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HomeMy WebLinkAbout064-360-014-eir 'pv f NC 07, RESIDENTIAL PERMIT NO. ,� 064-360-014 — N� 26586!/ r–(M -L S\ BLANTON; i RV ,�eJ3 DECATli1tY,-\:'.GALIA Cont: OWNER NSF/GAR_nG &'('C i }}IF A � ` & 14 � SPECIAL CONDITIONS CHECKED BY ' SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY x USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1- 2- aFF CgsTOA1 II OFFICE COPY Address GAS Meter By ELECTRIC Date Meter By t Date ;3 '1 JOB FINALED (Dat (� Signature J=OK 0 = Not OK . Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/0 -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test-Wrap; -/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date POOLS (Plans) OK except #'s 1. Date ward B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1 _ Zoning Requirements -Setbacks -Easements 4. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4 Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Enclosures; Conduit Entries -Terminals -Listed 5 Drain; MH Test -Fall -Flex Connector 7. 6 Water; MH Test -Regulator -Connector 7 Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit & Gas and Electricity Tagged 9. 9L Tie Downs -Type -Installation Cert. iC Exits; Insp.-Sketch Plumb.; Cir. Test -Water Supply Test 11. Cert. of Occupancy 11. Light Niche 12. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 Zoning Requirements -Setbacks -Easements �. 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 3. Gas and Electricity Tagged D. 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 -GR 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 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UWERFLOOR (Plans) OK except #'s S/ tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 1- r Vg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Sq., Porches & Decks; Soils -Steel-/ /" Fta. Depth WHold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. rs-Fire lace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 F, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1 Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground K.Zlenums & Ducts; Clearance -Material -Support -Ins. ,Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 1e Access & Ventilation 16. Insulation Date 9 $ Card B-1 &,4 Date Card B-1 Dat2a 145 Card B-1 Date Card B-1 Date RIJUMBING (Permit) OK except #'s W. ater Htr.; Vent -Access -Combustion Air Baffle �Qyrater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. shower Pan; Test, First Floor -Tub Access Test Tub & Sixe & Anchors 23. Fire Sprinkler: Test Date tAfr Card B-1 Date Card B-1 Date Zzrj- Card B-1 Date Card B-1 Date ELE TRICAL (Permit) OK except #'s Fxture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water NZ 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No . Service -Riser Conductors & Ground Main Disconnect 33.Aguip. Clearances Panels-Motors-Mech. Equip. _Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1( Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA"G (Permit) OK except #'s 43"5ilis Proper Materials & Anchors 4?.'Alalls Studs -Nailing Spacing & Braces -Plates -Sound 45. Bearing Walls over Girders & Floor Nailing 4rDro Stop in Walls (rat proof) 48'-Kre Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date g. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Flace Ties or Type A Flue -Fireplace Throat Clearance QV�Kic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5,1 m. Windows or Exiting Doors -Sill Ht. &Dimensions -R-CS DQJbS 62TGarage Fire Protection Framinq-RCP_4f nel 54. Ext. QArs-One 3' -Check Garage 3rd Storv. 2 Exits 5 . Os; Width -Headroom -Rise -Run -Landing -Fire Protection C4tPrPlywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. 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 71 4 vf-3 Card B-1 Date Card B-1 Date fj 2'I Card B-1 404 Date Card B-1 Date FINAL (Plans) OK except #'s Wit. Steps -Door & Sidelight Protection -Landings 6d_.fdFnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting .I. & Bath Fixtures & Tub Access -Spa 593p1 --Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 1. Fireplace or Stove, Clearance -Hearth 72. Ele utlets at Wood Panel, Int. & Ext. t. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Ib.; Elec. & Mech. Equip. Listed for Location Receptacles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic . Guard Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish C. Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wat r Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House 911-Gta s Protection fictions from Previous Inspections as Test -Meters Tagged, Gas -Electric (23, Wafer & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date/Card B-1 Date Card B-1 Date -18-0g- Card B-1 , Date Card B-1 Comments at Final • 0 Inn CertainTeed Builders Statement InsulSaW4 Fiber Glass Blowing Insulation K,E Homeowner Name / J bsite Name 44OLq 0- e Address Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date , Inspected By (sign if required) Date I R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain aBags Thermal Resistance (R) of: per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. fL) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: On.) 60 36.5 27 , 0.986 22 49 29.6 34 i 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 1 13.1 77' 1 0.353 9 19 11.1 90 0.301 71/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sgIfL of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. I ii DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH. THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02003 CertainTeed Corporation 10/03 R -VALUE THICKNESS i AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS WALLS 1,3 s FLOORS J9 st THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sgIfL of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. I ii DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH. THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02003 CertainTeed Corporation 10/03 Manufacturer Insulation Fact Sheet ':I This is CertainTeed Corporation Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 A I nsu bak'4 r THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW CertainTeedCq The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application:. ' R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain aBags Thermal Resistance (R) of: per 1000 sq. ft. of net area: Contents of bag should not cover more than: (s% t.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18'/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 .4 3/4 R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. Based on a design density of 1.6 pcf/25.6 Kg/m3. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 5'/2 16 19.8 51 0.533 4 15 17.9 56 0.483 31/8 14 1 17.3 1 58 0.467 3'/z READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. �11 r F_ L� WESTERNWOODS EWP PAGE 01/01 ENGINEEREp WOOD SYSTEMS tall Certificate of Conformance Certificate 054086 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 glueline bond quality. BTS X1f��` Lr 029 SEAL p- Oli a$ by i kUL 1 Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS Is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Stwt • P.O: Box 11700 - Taooma. WA 98411.0700 Telephone;. (253) 66 &6600 - Fax Num4er (253) 585-7285 4 5 NOTES CWa4c- b6EV Sr 0 ZE koi MIS 67 49AEE S446 (e - 1'7 —0s 1 .s 1 r 1 r• 5 n yyLk }n RESIDENTIAL 0G4-370-022 - - OS 0424 PERMIT NO.; KYLE, Jf',MES t DREXEL. MAGALIA i Cont: KEI,,\4P'rON, DAVID NEW SINGLE FAMILY i 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 2(Q C -D-2 OFFICE COPY �1 CHECKED BY Address---- GAS ddress_GAS Date---- Meter ateMeter BY ELECTRIC Date Meter By JOB FINALE (Date) 1' _'Z I - o5 Signature �a�-�^W�►'��� J=OK 0 = Not OK . = NotReadyable 1. , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Zoning Requirements -Setbacks -Easements 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test-Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Gas; MH Test -Demand -Valve Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 5. Electricity; MH Test 2. Date "Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements Gas and Electricity Tagged 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances 12. 5. Drain; MH Test -Fall -Flex Connector Verify #'s with Office 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Date 3. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Electric 8. 1. Zoning Requirements -Setbacks -Easements Siding; Nailing -Veneer -Stucco -Mesh 10. 2. Footings; Size -Spacing -Marriage Line Ext.; Steps -Doors -Landings 12. 3. Blocking Date 4. Gas; MH Test -Demand -Valve Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 5. Electricity; MH Test 2. Soils; Compaction -Structure Stability 6. Water; MH Test 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Exits 10. Plumb.; Cir. Test -Water Supply Test 10. License Decals 12. Enclosure; Fencing -Alarms 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 UNDERFLOOR (Plans) OK except #'s Ftg., Main; Soils-Elec. Grnd.-/ IV" Ft Ftg., Garage; Soils-Steel-Elec. Grnd.-/ 'Ftg., Porches & Deck oils -Steel-/[; Stemwalls, Main; eel-Blockouts-Wra '. Hold Downs nad Special Anchors teeI-Wrapped VIT iers Fire lace Ft .Steela . D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Te 10. UF, Gas Pipe; Size Anchors -Yard Gas Pi g; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground enum Ducts; Clea ance-Mate I -Support -Ins. 14. Ws—s& nchor Bol o s-Vents-Crippies ss & Ventilation Insulation Date OS Card B -1i Card B 1it Date C� 2% Card B-1 ,Y„ J) Date Card B-1 Date PL MBING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air Baffle 8ZWater Pipe; Test & Anchor -Nail Protection A. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. est Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 25 lec. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors Stapled , Romex Installed Close to Edge of Studs & C.J. 8 quip. Ground made up w/Mech Fasteners -Bond Gas & Water 9/2 Appliance Circuits in Kitchen & Conductor Size GFI ?j0/Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 21. Range Circle/ /ga Pu or AI -Oven Circ. / /ga Cu or Al >sulated Neutral Yes ❑ No ervice-Riser Conductors & Ground Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. 347 lothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36Zd.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 38: Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 LT Date Card B-1 Date Card B-1 Date Card B-1 Date FRA)AING (Permit) OK except #'s Its Proper Materials & Anchors 4f Walls Studs -Nailing Spacing & Braces -Plates -Sound 48. Bearing Walls over Girders & Floor Nailing 44/.Draft Stop in Walls (rat proof) .Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4C Headers & Beams -Size & Bearing Date FREING (Continued) 4 ..4angers-Post Caps -Anchors -Connectors . Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. !V Fireplace Ties or Type A Flue -Fireplace Throat Clearance M. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. 'mensions \,0 -rGarage Fire Protection Frami -R hanne 68,-_?,Foperty Line Firewall & Openin V Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6.��ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Ceilinos 63. Infiltration -Wall - indows Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN ans) OK except #'s 4. Ext�Stet(5s-Door & Sidelight Protection -Landings 65. moke ctor 66. nace Vents -clearance -Comb, Air -Connector - I rage; Above Floor-Ducts-Mech. Protection _Rod Sam Exiting Sy 6l�& Bath Fixtures & Tub Access -Spa Elim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fire ace or Stove, Clearance -Hearth Ele�utlets at Wood Panel, Int. & Ext. it�yct. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure L76. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location TV. -ET Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic uard Rails & Deck Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes Following Instld./Drive 0 Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish A#b%Z` Unit Disconnect, Electrical -Plumbing A& -'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground 8 entilation Throughout House lass Protection 19t-175'rrections from Previous Inspections ((-1-05' ). 9,—Gas Test -Meters Tagged, Gas -Electric mer & Sewer Connected -C/O to Grade -HD Approval A—i5n'e—rqy Compliance Certificate -Other Certificates dress Posted 96. Fire Sprinkler Datejj.ZJ-O S 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050424 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/28/2005 APN: 064-370-022-000 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.6 Z�j Ill Site Address: 14094 DREXEL DR MAG License Classy License Number: *7 Map Index: Date:. Contractor: ]�fM_P o� GtU71 r cila OWNER -BUILDER DECLARATION Description: NSF (1707), GAR(440), COV(75) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: KYLE JAMES A. &DONNA E. Business and Professions Code: Any city or county which requires'a permit to construct, alter, improve, demolish, or repair any structure, prior 15294 NORTHLAKE ROAD to its issuance, also requires the applicant for such permit to file a MAGALIA, CA signed statement that he or she is licensed pursuant to the provisions of the Contractcr's State License Law (Chapter 9 commencing with Section 95954 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and.lhe 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 Applicant' KEMPTON CONSTRUCTION intended or offered for sale (Sec. 7044, Business and Professions , 6348 SPAR WAY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does MAGALIA, CA. such work himself or herself or•through his or her own employees, 95954 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 530-873-1002 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: KEMPTON CONSTRUCTION and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, 6348 SPAR WAY and who contracts for such projects with a contractor(s) licensed MAGALIA, CA. pursuant to the Contractors' State License Law.). 95954 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-873-1002 Date: owner: License #: 766471 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: S issued. 9 I 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: �^ J Carrier: i C? lZ" Total Square Ft: 2222 S.F. �c� n rl Policy #:_ Valuation: $122,715.00 � � S 7 3 . Census Code: I_ ❑ I certify that in the performance of the work for which this permit is I C�J issued, 1 shall not employ any person in any manner so as to I 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. f Date: �,1— � Applicant: 7' _ � WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCT= uro+1r AGENCY Th!g un ep.e a licable provisions of the Butte County Code find/nr - I hereby affirm that there is a construction lending agency for the Resolutio to do wo indicate above V whiciyeas have been paid. �j performance of the work for which this permit is issued (Sec 3097 Civ.) '—� U Name: By, Date (.: PERMIT EXPIRES ON: / —; �? ,O O Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all countLDr,te: 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 rep tat' es of Butte County to enter upon the above mentioned property for inspection purposes. e: Q0 CA �� tM (J (`O /� Signature: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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. y License Class: License Number: --3 Date: 2y 01sontractor: 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that'he or she is licensed'ptirsuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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,salg (Sec...7044.,„6.usi,pess,,and,P(ofessio ns. 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.). •. I, as owner ,of . the .property, am .exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). . ❑ f am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS'- COMPENSATION DECLARATION I hereby affirm under, penalty of perjury one of the following declarations: ❑ I have and will -maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S / i-7'/ _�-;— Policy #:-,I b ❑ 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 forthwithmply with those provisions. Date: a7z l- C3 If� Applicant: �- r» WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and.attomey's fees.. ..., , . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BPO50656 Issued Date: 06/24/2005 APN: 064-360-014-000 Site Address: 14191 DECATUR DR MAG Map Index: Description: NSF(2094)GAR(576)COV(116) Owner: BLANTON , KEN 800 BUSCHMANN PARADISE, CA. Applicant:. KB CONSTRUCTION PO BOX 117 PARADISE, CA 95969 530-872-9006 Contractor: KB CONSTRUCTION PO BOX 117 PARADISE, CA 95969 530-872-9006 License #: 707423 Architect: Engineer: Total Square Ft: Valuation: Census Code: 2786 S.F. $151,790.00 7C) �b This permit is hereb ued uryd§r appli le p visions of the Bnfte County Code inrVor Resolutions to d ork in cat bove f whic ees have been paid. By: Date: ` / cl�,_ PERMIT EXPIRES ON: ❑ 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 thg owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose,§. /% Print Name: r d Date: 2 J 0 Owner, 13 Contractor ❑ Agent for Owner gent for Contractor BUT E N Y DEPARTMENT OF DEVELOP ENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-283'^ I 9-1 O OFFICE #: (530) 538-7541 1 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION rl Website: www.buftecounty.net/dds \�t0ilI "PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name �) I an os7 irst Name rte Address C� viraH City StateC..� Zip 6116 9 Phone s 30 572 *Y,4 Fax S 3v S' -7 ?OG E-mail 9C61 Fax ,.y72-9,,, APPLICANT NAME ARCHITECT/ENGINEER CONTRACTOR Name 1<'er Zap Q5 / 1 Address 4 � State City /J State Zip Phone r-7 9C61 Fax ,.y72-9,,, E-mail Planner Lic. #; 07 y Z Class APPLICANT NAME ARCHITECT/ENGINEER Name L .q . 0 k? jl� Pu4 Address Zap Q5 / 1 City kia (5 State Zip Phone Typ6 Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City n State Zap Q5 / 1 CJ Phone 50 ?72 —9Obl, �1L Fax S 3e) ' S'2 2 o / E-mail 41 1 For office use only: Zoning — City �� Flood Zone SRA ves No Occ. Typ6 Const. Subdivision Name Address ,/� a i�� Soh / �.C' Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 5o6 BIN LOCATION AP# �- Property Address iu 14P 1_h5G__�1Cq ,� City �� Cross Street W RKER'S COMPENSATION Policy Number 0 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name �K Ile l oWlt-7 k 7 i 1y v /`', �/ � Address ,/� a i�� Soh / �.C' Description or Scope of Work: NSI- ��- Sq. Footage 4 all ❑ Structure Built without Permits ❑ oposed Change of Occupancy 01�p or 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 bee4 done. Filing fees, plan check fees for work plan checked and other department costs are not Received by:.y, L� Receipt #: 11474�61Z;7 Amount: Z (J Bldg 26) SRA I er Date: c �� OthI I Total Page 1 of 2 REV 2-24-05 r , SUBMITTAL & PERMIT 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 IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑l 2. Complete plans, 3 or.4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ . 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number,'Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Applicant: Blanton, Ken Permit No: 05-0656 Project Type: NSF/Gar/Cov APN: .064-360-014 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN 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 Butte County Department of Development Services uTtF YVONNE CHRISTOPHER, DIRECTOR °° I °° o 0 7 County Center Drive o �, , o °LO° Oroville, CA 95965 cOU (530) 538.7601 Telephone N'�y (530) 538.7785 Facsimile O TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 IM srutherford@buttecounty.net I SUBJECT: Plans Transmittal For Review Per Contract O DATE: 3/18/2005 Applicant: Blanton, Ken Permit No: 05-0656 Project Type: NSF/Gar/Cov APN: .064-360-014 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN 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 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: /5Gf7\j 7w r 1LC--7\1 ASSESSOR PARCEL NUMBER �6 �' 60 ^ ©� Proposed Building Use: Ns F Counter Technician: 4n, -_ 5- Date: - /0 r Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �1. Site plans, 3 or 4 sets, signed by the preparer of the plans. � /Al2. 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. \D/" 4. Engineered truss details and layouts in duplicate. No faxes! \❑ 5. Letter from Engineer or Architect for truss design review. `Q IN 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 these must be stamped and wet -signed by the en ig neer. ❑ 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. N 16. Other tv/ .02- t--vto C c 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 ........................................... ........ \❑ 20. Erosion Control Plan Required........................................................................ ........ �CIQ 21 Fees as shown on the attached Schedule of Fees Due Sheet............ :............. ❑ 22. City of Chico Plumbing permit .................................. ..%........... c 23. California Department of Forestry plan approval aid. S� �r-C'�� o s 24 Planning approval (A) Use: B)Parking: ( Parcel Chec 12 3 0 25. Contact Land Development about _ Improvements Dr . 01 ED..f. .................... 26. NPDES Form ...................................... ..................... I .... ............... ....... . 27. Encroachment Permit for driveway from the Public Works Dept...... -Q.:... ❑ 28. Pre -Inspection for i - e�mired....... ❑ 29. Contractor's license information. (Number, Narrtye, Cla i8fion ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance ................................. I.............................. ❑ -35. Existing violations and/or expired permits.. *** ............. ermits.................. 36. Deed Restriction......................................................................................... 37. rant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, O Check to H.C.D. $ 38 Other: _ 9. Other. When issued Telephone and hold for pickup. I Have been informedof the above 'fie s< 'nd requirements for obtaining_a building permit. Applicant: 4ate: - /O - C) 1. Index permit app icatio fn or the above items MIX/ Plan Check Letter 2. Additicnal items required Oans o :signer, owner, was advised of the above data by ❑ hone, ❑ mail, counter, by Date: - ,designer, owner, was advised of the above data by Z phone, ❑ mail, elfcounter, by 0 Date: �iewed by: Date: Plans approved by: i A I I i Date Structural reviewed y: Date:' Structural approved by: G I Date: Note transfer by Date: D Yellow: Building Division • E.H. USE ONLY Piot Pian Attached VC5 �!?+ Hoes Plan Attached sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ZOL �D/L/ Owner Location AP# Plan Approved for: Sewage Disposal ,)�- Water Suppty: Public, Private Well Clearance for i( dwelling. Other 43ze; 'y e-, a /2 r1 Hold final for: Final clearance O.K. for: NOTE: Environmental ffe-alth Specialist 8/96 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 OWNER / I�� PROPROSED BUILDING USE N C> F Az 1. BUILDING PERMIT FEES --- Balance Due ..................... $ C/ --- Additional Fees Due........... $ ! 8 g o, (� T A.P. # 0611-°360-®/V � DATE -S.— / 0 o RECEIPT # c\/ DANE REC S. Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES PAR"/,5C (/N I Pt (.a (o�(v (paid at School District Office) (form available after Plan Check) 3 SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Commercial (sq. ftg.)..... Units X $0.03 = $ Sq Ftg* // (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. RECREATION DISTRICT FEES PAW6f.-r4 P 1Z 91V'e) (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 10.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECKYEEE 9.A0 -(-paid at BuildingDivision) 8. WATER TENDER FEES BATTALION # / $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Rsidential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X Sq. Ftg. A t. 1 �). OTHER 1 's°`0 g �-zq-dam �{�(15�► At time of permit application, I was adv' a the above fees are required to be paid prior to issuance of the permit. These fees maybe changed dur t•}te lan cWgc ng, ocess. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are srecified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Butte County Department ofDevelopment Serviceso�0T7, 7 County Center Drive o °�' -- G Oroville, CA 95965 ��.: . 0 :'." `Y o .(530) 538-7601 Telephone o o (530) 538-7785 Facsimile cOUNty BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: 1('e_r✓1 �j,`4�� X, k7 APN: (Y Building site address: (/ eCu fC,✓-( Permit No.: PnS D6 s-6 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: IGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Fonns/BidgPennitwithoutClearances 020705 A ds� 5 c�Uc WO�� Department Michael Crump, Director Public 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 II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: ©GL -/r6/® 0 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: __6U -S Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 �ii� eei pie e ie�e i ii ieei iii e ei e ieie� 2005-00 1 ?093 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I COPIES 2.50 BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 01:28PM 28 -Mar -2065 I Page 1 of 2 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: Date UA C6) 2=5, 2 O,5 PROPERTY OWNERS: 0 State of California County of 'E� uAAe— ) On �Aaw/h Z5, 2 -no before me, 4i,�1 G)UMC-Z / i i0Jfa.► / personally appeared Kenn6AE QELTD.niw 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. WITNESS '9-y,4+d and official seal. �p45. T"P�l SignatureZ4Seal: EpUFHEIDI GOMEZ r Q , Q'Comm. #1397691 @ / NOTARY PUBLIC CALIFORNIA Q A.P. # a �! rA -S( o -0/,-/ BUTTE COUNTY 1 My Commission Expires Feb. 2, 2007 _rLA ORDER NO. BU -189225-2 VG DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I.- LOT : LOT 193, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 411, 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 PAGES) 97 THRU 101. CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 4, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AAND OTHER ND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF SURFACE OF SAID LAND, THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE APN 064-360-014-000 PARCEL II: 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 FOR IN THE DECLARATION OF COVENANTS, THCONDITIONS AND RESTRICTIONS, AMENDMENTS THERETO AND THE DECLARATION OF ANNEXATION FOR PARADISE PINES UNIT NO. 4. WILLDAN Serving Public Agencies June 13, 2005 Scott Rutherford BLtte County Building Department 7 County Center Drive Otoville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Willdan Project No: 14353-1476 Jurisdiction Job No: 05-0656 Assessor's Parcel No: 064-360-014 Description: Blanton NSF/Gar/Cov, 193 Decatur Drive, Magalia Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets 1 though 3 dated 02/02 by Brant Nightingale Designs * Energy Calculations: Two (2) copies dated 03/16/05 by Paradise Mechanical * Truss Calculations: Two (2) copies dated 07/09/02 by Longfellow Lumber Co. Inc. * Site Plan: Two (2) copies not dated, not signed The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we r--ceive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code Enalysis, conditions -of -approval and identification of any deferred submittals. WILLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Specific Use Type of Occupancy Type of Construction Stories 1stFloor Sq Ft 2 "d floor Sq Ft Total Sq Ft Dwelling R-3 V -N 1 2094 N/A 2094 Garage U-1 V -N 1 576 N/A 576 Cov. Porch R-3 V -N 1 116 N/A 116 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Richard Essenwanger Plans Examiner II Cc: Alice Mefford, amefford@buttecounty.net Brant Nightingale Designs, Fax (530) 877-4589 Ken Blanton, 800 Buschman, Paradise, CA 95969 Page 2 oft Brad Boehm, P.E. Plan Check Engineer Butte County 05-0656 Willdan 14353-1476TC2F RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Kenneth D. Blanton P.O. Box 117 Paradise, CA 95969 2�m5-0� 1 76 1 6 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 30 -Mar -2005 REC FEE 10.00 TAX 63.25 Barbara Page 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 064-360-014-000 File No.: 0402-1778149 (MT) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $0.00; CITY TRANSFER TAX SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ •] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Darren W. Jones and Kimberly R. Sones, husband and wife as joint tenants hereby GRANTS to Kenneth D. Blanton, a married man as his sole and separate property the following described property in the UNINCORPORATED AREA of , County of Butte, State of California: PARCEL I: LOT 193, 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, LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. PARCEL II: 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 Dated: 03/09/2005 Mail Tax Statements To: SAME AS ABOVE A.P.N.:`1064-360-014-000 Grant Deed - continued STATE OF 1., 1�ni� COUNTY OF ".&AAL Kimberly R. Jon File No.:0402-1778149 (MT) Date: 03/08/2005 On Z: � >— I I — O > before me, 5k';'— a personally appeared t M6 personally known to me (or proved to me on the basis of satisfactory evidence) to 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 his/her/their signatures) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature My C6mmission Expires: This area for o>ficiai notarial seal Notary Name:�/�;5� VIES Notary Phone: Notary Registration Number: County of Principal Place of Business: r MARSHA VIERRA 0 � � Comm. #1530556 UI NOTARY PUBLIC CALIFORNIA 0 V P BUTTE COUNTY .l My Commission Expires Nov. 27, 2008 Page 2 of 2 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ErfARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �(�/ c��a,� Building Permit Number Property Owner (s) n Kn /'J//g n - Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home Dem` "/ i Demo Permit (date ' s Comments: �IJI'r L ba Assessable Sq. Ftge Type of Residential Development (check one) Single Family -Detached Non -Residential to. Residential Mobile home replacement Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD 0 CARD RPD ❑ DRPD certifies that: Applicant Name Phone Number 12 o 85� l l 7 EaCs� C4 M67 Mailing Address _ .- City State Zip L Has complied with requirements of the Butte County Board of Supervisors Resolution No. �l by Payment of: Dwelling Units @ $ 6ZQ? L/ Square Feet @ $ Remarks: . VY Paid by Check No: Paid by Cash: and KAFORMSWILWNG FORMS\park-rec standard form rev Ldoc per unit for a total of $ per sq foot for a total of $ Receipt No: Date vl:°TW'�`:'".. y.. •+,..,...Yvs,:+vcrF"+i:....,.'�•irit•rr*7�'}{i�. ;di'�+`in ... 3'. 1 .Yv �iC :lr^ .. s.r4.� .�-:. •*� .v_ . �,."s �. 1. `�: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) � k School District (� CCl('I l�P � r�►� 1 Ler Building Department No. 05 X11 %s A.P. Number G������'/ Jurisdiction: City ®County Property Owner r Property Lc-cation/Address Subdivis(or - Lot No. Residential Development Q Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # w. '(No foundation inspecilon) , ................................. .._... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commerdal/Industrial Q Q Sq. Footage / sw Addition _ (Including Exterior J Roofed Areas) k-6 / Building Department Representative P. Date District Identification.No.' .10 e� r School District certifies that j �i A7) X /� 7 (Street (City) has complied with the requirements of Resolution No. representing 4 square feet. School District Representative Paid by Check # Remarks: (State) (Applicant) 974 -- �0 (Phone Number) (Zip Code) by payment of $ Yy'45/ �Gj 2926 $ FULL MITIGATION = 4 Date Nofrw: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Govemmsrdt Cods Section 66020(a), within 90 days from the date fees are paid. Failure to submit a limey written protest will'prohibit you from challenging the Imposition of the fees In any court action. K, subsequent to the School District Representative a signing this &Rte County Schools Impact AF�ee, Certification Fororn% the School JDistrict Is MR if by Vo appikWe Local Planning Agencythat this projectr Is being fet1�Y � � Califo nio Environmental Quality Act (CEQA� 1� tics project may be subject to additional school fees to full nrtiget..lts Impact on the school dbtrteft schools. White (applicant), Yellow (building department), Pink (school district) feefwm.xls (10/03)dmm l SITE PLAN- REVIEW APPLICATION f Date: - ' O ✓� AP# 7 3 (GAJ —� Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: 07-5 Owners Name: Ekj 4- �m e"4L ,77) Owners Address: '�VIL�¢ i 0-',6 Telephone No.: 54 ?Do Email: Situs Address: ( /1 0-,+.-17W PrO Dosed Use: Res' ential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer Fj Multi -family Non-residential New Commercial ❑ Commercial Addition New Industrial ❑ Industrial Addition t Other nSeptic Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Reinodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Pl n Stamped Approved By Date 31:714 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: e 000 -6 A700 -�': 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: A d • Flood Panel No.: OW 7dW L1 C, Index Date: tiP q D ❑ 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: le — G P LD 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 Side Side Street / o f Rear 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 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 ❑ 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 IN Subdivision Map/Parcel Map: 141�SI Map Date of Recording: �t-70 Lot: � ❑ Use Permit/Minor Use Permit Permit Number: fw�xj ?o- q Book: �s Date of Approval: Page:/ 7r lot Parcel Map/Subdivision 1VMap[Use 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. x Page 4of5 a 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. CAL,arrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 LARWIN DEVELOPMENTS INC.. A CORPORATION AS OWNER OF THE LAND INCLUDED YlI THIN PARADISE PINES UNIT N0: 4 AC SHOWN WITHIN THE COLORED BOROCR LINE ON THE ANNEXED MAP. AND ALLIANCE ESCROW CORP. A CALIFORNIA. CORPORATION AS TRUSTEES UNDER RECORD DEEDS OF TRUST, DO HEREBY CERTIFY THAT WE ARE THE ONLY PERSONS WHOSE CONSENT 15 NECCSSARY 10 PASS CLE A It TITLE TO SAID LAND AND WE CONSENT TO THE PREPARATION AND RECORDATION OF SAID MAP' AS SHOWN 'AITHIN THE COLORED BOROER LINES• . THOSE PORTIONS ' OF CUMBERLAND ROAD, CRE STON ROAD, DECATUR DRIVE, DRE%EL DRIVE, PONDEROSA WAY. CITADEL WAY. SHERWOOD CIRCLE. NORWICH CIRCLE. ELMIRA CIRCLE, POTOMAC DRIVE. SIENA COURT, LOYOLA COURT, PURGUE COURT. OBERLIN COURT. CANTON COURT, DADE COURT. MENLO COURT. CO RN IHG COURT, CALDWELL CO UBT N AP.VA R D. COURT,.AND SKYWAYBY . AS SHOWN WITHIN THE COLORED BORDER LINES ON SAID'MPO ARE WENALLSO OFFER FOR DEDDIC AT ICATIONN,AND DOFOR gLIC HEREBYE FOR COON TV ROAD PURPOSES, DEDICATE FOR SPECIFIC PURPOSES, TAE FOLLOWING: G: IA RIGHTS OF WAY AND EAS EIJEN TS FOR WATER. GAS. SEWED, ANO DRAINAGE PIPES, TOGETHER WITH. ANY AND ALL APPURTENANCES APPERTAINING THERETO. ON, OVER, AND UNDER THOSE STRIPS OF LAND DESIGNATED PUBLIC UTILITY , EASEMENT CONTIGUOUS TO THE REAR AND/OR SIDELINES OF LOTS AND OF THE WIDTHS 5HOWN HEREON. AS 181 EEMENTS FOR LIGHT AND AIR 0\'ER THOSE STRIPS OF LAND LYING BETWEEN THE FRONT AND/OR SIOELINES OF LOTS AND THE LINES SHOWN HEREON AND DESI GHAT ED SET BACK LINE. SAID STRIPS TO BE KEPT OPEN ANO FREE OF BUILDINGS. ICI RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES TOGETHER WITH ANY AND ALL APPURTENANCES APPERTAINING THERETO ON, OVER, AND UNDER THOSE STRIPS OF LAND DESIGNATED DRAINAGE EASFJAENT IN THE LOCAT•I ONS AND OF TME NY! DIN S SHOWN HEREON. 10) EASEMENTS FOR POLES. ANCHOR, GUYS AND WIRES AND CONDUITS FOR ELECTRIC AND TELEPHONE SERVICE TOGETHER WITH ANY AND ALL;APPURTENANCES APPERTAINING THERETO ON, OVER. AND UNOCR STRIPS OF LAND, 10 FEET IN WI OTN, CONTIGUOUS TO ANY RIGHT OF WAY LINE WHICH IS.CONTIG000S TO ANY STREET OR OTH F.R PUBLIC WAY AND WITHIN SUCH LOTS. TOGETN ER WITH THE RIGHT TO TRIM OR REMOVE ONLY THE NECESSARY TREES, TREE LIMBS AND 8RUSN. (EI RESERVATION PROHIBITING VEHICULAR INGRESS AND/OR EGRESS OVER 0.ND ACROSS THOSE STRIPS OF LAND ABUTTING SKYWAY AND DESIGNPTED NO ACCESS STRIP'HF.REON. IFI A RIGHT OF WAY AND EASEMENT TO THE COUNTY OF BUTTE FOR CON- STRUCTING. RECONSTRUCTING AND MAINTAINING NECESSARY DRAINAGEUNDER OF FACILITIES AND APPURTENANCES THERETO, ON.'OVER, LOT ARA 5 SHOWN. IG1 IGHT OF WAY AND EASEMENTS FOR INGRESS AND EGRESS ON OVER AND ACROSS THE NORTHEASTERLY 20.00 FEET OF LOTS 192THRU 195 FOR COMMON ORIVEWAY PURPOSES. (H)EASEMENTS FOR POLES, ANCHORS AND GUYS ON,OVER AND ACROSS THOSE STRIPS OF LAND LYING WITHIN 2 FEET ON BOTH SIDES OF ALL S1DE LOT LINES AND EXTENDING 35 FEET BACK FROM THE FRONT PROPERTY LINES. .`';.OAR4TIN DEVELOPMENTS. INC.. A CALIFORNIA CORPORATION, AS OWNER. zzib EX. U IVE VICE-P�.INT ASSISTANT SECRETARY S1" OF CALIFOR COUNTY OF BUTTE �' �I1A.�.�4'�, - - - ON THIS_j_DAY OF"'!'�ti. 1970. BEFORE ME. THE UNDERSIGNED. A NOTARY PUBLIC IN AND FOR THE COUNTY OF BUTTE,' PERSONALLY APPEARED JERRY BERGER AND GRANT CLINE KNOWN TO ME TO DE THE EXECUTIVE VICE PRESIDENT AND ASSISTANTE SECRETARY, RESPECTIVELY OF LARK IN, RE,VELOPMENTS INC.. A CORPORATION, WHICH EXECUTED THE FOREGO I.NG CERT F.f ICkTS, AND KNOVN TO ME TO BE THE PERSONS WHO EXECUTED THE FOREGOING CERTIFICATE ON BEHALF OF THE CORPORATION THEREIN. NAMED. AND ACKNDYrIEDGED TO ME THAT SUCH CORPORATION EXECUTED THE SAME. k- snwurwnnnP.nrm.nm..mrvor+cy , 6 .. r wt 41iAP.FlI e!:04;1EY NOTARY PUBLIC W cn..•.nw T.µ.. d., ry rFN MY COMM! SSI ON E%f 1 RES a,n,,.n,>..,wEe•.,,..n,,,w.NMo.u.w. ALLIANCE ESCROW CORPORATION A CALIFORNIA CVQPORATIOV', AS TRUSTEE ao f / 1 I ` I STATE 01,"r �LIFORN)A I SS COUNTY a<.�+t+�+/T<% 1 ON THIS .2�A DAY OF eLta 1970. BEFO N� M,F., T':;E UNDERSIGNED, A NOTARY PUBLIC If A'D F0� THE CCUNTY OF „�'+-•+•tl= PERSONALLY APPEAR ED,• KNOWN TO ME TO BE THE RESPECTIVELY. OF ALLIANCE ESCROW CORPORATION. A CAL IFOR IA CORPORATION. WHICH EXECUTED THE FOREGOING CER T9 FI CATE. AND 'KNOWN TO ME TO BE THE PERSONS WHO EXECUTE THE FOREGOING CERTIFICATE ON BEHALF OF THE CORPORATION THEREIN NAMED. AND ACKNOWLEDGED TO ME '(HAT SUCH CORPORATION-EXE�VJJED_rTBE SAME. �F.•' .m _ NOTARY PU_BSLB' �• tAY COMA SSI ON EXPIRES 1, DONALD 0. MCCORMICK. 00 HEREBY CERTIFY THAT 4 AM A REGISTERED CIVIL ENGINEER OF THE STATE OF CALIFORNIA, THAT THE ANNCXED MAP OF V AR ADI 5E PINES UNIT NO. 4' CORRECTLY REPRESENTS A SURVEY MADE UNDER . DIRECTION IN APRIL 1970, THAT IT IS TRUE AND COMPLETE AS SHOWN, THAT THE MONUMENTS SHOWN THEREON ARE SET IN THEIR CORRECT POSITION AND ARE SUFFICIENT 'TO ENABLE THE SURVEY TO RE RETRACED. DONALD U.' MECO RMICK, R.C.E. 9033 I. F.N. SEELY. JR. AUDITOR OF THE c.OUN"I'Y OF BUTTE. STATE OF CALI- FORNIA DO IIEREBY CERTIFY THAT THERE ARF. NO LIENS AGAINST PARADISE PINES UNIT NO. 4' AS HEREON SET FORTH, OR UNPAID STATE. COUNTY a1UNl CIPAL OR LOCAL TAXES OR 5P ECIAL ASSESSMENTS COLLECTED AS TAXES C%CEPT TAXES UN SPECIAL ASSE5 SMCNTG NOT YCT PAYABLE. IAXF.5 RR SPECIAL ASSE55MEN TS WHI§1 F. A 1.1 EN BUT NOT YET PAY AOLE I ESTIMATE TO BE IN THE AMOUNT OF JP /�%• o -Q om G.H. SEELY, JR., CO. AUDITOk I, ALBERT J. WALSH, DIRECTOR OF PLANNING OF THE PLANNING COMMISSION OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. 00 HEREBY CERTIFY THAT THE ANNEXED FINAL MAP OF 'P ARAD I S E'P.1 NES UNIT NO. 4'CONFOPMS SUBSTAN- TIALLY WITH THE DESIGN SHOW. ON THE TENTATIVE MAP ". ICH WAS APPROVED BY 1'X15 COMMISSION ON �.. QQhuXQ.��� ALBERT J. WALSN. DIRECTOR OF PLANNING 1, CLAY CASTLEBERRY. DIRECTOR OF PUBLIC WORKS OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA 00 HEREBY CERTIFY THAT I HAVE EXAMINEO'THE FINAL MAP OF 'PARADISE PINES UN 1'f N0. 4' THAT IT IS SUBSTANTIALLY THE SAME AS AP FEARED ON THE TENTAT1 VE MAP ON FILE ANO ANY APPROVED ALTERATIONS THEREOF. THAT ALL PROVISI0 N5 OF THE SUBDIVISION MAP ACT OF THE STATE OF CPLI FO R`IIA AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF SAID TEN T AT:VE MAP IIA VE BEEN COMPLIED WITH, AND I AM SATISFIED THAT SAID MAP IS TECHNICALLY CORRECT. UkY A TLLR4Y—R.C.E. 1.4224 DIRECTOR OF PUBLIC WORKS. COUNTY OF BUTTE I. CLARK A. NELSON, COUNTY CLERK OF TIIE COUNTY OF BUT, ST(,TE OF CALIFORNIA, UO HEREOY CERTIFY THAT ON THE 291 DAY OF C .1970. THE BUTTE COUNTY BOARD OF SUPERVISORS OFFICIALLY APPROVE HE SUB- GIV1SION MAP OF 'PARAOI SE PINES UNIT NO. 4' THE RECEI OF SATI ,FACTORY SECURITY IN THE AUDITORS ESTIMATED AMOUNT OF ,�Y'.� J3.AR1r0 INSURE PAYMENT OF TAXES WHICH ARE A LIEN BUT NOT YET PAYABLE WAS ACX NOWLEDGED.. THOSE PORTIONS OF CUMBERLAND ROAD. CRESTON ROAD.SKYWAT, DECATUR DRIVE. ORE%EL DRIVE. PONDEROSA WAY.. CITADF.I. WAY. SHERWODU CIRCLE. NORWICH CI RI:L F.. ELMIRA CI 0.CLC. POTOMAC DRIVE, SI'ENA-COURT'.. LOYOLA COURT. PURDUE COURT. OBERLIN COURT. CANTON COURT. CORNING'iCOURT, HARVARD COURT, DADE COURT. CALDWELL COURT AND MENLO COURT, AS SHOWN WITHIN THE - COLORED BORDER LINES ON SAID MAP AND OFFERED FOR DEDICATION .FOR PUBL!t USE WERE ACCEPTED ON BEHALF OF THE PUBLIC FOR COUI4TY ROAD PURPOSES,:" PARCEL 'A' OFFERED FOR DEDICATION WAS NOT ACCEPTED. CLARK A. NELSON, COUNTY N'fY CLL RK BY DEPUTY Q -.t` RECORDED IN THE OFFICE OF THE RECORDER OF BUTTE COUNT 'STATE OF CALIFORNIA, AT Tijj REQUEST OF OROVILLE 16}�,�� C�OMPANY AT ��MINUTES PAST 1[-0'CL OC!:.�h1. ON THE_I DAY or-- J+4� 1970, IN BOOK 8S OF MAPS AT PAGES 74_Mf't/gO-- / .RECORDING NU1,18EP.'JD/7JS �SE KLU NUER. BU TT EKLU NUER. BUTTE COUNTY RECORDER 9Y DEPUTY SUBDIVISION NO.2d PARADISE PINES UNIT N0. 4 PT N. SEC. 24, 25, & 26, T.23 N., R 3 E., M.D.M. BUTTE COUNTY , CALIFORNIA JUNE 1970 MURRAY 9 MCCORMICK INC. CIVIL ENGINEERS LAND SURVEYORS 1912 F ST., SACRAMENTO, CALIFORNIA SHEET I OF 5 SHEETS Its - Ad B3 , B•• gi v' S 'i �R r�f,� Q _ x:.33 •6. t-: p9 � � ,° '• 232 'w i � .a / "�� 2/3 4 /r yam, RB •$��� {pR 8SY/, � Q �//BZ �;�., y 'c,• �,.<„�\.. 1{ ' � oma• w � y Z8/ ' Z ``R��e°/'� � L+If. •'':x.. -' 206 d 2/4 a �8• ` , r yr c e47 i 2/5 �a°Yn (I •� \'�y` ,,li � � ��lta ��.� /g4i i �• 0� `\\\i`, A•� v�i*�v' :. 229 ''\ \ saw 178 o �i.'4v. e$ A!1 If ,'S,•a � \ �, ° a (� :8 .,S ` �P�. I L,�a /BO 1 !! �Li 1 ! ya204 .� 2yo �� 8• �,�,' N� �� S� � w• �� �• '�e y144 1 � � � C : 9! � � ar �k � z �C�22B,1j .3 n .i' ���� _ ?. e/79 P'Q` LL•1A ° .s _ �,�203 `a\ 2/7 CC'S ��,°9P " Z, rmpr /67 1 A3 � ror/.Y <vicecs '/ri Bre Lars »z/ro .2t]FOS BO.)r/ LOT p' O.O/O LEGEND . CALCULATED POINT.... ..... . .... .. 0 SET BACK LINE....... PUBLIC UTILITY EASEMENT (P.U.F'. 1 ... .......... DRAINAGE EASEMENT (D.E.) .... .............. RECREATIONAL EASEMENT (R.E.) .................. 2'CG 2_ SET CENTERLINE MONUMENT ........... .............. ..a SET. 2•X 3' IRON PIPE TAGGED R.C.C. 9033 .............¢ FOUND MONUMENT AS SHOWN .. .............. .......... _..� FOUND 2 IRON PIPE TAGGED R.C.E. 9033 ...............E ALL LOT CORNERS NOT INDICATED BY THE A90VE SYM80LS TO BE MARKED BY 3/4� IRON PIN WITH TAG R.C.E. 9033 /7, < s ri �o C7a 1.6 '�,� a •r SAS IS OF GEARING$ RHE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED FROM TRIANGULATION STATION SAWMILL (X•2.124,255.90. Y.7111.649. 981 TO TRIANGULATION STATION BALD MOUNTAIN 145.390.63. Y.832.948.42) BEARING N 22' 23' 29 E 55.'x01.57 PT. DISTANCES SHOWN ARE GRID MULTIPLY BY 1.0001138 TO OBTAIN GROUND DISTANCES e" 1911 257 23 1 TI�] 2G 25 MAGAL /A rES. 95 B6 MAGAL A 1 5o, ✓/C//V/TY SHC= //VOCX ' `L _ 260 �y << z6ci` �'• f6 ° �''t <�. 30 if. A •<` 266�.:-r. adv° v •a. 1[ 9\ � - Yiz^ � •off I,y`�'P ��'' �� ..•ter_ (;'f .0 - SUBDIVISION SUBDIVISION NO. 20 PARADISE PINES UNIT N0. 4 PTN. SEC. 25 &26 T23N., R3 E., M.D.M. BUTTE COUNTY , CALIFORNIA SCALE, I.- 100' AUGUST 1970 MURRAY 9 McCORMICK INC. CIVIL ENGINEERS LAND SURVEYORS 1912 F ST. SACRAMENTO, GALIFORNIA SWEET 4 OF S SHEETS i ENVIRONME a eAqAL -TH MAP, o &5 1 KEN BLANTON [530] 672-9006 Paradise California 95969 PLOT P LA � l� T IRON PIPE AP# 064-360-014 LOT SIZE: 10760 Sq. Ft. HOUSE, 1512 SO. FT. 1000 GAL. TANK 150' LEACH L1NE 10, - IRON PIPE ' ' 51 r _-I IIIF IifX / d 11EQi Ip I�----- L�---4 0 1 1 _ 6- ----_ nr�1 replacement field 1�---��, o b- .�-. i o I It jr-11 Z 1 SCALE= 1/8___--------1—�-- - 4-- - < JL I1 ii jnra1 I r�IIILl_ 1 �, 111 � 11 replacement field i LU1I' � ♦ ��- y f1�l O I 1 DECA TOR 1 DRI VEy99Afi ► 1 ZI-jra i =LqJ �. L--------- --- 5' IRON PIPE i ' 124.29'11 -2 0 +2 t PLANT HNG DIVISION -BUILDING PLAN APPROVAI use: Data: 3 3 oS - 2 Landsmping: O;.her.. co . �! Signature: �o __ p +2 IRON PIPE