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HomeMy WebLinkAbout058-230-0131D 11 059-230-013 05-0646 RINGO EUGENE 1187 KENT FIELD RD, CHICO \ 4 Cont -.',I RA ENG CO NEW ELEC SERV 1 NOTES RESIDENTIAL PERMIT NO. r 058-230-013 _ 05-0646 — RINGEL, EUGENE Ceftego # RDS Cont: SIERRA ENG COQ NEW ELEC SERV SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY s._. . USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICi,E� COPY Address GAS Meter By Date ELECTRI Meter By Date �l — _I q — dc JOB FINALED Date Signature r 1` k 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY s._. . USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICi,E� COPY Address GAS Meter By Date ELECTRI Meter By Date �l — _I q — dc JOB FINALED Date Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 . Date ICard B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector . 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged_ 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp:-Sketch 11. Cert. of Occupancy Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking 8. 4. Gas; MH Test -Demand -Valve 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; MH Test 11. 6. Water; MH Test 12. Braced Wall Panels 7. Water and Sewer Connected Date 8. Gas and Electricity Tagged Date 9. Exits POOLS (Plans) OK except #'s 10. License Decals 2. 11. Verify #'s with Office; 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI Date 5. Card B-1 Date Card B-1 Date . Elec.; Enclosures; Conduit Entries -Terminals -Listed Card B-1 Date Card B-1 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ i" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped 53. Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6a. Hold Downs and Special Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped_} . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 8. Piers -Fireplace Ftg.-Steel Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test 61. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection _ 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe ?, Anchors . 23. Fire Sprinkler; Test 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector - 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050646 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/10/2005 APN: 058-230-013-000 the Business and Professions Code, and my license is in full force and effect.I l A Site Address: License Class.: License Number: (p tJ(J Date. � to OS_ Contractor: Itu" ati I( Map Index: Description: new elec service, commercial 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 aEUGENE Owner: AND DOROTHY RINGEL TRUST 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 1187 KENTFIELD RD the Contractor's State License Law (Chapter 9 commencing with Section CHICO CA 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 95926 violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,.Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SIERRA ENGINEERING COMPANY, INC 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 1201 WEST WIND DR sale. If however• the building or improvements are sold within one CHICO, CA 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 95926 sale.). 530-521-6308 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SIERRA ENGINEERING COMPANY, INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1201 WEST WIND DR Date: Owner: CHICO, CA 95926 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-521-6308 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 836700 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 Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: 1KI 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 co pJly With thho provisions. Date: Applicant: WARNING: 6ilu to secure workers' compensation coverage is 6) 16 unlawful, andubject 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 I hereby affirm that there is a construction lending agency for the This permitjwfiereby issued-GF3k the applicable provisions of the Butte County Code and/or Resolutio to do work Indic d abov Whic ees have been paid. performance of the work for which this permit is issued Sec 3097 Civ. P P ( ) �Y(..Z.,-,.. � Date:— ate:Name:PERMIT Name:- By: / / PERMITEXPIRES ON: ' — /0 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 1 have read this application, that the above information is correct, and that I am the owner c t e duly aut 6nz agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the subst f y official f rm or ocument of Butte County. I hereby for inspection authorize representatives of Butte Co my to enter upon the above mentioned property pure e Icy Print Name: %% L �7 Signature: b Date: ' ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor / \ B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ' BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050646 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/10/2005 APN: 058-230-013-000 the Business and Professions Code, and my license is in full force and effect. A Site Address: License Class: License Number: -' Date: Iio 0S GNEz Contractor: S IEpAQA r C Map Index: Description: new elec service, commercial 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 Owner: EUGENE AND DOROTHY RINGEL TRUST 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 1187 KENTFIELD RD the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 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 95926 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SIERRA ENGINEERING COMPANY, INC pp 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 1201 WEST WIND DR sale. If however, the building or improvements are sold within one CHICO, CA 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 95926 sale:). 530-521-6308 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SIERRA ENGINEERING COMPANY, INC ❑ I am Exempt under Article 3 of the Business and Professions Code 1201 WEST WIND DR Date: Owner: CHICO, CA 95926 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-521-6308 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 836700 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 #: 1KI 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 co iy with tho provisions. Date: Applicant. ure workers' compensation coverage is WARNING: esuboject 1D 6 unlawful, andn employer tocriminal 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 I hereby affirm that there is a construction lending agency for the This permit' ereby issu9d16FJk the applicable provisions of the Butte County Code and/or Resolutio to do work indic d above whit ees have been paid. performance of the work for which this permit is issued (Sec 3097.Civ.) By: Date: Name: / PERMIT EXPIRES ON: "' /Q Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 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 a duly aut riz 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 subst f y official I, rm or ocument of Butte County. I hereby authorize representatives of Butte C my to enter upon the above mentioned property for inspection pu e Print Name: Signature: I1 (b A Date: ' ❑ Owner! Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last NameJ_� t Nam��L-16— AddressYIGI�L� City 6,tt7 L,© State C% Zip 9S Phone. --- Fax E-mail CONTRACTOR /� Name �1E—rLFZR L�6rIAIa� 1AIC-, •A Address /,zol We T 1AJ(M1') /'t_ City C*I C O State C k Zip I Phone 00 q7_1 lO 30'K Fax �?6 814,7 Zi y,3 E-mail Lic. #-g 3(.1 06 Class F 144 APPLICANT NAME ARCHITECT/ENGINEER Name City Gl �t CrC� Address ZipC'A.� City Fax State Zip Phone Map Book Fax E-mail Planner State License Number 144 APPLICANT NAME Name C Address S -75D City Gl �t CrC� State CA ZipC'A.� Phone G?,.122� Fax E-mail tI' For a use only: Zoning Property Address C"ar�cc: w /Lfl. Flood Zone Cross Streetor-- CA-mEL6rr L.v SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. D% BIN # LOCATION Property Address C"ar�cc: w /Lfl. City �L�LcJ Cross Streetor-- CA-mEL6rr L.v 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 Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: �' Bldg SRA Receipt Sheriff Sheriff 1 SMIP Date: I� 05 Other Total n�_v CLY-uu SUBMITTAL & PERMIT REQUIREMENTS r The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 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 (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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. ❑ 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). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 STRUCTURE PLACEMENT AND REMOVAL DWG 1 1 1/05 .CONTRACT LABOR NOTES RIGHT OF WAY IS STAKED IN FIELD, SEE DWG 13 I I FOR DESCRIPTION AND SKETCH OF AREA. SEE DWGS 9 THRU 11 FOR POWER DETAILS' THIS INCLUDES METER AND PEDESTAL PLACEMENT, CONDUIT AND CABLE PLACEMENT AND TURN UP INFORMATION. REMOVE OLD BARB WIRE FENCE AND POSTS FROM WITHIN RIGHT OF WAY AREA. CLEAR RIGHT OF WAY AREA OF TREES AND SHRUBS. REMOVE APPROX 2'X4' SECTION OF CONCRETE PAD FROM SOUTH WEST CORNER OF 80 CABINET. POUR 6'X6' CONCRETE PAD E/W 4256KF MOUNTING RING FOR SAI SEE DWG 4 FOR SAI DETALS POUR 14'X14' CONCRETE PAD E/W RSC/672 TEMPLATE FOR RT SEE DWGS 5 THRU 8 FOR RT DETAILS AND DESCRIPTION FROM RT TO SAI (DUCT D) PL 11'.1-4" CPC DUCT FROM RT TO PT "B" (DUCT A) PL 13' 1-4" CPC DUCT FROM SAI TO PT "B" (DUCTS B&C) PL 3' 2-4" CPC DUCT FROM PT "B" TO PT "A" (DUCTS A,B&C) PL 50' 3-4" CPC DUCT FROM PT "A" TO POLE 86=5 (DUCTS A&C) PL 3' 2-4" CPC DUCT CAP AND PL E/M ON DUCT B AT PT "A" PL 3/8" FLOAT ROPE IN- ALL NEW DUCT SECTIONS 4C CONTRACT COSTS FOR ABOVE 4C TELCO LABOR "46" 10 HRS INSPECTION 4C AFTER NEW RT AND: SAI ARE .CUT OVER INTO SERVICE AND LINE CREW HAS REMOVED 80 CABINET BREAK AWAY, BALANCE OF OLD PAD AND REM.OVE,• RETURN AREA TO AS GOOD OR . BETTER CONDITION THAN FOUND. CONTRACT COSTS 4X TELCO LABOR "46" 4. HRS INSPECTION 4X NOTE: ADHERE TO ALL ITEMS ON BUTTE CNTY ENCROACHMENT PERMIT, SEE DWG 14 FOR COPY. BONDING AND GROUNDING . 1. PL 2-5/8" X 8' COPPER CLAD RODS, DRIVEN AT OPPOSI CORNERS. 2' FROM EDGE OF RT CONCRETE PAD: 2. TRENCH AND PLACE A #2 AWG BARE COPPER CONDUCTO , BURIED AT 30" BELOW GRADE AROUND EDGE OF RT PAD FORMING A RING AROUND EXTERIOR OF PAD AND CONNECTED TO THE GROUND RODS USING EXOTHERMIC WELDS. 3.EXTEND #2 BARE CONDUCTO FROM POWER PED AND CON- GEO/CO TA 58 NECT TO NEW GROUND ROD. EXCH OROVILLE MAIN ENGINEER R. JASPER/RJ ARC VOSoLOGTO PH 891-2152 SCALE -NONE AER/BUR-149 TYPE OF .CONST ISOL CN DT -100-6 FEEDER SS: 3552-6562 RO/EST NO.- 5385688 DWG 3 OF 15 P504