HomeMy WebLinkAbout064-180-008NOTES
PERMIT NO.
o
RESIDENTIAL
064-180-003 04-0604
EDWARDS, DAVID
�&?(* ' MASON CT., MAGALIA
NEW SINGLE FAMILY
Ar
Cav-Yl
14
a
SPECIAL CONDITIONS
. wt.
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
4
14
a
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITION
SUB -STANDARD. HOUSING LETTER
OFFICE COPY
t
Address
*ZS� GAS '
`Meter Date
{. ELECTRIC �L
.Meter By Date
e�r
of F zNc-
i
}
JOB FINALED (Date)
lj� Signature � U—& -J V\AOAGV_5�
t
J= OK
o =Not OK
-=,NotApplicable RESIDENTIAL -(Single & Duplex)
. = Not Ready
Date UND LOOR (Plans) OK except #'s
S; ZO,u ,ng -Setbacks -Easements -Flood -Slope
pg -'Main; Soils-Elec. Grnd.-/ " Ftg. Depth
Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Porches & Decks; Soils -Steel-/ /" Ftg. Depth:
Stemwalls, Main; Steel -Blockouts-Wrapped
-6-5t€mwalls, Garage; Steel-Blockouts-Wrapped
dd'.-Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
//D .V; Fall -Fitting -Test -2 Way C/O -Sewer Test p'" '
12. , Gas Pipe; Size Anchors -Yard Gasp ng; Size Test
j, . ater Pipe; Test -Anchors -Regulator -Service Test
1nums & Ducts; Clearance -Material -Support -Ins.
1 Gi rs-Sills-Anchor Bolts-Joists-Vents-Crippies -�
'16. Insulation ! '
Date / s� Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PL4MIBING (Permit) OK except #'s
1 ater Htr.; Vent -Access -Combustion Air Baffle
18 ater 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
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test '
Date• _ 20- Card B-1 LPr Date Card B-1 •A
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s.
24. Fixture & Transformer Clearance -Ins. Protection '
257 Elec. Receptacles Spacing -Lights & Switches at Doors
26. -Size Boxes & No. of Conductors Stapled
2 mex Installed Close to Edge of Studs & C.J.
equip. Ground made up w/Mech Fasteners -Bond Gas & Water
. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
I es Closet Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 Date Card B-1
Date - V -F Card B-1 t Date Card B-1
Date MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40 Attic Access & Platform if Furnace in Attic
Date -7-7-C•" Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FR` MING (Permit) OK except #'s
1. Sills Proper Materials & Anchors
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43�earing Walls over Girders & Floor Nailing
4/jf5raft Stop in Walls (rat proof)
5/Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
49. Headers & Beams -Size & Bearing
1*
Date FRAIKING
(Continued)
ers-Post Caps -Anchors -Connectors
filing. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
4r
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.,A
tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
roperty Line Firewall & Openings
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits '
V.
Stairs•_Width- Headroom- Rise- Run- Land ing-Fire Protection
5 ywoo oof 0*ert1ang-Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing lass Protection -Skylights -Plastic
-1 s - Qr60.
S Walls; Nailing -Bolts j ',
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date` 2,i@
Card B-1 1„r- Date Card B-1
Date ° I
Card B-1 6,fl- Date Card B-1
Date FINAj,(Plans)-OK except #'s
E Steps -Door & Sidelight Protection -Landings
ke Detector
urnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Blom Exiting
. G.F.I. & Bath Fixtures & Tub Access -Spa
le rim & Subpanel, Breaker Sizes & Labels
ZDellgiairs
& Rails
E51',ce
or Stove, Clearance -Hearth
lreplaec. Outlets at Wood Panel, Int. & Ext.
rt: Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
CA-Slec.
Outlets & Receptacles at Kit. Counter
•75. Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
r Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
sulation-Foam-Looked in Attic
63,.
-,Guard Rails & Deck Construction -Post Caps
LA2!Fdn.
VBents & Crawl Hole Door Drainage & Wood -Earth
_
Clearance Looked under Floor ❑ Yes
83.
Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters O Yes O No
84.
Stucco Brown -Finish
t,�.C.
Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
6&.
-"Exterior Elec. Trim, G.F.I. Receptacle -Underground
entilation Throughout House
lass Protection
9
orrections from Previous Inspections
92rf'a est -Meters Tagged, Gas -Electric
Ve'fVater
& Sewer Connected -C/O to Grade -HD Approval
ngy Compliance Certificate -Other Certificates
Ul"Address
Posted
96.
Fire Sprinkler
Date 10 -t3 -C9' 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:
J=OK
0 = Not OK
. = Not Ready 6iJ
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
5.
4.
Water; Location -Test -Easement Needed (Sketch)
Footings; Size -Spacing -Marriage Line
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
3.
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
8.
7.
Well Clearance & Disconnect
9.
8.
Utility Clearance
Electricity; MH Test
Roof; Shthg-Roofing
6.
Water; MH Test
Date
7.
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
POOLS (Plans) OK except ft
2.
Footings; Size -Spacing -Marriage Line
License Decals
3.
Gas; MH Test -Demand -Valve -Connector
11.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5.
Drain; MH Test -Fall -Flex Connector
Elec.; Receptacles and Lighting, Distance-GFI
6.
Water; MH Test -Regulator -Connector
Card B-1 Date
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Enclosures; Conduit Entries -Terminals -Listed
8.
Gas and Electricity Tagged
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
9.
Tie Downs -Type -Installation Cert.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main Conduit
10.
Exits; Insp.-Sketch
Health Department Approval
11.
Cert. of Occupancy
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
1.
Zoning Requirements -Setbacks -Easements
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
2.
Footings; Size -Spacing -Marriage Line
Carports; Windows -Doors
3.
Blocking
8.
4.
Gas; MH Test -Demand -Valve
9.
Siding; Nailing -Veneer -Stucco -Mesh
5.
Electricity; MH Test
Roof; Shthg-Roofing
6.
Water; MH Test
12. Braced Wall Panels
7.
Water and Sewer Connected
Date
8.
Gas and Electricity Tagged
Date
9.
Exits
POOLS (Plans) OK except ft
10.
License Decals
2.
11.
Verity #'s with Office
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
Date
5.
Card B-1 Date
Card B-1
Date
Elec.; Enclosures; Conduit Entries -Terminals -Listed
Card B-1 Date
Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws
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 ft
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
ENCROACHMENT PERMIT
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
1/0 % Z S 15
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: P PL)L- . nw�� OS
la. Company Name:
2. Address:•2_:� � E Lkr Cvho , Gly `I C(1L
3. Phone: C 5.s �\ �� CtO-115
4. Assessor's 0� cel I ;ID -- ®O9' _
5. Location of Work to be Done
60 9G M Ai. ON C 0 U W' _ r--\f���+L_I /} 8P 6q-6601
6. Applicant's Signature
CONTRACTOR'S INFORMATION
8. Contractor's Name
/S
9. Address
07 7
10. Phone9 + ���C �. �
11. Fax:
12. Contractor's License Number: f .9 25
r
13. Certificate of Insurance: Yes NO: ❑
14. Contrac r' Si
14a. Date Signed: p
authorized Agent.
TYPE OF WORK TO BE DONE
16. Please Check:.
Curb: C� Gutter: ❑ Sidewalk: El
17. If Driveway List Type:
18. Other Work - Describe:
19. Plans Attached:. - //
El Yes 0
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 ranted.
20. Conditions
C -14V- /�oly i R / z "'- 2 f / !7 i �t ?0.v erjY Or
on r -te 1eA;nd C1Art .
i
x o
Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800,-121--2600
21. t&All work shall conform to accompanying: Detail 13 PI ditions 91
22. Date Issued s C) C y
23. Expiration Date: <- a /2 t
c J
24. Sur
25. Date Paid: ! ,�
1.
26. Amount Paid: /
(�,
G aid �y�� a
r
28. Receipt 1�� a
Mike Crump, Director of Public Works
By:
CoUnty
29. Final Inspection Date: _
- � - v 5
30. Inspected By:
-(-L
Completed - OK ❑ ompleted -Not OK
❑ Additional Comments Attached
Use Onir.
SI. Comments:
Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week.
Page I of 2
y ENCROACHMENT PERMIT
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.htmi
NOTIFY COUNTY 24.HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
Permit Numberrr
�/ U % Z S G
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: ,y1 � E (:�}�. A✓F t C V(tr-0 L (k I, A 7,b
3. Phone:
(. Ct
4. Assessor's Parcel Number:
e(Q, - ti r, C) .
5. Location of Work to be Done
GO FG M A, on/ Ca�s2'f M RCA L1 i
6. Applicant's Signature
CONTRACTOR'S INFORMATION
99 F
8. Contractor's Nameaw
9. Address
10. Phone:t
8� - C� - . ��.
11. Fax: Q
12. Contractor's License Number: � - f�
9� J A
13. Certificate of Insurance: yes L�f No: ❑
14. Contract r' Sig
14a. Date Signed:
is
15. Authcrrized Agent:
TYPE OF WORK TO BE DONE
�,/
16. Please Check: Curb: 519 Gutter: ❑ Sidewalk: ❑
17. If Driveway List Type:
18. Other Work - Describe:
19. Plans Attached: - // i
11 Yes 0
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 ranted.
20. Conditions II "`
C Y !7 !L?av e rrY' aY
an refe Le 0i Curb 0/{.
Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600
21. RAII work shall conform to accompanying: Detail 93 Plans ❑ Special Conditions 91
22. Date Issued S z� GL
23. Expiration Date: 5-� /2-0 /06'
24. Surety:
25. Date Paid: 1 u ' I,
26. Amount Paid: d�
27. aid B 2
28. Receipt No -
I �j
Mike Crump, Director of Public Works
By:
For County
29. Final Inspection Date:
30. Inspected By:
❑ Completed - OK ❑ ompleted - Not OK
❑ Additional Comments Attached
use only:.
31. Comments:
Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week.
Page l of 2
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BPO40604
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
Issued Date: lo. Ito' O+APN'' 064-180-008-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 6086 MASON CT MAG
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NSF (2064) DECKS (218)
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
Owner: EDWARDS DAVID B & SHIRLEY A
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
293 E 4TH AVE #3
7000) of Division 3 of the Business and Professions Code) or that he or
CHICO, CA
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
95926-3483
applicant to a civil penalty of not more than five hundred dollars ($500).):
U7 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: EDWARDS DAVID B & SHIRLEY A
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 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
and Professions 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.).
Contractor:
❑ 1 am Exempt under Article 3 pf the Business and Professions Code
X &
Date: b ((p o—! Owner: '&L
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance
Engineer:
carrier and policy number are:
Carrier:
Policy #:
I certify that in the performance of the work for which this permit is
Total Square Ft: 2064 S. F.
issued. I shall not employ any person in any manner so as to
Valuation: $134,160.00
become subject to the workers' compensation laws of California,
Census Code'
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:
Z
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
�1
39 54--�)-7T—
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County CodR and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
.s._ d (�
Name:
By Date:
PERMI XPIRES ON: �' �� ' OG
Address:
Date
❑ 1 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 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. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
Print Name: 4)�U` 11� �ZJt�AA aZ17S' Signature:
Date:
Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor
ja//aaM/.r.)v OK. �✓e3 3/12/oy
BUTTE COUNTY
DEPARTMENT OF DEVELOPME
BUILDING PERMIT APPL
24 HOUR INSPECTION #: (530) 538-7636 (OROVI
OFFICE #: (530) 538.7
'SERVICES
,TION
30) 8 2834 (CHICO.)
PERMIT NO.
-P
()+b b0
DATE: �% �Q
`r 0 —
APN: /
ZONING:
NEAREST CROSS STREET:
TRACT/1-07V
SITE A D S: M ASc� n Cc7 J
CITY. ZIP: ^ 5
Mall i
OWNER NAME: tp - S PHON
33- 90
STREETADDRESSI R i` s FAX:
CITY. ZIP: E-MAIL
APPLICANT NAME: PHONE:
/` FAX:
STREET ADDRESS: -M—IS
"l� Tom- d —c
CITY, ZIP: n1� i E-MAIL
WC -0 L� q 1 ` ctZ�
CONTRACTOR NAME: PHONE:
STREET ADDRESS: FAX
CITY. ZIP:
E-MAIL-
LICENSE NUMBER
ENSE TYPE:
ARCHITECT/ENGINEER NAME. P ON
STREET ADDRESS:
CITY' ZIP:
MA NUMBER E- IL:
DESCRIPTION OR SCOPE OF WORK:
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
SN o Vj L wab: ZCF-� -re 2-�'--t", PL& -57& ; >C 5 Q
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to
action on an application after expiration, a new application, plans and fees 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.
For office use only: c (� 1 S M l
Notes:
4 09 v° . a�
Application Received by: Date. l
Receipt number: �R r � Amount Received:
W
�t
TO: Building Department
y E.H. USE LY
Z PSea Attached
of ,Attached
ee
M is B.D.
—/ 7 U
FROM: Environmental Health
SUBJECT: Sanitation Clearance
L
V*)
Owner Location AP#
Plan Approve or: Sewage Disposal
Clfarance for elling. Other
Hold final for.:
Final clearance O.K. for:
NOTE:
Water Supply Public Private Well
8/96
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COUNTY OF BUTTE -DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISION
i S+w -t f�° 14� .�:• M•_5 .,.�...t.. .§ +..
D 7 Cbunty Center•Drive, Oroville, CA'�95965 Phone (530)538-7541 Fax (530)538-2140
r PERMIT APPLICATION DATA SHEET
rA �. C�_ U4 v �G
OWNER: }S ASSESSOR PARCEL NUMBER T • I i5 1S
Proposed Building Use: ���'`. -,i Counter Technician: Date: �J _
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o apply.
�p 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
:0 2. Complete plans, 3 or -4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
D 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in
duplicate.
❑ 9. 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.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
111 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑
17.
Fire Sprinklers............................................................................................
A
18.
Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by C)K
❑
19.
Soils Report and/or'Engineered Foundation required ...........................................
........ v< `
20.
Erosion Control Plan Required.....................................................................
21.
Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑
p/
22.
23.
City of Chico Plumbing permit...............................................................}.....
Calif6rnia Department of Forestry plan approval , J�paid. Sent by:/0..
8�-OTYK,
24.
Planning approval (A) Use: 0 K(B)Parking: (C) Parcel Check: 3� -
❑
25.
Contact Land Development about _ Improvements, _ Drainage .........................
26.
NPDES Form............................................................................................
ZW
27.
Encroachment Permit for driveway from the Public Works Dept ........................... �6Z--Qof
28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrier and Policy Number... ............ ...... ...............
31. Owner -Builder Verification (_ Given to owner, ^ Xailed to owner).._/R. .
❑ 32. Letter of Signature authorization .................................:......... ........
33. Recorded copy of Agricultural Acknowledgment...Statement................................�'-) a'0'1 SS AWo4 Kjc-
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
37. ❑ Gr t Deed, . M.H. Title/Statement of Facts, ❑Letter from Legal Owner, ❑Check to H.C.D. $
❑ 39. Other. -' ~~
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: - Q
1. Index permit application for the above items numbered: ` PlanCheck Letter
al items required r
lintractor,
esigner, owner, was advised of the above data by one, ❑ mail, ❑ counter, y Date .O
designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ c9unt/ereby Date:
Plans reviewed by: Date: Plans approved by: v Date
Structural reviewed Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
FII
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES / (/ ujj
OWNER l� Y�1 CA`t ( 1 A. P. 4-0`i' �v�
PROPROSED BUILDING USE DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due .....................
--- Additional Fees Due.......:...
---Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form a ailable after Plan Check)
O
3. SHERIFF FEES (paid at Building Divisio
Residential............ $360.00 =$
nits l
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$0 (paid at Building Division)
8. ATIE29TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
-----------
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT POa. . c_r-e-� DATE_ —'_�" d
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
National. Pollutant Discharge .Elimination System (NPDES) Phase II
Construction Storm - Water , Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1
Project Title: Z, - ASS (zU- . Arz"o J
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more 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 1 acreor more of land. I, further, certify that this project will not disturb 1 acre or
more 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 provided by law.
Signed:
Title:
Date: 3 ^ 3 "
29 -RUG -44 03:17 PIPER, TEL:003991S091969
4
y
Mr & • Mrs Edwards
64 The Old Dairy
Quarr Barton
Wiltshire
SN 11 OEB
ENGLAND 23.02.04 '
Dear Sir
We would like our son Pahl Fdwards, to act on our behalf, in submitting Plans for us
for your Approval to build a house, at:
Masons Court at. ?&gaiiri"
Regards Mr & Mrs Edwards Mr P Edwards
293 East 0 Avenue Number 3
Chico CA 95926
P:01
f
P:01
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-
:^ BUTTE COUNTY SCHOOLS IMPACT FEE'CERTIFICATION FORM
(One form per Building)
` R A 0
No.
� P 0406 d4
Sch6ol District
Building Department
A.P. Number Jurisdiction: City County
Property Owner r=70 WA w2
Property Location/Address /✓' A S o.,l
i -L- R T, A 4^ I_ i A
Subdivision
Lot No.
- ........................
..... ............................. ..................................
y
S' :'Jiarh
Residential Development I�;a,,., Q
0 I Sq. Footage
La -
No of Living Mobile Home
Addition/ 'Supplemental to
(Group R)
Units Installation
Conversion Permit #
*(No foundation inspection)
................................................................................................ _ ... i
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited
Use Facility document)
Commercial/Industrial Q Y Q
'Sq. Footage
New Addition
(Including Exterior
Roofed Areas).
Bui in Department Representative
Date
a
/;D'st 'ct Identification No.
School District certifies that
yj • - (Applicant) ,
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
-representing 20 Z square feet/
r
School District Representative
Paid by Check # � Remarks:
r
by payment of $
Date
Nbtke: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with
Govrnanent Code Section 66020(a), wtthln 90 days from the date hes are paid. Failure to submit a timely wAtten protist wlll'pmhlblt
you from challenging the Imposition of the hes In any court action.
If, subsequent to the School District Representative sig" this Butte County Schools Impact Fee Certification Form, the School District Is
i
notltted by the applicable Local Planning Agency that this project Is being reviewed under the CalUornis Environmental Qrraltty Act (CEQA),
this project may be subject to additional school fess to hilly mrttpate.tts Impact on the school disbidti schools.
White (applicant), Yellow (building department), Pink (school district) feetorm.xis I10/03)dmm
If
I
)(
7
ENCROAC
- •- -C4wnl !. af:BWe.DPpa tmerTt- of Puhric=Woiik3
7 Ceunt�Ceater_Dsiue Oraxillr,.CA95965.P.bbne. 530) 538-7157 Ext. 20f6 Fax: (53,0) 338-4336
Download Forms: W%VW.bunecotmty.met mbheworks!•femshtmI '
..,,No T-,+Fy- COUN:rY. 24.HOUS. BEFiOBEMMK.ISTO_REDONE..
Phone{5.31) S38 -7l -5T xL2016`
PeFrrritNumbev . IT
istjfet.
'AWLTEATMN :. .
I7 WF, the 'uttdersiprd;herzbgapply•tohermit to.do.thefolToWingwork under orover the County roads,
an , '•ail• itt eeemAep wwith ordiaaac=A d al laws.; • P information exce si ature must be d erle ibl i intcd...
1. Applic"'c�
AVI_+ ;
]n. Company -Name: �-
2. Address>
Ck E> .Lid- IS'1 -6
3•• Ttzone:,,���, J � • � ��' � O�� ... - 4. A'ssessor's Parcel Num r._
S_ Location of Work to be Done-
one-4044
404i,
6. Applloattt's:3ig
7. Date:
TION"
S. Contractor
9. Addrrrc
IO. -Phone I
12. Ctmoww- cl.icea Number
13. Certificate of insuraace Yes o: ❑
• -14. Contra Si . I. ...
-i4e:�ate 6igncd:•.�.!
vtruth �tget't.
16. Please CUwliLILDriyeway .List Type:
Curb: Gutter D Sidew:a�k:'D -
1 S. Other Work - Defetibr: 13 Pla»s llttached:.. — //
.,..FXJe T.GRANTED
Tu c�rraplience with %brabope tee—Md sebjeet Ns Q wn" con a=firms (;.rJ'I !W&Aose onpage 2 of this. permit form) and special conditions written below, <
t rtttissiet+ -is -hereby granted.
Under ei-vfce Atett S.A. Owe q4qq"jAqg 9giolI08neI"vation. 800-227-2600'
'zt. rRii work shall conforto acc�laPa>tyiog _ i3etait S� F{stns Sal C�di_.�
12: Date Issued.-. �d �/ 23.13iiration-D2te:.-->���
?5. T39td Paid:.,4mo+iatPsib... , �� a G ...
ZC.Sureiye:
28. Receipt No.:
o�9.4
1V ft-Cnmip, -Director. of • --4�jc lWarkc .
BY
'29.17mill inspectsan TOM..
•3e: iegpe6way: .O.CamFleted
.OAdditioriW.CQmments
-.OK Q ompleted —Not OK
Attached
Or Coanry
Nou:.Ilpermits-art faiiedtowymm>berbes.up.to. one -week
Page I Jf 2
ENCROACHMENT PERMIT
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
U % Z3 E';
District
2
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: ^ Pel, ,
la. Company Name: `_-
2. Address:2-�� A✓L IsC,�{1LJ i G(k JSc►'�6 _
L
3. Phone: �� i L�-3 - Ct o+l (5
4. Assessor's Parcel Number:
5. Location of Work to be Done
6094 MASoV<, CouRI_ MPtCA L:1 R
6. Applicant's Signature
_ 7. Date: -
CONTRACTOR'S INFORMATION
8. Contractor's Name �j n I . ' s .
9. Address o
�7
10. Phone: -�
11. Fax:
12. Contractor's License Number: �+/e--
13. Certificate of Insurance: Yes NO: ❑
14. Contract64 Sig r ;
14a. Date Signed:
15. Authorized Agent:
TYPE OF WORK TO BE DONE
16. Please Check: Curb: Gutter: 11Sidewalk: 1:1
17. If Driveway List Type: S 3 %
18. Other Work - Describe:
19. Plans Attached: -- //
❑ Yes LNo
PERMIT GRANTED
In compliance with the above request, and subject to all terns, conditions (including those on page 2 of this permit form) and special conditions written below,
permission is hereby granted.
20. Conditions
C 14 Y b 1eav i rt / Z -' Z �i �avC ent or
CQ t7 r
Under round Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600
21. EAll work shall conform to accompanying: Detail ® Plans ❑ Special Conditions 91
22. Date Issued S, 7- C) 0L/
23. Expiration Date::5. /ZG /C's'
24. Surety:
25. Date Paid:/ U
26. Amount Paid: 040
� a G
28. Receipt o - a 41
Mike Crump, Director of Public Works
By: 42::��d
For County
29. Final Inspection Date:
30. Inspected By:
❑ Completed - OK ❑ Xompleted -Not OK
❑ Additional Comments Attached
Use o,iy:
31. Comments:
Jote. If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week.
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