ani fficial Signature A.P. # 041 -4�b — OS4- PROPFRTY OWNERS: �e , tI OD -M personally t e basis of satis actory evidence) to be the person(s) whose name(s) is/are subscribed kfh_qwledged to me that he/she/they executed the same in his/her/their authorized heir signature(s) on the instrument, the person(s) or the entity upon behalf of which instrument. Seal: DENISE M. PRICE Commission # 1341260 -ca n Notary Public - California_ o Butte County My Comm. Expires Jan 24, 2006 ORDER NO.: 00196543-002 LB THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 16, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE ESTATES SUBDIVISION", FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 22, 1988, IN BOOK 112 OF MAPS, AT PAGE(S) 24, 25, 26 AND 27. AP NO. 047-430-034 ELLIS A&E SUPPLIES #4006c rlbrk sw 5 1110 (F0) ot0.�rrE so�c.� 395-0437 #566654 Y .1 I 5 5- -Z --- --- ---- -- A P�'q 7 Lo -rl.# F. Wf-L4 0 C R I A G E E -ITA T E INUMMAIVULlic- AND OF ALL EASEM6N%40 SHALL BE CLEAR MICK IDF-�� M V:ROM THE StM A - F -pf *PERTY- IMES. A. MnM THE REAR F tj C04TO"ESHALIPI� T. FWW THE ROAD tzAkr---,ATA OF STRUCTU"ES AND EOUVOW" i lk" FT I ova*wo,3- p k 2 FT. rz* GXkx coy 5-19- 42 Gq - CELL "Nil C� ARTMENT 9 TED PGCE --rLLEPHONE \ \ -CABLE Ul- INUMMAIVULlic- AND OF ALL EASEM6N%40 SHALL BE CLEAR MICK IDF-�� M V:ROM THE StM A - F -pf *PERTY- IMES. A. MnM THE REAR F tj C04TO"ESHALIPI� T. FWW THE ROAD tzAkr---,ATA OF STRUCTU"ES AND EOUVOW" i lk" FT I ova*wo,3- p k 2 FT. rz* GXkx coy 5-19- 42 Gq - CELL "Nil C� ARTMENT 9 TED PGCE --rLLEPHONE \ \ -CABLE C.�,�rtE ,. / b'6' 43 wy PARTMENT �/z e ELLIS ALE SUPPLIES #40060 ...... .......... IIIIIIIIrt1f)c11)1 _ , _XA POOL GENERAL SPA GENERAL SPECIFICATIONS y SPECIFICATIONS DIRECTION SIZE 24 x 4OAREA ft DEPTH! TO x% SPA TYRE: MDL N SHARE As LZmwiv DIMENSION: LINER DEPTH: t BOOL CAPACITY Ld S60 GALS. `;_ COLOR TOTAL GALLONS RUMP UVrA A SPA JETS TILE MOTOR H.R. i f �• H.P. ,f. x HEATER: FILTER CC 4Z6 SO. FT RUMP L MOTOR: VACUUM LINE L SKIMMER Z " AIR BLOWER: RETURN LINE .�X%!Z. �• GAS LINE: MAIN DRAIN %!L ' PLUMBING FOR SRA: QO, SKIMMER MODEL �`S ELECTRICAL: CLOCKc --..._.....- C.�,�rtE ,. / b'6' 43 wy PARTMENT �/z e ELLIS ALE SUPPLIES #40060 ...... .......... IIIIIIIIrt1f)c11)1 _ , _XA