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062-290-009
i_ _------ -- _�.6 -.29-9 .� Glen Harrison. � t S/S Old Mill Rd, Lake Madrone - 2 new single,fami. Permit # 1744 B 8 ,PEM ( 062-29=0--009 93-20.70 ,P,E .:i�" { — GRIDLEY WAREHOUSE ` _--- 82 OLD MILL RD,' ,LAKE MADRONE MHU ELEC. GAS COMPACTION TEST REQ SUPPORT STRUCT REQ M �-L) . t 4 SITE PLAN REVIEW APPLICATION _ 0 96 Date: l G AP#� Permit Number (if applicable) "A Owners Name: Address: I Telephone No.: (0 91 Situs Address: Proposed Use: Parcel Size: X _ Residential ❑ New Single Family Residential ❑ Single Family Addition Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel qt er eptic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): f DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval '� Site Plan Stamped Approved �"/� `l e_r LY Parcel Is In: Snow Load Area: •/-Q0f p .240 U �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: 1�(( • Flood Panel No.: 6 00 1&60�1_index Date: _ El 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 ❑ El Minor Variance El Minor Use Permit El Administrative Permit Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Applicable Building Setbacks: Zomig Code Front Streets & Highways Fire Prevention Subdivision Map a0 , Side �4 ' ✓j..5, �. , Side Street Rear r 30 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. 4 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ 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 Is Subdivision Map/Parcel Mme: VG&I�I Map Date of Recording: 90 9 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Z.. t Page. -_$j_ Date of Approval: Parcel Map/Subdivision MapfUse 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 1988, as 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 assor-Wed 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 roa E 0 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. C-Umrys\BuU&g Permit Site Plan Review] ADC W@,Wendell C.Hammon and Lola Lee Harnmon, Warren S Pittman and �rcnces E. Plttman,os owners of the land included wilhln Feather River Forest Homes -Spring Vo ley Add lion,as shown on the attached mop, do hereby certify that we are the only persons whose consent Is ncessary to pose o Clear title to sold land, and we consent_to the preparation and recordation of sold mop, as shown within the tolorad lines. No roods ore being dedicated by this map. We offer for dedication for speciflc purposes the following : Rights of way and ea se mania for water, gas, and sewer pipes, and for poles and overhead and underground wires for electric and telephone service, together with any and all oppurien onces opperlai nIng t hereto,on,ovsr, and under those strips of land that ore marked �orlvale Read" i�� `' ..Y.g�aao•� ii.�ei,hii �fanvmeui 1 �^ _ STATE OF CALIFORNIA s e. COUNTY OF BUTTE On this /% do of �Ly 19S before me Tlvek E. srP//�J Wendell C Hammon, o Notary Public in and for he sa l3 County of Buttes personally appeored(Lota Lee Hammon, ��'.•`'- Warren S. Pittman, Frances E Putman, known to me to be fAe persons whose nomas ors subscribed to the foregoing certificate and acknowledged to me that they execuled the some. cl( E ,�C�� •o tory Public My commission .spires 91..31el 1, K . E. SOUL2 , hereby certify that I am a Licensed Surveyor for the State of California , that the attached mop of Feather River Forest Homes -Spring Valley Addition, correctly represents a survey made under my supervision In JuNe. 1999 vthat the Su two y, is true and complete as shown, that the monuments shown thereon exist and are of the character and occupy the positions indicated, and are sufficent to enobte the ssuu�"sy to be retroced. e ..5.2519 .1 1, the undersigned secretary of the Planning Commission ar the County of Butte Stole of Calif., No , do hereby certify that the attached final map of Feather River Forest Aomes- Spring Valley Addillon conform. substonuolly with the subdivlsiyn design shown on the tentative mop which was approved by this commission on the .1/ day of s/av /y/f� , 19X4 Set ory aY-s Recorded in the tics �,,oJff the Recorder f the C un ty of Butte,State of �olifornla , at Ihs rsVaes of QArr�yfAQ* Lvov •9 hs+33: �a f��.tiLy� ,19f�, at�S minatu pmt 'j o'clock f% M, in MaD Boolt�. �afL at a e sit O r i9a County Recorder Recording number Fr Deputy I, the undersigned ,Director of Public Works of the County of Butte, State of California ,do hereby certify that I hove examined the attached final map of Feather River Forest Homes -Spring Volley Addition, that 'f Is substontlally the some as appeared on the tentative map on file and any approved changes thereof, that all the provisions of the Subdivision MoD Act of the Statutes of California and any local ordinances applicable of the time of approval of said tentative map hove been compiled with and 1 am satisfied that the mop is technically correct. ' c o Publrc Works County o Buttlte 6696 I,the undersigned, Auditor of the County of Butte, State of Colifornla,do hereby certify that there ore no tax Ilens against. Feather River Forest Homes-Sprltq Valley Addition as herein set I orth, or unpaid Slats , County , Municipal , or local taxes, or sDriciol assessments collected as I axes , es sept foxes or speclot assessments not yet payable. loxes or assessments which are a lien, but not yet paYable, I estimate to be in the amount of 3.83 C _"_ ountyl Auditor Deputy CA- I do hereby certify that on the ad" day of .,-/71h. Butte County Board of Supervisors at approved the map of Frio its Rher ore at Homes - Spring Valley Addition The receipt of satisfactory security in the Auditor's estimated amount of -03.83 to insure payment of taxes which are a Ilan , but not yet payable, was acknowledged. ✓ Tom`' — "'�"^�-/^�D..O ; . `��. ✓� "- ClOunty erk� -- Deputy r.a FEATHER RIVER FOREST HOMES SPRING VALLEY ADDITION BEING A PORTION OF SECTION 27 T 2 I N- R 5 E- M. D. B. tl M. W. S. PITTMAN OWNERS -SUBDIVIDERS W. C. HAMMON OROVILLE CALIF. BY H. L DOULC L.S. 2519 JVNE 1979 SHEET I OF 3 SHEETS n/ ry�04--te ro ce..niN [er 13 6/ N _ •tai 1 � \ aoPo .� R•m .�. j1 y1. t% = Fr• opO\. .. \ 36. 20. 8ulldinp Setback Une D• •p°e g.4 ' y �,r \ o � 11 911 Q. N• l d^ © \ Ory Q O o~^ NN.n! ea•2 I ' / / b M1t IM • �. a c �i.4 � ai C� � Q Ar b s F rl• 4 mei. •Aj/ O. • ' ,,, p as e • �J•.�, � ei w' e! � �$ u u7 � 49 e'� 1 � N o1 F , • 9 Li �V° ei ei^ I � 46 • Iw w la_ 41�: �•' r• 8_� yl•'0 Note: Concrete monuments are shown thus o yjiron pipes are shown thus All roads ore private roads. Total acreage Lots. 17.25 Ac. Basisof bearings for This mop Is the North line of the REX - of Sec L 27, T. 21 N, R.5 E., MABAM. on a bearing of S 89. 58 E. FEATHER RIVER FOREST HOMES SPRING VALLEY ADDITION BEING A PORTION OF 5ECT ION 27 T 21 N- R 5 E- M.0.6. 6 M. W. S.PITTMAN OWNER5-SV801VIOER9 W. C. HAMMON OROVILLE CALIF. BY K. C.SOVL6 L.S. 25I3 SVNE I9S9 SCALE I'-100' --- - SHEET 3 OF 3 5HEET3 011- f T� MV 062-;z9o-610q AiNNING DIVIS ON Bi LLANG PLAN A! 3P Date pal Sia , jq t EN"IROPMEPTAL HFALTH FEB owtje-( 'COUNTY CEN TIER DRIVE R yap 69her Oro -,i- fie, c::o a SITE PIAN REVIEW APPLICATION Date: AN Q g Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: /,1,X61 -,W,6 '04e.g- Ca/`�e-te) Owners Address: .60 Y- Telephone No.: Situs Address: �•� O i -B Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Mmnie) ❑ 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): F1 Commercial Remodel El Industrial Remodel DO NOT WRITE BELOW THIS LANE DEVELOPMENT SERVICES INFORMATION (For Staff Use) to Approved ❑ Conditionally Approved FIE QsfP Plan Cf%mnF-A Annrnved / K,i . Resolve Problems Prior to Approval T �� 5— el, ?,00 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: ❑ 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) o Flood Zone: 4 Flood Panel No.: _T Index Date: ❑ Sacramento River Reclamation District (At b (Approval muse obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific PIan (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 ❑ M3nor Variance El Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Applicable Building Setbacks: Zoning Code Streets &Highways Fire Prevention Front I ") Side Side Street Height Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan, CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Nater Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit, Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ 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 Enviro=ental Health Department requirements r" Subdivision Map/Parcel Map: (ATi -f�- /L PzQF-R L�-5 tvb Map Date of Recording: -? ` 2- li l Lot: � S ❑ Use Permit/Minor Use Permit Permit Number: Book: Z `� Date of Approval: Zit, tvLoc2 $ - 5 -- 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 1988, as 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 fiagitive 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 roa El D a a 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. CM-atrysSuilding Permit Sitt Plan kn iewl.dDr COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. :. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 �}.���w w APPLICATION AND PERMIT "'1 J ASSESSOR PARCEL NUMBER 062-290-009 ZONING TM -1 BUILDING PERMIT OWNER Sherman Hinaman Gridley Warehouse TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS P.O. Box 365 Gridley 95948 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ j(15M)p LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 20.00 Ene y Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS e alty $ BUILDING ADDRESS Permit fee $ 20.00 LUMBING PERMIT Filing Fee 15.00 ni ii mi 11 Rd Lake Madrnne Eac Trap 5.00 Schipir or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC MAP Q )filer piping 7.00 ach qas water heater or vent 7.00 USE OF STRUCTURE, SF ❑ Duplex[]Mobilehome® Other SPE IFv hUJ IMobile as piping system 1 - 5 outlets 5.00 Building sewer 15.00 Home S I G I W 2 @ 15.00 30,00 TYPE OF WORK New" Addition! Remodel ❑ Utilities ® Instal i I Ot Describe wor'<: MHU (3 Bedroom) _ Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 . 18.50 18.50 Main ervice 200ATOI000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusin S and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCC UP.'k) OR DONS. 1 ACC. BLDGS. // 3.64 sq.ft. NE •CONSTR ULTI.OUTLET NO RESID BRANCH CIRC ITS ` 5.00 POWER APPARATUS & SINGLE OUTLET CIR. OCCup(OUTLETS OR FIXTURES 20(0-)760 FIXED APPLNS. OR X. CCUp. X OUTLETS IRESID.I EA.� I 3.00 empora service ft 15.00 Mobile Home acilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Departmen a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. QR I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Widgments, costs, and expenses which may in any way accrue again t s 'd uu/nty ' e granting of this/p'ermit. XYc / Date 2®� Sig re o nt wne Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 113.50 HAz I DFEES I IMP, ✓ FLOOD CDF PARCEL - — PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 143471 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF9UTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE(916)M8-7541 PERMIT APPLICATION DATA SHEET OWNER I C to- S P No. 00 Proposed Building Use Building Inspector Date �% v At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted . ............:.......................... . 2. Plot plansjQ4 sets, signed by preparer of plans. 3. Complete Plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated -and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9:, Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year floo by C liffornia Engineer.. . Sanitation and plot plan approval MV i /Health Department. ............ 15. City of Chico plumbing permit . ....................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . Driveway permit (construction approval required prior to occupancy). ............ 20. Pre -inspection for required. .. Building nspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) .............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. 24. Owner -Builder Verification (Given to owner , Mail to owner )............. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired, permits. ..... ............................ . 32. 33. Plan' eck I'tt. , . �© Ow��,rS. 1 34. When you issue the permit, processIas follows: x - Mail to owner. Mail to contractor. Telephone and hold for pi, kup at office. Deliver with inspector. Other 174 Parcel Creation Acreage Applicant Date�y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be.submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _ 07 V 3 2. Additional items required: % T� Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP. f der Copy - Department of Public WorksD G� �O f Gi-�o 0,StOUNTY OF BUTTE -I DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS R PARC L NUMBER 9�2 - (?n 9 ZONING ONGM IrM BUILDING PERMIT SER ; P f �f"P TELEPHONE Ifc SQ. FT. OCC. BUILDING VALUATION ER'S MAILI ADOR ESS D © CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILYNG ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC HI ECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILG ADDRESS Permit fee $z- PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�l Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S VG 1 615.001 TYPE OF WORK New ❑ Addition L✓ Remodel L Utilities Installation Cl Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20GATO IOOOAI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ' ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ADONS. ACC. BLDGS. 3.54sq.ft. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRCUITS) cop 5.00 POWER APPARATUS h (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED APLNS. Ex. Occup. OUTLETS IPRESID 'OR EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 ? Q Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ c HAz 1 DFEES IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSE3SO R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPUCATION AND PERMIT PERMIT NO. _ / j ��� !/ ASSESSOR PARCEL NUMBER 062-290-009 ZONING TM -1 BUILDING PERMIT OWNER Gridley Warehouse TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 365, Gridley 95948 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing F e $ 15.00 LENDER'S MAILING ADDRESS Permit F e $20.00 ARCHITECT OR ENGINEER None LICENSE NO. PlanNicking Fee $ n r Pla hecking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS rially $ BUILDING ADDRESS P milt fee AT $35.00 L BING PERMIT Filing Fee 15.00 2- Old MI11 Rd., Lake Madrone Each r 5.00 Sola eat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARM W to iping 7.00 Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobi.lehome® Other SPECIFY r\ as piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Addition El Remodel❑ Utilities❑ installation[1 Other ❑ Describe work: I _ MHU # �` Permit Fe $ Contractor ELECT L ICAERMIT Filing Fee 15.00 Main servic 600V OR LES 18.50 200A OR LESS Main serv'ce 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON T. ( DWELLING OCCUPM 3.64sq.ft. OR ADD S. ACC. BLDGS. NEW CO S D. RA COUTLET 5.00 NON -R SID BRANCH CIRC ITS @ /POWER APPARATUS & (SINGLE OUTLET CIR. I 76 Ex. Ccup(OUTLETS OR FIXTURES A20R 464 FIXED APLNS EX Occup. OUTLETS PRESID.IREA.I I 3.00 T mporary service 15.00 obile Home Facilities 15.00 isc. Wiring '15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi i jug ents, osts, and expenses which may in any way accrue ag�i�l t s L Gem �f the granting of this permit.. Date +c-� X(� �orexcovations — ❑ Contractor ❑ Agent ❑ An OSHA permit is required over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz 0FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi-C sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 143471 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ��i`p�Q4�">7�1,4""'.,'* "`±��''�,;~�!'�V�.^S�-+(�i,�'i�Jj- t' �^�;.'��•'$'��'`�;)f�M�i'iiit'i�':�.y:�r+�.a2�'K.fi..M�kN--t�7'�7'in'M�1'. �-^,'�7v+�.-�rrtix .:! ` "0� COQ NTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -r M6VILLE,CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER L' e, A. P. No. Ci �Pa -D9z9 Proposed Building Use Building Inspector Date o At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ....... 3_ Complete plans, 3/4 sets, signed by preparer of plans. . . .4. Engineered plans and calcs, 3/4 sets, with wet signature emplans............... 5.. Hazardous Material Form.........................,.�...... e............. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. i .............. . 8. Engineered truss details and layout in duplicate,,(required prior to lan check). ... . 9. Mobilehome data and manufacturer's installation instructions;-2\sets. ....... . 10. , Fees of $ �1 ! ti'' 11. Impact fees as shown on attached schedule: plc �..�.. .. �o. r., .. 12. California Department of Forestry plan approval/fees. .................... 13. Flood elevation letter (100 year flood) by California Engl leer. ....... /` 14. Sanitation and plot plan approval Health Department. .. !..... . 15. City of Chico plumbing permit . .............. ....... ./...... . 16. Plot plan and business license approval from City of.Biggs/Gridley....... . 17. Planning approval for (A) Use: (B) Parking: \ /. ...... . 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection forPrean re ° required. .. co Buil ?I��g In�a o� 21. Contractor's license information. (No., Name Style, Classification). .......... . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ..........: . 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization . ..................... ............... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .................... ............... . 28. Mobilehome utility clearance . ..................... .................. . 29. Documentation of legal access . .................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................ ..................... 32. Plan check list . .............................. 33. / 34. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for p ck pat office. Deliver with inspector. Other Parcel Creation Acreage Applican WDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dafe Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ;;t., i COUNTY OF BUTTE - DEPAMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER ►� i C� le'ly wuy^e A.P. NO. 06 � " � 70 - DO PROPOSED BUILDING USE /V lq ( DATE 0l REC. # DATE REC l/ 1. School District Fees (paid at District Office) 2.. Sheriff Fees (paid at Building Department) Residential .......... X�=$� unit amt. Commercial(per sq.ft.) % =$ sq. ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) R =$ # units amt. Commerical(per sq -ft.) X =$ sq.ft. . amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ........ ......... ..... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLIPATION AND PERMIT ASSESSOR PARCEL NUMBER " 06 � _ a ZONING 0 BUILDING PERMIT NER v�; TELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER AIL G DDRESS C9077) CO TRACTOR'S NAME /� q VV TELEPHONE CONTRACTOR'S MAIL A RESS , Fireplace CON T CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T©T OR ENGINEER A-A LICENSE NO. Plan Checking Fee $ • O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � 142 A&II A) 1-4 _ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New, 1, Addition i_Modeles Utilit_iQs ❑ Installatior� Other ❑ Describe work: f / c� _ EL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business( and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81 OR ADONS. ACC. BLDGS. / 3.6dsq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L_ 760 FIXED EX. Occup. OUTLETS IPRESID IREA.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply witli�such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling LHood 6.50 I Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP I FLOOD CDF I PARCEL PD HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1-7 q 4. —2 2, APPLICATIN AND PERMIT ASSESSOR PARCEL NUMB —,-r BUILDING PERMIT ow R Rn TELEPHONE IS h r SQ. FT. OCC. BUILDING VALUATION S O79WN 'S MAILING 332 DO ESS - � CONTRACTOR' A E TELEPHONE C9v C� CONTRACTOR'S MAILING ADDRESS Fireplace "©U+ CONSTRUCTION LENDER UNKNOWN Total Valuation $ pa Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD G ADD E 5 S PLUMBING PERMIT Filing Fee 10.00 Each Trap el - &2.00 Repair drainage or vent piping 5.00 Water piping ,DD LOT NO. b Jf SUBDI VISION NAME PA CEL MAP —Jr KO Each qas water heater or vent 5.00 GAas piping system 1- 5 outlets USE 6F STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer S CID Lawn sprinkler system 5.00 TYPE OF WORK New [Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ tea Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 8100 /0 l Main service EA. ADD'L 100 AMP 2:50 2 In NEW CONST. DWE UP.") OR ADDNS. ( ACC. S. ,,,�,((,�, ft 1 W�q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR LOUT ET 2,50 ea N..-RES..BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. / 50@2.5¢ Ex. OCCUp O OR FIXTURES BAL@tOC FIXED A P LNS Ex. Occup.(OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ t Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of,Et to Self -Insure. shallall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling\ Hood 3.00 Q Ventilation permit Fee $ ' Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws re.lating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and ex ich may in any way accrue against said Co my in con e o the granting of this permit. Date - SiJne of Applicant — Owner Contractor❑ Agent 13cate permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove(r�3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , occuP. GROYP TYPE OF CONST. PARCEL PD HD 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated abfor ove or w DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fhaid. ees ave been PAn WORKS Date Receipt No. 3 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT iI ' t COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF0PNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price Cn—_DPW Valuation 0th r (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9, -,Letter of signature authorization �. • . Sanitation approval from I Health Dept, 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . •. . Pre-Inspec. request to (Date) 17, Pre -Ins a tion for Required. Buildinp Inspector Other When you issue the permit, process s ollows: Mai149owner. Mail to contractor. Telephone . ff4D-4'land hold for pickup at C office. Deliver w/inspector. Other Copy of plans sent Health During 01anchec., (Conetor,siger,Owner) wa A pp I i cant.... pt., Fire Dept., Other Date Z -,Q.7 •'"-f,4, Date ess, the following data must be submitted prior to permit issuance. ems not checked above at time of application,,c�" Item.) for above Items No. i L iU tems required: vised of above required data by Bv` Telephone _je!!fMail Plans checked by Date Plans approved by Date Other Copy—DPW Date d2 Other Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82,.19111 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement i10 be. recorded prior to issuance of a building permit. BOB 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 arising ER �LEAIOt�l•�EC�EP' u �t - RECORDr. from the use of agricultural chemicals, including, but not limited to he ides, E� pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 65, as shown on that certain Map entitled, "FEATHER RIVER FOREST HOMES, SPRING VALLEY ADDITION", which map was filed in the office of the Recorder of the County of Butte, State of California, July 23, 1959 in Book 24 of Maps, at pages 3,4 and 5. Date:. PROPERTY OWNERS: State of CA� I On this the 2 q-�� day of -_Ju^! C-._, 19 F Z , SS. before me, the undersigned Notary Public, personally County of �—Ru�te ) appeared l CZD ���_ tu�ap4oeumu�mtmm�runmr� known to me to be the person(s) whose name(s) 4�;_ n' . -L-- L OFFICIAL SEAL subscribed to the within instrument and acknowledged JOHN A. STANTON' that executed the ' same for the purposes Z NOTARY PUBLIC -CALIFORNIA ,$ �� �. COUNTY OF BUTTE : therein contained. My Commission Expires January 20, 1984 IN WITNESS WHEREOF, I hereunto set my hand and official -v suouuuuoxuuemuuuuuu�euuunnuwoe�oeo m , seal. Q Notary Public Present A.P. NO. END OF DOCUMENT i f .+ RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, •& 1tIISC. ONLY) Bldg. Permit # A.P. # r A. GENERAL, Zoning requirements (sideyards and parking). .o,,2!sPValuation. Signature by R.C.E. or Architect'(if required). B.- PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLO R PLAN A. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). �!" G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 3!. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical'or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec.�503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). '. Fireplace location. Smoke detectors (Sec. 1413). D, ;-STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs if over one-story in height. 6: Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. CCX plywood on exposed locations and'overhangs. 2. gtairway details (Sec. 3305). 3. Guardrail details (Sec. 1716). 4. i$rick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Secy. 4706 & 4708). 6. Proper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. 9. Adequate bracing. 10. Diving area over garage,- complete l:.hour separation walls and posts; etc. 11. Two (2) exits on three-story dwellings (Sec. 3302). required including supporting Mrs lood z r80 13 /0/ lad" 7'o��36. C✓'�`dl�y 1 c�� gi5�q