HomeMy WebLinkAbout064-150-019064-15-0-019 #98-2631
HORTON, JEFF�\
14415 COULTER Y,MAGP� I
OWNER w
NEW S/F 3 BEDR00 i r
064-150-019 00-0 73 `
HORTON, JEFF
14415 COULTER WAY GALIA
CONTR:OWNER ,
IST RENEWAL OF BP#98 631
1
la
064-15-0-039 #98-2631
' HORTON, JEFF
RESIDENTIAL '14415 COULTER WAY,MAGALI
OWNER
1\fEW S/F 3 BEDROOM
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
`.ASSESSOR PARCEL
LOCATION
1
�1
Oma, J
CHECKED
y- SRA BY
FLOOD CERTIFICATE REQ.
FIRE-SP_RINKLERS_.REQ= _
OFFICE COPY
a ra Address
,Temp. Powe,
Called I GAS
i Meter B Da
! ELECT
Temp. Elea Meter By Date
1
Celled E �rvieia �y
t , ELECTRIC Da� �✓
Temp. Gas ; Meter By
Called PG&E
JOB FINALED (Date)
Signature
✓ = OK
O = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single & Duplex)
Date
_!IN-DERFLOOR (Plans) OK except #'s
oning-Setbacks-Easments- IoodSlope
tgyMain; Soils-Elec. d. //,2/° Ftg. Depth
tg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth
tem ails, Main;'Steel-Blockouts-Wrapped
temwalls, Garage; Steel-BlockoutsAtVrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8. Pier - ireplace Ftg.-Steel
WV.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
h
ater Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Orippies
15.
Access & Ventilation
16.
Insulation
Date
Date
9 Card B-1Date Card B-1
Card -1 Date Card B-1
Date
UMBING (Permit) OK except #'s
air Htr.; Vent -Access -Combustion Air Baffle
ater Pipe; Tes An =Nail P
1 D.W.V.; T i s & Ancho ail Protec ' rY
20. Shower Pan; Test, First Floor -Tub ss
21.
Te ub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
E CTRICAL (Permit) OK except #'s
atur 'Transformer Clearance -Ins. Protection
,Receceptacles Spacing -Lights & Switches at Doors
ize es'& No. of Conductors Stapled
ome lalled Close to Edge of Studs & C.J.
qu' . round made up w/Mech Fastners-Bond Gas & Water
2
Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Seri Riser Conductors & Ground -Main Disconect
32
'p. Clearances Panels -Motors -Meth. Epuip.
o s 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
ANICAL (Permit) OK except #'s
C. cts Insulation & Support
en n, Exhaust above insulation
on sate Drain & Overflow, Size & Grade
um�e Vent Access -Comb. Air-Retum Air Vent 115 outlet
c Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ING (Plans) OK except #'s
APrtit_sRmj5_er Materials & Anchors -
all ds -Nailing Spacing & Braces -Plates -Sound
Tean
:pTlhalls over Girders & Floor Nailing
afii in Walls (rat proof)
Fire S ps; Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearino
Date FRAMING (Continued)
dYCiingyloi'st-RfV. Ties-Purlin-roff Brac: Truss-Shting: Rfng.
48
re Ties or Type A Flue -Fireplace Throat clearance
A✓ttiss; Size & Romex Protection -Draft Stop -Ins. Baffles
60!Sdnn. �ffiindows or Exiting Doors -Sill Hgt. & Dimensions
§g —r6pe ne Firewall & Openings
rs-One 3 -Check Garage 3rd Story, 2 Exits
tair • idth-Headroom-Rise-Run-Landing-Fire Protection
lywee .eri Roof Overhang -Attic Vents -Rafter Outriggers
ing-Nailing Veneer
57. ccot> o Mesh- p Screed -Fd. Vents-Underflr. Access
95��zing Area -Glass Protection -Skylights -Plastic
59. Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date /J�Card B/ Date Card B-1
Date`' - Car Date Card B-1
Date INAL (Plans) OK except #'s
E5,-,(e%ps-Door & Sidelight Protection -Landings
Smok tector
rnace; Vents -Clearance -Comb, Air-Conector-
In a e; Above Floor -Ducts -Meth. Protection
oom Exiting
G.& Bath Fixtures & Tub Access -Spa
0&.-Tfm & Subpanel, Breaker Sizes & Labels
30!Fir ce or Stove, Clearance -Hearth
Zwtl!c tlets at Wood Panel, Int. & Ext.
it "t. & Appliance; Ground. -Air Gap -Cooking Clearance
EletAutlets & ReceiAcales at Kit. Counter
42fGar 'Fire Door; Swing -Landing -Closure
.0 ct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Gar e; Above Floor -Meth. Protection
6�_& Mech. Equip. Listed for Location
I ecetacles in Garage G.F.I. -Romex Protection
ns on -Foam -Looked in Attic
uar s & Deck Construction -Post Caps
n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82) Following Instld./Drive 0 Yes Rbls 0 Yes -6/ -Planters 0 Yes O -Wo
. Uryt-Disconnect, Electrical -Plumbing
,$5�nts 'Ve Roof, Pibg-Appliance-Fireplace-Clearance to Openings
ate ell, Disconnect, Electrical, Plumbing
to ' r`Elec. Trim, G.F.I. Receptacle -Underground
entilati6n Throuaht House
,tjD!Corr ns from Previous Inspections
1 a st-Meters Tagged, Gas -Electric
ate ewer Connected -C/O to Grade -HD Approval
2potin_ergy Compliance Certificate -Other Certificates
Date /� Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V=OK .
0 = Not OK
Not Ap
Not Readyble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Locad Test -Fall -CYO -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / ^:ft.
/ /Nat. or/ / L°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
Date
2. Footings; Size -Spacing -Marriage Line
Date
3. Gas; MH Test )emandValve-Connector
4. Electricity; MH Test-Crosso%ws-Breakers-Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
10. Plumb.; Cir. TestANater Supply Test
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-Dep"pacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rttrs-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 #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. TestANater Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
COUNTY OF BUTTE
BUILDING DIVISION j
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 89172751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
16 tZ a
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation, •
please contact this office immediately.
Date fWzd
REV 10/92 fi; ,, • � :``.�',
:.'�'"'„"r'��-„�,('nr^k"'-r%•tti���9c.i+�Y,..�.a+^'r ��l+.Yy.. —... "'`�.� s - ,
Y
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751'
7 County Center Drive - Oroville, CA -.(530) 538-7541
j.
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is ;
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
k .iC
♦ X
~�s
•c�
.d
y
Date _.Inspector
REV 10/92
LOERKE INSULATION CO., -'INC.
... . ...... ...
14415 Colter Magalla
INSULATION CERTIFICATE...
County..... ..
....
DESCRIPTION OF INSTALLATION
1. ROOF"
Brand Name.—..-,.
Thickness (inches)
Thermal Resistance (R -Value)—.
2. CEILING
Batt or Blanket Type—Fiberglass Batts—___
Brand Name ... Johns Manville
Thickness
Thermal Resistance (R -Value) . ..... R30..
Loose Fill Type Fiberglass
Brand Name Johns Manville .......
Contractor/s min. installed weight/ft sq._,59Q..
lb. Minimum Thickness...13' inches.
Manufacturers installed weight per square foot to achieve Thermal Resistance (R Value) R30
3. EXTERIOR WALL
-Material. ..Fiberg less Batts—,
Brand Name __Johns. Manville__..
Thickness (inches} 3.5"
Thermal Resistance (R -Value) . R13
..... ......
4. RAISED FLOOR
Material . Fiberglass. Batts.... . .. .... Brand Name ---- Johns.Man0l.e..... ... . ...... .....
• Thickness (inches).... Thermal Resistance (R -Value).
5. SLAB FLOOR I PERIMETER
Material .. .... ......... ........ ... Brand Name
Thickness... Thermal Resistance
Perimeter Insulation Depth (inches).....
6. FOUNDATION WALL
Material Brand Name
Thickness (inches).. Thermal Resistance (R -Value)...
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 applicable.
C14499160 LOERKE INSULATION CO., INC.
S iowr* ate FnsWWP_n_gS"U'bcontni6f6FjCo, Named r
GeneralContractor(Co. game) Or Owner
Signature, Date Instal'li-n—Mu- Econte) Or
(Co., pto�(Co* N
General ontractor ( Name) 8r Owner
Item #s Signature; Date . ... ....... . ..... ..Installing Subcontractor (Co. NOIM6j O�
General Contractor (Co. Name) Or Owner
Td W90:20 0002 60 'h?W 09GOT6002S '0N.XHJ 'ONI''00 Noiiu-inSNI 3N6301 : W08J
_ t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive o Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT OIZ5
ASSESSCE N MB
`dWT 1-6' 019
ZONING
A-1
BUILDING PERMIT
OWNER
IFFF
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS _
J
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee 2 ORIGINAL $ 279.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDIN 14D415 COULTER WAY, MAGALIA'
Energy Plan Checking Fee $
b
$
PERMIT FEE $ 299.50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF [R Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: EST RRNRG7AT,198-9641
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
800V0UES
Main Service 20OA OR LESS 23.00
CENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full f rce and effect.
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.
A2 I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. _
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DWEwNG OCCUP. SO
OR ADDNS. ( a ACC. BLDs. 3.50x:
RR UI g7.50
NON -REBID. MULTH, CIRCUITS
POWER APPARATUS
8 SINGLE OUTLET CR.
Ex. Occup. OUTLET OR FDnURES 20 @ ''50
BAL p .so
FIXI
Ex. Occu . oUTELETS RESID.OE., 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthw&cmpwit os provisions.
//Wk*���of
ate
Signat o- R Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 000 r1r)
HAZ.
O FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By ate
PERMIT EXPIRES ON 1/12/2001
Defy
Receipt No.
WHITE-D.D.S.-B.D. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature. .
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1: I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES NO[ 1.
Z: I )IiAYE ] -HAVE NOT 1 Signe an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following..pecsons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: /
SOCLXL SECURITY NUNIBER: �✓ / `
DATE: //9-1/ -0 (D
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
A
O.B.- I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks* for you if you do not carry out these obligations, Wand these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This O-,rmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
COUNTY OF BUTTE - DEPARTMENT--MDEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 *,Telephone (530) 538-7541 PER IT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 64-150-019
ZONINGA_
BUILDINGPERMIT
OWNER HORWON, JEFF
M-21678
SO. Fr. OCC BUILDING VALUATION
OWNERS "AILING fog 2 COUTELENC RD. MAGALIA
CONTRACTOR'S NAME ., OWNER -
TELEPHONE
{�
V i
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS -
Fireplace G `�
Total Valuation $ Fj
ARCHITECT OR ENGINEER
L
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee $
3
BUILDING ADDRESS 14415 COULTER WAY.
Ener Plan Checking
Energy g Fee $
j
MAGALIA
PERMIT FEE $
b
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF P( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New )ff Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW S/F 3 BEDROOM
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
Z
ELECTRICAL PERMIT
Fling Fee 20.00
00LESS
Main Service 200A, OROR LESS
=,v,
e�
23.00 Ii
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( g )
and my license is in full force and effect.PSINGLE
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
%Q 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 IOOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. S.
SO
3.501.
NEW CONS . MULTI -OUTLET
NON-RESID.
@7.50
8 OUTLET OWER APPARATUCIR.S
Ex. Occup.OUTLET OR ARES
�0 @'_ 0
Ex. Occup. ouTLEEDTS EES,D.OFR
R.A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
11011c
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall.TAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Sign r # pp icant - Q Owner ❑ Contractor ❑ Agent
onstruction/
An OSHA permit is required for excavations over 60" deep and demolition or construction—"ate
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating if
Cooling
Hood 6.50
Ventilation cj
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONS .
FEE $ _23
HAZ. D. FEES P FLOOD CDF
This permit is hereby ed under the ap
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By ate
40111-
PERMIT EXPIRES ON
Ia1
P CEL HD 6S
ale provisions
to do work
paid.
, , k
L ®�
Rec I o. 15, 0 Z3 4P26,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLDEN ROD -APPLICANT
U('R-( `U6L06 /"i,1U7, i�/i
COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICESI BUILDING DIVISION Tr``5 f 1t,71
7 County Center Drive - Oroville, California 95965 - Telephone (530) 53 ;7541 b r R1T�NO.
(Rev.1,9/96r `- " APPLICATION AND PERMIT o
ASSESSOR PARCEL NUMBER �,/� JM/ (� Q,
ZONING
L91JILDINGPERMIT
OWNER / ori.v'0 'JX73
/F
TELFDHONE36 26
SO. FT. OCC. BUILDING VALUATION
6
z
OWNERS MAILING ADDRESS /
(e62 C���e ,Nc /
g
o0
CO CTDR'S W1MEI J �/ TELEPHONE
O S7 •10D
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
EF1111111
b LJ
LENDER'S MAILING ADDRESS
Total Valuation $
/ 0 0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ J
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ '6 3 ,
BUILDINGADDRESS / 1 �Oa t� / /�
Energy Plan Checking Fee
$ 23
$
J
PERMIT FEE
$
LOT NO.
SUSDNLSIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00 S6
USEOFSTRUCTURE
SFDuplex ❑ Mobilehome ❑ Other
SPECFv
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00 /-
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑
Describe Work:(
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE
$ 136
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 80. oa LESe.
23.00 23 '
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation Insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit Is Issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60"d p and demolition or construction
of structures over 3 stories In heigh .
Main Service TO 1000A
46.00
NEW CONST. p DWF]J.INCi OCCUP. SO
W
OR ADONS. �/� 8 ACC. BIDS.
NO RESID T. MULTI.OUTLET @7.50
POWER APPARATUS
8 SINGLE OUTLET At
OUTLET OR FIXTURES
Ex. Occup. BA2OL ° ':s�o
Ex. Occu . Dt1 Ors RESID.)AP NS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ /10. % %tf ��-
MECHANICAL PERMIT Fling Fee 20.00
Heating `5—
Cooling15-
Hood 6.50 6 fa
Ventilation Yjro
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $ 6
c?'
'7 Tv TOTAL FEE $ 2„�,5Q
HAZ.
_
.FE IMP
D
CDF
PARC
PD
I HD
r
ISSUE
This permit Is hereby issued under
Of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
w-
Receipt No. FV
WHITE-D.D.S.-B.D. CANARY -A ESSOR P) -INSPECTOR GOLDENROD -APPLICANT
G���� z -1, /31 "�
COUNTY OF, BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 1- / f— ���►-rte �-� ASSESSOR PARCEL NUMBER: / ' /� v �l
Proposed Building Use: #L'' ),gti /c' Building Inspector: L`-- Date:
At time of permit application, I was advised the following data must be submitted prior to permit p , cessmg and/or issuance:
Date Received By
❑ 1. All iiems have been submitted .-------------------------------------------------------------------------------------
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans.
E14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
IV ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
- . nergy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
❑ 8. Hazardous Material Form.
09. Manufactured Home data and installation instructions including Tie Down Specifications. ------------------
9410. Fees of $ '
❑�1, Impact fees as shown on the attached schedule. ---------------------------------------------r------- - - ---
.212. California Department of Forestry plan approval/fees.--------------`-5- 1-1-f � �`-4-t-�.- El 13. 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
Sanitation and plot plan approval I./-0 Health Department. -------------------------------------------
1115.
------------------------------------------
❑15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ Planning approval for (A) Use: (B) Parking: --------------------------
18. Contact Land Development about kf Improvements, ❑ Drainage, eLegal Parcel. -----------------------
0c,❑sl.�Encroachment Permit for driveway (construction approval prior to occu anc ��' /Z Z S E
P Y) ----------------------------
❑ 20. Pre -inspection for required. Request to Building Inspector on -
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑ 22. Workers' Compensation carrier and policy number. --------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑24. Letter of signature authorization. ------------------------------
ecorded copy of Agricultural Acknowledgment Statement.
26. Letter of intent on building use. --------------------------------
❑27. Manufactured Home utility clearance. ------------------------------------------------------------
❑28. Existing violations and/or expired permits. ------------------------------------------------ -----
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other: 11-110.
When you issue the permit, process as followskKIail to owner, ❑Mail to contractor.
/1&-0,-9f'
❑Telephone and hold for pickup at office. ❑ Deliver with inspector.
_ (Date)
Applicant:loo< 1� Date: Z/� / 'V
Copy of Haz-Mat form sent C3Health Department, 11Fire Department, ❑ Air ollu Date: By: -
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: �I
1. Index permit application for the above items numbered: 1 ��� 11 Plan Check List
2. Additional items required: • `" J
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer,as f the above required data by 11 phone, ❑ mail, ❑ Bui r 'siotrsounter, by Date:
Plans reviewed by: Date: 2 `f Plans approved by: �� Date: i
Sets of plans on hold in Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy -Department of Development Services, Building Division. .` `" ou. Wl. {p �l�,l. wk,4Z
COf�•G�L
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
f� E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached as
Sent to B.D. Q
O-Z�
larl'a-11- r i/,'rMv4j" mss C nIfer &* - /SD - O 19
Owner Location AP#
Plan Approved for: Sewage Disposal -,Y Water Supply: Public __Y Private Well
Clearance for 3k_ dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
17 - 90
Environmental Health Specialist Date
'"
�rY;l�vw• �nr�+.r,Y,,��.n+"�ti''*y„qtr+Yirir.r,..�+F*�+'Wks,Jr''„�rnT�l'yr4rRY'1t�+iM+her+M4'a-tA�4•'qr�`����.r�`uf'�l�.v+l..�'Nbltil^"ii..�hy�+•�x1'•.Ji�µ�^�.r'"#k'..:i�i,r9��n..i) y,�,;...
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One forme per Building)
School District Lew lwi• "' Building Department No.
A.P. Number V&aq —0t17 Jurisdiction: City County
Property Owner J.P-r 'Hy r4op
Property Location/Addressf .'Ti C
Subdivision Lot No. a'
................................................................................................
Residential Development Sq. Footage 815410 .
No o Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
'i
*(No foundation inspection):
-..,..............................................................................
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Departmenteprese. nti' ive „r Date
District Identification No.
I
(Street Address)
School UrStrlct Personnel)
7
School District certifies that
- k t..
(City) (� (St
has complied with the requirements of Resolution No.
representing squarefeet.
11
School District
Paid by Check iY Remarks:
7 j
(Applidint)
(Phone Number).
IZip'Code)
by payment of $
AB 2926 S
FULL MITIGATION =
Date
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'Schooibistrict is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEGA).
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.x1s 110/98)dmm
I
,r ..._,• - w . T - r- ._.: ..,,� ....-.-� -..- �-.. .. .—."ri_-rssw,.**+w'+..r.°*ttrt•,.s`e•^.'n4^^'.,,,,�„'y... .,...-•r.rr•a.�-.-.r..-.... -` � _, .
COUNTY OF BUTTE '
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (9 16) 538-7541
SCHEDULE OF FEES DUE )
OWNER jek4o-op' �0,4.-P't7��.I
PROPOSED BUILDING USE alb&
1. BUILDING PERMIT FEES
-- Balance Due . .). ' .......... $ . �%
-- Additional Fees Due :.......... $
J
-- Additional Fees Due ........... $'
Revised Plan Checking Fee ....... $
i 2. SCHOOL DISTRICT FEES O S 1Q
pad at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $ �� a
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x ' = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq. Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division) /0,1
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
A. P. #
DATE I/ �� Se
REC # DATE REC
aLl
2 7%Z3
25V 914%
10. OTHER
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.
APPLICANT DATE
Original -Owner Copy -Building Div. (Rev. 12/96)
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signaau+e.•
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until dds
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES &I NO C
2. I HAVE M HAVE NOT o signed an application for a building permit for the proposed work,
3. I have contracted with the following person (firm) to provide the proposed constrtution:.
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coord ns a
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have'contracted (hired) the following persons to prpvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: 41
SOCIAL
,
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of the
California Health and Safety Code. This verification must he completed and
returned to our office before we are permitted to issue the permit
OVER
I OWNER BUILDER INFORNIATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner-buildee, you are the responsible parry ofrecord on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection: '
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (inchndiog maurk s
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractod or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and yoi larc
subject to several obligations including state and federal income tax withholdin& federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦
There maybe financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance. '
♦ For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contmc!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete -the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
ji rely, el C. Vi ira, C.B.O.
ger. Building Inspection
NOTE: This Owner-Builder.Information is required by Section 19830 of the California Healdr and Safety Code -
OVER
RE: Attached Building Permit
Dear Permittee:
utfe Count
L A N D O F NATURAL WEALTH AND B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
Attached is your building permit along with the approved set of plans
and a job card. Please post the job card on the job site in a
conspicuous location for the inspector to sign during the various phases
of construction, and also have the approved set of plans on the site at
all times. Inspections will not be made if the job card and approved
plans are not on the job at the'time of inspection.
Please review the approved set of plans before construction and make
note of any corrections made in red. If any of these notes or
corrections are not clear to you, please contact this office - do not
proceed with the work without making the correction.
The job card must be signed by the inspector before proceeding with each
item listed. Should he not sign the card, a white correction notice
will list the corrections to be made and a call back inspection must be
made before going any further. Please allow 24 hours for inspection
service.
As a reminder to you, it is illegal to occupy this building or portion
of building for which this permit is issued without approval from this
office. On certain occasions a temporary occupancy will be permitted.
Please do not confuse gas or electrical service to the building as an
occupancy clearance. Before occupancy, all of the "final items" listed
on the job card must be signed by the inspector or special permission
given.
Your permit expires one year from date of issuance. If the work has
started, but is not completed and finaled by the expiration date, a
renewal permit is required. If the renewal application has not been
made within 30 days of the original permit expiration date, or if the
work has not commenced, a new permit application and fees will be
required.
URgn completion of the work covered by this permit, please contact this
office for final inspection.
Should you have any questions concerning this letter or any other matter
pertaining to building construction, please do not hesitate to contact
this office.
Micliael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
UNITED STATES
POSTAL SERVICE TM
Because we know your time and money are valuable,
we suggest you call your local Post Office before you
install a mailbox. Call 1 -800 -ASK -USPS or
1-800-275-8777.
Ask to speak to the Carrier Supervisor, who will tell
you the proper location for your box and explain current
requirements for mailbox installation.
w
The location and other requirements must be
approved by the Carrier Supervisor, before your carrier
will begin delivery.
9hanking you for your cooperation,
` 7ic United States Postal ,Service
and your. Local Post Office
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BLILDIIVG DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95%5
NOT COMPARED WTht
ORIGINAL DOCUMENT'
Bic .1 1996
I C1 R 8- - 0051(,(40
AGRICULTURAL STATEMENT OF ACI0IOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this ackmowled
The property described herein is adjacent to land or included within annt tarea zoned o be forprior
n culturaluanu of a building permit.
this property may be subject to inconveniences or discomfort from the use of a purposes,including,
and residents of
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural open irons including, but otllimritedbot ultinot vat,ed
plowing, spraying, pruning, and harvesting which occasionally generate dust, Smoke, noise, and odor. Butte Counh- 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:
Lot 164, as -shown on that certain Map entitled, "p
which Map was recorded in the Office ARADISE PINES UNIT 13",
Butte, State of California, on May 13, 1971 Recorder of the County of
a,_-
page(s) 28, 2.9, 30, 31 and 32. Y Book 38 of Maps,
Excepting therefrom all minerals, o_, gas, asphaltum an 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 the surface of said
.land.
Date: / 11q
I
1✓R0PERTY OWNERS.
-a&, /
Al
State of California )
County of A&(776 )
/1 If before
personally appeared�TcGFF/P�/ R`7'D�7y� /9/Cl� ���f%� - A&R70 "J
proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) */are subscribed to the
within instrument and acknowledged to me that ./they executed the same in4Pi &w/their authorized capacity(ies), and
that by 1slmiloNtheir signature(s) on the instrument. the person(s) or the entity upon behalf of which the person(s) acted,
executed the Instrument.
WITNESS my hand and official seal.
Signature,
A.P. 0(q- 15o- 0 f 7.
DIXIE L HELBERG
r COMM. #1078038
0 A NOTARY PUBUGCAUFORNIAO
(� BUTTE COUNTY 1
My Comm. EVkw Deo. 9,1980 d
Permit Applicant: e �°(4vn Permit Number:
Q
Assessor Parcel Number.4 " 5� — l l Date: l Z
The above referenced buafing . plans were reviewed by this o0ce Provide adddonal
in�ormatlon and/or make. revisions to plains, speci}icadow and ccrlcsrla#ons as follows:
O'i enc fa.f� ego
kevi'
Of— V&r�5jaAOd, m.�in;t�6-nP d �oor
�} ,b� 4UA-, �r
Gui n�o-u� aAzOL 10 �O wad
fed
jLzv� 4A"
If you wish to discuss any requirements, you may contact meal (916) 538-7541 between -00
P.M. and 41: 00 P.M., Monday through Thursday.
J� 60ill C�Om-e- 6,�7 ll wl cvI# �e,v�sea( /"W0
RESIDEI IAL PLAN CHECK GUIDE
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
OWNER: J� 410�Y4 7r BUILDINGP ER`.` -q8 31
PLAN CHECKER: ryl-i L( A.P. NUMBER:
GENERAL:
Zoning requirements: (side yards and number of permitted living units).:
. Valuation.
Plans signed by designer.
,4' Proper description of work on application. ,
};-3< Existing violations.on property. „
Items on data s&et,^(Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation.
PLOT PLAN:
1 Complete parcel size and dimensions.
2. Setbacks, side yards, easements, etc.
X Other buildings or structures.
Grading, fills and/or drainage.
Flood hazard.
,k"- Special conditions on creation map (Noise, SA.A., Fire Sprinklers, Water Tender, Trees, etc.)."
F.A.U. & F.A.S. road setback.
;;- Building or utilities across lot lines (Record form).
FLOOR PLAN:
Complete to scale plan with dimensions.
,2! Required windows for light and ventilation (Section 1203).
Required windows for second exit (Section 310.4).
,4"� Skylights (Section 2409 & 2603.7).
,5! Glazing in Hazardous Locations (Section 2406).
6. Required room sizes, ceiling heights (Section 310.6).
7. G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).
8. Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
10. Garage firewall, door size and closer (Section 302.4).
,1.1! Minimum of one 3'0" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 310.9.1).
JA! Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS:
,1! Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
Standard bracing or engineered design (Section 2326.11.3).
,3! Clerestory requiring balloon framing and/or engineering. `
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
8. Roof construction details complete enough to construct building.
9. Rafter ties or bearing ridge beam.
10. Fireplace construction details and calc. if necessary.
Garage door and/or porch header sizes.
12. Stud heights.
,1,3" Adobe soils - special foundation design.
j'A/! Retaining walls requiring design.
Special Inspection requirements.
16.* Header size.
June 1997 3,2
[MISCELLANEOUS ITEMS TO L09&7UT FOR:
I . Stairway details: landings, n and nun, head clearance, handrails (Section 100
2. Guardrail details (Section 509).
3. Brick or stone veneer (Section 1403).
4. Exterior plaster - weep screeds (Section 2506).
5. Proper roof pitch for roof covering (Section 1501).
6. Roof covering type - (fire hazard).
7. Foam insulation . protection.
8. 36" halls and stairways.
9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts.
10. Two exits on three - story dwellings (Section 1003).
11. Underfloor access and ventilation (Section 2317.7). .
12. Attic access and ventilation (Section 1505).
13. Combustion air for fuel bunting appliances - L.P.G. requirements.
Noise requirements on duplexes. aver
5. Energy design. (� ��
Flashing at all exterior openings.
17 C.D.F. responsible area requirements.
X18' Automatic Fire Sprinkler Systems (Section 310.10)
For Inspection Jacket:
Flood Hazard/Elevation Certificate .
7;7—SRA Requirements ,
Special Inspection Requirements
Automatic Fire Sprinklers
June 1997 3.2
PR d CT PROCESSING R#ORD
APPLICANT:
OWNER:
PERMIT #:
A. P.
WORK DESCREM
DATE
DES RIPTION OF STEP
LAND DEVELOPMENT
OE / CHICO
BUILDING / ENVIRONMENTAL HEALTH -PERMIT CLEARANCE Building Permit No.OWNEa D
NAME IggRS 141
a NUMBER
PRINT LAST NAME FIRST
ADDRESS / LOCATION: -'
COUNTY ZONING
DESIGNATION: �� FLOOD MAP: x FLOOD ZONE:
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIG TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: . - .YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: –YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION: ! 13 _
DATE OF RECORDING: J �-�� ! LO TD BOOK �� PAGE
COMPLIANCE WITH OLD SU IVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
�. Maintain a 50 ft. building setback from centerline of road.
—2. Maintain a ft. building setback from right-of-way/centerline
—3. Comply with Zoning code for building setback from road.
—4. Maintain a 100 ft. leachfield setback from all existing wells.
—5. Maintain a ft. leachfield setback from
6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
t _ 8. Connect to a public water supply.
t.
—9. Connect to a public sewer system.
10! Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire
Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA
Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the
parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
—12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
—14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the
Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
—15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety.
Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of
the Uniform Building Code.
—16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County
Code.
—19. 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. '' ; = --
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending
examination of the site by a professional archaeologist. This person would then be able to assess the site significance and
suggest appropriate mitigation measures. `
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24.
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26.
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LD 6/98
FORMS\BLDG PERMIT CLEARANCE