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HomeMy WebLinkAbout047-670-040047-670-0" Irf (LOT 30) 00-0193 LIHOFF, DOUG OR RON 4103 AGUSTA, CHICO CONTR: OWNER NEW SINGLE FAMILY 047-67-0-040 01-0092 NEWQUIST, GARY & MARY 4103 AUGUSTA LN., CHICO CONTR: CARE FREE POOLS POOL MASTER # 502-97 -97 7_ G/ 047-670-040 HENQUIST, GARY 04'2067 4103 AGUSTA LN, CHICO Cont: GREENE ROOFING INALE ROOF MNT SOLAR NOTES RESIDENTIAL PERMIT NO. _(047-670-040 � 4-7067 HENQUIST, GARY 4103 AGUSTA LN, CHICO Cont: GREENE ROOFING ROOF MNT SOLAR F l { f 11 SPECIAL CONDITIONS 11 11 k A l SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,JOB FINALED (Date • ` Q �/ — Signature CHECKED BY J=OK 0 = Not OK able . otReady DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready 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- Bloc kouts-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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 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. Shower 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 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing 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 O Yes 83. Following Instid./Drive D Yes D No/Walks D Yes O No/Planters D Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042067 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: APN: 047-670-040-000 the Business and Professions Code, and my license is in full force and effect. ?l/ License Class: LicenseNu e • Site Address: • 4103 AUGUSTA LN CHI Dat . —�^ Contractor: v` Map Index: Description: NEW ROOF MOUNTED SOLAR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: NEWQUIST DANIEL T &TRACY L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 4103 AUGUSTA LN 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973-9260 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: NEWQUIST DANIEL T &TRACY L owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 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 License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier:— arrier:Policy#: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. ^� L( Date: ApplicaA L" 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 he is(syedfund�theplicable proovisions of the Butte County Coda ?nNer Resolu-ion o_ o rSdicatedr which fees have been paid. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date: 6N .6 - PERMIT EXPIRESo(. Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O 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 purpos i Print Name Signature: ; Date: ❑ Owner Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042067 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: APN• 047-670-040-000 - the Business and Professions Code, and my license is in full force and effect. License Class: License u e � Li Site Address: 4103 AUGUSTA LN CHI DW65—4p"f/ 901contractor c/ Map Index: Description: NEW ROOF MOUNTED SOLAR p OWNER R DECLARATION I hereby affirm under penaltyalty of of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: NEWQUIST DANIEL T 8r TRACY L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 4103 AUGUSTA LN 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 CHICO CA she is exempt therefrom and the basis for the alleged exemption. Any 95973 X9260 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: NEWQUIST DANIEL T &TRACY L owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered fcr sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer' insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:^� Applicant: l/ 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 interest, fees.4 ///��� code, and attorney's 6%.a CONSTRUCTION LENDING AGENCY This permit is he)t issd under the applicable provisions of the Butte County Cody ?nry r I hereby affirm that there is a construction lending agency for the Resolution o fSdicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) = o%v G ' Name: BY //,, Date: PERMIT EXPIRES V Address: O : 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 purpos . Print Name- Signature: Date: ❑ Ownerontractor ElAgent for Owner 0 Agent for Contractor 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 REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Nam City /� -- irst Nam Address / v 107 , City el State Zip Phone _ �i/ Fax - 7 E-mail ` E-mail CONTRACTOR Name v/ Address City /� -- State Zip Phone 7 �� 7 Fax E-mail / Class APPLICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name Name1 Address . City Occ. State - Zip Phone Lt U Fax E-mail Phone State License Number APPLICANT SIGNATURE For office use only: Zoning APPLICANT tjAME Name1 Cross Street . Address Occ. �'�4rl L City tl,,2 Book Lt U Lot # Planner Phone i EFa E-mail APPLICANT SIGNATURE For office use only: Zoning Prope Address O d Flood Zone Cross Street SRA I tfes-jNo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. (tel -20 lQ' BP BIN # LOCATION AP# v 7 �_ �'-7 —0 l0 Prope Address O d 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 Description or Scope of Work: sewr Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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: ,r Amount: 6`--61dg SRA Receipt #: 6c���/ Sheriff SMIP , � Total REV 6-16-04 SUBMITTAL REQUIREMENTS ' The following drawings and specifications must be submitted to the Building Division in order to apply fora 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 GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! r OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 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-signedv 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. ❑ 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 GRAPH PAPER! ❑ 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 engineer. ❑ 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 FORMS\BIdgAPPISUbRgmtS.doc Page 2 of 2 REV 6-16-04 2 (or? 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 �j ) OWNER: L ASSESSOR PARCEL NUMBER' Proposed Building Use: n trot) .SO�0/ S't/S�l Counter Technician: - Date: '7 - Items /"Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . '� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and -signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. Cl 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑' 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon.receipt of the following items.) ❑ 17. Fire Sprinklers.................................................................. ......................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........ ..................... . ❑ 20. Erosion Control Plan Required........................................................................ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit......................................-................................. f ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................:.................. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 3,K1 ?P�_�� � f . and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applic � Date: 1. Index p i application for the ab ve items numbered: Plan Check Letter 2. Additional items required a.wesigner,owner, was advised of the above data by ane, ❑ mail, ❑ counter, by Date: D Resigner, ow�er,,ywas advised of the abov data y O'phone, ❑mail, ❑ c un r, by Date: I 11 Y4ed by: ILIA Date: 3 v a Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division V.epvt vis7 Af vs ro ,c Aiev kyveopAot 3 Ig cm k.4 e fit' G �' P�rnlls BurrE coin MLDING DEPART'MEW APPROVED Solar Array: 7 e ir eA DC Disconnect GE THN 2261 RDC Inverter: SMA Sunny Boy 2500w �ea�v�j Vdc in: 500 Vac out: 240 Max output:250OW Fuse, 15A Safety Switch: Cutler -Hammer DG221 URB b A rated Breaker: CaMWor Type 8t Sim_ 0 10 T.C. Cable Meter Main: To PGE t FRI_if'; Un i R.a c March 30, 2001 Mr Chuck Aldrin Energy Alternative 39 Lakewood Way Chico, CA 95926 'Dear Chuck, FAY% NO. : 5052426412 Apr. 06 22001 01: 16PM F: umim INC. The New Standard in pV Module Ra -s. 2300 BUENA VISTA OR. S.E.. SurTE 134. ALBUQUERQUE, !PJM 87, 06 505.242.6411, FAx 505.212.6412 WWW.UN1RAC.001n This letter is to certify that all UniRac PV module racks are designed and manufactured to meet the wind load requirements of Chapter 16. Division IIT of the 1998 Uniform Building Code (AIso the California building Code) and the American Society of Civil Engineers Standard ASCE 7-95, Chapter 6. Wind Loads, UniR.ac's meet these standards when sized and selected according to UniRaCs 'T Module Sizing Chart and Price List" and installed according to the I:niRac installation instructions and acceptable standard building practices. �int�Pr�iv UniRac. Inc. j "FROM UniRac FAX N0. 5052426412 Apr. 06 2001 01:17PM P3 S'a�u�,rQQa. �o�an • 41,„ John Liebendorfer UniRac 2300 Buena Vista SE, Ste. 134 Albuquerque, NM 87106 . December 11, 2000 Mr.i;.iebendorfer; This letter is to certify that your U -LP -144 PV Rack Assembly meets the requirements of: * 1997 Uniform Building Cotte, Chapter 16, Division 111' - Wind Design • 1995 American Society of Civil Enghteen ASCE 7-955 Chapter h, Wind Loads for the array sizes, wind speeds, and exposures shown in Table 1. A "yes" entry in the table indicates that the structure has a minimum factor of safety of 1.5 against yield when manufactured and assembled per specifications designated SS -61900A. This certification applies to the design and assembly of the hardware structure, but not to its installation. Improper installation may adversely affect this structure's ability to withstand the wind loading for which it is certified. The standards listed above are recognized in most parts of the United States. Only the local authority having jurisdiction can determine whether compliance with these standards is sufficient to satisfy all requirements of a particular jurisdiction. Table L Suitability of UniRac EL 1_,P-144 with (6) Siemens SR700100-ypatt or similar modules (array size not to exceed 57.5 sq. tilted at 40 *from the horizontal, at Various Wind Speeds and Exposures* PBEasicdf'Far! SpNerl. 70 mph 80 mph 90 mph 100 Hip/, 110 tnph 120 mph 130 mph Exposure ! yes yes I yes yes E yes Fyes yes j Exposure Ces es yes^ _ Y Y Yes ( yes no do EXposure D yes . yes yes Yes no I no Lno *As defined in the UBC. .Basic Wind Speed is the fastest -anile wind speed Associated with an annual probability of. 0.02 measured at a point 33 feet above the ground for an area having exposure category C. Exposure B has terrain with buildings, forest or surface irregularities, covering at least 20 percent of the ground level arca extending I mile or more from the site. Exposure C has terrain that is flat an generally open. extending 1/2 ?$eic:inter .a- - i_Y- - - --'8 6 - l Qi'[V �i�t�•j�•�C(NTC..1\. -: "..: _-�.....-'_ "_ ..• .-,. .. -.- ExposureD represents the most severe exposure in areas with basic wind speeds of 80 miles per hour or greater and has terrain that is flat and unobstructed facing large bodies of water over 1 mile or more in width relative to any quadrant of the building site. Exposure D extends _ - inland from the shoreline 1/4 mile or 10 times the building height. whichever is greater. �.` Mark Sardella, P.E.. Sardella Solar P o PAY RnQ T'cciirnm AIA,I 47r,7A-i AAQ CA. iQA91 Q':A_�Z17 Gw• 1AZIU101A 400.+ ,.— ,---- FROM : UniRac FAX N0. : 5052426412 Apr. 06 2001 01:16PM P_ wa The New Standard in PV Module RacL-s.- 2300 BUENA VISTA OR, S.E., SUITE 134, ALSuouERaue. NM 87106 505.242,6411 FAX 505,242.6412 WWW.UNIRAc.cOM Acceptable installation guidelines for installing PV systems on typical wood rafter roofed homes 1- PV array must have sufficient connections to adequately distribute the weight to meet both dead and live load requirements. Modules with aluminum racks average about,3 lbs per square -foot dead -load Modules with steel racks average about 5-16s per square foot live toed. Wind load are can reach 25 lbs per square foot at 90 mph. Some mountain passes and the hurricane wast (Gulf of Mexico and Atlantic Ocean coast can reach 120 mph and up, 50 lbs per square foot) 2- PV arrav must be securely attached to roof to withstand maximum wind load as defined in the relevant building code and the American Society of Civil Engineers Standard ASCE 7-9 , Chapter 6, Wind Loads. Array most be adequately attached to roof rafters or other -structural -members. Added blocking (2 x 4's or larger) may li securely-attac a -int e a 1c tweca roof rafter and used as a structural member. Lag bolt size will be determined by total area of the *PV array and the number of lags. used. Tyricallv.four 100,watt modules -with four roof connections requires a minimum of- one 3" x �/ 6" lag per roof corincction:—J Ifis not acceptable practice to'screw or lad intoo roof'decki 3- All,roof penetrations must be adequately sealed to prevent water leaks. Leaks will cause rotting of roof rafters and potential weakening and structural failure. For tile and wood shake roofs the tile and shake must be removed down to the decking. A structural stand off must be attached with flashing and the roofing material reattached around,the flashing. For asphalt shingle roofs the PV rack components may be attached over top of the shingles provided an adequate amount of an appropriate sealant is used between the rack components and the shingles. 4- All fasteners should be corrosion resistant. In desert climates zinc plated fasteners maybe acceptable. Not dipped galvanized arc better and stainless steel arc best. For Lag bolts or other fasteners that will be covered with a rooting sealant zinc plated is acceptable. a° The New Standard in PV Module Racks - 2300 BuENA'VISIA DR. S.E., Sul IE 134, ALEiuQLJERQ E, NM 87106 . 505.242.641 1 FAX 505.242.6412 WWW.UNiRAC.COM Assembly Instructions U -GR Series Ground/Roof Racks Read Instructions Completely Before Assembling Rack Adjustable Log USE FLAT WASHERS ON B0T14 SIDES OF COMMONS ed eg Flush Mount 1 — Assemble the U -GR eries UniRac as shown In the appropriate drawing above. The UniRac can sily be assembled in any order appropriate to the job site requirements. 2 --Use 318" hardwa to asse ble the UniRac and 1/4" hardware to attach the PV modules to the U7bee C. 3 — UniRBCS mus securely atta hod to roof rafters, ground footings or other Secure structuraifeatures. Simply rewing the UnlRac to roof decking is not adequate to withstand design wind I ds. 4 — Leaving a much space as possible t the bottom of the UniRac will minimize debris accumulation and snow load. "OILS YAWS 4V Locating Mounting Feet U6fANGL M:]Wt LN V0,AAI 1-0:15 PWS <.b 5 — The drawings to the left show two options for setting the width of the Mounting Feet. If possible, mount a PV module to the UniRails attachment method for obtaining the proper distance between the Mounting Feet. ` __ •....—. .�-- •.�.+--in.�,. .rte VMM� installationlNanualti2ol- :Flush Sola�MountT'". SMR +; CT Assembly.. Laying out L -feet L -feet (Fig. 3) are used for installation through existing roofing material, such as asphalt shingles or sheet metal. Use Figure 4 or Figure 5 below to iocate and mark the L -feet lag bolt holes within the installation area. Consult UniRac's Technical Bulletin 103. 1, Code -Compliant SolarMount Installation (January 2003), to determine foot spacing that will meet the Figure 3 Uniform Building Code. It can be downloaded at www.unirac.com. Figure 4. Low - profile layout ::�Overhang 25% typical Foot spacing—+y each end n n _ u i rill,i 1 3/4" _. II 50% percent r typical u n Lower II roof edge -- -- „' �, �Rafters�1 When determining the distance between the rails in high-profile mode, keep in mind that the center of each rail will be offset from the L - foot lag bolt holes by 13Aa inches. If multiple high-profile rows are to be installed adjacent to one another, it will not be possible for each row to be centered above the rafters. Adjust as needed, following the guidelines in Figure 5 as closely as possible. Figure S. High- profile layout 25% typical 50% minimum typical each end 1-3/4" II II 1-3/4" I I I 1 , I I I I spacing I � I I I I Lower roof edge ' Overhang I J'--- 1 11 Rafters2--/' Installing L -feet Drill pilot holes through the roof into the center of the rafter Squirt sealant into the hole, and on the shafts of the lag �r i-r.ugll bolts. Seal the underside of the L -feet with a suitable �_- _ - Consult Technical Bulletin 103.1 For guidelines to determine _ the lag bolts that you must use to meet building code wind Securely fasten the L -feet to the roof with the lag bolts. load requirements for your installation. Lag bolts are not Ensure that the L -feet face as shown in Figure 4 or Figure 5, provided with SolarMount rail sets. as appropriate. 3 r NOTES. �} RESIDENTIAL 047-67-0-040 01-0092 NEWQUIST, GARY & MARY 4103 AUGUSTA LN., CHICO I CONTR: CARE FREE POOLS POOL MASTER # 502-97 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 7 r JOB FINALED (Date) ',rte i Signature CHECKED BY I; 1 1 r' i rr r t 4 RESIDENTIAL 047-67-0-040 01-0092 NEWQUIST, GARY & MARY 4103 AUGUSTA LN., CHICO I CONTR: CARE FREE POOLS POOL MASTER # 502-97 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 7 r JOB FINALED (Date) ',rte i Signature CHECKED BY V = OK 0 = Not mK ' . = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors -6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 ('1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -,C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 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 INAL (Plans) OK except #'s ('1 a s.Easements oils; Compaction -Structure Stability 3. P of Structure; Steel -Connections -Thickness D d Men -Lining E1W.; Receptacles and Lighting, Distance-GFI 5. lec.; P of Lighting; 15 Volts-GFI 6. E ; Enclosures; Conduit Entries -Terminals -Listed lec.; Bonding; Metal w/5' -Circulating Equip. -Heater I 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool L ht 9• es-Enclosures-Panelboards-Ins. to Main in Conduit . Health Department Approval j 1 01 1 . lumb.; Cir. Test -Water Supply Test . Light Niche f i � Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 9411 1rv56 �'' J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (%E Date 46. Underffoor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soiis-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -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. 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 63. 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. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearinq 'ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roft Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 1D Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Comments at Final: __._-..�,,,-.-.-r-._.-...,..`-^v^.r...�...^..,..'`•—.---.�,r-r'.✓�,,,_..:.-..-�••--.-...�--�.-r....---'"�-'�-'...'rte. :--. � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.1Z/96) APPLICATION ANDPERMIT ni -nogg ASSESSOR PARCEL NUMBER 047-670-040 ZONINGSR1 BUILDING PERMIT OWNER GARY &MARY NEWQUIST T892NE SO. Fr. OCC. BUILDING VALUATION 25,000 .OWNERS MAILING ADDRECONTR: # 79 ALYSUM WAY, CHICO CONTRACTOR'S NAME CAREFREE POOLS TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 2 .000 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 252.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4103 AUGUSTA LANE, OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 275. 0 LOT NO. 30 1 SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE ,�/ SF)( Duplex ❑ Mobilehome ❑ Other ' ` SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 1 9 -no Each as water heater or vent 15.00 TYPE OF WORK A New ❑ Addition ❑ Remodel 13Utilities ❑ Installation ❑ OtheBuildin Describe Work: POOL MASTER PAN # 502-97 Gas i in s stem t - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W @20.00 _T PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 full full force and effect. `� /' License Class l —�j Lic. No. : � f0 � � OWNER -BUILDER D C ARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 ADDNS. ( a ACC. BLDS. SO 3.5¢FT: N" RESDT' MULTbOUTLET @7,50 PGwER AFPARATUS B SINGLE OUREi CIR. Ex. Occup. OUTLET OR FOm1RES 20 p 1.00 BAS o .50 Ex. Occup. OFlxU EEDAPPL poR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Cn nn WORKERS' COMPENSATION DECLARATION 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 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' coVensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee d. Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Cts- 1,C 601 tel' Sj ag c)C) (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those rovisions. '1 Xia2v �,�..�� Date (OV -1) 10/ Signature App (cant - ❑ Owner & 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 $ 360.00 HAZ. D. FEES IMP . - FLOOD CDF PARCEL PD HD IS E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,'.x ►�`Yrilr '� " ''``�.+�'titl" � ��1�is�r.•.•/i ` ' i�w:'��-'R.,r�,;,fi �xwC.r.7i 'C'd,LINTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' ��` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMITAPPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: l — I (n -0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 4neere lete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- d plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. -- El10. Fees of $ --------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------------------------------------- ❑ 12. Ca ornia Department of Forestry plan approval/fees.-------- ----- ' ❑ 1 tiod elevation certificate. --------------=--::-----------------------------------=-----=-=--------- : Sanitation and plot plan approval(1, 'o ,� Health Department. --------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. --------=-=------------------ ❑ 17. Planning approval for (A) Use: (B) Parking: ' - •---------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------- ❑ 19. Encroachment Permit for,.driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. -------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------------- ❑24. Letter of signature authorization. ----------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- ❑ 26. Letter of intent on building use. ------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑ 28. Existing violations and/or expired permits. ------------------------------------------------------ El 29. 043 A, ❑Grant Deed, ❑ M.H. Title, ❑ heck to C.9 $ 0. Other: (Date) :?elephone ou issue the efpermit, process as fol ows El to owner, ❑ it to contractor. 4- l� �p 3 and hold for pickup at office. ❑ Deliver with inspector. f�Applicant:80--1PDate: G t— i-p—& Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ '�on Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: te: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner was advised of the above uired data b ❑ phone, ❑ mail, ❑ Building sion counter, by Date: Plans reviewed by: Date: -� ' O Plans roved b / o� y - d Sets of plans hold in ❑ Plan Cabinet ❑ A.P. folder. N approved : Date: P Note transfer by: Date: . Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY s. Plot Plan Anwehtid i Floor Plan Attaches U r' o Sant to e.D. l ," / TO: Building Department FROM: Environmental Health (A) SUBJECT: Sanitation Clearance Owne Loc ion AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Wig•. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date z� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev' 12/96) APPLICATIONAND PERMIT 111�00� ASSESSOR PARCEL NUMBER ® 4 _� JD ®aftAa / © ZONING BUILDING PERMIT OWNER , TELEPHONE a, SD. FT. OCC. BUILDING VALUATION OWN U AD CONTC!DR'S aila /RACvTORS TELEPHONE COM MAILING AD SS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 2,6q1,-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ OID BUILDING ADDRESS Ll 103 Energy Plan Checking Fee $ PERMIT FEE LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 - USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPECI Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 /5.0o Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Replodell ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 1 920.00 PERMIT FEE $ C) ELECTRICAL PERMIT Fling Fee 20.00 Ma800V UIS in Service 200.00R R 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.PowER 'License Class ' Lic. No. 3 J�c� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project./ ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 ' NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BLDS. So 3.50FT. N-RESIIDD ' MULTI.OUTLET @7,50 APPARATus 8 SIM OUTLET CIR. Ex. cu OUTLET OR FocruREs s0 0 ,.00 BAL O .w APPLNS Ex. Oc OiTLEETs(..,6.) EEw 5.00 Temporarllk Service 23.00 Mobile Hom Facilities 20.00 c. Wiring 23.00 PERMIT FEE : 15().Qt' 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'rpmpensation insurance carrier and policy number are: Carrier _+' VU CID QP Policy Number CX / L/Cil/ `S� G Avg (The above sections need not be completed rf h permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall h those provisions. ,Aorthwith comp l70—ol X / Date 6 --6 I Signature of Applicant - ❑ O ner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL NERMIT Fling Fee 20.00 Heating Cooling Hood N 6.50 Ventilation PERMIT FE S Mobile Home Installation Fee Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $3 (o c) . oo HAZ. I D. FEES IMP I FLOOD COF P.RCEL Po HD ISSUE This permit is hereby issued under o1 the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate Receipt No. /31 336-1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 l.�. r-.:sr•'itw'C-+r^v`'v �,,,�•n�;:� ' - t"1:. *:� FF,t,n�'.�wJk-,(+=�..:t•-'�:`4�'t..'."*' *COUNTY OF. BUTTE - DEPARTMENT OF DEVELOPMENT -SERVICES - BUILDING DIVISION y��r, 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (ReV?12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NI.UMBERS /d 4 „-,b7� •�- J� L/' v (�T(� ZONING BUILDING PERMIT -. OWNER ♦go TELEPHONE a-aa� SO. FT. OCC. • BUILDING VALUATION o . ooa .OWN MAIU AD byo Vr CowR•S TELEPHONE CONTRACTORS MAILING AD ESS CONSTRUCTION LENDER Fireplace P ..LEN'S MAILING ADDRESS Total Valuation $ 00-00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 25a -(X) ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 2 3.00 BUILDING ADDRESS LY 103 Ci Energy Plan Checking'Fee $ $ PERMIT FEE $ �, LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIft Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 , () (.3 Each gas water heater or vent. 15.00 TYPE OF WORK Ne r Addition ❑ Reodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rn jrjt ` Gas piping system 1 - 5 outlets 15.00 Building sewer '-) ,) C- 15.00 •` AF Mobile Home S I G I W @20.00 PERMIT FEE S 00 e ELECTRICAL PERMIT Fling Fee 20.00 3a r Main Service 200A OR LESS 23.00 •LICENSED,CONTRACTOR'S DECLARATION r 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. p., 'License Class i' - Lic. NO.' 3�?Q,6 OWN WILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 peens�� rance carrier and policy number are: Carrier Policy Number CA. /G/0019-75,10 a Ufa (The above sections need not be completed H the ermit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' ,� compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall, /fo L with comp) it h those provisions. _ _ t �` X #" .' s Date 61"/%"'0 1 Signature of'Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service tow To ,000A 46.00 ,1 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ' ( a ACC.stns. 3.50 FT.' EW CO ' MULTIOUTLET @G 7.50, POWER APPARATUS}' a sINGLE OUTLET CIR. Ex. cu FIXTURES sop'.00 BAL 0 .SO Ex. Oc oUTLEEDTSRalp °� 5.00 Tem ora, 'Service 23.00 Mobile Hom Facilities 20.00 Misc. Wiring 23.00 13600 PERMIT FEE $ 5 (�(� MECHANICAL NERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt, S Mobile Home Installation Fee � Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $3(p � <" a.�'a' ,• ' HAZ. D. FEES IMP FLOOD CDP PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By t PERMIT EXPIRES ON the applicable provisions Resolutlons to do work been paid. Date, Oate ReceiptNo.-% WHITE-D.D.S.-B.D. CANARY•A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �,-A" » .,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT -SERVICES - BUILDING DIVISION �►, arra;, ln. • ` 7 County Center Drive Oroville,California 95965 • Telephone 530 538-7541 PERMIT NO. APPLICATION AND PERMIT, 0 ASSESSOR PARCEL NUMBER/�7/w7 [/'f} !}�V/ (!�Y / ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWN s. ILI ADDRESS fi Ctrl t CJJ CONTRj"ACTOR'S j�� yy�� //11 TELEPHONE _ CONTRACTORS MAILING AD ESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ n V - oo ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 2,5 a . oor ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS�, ..�e. J if 1 t ru t.j t Dl, Jon Plan Checking Fee $ ,t PERMIT FEE $,. (� LAT NO. SUBDNLSLDN'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFXEach Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 (-S, O o as water heater or vent 15.00 TYPE OF WORK New',IjAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �T �^l,�� L-16"1�'il Gas piping system 1 - 5 outlets 15.00 Buildingsewer f 15.00 Mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 r` 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: ❑ 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 Main Service 200A TO 1000A 46.00 ' NEW CONST. DWELLING OCCUP. OR ADDNS. 8 ACC. S. SO 3.5¢FT. µei1CONST. MULTI -OUTLET Q7,50 POWER APPARATUS 8 SINGLE OUfLE7 CIR. OUTLET OR FIXTURES Ex. Occup.BOL 20 O7.00 @ .50 Ex. Occ DUTEL AESin°� 5.00 Tempo'-ra!14 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .0 00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 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 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 --i Z'i1s roe2io Policy Number f Lk / / 001 5i7S7 0 z UO (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 manlier so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall .forthwith comply -with those provisions. /� X ! ., Y Date G�' %�s-"d Signature of Applicant - ❑ Owner GYContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL NERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE $ Mobile Home Installation Fee �$ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 (o HAZ. I D. FEES IMP FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date , Date ReceiptNo. (� i WHITE-D.D.S.-B.D.`- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ._ -�- .....--.��•""v-^.^'-+.,.�+±.w."�..�..+'r++„c ti...-++Wa�:..JA'7�7 "^'`+�.,�,.� . ry.T. N�.�..r+w"✓.'ay _o._.+i..�,..5i "+-- .. �. d ^' '* COUNTY OF BUTTE - DEPARTMENT.OF.DEVELOPMENT SERVICES -BUILDING DIVISION V "'�^%"' ~ 7 County Center Drive Oroville,'California 95965 • Telephone (530) 538-7541 PERMIT NO. (Re\f:'12/96)'k APPLICATION AND PERMIT I0 1J ASSESSORPARCELNUMBER%�,,, 7 .�-�` F '7/ ZONING BUILDING PERMIT OWNER !���..++ \ 1 jj1F t s r�%Lf • �� TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNEAS-.MAILING ADDRESS/ CONTRACTOR'S NAME -( ( j TELEPHONE CONTRACTORS MAILING AUDR \` CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ �_' ` / ) (1 0. 0O ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Feb $ - !� ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $' BUILDINGADDRESS 03 i t \n,( t...) to t. y ', "11 Energy Plan Checking Fee $ ('C l $ PERMIT FEE $..x :4 "-. 01r) LOT NO. SUBDNLSIONS NAME PARCEL MAP PLUMBING PERMIT - Fling Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECI Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑f Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �J•!: i i S.. l_rr`. ! Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ITFKW Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 A OR LESS 23.00 " LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000) of Division 3 of the Business and Professions Code, 9 (coRESID. and my license is in full force and effect. pp-- License Class - " Lic. No. 3Ot,O Z) 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 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 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 -1 fl}s l"-C��,2 Policy Number r' A. I C f UU%C.r.9.51 G .) DU (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall .forthwith comply -with those provisions. X 17 „ /}V � /)� ���^'��_O / = 1 J�,� (�_/ = Date Signature Of Applicant - ❑ Owner [a. -Contractor ❑ Agent 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. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. mmencing Z"' - MULTI.OUTLET @7,50 POWER APPARATUS - 8 SINGLE OUTLET CIR. .00 EX. OCCU . OUTLET OR FIXTURES SAL ®l.50 Ex. O ou . ouTlEEis As D.°Ek 5.00 Temporalyl 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 FEk $ Mobile Home Installation Fee �$ Energy Inspection Fee $'N, occ CONST. TYPE TOTAL FEE $ 3(.o HAZ. I p FEES IMP I FLOOD CDF PARCEL PD HE ISSUE This permit is hereby Issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions beentp i to do work been aid. Date ' Defe Receipt No. 40 / i .9 1 WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT iii -BACHMAN ASSOCIATES JANUARY.23, 2601 COUNTY OF BUTTE Department of Building 7 County Center Drive Oroville, CA 95965 RE: CAREFREE POOLS ,MODIFICATION FOR EXSPANSIVE SOIL Mr. & Mrs. Gary Newquist 4103 Augusta Lane Chico, CA 95973 Attn: Dave Wasney Deaf 'Dave' I haV'e told Bill for &'&'.s Where there is exprisive soil, to use 3- # 4 rebars in the Do, U bciLnt, a..%j rV.1 the; rriaie."b3rs:.0 -rae' hid ilii:pix)(4. I have additionally directed Bill to thoroughly wet the existing soil prior to placement of the gunite. If I can be of further assistance in teas matter; please do not hesitate to let ine Imow. Very truly yours, C.W.B W 4 RCE #16803 C4 44* apt�'.��nva�o 4?001 U* NEW ADDRESS CMCO., CA 95973 ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 s NOTES i RESIDENTIAL 047-670- (LOT 30) 00-0198 IMH1OFF, DOUG OR RON 4103 AGUSTA, CHICO CONTR: OWNER W SINGLE FAMILY Nir 3_Y-° e)�J?FICE CORY t Address W6 -3 i } GAS Meter By Date ELECTRIC 7 Meter By Date Nbt Y e0,ct '3,,Zz- O 0' U� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. _ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS _ VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i O/FF/ILS COPY Address— lJ3 GAS :Fq-Il— Meter By Date ELECTRIC Meter By Date It JOB FINALED (Date) Signature INTER-DEPARTNMNTAL NMMORANDUM TO: BUILDING DIVISION, OROVILLE 00 - / 9'E�, ENVIR. HEALTlj,, C FECO .AvROM: DATE: RELEASE ENV. REAT TH HOLD ON BUILDING hNAL FOR: OWNERNA.NM: a-jw [�j F4-- SEPTIC V"" WELL: Aft 20 --OY6 - ADDRESSALOCATION: to 7-3 0 4V 6 a 9 Com GUummostreleaschold w 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 CORRECTION NOTICE P/If ko OWNER PERMIT NO. '-4 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 thi office immediately. on, av f Date - Inspect( REV 10/92 C�m =co-, am=. P.O. Box 7927 Chleo, CA 95927 _RJI,140-51C�1; LOERKE INSULATION CO., INC. 4105 Augusta Lane Number and Street INSULATION CERTIFICATE ' Chico ' City Lot 30 County Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches) - -2. CEILING Brand Name Thermal Resistance (R -Value) Batt or Blanket Type Fiberglass Batts, Brand Name Johns Manville Thickness (inches) 13" Thermal Resistance (R -Value) R38 Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. .659 Ib. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material Fiberglass Batts Brand Name .Johns Manville Thickness (inches) 3.5" Thermal Resistance (R -Value) R13 4. RAISED FLOOR Material Fiberglass Bests Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches DECLARATION Brand Name Johns Manville Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficienc Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Uertificate of compliance, where applicable. C.1 -4499150q-- %— LOERKE INSULATION CO., INC. , to Item #s atureInstallinSubcontractor (Co. Name) Or General Contractor (Co. Name) Or Owner Item,#s Signature, Date Installing Subcontractor (Co. Name)) Or General Contractor (Co. Name) Or Owner Item #s Signature, Date Installing Subcontractor_ (Co. Name) Or General Contractor (Co. Name) Or Owner J = OK 0 = Not OK = Not Applicably, = Not Ready Date 92�- RESIDENTIAL (Single & Duplex) ffderfloor (Plans) OK except #'s Zo a - etbacks-Easements-Flood-Slope Ftg. , Soils-Elec. Grnd.-/ /" Ftg. Def 3. tg. 4. t ge; Soils-Steel-Elec. Grnd.-/ /" orches & Decks; Soils Steel-/ /" Ft 5. fo alts, Main; Steel-Blockouts-Wrapped 6. St ails. Garaae: Steel-Blockouts-Wraooe • . . Date ) FRAMING (Continued) 47 gXng. Joist-Rftr. Ties- Purl in- Roff BracGipjgy9l ting.-Rfng. 4 . fireplace Ties o lue- Fireplace Throa ar A Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 rm. Windows or Exiting Doors -Sill Ht. & Dimensions K. rage Fire Protection Framing 5/ P perty Line Firewall & Openings 5 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits "5T7Sr— ; Width -Headroom -Rise -Run -Landing -Fire Protection 5 I . ood on Roof Overhang -Attic Vents -Rafter Outriggers 5 ing-Nailing Veneer 5 St Mesh -Drip Screed -Fd. Vents-Underflr. Access 54,1Wzing Area -lass Pjotect' n -Skylights -Plastic 2 - Infiltration -Walls -Windows Date y. 6a— Hold Downs and Special Anchors Date Slab, Steel -Wrapped l.' Date 8. Pier - ireplace Ftg.-Steel e� 3 �3-seua a W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 6.. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 6 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 AI-StajLAA-Rails 15. Access & Ventilation 7 16. Insulation EI utl at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING ermit) OK except #'s 7 1 . ater Htr., t -Access -Combustion Air Baffle 7 1 W er Pipe; Test & Anchor -Nail Protection 7 1 V.; Test Fittings & Anchor -Nail Protection W Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 7 22. Gas Pipe; Sixe & Anchors 2! In tion -Foam -Looked in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 82. 23. Fix re & Transformer Clearance -Ins. Protection 24 le . Receptacles Spacing -Lights & Switches at Doors 2 ize Boxes & No. of Conductors Stapled 8 2 . Romex Installed Close to Edge of Studs & C.J. aa,wa'ter 27_,equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2q,,2 -Appliance Circuits in Kitchen & Conductor Size GFI 88 9. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / ! ga Cu or AI 89. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral p Yes O No �0. 31. S , ice -Riser Conductors & Groind Main Disconnect 91. 3f.-ESLuip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3. ._ 34-8rnoke Detector ess Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ME HANICAL (Permit) OK except #'s Comments at Final: 35.. .0 ucts Insulation & Support 36._,V'e'nt Fan, Exhaust above insulation 37 ndensate Drain & Overflow, Size & Grade 38. W rnace-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 . 4 is Proper Materials & Anchors 41 Walls Studs -Nailing Spacing & Braces -Plates -Sound 4Z/hearing Walls over Girders & Floor Nailing 4YA,aft Stop in Walls (rat proof) 4 Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing • . . Date ) FRAMING (Continued) 47 gXng. Joist-Rftr. Ties- Purl in- Roff BracGipjgy9l ting.-Rfng. 4 . fireplace Ties o lue- Fireplace Throa ar A Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 rm. Windows or Exiting Doors -Sill Ht. & Dimensions K. rage Fire Protection Framing 5/ P perty Line Firewall & Openings 5 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits "5T7Sr— ; Width -Headroom -Rise -Run -Landing -Fire Protection 5 I . ood on Roof Overhang -Attic Vents -Rafter Outriggers 5 ing-Nailing Veneer 5 St Mesh -Drip Screed -Fd. Vents-Underflr. Access 54,1Wzing Area -lass Pjotect' n -Skylights -Plastic 2 - Infiltration -Walls -Windows Date y. Card B-1 G-- Date Card B-1 Date Card B-1 Date Card B-1 Date INAL (Plans) OK except #'s EW9teps-Door & Sidelight Protection -Landings 6.. Smo etector 6 urnace Vents -clearance -Comb, Air - Connector -I rage; Above Floor -Ducts -Meth. Protection . Be Exiting G Bath Fixtures & Tub Access -Spa rim & Subpanel, Breaker Sizes & Labels AI-StajLAA-Rails 7 it a or Stove, Clearance -Hearth EI utl at Wood Panel, Int. & Ext. 7 . ixt. & Appliance; Ground -Air Gap -Cooking Clearance 7 . Ele is & Receptacles at Kit. Counter 7 . Gara re Door; Swing -Landing -Closure 7 C. Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in G ge; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage (F.F.I.)-Romex Protection 2! In tion -Foam -Looked in Attic 8 . Guard Rails & Deck Construction -Post Caps 8 dn. VBents & Crawl Hole Door Drainage & Wood -Earth fiance Looked under Floor ❑ Yes T 82. Following Instld./Drive 0 Yes ] NoMalks U Yes J No/Planters] Yes ❑ No Stucco Brown -Finish C. Unit Disconnect, Electrical -Plumbing 8 encs Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings aa,wa'ter Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 88 ntilation Throughout House 89. C�ase-Protection �0. focrections from Previous Inspections 91. Gas est -Meters Tagged, Gas -Electric W Sewer Connected -C/O to Grade -HD Approval 3. Energy Compliance Certificate -Other Certificates ess Posted Date J;/.� Date a Card B-1 U Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ./ = OK 5. Electricity; Location-Clearances-Grnd-/ 0 = Notek 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG = = Not Applicable MOBILE HOMES = Not Ready 8. Utility Clearance 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./ /'LPG Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect Gas; MH Test -Demand -Valve -Connector 8. Utility Clearance Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 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 12. Permanent Foundation Onlv: License Decal 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 F (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER T o hapAPPLICATION AND PERMIT �a2 —0 ASgEV4/ V/— —-1SJ.`J j 'VV� pORT ZONING BUILDINGPERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATI 3400 R 183,600-00 • OWNERS MAIUNG ADDRESS q77 WOODLAND AVENUE, CHICO CA 95928 196 C CONTRACTOR'S NAME DOUG IMHOFF TELEPHONE 99 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 65r, BUILDINGADDRESS Energy Plan Checking Fee $ ' 93-00 $ PERMIT FEE $ LOT No30 j SUBNIS DIMA I1�11�NT LANDING PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 98 00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 - 5 00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 i5. 00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 1-7Q An ELECTRICAL PERMIT Fling Fee 20.00 V LE Main Service . AOR LESS 23.00 22 QQ 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 inAll II force and effect.L ` License Class Lic. No. 7 A y C17 7 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 Main Service TO 46.00SO CCU000A NEW CONST. DWEWNG OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BLDS. SO 3.5QFT: N"ON RESDT MULTI.11 OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1.00 o .w Ex. Occup. .FIXED D,DE 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.) �rertify 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 o ers' comfltion pr, visions of section 3700 of the Labor Code, I shall forth ith comh tho pro . ions XDate a 2�oa Signa ure of bWlicant - ❑ Owne 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 Fling Fee 20.00 Heating SpI IT 20.00 Cooling GAS HEATER 25.00 Hood 6.50 Ventilation EX FAN PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ I IiAZ, FEES FLOOD cDfj V/ PARC PQM ISs l This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _ �' By 6 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. U Date (� A (Da te Receipt No.I� WHITE-D.D.S.-B. D. A - SS SS R N-INSPECTO GOLDENROD -APPLICANT ,t..i.`4 �.. .P' COUNTY OF BUTTE ' 4&PARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7o,COUNTY CENTER DRIVE, OROVILL 9f965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE t-7 PERMIT FEES 6-d�TDe ................ $ t4-L� -- Additional Fees Due ........... $ t t1, � 1. r. -- Additional Fees Due ........... $ -- Revised Plan Checking. Fee ....... $ _LZCHOOL DISTRICT FEES C (paid at District Office) FEES (paid at Building Division) d n ....... I x $360.00 = $ V U Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. ATION DISTRICT FEES (paid at District Office) —�z 04 - 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) E INSPECTION AND PLAN CHECK $ at Building Division) 8. WATER TENDER FEES (Battalion 11 ) $200.00 (paid at Building Division) 9. MC FEE $2500.00 (paid at Building Division)' 10. THER A.P. # DATE RECEIPT N DATE REC P� i� , �fr��Zi�ZRri h►. At time of permit application, I was advised the above fees are required to be paid prior to issuance of thetuilding permit. These fees may be/chaanged during the plan checking process. l i APPLICANT DATE Pursuant to Government Co Section 66020, you reihereby notified that items 2,3,4,5,6,8,9, 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 -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) +�.�:�"•Zn."..'a:s-s,.vwl�+',71^s-r-^.7i�.w'.�L'�++'��h��;�:.��-::.-J-.i.pG.=tia}Z��,_�1.�,�ifi��`yr'F4�f. .:v�,i�+i, �:.'a"'-�;-�1;,,:�.l�T`.�'�Jr�,'ti�,•.'�i-�.;'q."f'T. COU TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION x. �7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLIC't.TkqDATA SHEET OWNER: Ro#A Do G i r^,%DFF ASSESSOR PARCEL NUMBER: ©q r7 - G-70 " C Proposed Building Use: 5 F 12 Building Inspector: -n , Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- VK]2. Plot pl 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ \0p 3 . C le plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- � plans, 3/4 sets, with wet signature on plahs: X11 engmeermg must be shown on plans.-------- \tQ 5. Engineered truss details and layout in duplicate (requiredjprior to�jglan review) No faxes! ---- ----------- 06. Energy Design Compliance and supporting documentation.-------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings., ❑ 8. Hazarus Material Form, Q 9.te�s tdkd Home data of$ and installation instructions including Tie Down Specifications. as shown on the attached schedule. 9ffbPiad5epartment of Forestry Flood elevation certificate.-------- approval/fees. and plot plan approval C 4 1 C'Q Health Department. --- -0 15. City of Chico plumbing permit.----------------------------------------------------------------------------------= ❑ 16. Plot plan and business license approval fro the Cityof Biggs. ---------------------------------------------- ❑ �7. Planning approval for (A) Use: �--' (B) Parking: ---" ----------------- --0/11!8. Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. D� NU 9. Encroachment Permit for driveway (construction approval prior to occupancy). ZO !J� ------------ El 20. Pre ection for required. Request to Building Inspector on ❑21. Co ct 's license information. (Number, Name Style, Classification). ---------------- ❑22 r s' Compensation carrier and policy number.------------------------------------------------------ 023.•Ownei-Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------- 4!];etter f signature authorization. -------------------------------------------------------------------- 5 R r copy of Agricultural Acknowledgment Statement. -------------------------------------- v 6. t nt on building use.----------------------------------------------------------------------' ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------- ❑29. ❑43rA,f' ant Deed, ❑ M.H. Title, El Check to H.C.D $ 030.�o ei:�/ r Wh '-- you ZVI the , ermit, process as follows ❑ Mail to owner, ❑M i to w ►"Telephone 3 "[ "' Ll V26 and hold for pickup at G DO VG. —� ( Applicant: -, Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department„q, Other: , s� office. ❑ eliv with inspector. ` Zao0 ' Date: 1. 1. Index permit application for the above items numbered: ❑ Plan (heck List 1 2. Additional items re uired: -' c -r o c 00 j 7- Contractor, esi owner, as advised of the above required data by ❑ phone,;gmail, ❑ Building Division counter, byttk Date: i? I gyM Contractor, designer, er as advised of the above required data by t®phone, ❑ mail, ❑ Building Division counter, by Date: _C-2, Contractor, designer, owner, was advised of the above required data by 11 phone, ❑ mail, ❑ Building Division counter, by Date: jey Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Pl eviewed by: Date: Plans approved by: Date: l J� Sets of plans on hold in�Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Ye ow Copy - Department of Development Services, Building Division. roo-4.40W 7ROM-Building Department Environmental Health — Ckw c SUBJECT: Sanitation Clearance — Owner Locati Plan Approved f �Aewage Disposal Clearance foudwelling. Other arance O.K. for NOTE: Environmental Heal Specialist 8/96 Water Supply: w' E.H. UA ONLY & Plot Plan Anaehad Plan 34nt c Sant to 8. Public AP# Private Well Y— Date 0 G RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner: Building Permit Number: 00 _0, �R Plans Examiner: A. P. Number: 0 y7- Co70 —y GENERAL: Y_ Zoning requirements — (number of permitted living units). .If Building permit valuation. . A' Plans signed.by the designer. A' Proper description of work on the application, X. Existing violations on the property. Recorded notice of violation. PLOT PLAN: X'' Complete parcel size and dimensions'.' ,' Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage_ Flood hazard. �. S ecial conditions on Parcel Map (Noise, SRA, Fire Sprinklers, ees . A77AU & FAS road setback. Water Tender, r c and Drainage Building or utilities across lot*lines (record form). FLOOR PLAN: ,Y Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). Z" 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). e3' Egress windows (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 &'2603.7). Z Glazing in Hazardous locations (Uniform Building Code section 2406). , . Required room sizes and ceiling -heights (Uniform Building Code section 310.6). 07. GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). e. Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). A' Prohibited locations of gas heating equipment (Uniform Mechanical Code 304.5). 1KGarage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). d-rWood stove location - Alcove clearance (UMC section 205 confined space & 223 unconfined space). .I,r Smoke detectors (Uniform Building Code section 310.9.1). J?ZWater closet clearances (Uniform Plumbing Code 408.5). Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). Page 1 of 2 STRUCTURAL DETAILS: Sonventional construction — Unusually shaped buildings (Uniform Building Code section 2320.5.4). tandard bracing or engineered design (Uniform Building Code se6tion 2320.11.3). ,Y Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calculations if necessary. Garage door header size(s). Porch header size(s). Y.. Stud heights. X Expansive soil — special foundation design required. X5. Retaining walls requiring design. Special Inspection requirements. W. Bader sizes. i Gypsum wallboard nailing inspection required. MISCELLANEOUS ITEMS: Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). 2" Guardrails (Uniform Building Code section 509). ; ,3.""Brick or stone veneer (Uniform Building Code section 1403). 4' Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Roof covering type — (fire hazard). Foam insulation — protection. X' 36" halls and stairways (Uniform Building Code, section 1004.3.3.2). ,91"� Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Yl' Attic access and ventilation (Uniform Building Code section 1505). Combustion air for fuel burning appliances — LPG requirements. 13' Sound requirements. 14. Energy design compliance and supporting documentation. 16- Flashing at all exterior openings. 1,,I� CDF responsible area requirements. Bui mg Permit requirements: SRA. 1 Flood elevation certificate. L74. Fire Sprinklers required. 1y.4. Special Inspection requirements. 17!5. Use Permit conditions. 1Sub-Standard Housing letter. 0 Page 2 of 2 10 February 11, 2000 Doug and Ron Imhoff 977 Woodland Avenue Chico., CA. 95928 �De artmentof Develo lent Services p Develop lent Division 7 County Center Drive . Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 047-670-019 pt Building Permit Number: 00-0198 This office reviewed building plans for the permit application referenced above. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Please be sure to include on the resubmittal the engineer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Your complete and clear response will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 0\1/1(?�Provide the shear wall layout for the structural calculations. The shower compartment, in the bathroom for bedroom #3, does not appear to comply with the minimum size required by Uniform Plumbing Code section 412.7. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents were incomplete, inconsistent, or not adequate to depict code compliance. Building plans will be forwarded to the Butte County Building Division engineer for additional review of the engineering. 5. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. Recorded copy of the Agricultural Acknowledgement Statement. Balance of Building Permit fees $1,481.65. Sheriff fees = $360.00. Complete and return the enclosed Butte County School Impact fee certification form. 0 Chico Area Recreation and Park District form is enclosed and must be completed and returned prior to the issuance of this permit. 11 CSA 87 Traffic fee $2,500.00 must be paid at the Building Division prior to the issuance of this permit. 1 of 2 If you wish to discuss any requirements you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner c:c. Gregory A. Peitz 2 of 2 ' Permit clearance Environmental Health Issues7 Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes .Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes ?arcel Created by: ❑ Deeds Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes • Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: AA) t l r?,... Map Date of Recording: 5—��— Lot: Block: =onditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Comply with condition no. of conditions of approval for the Book: ) J 1 Page: ?j 3 ❑ Provide Creation Deed ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across properly 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 :eneral Comments- > 2.S esz . (D� C -SA lw.��e-, -q, S t r�� —fir✓ brim �3t�i C�V�2��s� ` %� e-0JUA.) i" Zj I ❑ APPROVED J1 CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: 00 — ©j 1 a Genera/Information Date: 2- Ll —O® AP#:6' 0)] 1 Owners Name: �� (�— (ZOO i til-1O-i--� Parcel Acreage: 0,-p 0 A e— Owners Address: Building Site Address: P�o c'-oST' LN • Property Information Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home Al SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: S 'c-- , Date of Zoning Ordinance: General Plan: /a Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement &No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan it No ❑ Yes Violation Area jjNo ❑ Yes C—<A 8� Specific Plan ❑ No ® Yes 10 Chico ❑ D2N Enterprise Zone No ❑ Yes, check use ❑ I I Floodplain No Yes Zone: ® ❑ Watershed Protection Zone No Yes Proposed Use Complies With: It General Plan Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit 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: ❑ Cohasset Panel Number: D-320 C, ❑ Accessory Building Use Zoning Code Street & Hi hwa s Fire Prevention Subdivision Ma Front sc L Side Side street Rear Height �� / BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number (s) Property Owner 0 UG A i.(, fZod I M H o F F Project Location/Address 91 d 3 A U G ti 5 TA i�N Subdivision t (�,J� InIG " A� 5 fI Lot Number (s) 30 Residential Development: (check one) New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential L i.f TothAl e"r 6fA,,Dw''J-lling Unis "r Comment: .� G-o_w Building Department Representative Date Chico Area Recreation and Park.District(CARD) certifies that oo 06 (Applicant Name) (Phone Number) 977 4&2C>y/>G4W_19 Xv.� (Street Address) CH/Cy . (City) (State) // (Zip Code) has complied with the requirements o Birtte Co. Resolution No. 90-140 by payment for _ dwelling units @ $1,189 for total payment of $JjJg?.UO CARD Representative PAID BY .CHECK NO. REMARKS: BANK NO... PAID BY CASH RECEIPT NO. Date Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City nnot yyChnnico Building Dept. G3 "go 19175M f9175M U�iNttJCUN park. fee ( form revised 11/90) CHECK $1,109,00 1Vr .., Mfl.f'. .'fiY_- i.}rr...''ic^«i •-.a t":•fell 't�Y'"r-l;ii^v i.ir••�iiir+h�+j l�'7 �r Hi+I'°':.si —r— .4 .+1- ._.��,i{-� i..Y• °RRA' i . . , .`y •fit' r u� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District C R I C Building Department No. A.P. Number Q4 i7 -Q (R Pr- Jurisdiction: City ®County Property Owner U uG 414 � gOM • t m No F F. Property Location/Address 'i 0 3 AU G 145 T' A ii Subdivision f qf-A5A/y-r 04a (jG -wit- Z FNAS £ r Lot No. -30 Residential Development ................................................� ........................................... ..................: u it Sq. Footage 3 Yov No of Living Mobile Home Addition/ Supplemental to t (Group R) Units Installation Conversion Permit # ... ...... (No foundation un tt n spec ... dao in hon) .... t.O..., /Industrial CommercialSq. If�1 �f. 4 #t..;, S 1Foota. e q g New Addition (Including Exterior ( Roofed Areas) Anar . Building Department Representative Date irioor rians reviewea oy acnooi uistnct rersonneo District Identification No. 0 as q_ So School District certifies that (Applicant) ^, t Cic�r�o����t� Ct<v�2. y3- y�7� (Street Address). (Phone Number) 95�a (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check ll Remarks: 72 90-9e by payment of $ (Oj ✓(Oa• 00 IFAB 2926 $ FULL MITIGATION, , $ 7 Q 6 -c? -00 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 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 (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm CHICO ENV. HEALTJ EHS Septic/ ell ❑ APPROVED CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: Date: Genefa/Info,rmat%o/7 AP#: Owners Name:% Parcel Acreage: Owners Address Building Site Address: eMge_r 117f0r1"at10n Permit Tvoe: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic ❑ Well ❑ Other Zone District: S — Date of Zoning Ordinance: 3—Z (>— General Plan: AR Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement a No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan ja No ❑ Yes Violation Area ® No ❑ Yes Specific Plan ❑ No Yes Chico ❑ D2N ❑ Cohasset Enterprise Zone JB No ❑ Yes, check use ❑ Yes I I No Floodplain Zone: Panel Number: le ❑ Watershed .Protection Zone No Yes Pr000sed Use Comolies With: 9 General Plan Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Aoolicable Setbacks: Zoning Code Street & Hi hwa s Fire Prevention Subdivision Ma Front so Side 0 Side street -----------� Rear "52-D �3 O Height / Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: ❑ Deeds Date of Creation: Deed Reference: Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Map Date of Recording: Lot: e 2� Conditions That Must be Met Prior to Issuance of Permit: ❑ verify Legal Parcel ❑ verify Legal Access Legal Access Provided Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes Block: Book: I LI ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Provide Creation Deed Page L. ❑ 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 ❑ Other ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. General Comments: G 5 A 2S 0Q) 5 11 (2ecr —i-0 (S-2faz>1NG- t eszvS I G"J , SHc—P Pr p �G�'s— a-���c� w-v,•,� a���� ce,-yG2r�� '1S %n . �CF� C,H -i�'�l� C�-a FS Ga>`.w4�' �3�, MI 4e�e=