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047-680-018
OWCO ::OWNER NEW SINGLE FAMILY 047-580-018 CROSS, ELDEN 13859 WINFSAP CT, CHICC Coll[: GRI:FNE ROOTING EI..C:CT FOR FUTURE SHOP B07-0878 MISCELLANEOUS pr'va1e047-680-018 DETACHED GARAGEGarage/Shop (1736) 13859 WINESAP CT CROSS, ELDEN H & BEVERLY S BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvementsare 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.). 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: f0-rz-0 V` 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 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy # PERMIT NO. BP042989 Issued Date: 10/12/2004 APN: 047-680-018-000 Site Address: 13859 WINESAP CT CHI Map Index: Description: SPA ELEC & TRENCH CONDUIT FOR FUTURE SHOP Owner: CROSS ELDEN H & BEVERLY S 13859 WINESAP COURT CHICO, CA 95973 Applicant: CROSS ELDEN H & BEVERLY S Contractor: ALL-LECTRIC PO BOX 1556 PARADISE, CA 95967 530-877-8144 License #: 809589 Architect: Engineer: (� I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, i Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one it 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. ,''i' _p j ] t✓1 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Witte Cdurity'C dp�nN �"" K� I hereby affirm that there is a construction lending agency for the Resolutions 1 o rk indicated above for which fees have been paid. f performance of the work for which this permit is issued (Sec 3097 Civ.) By. ,e_ Date: EX Name: f ) PERMIT PIRES O : I Z' ._'rte ) �`J� Address: MAW ❑ 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. ❑ 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 orthe owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. % %��j J Print Name: 6"(- P.6 -H r ' • C / �-� -- -s Signature: /41,0t' ' r `� Z � � Date: r!0 /Z of , 14 Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor � ��� OP NOTES RESIDENTIAL PERMIT NOJq -6gI J-OIz C agq J+ C' �iden�4 �c T►s" �npuu 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i i r . ;JOB FINALED (Date) ,) •�� �� Signature 4�! CHECKED BY 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 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 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 22. Gas Pipe; Sixe & Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 23. Fire Sprinkler; Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 60. 24. Fixture & Transformer Clearance -Ins. Protection 61. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 62. 26. Size Boxes & No. of Conductors Stapled 63. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI FINAL (Plans) OK except #'s 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Ext. Steps -Door & Sidelight Protection -Landings 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Smoke Detector 32. Service -Riser Conductors & Ground Main Disconnect Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. Bedroom Exiting 34. Clothes Closet Light -Shower Light -Spa Light G.F.I. & Bath Fixtures & Tub Access -Spa 35. Smoke Detector Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 73. 36. A.C. Ducts Insulation & Support 74. 37. Vent Fan, Exhaust above insulation 75. 38. Condensate Drain & Overflow, Size & Grade 76. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 77. 40. Attic Access & Platform if Furnace in Attic Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -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 ❑ Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Zoning Requirements -Setbacks -Easements 10. Roof; Shthg-Roofing 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. MISCELLANEOUS Date 10. Exits; Insp.-Sketch 1. Zoning Requirements -Setbacks -Easements 11. Cert. of Occupancy 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. Date Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 9. 1. Zoning Requirements -Setbacks -Easements 10. Roof; Shthg-Roofing 2. Footings; Size -Spacing -Marriage Line Ext.; Steps -Doors -Landings 3. Blocking 4. Gas; MH Test -Demand -Valve Card B-1 Date Card B-1 5. Electricity; MH Test Card B-1 Date Card B-1 Date 6. Water; MH Test 1. Setbacks -Easements 7. Water and Sewer Connected Soils; Compaction -Structure Stability 8. Gas and Electricity Tagged 4. 9. Exits 5. Elec.; Pool Lighting; 15 Volts-GFI 10. License Decals Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Verify #'s with Office 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Date Card B-1 Date Card B-1 Date 11. 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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 PROJECT INFORMATION Site Address: 13859 WINESAP CT Owner: Permit NO: B07-0878 APN: 047-680-018 CROSS, ELDEN H & BEVERLY Issued Date: 06/18/2007 By KCG Permit type: MISCELLANEOUS 13859 WINESAP COURT Subtype: Private Garage/Shop CHICO, CA 95973 Expiration Date: 06/17/2008 Description: DETACHED GARAGE (1736) (530) 899-8556 Occupancy: Zoning: SR -1 Contractor Applicant: Square Footage: RASMUSSEN CONSTRUCTION INC RASMUSSEN CONSTRUCTIO Building Garage Remdl/Addn 3413 BELL RD 3413 BELL RD 1,736 CHICO, CA 95928 CHICO, CA 95973 (530)680-1683 (530)893-9787 Other Porch/Patio Total 1,736 FEE INFORMATION DBEH Building Review Fee $75.70 DBF GARAGE -Wood Frame Plan Che $351.94 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Garage Wood Frame $527.90 DBOMSCF Fire Safe Standards Re $109.98 DBSMIP Residential $4.17 Total Charged: $1,275.09 Fees Paid: $1,275.09 Balance Due: $0.00 Receipt No: B3563 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RASMUSSENC CTION 326165 / B / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed PEALTY OF PERJURY that I am licensed under provisions of Chapter 9 ion 7 ) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) aHEFFIIJMNDER of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 06/18/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ntr OOtgpgture Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE E COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, a3.provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or perfo ce of the work f ich this permit is issued. improve for the purpose of sale.). I HAVE AND Wit MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3,706 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Farier: State Fund Policy Number: 1766257 Exp. Date:04/01/2007 Contractor's License Law.). This section need not a competed if the permit is or one hundred dollars ($100) or less.) / ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ p y an y person in any manner so as to become subject to the Workers' Compensation la ornia, and agree that if I should become subject to the workers'X 06/18/2007 com ensation provisions o Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date visa s. X 06/18/2007 XT' 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signa Date WARW.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with - DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or ocou ancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count o an r the above mentioned property for. ion purposes. I hereby certify that I am the r y,o er or am authorized Jct on the props owners behalf. Fe SAA6A8/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for e f Permittee ISIGN Print Date the performance of the work for which this permit is issued. (3097 civ, code) Agent for Contractor ❑ Owner Contractor OR. Agent for Owner1-1 FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0878 Date: 04/24/2007 Location: 13859 WINESAP CT By: KCG Parcel Number: 047-680-018 Sub Type: Private Garaee/Shop Owner Name: CROSS, ELDEN H & BEVERLY S Phone: (530) 899-8556 Description: DETACHED GARAGE (1736) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 11 ❑ ity of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PARKS & RECREATION DISTRICTS Chico AreRecreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recre tion & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recrea ' n, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 treet, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East h Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney ive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 5901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Orovi CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - ( 0) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - 30) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Ins tions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 86&5447 Other: Other: Other: Signature of Property Ow er: y�/� Date: 04/24/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0878 Job Address: 13859 WINESAP CT Contractor: RASMUSSEN CONSTRUCTION INC 3413 BELL RD CHICO, CA 95928 Printed: 04/24/2007 2:37 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 04/24/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $109.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 04/24/2007 $102.70 DBMSC Garage Wood Frame 0010-440001-4210500-1010 $527.90 DBF GARAGE -Wood Frame Plan Che 0010-440001-4210500-1010 $351.94 04/24/2007 $351.94 DBSMIP Residential 1001-0-280-1011298 $4.17 Printed By: Kourtni Graham 19275.09 $530.34 Balance Due: $744.75 At the time of peirmit applic ion, I was advised the above fees are required prior to issuance of the permit. Thes eis c� during the plan checking process. Signature: Date: 04/24/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O 0 0 0 `rBCIc $ National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0878 Date: 04/24/2007 Location: 13859 WINESAP CT By: KCG Parcel Number: 047-680-018 Sub Type: Private Garage/Shop Owner Name: CROSS, ELDEN H & BEVERLY S Phone: (530)899-8556 Description: DETACHED GARAGE (1736) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed:// Title: L FILE Date: 04/24/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0878 Date: 04/24/2007 Location: 13859 WINESAP CT Parcel Number: 047-680-018 Owner Name: CROSS, ELDEN H & BEVERLY S Phone: (530) 899-8556 Description: DETACHED GARAGE,(036) Signature of Property Owner: l`T 1',\ V I Date: 04/24/2007 FILE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last�ar#S� ,�� City C G'GG F tc ,J 7- z Mailing Addres Phone6SO _16j- Or E-mail State Zip9 3 ( / / ? , Phone 9/? S65-6 Fax E-mail CONTRACTOR Name !0 -5'-2 SSS S Address 13961-L City C G'GG St e,� Zip .573 Phone6SO _16j- Fax E-mail Lic. # ,/� 7 26/6 Sl SCa7 J Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail ,A, PL/ NT SIGNATURE Ix PERMIT NO. I BIN # q I PROJECT LOCATION Property Address b L.22 S t� City G W66 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: iz �z Sq FT- Living Garag ,1' 36 pen Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use on Zoning Flood Zone I X I SRA Yes No Occ. Type Const. 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. BP042989 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: 10/12/2004 APN: 047-680-018-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 13859 WINESAP CT CHI Date: Contractor: Map Index: Description: SPA ELEC & TRENCH CONDUIT FOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the FUTURE SHOP Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: CROSS ELDEN H &BEVERLY S signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 13859 WINESAP COURT she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA violation of Section 7031.5 by any applicant for a permit subjects the 95973 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: CROSS ELDEN H & BEVERLY S 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.). 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: ALL-LECTRIC PO BOX 1556 Date: 10-17-02'Owner: ez&2--.9 PARADISE, CA 95967 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-877-8144 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 809589 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: IJ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 10,m-014 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrvor Resolutions indicated for fees have 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.) o work above which been paid. Q Name: BY ! Date: PERMIT EXPIRE IU )r�,� / 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Ce- ��� N C �O s • .� Signature: Date: to - /Z - O 14 Owner 0 Contractor ❑ Agent for Owner ❑ 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 RILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name C 40 5-5 AddressU Address /3��- City C��� Statec4 Zip Phon �,30 �9 _ ��� Fax E-mail yP_Zd�n U' 'os s CONTRACTOR Name* t C 1�C''sp/9112 AddressU CRY 11 Zpq S Phone Fr 7 7 , ff AL Fax E-mail Lic. # 0958 Clas� APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Address 13 6 S Address city city Cfil c o City State,-,, State Zip Phone Fax Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name E -G CA O.S'S' Address 13 6 S bf / MESA P C 7 - city city Cfil c o I Yes State,-,, Zp j9i 3 Phones � S _ 8556 Fax E-mail Iden v @ c laPtc-7 APPLICANT SIGNATURE X For office use only: Zoning Property Address ?8'S w/NEr.4r GT Flood Zone Cross Street k/T'T pjqXWK SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT BIN # LOCATION AP# U`�'7 CP s-6. v Property Address ?8'S w/NEr.4r GT City C///Co Cross Street k/T'T pjqXWK WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the dine of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: S10A j!54 EC T/Q I C.44 /%ZlSC . CL E'cTR c C� L �-�eMcG� Sq. FootageC'6_nAA A ❑ Structure Built without Perm' ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Rec, ' d by Amount Bldg SRA RSheriffZm_� SMIP Date: 16 (�' U �/ Other SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEG/BLEAND /N/NIC ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate Cf required). No faxesl :1 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 7 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 3 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 3 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 9. Site plan and business license approval from the City of Biggs. I 10. Letter of intent for non-residential buildings. 11. Detached Accessory Building Form filled out by the owner (if required). 12. Hazardous Material Form (for Commercial Buildings only). ] 13. Sanitation and site plan approval from the Environmental Health Department. remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning :view (May require additional plan review upon receipt of the following items.) i 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 1 2. Impact Fees. I 3. California Department of Forestry plan approval (if required). 1 4: NPDES Form. I 5. Encroachment Permit for driveway from the Public Works Dept (construction approval prior to occupancy). 6. Contractor's license information. (Number, Name Style, Classification). 7. Worker's Compensation Carrier and Policy Number. 8. Owner -Builder Verification (if required). 9. Letter of Signature authorization (if required). 10. Recorded copy of Agricultural Acknowledgment Statement 11. O Grant Deed, O M.H. Me/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). you have questions or would like additional information regarding this process, contact a Permit )plication Assistant at (530)538-7541. EXPIRATION OF APPLICATION plications for which a permit has not been issued will expire one year after date of application. In order to renew action an apprication after expiration, a new application, plans and fees win be required. REQUEST FOR FEE REFUNDS funds can only be made upon written request by the person who paid the fee. The request must be made within two irs from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits jed; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan -ck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION DRMSWILDiNG F0RMS%R1dnAnnlCtthRn f..{n.. } r NOTES 6 \ 1 r i RESIDENTIAL 07-26--@—e_8P 00-1474 PERMIT NO.., ITCIIIE HOMES s. f3 wrNESAP, CIfjcO CONTR:,OWNER NEW SINGLE FAMILY � i Y OFFICE COPY Address GAS Meter By Date ELECTRIC/ ,& Meter By V ,Dat SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER it 13 �� it JOB FINALED (Date)Ago j� Signature /� ` V � 6�'1 v CHECKED BY / = OK 0 = Not OK - = Not Applicable = Not Ready Date > RESIDENTIAL (Single & Duplex) friderfloor (Plans) OK except #'s I Date j FRAMING (Continued) 1& ing- Setbacks- Easements- Flood- Slope Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth j., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5 atemwalls, Main; Steel-Blockouts-Wrapped f47. VS mwalls, Garage; Steel-Blockouis-Wrapped 46/Attic 6 old Downs and Special Anchors Windows or Exiting Doors -Sill Ht. & Dimensions 7. Sla , Steel -Wrapped 2. 8Viers-Fireplace Ftg.-Steel Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 5/ 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test S'ding-Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground ear Walls; Nailing -Bolts race Interior/Exterior Wall Panels 13. Plenums & Ducts; Clearance -Material -Support -Ins. 62. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date Date 16. Insulation E s -Door & Sidelight Protection -Landings SLI-lo'ke Detector Date Furnace Vents -clearance -Comb, Air -Connector - In rage .Above Floor -Ducts -Meth. Protection Card B-1 Date Card B-1 Date T Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels PLUMBING (Permit) OK except #'s Stai Rails 17. Water Htr.; Vent -Access -Combustion Air Baffle 71. 18. Water Pipe; Test & Anchor -Nail Protection it. F' . & op'iiance; Ground -Air Gap -Cooking Clearance 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. 21. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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/Meth 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 Al Insulated Neutral Q 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 Date Card B-1 Date Card B-1 Date Card Date Card B-1 Date 31. 3 M HANICAL (Permit) OK except #'s A. Ducts Insulation & Support Vent Fan, Exhaust above insulation 26. Condensate Drain & Overflow, Size & Grade 38. Furnace -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 /1 Date Card B-1 Date RAMING (Permit) OK except #'s 4 . 41. 4f ' s Proper Materials & Anchors a (s Studs -Nailing Spacing & Braces -Plates -Sound q4arirjg'Walls over Girders & Floor Nailing 43 Dr Stop in Walls (rat proof) 44. ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing f47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 4&.-/ireplace Ties or Type A Flue -Fireplace Throat Clearance 46/Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50�Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 1, Garage Fire Protection Framing 2. 'Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5/ Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56 S'ding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic I(/- '/W 9. ear Walls; Nailing -Bolts race Interior/Exterior Wall Panels (t . Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date 9 Card B-1 Date Card B-1 Date Date Card B- Date Card B-1 FI AL (Plans) OK except #'s E s -Door & Sidelight Protection -Landings SLI-lo'ke Detector Furnace Vents -clearance -Comb, Air -Connector - In rage .Above Floor -Ducts -Meth. Protection ed xiting 8 Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stai Rails fireplace or Stove, Clearance -Hearth 71. El utlets at Wood Panel, Int. & Ext. it. F' . & op'iiance; Ground -Air Gap -Cooking Clearance fZo-Erecedutlets& Receptacles at Kit. Counter 715_44 uct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in ge; bbve Floor -Meth. Protection Ib. ec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation Foam -Looked in Attic 80. Gu Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under FJeoi ❑ Yes ' 82. Following Instld./Drive s 0 NoMalks es ❑ No/Planter " es 0 No 83. StuLaArown-Finish to inect, Electrical , G.F.V. Recepta hout House 9Qo,'gorrections from Previous Inspections Gas Test -Met rs Tagged, Gas -Electric 92. Water ewer Connected -C/O to Grade -HD Approval 93. Wrgy Compliance Certificate -Other Certificates Address Posted Date; j. -Z 't:ff Card B-1 Date Card B-1 6ZI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V= OK 0 = Not OK - = 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 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche 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 t.COUNTY OF BUTTE ....... .. BUILDING DIVISION,.- : r DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive + Oroville, CA • (530) 538-7541 CORRECTION NOTICE Date —0— ' 1/n/ Inspector 6/ REV 10/92 f. OWNERPERMIT hO. A routine inspection indica that the following violations of butte county Ordinances exist at the above address and sho rid be corrected. Please notice this office when correction of work is completed. If you h anyquestions tpertaining to this matter, or need additional explanation, please contact th' office immediately. L /ILA7 • � ��Ut//�L 5 � �,��'S /ice" �/3�/1(/� ,�� Date —0— ' 1/n/ Inspector 6/ REV 10/92 LOERKE INSULATION,CO�jiINC. ;INSULATION CERTIFICATE' Chico Number and StreetCity Autumn Park - Lot 18 Cou.rlty Subdivision LoLUunabe DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches) 2. CEILING Batt or Blanket Type�jbelgtass-Batts Brand Name Thermal Resistance (R -Valu 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 b. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material _Eibe.M.lass-Batts Thickness (inches) • 3.5" 4. RAISED FLOOR Material _Eibet ss Batts 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) R13 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 Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the certificate of compliance, where applicable. C.L.#499150 JI–to 06 LOERKE INSULATION CO., INC. Item #s Si ure, 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 Item #s Signature, Date Installing Subcontractor (Co. Name) Or General Contractor (Co. Name) Or Owner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING)DDVISION 7 County -Center Drive • Oroville, California 95965 • Telephone (530) 53841 P RMIT NO.� (Rev. 12/96) APPLICATION AND PERMIT 7�I# ASSESSOR PARCEL NUMBER 047-680-038 ZONING BUILDING PERMIT OWNER RTTCHIE HOMES TELEPHONE .9011-1711 r1l) SO. Fr. OCC. BUILDING VALUATION 3323 R 179,442.00 .OWNER JNrMNNORS CT, CHICO 95926 1133 U 20,394.00 CONTTUftrME jMAILING TELEPHONE /.77 COST 6,201.00 �F COV CONTRACTORS ADDRESS CONSTRUCTION LENDER Fireplace A 1,500.00 LENDER'S MAILING ADDRESS Total valuation $ 207,537.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1017.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 661.38 BUILDING ADDRESS Energy Plan Checking Fee $ 46.00 $ PERMIT FEE $ 1744.88 LAT NO. 18 O SUBDIVISION'S NAME PARK PARAUTUMN 1147-99/102 CEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 17 7.00119.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New X3 Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe Work: MASTER # 97-9 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S G W @20.00 LAWN SPRINKLERS 1 15-00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2000 OR LESS 23.0023,00 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 f force and effect.,�`��� License Class LIC. NO. 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier �- } - p Policy Number 0Z11,_— O % D 9 - ntl (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 provisions. / Dater �G Signature of Applicant - ❑ Owner ❑ Contractor 13Agent An OSHA permit is required for excavations over 5'0" deep and demo) do constr ction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 Acc. BUDS. 3.5Q�. NON-SID.ONS' MULTI.OUTLET R CIRCUITS ) @7.50 8 SPOINGLE OUTLWER APET PARATUCIE.S Ex. Occup. OUTLET OR FIXTURES BAL O U.5FIX0 Ex. Occup. OUT,ETS AEEs OREA5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 198-96 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 114.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46 on OCC R3 CONST. TYPE VN TOTAL FEE $ 3 1. 4 :� HAZ. D. F IVP !L FLOOD X `DF X HD ISS}IE V/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid By QD e //tf PERMIT EXPIRES ON U 1 d ate ReceiptNo. 294728/$2394.56//, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- SPECTOR G PPLICANT Im COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Onve - Oroville, California 95965 - Telephrne 15.101 538- 4I PEAMI 04-3. W(M APPLICATION AND PERMIT ����� "astaaoa.a"cnnw+or :J7 1 i M»NG BUILDING PERMIT \ "" K" >>•G r `7` 'n���� �L SO. F7 I Or -C. 7 BUIIL—OIINN-G 3 3 a.3_ _ _/`_..—._.1_��Z r D VALUATION ��- LOI•-' •swNt:"� No o"cas G3.Ko� i a�L3___3 CONTRACTORS NAYt reta•oNs COWPLACTOR7 WAJN0.00" N coma IcTION umat . Fireplace Off i O -C 6207. 57-31 LENOe1•a M*AJW aosRrtla Total Valuation : i Filing Fee i 20. ♦RCWMCT OR ENOOtt181 MOW[ 000. Permit Fee1017-50 i *Acmndr OR exwmm says, aoo"aa Plan Checking Fee 62601,�j f$. b a"L0f GA00mss i Energy Plan Checking Fee42 QO i ll % C U PERMIT FEE _ , LOT NO f1mma �►.}� _ P �Q'� PLUMBING PERMIT FilingFeal 20.0 Each Trap 1119 7.00 // cc USEOFSTRUCTURE SF O Duplex O Mobtleftome O Other sreasr Solar or heat pump water heater 1 23.00 Water piping I 15.00 Each gas water heater or vent 1 15.00 11,,6 a0 TYPE OF WORK New O Addition O Remodel 13 UU§m O Installation O Other O Describe work: r G�— �D Gas piping system 1 - 5 outlets 15.00 u P Building sewer 15.00 C -,Q Mobile Home S I G I W 020.00 uo PERMIT FEE S Q`% c "r ELECTRICAL PERMITFlin Fee 20.0: Main Service zooa DOOR" Las i 23.00 6 tJ0 / C•� a� �1 iiii//// Main Service 200A TO 1000A l 48.001 NEW COMT. OWBLINO OCCUP. s0 OR ADONs. a act. Buss. •StvT: k NEW CONST. NNRE10. YUITI-0UTLET I @7.50 PsOwAPPAMT OUTWT CIs Ex. Occup. OUTLV OR WnME9 aAL -4 I.SO FMO Ex. Occup. o TTUETS�Ea1c. E 5.00 Temporary Service 1 23.00 Mobile Home Facilities I 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heatingd Cooling 12: CSO Hood 8.50 14.5,cm Ventilation PERMIT FEts 1 S . 5 Mobile Home Installation Fee I S Energy Inspection Fee I S ,to `1 coNer rrve Tq 1, i --- -OTAL FKDOOEE S I �' issue \;�p Y I Z;/Plz Y �C I_ This permit 1s hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do worst indicated above for which fees have been paid. By PERMIT EXPIRES ON Date gyp,. �`� ,� �• � E.' SE ONLY \; Plot Plan jktach Floor PIA Attached Sent to e.o. TO: Building Department FROM: Environmental, Health SUBJECT: Sanitation Clearance 12;c.�_�e L.7-(ci�-c Owner Location -AP# Plan Approved for: Sewage Disposal '` Water Supply: Public Private Well x Clearance for Awe4iftg. Other d w? 10' yVe. Hold final for: Final clearance O.K. for: NOTE: C � 13 76L- /0/, JY. / /c-" 5s7r Environmental Health Specialist 8/96 7-3—aa Date ' ' ... '� 1Y":.1'/':7,f'N�'Y • ;b hW H�liyj,{ .j�' )S Si..A4�4� ter•-Y.�.ar 1'.'•,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �t i PS ASSESSOR PARCEL NUMBER: ! — / O%L Proposed Building se: Building Inspector: Date: At time of permit application, I was Mvised the following data must be submitted prior to permit rocess' g and/or issuance: D'ate Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 4P 113. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- , ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form.------------------------------------------------------------------------------------------ instructions u of $ Impact fees as shown on the attached schedule. ------- California Department of Forestry plan approval/fees. 13 flood elevation certificate.--------------------------------------------- WSanitation and plot plan approva I. Lt) 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 =al Parcel. ---------- -- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 13) - -------------------------------------- ❑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.------------------------------------------------------------------ --- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ , --------------- E130. ______________❑30. Other: W��henryou issue the permit, process as follows El Mail to owner, ❑Mail to contractor. E'Telephone 89 3 and hold for pickup at 6 --O:ffi Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire gepartment, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Dep n Other: 1. Index permit application for the above items numbered: j 2. Additional items required: I ]7N \ J ' 111 ❑ Deliver with inspector. (Date) Date: By.4 Z Date: By: lanCheck List Contractor, designer, owner, was advised of the above required data by ❑ phone, M06iaifo Building Division counter, by fW Date: 7• ZQ Contractor, designer, owner, was advised of the above required data by ❑ phone, 91mail, ❑ Building Division counter, by Date: R -3 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was 4djjsed of the above required data by ❑ phone, ❑ mail, ❑ Building Divi ' counter, by Date: Plans reviewed by: Date: 20 •DD Plans approved by: Date: Q • aO Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VPllrnv ('nnv _TIP.,"+.,,o..r .,frle..ol..«........a e..._.:_-- r�--'t�'_ _ r•_ . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95.965 TELEPHONE (916) 538-7541 r SCHEDULE OF FEES DUE OWNER A.P. # % �� 13 r PROPOSED BUILDING USE DATE 1, 2 RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES �i� L 0 (paid at District Office) SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 - $ Units Commercial (sq.ft.)... x $0.03 Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq.ft.) .. x —1 $ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) t/ 6. THERMALITO DRAINAGE DISTRICT FEES $5 .0-.00 (paid at Building Division) 7. SRA FRE INSPECTION" AND PLAN CHECK $89.00 (paid at Building Division)/2L is—O 7 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 77 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICAN -�� !0 DATE'//4 Zl�l� Pursuant to Government Code Section 66020, you are hereby 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. 2197) ♦i"ir�M1'Y'J .. �,n:n{.!"4*`7uT Z+K'9, s'�(e..�...��r'wvrm ua•i.,ra w,.�-r'.-ntc:M n.�'}f�+'}.t t •'ti- . iii •l NN, �Jr' S r• t . •�''� BUTTE COUNTY PARRS DEVSLOPPiENT FSS CERTIFICATION'FORM CHICO AREA RECREATION..AND PARR DISTRICT Number(s,) D`1�:_' (94 I,. Assessor. Parcel r, Property Owner(TG Q 't-�CJ i•�- Pro}ect Location/Address � M , ,•. / Subdivision (,(i'j'k�✓V17. u 'Lot Number(s') Residential Development: (check one) New. Development Alteration/Addition - Mobilehome (s) Non -Residential r. to Residential Total Number of Dwelling. U,ni.ts �+r_ r ��{ - ,Y t .„. 7 h � �j' �.,.�ff .' U -{,�` i ti � � N � t�. tyY Kr.. �4.n• %•% p�- �`S�-d'.i _ Comment a Bui ldin Dep t s, ment Repre'qgintaive.,,-t Date r ` ' Chico Area Recreation and. Park=. District(CARD') ; certifies` that .. (Applicant Name).. ., :.. (Phone Number)-.. p , ,. �..: (St eet d.dress). ? w (City) (State). >Aw Zip Code) has complied with the requirements of'Butte,,Co Resolution No 90 140 by 'payment for dwelling knits @ $1 189 for total payment of $Iffq 1I ARD epres%e�ntative PAID BY CHECK NO. ��/� REMARKS ` BANK NO:. Z 0.2_ I• Z: L i PAID BY CASH 1 r RECEIPT' NO 08/11/00 #0611 10.466 i X+#TOTAL $118900' Distribution:. White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) i .:at'a"-c3-xtien y;::.��.'f^"an.t.4�,,::.+-..v+n..t�^;..!` • ..:=--;:'7v"'"'iJ��l, Fi.1'� �''�'��`iti�.yP'e-;i,•t+ . •�. „,�'�'`r�i,.:,:'t-':r.�. !i•tir' . ,.J .. � ✓ r 64. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) r School District C� ��-� Building Department No. A.P. Number V U — Ql esdiction: City County 'Property Owner Property Location/Address Subdivision Lot No. Residential Development Commerci /I'ndustrial r i Building DepaRmen Repre No of Living Mobile Units Installation —flew Addition Addition/ Conversion .........................:....................................: 3323 [ Sq. Footage 'Supplemental to (Group R) Permit # '(No foundation inspection)' ............................................. •...................: r ,( ,. A �)/� •r '9q. Footage t .. (Including Exterior Roofed Areas) (Floor Plans reviewed by School.,District Personnel) Date District Identification No.� �j D School District certifies that �4 dIVIC-$ (Applicant) (Street Address) (Phone Number) (City); jState) (Zip Code) has complied with the requirements of Resolution No. 079"7-00 by payment of $� (Q O �� • /S representing 3 square feet. AB 2926 $ FULL MITIGATION $ School Dist ic}1 Representative( t 4� bate Paid by Check # Remarks: a ` 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 •4 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.As I10/9eldmm :i, • A; C". O PROPOSED HOUSE 5525 PLAN (N) NE t�L / NOTE: GONG. DRIVE See the attached Resi eMmll Pages LOT 56-7'75 sq. ft. BUILDING 44516 sq. ft COVERA6E 57d-2-% GREGORY A. PEITZ ARCHITECT 383 Rio Undo Ave. Chico. CA. 95926 (530) 994-5719 AS PER BUTTE C HEALTH 20 APPR31V`::D .,3,th .......... -7 3 20 red alu.,rO&Y) eTOY nv ronmentallrHlea th J U N 2 6 2000 C-rr�"�-"!- .ALL jco-,Calif0hij;a - - ,," OV, rm7j�,�- ,z -�E EXUEPT 51TE FLAN -4^ Kf-)' LOT 18 -': AUTUMN PARK SUBDIVISION 1*11-114901 t! N 00- 47 PLL 0 T Pmvide- a roved lcutj oV13� C". O PROPOSED HOUSE 5525 PLAN (N) NE t�L / NOTE: GONG. DRIVE See the attached Resi eMmll Pages LOT 56-7'75 sq. ft. BUILDING 44516 sq. ft COVERA6E 57d-2-% GREGORY A. PEITZ ARCHITECT 383 Rio Undo Ave. Chico. CA. 95926 (530) 994-5719 AS PER BUTTE C HEALTH 20 APPR31V`::D .,3,th .......... -7 3 20 red alu.,rO&Y) eTOY nv ronmentallrHlea th J U N 2 6 2000 C-rr�"�-"!- .ALL jco-,Calif0hij;a - - ,," OV, rm7j�,�- ,z -�E EXUEPT 51TE FLAN -4^ Kf-)' LOT 18 -': AUTUMN PARK SUBDIVISION 1*11-114901 t! N 00- 47 PLL 0 T JVL 'c '-j "IL, S 0 PROPOSED HOUSE 5525 PLAN oviG�aper-oved pt&nsl ohsr I GONG. DRIVE , - V� %'f Chico, Caj�ifoTffxa, ey See the attached & �D W.danM I b 'ru A A Re 111 Requirements 0 C Pages 20' //. 14�4- SEFTI 6. ��� / AS'PER BUTTE Co. HEALTH APpp,-3VED Butt-* 7-3-00 Jre Environmental Health J U N 2 6 2000 1 NOTE: LOT 55-1'75 SCL. ft, BUILDING 5 -+45YO- sq. ft COVERA(SE Vz -IS` A. PEITZ ARCHITECT 383 Wo Undo Avo. Chico, CA. 95926 (530) 994-5719 N 51TE PLAN f L 91 AtIti, 255.0' .. . . o . . . . .. • • 5Y�'rEM _. - ....-_ BUTTE GO. HEALTH PROPOSED HOUSE 0 5525 PLAN - 2O APPRj d LD 25' t � 7-3-od (N) WE LOT BUILDINS GOVERASE GONG. DRIVE Environmental Health JUN 2 6 2000 Chico, California A i n e 9 o Dr. 55-M5 sq,. ft. 4456 sq,. ft. 12% GREGORY A. PEITZ ARCHITECT 383 Rio Undo Ave. Chico, CA. 93926 (531) 8948719 SITE PLAN 111=401-011 LOT 18 AUTUMN PARK SUBDIVISION "fot:. RITCHMROMBS .:.. CtUCO � L O T; V i_ L V V i_ Z L JL 0, i L J& AL SJ ' ARCHITVCT' 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 t v PROJECT: iC`rz,2:y� a-3 I have reviewed the truss submittal' for the above project and.all loading design criteria have been met. Gregory. A. Pei' , Architect i i 6 i t 13 August 3, 2000 Ritchie Homes 389 Connors Court Chico, CA 95926 qDepartm'ent of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Re: Building Permit Number: 00-1474 Assessor's Parcel Number: 047-680-018 This office has performed the structural review of the above referenced building plans. Please provide additional information and/or make revisions to plans,. specifications and calculations as follows: Provide 3 -foot long no. 2 shear wall on wall line A as specified in the structural calculations. The plans indicate a no. 1 shear wall at this location. ✓2. Provide PHD2 holdown with SSTB20 at each end of the 23 -foot long shear wall on line B as specified in the structural calculations. Provide CS16 strap splices along wall line 2 as specified in the structural calculations. Plan check will continue upon receipt of the above items and those items listed in the letter sent to you from Martha Whitney on July 20, . 2000. Additional items may be required when plan check is resumed. If you wish to discuss any requirements, -you may contact Martha or me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Philo Hunt, P.E. Plan Check Engineer CC' Greg Peitz, Architect July 20, 2000 Ritchie Homes 389 Connors Ct. Chico, CA 95926 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Parcel Number: 047-680-018 Building Permit Number: 00-1474 This office reviewed building plans for the permit application referenced above. The plans examiner's comments are listed in Part I below. Please respond in writing to each comment in Part -I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the recheck and approval of this project. If more than one party is responsible for plans, all party's must respond on the PLAN REVIEW RESPONSE FORM. PART -I Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide two complete sets of energy calculations for multiple orientations. The footing sized for girder truss at the front of the house are located incorrectly according to your roof framing plan. I do not know if the truss calcs and foundation location is correct or if the roof framing plan is correct. Please recheck spans for affected trusses G6, G7, G8, G9. ,,I'�Architect of record is to review and approve truss calcs. Provide foundation design per the subdivision soils report or provide a letter from your arcWect of record that his foundation design is adequate per specific lot conditions. c� 115�.ize truss G9 for mechanical loads. Provide two copies of revised truss. Review of the building plans by the Butte county Building Division engineer has not been completed at this time. Any additional comments from the engineer will be addressed in separate correspondence. Plan check will continue upon receipt of all of the above items. Additional comments may be generated from your response above where the plan documents were incomplete, inconsistent or not adequate to depict code compliance.. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Fridays. PART -II The items identified below r'ir ust be submitted prior to permit issuancpThese items were noted at the time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Balance of building permit fees in the amount of $5.78 2. Complete and return the Butte County School Impact Fee Certification form. 3. Pay sheriffs fees of $360.00 4. Complete and return Recreation District Fee form ' 5. Pay CSA 87 Traffic Fee of $2500.00 Sincerely, Martha Whitney Plans Examiner cc: Greg Pietz PRC -ECT PROCESSING RF=U:ORD APPLICANT: �� ; �C,G�Y✓r-�-n OWNER: •. . PERMIT �: A. P. #: WORK DESCRIM DATE DESCRIPTION OF STEP r r Ll • RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEXAND MISCELLANEO US ONLY Owner: I Building Permit Number: -7 4 Plans Examiner: A- P. Number: LF GENERAL: 1. Zoning requirements — (number of permitted living units). 2. Building permit valuation. 3. Plans signed by the designer. 4. Proper description of work on the application. 5. Existing violations on the property. 6. Recorded notice of violation. PLOT PLAN: 1. Complete parcel size and dimensions. 2. Setbacks, side yard, easements, @tc. 3. Other buildings or structures. Grading, fills and/or drainage. Flood hazard 6. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage fees)... FAU & FAS road setback. 8. Building or utilities across lot lines (record form). OORPLAN: lans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). ,3 Egress windows (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Required room sizes and ceiling heights (Uniform Building Code section 310.6). GFCI in baths, garage, kitchen, wet bait, and exterior receptacles (NEC 210). Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). A Prohibited locations of gas heating equipment (Uniform Mechanical Code 304.5). Garage fire -,,--all separation - required on garage side including supporting walls'and posts (Uniform Building Code section 302.4 exception #3). 114. Wood stove location - Alcove clearance (UMC section 205 confined space & 223 unconfined space). ,k2` Smoke detectors (Uniform Building Code section 310.9.1). . Water closet clearances (Uniform Plumbing Code 408.5). J�. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). Page 1 of 2 UCTURAL DETAILS: Conventional construction Unusually shaped buildings -Uniform Building Code section 2320.5.4). 2: Standard bracing or engineer esign g Code sedtion 2320.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. 5: Foundation plan complete enough to construct building. FES Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. EDC o Roof construction details complete enough to construct building. 9. Rafter ties or bearing ridge beam. C4,_k I - +uao _L�oei,- , Fireplace construction details and calculations if necessary. &0) 67) �' (,Cf 11. Garage door header size(s). 12. Porch header size(s). 1 Stu� d heights. w�. - vi s� 4 Expansive soil - special foundation design required. off -roue. -�rC49� Retaining walls requiring design. nn 16. SPecial,Inspection requirements. �C�UI C�2Ck!'t 17. Header sizes. (��r V%S 6?7 18. Gypsum wallboard nailing inspection required. I MISCELLANEOUS ITEMS: -�o G(04 2 Stairway details - landings, rise and run, head clearance, handrails (Uniform Building Code sectionl/Yl 1006):. Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Y,e YcQ� 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 coveruig type= (fire hazard). ,7: Foam insulation -protection. C 36.7 halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). .YY 1 .. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). `:.12_. Combustion air for fuel burning appliances - LPG requirements. . Sound nergy design compliance and supporting documentation. Flashing at all exterior openings. R16. CDF responsible area requirements. ding Permit requirements: 7. . SRA. 17.2. Flood elevation certificate. 17.3. Fire Sprinklers required. 17.4. Special Inspectionrequirements. 17.5. Use Permit conditions. 17.6. Sub -Standard Housing letter. Page. 2 of 2 a a Structural Calculations For: + Kt T- 14 /C� af r -.=A4 c4FI Tj a ... u i + ....._.. �`'� �� Rey/� \vk. pyo A. ONO. -C 21483 REN. OF.0 \ OUTTE COUN t.Y A ILDING7OEPARTME ' a .0 V E 0 77,' �c,.oSS LOAD SUMMARY Wind- Analvsis Normal force method exPosure B, 75 mph wind speed .. P=CeC WALLS P = .62 * 1.3 * 14.5 * 1 .0 = .0 117 ksf@ 15 ft. P = .67 * 1.3 * 14.5 * 1 .0 = .0 126 ksf@ 20 ft. P = :72 * 1.3 * 14.5 * 1.0 = .0136 ksf @ 25 ft. P = .76 * 1.3 * 14.5 * 1.0 = .0143 ksf @ 30 ft. ROOFS 2:12 TO LESS THAN 9:12 P =.62 * 1.0 * 14.5 * 1.0 = .009 ksf. @ 15 ft. P =.67 * 1.0 * 14.5 * 1.0 =.010 ksf. @ 20 ft. . P =.72 * 1.0 * '1.4,5. * 1.0 =..011 ksf. @ 25 ft. P=.76*1.0*14.5*1.0=.011 ksf @30 ft. ROOFS 9:12 TO 12:12 P=.62.*1..I*14.5*1.0=.010 ksf @'15ft. P=.67*1.1*14.5*1.0=.011 kst@20 ft. P=.72 * 1.1 * 14.5 * 1.0=.012 ksf @ 25 ft. P=.76* 1.1 * 14.5* 1.0=.012 kst @ 30 ft. Seismic Analysis .. Static Method V = 2.5 Ca (w) = 2.5 * .36 = .1636 (w) @ plywd. shear walls R 5.5 V = 2.5 Ca (w) = 2.5 * .36 = .20 (w) @ plaster. and gyp. bd. shear walls R.. 4.5. 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Cd -1.25 C1=0.99 Fv': Fv'= Adiustment Factors: Cd=1.25 Design Requirements: Maximum Moment: M= Shear (0) d from beam end): V= Comparisons With Required Sections: - Section Modulus: S _ Area: Moment of Inertia:.... . req - S= Areq= A= Ireq= I= 238 PSI 14516 FT -LB 3039 LB 58.9 IN3 94.9 IN3 19.2 IN2 42.1 IN2 359,3 IN4 640.'1• IN4 Roof Beam( 97 UBC (91 NDS)1 StruCalc 4.06 -Location: By.: Greg Peitz, Gregory A. Peitz Architect on: 06-21-2000 Prosect: CROSS Summary: 3-1.2 5�1Ix1t,50N x 16.5 FT / 24F -V4 - VISUALLY GRADED WESTERN SPS -Dry Use u�te� By: 61.4% Deflections' �.,)P Controlling Factor: Section Modulus / Depth Required 11.13 In ed t T 4 fe; DLD= 0.29 'IN Live , r Total t8a' & c LLD= 0.. 32 _ IN L/611 Reactions (Each $nd): TLD= 0.62 IN = L/321 Live Load: Dead Load: Rl = 1848 LB Total Load: � RD= _ 1671 LB Bearing Length Reqd.: RT= 3519 LB Camber-Reqd.: - = BL L= 1 .73 1.44 IN Beam Data: IN Span: Maximum Unbraced Span: L= Zi 16.5 FT Pitch Of Roof: Lu= 2.0 FT Live Load Deflect. Criteria: RP= 8.00 .00 : 12 Total Load Deflect. Criteria: L/ 40 Camber Adjustment Factor: L/ 180 Beam Loading: CAF= 1.5 X DLD Live Load: Roof Loaded Area: LL= 14 PSF Roof Live Load Method: 1 RLA= 264 - SF Side One: Ro6fDead.Load: DLI= 10 PSF Roof Rafter. Tributary Width:. TW1= 1.5 FT Side Two: Roof Dead Load: DL2= 10 PSF Roof Rafter Tributary Width: TW2= 14.5 FT Roof Duration Factor: Cd= 1.25 Slope Adjusted Lengths and Loads: Adiusted Beam Length: Ladi= 16.5 FT Beam Live Load W/ Slope Red'n: wL= 224 PLF Beam Self Weight: BSW= 10 PLF Beam Total Dead Load: wD= 203 PLF Total Maximum Load: wT= 427 PLF Controlling Total Design Load:. -- wTcont= 427 PLF Properties For: 24F -V4- VISUALLY GRADED WESTERN SPS Bending Stress: Shear Stress: Fb= 2400 PSI' Modulus of Elasticity: Fv= Ex= 1800000 190 PSI PSI Stress Perpendicular to Grain: -. FcEv= 1600000 �erp= 650• PSI PSI Adjusted Properties: Fb'(Tens iQri)'.`..__r...__.... _.....:........._.... _ ..._ Fb'=..... Ad' - 2961. PSI iustment Factors. Cd -1.25 C1=0.99 Fv': Fv'= Adiustment Factors: Cd=1.25 Design Requirements: Maximum Moment: M= Shear (0) d from beam end): V= Comparisons With Required Sections: - Section Modulus: S _ Area: Moment of Inertia:.... . req - S= Areq= A= Ireq= I= 238 PSI 14516 FT -LB 3039 LB 58.9 IN3 94.9 IN3 19.2 IN2 42.1 IN2 359,3 IN4 640.'1• IN4 PLAN REVIEW RESPONSE FORM fn order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If -jhis form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valid response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate your response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS_ OWNERS NAME DATE: ` e'1L*XrC-Sg �tJ ASSESSORS PARCEL NUMBER PERMIT NUMBER RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: 6. A LOCATION ON PLANS/CALCS: COMMENTS: V� Y, PLAN CHECK ITEM # e;� RESPONSE BY: C tp, LOCATION ON PLANS/CALCS: COMMENTS: Y, PLAN CHECK ITEM # 3 RESPONSE BY: C y LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: RESPONSE FOR PLAN CHECK LETTER DATED: + PLAN CHECK ITEM # RESPONSE BY: RESPONSE BY: c, LOCATION ON PLANS/CALCS: COMMENTS: " i PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: " PLAN CHECK ITEM # RESPONSE BY: C,� P. LOCATION ON PLANS/CALCS: COMMENTS: I PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: ►�. ll: r � . � L v _ Septic Permit Review: Well Permit Review: Land Development Review: Permit C/earance Agriculture Affldavit Required ❑ No ❑ yes Designated Well Site ❑ No ❑ yes Drainage Plan (Cortylnq/Multi) ❑ No ❑ yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments. Legal Access Provided: ❑ No ❑ yes Legal Access Required: ❑ No ❑ yes ❑ No ❑ Yes. Road' Name: ❑ No ❑ yes A L) U r y -m �U Ys 1 k Map Date of Recording: ) Qct Lot: ► Block: Book.) '1-7 Page: 2 -onditions That Must be Met Pricr to Issuance of Permit: - ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Applkadon/Lot line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Bock 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel sizer required eq by zone El meet anent EHD requirements. ❑ Other :eneral Comments: G42A-bi GU 1 r-70 e cc-, zb S70 ❑ APPROVED C NDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: (2�t3 — / Ll:V Date: `% — — Cro Genera/InformationOLq _ 8 7 C5 1 Q AP#: — _ V Owners Name: I T 0,141 G 1-1 U - �,S Parcel Acreage: , Owners Address: 3 (� CVA ' Le N0 0 Q S &T , I GD Building Site Address: ProvertyXMOrMad0/7 Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home J1 SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: /��� Date of Zoning Ordinance: .3 — 2cg — c General Plan: N Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement allo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan ® No ❑ Yes Violation Area No ❑ Yes Specific Plan ❑ No ® Yes Chi ❑ D2N ❑ Cohasset Enterprise Zone M No ❑ Yes, check use 1 Floodplain No F] Yes Zone: � Panel Number: CY� 2.O M No ❑ Yes Watershed Protection Zone Proposed Use Complies With, General Plan Zoning Proposed Use Recuires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other ,r'j Other /j r"%,ZA Zcninq Ccde Street & Hi hwa s Fre Prevention Subdivision Ma Front�L- Side 3 Side street Rear Height / /j r"%,ZA BIG 0 1^ o�� 11A I T;Z. 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