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064-180-030
(C v4 NOTES s,. t 3 t.. PERMIT NO r SRA RESIDENTIAL Or- 64_ I b0-030 04-2132 MURPHY, CONTNIE /qt/95_ CARNEGIE RD, MAGALIA Cont: GREENE ROOFING NEW SINGLE FAMILY -' OFFI E COPco Y Address ILI L ! I CJLA.1yu I GAS Meter By Date ELECTRIC r 1 R ✓' ' Meter By. U L Date—�2-0 5 111 SPECIAL CONDITIONS 'CHECKED BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY h Address C GAS q Meter By Date a ELECTRIC Meter By Date JOB FINALED (Date) b � ;, Signature � r 4 i { SRA RESIDENTIAL Or- 64_ I b0-030 04-2132 MURPHY, CONTNIE /qt/95_ CARNEGIE RD, MAGALIA Cont: GREENE ROOFING NEW SINGLE FAMILY -' OFFI E COPco Y Address ILI L ! I CJLA.1yu I GAS Meter By Date ELECTRIC r 1 R ✓' ' Meter By. U L Date—�2-0 5 111 SPECIAL CONDITIONS 'CHECKED BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY h Address C GAS q Meter By Date a ELECTRIC Meter By Date JOB FINALED (Date) b � ;, Signature J=OK 0 = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) . =Not Ready / , Date UNDERFLOwCR (Plans) OK except #'s YF ., Main; Soils-Elec. Grnd.-/ -P//" Ftg. Depth Ftg., rage; Soils-Steel-Elec. Grnd.-/ /':.Ftg. Depth 4. F< Poroes &Decks; Soils Stee /" , g. Depth 7 St gWer, Main; StegkBlock ts- ed ) 61e HDld'Downs and Special Anchors N _ ` gr .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 f,ZR Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1#10' Water Pipe; Test -Anchors -Regulator -Service Test 12.,Ferectric Underground IT P nums & Ducts; Clearance -Material -Support -Ins. 1 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. -Insulation Date [(Zctjf ' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date P U G (Permit OK except #'s 7. W er Htr; ccess-Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection 1 D.W.V.; Test Fittings & Anchor -Nail Protection (D •2 -DSl . Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. 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 a4/Fixture & Transformer Clearance -Ins. Protection ,.,,Elec. Receptacles Spacing-Liohts & Switches at Doors 2'6.,,Size Boxes & No. of Conductors Stapled X. Romex Installed Close to Edge of Studs & C.J. 11101 ( 28. Equip. Ground made up w/Mech Fastener - and s & Wate 2AK2 Appliance Circuits in Kitchen & Conductor ¢e 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. rvice-Riser Conductors & Ground Main Disconnect ui . Clearances Panels-Motors-Mech. Equip' ui . 3C Clothes Closet Light -Shower Light -Spa Light . Smoke Detector Date FRA,MING (Permit) OK except #'s ills Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 Headers & Beams -Size & Bearing Date F58Lfi!NG (Continued) Ex!,Steps-Door & Sidelight Protection -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Windows or Exiting Doors -Sill Ht. & Dimensions frim & Subpanel, Breaker Sizes & Labels 36. A.C. Ducts Insulation & Support —51,,Pfoperty Line Firewall & Openings 3 e t Fan, Exhaust above insulation Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Condensate Drain & Overflow, Size & Grade 56. wood on Roof Overhang -Attic Vents -Rafter Outriggers ST"Furnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Siding -Nailing Veneer 40. Attic Access & P�form if Furnace in Attic Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 AA Date Card B-1 Date Card B-1 Date Card B-1 Date FRA,MING (Permit) OK except #'s ills Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 Headers & Beams -Size & Bearing Date F58Lfi!NG (Continued) Ex!,Steps-Door & Sidelight Protection -Landings angers -Post Caps -Anchors -Connectors ,, 4S. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49._F4replace Ties or Type A Flue -Fireplace Throat Clearance 5@r 9ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �,Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions frim & Subpanel, Breaker Sizes & Labels iGarage Fire Protection Framing -RC Channel —51,,Pfoperty Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . 56. wood on Roof Overhang -Attic Vents -Rafter Outriggers lec. Outlets & Receptacles at Kit. Counter Siding -Nailing Veneer 58.Aucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56'. 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 FINA lans) OK except #'s Ex!,Steps-Door & Sidelight Protection -Landings moke Detector 66,.t ents-clearance-Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 edrqqm Exiting �8. & Bath Fixtures & Tub Access -Spa frim & Subpanel, Breaker Sizes & Labels 'Aa-'Stos & Rails fireplace or Stove, Clearance -Hearth 72. EI c. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter 7 ara a Fire Door; Swing -Landing -Closure Duct in Garage -Damper tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in rage; Above Floor-Mech. Protection f- 7 ; Elec. & Mech. Equip. Listed for Location EI . Receptacles in Garage (F.F.I.)-Romex Protection ns lation- Foam- Looked in Attic Guard Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes O No/Walks ❑ Yes O No/Planters O Yes O No 84. Stucco Brown -Finish M5-'A.C. Unit Disconnect, Electrical -Plumbing tents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wa Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground Throughout House "'Cor tions from Previous Inspections Gas Test -Meters Tagged, Gas -Electric M. er & Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates . Address Posted 96. Fire Sprinkler Date ((4,S QS- Card B-1 Date Card B-1 Date ((-(g - nSCard B-1 rj�J6 S Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 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 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- 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 TION' CERTIFICATE Job Number::::::::S.1J0T::'::: :::::::: ........... ::::::: STEVE .... .A ................... ...................... ....................................................................... ............... EURO. .......... .................. ........................ ....... ..... ........................... ........... ......... . ..... ............. Contractor/Owner Name Job Address (street, city, state) ............................. ............................. ............................ ................................ County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):38 3. EXTERIOR WALL Frame A. Cavity Insulation .............................. Material: iii tie Thickness .. ..... I .............. B. Exterior Foam Sheathing Material: Thickness (inches):::::::" 4. RAISED FLOOR Materi Fiber ...... , �..... Thickness (inches)::::::: 5. SLAB FLOORIPERIMETER Thickness (inches): Perimeter Insulation Depth 6. FOUNDATION WALL Material:.............................. Thickness (inches): ........................................................ ............... Brand Name:ICnauf ............. Thermal Resistance ... . ..... . .... ... . .................... Brand Thermal Resistance ........................................... Brand Name: ................ Thermal Resistance (R -Value): . .............. . ........................ Brand Name: .................................................... ...................... Thermal Resistance :. ................. ................. Brand Name: ................. 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 a ............................................................... . . . . . . . . . . . . . .... ........ Aftbliffi6h:, :C. I nk-io 4, .......... .............. ............. . . .......... ....... Item Number's Si ature ao Date 712 -� Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date i Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner WESTERNWOODS EWP PAGE 01/01 ENGINEERED WOOD SYSTEMS Certificate of Conformance Certificate 0 5 4 0 8 6 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products.— Structural Glued Laminated Timber 1 NER-486 Glued. Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 -'Manufacturing -- Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits In accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify -.onformance to industry standards for lumber grade and giueline bond quality, / X 5 /g r b.y Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS Is a related corporation of ARA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th SVoot 4 P.O. Sox 11700 • Tacoma. WA 98411.0700 Talepflott9; (253) SO&W00 - Fax Numpar, (253) 5857285 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 BUTTE COUNTY DEC 2 2 2PO4 DEVELOPMENT SERVICES ��'�104-007' 1 294 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:22AM 19 -Nov -2004 I REC FEE 7.00 1 CONFORM 1.00 1 I 1 I 1 I Shawnya I Page 1 of 1 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: �jlve5 GG.U�f J,ecivj/e ?�c 4,C frOe- c0a.0v/ 14/o a Al , e, C'e2 0 �9 Z ft e Co eoe e j9i d !��is , ,9 P� es 7 ��/ 3 �F A y Date I /O 7' PROPERTY OWNE �C'"'m/10 Awto V �1•1V'f s State of California ) County of-�•.o ) On est /toy o.Do V before me, E sb'nall appeared o a.r� personally wn tom (or proved tome on the basis of satisfactory evidence) o`be the pers n@.wh a nam ) ' a su scribed a wit in instrument and acknowledged to me that he/sh o executed the same in his/her ei authorized capaci ies and that by his/her heir signature6 on the instrument, the person(Mor the entity upon behalf of which the person(!) acted, executed the instrument. WITNESS my hand and official seal. Signature &alt - Seal: Mp g W'I�m V U commkism 01375= ,/� e%z. A. P. # ©jv "ARO - Q By Comm. Exp1m Sept 19, 2006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042132 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: 11/1912004 APN: 064-180-030-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 14495 CARNEGIE RD MAG Date: Contractor: Map Index: Description: NSF(2009)GAR(624)COV(60)OPEN(426) OWNER -BUILDER DECLARATION 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: MURPHY MARLYS & CONNIE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2104 E COLE AVE signed statement that he or she is licensed pursuant to the provisions of FRESNO CA FRESNO,CA the Contractor's State License Law (Chapter 9 commencing with Section of Division 3 of the Business and Professions Code) or that he or 93720-3937 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).): ❑ 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 Applicant: MURPHY MARLYS & CONNIE Code: The Contractors' State License Law does not apply to an owner of property 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 that he or she did not build or improve for the purpose of sale.). f 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 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: Carver: Total Square Ft: 3119 S. F. Valuation: $150,781.00 Census Code: Policy #: 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 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. Dater Applicant:�� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one �y��. IY �l jI 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. /-//-/.:v J . CONSTRUCTION LENDING AGENCY This permit' h reby issued under a applicable provisions of the Butte County Codp ?nrt/Or I hereby affirm that there is a construction lending agency for the Resol ions t o work indicted o e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: / Date: ! !J PERMIT EXPIRES ON: f . Date Address: ❑ 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. 1 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. �L�d`T y Print Name: �Y� Signature: Date: Owner O Contractor O Agent for Owner 0 Agent for Contractor bldg pot-, 4 a919 �4 BUTTE COUNTY /)O I )A g'i�. yo 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 REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Las Name City first Name ` � Address DO e v+� City �� State State07 Zip ' �d�D Phone _ 7—)-3,02 Fax xhf 1 E-mail . C V d 2 . �D APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Addre I 41 Flood Zone Cross Street Ij SRA Yes No Occ. Type Const. t r Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS 1e -1M 1CRAQ\QI 111 MOAlfa k0 ERMIT NO. BP u LOCATION A Property Addre I 41 C' Cross Street Ij WORKER'S COMPENSATION Policy Number Carrier ffhiring 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: Sq. Footage 0 Structure 13510vithdy—t Pe 0 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. ;?, 9'19.�q Received by: Amount �"BIHg SRA Receipt t46G ag g( Sheriff aff4lsaSMIP Date: Other e /' I6 _t7/ Total CY �. ro /Y SUBMITTAL 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 WINK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 JI I ir' r .,.., .. V , .,r.-.-•. •-+.,._:.; ,-.-..� r.-w....�.:-.,T...,.ry..y +r'v,.;i ._.r,: n •-yw...-1w '. ,•.r1 _ . �.`�tv.--•:.;"? .'M .. • X ` COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-754'1 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:ffvh, ( I)e �MOC a ASSESSOR PARCEL NUMBER Proposed Building Use: - / 'D 0o Counter Technician: i V Date: Items required in order to apply for a permit. All boxes MU9, be checked OR marked NA in order to apply. `[ice 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 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. l 6. Energy compliance design and supporting documentation in duplicate. ❑ 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 fnd 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 theser� 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 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............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ rosion Control Plan Required........................................................................ �/ 21 !es as shown on the attached Schedule of Fees Due Sheet ..............................� ❑/ 2. City of Chico Plumbing permit ..................................................... . . 23. California Department of Forestry plan approval4 aid. Sent by: �.. 24. Planning approval (A) Use: _&L(B)Parking: (C) Parcel Check: a ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ` 0 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....,.. ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... Vorker's Compensation Carrier an Policy Number .......................................... Owner -Builder Verification ( PGlven to owner, _Mailed to owner) ..................... j❑ etter of Signature authorization......................................:............................. 33 ecorded copy of Agricultural Acknowledgment Statement................el ................. ❑ 4. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits. ..................... ...... ermits.......................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone,S; - 12 0' -/Lf.020 and hold for pickup. I have been informed of the above items and•requirements for obtaining a building permit. Applicant: I�Yl�vrr.c.Je Date: % 7 1. Index permit application for the above items numbered: Plan Check,ifetter 2. Additional itemsre wred Contractor, designe , owne was advised of the above data by phone, ❑ mail, ❑ counter, byOUP1, Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed b : Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division .'r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M I t -C L) 0 Loc ti n E. 14. usE aW Y Piot Plan Attached Raw Plan Attache Sant to 7, 6 �$�C caner. AP# QY Plan Appiroved,ftic Sewage Disposal UV er S pply• Public Private II ClXranc fo welling. Other )T R1 0 r�� l� ry) %�i.l�rY. n r/1� _ t Hold final for: Final clearance O.K. for: NOTE: W .. 8/96 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 0Aw , 't �Q rlt4 PROPROSED BUILDING l .� 1. BUILDING ). --- Additional Fees Due........... $ ---Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES C is (paid at School District Office) orm available after Plan Check) `fa 3. SHERIFF SHERIFF FEES (paid at Building Divisio Residential............ $360.00 $ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg 4. URBAN AREA FEES A.P. # Q DATE -2-1( 7— R ECEIPT —RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ if 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 $ (paid at Building Division) �5�. (a b �4 TP 8. WATER TENDER 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. / I 10. OTHER � a 1 ��! 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 DATE 7 / b Pursuant to Government Code Section 66020, you are hereby notified tt 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) . OPSTMt N7 o �UTT�o� ° / C ° a ° ° cO� AUNI vetic WOR`�5 Department C o u n t Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: I — �U _-FQ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Stone Water Management Program Revised 5/24/04 O.B. - I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and beam your sigamaiure. 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 ❑ 2. I HAVE E3 HAVE NOT )signed an application fora building permit for the proposed worlo 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: CONT'RACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL. SECURITY TTY NUMBER:_ DATE: 31 NOTE: This Owner -Builder Verzftcation is required by Section 19831 and 19532 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. 0VV.R QB -j I OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding permit has been submitted in Your name listing yourself as the budder of Property improvements specified. For your protection, you should be aware that as "owner -budder" you are the responsible party ofrecord on such a permit: Budding pemhits are not required to be signed by property owners unless they are personally performing the own worm 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 pennit 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 pew for which they apply. If you plan to do your own worm with 1110 exception of various trades that you plan to subcontract, you should be aware of tha following information for your benefit and protecdon: 0 If you employ or otherwise engage any perscms other than your immediate famdy, and the work C=hiding materials and other costs) is s3oo or more for the entire project; and such persons are not licensed as conractors or subconhwtors, then you may be an employer. ♦ 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 wrthholdmg, federal social secunty falces, workers compensation insurance, disability IDsm-mce costs, and unemployment compensation contributions. There may be financial risks for you ifyou do not caay out these obligations, and these risks are especially serious with respect to worm's compensation iashnaace. ♦ Fou more specific Information about your obligations under Federal Law, contract the Internal Revemhe Service and, if yon wish, fe U.S. Small Bushms AdminisizaUon). For more specific information about your ob Obligations under State Law, contact the Department of Benefit Payments and the Division of industrial Accidents. Tigah If the structure is intended for Sam, prop, owners who are not licensed contractors are allowed to perform their work personally or through tbefr own employees, without a licensed comiraator or subconlxactor, only under limited conditions. A frequent practice of unlicensed Persons professing to be contractors is to seem an "owner builder" building Pennk =O11wMlY implying that the propeaty owner is providing his or her own labor and material personally. Budding permits are not required to be signed by property owners unless they are Information about h=sed Pig their own woh3c personalis c�ammne s may be obtained by contrartiag the C•o�actors State License Board m your o°mmuniiy or at 1020 NStreet, Sacrahne�a, GA. 95814. Please complete the "Owner Budder Veaific atian" on the reverse side of ft form so that we can confirm that you are aware of d ese matters. The building pem2ft wdl not be issued until the veaifiradon is returned. NOTA YYus Owner-BuRdwrnformation it required by Section 11830 ofthe CWorn& Heal* amd Safety Code Subdivision d Residential Development 0 No of Living Mobile Home Units Installation ) y Commercial/Industrial Q Q Newn Addition V Lot No. (State) has complied with the requirements of Resolution No. representing G% square feet. 2926 =X ,- A. FULL Mrnl School District Representative Paid by Check # / Remarks: A (Phone Number) rZip Code) _• , p " by payment of $ WIN!, _' 3 w _. . _ _ .� .�__ _-_ F_ _ J. --d Notka: Youn* protist" Imposition of ti»_ton IdintHW above by submkting i wrkt*n piotnl to the Dlstrlek in complignoe irAtlr ' fGovnt Cods 8actlon 66020(a), wltldn 90;days from tM da2s foss an pefd Fallon to sugiirit a tlmrry wAtbn protest wlll'prohlblt Y you firoin elalNripirg tiw IrirposNbri of the faws In any, eouR N suissaquarK to:the School'District Rapresenfatiw ilgning this Butte county schools. Impact Fas GRMcaGon Form.".School Distrkt is - - . notifNd; by On aPP�kaWra,Local PlanMrp Aysncy that this pro)sd b tNirg iwrisvrsd untie► tfis (:alHomla Envlrorrrrsrrtal Quality Ad''(CEQA� this proJset msy be subJaet•to additional school fess to fully mkgste. ks impact on tlrs school dishlclY sehoote �' . White (applicant), Yellow (building department),% Pink (school district) teeform.xis (10/03)dmm O.B.-1 OWNER -BUILDER VERIFICATION 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 K 2. I HAVE )k HAVE NOT ❑ signed 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: k- cx e ry _s Coti�'t ee,e" o A/ ADDRESS: P. o . 8 o.K / 71/ l CITY: PHONE: S'30 - i 7a - z11k3 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 persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: ; DATE: 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. OVER O.B.-1 I OWNER BUILDER INFORMATION 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: ♦ 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. ♦ 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. ♦ There may be 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, 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 "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 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. rely, s N is el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. , This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 19 -Nov -2004 2004-0071294 Has not been compared with original BUTTE COUNTY RECORDER 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: /of /f /j -S e"v 1�0fx7- Gd��,�t.i✓ n�rp e,,vf,'1Le6' ''/�iP,�,dsSE � A/o �/,'CeA co � iv b1l e C�'c L 'III 74;0e_ / y Date IIL/G A PROPERTY OWNERS: 4 State of California County of 14J1AA—A.1.0 On It., ",6 before me, rso§all appeared ersonally known to m (or proved to me on the basis of atisfactory evidence o`be the pers n(Q..wh a nam ) Lsa su scrib o e wit in instrument and acknowledged to me that he/she6a executed the same in his/herda authorized capaci yes and that by his/her heir signature&c on the instrument, the personoor the entity upon behalf of which the person sO acted, executed the instrument. WITNESS my hand and official seal. Signature gl, 4 Q &aQ t.4-, Seal: DMIN --� A.P. #D %X/' 120 -6.3 0 � Mltt anrn. EspNrs Sept 19, i60e� i D,eAll i9� oma/ 'la Z/ /S, 17� �/v ,foo o � �lv-s, JJ-/ 3 �� ^4 Date IIL/G A PROPERTY OWNERS: 4 State of California County of 14J1AA—A.1.0 On It., ",6 before me, rso§all appeared ersonally known to m (or proved to me on the basis of atisfactory evidence o`be the pers n(Q..wh a nam ) Lsa su scrib o e wit in instrument and acknowledged to me that he/she6a executed the same in his/herda authorized capaci yes and that by his/her heir signature&c on the instrument, the personoor the entity upon behalf of which the person sO acted, executed the instrument. WITNESS my hand and official seal. Signature gl, 4 Q &aQ t.4-, Seal: DMIN --� A.P. #D %X/' 120 -6.3 0 � Mltt anrn. EspNrs Sept 19, i60e� utte County Department of Development Services DNNE CHRISTOPHER, DIRECTOR N 7 County Center Drive Oroville, CA 95965 M (530) 538.7601 Telephone (530) 538.7785 Facsimile CN TO: ' FROM: 1 SUBJECT: O � DATE: LP2A o�ATrFo 0 0 0 0 oW. __ 0 cOU N'�y Scott Rutherford (530) 538-7160 srutherford Wbuttecounty.net Plans Transmittal For Review Per Contract 7/19/2004' Applicant: Murphy, Connie.&,Marls Permit 04-2132 Project Type: NSF/Cov.Gara a APN: 064-180-030 100% 70% Plan Check Fees $ 1,167.72 $ ' 817.40 $ 1,167.72 $ 817.40 LP2A Fee $ 817.40 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other BOB MANGRUM .gERGY `CONSULTANT : 530-876-9616 PARADISE MECHANICAL DESI•CxN Title 24 Residential Title 24 Commercial Ud.' 11510627 TITLE 24 SUMMARY JOB NAME:: Alf u,' /}� ME.R.S. 'VERIFICATION SQUIRED YES NO 5655 ALMOND STREET PARADISE,.CA 95969 530-877-3979 PAX INSULATION: ATTIC = /Z 39 WALL = -/9 FLOOR = A - SLAB = FENESTRATION: Lo vi 6 V. W Y(- e 2ntZA M �S "U" VALUE S o, q m,.&g SHGC = o. 3s o. SHADING HVAC SYSTEM: SQUARE FOOTAGE zoo? HEATING btu's = IISPF AFUE: 96 COOLING btu's = SEER: ( 9 WATER HEATING SYSTEM: GAL. STORAGE GAS . = 5o ENERGY FACTOR = (P �0- GAS INSTANT = RADIANT ROOF: YI+;S: NO • � HOUSE WRAP: YES: NO: 4 September 7, 2004 County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-2132 LP2A Job No. 2040015-105 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Ph: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Murphy SFD Address: Carnegie Road Dear Mr. Vieira: Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) copies of revised Sheets 1 through 6 Title/Cover Sheet dated June 2004 by Brant Nightingale Designs. Two (2) copies of Site Plan, undated 2. Title 24 Energy Compliance Documentation: Two (2) copies of T-24 Documents dated June 10, 2004 by Paradise Mechanical. 3. Prefabricated Roof Truss Calculations: Two (2) copies of revised Roof Truss Calculations dated August 16, 2004 by Design Assistance. 4. Structural Calculations: Four (4) copies of Structural Calculations for Retaining Walls dated August 16, 2004 by FLT Engineering. Two (2) copies of beam calculations, undated by unknown author. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes (i.e., 1997 UBC, -2000 UMC, 2000 UPC, and 1999 NEC as amended by the State of California) were used as the basis of our review. We do not have any further comments regarding this -submittal package. This plan review is recommended for approval as submitted with the following conditions and red -marks: 1. Drawings which show structural information are to be wet stamped and signed by, the engineer of record. In addition, all calculations are to be wet stamped and signed by the engineer of record. 2. Type A braced walls were added at the lower level, below the first floor framing, at three locations as shown on sheet 3. T LINHART PETERSEN POWERS ASSOCIATES, 7610 Auburn Boulevard • Citrus Heights, CA 95610 '(916) 725-4200 FAX (916) 725-8242 • Toll Free (877) 235-0653 Mphy SFD Carnegie Road September 7, 2004 County of Butte - Final Review LP2A Job No.: 2040015-105 Page 2 Enclosed for your use are the above noted documents that were reviewed, bearing the LP2A plan approval stamps. If you have any questions, please do not hesitate to contact us directly. r Sincerely, LINHART PETE SEN POWERS ASSOCIATES Roge eterson, S.E. Structural Engineer PK:ag Bin 67 Enclosures: r June 10, 2004 Marlys & Connie Murphy 2104 E. Cole Ave. Fresno, CA 93720-3937 ' �iutte Count L A N D O F NATURAL WEALTH A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Dear Applicant, The Planning Division has review your application for APN'064-180-030 located on Carnegie Rd., Magalia. Your application meets all the requirements of the zoning code as submitted. • Your file will be forwarded to the Environmental Health Department for their action on your permit. Should you have any questions please feel free to call me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-6572. n Baker Ig Manager 0 SITE PLAN REVIEW APPLICATION Date: AP# • Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Owners Address: Bin Number Parcel Size: .Telephone No.: Email: �' 3 -7 Situs Address: 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 'MLSeptic ❑ Well ❑ Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date C) Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: T© 2G75c:, — ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract • ❑Nitrate Action Plan (See Environmental Health for standards) r-, Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Flood Zone: • Flood Panel No.: ©c j OB Index Date: �— ❑ 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) ❑ Oroville Enterprise Zone 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: R- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. C Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �� L Side 7 Side Street Rearr>` Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. C Page 2 of 5 •y . Applicable Development Fees: Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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 7 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/Notice 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: 7-1 S- 7 Lot: I Book: 3 8 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: a 5 y f Parcel Map/Subdivision MapIUse Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached & None ❑ 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, NFPA 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 road maintenance, and stop sign maintenance. u 00 Page 4 of 5 0 ITE-PTJA�TRE VIV�APPI�ICA"I�1� Date: l " l S- ZeD§� AP# �96'�I — l —070 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: h 2.6 Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑, T�emporap/.-lVtobilewHomer fAunt: e ❑ Temporary Travel -Trailer. ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Parcel Size: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site lan Sta ed Approved ByDate l — 2- Page 1 of 5 ,, • r - .` in r `, e o • COr e Myj o r Parcel Is In: Snow Load Area:1 ❑ 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) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: ')e" • Flood Panel No.: t lyozvG Index Date: 6 ❑ 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: EI -Encroachment -Permit - ❑- Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: k- / C -l' L 012 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 9 r Side Side Street Rear r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 l Applicabie-Development-Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA.87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees Amount 'Formula ❑ Water Tender ❑ Road Improvement • ❑ North Oroville Area ❑ Other (per map) Check -with -school districtto-verifyactual fee-ifpre=application-review.-A�frf iaFdd termiaation-will-be made°atthe tiiae-of- the building permit. Parcel Created By 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: ❑ Use Permit/Minor Use Permit Permit Number: Book: Y -f-) Page: �51? - L// Date of Approval: 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, NFPA 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 o€the-Cali-forma-Cleatr,,Air-Act-of-t98.8; as°aarended: ❑ 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 road maintenance, and stop sign maintenance. Page 4of5 Summary of Specific Requirements: 1 - ' { This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Larrys\Building Permit Site Plan Reviewl .ddc Page 5 of 5 1 1 - ' { This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Larrys\Building Permit Site Plan Reviewl .ddc Page 5 of 5 0 . N% 1 14; ?v x a 0 IT 1/210 a& -v /I a 0 K. rip P/A. 14" 410AL 14-1 F11% 1/6 /A. 2&'l4 r¢ .0 11461 lop 1-f �11 .......... ® 2alft. ENVIRONMENTAL HEALTH JUN 0 4 2004 CHICO, CALIFORNIA - ENVIRONMENTAL HEALTH JUN 0 4* 2004 CHICO, CALIFORNIA \ 1� lap VIOL •