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064-340-041
F 3t :a"i� i,a i .::i1a i 061-340-041 yy� d d `}p;yj�}d�' n , t, �: 14. ENVIPONMENTAL HEALTH CLEARARANCE ATE � y fd{ t .; ��•�''�lFi l tigd}�`-' t f f p {S Yr i.i", tx ik� yiF r� {?� 1 4 y e ! t`d...�A r •i. , ri � �� qt k •� r - r f - dei t � e 1. P f...>ti f >f i• ^,. 'ifi' 6oV' r - �N �w 4L M i yri 4.. ' A", ,ri 4 cr,3 e;r.;ra' �" r' d{},' l }}•d± xjrii!{ ' s ;;' } e .h �' ., . r � , � f i Fart }. � 'it• �� � i �` i p, r- : rr 1 F; ,, ii �ia; �r=i�f �t�t w "� � ; � F � ,4 � e* � - �. ' � r•'=' ,t+ � td4• !� �._ � ��, t ��>,, r[f 14z 3 `f- g� � f ,�' , � .�! . " d� ' � y�� ft=« :QN : r a ' w-. e• i 1, �j� ;}} NOTES 1® RESIDENTIAL 064340-041 , 3-1930 PERMIT NO. — HA TG JR; JIM _ _ �L MIRA CIRCLE, MAGALIA ' NEW SINGLE FAMILY -#97-56 t' w, Address GAS Meter By Date ELECTRICI Z Meter By Date L U i JOB FINALED (Date) Signature 4 SPECIAL CONDITIONS A CHECKED a A; BY SRA ,;v. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS 4y VERIFY t USE PERMIT CONDITIONS ..;.J R SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRICI Z Meter By Date L U i JOB FINALED (Date) Signature J=GK 0 = Not OK . = Not Readyable MOBILE' HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & 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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDRAFLOOR (Plans) OK except #'s R.e' f., Main; Soils-Elec. Grnd.-/I 4-4"Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ j _ZCFtg. Depth 4. K., Porches & Decks; Soils -Steel-/ /" Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped W. Hold Downs and SDecial Anchors Data , ,Q3Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s . A . Ducts Insulation & Support - . V nt Fan, Exhaust above insulation ensate Drain & Overflow, Size & Grade F rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & atform if Furnace in Attic DatE/Q,ti [ tj5Card B -le U Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI G (Permit) OK except #'s S .iJs Proper Materials & Anchors Is Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing Dr ft Stop in Walls (rat proof) 41 S.01Firp Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 Headers & Beams -Size & Bearing Ss' •• Date FR! MING (Continued) FWngers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. *45 Freplace Ties or Type A Flue -Fireplace Throat Clearance 5t Q ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht.4 Dimensions 5 . garage Fire Protection Framing -RC ChanneK, Eroperty Line Firewall & Openings 9# -Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -&S. ,Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 1 wee- ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ` zing Area -Glass Protection -Skylights -Plastic Shear Wallr, Nailing -B 61. BLKe I io erior 61- a s -Ceilings 63. Infiltration -Walls -Windows Date , Q Card B-1 Date Card B-1 Date 10 Car B-1 Date Card B-1 Date FINA Plans) OK except #'s 6 t. Steps -Door & Sidelight Protection -Landings 6 Smoke Detector 6q,,Xrnace Vents -clearance -Comb, Air -Connector - In arage; Above Floor-Ducts-Mech. Protection 6 e�rdfoorri Exiting 6 .Fj . & Bath Fixtures & Tub Access -Spa 6 . ec. Trim & Subpanel, Breaker Sizes & Labels Rails place or Stove, Clearance -Hearth 7 EI c. Outlets at Wood Panel, Int. & Ext. 7 K . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74 c. Outlets & Receptacles at Kit. Counter 7 . arage Fire Door; Swing -Landing -Closure Duct in Garage -Damper 77 Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection 78' P b.; Elec. & Mech. Equip. Listed for Location 7. Slab, Steel -Wrapped 8 . �P' s -Fire lace Ft .-Steel 81f. [d1%; Fall -Fitting -Test -2 Way C/O -Sewer Test W. U ,as Pipe; Size Anchors -Yard Gas Piping; Size Test 44I.—Water Pipe; Test -Anchors -Regulator -Service Test _ 12. Electric Underground l;ler�ums & Ducts; Clearance -Material -Support -Ins. 8 Gimes-Sills-Anchor Bolts-Joists-Vents-Crippies -• 86 Oe'—Access & Ventilation 16. Insulation E erior Elec. Trim, G.F.I. Receptacle -Underground 8 Da ,Z Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (P mit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 1 . ter Htr., Vent -Access -Combustion Air Baffle Wa er & Sewer Connected -C/O to Grade -HD Approval 1 ater Pipe; Test & Anchor -Nail Protection nergy Compliance Certificate -Other Certificates 1Y D.W.V.; Test Fittings & Anchor -Nail Protection Address Posted Re -Shower Pan; Test, First Floor -Tub Access ire Sprinkler -24. T st Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 2DoOlGas Pipe; Sixe & Anchors Card B-1 Date Card B-1 ,2&. Fire Sprinkler; Test Card B-1 Date Card B-1 Date) , , Q I Card B-1 Date Card B-1 Date Card B -1T Date Card B-1 Date ELEC ICAL (Permit) OK except #'s F re & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors . §jze Boxes & No. of Conductors Stapled . Romex Installed Close to Edge of Studs & C.J. 2 ip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size RR SQ. S4bfeed Wire Size/ / a. Cu or AI-A.C. Wire Si or Al 3L. -,Range Circ _ /g or AI -Oven Circ. / /ga Cu or Al Inlated tr ❑ es ❑ No S ice -Riser Conductors & Ground Main Disconnect 318�Equip. Clearances Panels-Motors-Mech. Equip. 8d'+ 4thes Closet Light -Shower Light -Spa Light Smoke Detector Data , ,Q3Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s . A . Ducts Insulation & Support - . V nt Fan, Exhaust above insulation ensate Drain & Overflow, Size & Grade F rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & atform if Furnace in Attic DatE/Q,ti [ tj5Card B -le U Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI G (Permit) OK except #'s S .iJs Proper Materials & Anchors Is Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing Dr ft Stop in Walls (rat proof) 41 S.01Firp Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 Headers & Beams -Size & Bearing Ss' •• Date FR! MING (Continued) FWngers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. *45 Freplace Ties or Type A Flue -Fireplace Throat Clearance 5t Q ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht.4 Dimensions 5 . garage Fire Protection Framing -RC ChanneK, Eroperty Line Firewall & Openings 9# -Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -&S. ,Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 1 wee- ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ` zing Area -Glass Protection -Skylights -Plastic Shear Wallr, Nailing -B 61. BLKe I io erior 61- a s -Ceilings 63. Infiltration -Walls -Windows Date , Q Card B-1 Date Card B-1 Date 10 Car B-1 Date Card B-1 Date FINA Plans) OK except #'s 6 t. Steps -Door & Sidelight Protection -Landings 6 Smoke Detector 6q,,Xrnace Vents -clearance -Comb, Air -Connector - In arage; Above Floor-Ducts-Mech. Protection 6 e�rdfoorri Exiting 6 .Fj . & Bath Fixtures & Tub Access -Spa 6 . ec. Trim & Subpanel, Breaker Sizes & Labels Rails place or Stove, Clearance -Hearth 7 EI c. Outlets at Wood Panel, Int. & Ext. 7 K . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74 c. Outlets & Receptacles at Kit. Counter 7 . arage Fire Door; Swing -Landing -Closure Duct in Garage -Damper 77 Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection 78' P b.; Elec. & Mech. Equip. Listed for Location 7 . E ec. Receptacles in Garage (F.F.I.)-Romex Protection 8 . in Attic 81f. .Jpsulation-Foam-Looked Quard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth earance Looked under Floor ❑ Yes _ Following Instld./Drivg6 e O No/Walks EXes O No/Planters O Yes O No ucco Brown -Finish 8 .C. Unit Disconnect, Electrical -Plumbing 86 ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Well, Disconnect, Electrical, Plumbing E erior Elec. Trim, G.F.I. Receptacle -Underground 8 Ventilation Throughout House 9 lass Protection 91 Corrections from Previous Inspections 9 Gas Test -Meters Tagged, Gas -Electric 9 Wa er & Sewer Connected -C/O to Grade -HD Approval 94 nergy Compliance Certificate -Other Certificates 95 Address Posted 96 ire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date � REV 10/92 COUNTY OF BUTTE t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 Cciunty Center Drive - Or'oville, CA - (530) 538-7541 CORRECTION NOTICE W R PERMIT NO. A routine inspection indicates that the following violations of . butte county Ordinances exist at the above address and should be corrected. Please noti&lhls office when correction of work is co led If you have any questions pertal-ning to this".ma,tter, or need additional explanation, ' p -2 -'sI ase this office immediately. Z— X .nt") Date � REV 10/92 y _�.ii..-•+sC.i-�.7-....e-m +...h-�-..-n•-• _... .-. _ ..-. -„y y .,, -:ir"Z.�"� .w..��.Cu- ,+1 .._. qt� C0UNTYr_O.,F.B_.UTTE z �. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 41'1 Main Street Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION ,NOTICE 1-4-s OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the x above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions per-taining to this matter, oreneed additional explanation, please contact this office immediately. '� } C Date (� L Inspector REV 10)92 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE IV_ .�. jT •�9 Material Brand Name Thickness (ind►es) Thm mal Resls�e (R- ) 2. CEILING Soft or Blanket Type—fMwleatts Brand Name Johns Manville Thickness (inches) 3 Thermal Resistance (R Value) -Rn Loose Fill Type - Fibs lass Brand Nacre Johns Manville ContraeWds min. installed welghtltt eq.. b 15 tt,. Minimum Thickness 15 •'4S inches. ManutacWWs installed weight per square foot to achieve Ther W Resistance (R Value) 23g 3. EXTERIOR WALL Material�T�gfoss Baits Thickness (Mchesl 4. RINSED FLOOR Material .ebffgww Betts Tfiickttess (incfiesl 6.5 5. SLAB FLOOR / PERIMETERS • Material _ Brand Name Join Manville Thenal Resistance (R Valued Brand Name Johns Manviile Therrnal Resistance (R -Value) �lq Brand Name Thernai Resistance i3. FOUNDATI WWALL / (inches) =Zstance (R-Value)--- that R Value) gw= In b ?�4,Rart 6, Cattfomiss Code of arpe jallgou!"nm-M) es in on the f compliance, ble. C, M150 11 . l� LOERKE INSULATION CO., INC. BMW- . .Ge Co. ane flem— Signature, Date Genera Contractor (Co. r ams) Game r r General Contractor Co. ane) Oame r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 PER IT O. (Rev. 12/96) APPLICATION AND PERMIT 03-117 ASSESSOR PARCEL NUMBER 064-340-041 R-1 ZONING BUILDING PERMIT OWNER HARDING JIM JR. TELEPHONE 877-8237 SO. FT, OCC. BUILDING VALUATION 1742 R ,� .OWNERS MAILING ADDRESS 5797 ACORN RIDGE DR. PARADISE CA. 95969 440 U 7'.920.00 CONTRACTOR'S NAMETELEPHONE OBER 162 C 2,106.00 200 C 1.400.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $105.494.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 660.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS ^ �'j EL MIRA CIR. MAGALIA Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 726.50 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 3.00 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 [21 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:--D44SI=�1 97-56 31Or Gas piping system 1 - 5 outlets 15.00 19.00 Building sewer 15.00 19 _no Mobile Home S G W @20.00 PERMIT FEE $ 143.00 SNOW LOAD :2000-2500 f t FLOOD: X, 0400C SRA ELECTRICAL PERMIT Fling Fee 20.00 . Main service 50oA oa mss 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 full force and effect.P License Class j1, Lic. No. U �R OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( 6 ACC. BLDS. 3.50FT; 6.35 NON -RID. MULTI.OUTLET 97,50 OWER APPARATUS 6 SINGLE OUTLET C IR. Ex. Occup. OUTLET OR FIXTURES BAL 9 1. 550 Ex. Occup. Dirr E°5 pESIp.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. X' 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 workers' compensatio Insur nce carrier and policy number are: Carrier S�v.4L ,,A Policy Number 13 ^ 000 7t46, L - Z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / -7 X Date -L> O d 3 r Td ;Contractor ❑ Agent Signatu of App cant -/*!��ght. An HA pepOs s requirevations oJer 5'0" deep d demolition or construction of s over 3 stories MECHANICAL PERMIT Fling Fee 20.00 Heating /GAS FIREPLACE 2 15.00 30.0 Cooling 15.0 Hood 6.50 6-9 Ventilation 3 4.50 13.5 PERMIT FEE $ 85.00 Mobile Home Installation Fee $ Energy Inspection Fee $ L�6 , 00 Occ CONST. TYPE TOTAL FEE $ 1 119.85 nHA)Fl IMP O COF pARC0. PD H 5S This permit i ereby issued under the applicable provisions of e B e County Code and/or Resolutions to do work in i d above for which fees have been paid. J y Dat RMIT EXPIRES ON Dafe Receipt No. Gr/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS LD I // V U , iVoS' /V f U/. 1� �sw-�;,-s�,v+�r�•w,•-;;d�:sr;s�^+-----v---" v r"arTM'-�`_^-,rcr�� a-�r'�....;:Y--�..-�---.-...........>-u:.r--�d--••--`�a,��:.,.�.a^-�.�1 ri:,:=�i:"��nraanahva�irs.r��a�rrs'.a+°,G' a.� �v�a'*�+eq,^"�,':" y. "1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ` , fin'@1r,j Cj & ASSESSOR PARCEL NUMBER &f yz-) X00- Proposed Building Use: �y�/ i3 QJ �A- !t Counter Technician: C --Date: Items required in order to apply for a permit. All boxes MUST be checked 16R marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signedty 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form ................................................ —.1 ............................ . 1 Coed e aining items needed to issue the permit. (May require additional plan review upon receipt of the followin items.) d6 .Fees as shown on the attached Schedule of Fees Due Sheet ....................................... NI �) 1 Statement of Intent for Non -heated and A/C Build' n s..-- ............................................. 16. Sanitation and plot plan approval from the Environ ental Health D partment in f� < <� i� 03 City of Chico Plumbing permit ........................................ .............. California Department of Forestry plan approval paid. Sent b� ...................... . ❑ 19. Planning approval for (A) Use: P (B)Parking: ( ) arcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. I Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)? -3 QTS ❑ 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. tter of Signature authorization .....................................:........................... �,� ( R orded copy of Agricultural Acknowledgment Statement ..................................... L C�18. 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 877- V 2 and hold for pickup. I have been info ed of the above items and requirements for obtaining a building permit. Applicant: Dote 61-5C 1. Index permit -application for the above items numbered: 2. Additional items required 1 Contractor, designer, owner, was advised cf the above data by ❑phoje, ❑ ali ; ❑ counter, by Date:Contractor, designer, owner, was advised of the above data by ❑ phon❑mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: 1AA1 Date_ Note transfer by: Date: Yellnw• Ruilrlino Nl ic;n Plan Check Letter • `t' - e E.H. USE OAli7 i Sial Plan Aitechad Roar Man Arulchad t S®Hata B.D. TO: Building Departmek, FROM: Environmental Health SUBJECT: Sanitation Clearance -1 rn LA Ch cr, L Owner Location AP# Plan Approved for: Sewage Disposa�>< Water uppt Public% Private Well Clearance fop"welling. Other Hold final for: Final clearance O.K. for: 'NOTE: Enviro 8/96 tal Health Specialist IM 63 Date 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 OWJ JNER I!'� /7/�r� y It - A.P. # PROPROSED BUILDING USE e� �– ��/ T� DATE UCEIXT # DAIE REC. kLXBUILDING PERMIT FEES a 67 /A / --- Balance Due..................... $ q V v --- Additional Fees Due........... $ ---evised Plan Checking Fee...: $ , 2. SCHOOL DISTRICT FEES (%S1O id at School District Office) (form a �ailable after P k 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$( © (/I Units , Commercial (sq. ftg.)..... X $0.03 = $ ' Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. , 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $ 10.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) Z3YO3 ' 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) —T 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X =$ Zone # Units Amt. Commercial (sq. ftg.) ......... X t = $ Sq. Fig. Amt. . 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT a n / DATE u , Pursuant to Gove ment C ection 66020, you arYfrZomythe otified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project 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-ApplicantPink-Owner (rev. 2/2003) 0 School District A.P. Number BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: city County Property Owner QA CiV \ /` Property Location/Address u'' PG( n,, C `t C( .,�( Q Subdivision /fj�j Lot No. ©.....................................................�........................: Sq. Footage' Residential Development No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection)' €................................................................................................................... Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Date 2 (rioor rians reviewea oy scnooi uistnct Identification No. J School District certifies that 5�5 (Stree Address) U (State) has complied with the requirements.of Resolution No. representing ' Z square feet. Paid by Check # 0-.J Remarks: (Appl 4977-,9?- icant) t) 9 % (Phone Number) (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ �I g v '3 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 proiect may be subiect to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/981dmm OF BUTTE - DEPARTMffNT OF DEVELOPMENT SERVICES - 13UILDIPG DIVISION unty Center Drive - Oroville, California 95965 - Telephone (530) 5 B-7541 O APPLICATION AND PERMIT C4- 3 D `// 40"0,0 n / BUILDINGPERMIT TELrr+.oNe SQ. FT. OCC. BUILDING VALUATION Ll��d J X77- aZ3 G yr�G 5 U � � TE�rNo►N: .� c.o a PERMIT -• S0, F u�EA )� {AMJMC ADDRESS M cT on EN57 cN'cHi I — MTECf OR DIMM9 t- MMJMG ADDRESS . �wc ApDRESS r (IZA C 2 %v%,2 4/1L14 PAACI USEOFSTRUCTURE ' plex'❑ Mlobilshome ❑• Other s v ' TYPE OF WORK ew Add6on ❑ Remodel ❑ LMes ❑ Installation ❑ Other ❑ �/ escribe Work: • i d `��Sam sik)k Sever , C) 4-hlc 2d�®� Ott" PERMIT FEE MECHANICAL PERMIT Firing Fee 20.00 Heatma Q r•irr `ice lout l' 11`4 I Hood - _ I I 6.5D 1 6 Ventilation 3 '/-p 13-5-- PERMIT 3-S PERMIT FEt S Nbbile Home Installation Fee S Energy Inspection Fee S ` CWWr. 7YP 0.- = TOTAL FEE $ D. FEES ,r,�� y61— 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. By Date �-- PERMIT EXPIRES ON A PERMIT FEE ELECTRICAL PERMIT Firing Fee 20.OD Main Service Fireplace 23.00 2� Main Service Total Valuation S 46.00 um coal: DR ADDNS. Finn Fee S 20.00 Permit Fee @7.50 Plan Checking Fee S 23 Energy Plan Checking Fee S 2 -3 - -3 -PERMIT � is OR 5.00 Temporary Service PERMIT FEE S %2— PLUMBING PERMIT Firing Fee 20.Do __.._....- ------ - ----r- Esch Trap --- 7:00 7(3 Solar or heat pump water heater 23.00 Water piping 15.DO ! Each gas water heater or vent 15.00 I S Gas piping syrlam� t - 5 outlets 15.0 D / Building sewer t 5. D 0 / 57 FJIobi18 Home S G W @20.00 PERMIT FEE MECHANICAL PERMIT Firing Fee 20.00 Heatma Q r•irr `ice lout l' 11`4 I Hood - _ I I 6.5D 1 6 Ventilation 3 '/-p 13-5-- PERMIT 3-S PERMIT FEt S Nbbile Home Installation Fee S Energy Inspection Fee S ` CWWr. 7YP 0.- = TOTAL FEE $ D. FEES ,r,�� y61— 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. By Date �-- PERMIT EXPIRES ON A PERMIT FEE ELECTRICAL PERMIT Firing Fee 20.OD Main Service x�oa o 23.00 2� Main Service ► sD in" 46.00 um coal: DR ADDNS. vwaJJNa DecuP. a A= stns 3.5r.—, NEN nEsra WAX0!lnEr RAWN DIFIMM @7.50 .rteiJrL alit a Occup. ovnEr Dm FwnmB aA- ® so . Er. Occup. � is OR 5.00 Temporary Service -- 23.00 Mobile Home Facilities 20.00 IAS IMA—ft 23.00 PERMIT FEE MECHANICAL PERMIT Firing Fee 20.00 Heatma Q r•irr `ice lout l' 11`4 I Hood - _ I I 6.5D 1 6 Ventilation 3 '/-p 13-5-- PERMIT 3-S PERMIT FEt S Nbbile Home Installation Fee S Energy Inspection Fee S ` CWWr. 7YP 0.- = TOTAL FEE $ D. FEES ,r,�� y61— 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. By Date �-- PERMIT EXPIRES ON A COPY of Document Recorded 09 -Sep -2003 2003-0062494 AND WHEN RECORDED MAIL TO: Has not been compared with original BUTTE COUNTY BUILDING DIVISION 9 COUNTY CENTER DRIVE BUTTE COUNTY RECORDER OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this'a&nowledgment.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: SEE ATTACHED LEGAL DESCRPPTION Date SFPrFMBF.t 9, 2003 ..�. L • �•� •go 10, State of California ) .' County of BUTTE ) On SFPTFZMF.R 9, 2003 before me, CHERI HOVEY, NOTARY' PUBLIC personally appeared ** RC=,J F. HARDTNG ** personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are 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 person(s) acted; executed the instrument. WITNESSm hand and official seal. r Signature Seal: CHERI HOVE Commission# 1327113 Nota A. P:# 064-340-041.'�� BPublic Butte County ` p Comm. Expires Oct 27, 2005 wow Preliminary Report Description Order No. BU -207557-2 CH The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: 'LOT 124, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 1, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 97 THRU 101. CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 4, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ' ANY AND ALL MINING OPERATIONS SHALL BE DONE. FROM. ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN,:AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. f APN 064-340-041-000 PARCEL 11- A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C AND D (THE COMMON AREAS) OF SAID PARADISE PINES UNIT NO. 5, AND THE LOT A OF PARADISE PINES UNIT NO. 4, FOR INGRESS, EGRESS AND THE USES AND PURPOSES SET FORTH IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS, AMENDMENTS THERETO AND THE DECLARATION OF ANNEXATION FOR PARADISE PINES UNIT NO. 4. • SITE PLAN REVIEW APPLICATION Date: AN �� % 3 LID ".6-111 Permit Number (if applicable) APPLICANT INFORMATION Parcel ize: Owners Name: l�A2�),,1G- J) 71, Owners Address: ^? 91 Alf. J V;) L7�� � _ F( raA cam. i S e_ C) cj 9 Telephone No.: Situs Address: Lp T / L�tit /{�A- CUA Proposed Use: ' Residential 1xaST ® 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 ❑ New Industrial ' ❑ Industrial Addition Ot er Septic ❑ Agricultural Exempt Building ❑ Other: r ❑ Commercial Remodel ❑ Industrial Remodel' ❑ Well Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑'Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved • By Date 3 —) Page 1 of 5 w q ❑ Setbacks drawn on site Plan. '❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code . Streets & Highways ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: • Snow Load Area: .`� —3-O ❑ Land Conservation Act Minimum Acreage: E] Verify residence can be built per contract El 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) Rear Flood Zone: X • Flood Panel No.: (23) y 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 Variance ❑ Variance ------------------------- ❑ ------------------ ----- --------------- -=-------------------- ---- ------- ---- -----------=—------- — Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: — 1 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 � Ct L Side � 3� Side Street Rear , 3 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 • ❑ 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 I; vp r � Subdivision Map/Parcel 'Ma12—A i_�,) S 6 Pi-"' Map Date of Recording: 1 0 -- 1— Lot: Z Book: Page: 10 ❑ Use.Permit/Minor Use Permit Permit Number: 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, NEPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications; serves the parcel. ❑ - Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan • must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for'the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class'A roofs are required., ❑ Property owners responsible for roa FJ • ❑ This information provided in this summary is based on•the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl:doc Page 5 of 5 o ENCROACHMENT. PERMIT . County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/pubhcworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number O 3 0 s 96 E Distric /� . APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: ` I a, Company Name: C, R w ei(.r, 2. Address: d Phone:. Z, - �; �.3 4. Assessor's Parcel Number: -, C yI 5. Locatio of Work to be Done g i w, , C, r e-) * lyl� 6. A is Signature 7: Date: CONTRACTOR'S INFORMATION 8. Contractors Name 9. Address 1-7 10. Phone: 11. Fax: --3,2- 12. Contractor's License Number: 5.16 13. Certificate of Insurance: Yeses No: ❑ 14. Contractor's a i 14a. Date Signed: G�3�a _ate 15. Authorized A TYPE OF WORK TO BE DONE 16. Please Check: Garb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type):7 18.Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ermission is hereby granted. 19. Conditions 1 l r 1 roae h u I1 e a ed 0 h lZ C e- 0 the- vo er 't �;he C 'f�i /R MA � ur�ql see IG a m. d Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. AAII work shall conform to accompanying: Detail 4 Plans 0 Special Conditions 21. Date Issued(70 03 22. Expiration Date: y O d / 23 Sure-S, Mike Crump, Director of Public Works By: "Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week/ Page 1 of 2 General Conditions — See Page 2 =j S i CP� . 1. I I T c o ' CL% ° IS U r r- Ik .r N- i • T m a �. IF r � L s O In p� T � S I\t N \ �♦ � t1h_ ��s, � N I f� J r o 01 J Rt S � L � T `b1 5 0 6cn ' Sr � q2` jZCP(..�c,Etv+��.l i a\�ovJlJ (a.AR.�4 Cr'E Zq' ___ _..._ ..... IOt 41 In r A t I APPROVED Butte County Err,f'f'!!�^htal Health MAR 1 3 2003 Chico, CA L LM 1'(1A L.14LG�.- AP "'�7 GS— 3yc) —kAk Al— RWo DA2�-' G S ..510,4 RFs t DG.tv�,E.