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Home My WebLink About064-080-003'T !Tr NOTES RESIDENTIAL I / 064-080-003 03-1854 PERMIT NO.-._HOFFMAN, MARK •_ 0 COLTER WAY, MAGALIA NEW SINGLE FAMILY y • L \ l . ` SPECIAL CONDITIONS CHECKED �} BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. i j` SPECIAL INSPECTION ITEMS i VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER LLOFFICE COPY Address GAS Meter By Date ELECTRIC OFFICE Cho Address l l �p cz O GAS Meter Bi2 Dat ELECTRIC e MtrBy Date V�c53 JOB FINAL ate) D Sign ture J=OK 0 = Not QK . = Not Ready Appficab1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ /" L -ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance R Disconnect 8. Utility Clearance Zoning Req uiremerts-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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 12. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card.B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Req uiremerts-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and.ror Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOKRESIDENTIAL - =Not AAppplicable . = Not Ready Date UNDERf LOOR (Plans) OK except #'s on i ng -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Gr .-/ /" g. Depth 3. ftg., Garage; Soils-Steel-Elec. G K d.-/ PL -11" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth ,5 Stemwalls, Main; Steel-Blockouts-Wrapped !/SSemwalls, Garage; Steel-Blockouts-Wrapped 62!!H d Downs and Special Anchors S' I/Slab, Steel -Wrapped d,45iers- lace Ftg.-Steef 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance- terial-Support-Ins. Girders -Sills -Anchor B o' ents-Cri s Access & Ventilation 16. Insulation Date nr. Card B-1 Date Card B-1 Datej Card B-1 Date Card B-1 Date f PLUMBIN (Permit) OK except #'s 17 er Htr.; Vent -Access -Combustion Air Baffle 1 er Pipe; Test & Anchor -Nail Protection _ 4 ;_Test Fittings & Anchor -Nail Protection ^448 11ower Pan; Test, First Floor -Tub Access y 1 & Shower, Second Floor -Tub Access es Pipe; Sixe & Anchors Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date - ELECTRICAL (Permit) OK except #'s 24. Fix Transformer Clearance -Ins. Protection ec. Receptacles Spacinq-Liqhts & Switches at Doors ize es & No. of Conductors Stapled orUjWnstalled Close to Edge of Studs & C.J. qui round made up w/Mech Fasteners -Bond Gas & Water ?a,:4`Agp4iance Circuits in Kitchen & Conductor Size GFI Q& 15;bfee�llle Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 3U_.Ra ge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al In�wlated Neutral O Yes O No '3z. S ice -Riser Conductors & Ground Main Disconnect . Clearances Panels-Motors-Mech. Equip. Clo es Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s dig'. FRDucts Insulation & Support VpatFan, Exhaust above insulation densate Drain & Overflow, Size & Grade F nace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA" (Permit) OK except #'s . Sil s'Proper Materials & Anchors s Studs -Nailing Spacing & Braces -Plates -Sound j"aring Walls over Girders & Floor Nailing DLaff- ,Stop in Walls (rat proof) Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMI on inued) 4&/Oli . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. i ri*�Jc—e Ties or Type A Flue -Fireplace Throat Clearance 1 . Windows or Exiting Doors -Sill Ht. & Dimensions age €ire Protection Framing -RC Channel ro Line Firewall & Openings Ext.l� ,, One 3' -Check Garaae 3rd Storv. 2 Exits 55lSta' ; Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers Si ing-Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access .99�. GJmfffiq Area -Glass Protection-Skvliahts-Plastic 61. Brace Int 6r/E er' Pa Is 7 62. Ins n-Waf s eiling 63. Infiltration -Walls -Windows Date k - e, -- 'iCard B-1 _-4_ Date Card B-1 Dat Card B-1 Date Card B-1 Date A NALklans) OK except #'s _a /.AU -Door & Sideliaht Protection- Landinas 68. -Furnace Vents -clearance -Comb, Air-Connector- Ja'Crarage; Above Floor-Ducts-Mech. Protection 68 I. & Bath Fixtures & Tub Access -Spa c. Trim & Subpanel, Breaker Sizes & Labels ,Stairs & Rails Frepla or Stove, Clearance -Hearth 7 EI .Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance utlets & Receptacles at Kit. Counter ra a Fire Door; Swing -Landing -Closure Duct in Garage -Damper 7.. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Wage; Above Floor-Mech. Protection -44/PI c. & Mech. Equip. Listed for Location 7 eceptacles in Garage (F.F.I.)-Romex Protection 0n ation-Foam-Looked in Attic Rails & Deck Construction -Post Caps 8 . dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ France Looked under Floor O Ye Following Instld./Drive�s Cl No/Walks es O No/Plante Yes 0 No 84. Stucco Brown -Finish f\8�A.C. Unit Disconnect, Electrical -Plumbing e -Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 . W r Well, Disconnect, Electrical, Plumbing 88�EXterl`or Elec. Trim, G.F.I. Receptacle -Underground Throughout House 91!C rrection from Previous Inspections 9 �08- -Meters Tagged, Gas -Electric W�Sewer Connected -C/O to Grade -HD Approval r1ergy Compliance Certificate -Other Certificates 98r Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date li) Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 17-B Valley Court • Chico, CA 95973 (530) 894-5067 - Fax (530) 894-2475 To'2az'O1i%z- &0 '/0'r7n-Project Title Address �31H � .�e_1soi4 ko%—�J, _ Town 93M'/5- _ Phone3&/? -Y X1 Cell -'V 13 Fax S ,"F—�F- E -Mail We propose to supply all material, equipment and labor to: t -""Insulate floor areas with R- P2 unfaced battinsulation. �nsulate exterior and knee walls with R-�taced batt insulation. Insulate between floor ceilings with R- unfaced batt insulation. Insulate garage ceiling @areas with living space above with R- unfaced batt insulation. Insulate interior Walls @ with R—faced batt insulation. ��°L fL �t�i/ i Y Insulate ceiling areas over living areas with R -faced batt insulation. /4-�, Insulate the attic areas over living areas with R -blown in loosefill fiberglass insulation. y Seal penetrations in air infiltration system with foam sealant. Alternate #1 add Alternate #3 add to base bid Alternate #2 add to base bid to base bid Alternate #4 add Base Bid c O Price good through Proposal Accepted By: to base bid Chico Insulation & Fireplace date License # 792349 date This proposal is based on current market pricing. If not acc ted within ten days noted above we reserve the right to rebid the project. The terms of payment for Chico Insulation are NET 10 DAYS. If not paid in full within 10'days, interest at the rate of 18% per annum (1-1/2% per month) will accrue from the date of billing until paid. INSULATION CERTIFICATE Job ......................... ........................... .... ......... ... ... ................... ........................................................... Contractor/Owner Name County Subdivision Name DESCRIPTION OF INSTALLATION 1. ROOF .......... ** .......... Material:;:;:: ....... * ....... ...... ................................. : ...... Thickness (inches): .................... 2. CEILING ................................................................ 14690 Colter t'Wg.. ...M a... g.. id' ................ ....y�. Job Address (street, city, state) Let Number Brand Thermal Resistance ....................................................... -: Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):3.8 3. EXTERIOR WALL Frame A. Cavity Insulation ........ .. ........... Material:Fiti .................. Thicknessin h ...................... B. Exterior Foam Sheathing Material: :Fib... Thicknessin he ........................................................ 4. RAISED FLOOR flii1ii�iiiMaterial: h"iii .......... Thickness (inches): ...................... .. 5. SLAB FLOOR/PERIMETER Material: [' Thickness (inches): Perimeter Insulation Depth Inches::;':':': ..... :': 6. FOUNDATION WALL .................................. : .......................... Thickness (inches): ........................................................ ... .. .. .......... * .... ..... * . . ...... Brand Name: JbhMMihVille Thermal Resistance ......................... ... .................... ............ .. .. ......... Brand Name:J61inim lle/-Knauf:::::::: Thermal Resistance ............................................... Brand Name:JohidsMa' Thermal Resistance (R -Value)::- ......................... .................. Brand Name::::::::::::::::::: Thermal Resistance (R -Value):'::::::::::::::::: Brand Thermal Resistance ........................... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where apjklicable. I .. . ...................2;& hk6: Insulation ................................................. Iftent Numfties Sipature and Date &17-0,' Installing Subcontractor (Co. Name) or Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIFEZ;, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-080-003 ZONING R-1 BUILDING PERMIT OWNER MARK & GINA HOFFMAN TELEPHONE 343-8218 SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3108 JACKSOU RANCH RD, B= ALLEY 95965 1625 R 87 750.00 552 U 9,936.00 CONTRACTOR'S NAME 6NM TELEPHONE 177 C 2 301.00 260 0 1820.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 99 QR7 Q0 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee 1 $ 20.00 Permit Fee $ 639.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 415.65 BUILDING ADDRESS ( ( ill. Energy Plan Checking Fee $ 23,00 PARADISE PT S #12 $ PERMIT FEE $ 1098.15 LOT NO. SUBDIVISIONS NAME 5-13-71 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )RDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 9 7.00 63.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 .00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W1 20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service =.' oR LEss 200A OR LESS 23.00 9-3-00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 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 Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCURSO OR ADDNS. ( y ACC. BLDs. 3.5,s . NEW CONST. MULTI.OUTLET NON -REBID. @7.50 OWER APPARATUS 8 BINDLE OUTLET CIR. Ex. OCCU . OUTLET OR FIXTURES BAL 0 1.550 FIX1 Ex. Occup. Ovr EDs Ae=.OeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 If 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 Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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.) XC� 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thosp provi ions. Date o gn re o Applicant - Ow Contractor ❑Agent An OSHA permit is required for excavations over 5'0" d p and demolitio or construction of structures over 3 stories in ight. Mobile Home Installation Fee $ Energy Inspection Fee $ �, r r occ 3 CONST. Tv v TOTAL FEE $ 1477.85 HAZ. '� D. FE 7 FLOOD V/ coF PARCEL pD HD u This permit is hereby issued under of the Butte County Code and/or indicated above for which fe have 1 By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate / WQ;IIA 3 Date Receipt No. _ .'�"� c5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- PECT GO ENROD-APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 r PERMIT APPLICATION DATA SHEET(� OWNER: /,/ G ASSESSOR PARCEL NUMBER �( ,,1� Proposed Building Use: i,�(� Counter Technici • Date: �3 tJ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to ap ly. 2"11. Plot plans, 3 or 4 sets, signedty the preparer of the plans. r ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 1e3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 9,14. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other 117. ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 63Q& -- Statement of Intent for Non -heated and A/C Buildings................................�.`�. I�......... Sanitation and plot plan approval from the Environmental Health De art nt in i % —'9 —O'� yYL�'S City of Chico Plumbing permit..........................................1n ..... ............. :. California Department of Forestry plan approval Laid. Sent. by: ❑ 19. Planning approval for (A) Use: a k (B)Parking: (C) Par el Check: i❑ 2 Contact Land Development about ❑ Improvements, ❑ Drainage ............................. .. i. WI� 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). iS-O3 G" M ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ...... ........ :.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 6. Letter of Signature authorization.................................................................... IRP7. Recorded copy of Agricultural Acknowledgment Statement .................................... U3 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Fl 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, w was advised cf the above data b) Contractor, designe , as advised of theAaboveaPlans reviewed by: Date: Structural reviewed by: DateNote transfer by: Date 'Date:. 6/2.3/0 Plan Check ,bone, ❑ mail, ❑ counter, byJ K -D Date: — _8 hone, ❑ mail, ❑ counter, by _Date: 1p Plans approved by: � ate: O Structural approved by: Date: -d—/ e Division - TO: Building Department FROM: Environmental Health ✓ SUBJECT: Sanitation Clearance CA A -C - \,/'- A- S -0 +--44— Owner Location Plan Approved Sewage Disposal Water Supply:. Public Clearance fo bedroom mle home. Other Hold final for: Final clearance O.K. for: E.H. USE ONLY Plot Plea Floor Flu Attnc6eI Sent to B.D. Lj AP# Private Well Environmental Health Specialist Date 8/92 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PRO SED BUILDING USE 60—W S 1. BUILDING PERMIT FEES(� Balance Due ....................... $ f Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ... ...$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.60 = $_��-- Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) f9 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # T-O80-oo3 DATE a3 b RECEIPT # DATE REC. 3 qoW� tz)/P-P�AD6 59D9E-,;? 3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE (a Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ti School District &T) Building Department No. A.P. Number OW4 r v r 60.3 Jurisdiction: City County Property Owner / I' dA/j �✓ U Property Location/Address clak ( % � U Subdivision ;. Lot No. Zr Residential Development Sq. Footage No oflLiving Mobile Home Addition/ *Supplemental to (Group R) . Units. _, Installation_, _, , _,w, Cgnversion Qermit# "(No foundation lhspeotion) .. • , . , y _t, . ..._ f = Commercial/Industrial a New Addition Sq. Footage (Including Exterior Roofed Areas) %- 03 x Date `1 J (Moor Plans reviewed by School District Personnel) District Identification No. 3 d! 7) School District certifies that (Applicant) " � n ' (Street Address) v �� C (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ 7 7.5� ' representing a '. _-s}quar'e feet. �• . ~ ti _ AB 2926 $ I _ FULL MITIGATION 7 --A 3 School Dis ct hepresefitatiMDate Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. -Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 Act (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) feeform.xls 110/981dmm W I GREGORY A.. PEITZ ARCHITECT 383 RIO LINDO AVENUE, CHICO CA 95926 (916) 894-5719 Structural Calculations S�� ARcy /F V�paY 4. A No. C-21203 REN.7-fr—V FC z f--2 r-- F o r: LOAD SUMMARY Wind Analysis Normal force method, exposure •B, 75 mph wind speed P=CeCgQsI WALLS P=.62*1.3*14.5*1.0=.0117 ksf@ 15 ft. P =.67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20 ft. P =.72 * 1.3 * 14.5 * 1.0 = .0136 ksf @ 25 ft. P =.76 * 1.3 * 14.5 * 1.0 = .0143 ksf @ 30 ft. ROOFS 2:12 TO LESS THAN 9:12 P=.62*1.0*14.5*1.0=.009 ksf @ 15 ft. P = .67 * 1.0 * 14.5 * 1.0 = .010 ksf. @ 20 ft. P = .72 * 1.0 * 14.5 * 1.0 = .011 ksf. @ 25 ft. P=.76*1.0*14.5*1.0=.011 ksf@ 30 ft. ROOFS 9:12 TO 12:12 t. P=.62*I.I*14.5*1.0=.010 ksf@ 15 ft. P = .67 * LI I * 14.5 * 1.0 = .0l I kst .@ 20 ft. P = .72 * 1. 1 * 14.5 * 1.0 = .0 12 ksf@ 25 ft. P=.76* 1.1 * 14.5* 1.0=.012 kst @ 30 ft. Seismic Analysis Static Method V 2.5 Ca (w) = 2.5 * .36 = .1636 (w) @ plywd. shear walls R 5.5 V = 2.5 Ca (w) = 2.5 * .36 = .20 (w) @ plaster and gyp. bd. shear walls R 4.5 Gravity Loads ROOF LOADS: 10 psf dead load + 16 psf live load = 26 psf total load FLOOR LOADS: 10 psf dead load + 40 psf live load = 50 psf total load WALL LOADS: 12 psf @ 3 -coat plaster exterior walls; 8 psf @ interior walls; 10 psf @ exterior walls with 1 -coat stucco or siding 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS � 0 Eel a =d M L LKS 1f J 64 7 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS E 1"Z V1 �f W � � N w ..i Oki ' \N oll vlr - � ` 7 1 N 40'� C -C w E 1"Z V1 Roof Beam[ 97 Uniform Building Code (91 NDS)1 Ver: 5.03 By: Gregory Peitz , Gregory A. Peitz Architect on: 06-20-2003: 01:39:11 AM Project: HOFFMAN - Location: MASTER BEDROOM WINDOW Summary: 3.5 IN x 11.25 IN x 6.4 FT / #2 - Douglas Fir-Larch - Dry Use Section Adequate By: 8.6% Controlling Factor: Area / Depth Required 10.36 In Deflections: Dead Load: DLD= 0.01 IN Live Load: LLD= 0.03 IN = U2276 Total Load: TLD= 0.05 IN = U1639 Reactions (Each End): Live Load: LL-Rxn= 1901 LB Dead Load: DL-Rxn= 739 LB Total Load: TL-Rxn= 2640 LB Bearing Length Required (Beam only, Support capacity not checked): BL= 1.21 IN Beam Data: Span: L= 6.4 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof: RP= 6 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Roof Loading: Roof Live Load-Side One: LL1= 30.0 PSF Roof Dead Load-Side One: DL1= 10.0 PSF Tributary Width-Side One: TW1= 17.8 FT Roof Live Load-Side Two: LL2= 30.0 PSF Roof Dead Load-Side Two: DL2= 1.0.0 PSF Tributary Width-Side Two: TW2= 2.0 FT Roof Duration Factor: Cd= 1.15 Beam Self Weight: BSW= 10 PLF Slope/Piteh Adjusted Lengths and Loads: Adjusted Beam Length: Ladi= 6.4 FT Beam Uniform Live Load: wL= 594 PLF Beam Uniform Dead Load: wDadi= 231 PLF Total Uniform Load: —WT= 825 PLF Properties For: #2- Douglas Fir-Larch Bending Stress: Fb= 875 PSI Shear Stress: Fv= 95 PSI Modulus of Elasticity: E= 1600000 PSI Stress Perpendicular to Grain: Fc_perp= 625 PSI Adjusted Properties Fb' (Tension): Fb'= 1107 PSI Adjustment Factors: Cd=1.15 Cf=1.10 Fv': Fv = 109 PSI Adjustment Factors: Cd=1.15 Design Requirements: Controlling Moment: M= 4224 FT-LB 3.2 ft from left support Critical moment created by combining all dead and live loads. Maximum Shear: V= 2640 LB At support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 45.8 IN3 S= 73.8 IN3 Area (Shear): Areq= 36.3 IN2 A= 39.3 IN2 Moment of Inertia (Deflection): Ireq= 45.7 IN4 1= 415.2 ,IN4 a Roof Beam[ 97 Uniform Buildinq Code (91 NDS)1 Ver: 5.03 By: Gregory Peitz, Gregory A. Peitz Architect on: 06-20-2003: 01:52:51 AM Project: HOFFMAN - Location: . (-ED2, p r►n �qg �,�• 'f V Summary: 3.125 IN x 9.0 IN x 7.0 FT / 24F -V4 - Visually Graded Western Species - Dry Use Section Adequate By: 42.4% Controlling Factor: Area / Depth Required 6.48 In ' Deflections: • Dead Load: DLD= 0.04 IN Live Load: LLD= 0.09 IN = U895 Total Load: TLD= 0.13 IN = U646 Reactions (Each End): Live Load: LL-Rxn= 2079 LB Dead Load: DL-Rxn= 799 LB Total Load: TL-Rxn= 2878 LB Bearinq Lenqth Required (Beam only, Support capacity not checked): BL= 1.42 IN Camber Reqd.: C= 0.05 IN Beam Data: Span: L= 7.0 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof: RP= 6 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Camber Adjustment Factor: CAF= 1.5 X DLD Roof Loading: • Roof Live Load -Side One: LL1= 30.0 PSF Roof Dead Load -Side One: DI,1= 10.0 PSF Tributary Width -Side One: TW1= 17.8 FT Roof Live Load -Side Two: LL2= 30.0 PSF Roof Dead Load -Side Two: DL2= 10.0 PSF Tributary Width -Side Two: TW2= 2.0 FT Roof Duration Factor: Cd= 1.15 Beam Self Weight: BSW= 7 PLF Slope/Pitch Adjusted Lenqths and Loads: Adjusted Beam Lenqth: Ladi= 7.0 FT Beam Uniform Live Load: wL= 594 PLF Beam Uniform Dead Load: wDadi= 228 PLF Total Uniform Load: -WT= 822 PLF Properties For: 24F -V4- Visually Graded Western Species Bendinq Stress: Fb= . 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI . Ey= 1600000 PSI Stress Perpendicular to Grain: Fc perp= 650 PSI Bending Stress of Comp. Face in Tension: Fb_cpr- 1200 PSI Adjusted Properties Fb' (Tension): Fb'= 2760 PSI Adjustment Factors: Cd=1.15 FV: Fd= 219 PSI Adjustment Factors: Cd=1.15 Design Requirements: Controllinq Moment: M=' 5036 FT -LB 3.5 ft from left support Critical moment created by combining all dead and live loads. Maximum Shear: V= 2878 LB At support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 21.9 IN3 S= 42.1 IN3 Area (Shear): Areq= 19.8 IN2 A= 28.1 IN2 Moment of Inertia (Deflection): •Ireq= 52.9 IN4 1= 189.8 IN4 Roof Beam[ 97 Uniform Buildinq Code (91 NDS) I Ver: 5.03 By: Gregory Peitz, Gregory A. Peitz Architect on: 06-20-2003: 01:35:29 AM Project: HOFFMAN - Location: GARAGE DOOR HEADER Summary: 3.125 IN x 13.5 IN x 16.6 FT / 24F -V4 - Visually Graded Western Species - Dry Use Section Adequate By: 11.9% Controlling Factor: Section Modulus / Depth Required 12.76 In Deflections: Dead Load: DLD= 0.24 IN Live Load: LLD= 0.60 IN = U332 Total Load: TLD= 0.84 IN = U238 Reactions (Each End): Live Load: LL-Rxn= 3362 LB Dead Load: DL-Rxn= 1338 LB Total Load: TL-Rxn= 4699 LB Bearinq Lenqth Required (Beam only, Support capacity not checked): 8L= 2.31 IN Camber Reqd.: C= 0.36 IN Beam Data: Span: L= 16.6 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof: RP= 6 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Camber Adjustment Factor: CAF= 1.5 X DLD Roof Loading: Roof Live Load -Side One: LL1= 30.0 PSF Roof Dead Load -Side One: DLI= 10.0 PSF Tributary Width -Side One: TW1= 11.5 FT Roof Live Load -Side Two: LL2= 30.0 PSF Roof Dead Load -Side Two: DL2= 10.0 PSF Tributary Width -Side Two: TW2= 2.0 FT Roof Duration Factor: Cd= 1.15 Beam Self Weiqht: BSW= 10 PLF Slope/Pitch Adjusted Lenqths and Loads: Adjusted Beam Length: Ladi= 16.6 FT Beam Uniform Live Load: wL= 405 PLF Beam Uniform Dead Load: wDadi= 161 PLF Total Uniform Load: -WT= 566 PLF Properties For: 24F -V4- Visually Graded Western Species Bendinq Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI Ey= 1600000 PSI Stress Perpendicular to Grain: Fc perp= 650 PSI Bending Stress of Comp. Face in Tension: Fb_cpr- 1200 PSI Adjusted Properties Fb' (Tension): Fb'= 2760 PSI Adjustment Factors: Cd=1.15 FV: FV= 219 PSI Adjustment Factors: Cd=1.15 Design Requirements: Controllinq Moment: M= 19502 FT -LB 8.3 ft from left support Critical moment created by combining all dead and live loads. Maximum Shear: V= 4699 LB At support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 84.8 IN3 S= 94.9 IN3 Area (Shear): Areq= 32.3 IN2 A= 42.1 IN2 Moment of Inertia (Deflection): Ireq= 485.6 IN4 1= 640.7 IN4 r ater closet clearances (Uniform Plumbing Code 408.5). wtr compartment minimum 1024 sq. in & 30" circle (Uniform Plumbing Code 412.7). Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feu from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions NBC section 2320.4.1.) Braced wall ,{ lines must be continuous throughout the structure. - UA California licensed architect or registered engineer must prepare a lateral analysis for the area of the building that do not comply with the Uniform Building Code. This must include the designees "vMC stung, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerestory requiring balloon framing and/or engineering. ,4— Foundation plans complete enough to construct building (Uniform Building Code Table 18•I-C�. Floor construction details complete enough to construct building. --` Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fueplaee construction details and calculations if necessary. -,.9' Garage door header size(s). 9 (Q Porch header size(s). Typical header size(s). ,okt Stud heights. jf—Mgh eaTansive soil - special foundation design required; tBuMinig ining wa11s requiring design sum wallboard nailing inspection required e area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total area of at least one square inch for every' square foot of area enclosed with the bottom of the openings no e than one foot above grade. Alternathvly. certification may be provided by a registered professional ineer or architect that the design will allow equalization of hydrostatic flood forces on eawior walls. must be designed and anchored to prevent floatation, collapse or lateral movement Construction gn requirements must be shown on the building plans. t ie, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be esgned andlor located so as to prevent water from entering or accumulating with the components during conditions of flooding. f LLANTOUS ITENIS: details - landings, rise and run. head clearance, handrails (Uniform Building Code section 1003). rails (Uniform Building Code section 509). or stone veneer (Uniform Building Code section 1403).or plaster- weep screeds (Uniform Building Code section 2506.5).itch for roof covering (Uniform Building Code Table 15-B-1& 2. 15-13-1 & 2). insulation - protection. lls and stairways (Uniform Building Code sectionlOQ4.3.3.2). mits on three - story' dwellings (Uniform Building Code section 1004.2.3.2). floor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).ccess and ventilation (Uniform Building Code section 1505). requirements. design compliance and supporting documentation. F responsible area requirements. # DING PERMIT REQUIREMENTS: 1. Seca. 2. Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing letter. Pace - of .`°�:. ;:' - oO RESIDENTIAL PLAN 00 _REVIEW GUIDE ° �"-� - �•� c SINGLE FAMILY, DUPLF..YAND coU N�� MSCELL NLOUS ONLY ,Owner. Building Permit Number: © Plans Examiner: A. P. Number: �`o�� `- 603 GEti ERkL: -47- Zoning requirements - (number of permitted living units). �- Plans signed by the designer. -a- Proper description of work on the application. Existing—violations on the property. Recorded notice of violation. (:: Building permit valuation. 6. OT PLAN: Complete parcel size and dimensions. Setbacks. side yard. easements. etc. Other buildings or structures. Grading. fills andior drainage. .__ ._--Flood-hazzrd:-----------------_--------.-----------------------------------------.-------......------...._.._._..____..- --- Special conditions q9 Parcel Map: Boise ❑ SR --k Fire Sprinklers ❑ Water Tender ❑ Ttaffiic and Doge fps ❑ Federal Aid ROUE-land/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) L R PLA`: laps and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3 10410 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The mbihmmn net clear openable height dimension shall be 24". The minimum net clear operable width dimension Shaul be 20". When uindov s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 tit 2603.7). ,in Hazardous locations (uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise pumiud in this section. Kitchens halls. bathrooms and toilet compartments may have a ailing height of not less dum 7 Sxt measured to the lowest nroiection from the ailing (Uniform Building Code section 310.6.1). 1 habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in anv dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage. kitchen. wet bar. and exterior receptacles (NEC 210). Vater haters «hick depend on the combustion of fuel shall not be installed in a room used or designed to be used For sleeping purposes, bathroom, clothes. closets or in a closet or other confined space opening iron s bath 'bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a beda+oona. or in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code 3044 arage firenall separation -required on garage side including supporting walls and posts (Una>Tb� Co e -section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes Building Code section 312.4). W ove location - Alcove - UNIC section 203 confined space & 223 unconfined space & 304.2). Smoke detectors (Uniform Building Code section 310.9.1). Pagel of 2 r� � Illi ��{ fly I ILEI i Ill�� I �I 11 loll { Ill r' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ;iL>4�r1b12-11--Q6Q6! %_� C-4.310 Recorded' I REC FEE 10.00 Official Records i COPIES 2.50 CountyY Of t CANDACE J. GRUBBS I Recorder i ROSEMARY DICKSON I Assistant I Lisa 10:1%AM 22 -Oct -20+3 I Gage 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date ( D l IF/0 3 State of California County ofJ�Uj-lc_ personally appeared ry)&rksL • �� idM�{ (N inU ��i�l.a snitsal� kimWffTo-We (or proved tome on the basis of satisfactory evidence) to be the person(s) whose name(s�W.are subscribed to the within instrument and acknowledged to me that AakAtt/they executed the same in hisA4 er/their authorized capacity(ies), and that by hisAher/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature ' I 6Seal: TWILA DELMAR COMM. # 1369973 ® NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY A. P. # av4_0E0 -®c�� %.W COMM. EXP. AUG, 13, 2006 A Preliminary Report Description Order No. BU -206151-2 CH The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 12", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 13, 1971, IN BOOK 38 OF MAPS, AT.PAGE(S) 24, 25, 26 AND 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, .1985, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 85-26006. EXCEPTING THEREFROM ALL' MINERALS; 'OIL, GAS, ASPHALTUM 'AND. OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. APN 064-080-003-000 PARCEL II- A NON-EXCLUSIVE EASEMENT OVER LOTS A AND. B (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 12 . AND THE. LOTS .DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS TV, VI, VIII; X, XI, XII, XIII AND XIV. ESPONSE FOR PLAN CHECK LETTER DATED: LAN CHECK ITEM N RESPONSE 8Y: PLAN CHECK ITEM 0 PLAN CHECK ITEM N COMMENTS: o PLAN CHECK REM # r RESPONSE BY: RESPONSE BY: oc )NSE BY: O LOCATION ON PLAN a LOCATION ON PLAN— SIC TION ON PLANS/C a T�� I ION ON PLANS/CALCS: PLAN CHECK REM P RESPONSE BY: LOCATION ON PLANS/ CALCS: COMMENTS: PLAN CHECK ITEM X RESPONSE BY. LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK REM RESPONSE BY. LOCATION ON PLANS/CALCS: (COMMENTS: 0. September 9, 2003 . Mark and Gina Hoffman 3108 Jackson Ranch Road Oroville, CA 95965 Department of Development Services Building Division 7 Coiulty Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 064-080-003 Building Permit Number: 03-1854 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: WS the rear porch a slab, or a redwood deck? Or is it a slab with a redwood deck above it? Provide CS 16 strap splices along wall line 1 as specified in the structural calculations. 'Specify typical girder size on the plans. lease specify porch beam sizes on the plans. Provide bearing points on the plans for trusses D, D1 and D2. Note that truss D requires 4 supports and trusses D1 and D2 require 3 supports. If you, wish to discuss any of these requirements, please call (530) 538-7541 between the hours of :1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. 6*& Linda Simpson Plans Examiner cc: Greg Peitz, Architect Philo Hunt, P.E. Plan Check Engineer 1 of 1. SITE PLAN REVIEW APPLICATION Date: i G� AP# • Permit Number (if applicable) 0 APPLICANTINFORMATION Parcel Size: Owners Name: 14 i A-k) C)��6S Owners Address:i O 8-�8ae-kSC�� AIJG)-1 12U 13QTTF, VLZ-9�J Telephone No.: 3 8 2 ( g Situs Address: i� �L� A �l Proposed Use: 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 Other Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE n. DEVELOPMENT SER VICES INFORMATION (For Staff Use) 0 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved • By "" Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: • Snow Load Area: :2� ❑ 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) g@ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.:OHO -b � Index Date: 6 e — ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------- —---- --------______-----------____—---- ---- ------- -------- —----- --------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • • Zoning: T- — I Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front D C-1/1— -1. 1Side Side S 3 6 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r.. F�, .Applicable Developrtient Fees: Standard Fees Amount Formula ❑ Fire • ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico UrbanArea — 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 • II 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 Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ---3 Book: -3 01 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NEPA 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 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 ❑ Page 4 of 5 a • ❑ c: 01 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 1U National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: d ✓IO Date: (9�2-2--, _3 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Butte County Stonn Water Management Plan Revised 5/22/03 ENCROACHMENT PERMIT 03-18 County of Butte Department of Public .Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530) 538-7157 Ext. 2016 Permit Number 10-30826E District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: la. Company Name: 2. Address: -�— tt 3. Phone: —5Lt Q 4. Assessor's Parcef Number. 0J 5. Location o Wok to bepone 14"a �fi �� 6. Applicant's Signature : - �� I.Date: 123�� CONTRACTOR'S INFORMATION _ 8. Co ctor's Namer— Sam z s �ov e- 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: '' — -- 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized .Agent ' TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type' ��-- I8.Other. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions C 14t C 94 V b A to aor7trdlai a e n eC � u Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. 29 All work shall conform to accompanying: Detail Z Plans ❑ Special Conditions ($ 21. Date Issued //z S� 3 b 22. Expiration Date: /ZSR G 23 Surety: PS Mike Crump, Director of Public Works By: Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Page 1 of 2 General Conditions — See Page 2 CLAIMANT: Mark Hoffman County of Butte Oroville, California GENERAL CLAIM ADDRESS: 3108 Jackson Ranch Road CITY & STATE: Oroville, CA 95965 DATE OF CLAIM- 03/21/05 BUTTE ^; COUNTY APR 2 9 2005 DEVEEOPMEN,r SERVICES SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 064-080-003 Permit No.: 05-0105 PAID RETAINED REFUND Development Services $ 109.98 $ - $ 109.98 THERM DRNG $ - $ - $ - SMTP $ - $ _ $ SHR $ _ $ $ _ SRA $ - $ TOTAL $ 109.98 $ - $ 109.98 :•.:•c.i.;.:.:.;.; .:;::: R FII 00V1!1V:;:::::::::::::::::S:UD:C:.. ..: :: C OEilvT > .............. 101001 DVLPMNT SVC 440-001 4210500 $ 109.98 Z:•::::> 1011822 THERM DRNG 1800 280 $ - 1011430 SMTP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 109.98 $ 109.98 i, the unaersignea, aeciare unser penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 1� 2005, at �', Calif. Signature of Claimant , the unoersignea, nereoy cemry mat, to the oest of my Knowleage, the services or articles specified "above have been ormed or delivered and that there is a Budget Appropriation or orSpecific Board Approval (Check one) ame. Dated this day of D9 _, 2005, at Oroville Cali — Dept. SEE Exp. Code BREAKDOWN Code_ PAYABLE FROM ■ DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. o�VTr 0 Butte County Department of Development Services Building Division O O - := - 7 County Center Drive �OON•c'� Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees Daid to other Countv Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for Davment Drocessina. Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them uo prior to that time. Sign re Date K:/F rms/Refund Application 082203 'C - PEMIT Bin AP 0 • , i L�AST'NAME4` • F/RST,,-V E- ' CONTRACTOR'; • CITY/CtV�� STREET NO • • e STREET NAME • CITY ' USE • -TYPE REMARKS. • FINAL 03-1854 r 25 char. max VALUATION'FLOODJtl FEES PA/D RE ElmAPPLIED! � � FEES 2 RECEIPT 2 ° ISSUED FEES 3, RECEIPT 3r FEES 4 RECEIPT.' F/NALED PLAN CHECK ACTIVITY Plan Chk-1: Chkd By-1: _ Return-1: �_ Str Chk-1 Plan Chk-2: Chkd By 2: _ Return-2: Str Chk-2:, Plan. Chk-3: Chkd By-3: _ Approved: Str Appr: Comments '�' 255 char. max Refund. Permit w/Di. Sent for signature 3/21/05 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Mark Hoffman ADDRESS: 3108 Jackson Ranch Road CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 03/07/05 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 064-080-003 Permit No.: 05-0105 PAID RETAINED REFUND Develo ment Services $ 109.98 $ $ 109.98 THERM DRNG $ - $ $ - SMIP $ $ $ SHR $ - $ - $ - SRA $ $ TOTAL_ $ 109.98 $ $ 109.98 ............ ............................................ ............ ...... ............................................. ............................................. `.:`.BRIJAI D WN :.:.:.:.:.:.::.:.$:URGE .............. ::_ .............. ............. .............. :AC_CO NT.::AIYI:QUN ............. .............. ............. 101001 DVLPMNT SVC 440-001 4210500 $ 109.98 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 109.98 1 $ 109.98 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 200fat Oroville Head or Authorized Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. NOTES RESIDENTIAL PERMIT NO. 5p . 0<51 - L 7 I1�1/1�///�� 1//�//y P /�//fes/J�J ..%//{��//►/,V/pJ/.� u,A`��a�� SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J- OK 0 = Not OK . = Not Readyabte DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 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-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water FINAL (Plans) OK except #'s 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Ext. Steps -Door & Sidelight Protection -Landings 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Smoke Detector 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes O No Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 32. Service -Riser Conductors & Ground Main Disconnect Bedroom Exiting 33. Equip. Clearances Panels-Motors-Mech. Equip. G.F.I. & Bath Fixtures & Tub Access -Spa 34. Clothes Closet Light -Shower Light -Spa Light Elec. Trim & Subpanel, Breaker Sizes & Labels 35. Smoke Detector Stairs & Rails 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 74. 36. A.C. Ducts Insulation & Support 75. 37. Vent Fan, Exhaust above insulation 76. 38. Condensate Drain & Overflow, Size & Grade 77. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 78. 40. Attic Access & Platform if Furnace in Attic Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound _ 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters ❑ Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neNdds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Date:- " Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to Ole a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicarit for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): a--*',, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving Ihal he or she did not build or Improve for the purpose of sale.). O I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for -such projects with a contractor(s) licensed Pursuant to the Contractors' Slate License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: /" _ - Owner: WORKERS' COMPEOtATION DECLARATION I hereby affirm under penalty of oerjury 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. Policy P -'l certify that in the performance of the work for whlch this permit Is Issued. I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions. Date: Applicant: Ne7d�rL WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. PERMIT NO. BPO50105 Issued Date: 01/14/2005 APN: 064-080-003-000 Site Address: 14690 COLTER WAY MAG Map Index: Description: permit to final, supp insp for bp031854 Owner: HOFFMAN MARK A & GINA 3108 JACKSON RANCH RD BUTTE VALLEY, CA 95965-8373 Applicant: HOFFMAN MARK A & GINA 3108 JACKSON RANCH RD BUTTE VALLEY, CA 95965-8373 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: ill"�iG/V CONSTRUCTION LENDING AGENCY ThI pemmifis"hereby'ssueed under I hereby affirm that there Is a construction lending agency for the Re to do ork Indicated at performance of the work for which this permit Is Issued (Sec 3097 Civ.) Zj S Name: BY r PERMIT EXPIRES ON: Address sio,is of ilia B;nta Cnunry Coda andlor is a been paid. j L/. _Z'.) ❑ 1 hereby certify that the use of this facility shall comply with Seclions;25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health 8 Safety Code -Is not -applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above informatiori Is correct, and that'I em the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned properly for Inspection purposes._ Print Name:. /4L/V/L/l 'Signature Dale: caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BPO50105 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/14/2005 APN: 064-080-003-000 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. Site Address: 14690 COLTER WAY MAG License Class : License Number: • Map Index: Dater Contractor. OWNER -BUILDER DECLARATION Description: permit to final, supp insp for bp031854 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a Owner: HOFFMAN MARK A & GINA permit to construct, alter, Improve, demolish; or repair any structure, prior 3108 JACKSON RANCH RD to Its issuance, also requires the applicant for such permit to file a BUTTE VALLEY, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 95965-8373 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicaril for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): l� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Applicant: HOFFMAN MARK A & GINA Intended or offered for sale (Sec. 7044, Business and Professions 3108 JACKSON RANCH RD Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does BUTTE VALLEY, CA such work himself or herself or through his or her own employees, 95965-8373 provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: and Profassions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code Date: /--64 '- ,e C Owner: License #: WORKERS' COMPENSATION DECLARATION 6 I hereby affirm under penally of oerjury 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: Is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: ' Total Square Ft: 0 S. F. Carrier. Valuation: $0.00 Policy #: Census Code: P,-1 certify that in the performance of the work for which this permit Is i0. 6 Issued. ].shall not employ any persons any manner al or to a. become subject to the workers' compensation laws of California. / C//`/ •�" 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. Date:. Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor ( / code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby' ed under the applicebl ro�sions of the Butle Cnunly Coda w, nrVar I hereby affirm that there Is a construction lending agency for the Resolutions to do ork Indicated above.fo c tees he a been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: By. 2`LA\Date: Address: PERMIT EXPIRES ON: / L/ Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and Thal l em the owner or the duty authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: !�L—rLl/(�j/TiYL� Signature: Date:-�� d caner el - 0 Contractor 0 Agent for Owner 0 ,4genl for Contractor )1 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" PERMIT BIN # CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City \` State Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X 1 nr A f a iica nniv- Zoning Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book jTa77 # Planner Date Approved: WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: I I Ve_-6z4,i,1 IT— Tz> �iiv,�—�- '�i 3 /K I Sq. Footage D Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: / L/ / Bldg SRP, OVER FOR SUBMITTAL REQUIRENIEN 15 L` v..r..nnen�ni m _—, 'in' Paoe 1 of Receipt #: Sheriff SMIP Date: Total REV 7-27-04 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) - . R .. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ -.5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 NOTES RESIDENTIAL PERMIT NO. 064-080-003 - - - —05-0073 - +, HOFFMAN, MARK 14690 COLTER WYN, MAGALIA Cont: OWNER I PERM TO COMPI INSP03-1854 j J i i f t I a SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 0013 JOB FINALED (Date) Signatu e J=OK 0 = Not OK . = NotReadygble 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements-Setbacks-Easements Wood Awn.; Posts- Beams- Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location-Test-Fall-C/O-Concrete Elec.; Pool Lighting; 15 Volts-GFI 4. Water; Location-Test-Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors 3. Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (FF.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes Cl No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes O No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Ring. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE lit: (530) 538-7541 FAXa!i: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): PERMIT NO. BPO5007,3 Issued Date: 01/10/2005 APN: 064-080-003-000 Site Address: 14690 COLTER WAY MAG Map Index: Description: permit to complete, 1 insp , final for bp03-1854 Owner: HOFFMAN MARK A & GINA 3108 JACKSON RANCH RD BUTTE VALLEY, CA 95965-8373 I, as owner of the property, or my employees with wages as their This, permilishereby issued under th—e wlicagfe pr isions of the Butte Cnunly Codo enrVor Resolutio o do work Ir icated'ab V e for h((ch f �s have been paid. sole compensation, will do the work,. and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HOFFMAN MARK A & GINA pP Code: The Contractors' State License Law does not apply to an 3108 JACKSON RANCH RD owner of property who builds or Improves thereon, and who does BUTTE VALLEY, CA such work himself or herself or through his or her own employees, 95965-8373 provided that such improvements are not intended or offered for PERMIT PIRES ON: sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of pursuant to the Contractors' State License Law.). proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with This, permilishereby issued under th—e wlicagfe pr isions of the Butte Cnunly Codo enrVor Resolutio o do work Ir icated'ab V e for h((ch f �s have been paid. performance of the evorl< for which this permit (Sec licensed contractors to construct the project (Sec. 7044, Business Contractor: and Profdssions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, PERMIT PIRES ON: and who contracts for such projects with a contractor(s) licensed Address: pursuant to the Contractors' State License Law.). fO te) ❑ 'I am Exempt under Article 3 of the Business and Prpfesslons Code l �. Date: Owner: _ License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Total Square Ft: 0 S. F. Carrier:' Valuation: $0.00 Policy M Census Code: PI certify that in the performance of the work for which this permit Is % I� issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, t— 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. o GS Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. — CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Is Issued 3097 Clv.) This, permilishereby issued under th—e wlicagfe pr isions of the Butte Cnunly Codo enrVor Resolutio o do work Ir icated'ab V e for h((ch f �s have been paid. performance of the evorl< for which this permit (Sec By. Date: Name: PERMIT PIRES ON: d Address: fO te) I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. R GiPrint Name: ve 2 T 4)y -1 'Signlure: Dale: ticz AOwner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor , 0 0 0 _ O O BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS - O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.neddds "PLEASE PRINT CLEARLY" OWNER Last NpMe M� Name �11 Addres City t/ State I Zilip q Phone , , 2 ( Fax � , V4 E-mail APPLICANT SIGNATURE X 41 t For office use only: CONTRACTOR Name �11 (4-TVV"CX 0 Address SRA City Zip State Zip Phone E-mail Fax E-mail Planner Lic. # U, -:;-I 1 Clas APPLICANT SIGNATURE X 41 t For office use only: ARCHITECT/ENGINEER Name (4-TVV"CX 0 Address SRA City Zip State Zip Phone E-mail Fax E-mail Planner State License Number APPLICANT SIGNATURE X 41 t For office use only: APPLICANT NAME Name - Address (4-TVV"CX 0 City SRA State Zip Phone - -TYPe Fax E-mail Page APPLICANT SIGNATURE X 41 t For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes No .Occ. _ .. - - - - -TYPe Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. I:9 BIN # LOCATION AP#O / a 0 _ �© o Property Address City Cross Street SRA WORKER'S COMPENSATION Policy Number "r Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 1 Address Description or Scope of Work: ./ NIS— / N S P Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. KAFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 9� � Received by: Amount- � Bldg �`—r_e7 SRA Receipt # ' I Sheriff SMIP Date: r , � � d Other Total KAFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS ' - The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. - - -- - - - - - - OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 n , .. .,.+ ..-e . .. �-... .-,.:.. —. �,...... r.. ter.. ,.v ..n.: �,...r >, •. >.... � n.s .� - .yam... w,.,p.— n- rt -.M,...... , r "'^'%vim"'MYx""pgpex S f.., 5 .x 5 c „ kk , LARP�T e. f is . , .. �,.,. ,: �. a a.: .., °iL. ,. . _ : x. .. w ... - , .. F. .. +.,.,.: ',, •.; .`,.: sx �,., 1. _. ..: :.. r ... 9 -, ,.. :. �; <,.:... '. .. :.,, ... ,. ,.. .. ,x ... .. c4.'� -,•.�. :4•, will