HomeMy WebLinkAbout058-170-017W1 LLDAN Ma s Street
Marysville, California 95901
Serving Public Agencies 530/749.2373 fax 530/749.2199
www.willdan.com
April 12, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
Willdan Project No:
14359-1056
Jurisdiction Job No:
04-2186
Assessor's Parcel No:
058-170-017
Description:
HEYECK RESIDENCE
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
➢ Plans: Two (2) copies 1 through 11 (11 sheets) dated 7/12/04 by BTH, and Two (2) copies SDI
through SD5 (5 sheets) dated 3/29/04 by Michael Hubley, S.E.
➢ Dwelling Structural Calculations: Two (2) copies dated 7/12/04 by Michael Hubley, S.E.
r
➢ Garage Structural Calculations: Two (2) copies dated 3/252/04 by Michael Hubley, S.E.
➢ Energy Calculations: Two (2) copies dated 7/14/04 by Max Ramirez
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to
our previous letters relating to this project, the superseded plans and documents will be discarded within 10
days unless we receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
r
A W I LLDAN
Serving Public Agencies
APPLICABLE CODES
Unless noted otherwise, all comments are based on requirements of ' the 2001 California Building
Standards Code found in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC"
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC"
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC"
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC"
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS"
CODE ANALYSIS
Our plan review revealed the following information regarding the occupancy designation, type of
construction, and other pertinent features. This information is consistent with that shown on the plans and
permit documentation.
Specific
Type of
Type of
15` Floor
2 "d Floor
Total
Sprinklers
Stories
Use
Occu anc
Construction
Sq Ft
S Ft
S Ft
Dwelling
R-3
V -N
No
2
2200
2179
4379
Garage
1 U-1
I V -N
No
1
828NA
828
Porch
R-3
' V -N
No
1
1338
NA
1338
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions.and/or notes as red -lined on the plans.
3. All plan sheets shall be signed by designer or person responsible for the plans as required by
California Health & Safety Code Section 5536.1.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
ly,S• ce
Ricardo Guzman, S.E.uste
Plans Examiner Plan Check Engineer .
Cc: Alice Mefford, E-mail: amefford@buttecounty.net
Vertech Engineering, Fax: (530) 899-1102; Email: vertech@sbcjzlobal.net
Bryan and Melissa Heyeck, 689 E. 18`h Street, Chico, CA 95928, Fax: (530)_343-8262
Page 2 of 2 County of Butte Permit Number 04-2186
Wil.ldan Pr(iect Number 1,4353-1056
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
21004-0046108
Recorded
OfficialRecords
CoBU9E f
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:37PN 29 -Jul -2004
REC FEE 10.00
COPIES 2.50
Shawnya
Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm a
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date IL-14 PRO E Y OWNERS:
State of California
County of (3u-VA-e—
On�/� before
personally appeared iLiLA_k J�f�„`X'�� personally
known to me (or proved to me oUhe basis of satisfa terry evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the i rument.
WITNESS my I�mfd}and official al.
A
/a e ���
Signature Seal: C. WILDER
A.P. # ®.Sg —17 0 —c9/ 7
COMM. N 1296628
NOTARY PUSUC•CALIFOROM
COUNTY OF BUTTE
Comm. Expires March 9, 2006'
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DESCRIPTION
THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, CITY,OF CHICO, AND IS DESCRIBED AS FOLLOWS:
LOT 15, IN BLOCK 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"OFFICIAL REVISED MAP OF BLOCK 4 AND LOT 7 OF BLOCK b OF THE
AISTHORP TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 10,
1904, IN BOOK 4 OF MAPS, AT•PAGE(S) 25.
APN 005-254-009-000
e
a
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M. (630) 538-7541
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:
Dale: Contractor:
;OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to rile a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractors Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she Is exempt therefrom and the basis for the alleged exemption. Any
violation of Section, 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than 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' Slate License Law does not apply to an
owner of properly 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.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply'lo an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contraclors' Slate License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Dale: — wner:`
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 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:
Pblicy
I certify that in the performance of the work for which this permit Is
Issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale:
Appllcanl _?5 P
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 3708 of the Labor
code, interest and attorney's fees.
PERMIT NO.
BP0421.86
Issued Date: 04/20/2005 APN: 058-170-017-000
Site Address: 4385 CRAIN RIDGE RD CON
Map Index:
Description: NSF (4335) GAR (828) COV (1338)
Owner: HEYECK, BRYAN & MELISSA
689 E 18TH ST
CHICO, CA
95928
(530)343-8502 (530)343-8262
Applicant: HEYECK, BRYAN & MELISSA
Contractor:
License #:
Architect:
Engineer: VERTICAL TECHNOLOGY ENGINEERING
Total Square Ft: 6501 S.F.
Valuation: $323,055.00
Census Code:
• CONSTRUCTION LENDING AGENCY This permit Is I
I hereby affirm that there Is a construction lending agency for the Resolutions to
performance of the work for which this permit Is Issued (Sec 3097 CIV.)
Name: By.
PERMIT EXPIRES ON:,
under the a ble provisions of the Butte County Code and/or —
ited,abov for vy ich fees have been paid.
Dale: 141-12211
Address:
❑ 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 & Safely 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 th my authorized agent a owner
all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of a official form or docu of Butte C
authorize representatives of Butte County toe ler upon the above mentioned property for inspection purposes
Prihl Name:
j�Y ygc� Signature:
7'n
Dale:
no comply with
hereby
.>*.Qwner
❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
- - n...i_,.__ 0.. ;. Al 19 nA — t
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1,� � )1 c�,at,, � a3�•, sa
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NQ.
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 B
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name y
ir4 N;j f�
Address g-7 Ig zr/ S
City C�
Std
City
P X30) .3`13 -es-oZ
Fayx s -3V) 3 q3 82,E z
E-mail
ARCHITECT/ENGINEER
CONTRACTOR
Name
l�dtyZ
Address
City igyGz')
City
Statpi+ ,4.
State
Zip
Phone
Fax g. e 11oz
Fax
E-mail
Lkense Y 73 bZer f
Lic. #
Class
ARCHITECT/ENGINEER
Name
e'e
Addressz'_og RV —5 7 -
Address���
44) � • ldg
City igyGz')
Phone
Statpi+ ,4.
Zip __906'
PhoneCgW_,,7l 1p
Page
Fax g. e 11oz
E-mail!?
Date Approved:
Lkense Y 73 bZer f
APPLCANT NAME
Name
Addressz'_og RV —5 7 -
City a #'tG
44) � • ldg
Phone
Fax 3�3 SZ6 Z
E-mail
I
For office se only:
Zoning
/ ood Zone
ISRA
44) � • ldg
es No
Occ.
Type Const vN
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
UVtR FOR SURMITTAll RF(3IIIRFMFNTG
LOCATION
j
AP# ,S� _ / ?V) _ .(/
Property Addres ity
,43
�� , 1
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 ofpermit issuance.
LENDING AGENCY
Name
-Address
Description or Scope of Work:
Sq. ootage��X
structure tsunt without Permits ".0-1
pro osed Cha ge of Oaxtpani
'No a"previou use .
RA,ION OF� PLICATION
i, '�-..f`u' v
'cations for which a permit has not beeh issued will expire one
after the date of application. In order to renew action on an
ration after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount
44) � • ldg
*e�_
I 50 —g R SRA
Receipt #
B (O Q Sheriff
SMIP
Date: � �. �
Other
1 lP Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE
LEGIBLE AND INdNg
i
Residential, N t,_ RAIdels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER1
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 FAXESI).
❑ 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 -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 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 GRAPHPAPERI
❑ 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
:1FORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
r
.
Butte County Department of Development Services AUT TF
YVONNE CHRISTOPHER, DIRECTOR o 0
0 0
0 0
7 County Center Drive • - o
Oroville, CA 95965
c�U
(530) 538.7601 Telephone N'�y
(530) 538.7785 Facsimile
N
TO: WILLDAN
'
N
FROM:. Scott Rutherford (530) 538-7160
srutherford(d)buttecountv.net ;.
SUBJECT: Plans Transmittal For Review Per Contract
O
DATE: 7/23/2004
f
Applicant: He eck, Bryan & Melissa Permit 04-2186
Project Type: NSF/Gars a/Cov 17
APN: 058-170-0
100% 70%
Plan Check Fees, $ 1,766.46 $ 1,236.52
$ 1,766.46 $ 1,236.52 I
WILLDAN Fee $ 1,236.52
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
' Residential Construction Requirements
Other
Other
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��\\'}�{ U )
OWNER: ASSESSOR PARCEL NUMBER V
Proposed Building Use: y �J C Counter Technician: Date: (' ®O • G
Items required in order to appy 'for a permit. All boxes MUST be checked OR marked NA in order - b apply.
1� 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.
9a 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!
0 5. Letter from Engineer or Architect for truss design review.
L 6. Energy compliance design and supporting documentation in duplicate.
❑ 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.
O 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 ........................................... ........
C3 L Erosion Control Plan Required........................................................................ ........
21. ees as shown on the attached Schedule of Fees Due Sheet ..............................
�C . City of Chico Plumbing permit.................................:...............................
,tom 23. California Department of Fore try plan approval aid. Sent by: r- t o
24. Planning approval (A) Use:(B)Parking: (C) Parcel Check:
C❑�, 25. Contact Land Development about _ Improvements, _ Drainage .........................
,�. 26. NPDES Form.*........................................................................................... r,
OVT 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.
...................................,31. Owner -Builder Verification ( Given to owner, _Mailed to owner) .....................
32. Letter of Signature authorization....................................................................
33. Recorded copy of Agricultural Acknowledgment Statement ................................. " 1
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 ;?/. 7 Al and hold for pickup.
I have been informid`of the above items a� requirements for obtaining a building permit.
Applicant: Date: 7 '7Z O
1. Index permit apphc io`n for the abov items nu erect: Plan Check Lette
2. Additional items required
Contractor, designe o i , was advised of the above data by Ephone, ❑ mail, ❑ counter, by "Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: i t o 'I i.IDate
Structural reviewed b Date: Structural approved by: V'I' VtC ` Date:
Note transfer by: Date:
Yellow: Building Division
Y,
E.H. USE ONLY
Plot Wea Attach
Wan an Anachod
Sono to B.D. /
.TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearanc
""-g/L A,j
IJ 0
Owner Location AP#
Plan Approved for: Sewage Disposa'lyater Supply: Public Priv e Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER %� A.P. #
PROPROSED BUILDING DATE -�a' 1
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES ✓ I
(paid at School District Office) (form available after Plan Cheek)
3. SHERIFF FEES (paid at Building Division)^�
—/ Residential............ X 360 0 $
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE A'
$89*0-(paid at Building Division) 1 S: GJ 2 ([OG
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) .........
Sq. Ftg.
10. OTHER Si&j P 3�
At time of permit applic n, I was advisedVOV
may be changed dur a plan checking ss.
APPLICANT
X _$
Amt.
1�4
fees are requiiVto be paid prior to issuance of the permit. These fees
DATE
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 Division Yellow -Applicant Pink -Owner (rev. 2/2003)
PAI
o�'T`TFo Department of Public Works
�0c
o u n t y o f B u t t e
o: o.
O. O ), Michael Crump, Director LAND DEVELOPMENT DIVISION
O O Storm Water Management Program
f rwt-(y 7 County Center Drive
`ir g _ Oroville, CA 95965
1I/C Z7; (530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description:
Project Location and/or Parcel Number: _ f 05iS —/70 — ZR/ %
By signing below, I, the project owner/owner's 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.
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 a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law./%
Signed:
Title:w��—'
Date: '—may
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
may: ,.. ., ..., .-7 .�..-•...-.� .ei .� ..s''. -• t r., e. . --.. W i
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
s}F (One form per Building)
School District �v `( ) "v'( Building Department No.
A.P. Number V ��yy�� Jurisdiction: City /� County
Property Owner
Property LocationIA
Subdivision
-t -
Residential Development Q Q Q
No of Living Mobile Home Addition/ 'Supplemental to
Units Installation Conversion Permit #
'(No foundation inspection)
............................................................................................... _...
Commercial/Industrial
0 0
New Addition
Building Department Representative
Sq. Footage��
(Group R)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Date 1
'strict Identification No. O FjO 2° 8
' -ahim AAL School District certifies that
(Applicgrnt)
(St CAddress) (Phone Number)
(� (State) (Zip Code)
has complied with the requirements of Resolution No. 6 �O by payment of $��
representing �`� �!� square feet. 2926 $
FULL MITiGATiON $
S6 O : "O D
School District Representative Date
1, ,
Paid by Check x Remarks:
r. r
Notice: You may protest the Impositlen of the fess Idenrtifled above by submitting a written protest to the District. In compliance with
Government Code section 66020(x), within 90 days from the data foss are paid. Failure to submit a timely written protest will'prohiblt
you from chsllenging the Imposition of the fess In any court action.
K, subsequent to the School District Representative signing this Butts County Schools Impact Fee Certtflptlon Form, the School Disbid is
notltled by the applicable Local Planning Agency that this pro)ed is being reviewed under the California Environmental Quality Ad (CEQA).
this pro)ed may be sub)ect to add@tonal school fess to fully mltlgste.ks impact on the school distrldb schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm
O.B.- I
OWNER-BUELDER VESICATION
Attention Property Owner:
An "owner -builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and' issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YESK NO ❑
I HAVE ❑ HAVE NOT�R signed an application for a building permit for the proposed worlL
I have contracted with the following person (firm) to provide the proposed contraction:
iNAME:
ADDRESS: CITY..
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise; and provide the major work:
NAME:
PHONE:
CONTRACTOR'S LICENSE NO.
I will provide some of the work bid I have contracted (hired) the following person to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
NED•
PROPERTYOWNE
DATE: ,7
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
0VV,R
OWNER BUILDE]i INFORMATION
Dear Property Owner:
OB. -1
An application for a budding permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For Your Protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such
a pmniL Budding permits are not required to tae signed by property owners unless they are personally performing their
own work- If your work is being performed by someone other than yourself; you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plea to do your own work with the exception of various trades that you plan to subcontract; you should
be aware of the fpIIowing information for your benefit and protection;
0 If you employ or otherwise engage any Persons other than your immediate flumly, and time work (mchiding materials
and Other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
svbcoctractors, then You may be an employer.
♦ If you are an employer, You must register wi& the State and Federal Govemmnents as an employer and you are
subject to several obligations including stale and federal income tax withholding, ibdemi social security taxes,
workers cxrmpensation insurance, disability insurance costs, and uaemPlaymenf compensation contributions.
+ Theme may be financial rids for You if yon do not carry out these obligations, and these risks are especially serious
with respect to womb's compensation insurance.
♦ For more specific infonmmation about your obligations under Federal Law, contract the intemal Revemme Service
if yon wish, time U.S. Small Business ' ' metre ). For e specific information about your obligations under
State Law, contact time Departmect of Benefit Payments and the Division of industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, Without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
pew' woneously m1Plymg that the Property owner is providing his or her own labor andg
required unusual
permitsarebhrmcit to be signed by Propaty owners unless they M-0 P their own work personally
community d about at 1020 Nlicensed mom nY be obtained by be Contractors State License Board in Yom.
PleaseComplete
� the��. Sacxammemmto, 01.95814.
"OWW Bumlder Verification" on the reverse side of this form so that we can confirm that you
are aware ofthese matters, The buffid;ng P=& will not be issued umtl the verification is returned.
NOTA T Itis Owner -Buffderlxfor wgon is required by Section 13830 of the Cagorn1. Health mrd Safety Code
� L 1
pp
1
NOTES RESIDENTIAL ?j
7
r
PERMIT NO.
.t
• � `8 0 017,"._._..'_"""' _
HEYECK, BRYAN 04-2186
�I3�S_CRAiN Rjo,(li ; RD, OROVILLE
CONT: OWNER
2a�
NEW SINGLE FAMILY "`C to
PERMIT J5,-1-4
RENEWAL.
DATE._
EXPIRES:
SPECIA CONDITIONS
r�1 K D
SRA
_ FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
— SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
2(� c_410 2 -
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By �1 Date
JOB FINALED (Date)
�. Signature
tjaozk�
U
a'
dYf`�ic�a
i� Dli��;
N foaed
di -re clh 4,7 <
✓L� SfV
,.
PERMIT J5,-1-4
RENEWAL.
DATE._
EXPIRES:
SPECIA CONDITIONS
r�1 K D
SRA
_ FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
— SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
2(� c_410 2 -
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By �1 Date
JOB FINALED (Date)
�. Signature
tjaozk�
U
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
;. OWNER
r-
.` A routine inspection indicates that the following violations of Butte
the above address and should be corrected. Please call for re -in
work is completed. If you have any questions pertaining to this
explanation, please contact the Building Inspector as indicated/bet
rn1J
W.,
/ PERMIT NO.
ty Ordinances exist at
on when correction of
ar, or need additional
fA
0
v
a
R`. Date �f Inspector
REV 4/05 Phone #�
fP
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
I COUNTY OF BUTTE
!' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
i..
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
WNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
expla ion, please contact the Building Inspector as indicated below.
U 1�J L3
o r r e,� c.
40p, Jot
- 11_Lo fur
0
r
'C C�O
►� e 1r1 2d- rO 2 0 �(o
- Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
Ir_ ;
la '.77i-
COUNTY OF BUTTE
t BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
' 7 County Center Drive • Oroville, CA • (530) 538-7541
E "
CORRECTION NOTICE
F
P,vrc,1� �I z YL
OWNER 1 PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected! Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
' I
l � ✓ (� �/ t (,gyp (�C -�£• _ � ..,.. Vl/lG. � i n S,/�P IjL
r Date �• Inspector f i
�1
REV 4/05 Phone #
;� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
W1
'4
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drivee Oroville, CA -73}5 87 44
CORRECTION NOTICE
tz- 6q 2,
OWNER I PERMIT NO. -N
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have _99e &m pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
_7�
� � \�
4`4
Date f (pimpector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES 4
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
�4 L
OWNER PERMIT NO.
t
A.routine inspection indicates that the following violations of Butte County Ordinances exist at
the above dress and should be corrected. Please call for re -inspection when correction of d
work is mpleted. If you have any questions pertaining to this matter, or need additional
-expla ion, please contact the Buildin Inspector as indicated below.
1
iiro�-ars, n�J
2 (�Ki
tlr'
Q Z Ie Oro � l/ 1a ✓� �/ 41.1",
ne1r0» M
3
Date t o ' V p Inspector �`- _ ���( Ml 7
REV 4/05 Phone # =Zt> (� ��
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
fw 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
u
PERMIT NO.
A routirie inspection indicates that the following violations of Butte County Ordinances exist at f
the above address and should be corrected. Please cell for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
=4L,r.���1.5�
Date Tr, � �J (� Inspector WoLT,�. AA11 /
REV 4/05 Phone #
FOR RE -INSPECTION, CALL: 538-7636 OR 891-2834
INSULATION CERTIFICATE
Job Number: 6655
Hy -Teck 4385 Crain Ridge Rd., Concow CA
Contractor/Owner Name Job Address (street, city, state) .
Butte
County Subdivision Name Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material: Brand Name:
Thickness (inches): Thermal Resistance (R -Value):
2. CEILING
Batt or Blanket Type: Fiberglass Brand Name: Knauf
Thickness (inches): 12 & 101/4 Thermal Resistance (R -Value): 38 &38HD
Loose Fill Type: Brand Name:
-. Minimum Installed Weight/ft - lb Minimum Thickness: --.inches-
Manufacturer's
inches_Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value):
3. EXTERIOR WALL
Frame Type:
A. Cavity Insulation
Material: Fiberglass
Thickness (inches): 51/2
B. Exterior Foam Sheathing
Material:
Thickness (inches):
4. RAISED FLOOR
Material: Fiberglass
Thickness (inches): 61/4
5. SLAB FLOOR/PERIMETER
Material:
Thickness (inches):
Perimeter Insulation Depth Inches:
6. - FOUNDATION WALL
Material:
Thickness (inches):
Brand Name: Knauf
Thermal Resistance (R -Value): 21
Brand Name:
Thermal Resistance (R -Value):
Brand Name: Knauf
Thermal Resistance (R -Value): 19
Brand Name:
Thermal Resistance (R -Value):
Brand Name:
Thermal Resistance (R -Value):
DECLARATION
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 ('Tale 24; Part 6, California Code of Regulations) as indicated on the
Certificate of Compliance, where applicable.
1, 3 & 4 ka, j iyi) V) IQ -20(-0 Chico Insulation & Fireplaces
Item Number's Signature and Date Installing Subcontractor (Co. Name) or
Item Number's Signature and Date
General Contractor (Co. Name) or Owner
Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (630) 538-7541
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:
Dale: Contractor:
'OWNER -BUILDER DECLARATION
I hereby affirm under penally or perjury that 1 am exempt from the
Conlractors' Stale 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 Contractors Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she Is exempt therefrom and the basis for the alleged. exemption. Any
violation of Section. 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than 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' Slate 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 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
sate.).
❑ I, as owner of the property, am exclusively, contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate 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 Conlracldrs' Slate License Law.).
Cl I am Exempt under Article 3 of the B�u•-sllVess and Professions Code
Dale: caner:]
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally 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.
O 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 11:
I certify that In the performance of the work for which this permit Is
issued, 1 shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,
and agree that If I should become subject to the workers'
compensation provisidns of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale:
Appllcanl: )' 14
WARNING: Fallure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (8100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency`for the
performance of the work for which this permit Is Issued (Sec 3097 CIV.)
Name:
PERMIT NO.
BP0421.,86
Issued Date: 04/20/2005 APN: 058-170-017-000
Site Address: 4385 CRAIN RIDGE RD CON
Map Index:
Description: NSF (4335) GAR (828) COV (1338)
Owner: HEYECK, BRYAN & MELISSA
689 E 18TH ST
CHICO, CA
95928
(5.30)343-8502 (530)343-8262
.Applicant: HEYECK, BRYAN & MELISSA
Contractor:
License #:
Architect:
Engineer: VERTICAL TECHNOLOGY ENGINEERING
Total Square Ft: 6501 S.F.
Valuation: $323,055:00
Census Code:
This pem,lt Is here y Issued under the able provisions of the Butte County Code and/or
Resolutions to do ork Indlcaled,abov fpr'Y ch fees have been paid.
By: Dale:
PERMIT EXPIRES ON: AV~
Address:
❑ I hereby certify that the use of this facility shall comply with Sections 25505. 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely 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 Inform Is correct, and that I am the owner or the my auth/agentowner.Iag� ocomply with
all county and slate laws relaling to building conslructlon.I acknowledge Il Is unlawful to alter the substance of 8 official forutte County I hereby
authorize representatives of Butte County toe ler upon the above mentioned property for inspection purposes:
Slgnalure:
Prihl Name: •••FFF--���
Dale: '/ —LV 7
,)"Qwner `
❑ Contractor O Agent for Owner ❑ Agent for Contractor
B. C. Buildinn Permit 01-16-04 on 1
J=OK
0 = Not OK
N tReadyable
.
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
Setbacks -Easements
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Soils; Compaction -Structure Stability
5.
Drain; MH Test -Fall -Flex Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6.
Water; MH Test -Regulator -Connector
Elec.; Receptacles and Lighting, Distance-GFI
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Pool Lighting; 15 Volts-GFI
8.
Gas and Electricity Tagged .
Elec.; Enclosures; Conduit Entries -Terminals -Listed
9.
Tie Downs -Type -Installation Cert.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10.
Exits; Insp.-Sketch
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
11.
Cert. of Occupancy
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
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
Date UN
5,
2-. ds
RESIDENTIAL (Single & Duplex)
OK except #'s
V%., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Ft , Garage; Soils-Steel-Elec. Grnd.-/ " Ftg. Depth
Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Opmwalls, Main; Steel-Blockouts-Wrapped
'b' temwalls, Garage; Steel- Bloc kouts-Wra ed
W. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. P' rs-Fire lace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Water Pipe; Test -Anchors -Regulator -Service Test
12. Pectric Underground
1 .Plenums & Ducts; Clearance -Material -Support -Ins.
1 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
Dateand B-1 , Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24 -Fixture & Transformer Clearance -Ins. Protection
25,�Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
Appliance Circuits in Kitchen & Conductor Size GFI
bfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
3(iiE40p. Clearances Panels-Motors-Mech. Equip.
34-'Mothes Closet Light -Shower Light -Spa Light
moke Detector
Date r Card B-1 ,T, Date Card B-1
Date Card B-1 Date Card B-1
Date MEC ANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
3 ent Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Attic Access &PI orm if Furnace in Attic w
Dat , Gj Card B-1 Date Card -B-1
Date r Card B-1 Date Card B-1
Date FRA ING (Permit) OK except #'s
4 ' s,Proper Materials & Anchors
4 11s Studs=Nailing Spacing & Braces -Plates -Sound
4 earing Walls over Girders & Floor Nailing
iW IAaft Stop in Walls (rat proof)
4�/ Stops, Furred Ceilings -Stairs -Chasers -Tubs ;
_ 4K Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47,/Ffangers-Post Caps -Anchors -Connectors
4$/Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
fireplace Ties or Type A Flue -Fireplace Throat Clearance
SyAttic Access; Size & Romex Protection -Draft Stop -Iris. Baffles
$1--13drm. Windows or Exiting Doors -Sill Ht. & Dimensions
526,�arage Fire Protection Framing -RC Channel
5:3 roperty Line Firewall & Openings
54 -,15x -t. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
6 ood on Roof Overhang -Attic Vents -Rafter Outriggers
X57. S' g -Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
9 lazing Area -Glass Protection -Skylights -Plastic
I ; 6K. Shear Walls; Nailing -Bolts
61. B,zace Interior/Exterior Wall Panels
63.
16.
Insulation
Date
e
Card 1 Date Card B-1
Date
64.
Card B-1 Date Card B-1
Date
RUAMBING
(Permit) OK except #'s
ter Htr.; Vent -A ess-Combustion Air Baffle
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
67.
Pipe; TWr& Anchor -Nail Protection
1' Q
' �.20.
21.
oo-ter
.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
T st Tub & Shower, Second Floor -Tub Access
ergy Compliance Certificate -Other Certificates
95.
Gas Pipe; Sixe & Anchors
96.
23.
Fire Sprinkler; Test
Dateand B-1 , Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24 -Fixture & Transformer Clearance -Ins. Protection
25,�Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
Appliance Circuits in Kitchen & Conductor Size GFI
bfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
3(iiE40p. Clearances Panels-Motors-Mech. Equip.
34-'Mothes Closet Light -Shower Light -Spa Light
moke Detector
Date r Card B-1 ,T, Date Card B-1
Date Card B-1 Date Card B-1
Date MEC ANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
3 ent Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Attic Access &PI orm if Furnace in Attic w
Dat , Gj Card B-1 Date Card -B-1
Date r Card B-1 Date Card B-1
Date FRA ING (Permit) OK except #'s
4 ' s,Proper Materials & Anchors
4 11s Studs=Nailing Spacing & Braces -Plates -Sound
4 earing Walls over Girders & Floor Nailing
iW IAaft Stop in Walls (rat proof)
4�/ Stops, Furred Ceilings -Stairs -Chasers -Tubs ;
_ 4K Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47,/Ffangers-Post Caps -Anchors -Connectors
4$/Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
fireplace Ties or Type A Flue -Fireplace Throat Clearance
SyAttic Access; Size & Romex Protection -Draft Stop -Iris. Baffles
$1--13drm. Windows or Exiting Doors -Sill Ht. & Dimensions
526,�arage Fire Protection Framing -RC Channel
5:3 roperty Line Firewall & Openings
54 -,15x -t. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
6 ood on Roof Overhang -Attic Vents -Rafter Outriggers
X57. S' g -Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
9 lazing Area -Glass Protection -Skylights -Plastic
I ; 6K. Shear Walls; Nailing -Bolts
61. B,zace Interior/Exterior Wall Panels
63.
Infiltration -Walls -Windows
Date -7_
and 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 -Meeh. Protection
67.
Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Bro6ker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, CI rance-Hearth
n X ) 72. Elec. Outlets at Woof1 Panel, Int. & Ext.
73. Kit. Fixt. & Applian e; Ground -Air -Gap -Cooking Clearance
Elec. Outlets & FVceptacles at Kit. Counter
5. Garage Fire Do r; Swing -Landing -Closure
76. A.C. Duct in arage-Damper
77. Wtr. Htr; Ve s -Clearance -Comb. Air Connector-P.R.V.
in Garage; bove Floor-Mech. Protection
78. Plb.; Ele & Mech. Equip. Listed for Location
79. Elec. R eptacles in Garage (F.F.I.)-Romex Protection
80. Insula on -Foam -Looked in Attic
81. Gu1 Rails & Deck Construction -Post Caps
82. Fd VBents & Crawl Hole Door Drainage & Wood -Earth
Clarance Looked under Floor 0 Yes
83. F Ilowinq Inst1d./Dee-0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
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
/r 90.
Glass Protection
91.
Corrections from Previous Inspections
/ 92.
Gas Test -Meters Tagged, Gas -Electric
93.
Wate;A Sewer Connected -C/O to Grade -HD Approval
9,
ergy 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:
$GLANCE OF EES SHEET
DATE: ` L ` (CAD
PERMIT: N -,21 _
ASSESSOR PARCEL #:
OWNER'S NAME:
FEES: (Amount and Purpose):
BALANCE OF FEES: $
ADDMONAL FEES: $
REVISED PLAN CHECK: $
SHERIFF FEE: $
SRA $
COPIES $
URBAN AREA FEES $
CSA 87 (North Chico Spec) $
WATER TENDER FEE $ BATTALION #
THERM DRAINAGE FEE $
OTHER � en twa
OTHER $
VALUATION - IF BALANCE OF FEES ORADDITIONAL FEES:
TOTAL VALUATION: $
ADDITIONAL VAL: $
(Check one) COUNTY
CITY OF BIGGS
(Check one) RESIDENTIAL
V X25 CO AIAERCLA.L
4:-g502.79-'
� ► ITE-PUOU EVIE A PLICA-TI�1�
Date: � " / AN
2P — `7d 6� -7
Permit Number (if applicable) 2 Bin Number
APPLICANT INFORMATION
. r
Owners Name:
Owners Address:
Telephone No.: y `
Situs Address:
Proposed Use:
�r
Residential
jft New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑,,_Tempo Mobiile-Home-•(-Aunt-` e)��--
❑ Temporary- Travel -Trailer,
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
Parcel Size: c�o fid= r
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site, lan Stampe pproved
By Date ' YO - &04
Page 1 of 5
t
PPi�YTO-THET t
Parcel Is In: P*z6,f- /) �� 4-��7- , '� /"k
® Snow Load Area: 7iT—Oy , !;�37j7_j
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: Xi
• Flood Panel No.: 11�) ci Z Index Date: (0 C(/, V5
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------=-------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment_Permrt_
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: fi�Z— �,b� �I
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. VZ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. VZ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
r
Old,
I
A-,.pplicable-Development-Fee .
r
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area = Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
--------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount Formula
r
*° checkwithischool strict,taverif}ractualfee:i£pre application���rie�u:-A.final.determinationwill. be,:made<at_the:ti=_of
the building permit.
Parcel Created By
CoDeeds:
Date of Creation: —(T 76
Deed of Reference: 2Avl
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Crt
Comments:.. _] — (3 — Z (,
Legal Access Provided: ❑ No ❑ Yes
Legal Access Required ❑ No ❑ Yes
❑ No ❑ Yes, Road Name:
:❑ No ❑ Yes ,
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to:. ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
------------------ ----------------------
Page 3 of 5
ft
Subdivision Map/Parcel May_:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements -of the California Clean Air Act of 198-8- a amended-.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Page 4 of 5
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAUTTys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
NTS II
,4pwx
67 L
T3 s Sri C
TA,
17-s 6+ZA17
L- -
NTS
IE.
AI -
ENVIRONMENTAL HEALTH
JUL 2 0 2004
APPROVED
Butte C 7 COUNTY CENTER DRIVE
yy
EnvdronIllan am
:Vl9na 4,yse-k
PLANNING DIVISION -BUILDING PLAN APPROVAL igna re
Use: _4___ Date:
Partin g:- Landscaping:
N,other. C� f/GOA�f-la 9Z�
Signature.
A -170-017
36Y
...............•.
if .5
15
16
SITE PLAN
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Assessors Parcel Number.
Owner Name -bk
0 — F3_1 0 0 Scale: I"=
Address / Phone No. ��9• /g �' Site Location 77E T
Contact: Name Phone
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
-- -- 4.00"
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: