HomeMy WebLinkAbout064-230-014w
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064.230-014 02-1830
SCO INICH, LEO r� LU LA
�CAR�NEGIE RD.,1`4AGALI INALE
CONT: MALLORY CONST
NEW SINGLE FAMILY
I
RESIDENTIAL
J 064-230-014 02-1830
_ /
PERMIT NO. SC INICH, LE0.6c LULA�
�CARONEGIE RD., MAGALIA
CONT: MALLORY CONST
NEW SINGLE FAMILY
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) 3 G"®3
Signature z� >/�
1
V= OK
0 = Not OK
- = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex)
Date yaderfloor (Plans) OK except #'s
Zonin - etbacks-Easements-Flood-Slope
g. ain; Soils-Elec. Grnd.-/ /" Ftg. Depth
Ig. arage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth
t or hes & Decks; Soils -Steel-/ r Ftg. Depth
a-StepiCalls, Main; Steel-Blockouts-Wrapped
L50-SteTWdlIs, Garage; Steel- Blockouts-Wrapped
old Downs and Special Anchors
7. Slab, Steel -Wrapped
Piers -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
1 . Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
ater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
3. lenums & Ducts; Clearance -Material -Support -Ins.
1' rs-Sills-Anchor Bolts-Joists-Vents-Crippies
1 cess & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
W r Htr.; Vent -Access -Combustion Air Baffle
W r Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
as Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date EL CTRICAL (Permit) OK except #'s
re & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
2e Boxes & No. of Conductors Stapled
omex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
Appliance Circuits in Kitchen & Conductor Size GFI
29. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes Q No
31. ervice-Riser Conductors & Ground Main Disconnect
3 quip. Clearances Panels-Motors-Mech. Equip.
31�tpes Closet Light -Shower Light -Spa Light
moke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
ucts Insulation & Support
ent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
CB. -furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
its . roper Materials & Anchors
alts Studs -Nailing Spacing & Braces -Plates -Sound
ea 'ng Walls over Girders & Floor Nailing
estop in Walls (rat proof)
Z# -lir Stops, Furred Ceilings -Stairs -Chasers -Tubs
vf4eaders & Beams -Size & Bearing
Date FRAMING (Continued)
$415—Ha.agers-Post Caps -Anchors -Connectors
Clin .Joist-Rftr. Ties- Purlin-Roff B,.raC.-Truss-Shting.-Ring.
ire lace Ties or Type A Flue -Fireplace Throrat Clearance
4�1tjjccess; Size & Romex Protection -Draft Stop -Ins. Baffles
dr . � indows or Exiting Doors -Sill Ht. & Dimensions
Gar a Fire Protection Framing
ropyrty Line Firewall & Openings
p5,15xt Doors -One 3' -Check Garage 3rd Story, 2 Exits
54. Stai , Width -Headroom -Rise -Run -Landing -Fire Protection !.
I d on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
57. Stu co Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
59. hear Walls; Nailing -Bolts
AI -
U 6. 'Brace Interior/Exterior Wall Panels
62. Infiltration -Walls -Windows
Date Card B- Date Card B-1
Date Card B- Date Card B-1
Date FINAL (Plans) OK except #'s
6PIE,xt. Steps -Door & Sidelight Protection -Landings
6 S oke Detector
Furnace Vents -clearance -Comb, Air -Connector -
Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
6fl,Zfec. Trim & Subpanel, Breaker Sizes & Labels
—6ti—Stairs & Rails
j.�ireplace or Stove, Clearance -Hearth
71. lec. Outlets at Wood Panel, Int. & Ext.
7,2,4it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ZZ"E!qc. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closure
.73—C. Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Lz. lec. Receptacles in Garage (F.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic
rd Rails & Deck Construction -Post Caps
8 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
Following Instid./Drive es Q No/Walks i4es ❑ No/Planters ❑ Yes o
-zQ9--Stucco Brown -Finish
UN.C. Unit Disconnect, Electrical -Plumbing ,
8F ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
X114— Veter Well, Disconnect, Electrical, Plumbing
87 rior Elec. Trim, G.F.I. Receptacle -Underground
8 e tilation Throughout House
8 ss Protection
9 Corrections from Previous Inspections
9 . ?2s Test -Meters Tagged, Gas -Electric
9,V'
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Address Posted
Date 3 y Q J 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 Applicable
• - Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Footings; Size -Spacing -Marriage Line
1.
Zoning Requirements -Setbacks -Easements
4.
2.
Soil% Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector
3.
Sewer; Location -Test -Fall -C/O -Concrete
7.
4.
Water; Location -Test -Easement Needed (Sketch)
Gas and Electricity Tagged
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
10.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
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
12.
Permanent Foundation Only; License Decal
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- Bea ms- Rftrs.-Con nectors
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
FINAL (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 in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
r
COUNTY OF BUTTE
BUILDING DIVISION
j DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
_1
CORRECTION NOTICE
I, OWNER PERMIT NO.
7
l A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected.- Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date - 1&1_1%2__ Inspector
r
REV 10/92
COUNTY OF BUTTE .
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751:
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER t PERMIT NO.
S^ 'y
A routine inspection indicates that the following violations of butte county Ordinances exist at the
ri. above address and should be corrected. Please notice this office when correction of work is
;�7wcompleted. If you have any questions pertaining to this matter, or need additional explanation,
(�, please contact this office immediately.
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 CountyiCenter Drive • Oroville, California 95965 • Telephone (530) 538-7541^ %RM9 N.D.
0
(Rev. 12/96) APPLICATION AND PERMIT (J
ASSESSOR PARCEL NUMBER
064-230-014.
ZONING
BU I LDING P ERM IT
OWNER
SCOPINICH LEO & LULA
TELEPHONE
873-2758
OCC. BUILDING VALUATION
1676 R 90,504.00
F�4
OWNER'S MAILING ADDRESS
6243 WESLYAN CT. MAGALIA CA 95954
U 70920.00
CONTRACTOR'S NAME
MALLORY CONST.
TELEPHONE
873-1355
128 n 896-00
114 C 1,482.00
CONTRACTORS MAILING ADDRESS
6122 DANA CIRCLE MAGALIA CA 95954
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 100.8 2.00
ARCHITECT OR ENGINEER
LICENSE NO.
Ellin Fee $ 20.00
Permit Fee $ 643.0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 417 95
B IL GADDRESS
�
CARNEGIE RD
Energy Plan Checking Fee $ 66
$
PERMIT FEE _
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF IX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
1-00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New IR Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SINGLE FAMILY
Gas piping system 1 - 5 outlets 15.00 5.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT I Fling Fee 20.00
800V OR LESS
Main Service 20.AORLESS 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in f I force and effect.
License Class LIC. No. �� % % % �-
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker' cpmppnsatiop insur a carrier and policy number are:
Carrier cL f -r -
Policy Number I13 5 O i -� �/
(The above sections need not be com iletelete 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Q
X _ _ Date ! _
Signod're,J Applicant - ner CAContractor ❑ Agent
An 63<A permit is require fore xcavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. P
Main Service TO 46.00
WEE200A
NEW CONST. DWELLING OCC P. SO 7
CC
OR ADDNS. ( a ACC. BLDS. 3.5QFT. / 4.10
NON- �,pT MULTI.OUTLET 97.50
OWER APPARATUS
a PSINGLE OUTLET CIR.
20 O I'50
Ex. Occup. OUTLET OR FIXTURES BAL. @ ,50
Ex. Occup. ouTIEE�s(RESIp.) EOR.5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 1 15.00
Cooling
15 00
Hood 6.50
-Venwation gas f ire lace S
PERMIT FEE S 71.50
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
OC c
R3
CONST. TYPE
NS TOTAL FEE $1481.55
VN
HAZ. D IMP
O D
COF PARCEL Po HD ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
r D
By D to
PERMIT EXPIRES ON zCi Q�
Dale
Receipt No. 9 5 2 0 . 9 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�na:.a-..- ir:,.,.:J'1--4%+�.r.1�:.S:ir�B:1`'.^"".+...-cyn^1�'""``x" r *G''�..�J`�'Si`'r'f�wi.i��_ ,-,._...-- =I+--^•'--•-. .- rs•w+.M�.c...+=—..r......--�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive; Gr6ville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
I PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER q - P 3 —/
Proposed Building Use: Counter Technician: Date: / / 0 P r'
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
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!
Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate .................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings..........................................................
❑ 11. Detached Accessory Building Form filled out by the owner ......................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other ....
*Raining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
Fees as shown on the attached Schedule of Fees Due Sheet ..................................... Statement of Intent for Non -heated and A/C Buildings ..........................................
16. Sanitation and plot plan approval from the Environmental Health DeNarc�
nt in
17. City of Chico Plumbing permit ...................
.....................
✓�
18. California Department of Forestry plan approval paid: Sent by: ` ....�'.N....��I
;_ 19. Planning approval for (A) Use: 0K (B)Parking: s . (C) Check: —) 02
20. Contact Land Development about -5 Improvements, ❑ Drainage ...............................
21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license, information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
26. Letter of Signature authorization.....................................................................
27. Recorded copy of Agricultural Acknowledgment Statement .................................... jt0'-a.a-r
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:�f_7�� Date:
1. Index permit application for the above items numbered: ( Plan Check Letter
2. Additional items required��
Contractor, designer, owner, was advised of the above data by 9 phone, ❑ mail, ❑ counter, by I YOLDate:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou e , by Date-
-.Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date: 192 ' 3
Yellow: Building Division
vi..J
E.N. use ONLY
� _� ��ot_iSan-Attecho�'
` :_=Flaoa=�Imn�Attachod
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
1 /V
ov4ner Location j AP#
Plan Approve�d for: Sewage Disposal Water S pply: Publiox Private Well
Clearance for %weljing. Other L_ -t' r� t'f'r, �l AC4S44, Ula t
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
o c SCHEDULE OF FEES DUE
OWNER.
PROPOSED BUILDING USE A� 2-t
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $ • tPo
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking Fee .................................. $
2. SCHOOL DISTRICT FEES
(paid at District Office)
A.P. #
DATE
RECEIPT # DATE REC.
rf
PP
'0 3'. `3. SHERIFF FEES (paid at Building Division) cy
D 0�
Residential .................................... x $360.00 = $� 2�Z— t, V
Units
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
Commercial (Sq. ft.) .............
. Sq. ft.
5. RECREATION DISTRICT FEES —
x =$
Amt.
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00.(paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE '� _ ( "r D 2
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District PA ZA-. / 1 SE Building Department No. Z 3 0
A.P. Number 0 13 Q —0114 Jurisdiction: � City County
Property Owner 0_
Property Location/Address CecP (�
Subdivision FAk SPI fAig S Lot No. .
Residential Development
No of Living Mobile Home
Units Installation
in
Commercial/Industrial 7 �.0 '
New Addition
Building Departmebt R
...................................................................................................................
Sq. Footage —
Addition/ *Supplemental to (Group R)
Conversion Permit #
*(No foundation inspection)'
Sq. Footage
(Floor Plans reviewed by School District Personnel)
Distri t Identification No. ,�41
�{ School District certifies that
(Street Address)
• v
has complied with the requirements of Resolution No.
representing
District Representative
Paid by,Check #
X.
square feet.
Remarks:
Zi
(State)
(Including Exterior
Roofed Areas)
11 L4 sem'
Date
(Applicant)
cl- / 9
(Phone Number)
(Zip Code)
by payment of $
2926 $
L MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
Mar 19 03 07:45a LOERKE INSULATION CO.,INC 5308918560
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ONE,-----,
a? WIZEN I{4a:0R9ED }IAIL'I'O:
"LiUl`FE COUNTY BIJILDING DIVISION
r i:OL:N'rY L'EN"I'ER DRIVE
OROVIl.l.i:,. (:A "965
COPY of Document Recorded
28 -Oct -2002 2002-0057536
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,
HICILading, 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,
srnol c, noise, and odor. Butte County has established agricultural purposes and residents withinsaid zones.and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operation.,.
;.a prusituate in the County of Butte, State of California, described as follows:
�1, AS SNt�WI�'
MON TFIAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 14".
'WHICH AP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY O14
BU11 `.E, STATE OF CALIFORNIA, ON JULY I5, 1971, IN BOOK 38 OF MAPS, AT PAGES 3-7,38,
9 4V AND y I ..
.Date / 0 - 9" PROPERTY OWNERS:
L u t6( ECC1 K c.es SCoa/A? (CA
-State of California )
Cuu��ntty or �jL•L ''��Q�
Oil
personally appeared L 1, \ (� F—('CLOC'(� C,OLC1t C. {f-" personally
known to nae (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the uea-sun(s) acted, executed the instr ment.
WITNI':SS my h• I and ofti seal.
Signatur€=___ _ — Seal: A.M. MORROW D
COMM. 0 1270896
NOTARY PUBLIC -CALIFORNIA y�
/' e COUNTY OF BUTTE W
A. P. i—Q- tQ �'T
My Comm. Expires July 18, 2004
ENCROACHMENT PERMIT
COUNTY OF BUTTE u DEPARTMENT OF PUBLIC WORKS
7 County Center Drive u Oroville, CA 95965 u Phone: (530) 538-7681 u Fax: (530) 538-4356"
Download Forms: www.buttecounty.neUoublicworks
INOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE JPermitNumber District
Phone: (530) 538-7339 O 2092 R 1
APPLICATION
I 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: G'�� 1a. Company Name:
i 2. Address: L / 2- Z f�- . r i , , (11
3. Phone: ? 3 ^ ? S S
4. Assessors Parcel Number. 61 / _ 2-
5.
5. Location of Work to be Done: i tf--7 9-S Cmcdr tj'i
6. Applicant's Signature:
7. Date: C)
CONTRACTORS INFORMATION
Name: .ems
rContractoft
—7
l I t �-
� J
11. Fax: l 3
s Number. '� —13.
CertificateofInsurance: Yes6 Noe
's Signature:
15. Authorized Agent
TYPE OF WORK TO BE DONE
16. Please Check: Curb: a Gutter: ❑ . Sidewalk: ❑
17. Driveway (List Type): L r-0 -k— 1
18. Other.
. 5-.31 PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions
written below, permission is hereby ranted.
19. Conditions G �-t r
Concrete a k 7t -Bae it12 EX12A fti is n _ A 1 tL
Under round Service Alert U.S.A must be notified two working days prior to any excavation. 800-227-2600
20. O All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions O
21. Date Issued: dZ
22. Expiration Date: �$+ O3
23. Surety: Yes No C3
Mike Crump, Director of Public Works
BT
i
"Note: If permits are faxed to any number besides (530)538-4356, they can be delayed up to one week.
Page I of 2
General Conditions — See Page 2
PROJECT PROCESSING RECORD
APPLICANT: sc-0 r i t�j 1 c UF6
OWNER. "
PERMIT #: 02- -
A. P. #:
2-
A.P.l: a�-4
WORK DESCRIPTION:
F STE
OIL
September 4, 2002
Leo & Lula Scopinich
6243 Weslyan Court
Magalia, CA
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 064-2307014
Building Permit Number: 02-1830
Thank you for submitting the plans for your building project. The plans have been reviewed, and
the plan examiner's comments are listed below. Please respond in writing to each item by
completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete
and clear response will expedite the re -check and approval of this project.
NON-STRUCTURAL COMMENTS:
_pane 1 e aser aroom.
ulat
5. a ,
6.
7. P
pec'
10. Detail C/2; detail a continuous load path from roof sheathing into 4x into top plate.
12. side. mvj
STRUCTURAL COMMENTS:
Sheet 2, BWP 2: specify anchor bolts at panel quarter points.
�'2"x6" rafters at 24" o.c. are limited to aj-0 - '-span per UBC T 23 -I -V -R-1. Relocate the
purlins accordingly. / w
\-3--t Provide engineering for use of 2x6 rafters at 12" o.c.
—• Please provide data supporting selection of 3-1/2"x14" versalams.
-0 Strap the ends of the 4x14 header into top plate at both ends.
1 of 2
i
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss either non-structural or
structural items, ask for Keith.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
Keith Long, Architect
Plans Examiner Consultant
2 of 2
TABLE OF CONTENTS TOC
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
Project Address........ 14785 CARNEGIE RD *******
MAGALIA *v6.01* a -A
Documentation Author... ROBERT A. MANGRUM ******* Building Pe it
Paradise Mechanical �� jQ�
5655 Almond Street Plan Check Date
Paradise, CA 95969.
530-877-8882 Field Check Date
Climate Zone........... 11
Compliance Method....... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92 Program -TOC
User#-MP1342 User -Paradise Mechanical Run -MALLORY TITLE 24,1330
TABLE OF CONTENTS
Report
Page
FORM CF -1R ................ 1
FORM MF -1R ................ 4
FORM C -2R ................. 7
HVAC SIZING................ 10
Y r 7 r R ��
. :..P T ENT
CERTIFICATE OF COMPLIANCE: RESIDENTIAL' Page 1 CF -1R
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
Project Address 14785 CARNEGIE RD *******
MAGALIA *v6.01*
Documentation Author... ROBERT A. MANGRUM ******* Building Permit
Paradise Mechanical
5655 Almond Street Plan Check Date
Paradise, CA 95969
530-877-8882 Field Check Date
Climate Zone........... 11
Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY TITLE 24 1330
GENERAL INFORMATION
Conditioned Floor Area..... 1676 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 90 deg (E)
Number of Dwelling Units... 1
Number of Stories.......... 1
Floor Construction Type.... Raised Floor
Glazing Percentage......... 15.3 °s of floor area
Average Glazing U -factor... 0.51 Btu/hr-sf-F
Average Glazing SHGC....... 0.62
Average Ceiling Height..... 8.4 ft
BUILDING SHELL INSULATION
Component
Frame
Cavity
Sheathing Total Assembly
Type
Type
R -value
R -value R -value U -factor
Location/Comments
Wall
Wood
R-13
R-0
R-13 0.088
FRONT WALL, LEFT
WALL
BACK WALL, RIGHT
WALL
GARAGE WALL
Door
None
R-0
R-0
R-0 0.330
FRONT DOOR
GARAGE DOOR
Roof
Wood
R-11
R-27
R-38 0.025
TO ATTIC
Floor
Wood
R-19
R-0
R-19 0.037
FLOOR
FENESTRATION
Over -
Area
U-
Interior
Exterior
hang/
Orientation
(sf)
Factor
SHGC Shading
Shading
Fins
Window
Front (E)
24.0
0.500
0.610 Standard
Standard
Yes
Window
Front (E)
25.0
0.500
0.610 Standard
Standard
Yes
Door
Front (E)
2.0
0.550
0.650 Standard
Standard
Yes
Window
Left (S)
9.0
0.500
0.610 Standard
Standard
None
Window
Left (S)
8.0
0.500
0.610 Standard
Standard
None
Window
Left (S)
10.0
0.490
0:670 Standard
Standard
None
Window
Left (S)
8.0
0.500
0.610 Standard
Standard
None
Window
Back (W)
20.0
0.500
0.610 Standard
Standard
Yes
Window.
Back (W)
16.0
0.500
0.610 Standard
Standard
Yes
Window
Back (W)
40.0
0.500
0.610 Standard
Standard
Yes
Window
Back (W)
20.0
0.500
0.610 Standard
Standard
Yes
Window
Right (N)
18.0
0.500
0.610 Standard
Standard
Yes
Window
Right (N)
40.0
0.500
0.610 Standard
Standard
None
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Rut -MALLORY TITLE 24 1330
FENESTRATION
Over -
Area U- Interior Exterior
hang/
Orientation (sf) Factor SHGC Shading Shading
Fins
Skylight Horz 16.0 0.680 0.670 None None
None
HVAC SYSTEMS
Refrigerant Tested ACCA
Equipment Minimum Charge and Duct Duct Duct Manual
Thermostat
Type Efficiency Airflow Location R -value Leakage D
Type
Furnace 0.800 AFUE n/a Crawlspace R-4.2 No No
Setback
ACPackage 12.00 SEER No Crawlspace R-4.2 No No
Setback
WATER HEATING SYSTEMS
Number Tank
External
in Energy Size
Insulation
Tank Type Heater Type Distribution Type System Factor (gal)
R -value
Storage Gas Standard 1 0.62 40
R- n/a
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items in this section should be documented on the plans,
***
*** installed to manufacturer and CEC specifications, and
***
*** verified during plan check and field inspection.
***
This building incorporates a Housewrap/Air Infiltration Retarder.
This building incorporates non-standard Duct Location.
This building incorporates Ducts in a Crawlspace or Basement Location.
All supply registers must be within 2 ft of floor.
HERS REQUIRED VERIFICATION.
*** Items in this section require field testing and/or
***
*** verification by a certified home energy rater under
***
*** the supervision of a CEC-approved HERS provider using
***
*** CEC approved testing and/or verification methods.and
***
*** must be reported on the CF -6R installation certificate.
***
This building incorporates non-standard Duct Location.
This building incorporates Ducts in a Crawlspace or Basement Location. The
local enforcement agency may waive HERS verification for these locations.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92- Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY TITLE 24 1330
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features
Modeling Assumptions section.
DESIGNER or OWNER
Name.... BRAIN MALLORY
Company. MALLORY CONSTRUCTION
Address. 6122 DANA CIRCLE
MAGALIA, CA 95954
Phone... 530-873-1355
License. 5-2-
Signed..
ZSigned..
(date)
ENFORCEMENT AGENCY
Name....
Title...
Agency..
Phone...
Signed..
(date)
DOCUMENTATION AUTHOR
Name.... ROBERT A. MANGRUM
Company. Paradise Mechanical
Address. 5655 Almond Street
Paradise, CA 95969
Phone... 530-877-8882
Signed. .-OZ
date
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
Project Address 14785 0ARNEGIE n*******
MAGALIA *v6.01*
Documentation Author... ROBERT A. MANGRUM ******* Building Permit
Paradise Mechanical
5655 Almond Street Plan Check Date
Paradise, CA 95969
530-877-8882 Field Check Date
Climate Zone........... 11
Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY TITLE 24 1330
Note: Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether
they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturer's labeled R -Value.
*150(c): Minimum R-13 wall insulation in wood framed walls or
equivalent U -factor in metal frame walls (does not apply
Design- Enforce-
er / ment
to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.30, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets insulation quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
Exfiltration Controls
1. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have
label with certified U -factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets Commission .quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY TITLE 24 1330
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-113: HVAC equipment, water heaters, showerheads and
faucets certified by the Commission. /
150(h): Heating and/or cooling loads calculated in accordance
with ASHRAE, SMACNA or ACOA.
150(i): Setback thermostat on all applicable heating and/or
cooling systems.
150(j): Pipe and Tank insulation
1. Storage gas water heaters rated with an Energy Factor
less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-12 or greater.
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. Back-up tanks for solar system, unfired storage tanks, or
other indirect hot water tanks have R-12 external
insulation or R-16 combined internal/external insulation.
4. All buried or exposed piping insulated in recirculating
sections of hot water system.
5. Cooling system piping below 55 degrees insulated.
6. Piping insulated between heating source and indirect /
hot water tank. ✓
*150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and in-
sulated, to meet the requirements of the 1998 CMC sectons
601, 603, and 604, and standard 6-3; ducts insulated to a
minimum installed level of R-4.2 or enclosed entirely
in conditioned space. Openings shall be sealed
with mastic, tape, aerosol sealant, or other duct -closure
system that meets the applicable requirements of UL181,
UL181A, or UL181B. If mastic or tape is used to seal openings
greater than 1/4 inch, the combination of mastic and either mesh
or tape shall be used: Building cavities shall not be used for
conveying conditioned air.,Joints and seams of duct systems and
their components shall not be sealed with cloth back rubber
addhesive duct tapes unless such tape is used in combination with
mastic and drawbands.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually /
operated dampers. ✓
114: Pool and Spa Heating Systems and Equipment -
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System is installed with:
a. At least 36 inches of pipe between filter and heater
for future solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch.
115: Gas-fired central furnaces, pool heaters, spa heaters or
household cooking appliances have no continuously burning
MANDATORY MEASURES CHECKLIST: RESIDENTIAL' Page 6 MF -1R
Project Title.......... SCOPINICH RESIDENCE Date..05/04/02 00:34:42
MICROPAS6 v6.01 File-MALLORYI Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY TITLE 24 1330
pilot light (Exception: Non -electrical cooking appliances
with pilot < 150 Btu/hr).
LIGHTING MEASURES
Design- Enforce-
er ment
150(k)l: Luminaires for general lighting in kitchens shall
have lamps with an efficacy of 40 lumens/watt or greater
for general lighting in kitchens. This general lighting
shall be controlled by a switch on a readily accessible
lighting control panel at an entrance to the kitchen.
150(k)2: Rooms with a shower or bathtub must have either at
least one luminaire with lamps with an efficacy of 40
lumens/watt or greater switched at the entrance to the
room or one of the alternatives to this requirement
allowed in Sec. 150(k)2.; and recessed ceiling fixtures /
are IC (insulation cover) approved.
to CID
A'x t
MASTER BDRM 17 e+
orucEo wau Pari '"
127 lb -2 -C LIVING <>
01 L. KITCHEN' S .BEDROOM
ZL
%
11,01
-- -- --
----
BATH
KV
ms
;$
CLOSET Oi
" J�N
BED -ROOM
MASTER� BATH
9
ZAA31/I CEMENT
.PAL -.
FLOOR PLAN
+EAVEB ON
APPROVED
Butte county
0011ONVAEN01- ktivk"T"
SEP 10 2m,
ctilco, CXLIFORNI)k
SCALE: 1/12" = 1 - FOOT
MALLORY
CONSTRUCTION
BRYAN MALLORY
6122 DANA CIRCLE
MAGALIA, CA 95954
(530) 873-1355
CA LIC. 529792
PROJECT
14785 Carnegie Road
MAdALIA, CA 95954
AP# 064-230-014 1
LPPPOA 14-083 ) I
MAL,
'\
arxieiUCE WALL PnVEi
GARAGE
k
xexEexrEeo
21'4,198
ENDS. ANfI!OR 80.25
1,
9C-EiROG43r 80 4rE9
,A
Lf
SM NAU.-- MID
A`*0DGcsw.Ewr.s
v�TED)
.12 �� Ex
• NOTED.
LIVING AREA
FLOOR PLAN
+EAVEB ON
APPROVED
Butte county
0011ONVAEN01- ktivk"T"
SEP 10 2m,
ctilco, CXLIFORNI)k
SCALE: 1/12" = 1 - FOOT
MALLORY
CONSTRUCTION
BRYAN MALLORY
6122 DANA CIRCLE
MAGALIA, CA 95954
(530) 873-1355
CA LIC. 529792
PROJECT
14785 Carnegie Road
MAdALIA, CA 95954
AP# 064-230-014 1
LPPPOA 14-083 ) I
135.' FENCE
N89dW
------------
-------------------- --------------------
GAL N
TANK
w
z
w
U -
SIDEWALK
DECK
W
L0 (D
cn 'D
li
DRIVEWAY
I -------------
------------------------------------------------------
134.99'
FENCE
ENVIRONMENTAL HEALTh
SEP 2 0 2002
CHICO, CALIFORNIA
PLOT PLAN SCALE: 1 INCH = 20 FEET
w
(D
w
z
APPROVED
utte County
MALLORY
CONSTRUCTION
I BRYAN MALLORY -
6122 DANA CIRCLE
MAGALIA, CA 95954
'(530) 873-1355
I CA LIC. 529792
PROJECT
:14785 Camegie Road
MAGALIA, CA 95954
AP# 064-230-014
-,PPPOA 14-083
'l/
SITE PLAN REVIEW APPLICATION
Date: —7 — q" 0 2 - AP# 3 (Z' Li - 2'3O — (31
Permit Number (if aaalicable) 0� 2— 18 3
APPLICANT INFORMATION Parcel Size: i 2 S A L
Owners Name: S C O P) J3 1 G 1-4 , Le -b LO LA
Owners Address: 612_Ll"� W e S L y,4 /U c - T. 17 -?)q (A (_1 A CA
Telephone No.:
Situs Address:
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other: -
Brief Explanation (if necessary):
❑Sing[:]'Single
le Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
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 VSO Date -)-16- O 0—
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
n Snow Load Area: 2.5 QM 70 3oTra -P T
❑ 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: X
• Flood Panel No.: 01-i o DC. 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)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Varjjance ❑ Variance
--------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit E] Agricultural Acknowledgement Statement
Zoning: I L— I
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
C
Side
Side Street
Rear
'� p
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
----------------------------------------=--------------------------------------------------------------------------------
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
• Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Q Deeds:
Date of Creation:
Deed of Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments:
Legal Access Provided: ❑ No
Legal Access Required ❑ No
❑ No. ❑ Yes, Road Name:_
❑ No ❑ Yes
❑ Yes
❑ Yes
❑ 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
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19 Subdivision Map/Parcel Map: VFArLADIS 6 P>>Je5 IT I
Map Date of Recording: i —/ S— 71
Lot: 13
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 30 Page: S,3/1//
Date of Approval:
❑ 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 of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance on slopes steeper than
30%. 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.
❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ 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.
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Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAMy Documents\Building Permit Site Plan Reviewl.doc
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