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Home My WebLink About062-360-005r 062-36-0-005 y6 iG9/ SCHLICH ING', Mary. Bald Rock �h�j�� R B, Crek (new garage/shop/w y bath) P. DeCann r r RESIDENTIAL . - - -_&7A 062-36-0-005 SCHLIC TING, Mary Bald Rock Rd, Berry Crek (new /garage/shop/w bath) P. DeCann, OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat I JOB FINALED (Date) Zq — Signature V=OK O`= Not OK• ' = Nott ReadApply MOBILE 140MES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) MISCELLA US Date DECKS COVERS, CARPORTS, IMARAGES s OK except #'s nin equirements-Setbacks- sements tings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders 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 ✓T rmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. ing; Nailing VeneerStucco-Mesh 0. Roof; Shthg-Roofing Ext.; S s-DoorsjLandings IJP- - Date Card B-1 Date Card B Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / /"L'ft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLA US Date DECKS COVERS, CARPORTS, IMARAGES s OK except #'s nin equirements-Setbacks- sements tings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders 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 ✓T rmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. ing; Nailing VeneerStucco-Mesh 0. Roof; Shthg-Roofing Ext.; S s-DoorsjLandings IJP- - Date Card B-1 Date Card B Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 ✓=OK O=Not OK = Not Applicable „t, .4.:; f, = Not Ready ` RESIDENTIAL (, Date UNDERFLOOR (Plans)'OK except »'s 1. Zoning -Setbacks -Easements -Flood -Slope " 2. Ftg., Main;'Soils-Elec. Grnd.-/'_ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-.Elec. Grnd.-/ /" Ftg. Depth, 4. Ftg'., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped - 8. Piers -Fireplace Ftg.-Steel t 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test - 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground ' 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access &'Ventilation 16. Insulation ,Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------------------------------------------- ------- 17. Water Pipe: Test & Anchor -Nail Protection -------------------------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access -------------------- 20. Test Tub & Shower.'Second Floor -Tub Access ------------------------------------------------------------ 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------- Date -------Card B-1 ---- - ---Date - - Card B-1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's. - 22. Fixture & Transformer Clearance -Ins. Protection - - ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- - ---- ------ - - ------------------------------------------- 24. ---------------------- ---- - 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------------- -- - --- -- -- 25. Romex Installed Close to Edge of Studs & C.J. - - ----------------------- ------ --- ---- --- --- --............ 26. _Equip. Ground made up wrMech. Fastners-Bond Gas & Water ----------------------------------------- - --- .. -------- .......... 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------- -------........... .. 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------------------- 29. ------------------------- 29. Range Circ. r ' ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------- I.-..-- .............. .. 30. Service -Riser Conductors & Ground -Main Disconnect ------------------ - - --- -- ...... ....................... ....... 31. Equip. Clearances Panels-Motors-Mech. Equip. - ._....-_............................. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------- 33. - -------------------------- 33. Smoke Detector ---- -- - - ----- - ---------- I ...... ....... I....... .. -Date------. .............. _ ._ Card B-1 Date Card B-1 - --._..._.....-- -------..... ... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except rr's 34. A.C. Ducts Insulation & Support ------------ ---...-- . . -- ...... ............................. ... ... .. ._.. 35. Vent Fan: Exhaust above insulation .......................... -------- ........... ............... ... ... ... .. 36. Condensate .Drain. & Overflow: Size & Grade - ----------- ........ ... . ..............._ ..... ..... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - ... _ ......... ... ... --- ... .. 38 Attic Access & Platform if Furnance in Attic _._.. .................... . - - ....... ............... -. Date Card B-1 Date Card B-1 -- ------ - - -- --- ....... . ..... ..... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tr's 39. Sits. Proper Material & Anchors ....... ....--. ....... ... ... ._..-.. ... ... ... .. .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ....... ... ........ _ ... . . . ........ ... ....- 42. Draft Stop in Walls (rat proof) ...... ....... ................. ...... 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - ....... ....... I— .,.............. ..... .. ........ . .. ... ... .. 44. Headers & Beam -Size & Bearing Single & Duplex)..,- •� - - + -Date FRAMING (Continued) -45. Hangers -Post Caps -Anchors -Connectors _ 46. •Cing. Joist-Rftr. ties- Perlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance --------------------- --- - 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---------------------------------- 51. Property Line Firewall & Openings 52. Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54..plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ----------------------------- ------ _____________ 56.,Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ____________ 57. Glazing.Area-Glass Protection -Skylights -Plastic 58. Shear.Walls: Nailing -Bolts • 59.• Insulation -Walls -Ceilings ---------------------------- 60. Infiltration -Walls -Windows ----------------------------------------------- - Date Card B-1 Date Card B-1 ------------------ ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings --------------------------------------- - 62. Smoke Detector S. --------------------------------------------- 63. ...-------------------------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ............ ----------------------------- 64. Bedroom Exiting 65 G.F.I.& Bath Fixtures & Tub Access -Spa 66.. Elec_ Trim & Subpanel_Breaker Sizes & Labels 67. Stags & Rails 68.•Fireplace or Stove: Clearances -Hearth ...............--------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ...... ---------------------------- - --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ....------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ...... ... ........ ..--- --- -- - ---------------- ---------- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ---------------------------------------- ----- 74. Wtr. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ..... -------------------------------------- 75, -- ------------------------75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------------ ____ --- 7;. Insulation -Foam -Looked in Attic ❑ Yes - -------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ----- ------------------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ... .....------------------- 80. Following instld.:, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------- ------------ 81. Stucco: Brown -Finish .. ..... _......_...------------------------------------------ 82. A.C. Unit: Disconnect. Electrical, Plumbing ... ... ....------------- ----------------- -- ----- 83. Vents Above Roof: Plbg.-Appliance- Fireplace. -Clearance to Openings ......... ...._,.-_......---.._..--------------------------- 84. Water Well: Disconnect. Electrical. Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - ---------------------- -------------- 86 Ventilation Throughout House ---------- -------------------------------------- 87 Glass Protection 88. Corrections from Previous Inspections ------------------------------------- 89 Gas Test -Meters Tagged: Gas -Electric . . ........ ............... -------------------------------------- 90. Water & Sewer Connected-CrO to Grade -HD Approval ------------------------------------------ 91. ----- ---------------------------------91. Energy Compliance Certificate -Other Certificates ..-----....------------------------------------- Date Card B-1 Date Card B-1 .._....- -------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: COUNTY OF BUTTE -DEPARTMENT Gr-'DEALOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT 9� ,� �EgIv1ly,No. ASSESSOR PARCEL NUMBER 62-360-005 ZONING BUILDING PERMIT OWNER MARY SCHLICHTING TELEPHONE SQ. FT. OCC. BUILDING VALUATION 896 U 16128.00 OWNERS MAILING ADDRESS 23 SINGLE LN BERRY CREEK 72 COV 936.00 CONTRACTOR'S NAME PHIL DE CANN TELEPHONE 589-3626 CONTRACTORS MAILING ADDRESS 169 BARDOLINO LN OROVILLE5 66 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 17064.00 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 189.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 122.85 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS ,?Sy BALD ROCK RD PERMITFEE $ 331.85 PLUMBINGPERMIT Filing Fee 20.00 BERRY CREEK Each Trap 4 7.00 28.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 Other GARAGE / SHOP SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:PERMITFEE _c;aunrF/ HOP W/LiAI,'H Mobile Home I S I G W 1 @20.00 S 108.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 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 inn full force and effect. �g License Class �y _ Lic. No. / .q2 0 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. ❑ 1, 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 SO. OR NS. ( 8 ACC. BTLE ) 3.5¢ Fr. NEW CONST. MUT CLTI.OUTLE NON.RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup.OUTLET OR FIXTURES BA0 @ I.000 Ex. Occup. � OUTLETSFIXED (RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 74,36 Contractor 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. J) 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 L �{J MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor o�r47-e Policy Number ^ (The above sections need nof be ccfrrfpleted 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 pr isions of section 3700 of the Labor Code, I shall forthwith co ly wI h tho provisions. X /�� Date / -��P _ 0 Signature of Applicant - ❑ Owner ELContractor ❑ Agent An OSHA permit is required for excavations over 60" deep an , de lition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 514.21 HAZ. I D. FEES IMP FLOOD CDF PARCEL Po HD ISSU .� .. 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. b w� 9 q6 By Q -ate n� PERMITEXPIRESON w (Date) Receipt No..mitis WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT Of DEALOPMENT SERVICES -BUILDING DIVISION 7 County. Center. Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB ZONING BUILDING PERMIT OWNER L rZ TELEPHONE SO. FT. OCC. BUILDING VALUATION O OWNERS MAIUNG AD ESS r ^ A 6 COMRACTO NAMEz2or `//- N TELEPHONE /r� / a(j �(J( CO RS NG KESS �6 Fireplace CONSTRUCTION LENDER UNKNO Total Valuation $ 20 Fling Fee ` $ 20. 0 LENDER'S MAILING ADDRESS - Permit Fee - $ r .0 ,0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $. Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ , BUILDING ADDRESS ' PERMITFEE S ,Ar PLUMBINGPERMIT Fling Fee 20.00 y� Each Trap 7.00 ry LOT No. SUBDIVISIONS NAME PARCEL MAP I ' Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE n/ SF ❑ Duplex ❑-Mobilehome A., Other DQ. �-Q- Jl2� Each gas water heater or vent 15.00 00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 v e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: G. Mobile Home S I GI W 1 @20.00 PERMITFEE $ /06 Contractor ELECTRICAL PERMIT Filing Fee 20.00 LESSS ) Main Service ( eoov OR LES ZGOA O 23.00 &0 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 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 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 0 1 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 - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ( a ACC. BLDG. ) SO. 3.5c FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID ( BRANCH CIRCUITS ) @7.50 POER APPARATUS (a SINWGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @''00 BALD FIXED APPLNS. OR Ex. Occup. OUTLETS LREsID.i EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • P ERMITFEE S _ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heati Cooling Hood 6.50-- Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is DCC CONST. TYPE - TOTAL FEE $ 2 - Z. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I NO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. t By I6 Date PERMIT EXPIRE ON -G/ t� (Date) ReceiptNo. WHITE-D.D.S •B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -. , COUNTYOF BUTTE -DEPARTMENT ON DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNER a 4 "tom f A. P. No. — b —0 Proposed Building Use ctrl C- -s Building Inspector Date ?Z4 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 . ......................... ........... . V Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... �z 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 . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehometo ag manufacturer's installation instructions, 2 sets. . �Y ees of 11 � .......................................... Impact fees as shown on attached schedule. .. . California Department of Forestry plan approval/fees.-4- %) �a Flood elevation letter (100 year floo by California Engineer .............::: . C/ Sanitation\and plot plan approval 6✓b 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: . ......... Contact Land Development about (A) Improvements (B) Drainage. Driveway permit (construction approval required prior to occupancy). .�i hitt - - uest- 20. Pre -inspection for re ui edIn regor 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 Acknowledgement Statement .................... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . �Q 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 . ............... Existing violations/expired permits. ...... . PI , check li�} . �R�jCfD . WA 1,L, P44 f fS _ 4 / / a t- S 4 -2,, CI G /i P6;- a� �) ......................... Whe you issue the permit, process as follows: Mail fo owner. Mail to contractor. Telephone9-Y 3K2-5 and hold for pickup at office. Deliver with inspector. Other Parcel Creation_ Acreage Applican Date 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 1. Index permit for above items No. 2. Additional items required: to permit issuance: (Circle new item not checked above). Cort. CS5ts4TSr2_ Slas 'Zf- LARD Z Ca�lgs or ef-A-49 Contractor, designer, owner, was advised of above required data by phone —mail Counter by -9- 2 Date 8- ontractor, designer, owner, was advised of above required data by _ phone _ mail Counter by G Date - d5 -,?-7.Z _ Plans checked by Date Plandpproved by CZ t 81��5 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works LAND DEVELOPMENT BUILDING / ENVIRONIMENTAL`HEALTH .f PERMIT CLEARANCE Building Permit No. OWNERS A.P. NAME: NUMBER:�� PLANT LAST NAME RUST COUNTY ZONING �� DESIGNATION: U FLOOD ZONE: x FLOOD MAP: 2 S O 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 COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: COMMENTS/CONDITIONS: LEGAL ACCESS REQUIRED: YES YES NO /' L NO fZ03E/27-s T-/2�ficT' l3Asa Rock 20, MAP INFORMATION: W'x 3o0' DATE OF RECORDING .3 3 LOT BOOK 3 I PAGE -31-31— COMPLIANCE 1-32COMPLIANCE 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 BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. X2. Maintain a Zo ft.building setback from right-of-way/ceA eNine of rJ A t— 0 rzoC K C-GAV 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 amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. P&yewt to be to dre phnnkg ahft am _ 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. 'AIQ 1N3Wd013A3a 4Nb1 3J.lf1B 30 A1.Nf100 9661 s Z Nnr MOM LD 9/95 - C:\WP51\FORMS.K\8LDOPERM.CLR .9 / � x"a-444 IP17 A'i', "e, 44"�Zc , st Z� W* r COUNTY OF BUTTE BUILDING DIVISION — DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road,•Cbico, CA - (916)•891.-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER —1 cx [ PERMIT N 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 c ntact this office i ediately. M USE ' Plot Plm Athcbed FJw PLu AMcW ^� s. . n Ti -'2^ ►/ i L' TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M (+Pli�1� u Owner Location Plan Approved for: Sewage Disposal Clearance for je. Other Hold fifial for: Final learance O.K. for: aNOT ..� Environmental Health Si o ia" Supply: Public 6,--7 'fig -DS AP# Private Well Date