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Home My WebLink About062-290-021- � .. :' . � w, �. ,.'a .. .. _ •_ _. `_ ". � .. ' - 1, i � i fy 062-290-021 PERMIT#95-2564 LIBBY, L.R. I r Old Mill Rd., Lake Madrone Cont; Gravison & Ricketts New Single Family i SEE NOTE FROM LAKE MADRONE WATER DISTRICT NO 0 11 RESIDENTIAL 062-290-021 PERMIT#95=2564 I LIBBY, L.R. # IDS Old Jill Rd. , Lake Madrone Cont; Gravison & Ricketts / I New Single Family OFFICE COPY Address � �I1 I GAS Meter B Datjft-- E eter By a e L— f� e-j"Z'j IJ De4e ELECTRIC 4 Date Meter By v J0.8 FINALED (Dat > Signature 4=OK O = Not OK - = Not Applicable • = Not Ready Date UNDERFLOOR (Plans) OK except It's , RESIDENTIAL (Single & Duplex) / g., Main; Soils-Elec. .-/ T' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg. orches & Decks; Soils -Steel-/ /Ftg. Depth L5,4rtemwalls. Main; Steel -BI ockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test U as Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. Ele frit; Underground ienums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 1410'Access & Ventilation 16. Insulation Date r- and B-1 f'* Date Card B-1 Date Card B-1 Date Card B-1 Date . • R1..4,Uj IG..(Permit) ,OK except n's. 16. Water'Htr.;'Vent-Act ss -Combustion Air -Baffle -- --- ---- -- - er Pipe: Te Anc r -Nail Pr --�_- .W.V.; T Fit ' & Ancho Nail Protectio - - - — - -19. Shower Pan; Test. First Floor -Tub Access -------- --- --_ - 20. Test Tub & Shower, Second Floor -Tub Access --- ---- - --- - — - - — - -- - 21. Gas Pipe: Size & Anchors --------------------------------------------------------------- --- Date------------------------ Card B1 -- - Date - - Card B_1 Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except a's F' re & Transformer Clearance -Ins. Protection - -- ------ -- E -le eceptacles Spacing Lights & Switches at Doors --- --- - - ----- z oxes & No of Conductors Stapled ------------------ o Installed Close to Edge -----------------of Studs & C.J. quip.. Ground made up wrMech. Fastners-Bond Gas & Water -------------------- -- ----------- - -- - - - -- - - - Appliance Circuts in Kitchen & Conductor Size,GFI -------- ---- ---------------- ----- ------------ --------------------- --- ----- 22. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size r ! ga. Cu or At •------------------------------------------------ -- -------------------------- ---- 29. Range Circ.-! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral CI Yes ❑ No 3 ery ce-Riser Conductors & Ground -Main Disconnect - 31. u;p. Clearances Panels-Motors-Mech. Equip. 32. o es Closet Li - ----------------------------------------------- ------- ght-Shower Light -Spa Light---- ----------- - Smoke Detector ---------------...------------------------------------------------------------------ Date ----------------------------------------------- Date Card B-1 Date Card B-1 ----------•---.._......_.. - ---------------------------------------------- Date Card B-1 Date Card B -1 - Date MEC= ICAL (Permit) OK except a's -A. ucts Insulation & Support - -'--- - --- Vent Fan: Exhaust above insulation - - - ---- 36. Condensate Drain & Overflow' Size & Grade - 37. Furnance-Vent: Access -Comb. Air Vent _115 outlet 38 Attic Access& Platform if Furnance in Attic -- --------------------- --- --- ------------ ---------- -------------------------- 0ale --------------------- --- Date Card B_1 Date Card B_1 - - -- - -------------- ----------- Date Card.B-t Date Card B-1 Date FRA G_(Plans) OK except a's Proper Material & Anchors W_Spacing & Bracing -Plates -Sound .---..------ ---.- .. --------------------- Be, g Walls over Girders & Floor Nailing r Stop in Walls (rat proof) Fir tops. Furred Ceilings -Stairs -Chases - Tub ---- - - --- - - -- ---- -------..._ Zlo eaciers & Beam -Size & Bearing Date % AMING (Continued) _ H erS-Post Caps -Anchors -Connectors CA Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 4<Firpoiace Ties or Type A Flue -Fireplace Throat clearance Attl ccess; Size & Romex Protection -Draft Stop -Ins. Baffles �_ rm. Windows or Exiting Doors -Sill Hgt. & Dimensions - arage Fire Protection Framing :be__ ro _rty Line Firewall & Openings ------- Ext oors-One 3' -Check Garage -3rd Story, 2 Exits `'Width -Headroom -Rise -Run -Landing -Fire Protection - -- pl od on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer o esh-Drip Screed -Fd. Vents-Underflr. Access -------g-Area-Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts U9. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -Date, yam Card B-_ - Date Card B-1 Date fZ% Card B=1 Date Card B-1 Date FINAL arts) OK except #'s xt teps-Door & Sidelight Protection -Landings -- -.S; -l_ e Detector X83 Furnace: Vents -Clearance -Comb. Air-Connector- >G_arag_e:.Above Floor-Ducts-Mech. Protection -------- -`�4. B om Exiting G.F -& Bath Fixtures & Tub Access -Spa ---- ---- let im & Subpanel; Breaker Sizes & Labels ---- ---- -- ------ _. Sta sr& --------------- . Fir LacOue or Stove: Clearances -Hearth Ele tlets at Wood Panel: Int. & Ext. �Ki ,Fis & Appliance; Grnd.-Air Gap -Cooking Clearance W Elec-lltlels & Receptacles at Kit. Counter ---- --- - e oor Swing -Landing -Closer A.0 dcl in Garage -Damper ------------- Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. In ge: Above Floor-Mech. Protection 7 . P�lb.. ee& Mech. Equip Listed for Location - --- --- 7f�£le c ptacles in Garage; (G.F.I.)-Romex Protection Ins tit)n-Foam-Looked in Attic ❑ Yes --------------- Gu -- a Is & Deck -Construct ion- Post Caps 7 . Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clear.anc`e Looked under Floor ❑ Yes .......... .. .. - ---------- ollowin 9 instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No _ eco: Brown -Finish A.0 nit Disconnect. Electrical, Plumbing Vents Above Roof Plbg -Appliance-Fireplace.-Clearance to O nni gs y - - - ... -_. _ gs ------------------------- W _ ell: Disconnect, Electrical, Plumbing -- Exte ar' lec: Trim; G.F.I. Receptacle -Underground /�1- -------- ---------------- -------- V al on -Throughout House G Protection _--_ Cor ions from Previous Inspections ------ ---------------------- Cor - - — - -- -- _ - --- --------------------------- - - ---- - G est -Meters Tagged: Gas -Electric --- - - -------------------------------- r & Sewer Connected -C O to Grade -HD Approval --- 1 Energy Compliance Certificate -Other Certificates Date Card 8-1�� Date Card B-1 - - - - - - ---- Date Card B Date Card-B_I Date Card t Date Card B-1 Comments at Final: J=OK 0 At 0K -=Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s _ DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special'MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 Concrete ,07 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /'L"ft. / /"Nat. or/ /" L"ft./ /"LPG - 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements . Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distances-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 volts-GFI 9. Exits; Insp.-Sketch 6. Elec.: Enclosures: Conduit Entries -Terminals -listed 10. Cert. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test • - 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures: Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTVOF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ? 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT 95 ASSESSOR PARCEL NUMBER 062-290-021 TONING TMI BUILDING PERMIT OWNER L. R. LIBBY TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5082 LIVE OAK WAY LIVE OAK, 95953 CONTRACTOR'S NAME GRAVISON & RICKETTS TELEPHONE 276 Gov 3,58-8 CONTRACTORS MAILING ADDRESS I I ' Fireplace A 1 , 500 CONSTRUCTION LENDER UNMOWN Total Valuation $ 64,974 LENDER'S MAILING ADDRESS Fling Fee $ P0.00 Permit Fee $ 482.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 313.30 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 23.00 Penalty $ SUILDINGADDRESS OLD PIILL RD PERMITFEE $ 838.30 BERRY CREEK PLUMBINGPERMIT Fling Fee20.00 Each Trap 8 7.00 56.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New It Add -tion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3 BEDROOM Mobile Home I S I GI W @20.00 PERMITFEE $ 136.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( zoo GOR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BUDS. ) so, 38.80 3.5¢ FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 ( 8 SINGLE OPOWER APPARATUS UTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 O 1.00 BAL .so EX. Occup, OUTE SPPINS.OR ( (RESID.) EA) 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 81.80 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 19.0c Cooling Hood 6.50 6.5 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to theV workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comp wit those provisions. bX to f 0 �5 nature of Applicant - ❑ Ow ontractor Agent An OSHA permit is required for excavations over 60" eep and demolition or con'gtruction of structures over 3 stories in height. a 3.2,6,p Mobile Home Installation Fee $ Energy Inspection Fee $ 6 • ^ OCC CONST. TYPE TOT, FEE $ ' ,11,3.6 HAZ. D. FE IMP FLO C PARC PD D ISS V1 This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By / PERMITEXPIRESON (Dat provisions to do work paid. S' ate -1 J Receipt No. _ nn/10603v.; 0 D,ry WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR I GOLDENROD -APPLICANT rF/ ,E�., •'rye. M74 -� Os- 1J+•flti 13:30 V9 16 5 3 1.3 2 6,9 E.\f)E.1vt-)R w!Es fL- ro i . Insulation Certificate 10 NAmb -r i -id Suect — Cry _ �Le--e —_�' Subdivision 1 nt Num r Description of Installation ROOF n }3rand Namr, L 6,, ll�ic}a�ecs(rnches) z_S. �-Thcrmalkesis�artte(R-Vue) — CEILING �' J % �I Batt or 13lvs:etType _ _`�47� . lvJ_P!')g5,5 BmndN'an, e _-- Q -Vt. 'tbic}viess (Laches) ---�� -- ✓ Tbe;7n?_l Resistance'(I:•V .'ue) Lrrose Fill Type _ '6ran d Name _ — — (:onuactor's rninimum ii-4[alle,0 weigh I t2 lU Minimum tl;ckness Y inches lylanufactttrer's insilled weight per squaie foo: to scheivc Riemml Resistance (17,Wue) I-XTER10i1 WALL_ Bmrid Name _M �._n_UI`..� _. _------ Thickness (inches) _ Tbennal Resistance (h -Value) RAISED FLOOR , /�/AQ h Thickness (incics) 7iierma: I�esistarce {R•�fa.luc) � / 9 ., SLAB FLOOR 1�1 teti3l __ 13r i N m, Thickness (inches) __ ___ ,_ ---- lh?rrl Rzsist2r, e {R•Vatpe) _- _____ __ ----.-•'r widrul (inches) FOUNDATION WALL Material ----_--_-. Bra;dNme _.. .._ ?bic};ness (inel;es) Thermal Rcsistarce (k=<<.�lue) �- � . e Declaration F1 hereby certify that the above insulation was installed in fie building, at the above loc�3tion in con-fonuance with r 1 llc t urt�nt Building Energy Efficiency Standards for new residential buildings con Wiled is 'Fi tle Z4 of the ' ;Califtimia Administrative Code. ` e3 Con actor (Hodder)- ut e Nurrttxr vlj7- Signature ;d'rulc Date, Uccnse.N'umkcr- 1Sig aturcarr�TitJc D2te_`�.—._---_.,___ � � J •INTRA -DEPARTMENTAL MEMORANDUM TO: Mik�''V' ira ildi Department Director FROM: Ed Overho_ s , Environmental Health Specialist III RE: Septic System Permits Issued for Parcels in the Lake Madrone Water District. DATE: March 9, 1995 The following septic system permits have been. issued, and the septic systems have not been installed. OWNER STREET AP# CONST. ISS. 1. L.R. Libby Old Mill Rd. 62-29-21 3B -House 10/26/94.' 2. Tom Krull Meadow Ln. 62-30-62 3B -House 3/16%94. 3. Tom Krull Meadow Ln. 62-30-26 3B-House 3/14/94 4. Tom Krull Meadow Ln. 62-30-31 3B -House 3/14/*94 5. Tom Krull Meadow Ln. 62-30-32 3B -House 3/14/94 6. Tom Krull Meadow Ln. 62-30-30 3B -House 3/14/94 7. Tom Krull Meadow Ln. 62-30-44 3B -House 3/14/94 8. Tom Krull Meadow Ln. 62-30-3,5 3B -House 3/16/94 9. Scott Kirschbaum Meadow Ln. 62-30-25 3B -House 1/24/94 If you have any additional questions, please contact me. EO/sg/a:vieira So a t i..t L dAu., 4+Wy ,' __ - �_.. !sl„�#::f:, b`v'.:;C.)", •r!�J; + .l.,; OL f ' j f l � � i I i�f L i.•� .f� � C...� I�Ii►. _ I I t I� I!'tr I i ' j w arb &ISO! �._._L... ,...i- �• + •I---�__ I- - - +� i .3 it ]� _� c. L I jf-.. _ f ._. _ .. t_• .� to .. . d]... _•... ' I ` t + � , • i i, 00 6 L- - .... , Ny �... :G' A t< # ►� c. 2 k C !cam �-�_. _ I_ ` _ ,moo `r_;►'� I i � -� � � �f .�_ __� ..#..,�. �., � . •- 1--- ' ! I I I I I 1 �_i , i r i �.. L. .a f .. � �, i. ;.. � i OL 6 Pctcr, GA. 07, k. OF - i I (2- LIC, �O 1='i T. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, -Chico, CA - .(916) 891-2751 7 County Center Drive, Oroville, CA' (916) 538-7541 747 Elliott Road, Paradise, CA - (0 16) 872-6307 CORRECTION NOTICE -- S OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date tJnspector REV 10192 ry. COUNTY OF BUTTE ` BUILDING DIVISION Sa A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date :fns,pector REV 10 92 DEPARTMENT OF DEVELOPMENT SERVICES �. 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CK' -'(916) 538-7541 =t: 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4��A 75�:- _ OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date :fns,pector REV 10 92 !�►�d,,,,,,p•'•�5.�.'..o.t,..,„Z„Y,i�i.�`�Fl�++'�,Cu'l, �., �' .-i�'-�!' i�+ t . • `5 '"'y.�'�'"s'`ir'}`ry,�.'�-1y,�„o„t�,�'A:•( �s��'JI«rr•.rf. CAUNTYOFBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER L� P No. ( 1-C950 - O Proposed Building Use �[�c.y S 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 BY 1, All items have been submitted . ........................................ . 2. Plot plans, 3/4 sets, signed by preparer of plans. r 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: ......I............ 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 dataAnd manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............. . 11. Impact fees as shown 66 attached schedule. . 12. California Department of Forestry plan approva(�eps....... /D ..�I�......... 13. Flood elevation letter (100 year flood) by Ciforr............. : :::: 14. Sanitation and plot plan approval 1Z7vi 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 for to Building Ins actor p required. . to Building Inspector (Date) 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 Acknowledaement S atement. .................. Cb 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 own r Mail to contractor. Telephone - and hold for pickup at office. Deliver with inspector. Other r) r ,5 3,9 - Ss & /-17 Parcel G Acreage Applicant Date 1,011 9S 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 nor top rmit issuan e: (Circle new i em not ch Icked bove,J. 1. Index permit for above items No. V 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date i Contractor, designer, owner, was advised of above required data by _ phone_ maik Counter -Date Plans checked by . Date Plans approved by Date 3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H.H. USE ONLY Plot Plan AuacW Floor Plan Attached Seat to B.D- / 4 - R - L- t\11 ( G Q 'K�, - Owner/ Location L./�-�(F M A5iQW6 AP# Plan Approved for: Sewage Disposal f/ Water Supply: Public Private Well Clearance for bedroom ' home. ther for:. Final clearance O.Kffor: 44.d&ywfW%.- V� . Lz Environmental Health Specialist Date ..1^-M'•-•,�`....r.�`n.u..t''c.-^i d11+'�K'l1kYL.N"n.'T'},:.'•^r..j"'.i.`i".f-'^."+".y;."YY�vtiiiv..re,,,y'y„�..7,c•... *�,' -Y•..tiY,r-yy,�-- •••T�y y` -•ti. ... A", BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 1 (One Form Per Building) ' . ,. --- School District (�� Building Department No. A.P. Number Jurisdiction: 0 City County Property Owner+ -� f Property Location/Address IDS Subdivison Lot No. l �J Residential Development 0 0 Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior 0 Roofed Areas) yr ' Building Department Represqtative Date _ k (Floor Plans reviewed by School District Personnel) 96004 rict Ident fii ca No.. j�; �nY.�l �`�11 �/,1-!J !G6 School District certifies tha , ��f (Street Addres (City) i - (State) � has complied with the requirements of Resolution No. �[J „K representing116q square feet.— AB 2926' ?' FULL MITI School District Representative Paid by Check # Remarks: Bank Number Paid by Cash (JZant) (P ori' Number) (Zip Code) paymeht of �$ ON �\ -JU Date If, subsequent to the School District Representative signing this�:Butte County Schools impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Ac "(CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm Ilk And when recorded mail to: Building Division #7 County Center Drive Oro -011e, Ca. 95965 OCT 2319 140T CompARpD WIT,, ORtCIt41. DOCUMZ,4T AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The propem 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 operations. All that real propem- situate in the County of Butte. State of California. described as follows: LOT 45, AS SHOWN' ON THAT CERTAIN MAP ENTITLED, FEATHER RIVER FOREST HOMES, SPRING VALLEY ADDITION, UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 14, 1966, IN BOOK 35 OF MAPS, AT PAGE(S) 1,2,AND 3. ASSESSORS PARCEL NO: 062-2907021-000 DATED 9/21/94 Date: PROPERTY OWNERS: State of California ) Countv of ) On before me, personally appeared personally, known to me (or proved to me on the basis of satisfactory 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 capacitv(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 instrument. WITNESS my hand and official seal. Signature Seal: A.P.# LJICJ —c= w / M 95-037186 95-0371a6 95-037186 9.00 9.00 XX 2 95-0371861' Rec Fee I Check Recorded I Official Records I i Cbunty of I `) Butte I ndace J. Grubbs I - Recorder I 1 :02am 23 -Oct -95 I PURL. 9.00 9.00 XX 2 17r CALIFORNIA ALL-PURPOSE' ACKNOWLEDGMENT Sta COL On per; ❑ personally known to me – OR – I9proved to me on the basis of satisfactory evidence to be the person(z) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/s4}ey executed the same in his/he0N:l,- r authorized capacity(ies), and that by his/4e#4heir signature($) on the instrument the personV), !;=!i A. or the entity upon behalf of which the persons) acted, executed the instrument. 2! WITNESS my hand and official seal u7� Sign re of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: r. �I ❑ ❑ ❑ Individual Corporate Officer Title(s): Partner ---I Limited ❑ General Attorney -in -Fact Trustee Guardian or Conservator Other: Signer Is Representing: RIGHT THUMBPRINT OF SIGNER of thumb here Signer's Name: ❑ ❑ El ❑ El Individual Corporate Officer Title(s): Partner — F Limited L: General Attorney -in -Fact Trustee Guardian or Conservator Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER C1 0 1994 National Notary Association - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309.7184 Prod. No. 5907 Reorder: Call Toll -Free 1-800-876-6827 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 ��0 PROPOSED BUILDING USE VI:A O S A.P. # DATE d REC. # DATE REC A� SCHOOL DISTRICT FEES nrO (paid at District Office) d V cl-! 0�/- SHERIFF FEES (paid at Building Division) O -wo0 YJ Residential...... x $ //& I 19.r. unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x_=$ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) •5. THERMALTTO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) &L6, SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. 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 y �S dPt omk .fit r LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE BuiidingPermitNo. J 5� <..... , e: OWNERS` A.P. NAME: b, NUMBER: a c Qan PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: 71`1 FLOOD ZONE: iCl FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: ✓ RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: vL-d/Ll1fT<aN� [�T MAP INFORMATION:!/alloy /%c�olriw Ala �— DATE OF RECORDING LOT 45' BOOK PAGE Ila COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES �_ NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 40 1...- Maintain aleft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _-13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amoiirit'of S '- " ' as"stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be numb to the Pk m6og Dhdskn. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid; if such fees have been adopted by the Butte County Board of Supervisors. X " 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 18. 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. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21 22. 23 24 25 A101N31Nd013A30 ONr 311I1£? 10 d1NI100 S661 £, Z 10 0 C13AI303H LD 9/95 - CAWP51\FORMS.K\BLDGPERM.CLR COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION OCT 2 a t 7 County Center Drive - Oroville, -California 95965 - Telephone. (916) 538-75 _ a P�RMI NC APPLICATION AND PERMIT (p 77 BUILDING PERMIT OWNERIS COMTRUCnDN ume t WIDEA'S MAILNO ADDRESS ARCHITECT OR ENaWeeA ARCHITECT OR ENGWEM S AWUNO ADDRESS SULDWGADDRESS r LCT NO. I SU90NISIONINAME USEOFSTRUCTURE SF &� Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New kAddition ❑ Remodel O Utilities O Installation ❑ Other ❑ Describe Work: 2t 1\" uNXNOWN MAP LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy 'Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height I SO. FT. OQ C. If 1 ireplace t otal Valuation S iling Fee BUILDING VALUATION i I S 20.00 rermn ree Plan Checking Fee $ $ Energy Plan Checking Fee $ -LIZ; Penalty $ PERMITFEE S f a' L; PLUMBING PERMIT Filing Fee 20.00 Each Trap $ 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system i - 5 outlets 15.00 L� Building sewer 15.00 L' Mobile Home S G W @20.00 PERMITFEE Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service 260000VOR LESS ( 200AORLESS 23,00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO. 3. So FT. r� NEW CONST. MOLTI.OUTLET j NON-RES10. ( BRANCH CIRCUmi / 7.50 EX. OCCUp, t OUTLET OR FORURES ) m O 1.00 SAL .50 EX. Occup. FIXED APPLNS. OR ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 9.q nn PERMITFEE Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 6. Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee is 4q :L OCc CONST. ns TOTAL FEE $ HAZ. 10. FEES I IMP I FLOOD COF PARCEL I PD I NO I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. , G ; / I PERMITEXPIRESON WHITE-D.O.S.-B.O. CANARY -ASSESSOR PINK.-104SPECTOR GOLDENROD -APPLICANT Date e IWAO—Lb-11 11 mob 1' ' 10 womfill0-' I RONALD D. McELROY Assistant Director T0: FAX PHONE N0: 44e/ NAME: ra- DATE: TIlMlE: FROM: FAX PHONE NO.: 916/538-2140 PHONE NO. 916/538-7681 NAME: TOTAL PAGES INCLUDING COVER SHEET: MESSAGE: S L ! '� '''IJ�iZ.Cu • s ...•„•;�A is �'��, •' ... i�%f :i-'j'S'��'Ss�i 2. . '. tiiiR �Ylt1t ey n h ...Saitou0&nt#,.'- -s LAND OF NATURAL \/v AND BEAUTY DEPARTMENT OF PUBLIC WORKS J. MICHAEL CRUMP, Director' 7 COUNTY CENTER DRIVE ' OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 538-7681. FAX: (916) 538-2140 IWAO—Lb-11 11 mob 1' ' 10 womfill0-' I RONALD D. McELROY Assistant Director T0: FAX PHONE N0: 44e/ NAME: ra- DATE: TIlMlE: FROM: FAX PHONE NO.: 916/538-2140 PHONE NO. 916/538-7681 NAME: TOTAL PAGES INCLUDING COVER SHEET: MESSAGE: `Permit Applicant: L. R. LIBBY Assessor Parcel Number: 062-290-021 Permit Number: 95-2564 Date: 1.0/31/95 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follaws. 1. PROVIDE STRUCTURAL CALCULATIONS FOR ROOF LOADS OVER LIVING ROOM AREA. SHOW HOW LOAD IS TRANSFERRED TO FOUNDATION. DETAIL BEAM CONNECITONS. 2. PROVIDE ENGINEERED CALCULATIONS FOR LATERAL DESIGN OF STRUCTURE. 3. PROVIDE SIZE OF MANUFACTURED FLOOR TRUSS/NAME MANUFACTURER. 4: PROVIDE TRUSS CALCS FOR TRUSS B & B1 AT 7' 0" SPAN. 5. PROVIDE LOCATION OF HOT WATER HEATER. 6. ENERGY CALCULATIONS. 1. INCORRECT ORIENTATION OF STRUCTURE -WINDOWS. 2. DORMER WINDOW NOT INCLUDED IN CALCS-GIVE SIZE. 3. 9 FOOT SQUARE WINDOW IN NE QUADRANT HAS AN OVERHANG. 4. DESIGNER TO CHECK ".BUILDING ENVELOPE'MEASURES". PROVIDE CORRECT ENERGY CALCULATIONS. 7. SEE CDF REQUIREMENTS (ENCLOSED). If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. MARTHA WHITNEY E PAC y silo D62 — Z1t —021 AP # v RS—Z5-(off PERMIT # NAME Other Requirements [ ]. If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves ] iIf= Building Setback is' Less''ThAh 15`` Feet Choose- any 3 ` of the • following': - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 P-11,ii6ViDE* ENGINEERED CALCULATION ... S FOR LATERAL DESIGN OF STRUCTURE. 7. .3 PROVIDE SIZE OF MANUFACTURED FLOOR TDTTce PROVIDE R VIDE TRUSS CALCS FOR TRUSS -B & BI AT -71 011 SPAN. TION OF HOT-WATER HEATER V,6 ;'ENERGY CALCULATIONS. :>':: INCORRECT ORIENTATION OF STRUCTURE -WINDOWS. 2. DORMER WINDOW NOT INCLUDEDIN'CALCS-GIVE SIZE. 3.- 9 FOOT SQUARE WINDOW IN NE QUADRANT HAS AN OVERHANG.' 4. DESIGNER TO CHECK "BUILDING ENVELOPE'MEASURES". PROVIDE CORRECT ENERGY rATrUT.ATTnWQ If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M, Monday through Thursday. Zy -1995 Butte County' Health Department _ Environmental Health Permits Division _- _7 County Center Drive Oroville, CA 95965 Butte County Building Inspection Division 7 County Center Drive �Oroville; CA 95965 RE: Application to Lake Madrone Water District for Domestic Water Service Connection Ladies and Gentlemen: The Lake Madrone Water District has receivedn application for one (1) domest'c connection of a size of inches to AP# e- Q --4 presently owned by This Application h s been accompanied by all fees, charges, and payments required.by the District which consists of: 1.. Charge of District for physical installation, box and extension of line to property edge to be located at approximately • 2. Payment of gpnection fees and capacity charge of $ SQa 3. Any other special charges or costs: $ v u e- • Based upon this compliance with our requirements, the Lake Madrone Water District will serve this property with water service provided that all fees, charges, and other conditions of service are met and provided that this physical connection is made on or before one year from the date of this letter. If a delay occurs, the District may refuse to serve or provide for changes in its terms and conditions and your Departments should contact us again before any extensions are provided beyond such date. Very truly yours, LAKE MADRONE WATER DISTRICT By • v?a /ma CA ... \azwnMUSERv.rr