HomeMy WebLinkAbout064-580-0309
064-580-030 PFRMIT#97-0269
HALSTROM, Lee
6306 Victoria Ct., Mag al'
New Single Family ,4N'1,41
064-580-030 PERMIT#97-1700
HEDGE, Jan & Tom
6306 Victoria,Ct., Magaliai;;j1--",
Cont: Lee Halstrom
Add Open & Cov Decks/SF 9117171
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RESIDENTIA�'
i 064-580-030 PERMIT#97-1700-
HEDGE, Jan & Tom r
't ' 6306 Victoria Ct., Magalia
PERMIT NO. Cont: Lee Halstrom
Add Open & Cov DecksSF
PERMIT EXPI.
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
Temp. Power Pole
r
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E /�
JOB FINALED (Date) % J
Signature r
e
i
t
� .
i
r
i
ir
t�
w
Temp. Power Pole
r
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E /�
JOB FINALED (Date) % J
Signature r
V=OK
O = Not OKNot -
ble
= Not Applicable
ReMOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1 Data Card B-1
1. Zoning Requirements - Setbacks - Easements
Card B-1 Date Card B-1
2. Soils; Special MH Support Sketch
MOBILE HOME INSTALLATION (Plans) OK except #'s
3. Sewer, Location -Test -Fail -CIO -Concrete
1. Zoning Requirements- Setbacks Easements
4. Water, Location -Test -Easement Needed (Sketch)
2. Footings; Size -Spacing -Marriage Line
5., Electricity; Locadon-Clearances-Gmd-/ /AmpwConcrete
3. Gas; MH Test-DemarxValve•Connector
6. Gas; Location -Test -Wrap; / /'LIL
/ /Nat. or/ /VtL/ /LPG
4. Electricity; MH Test -Crossovers -Breakers -Clearances
7. Well Clearance & Disconnect
5. Drain; MH Test -Fall -Flex Connector
8. Utility Clearance
lV�ISCELLANEOUS
Date DECKS, CQVENB, CARPORTS, GA184GES (Plana) OK except #'s
1. ZonkV Requin mentsSetbacks;Easements
2. Footings; Sats Sine-Depth-Spacing•ConnectrsSteel
3. Decks; Girders and/or Joists-Deddng-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-RItrs.-Connectors,
Shthg.-Rfg.-Bracing
Date
Card B-1 Data 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-DemarxValve•Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connecta
Date
7. Water and Sewer Connected -C/O to Grade -HD Approval
Date
8. Gas and Electricity Tagged
Date
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
4. Elec.; Receptacles and Lighting, Distance-GFI -
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
lV�ISCELLANEOUS
Date DECKS, CQVENB, CARPORTS, GA184GES (Plana) OK except #'s
1. ZonkV Requin mentsSetbacks;Easements
2. Footings; Sats Sine-Depth-Spacing•ConnectrsSteel
3. Decks; Girders and/or Joists-Deddng-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-RItrs.-Connectors,
Shthg.-Rfg.-Bracing
S. Alum. Awn.; Column$•ConnecidonsSplice Deca�-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; NailingAfeneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Stepa-Doora4-andings
12. Braced•Wall.Panels
Date
Card B-1 Date Card B-1
Date
Card 8-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure, Stability
3. Pool Structure; Steet-Connections-Thickness,
Dead Men -Lining'.. .
4. Elec.; Receptacles and Lighting, Distance-GFI -
5. Elec.; Pool Lighting; 15 Vats-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.;. Bonding; Metal w,f5'•Circulating Equip.+teater
8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. TeslWater Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
N
O = Not o OK RESIDENTIAL (Single•& Duplex)
- = Not Applicable
Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / /` Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth
5. Stemwalls, Main;,Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors .
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test 2 Way C/0 -Sewer Test
10. LIE Gas Pipe; Sire Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -.Sills -Anchor BoltsJoists Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Date Card B-1 Date Card 8-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or AI
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meth. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. vire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist -Rt r. Ties-Purlin-roff Brac: Truss-Shting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width-Headroom-Rise-Run4 ending -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89.
Glass Protection
90. Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, �Califoruia 95965 - Telephone (916) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 9% 1/nn
ASSESSOR PARCEL NUMBER 64-580-030 �
ZONING
R1
BUILDING PERMIT
OWNER JAN & TOM HEDGE
TATS -076377
SO. FT. OCC. BUILDING VALUATION
140 OPEN 980.00
OWNERS MAILING ADDRESS 13512 WICHITAW 1'1AGA,LIA 538-7299
160 COV,DECK0
CONTRACTOR'S NAME LEE HALSTROM
1873-2794
TELEPHONE '
CONTRACTORS MAILING ADDRESS
PO BOX 595 MAGALIA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
40.95
BUILDING ADDRESS
6306 111-12,TOR-TA CT
Energy Plan Checking Fee $
$
PERMIT FEE $
123.95
LOTNO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFXO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition M Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITIONAL OPEN DECK & COV. DECK
RE: 97-0269
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
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.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 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' compensation insurance carrier and policy number are:
Carrier
Main Service 200A 1000A
TGING
46.00
NEW CONST. DWELLING OCCUP. CU
OR ADDNS. ( 8 ACC. BUDS.
SO
3.50FT.
NEW CONST.MULTI.OUTLET
NON-RESID. C CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup.20
OUTLET OR FIXTURES
Q
1.00BAL p .50
Ex. Occup. p EjETS gF�SIp,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
4
X &, __ Date � `
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 123.95
H p, IMP YFLOOJICD
PAR
H
5SU
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
DeT
ReceiptNo. 9_;W Z?_3 -
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
F.H. USE ONIN
Hot Pau, Attnchcd �' S
Plots Han AuJclwd e$
Sant to B. U. _$_." 16` -97 /-nW
Jat1 j��Cse Cc 306 V#c f-o-xfu. Ct-Mme;a.. 044--X80 -030
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for ther 1A%ran - ar�rav�G( �ee1C as�oei a -k
annryye,d( nfofi
Hold final for:
Final clearance O.'K. for:
NOTE:
/30 e
Environmental Health Specialist.
8/92
6-14-97
Date
_ • F(! 7 �•}r•_:r .fir'i.,-�:.T�,�it�iS�i '`` ro'�L'i%R%� ,�; ��y-"'i�,�:(�'1ti�'r.ri"rY'sr`�"S�l�. �''--rty.;,�Ct^i,�•.y.. ,.-vrr: •,.•., ..�. .-�)
COUNTY OF BUTTE DEPARTMENT OP DEVELOPMENT SERVICES -BUILDING DIVISION.I
7 COUNTY CENTER DRIVE - OROVI LV,CORNIA 95965 - TELEPHONE (916) 538-7541
r�,..
PERMIT APPLICATION DATA SHEET
OWNER:G� �.. ASSESSOR'PARCEL ER: G I S's 0= c�
Proposed Building Use: --5r- E,2 -_v c/L Qa `,wilding Inspector: Date: l2
At time of permit application, I was advised the following data must be submitted prior to perm' proc ssin and/or issuance:
Date Received By
❑ 1. All items have been submitted ---------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03.
-----------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
0 5. Engineered truss details and layout in duplicate (requir6d prior to plan review) No faxes! ------------------
El 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.---------------------------------------------------------
118.
--------------------------------------------------------
❑8. Hazardous Material Form.
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.
4
❑ 10. Fees of $-------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. ---------------------
�❑ 12. California Department of Forestry plan approval/fees.-----=--------
Iv ,❑l 1/3. Food elevation certificate. ---------------------------------------------
L�14."Sanitation and plot plan approval Vit{) Health Department.
O ❑ 15. City of Chico plumbing permit. --------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---•
020. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). --------------
0 22. Workers' Compensation carrier and policy number. ----------------------------------------
023.
-----------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ----------------
❑24. Letter of signature authorization. ------------------------ --------------------------------_.
1125. Recorded copy of Agricultural Acknowledgment StatemJnt.----------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. -;--c .------------------------------------------------------------
029. ❑433 A�❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $---------------
030.
--------------
❑30. Other:
(Date)
Yqy�' •��
Ct `
nT
n you issue theermit, process as follows ❑ Mail to owner, ❑Mail to contractor.
lephoneS3 Z� -72%� and hold for pickup at /-t�o office. ❑ Deliver with inspector.
Applicant:' Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep a at ❑Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D' ision counter, by D te:
Plans reviewed by: Date: Plans approved by: Date: 9 3 J
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
3�
g�3�
849 071-33-0-012 P06.LEY
867 071-37-0-035 ANDERSON
732 071-38-0-007 HEGGIE
662 071-39-0-012 ROBERTS
287 071-40-0-021 TREZCIAK
698 071-40-0-053 FARBER
627 071-43-0-021 WILLIAMS
517 071-43-0-026 PETERSON
589 071-43-0-028 GUYOT
314 071-43-0-035 UNDERHILL
288 072-05-0-003 HERNON
735 072-06-2-007 GLASS
365 072-08-0-009 KEHLE
815 072-12-0-017 BEADLE
531 072-12-0-018 BEADLE
498 072-14-0-021 HART
606 072-14-0-023 CORRIERRA
290 072-14-0-060 HOOPES
291 072-15-0-037 CLARK
292 072-16-0-007 SCHLICHTING
363 072-19-0-010 GIORDANO
610 072-19-0-037 WEGER
705 072-23-0-071 KNORZER
957 072-24-0-023 MCNEER
JOHN
BWRN
04/18/96
ALICE
BWRM
05/30/96
GWENDLE
BWRN
12/29/94
WILLIAM
BWRT
03/23/94
HANK/SUE
BWRW
08/29/90
SUSAN
BRRN
06/23/94
JIM
BWRT
10/25/93
ALFRED
BWRN
12/09/92
MANUEL
BWRT
05/18/93
CLINT/CHRIS
BWRN
08/18/87
EILEEN
BWRT
12/15/84
NANCY
BWRA
01/09/95
GARY/SHARON
BWRN
01/22/92
J.R.
BWRN
12/28/95
J.R.
BWRM
02/08/96
I.M.
BWRM
10/12/92
EDWARD
BWRT
07/21/93
JAMES
BWRA
10/05/83
KIMBERLY
BRRT
01/22/90
DONALD
BWRM
07/09/8b
JOHN/LANETTE
BHRM
01/15/92
TILDEN
BWRN
07/22/9F
ERWIN
BRRT
07/05/94
VIRGINIA
BWRN
03/10/97
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center. Drive - Orovile;,California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER J /�
ZONING
BUILDINGPERMIT
OWNER / U e,�,�
TELEPHONE 3,
SO. FT, OCC. BUILDING VALUATION
S
OWNERMAIUNO�ADORES3 �� , ajJ3$ 7�-9%
C9 O
66
a
CONTRA BR'S NAME
IC,7-3-2
TELEPHONE '
CONTRA7 MA'LJNG yppRESS /
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ Q
Q
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
1 0 a)
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
��
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARtEL MAP
PLUMBING PERMIT
riling Fee ,20.00
USEOFSTRUCTURE
SF elt,,Duplex ❑ Mobilehome O Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition Qf Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: o_a"( r[��� ��
� �,�,e��
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
(a?20.00
PERMIT FEE
$
�' ^— Z
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 6000V oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain 'a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service YOGA TO IOOOA
46.00NEW
CONST. DWELLING Occup.
OR ADDNS. ( al. S.
so
3.5¢FT:
NOµga,p ' MULTI -OUTLET
RCUT
@7.50
POWER APPARATUS
ISINGLE BURET C10.
Ex. Occup. OUTLET OR FDRURES
BAL
Ex. Occup. OFuc s . E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEL:
$
Policy Number
(The above sections need not be completed 4 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'
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.
X Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection. Fee $
Occ
CONSIPE
TOTAL FEE $v
HAz.
IMP
FLOOD
CDF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
T
I c� E.H. USE ONLY
I�UI I Pla PI.AM.W VES
—
Pl. Plan AM.W
S t to s.n.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
J tr ?(3
OV'"' 0,30
Own r_ _. _ . _-_- - - - Location-- - -_ _ - -- --AP#
- - -
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom "ome. Other
F
Hold final for:
Final clearance O.K. for:
NOTE:
Rm
Environme ealth ipecialist
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R.ESI�'ENTIAL
064-580-030 PERMIT#97-0269
HALSTROM, Lee
6306 Victoria Ct., Magalia
New Single Family
3/>� lq�'
OFFICE COPY
Address
---------------
GAS �O
Meter By Date #/
T -L
ELECT C � 7
Meter By_Date �Tn
JOB FINALED (Date)
Signature
V=OK ,
O = Not OK
Not ' = Not Ready ble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements % - c I
1. Zoning Requirements - Setbacks - Easements
2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel1 /
'
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 1
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / JUL
/ /Nat or/ /"Llt/ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-DemandValve-Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements % - c I
2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel1 /
'
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 1
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -Landings
J
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/9 Circulating Equip. -Pool LBhtq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
(Plans) OK except
RESIDENTIAL (Single & Duplex)
t•
A ' `�
a 2—.Ftg., Main; Soils-Elec. Gfmd " tg. Depth
7/14 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ /' Ftg. Depth
4. FtgJP6brqbes & Decks; Soils -Steel-/ /' Ftg. Depth
t alts, Main; Steel-Blockouts4Nrapped
Stills, Garage; Steel-Blo�keuts-Wrapped
ffrt 'Bold Downs and SpetPJI Anchors
&-161ab, Steel -Wrapped QVAX`^ �P--
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground 11
W—Fli-e-nums
& Ducts; C ars - ate ' upport-I
i 1
r -Sill chor Bolts -J s-Vents-Cri es
16.
ccess & Ventilation
Insulation
30�Vent
Date
Card B-1 Date Card B-1
Date
Card Date Card E-1
Date
UMBING (Permit) OK except #'s
1
ater .; Vent -Access -Combustion Air Baffle
18.prO!pe
Test & Anchor -Nail Protection
1
.; Te ittings & Anchor -Nail Protection
S er Parc Test, First Floor -Tub Access
Tes & Shower, Second Floor -Tub Access
Date
as Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card -1 Date Card B-1
Date CT AL (Permit) OK except #.s
ZVIFi a &Transformer Clearance -Ins. Protection
2 eceptacles Spacing -Lights & Switches at Doors
ES. Sized& No. of Conductors Stapled
nstalled Close to Edge of Studs & C.J.
p. Ground made up w/Mech Fastners-Bond Gas & Water
pliance Circuts in Kitchen & Conductor Size GA
-267 Subfeed Wire Size / / ire Size / / ga Cu or At
/ ga Cu or AI -Oven Circ. / / ga Cu or At
46'su utral 0 Yes 0 No
1. S ce- ' onductors & Ground -Main Disconect
32 p. Clears ces Panels-Motors-Mech. Epuip.
3 . Clo Closet Light -Shower Light -Spa Light
moke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
CHANICAL (Permit) OK except #'s
3
A. ucts Insulation & Support
30�Vent
Fan Exhaust above insulation
37
ensate Drain & Overflow, Size & Grade
Fur e- ent Access -Comb. Air -Return Air Vent 115 outlet
ttic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MING (Plans) OK except #'s
Sits Proper Materials & Anchors
4'1,
s -Nailing Spacing & Braces -Plates -Sound
2.
Walls over Girders & Floor Nailing
raft S in Walls (rat proof)
44.
F" Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date
47. Clin ist- ftr. Ties-Puriin-roff Brac.-Truss-Shting.-Rfng.
it ce Tie pe A Flue Fireplace Throat clearance
Atti ss; Size _& ex Protection -Draft Stop -Ins. Baffles
drm. W' s or Exiting Doors -Sill Hgt. & Dimensions
'52. arty Une_5WwaflorOpenings
557 Ext. DgerTZne 3Pdeck Garage 3rd Story, 2 Exits
54.'STai • -Headroom-Rise-Run-Landing-Fire Protection
lywood on ang-Attic Vents -Rafter Outriggers
56. S' ' - silt
57. o Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Gla -lection-Skylights-Plastic
59. Shear aili -Bolts
10,AreEe Wall Panels ` 647
1. Insulation -Walls -Ceilings
62. Infiltra tion -Walls -W indows
Date �'� Card B-1 /i Date Card B-1
Date Card B-1 6� Date Card B-1
Date FINAL (Plans) OK except #'s
2teps-Door & Sidelight Protection -Landings
64rm ke Detector
6 . urnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
BSOFoom Exiting
67!0,6.1'& Bath Fixtures & Tub Access -Spa
t1oc. Trim & Subpanel, Breaker Sizes & Labels
S,lairs & Rails
7 . Fir ce or Stove, Clearance -Hearth
71!''€I utlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
72. c. Outlets & Rece ticales at Kit. Counter
7 . Garage Fire Door; Swing -Landing -Closure
�ADuct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
I arage; Above Floor-Mech. Protection
, Elec. & Mech. Equip. Listed for Location
7 . 5lec. Receptacles in Garage G.F.I. -Romex Protection
dation-Foam-Looked in Attic
86. S3uard rails & Deck Construction -Post Caps
81�Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
learance Looked under Floor 0 Yes
2.-'�ollowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
.stucco Brown Finish
*C. Unit Disconnect, Electrical -Plumbing
QyVents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8e�iVater Well, Disconnect, Electrical, Plumbing
87�terior Elec. Trim, G.F.I. Receptacle -Underground
88—Ventilation Throught House
Glas Protection
C rrectio from Previous Inspections
91 a T -Meters Tagged, Gas -Electric
9 ter & Sewer Connected -C/O to Grade -HD Approval
%letnergy Compliance Certificate -Other Certificates
Date �� and 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:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI SION
7 County Center Drive - Oroville, ralifornia, 95965 -Telephone (916)PERU
538- 4� 7- 0 O.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 64-58-30 `
ZONING
BUILDING PERMIT
OWNER
LEE HALSTROM
TELEPHONE
873-2794
SO, Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 545 MAGALIA, 95954
1 32 R 77 328.00
504 U 9,072.00
CONTRACTOR'S NAME AM
TELEPHONE
180 G' 2,340.00
300 0 2,100.00
CONTRACTORS MAILING ADDRESSSAME
CONSTRUCTION LENDER
LENDER'SMAILING ADDRESS
'
Fireplace 1 1,500.00
Total Valuation $ 92,340.00
ARCHITECT OR ENGINEER
LICENSE NO.
-Filing Fee $ 20.00
Permit Fee $ 608.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 395.20
BUILDING ADDRESS
6306 VICTORIA CT
Energy Plan Checking Fee $ 23.00
MAGALIA
$ 1046.20
PERMIT FEE $
LOTNO.
SUBDNISIONSNAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFYO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00 63.00
-91
Solar or heat pump water heater 23.00
Water piping 15.00 15,00
Each as water heater or vent 15.00 15.00
TYPE OF WORK
New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: TO RF MA4TRRFn
4 RFT1Rnnm MASTER #94-15
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00 15.00
Mobile Home S G W @20.00
PERMIT FEE $ 143.00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zoo" OR LEss 23.00 23,00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
i .
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in f II force and effect./� ly
License Class LIC. NO. ! ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
LaV for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A 46.00
O
NEW CONST. DWELLING .OLOS. S?.'
OR ADDNS. ( 8 ACC. BLOS. 3.52FT: 67.35
NEW CONST. MULTI.OUTLET
NON-RESID. B ANC cuiTs @7.50
POWER APPARATUS
d SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FORURES 20 p i.00 0
BA.0
Ex. Occup. oinLEEDTS q,LINp.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 110.75
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.
❑ 1 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
%I certify that in the performance of the work for which this permit is issued, I shall
/ not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwit comp) w' h t�sev's' .._
X _____ Date ����
Signature of Applicant - ❑ Owner n Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
co TYPE
TOTAL
TOTAL FE $ 95
1-1
HAZ,
D. FE
P
(12
FLoo
cDF ARCS
pp D
ISsu
111
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 -3// 9 ` W
Date
Receipt No. 455.20 -210004// 951.75 - 210273
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF
7 COUNTY CENTER DRIVE - OROVILLE,
ENT SERVICES - BUILDING DIVISION
IA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ZCR�-
A. P. No.
Proposed Building Use MvJ 5.T Building Inspector Date Z`19- l 7
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted . ....................................... .
�. Plot plans, 3/4 sets, signed by preparer of plans. ..
3. Complete plans, 3/4 sets, signed by preparer of plans . ....................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
(� 7Statement of Intent for Non -Heated and A/C Buildings . ......................
> Engineered truss details and layout in duplicate (required prior to plan check). .
9. a u Mobilehome4ir anufac rer's installation instructions, 2 sets. .
10. Fees of $ ........................................` - ? 2!S
11. Impact fees as shown on att ched schedule. 3 -/.7-� '7 ,P/ -s
12. California Department of Forestry plan approv. /fees.IR.......... .
13. Flood elevation letter (100 year flood by California ngineer. ................ .
14. Sanitation and plot plan approval Health Department. S-71: % 9 20-�
............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business License approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway, permit (construction approval required prior to occupancy). .. . .
20. Pre -inspection for Preln,De�o; r6Q°�-
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
. Certificate of Workmans� Compensation Insurance . ..........................
E��23. Owner -Builder Verification (Given to owner , Mail to owner _)
............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the,.Permit, roce s as follows: Mail to owner. Mail to contractor.
Telephone b I3 "lilq4land hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant d
Date!f
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other / Date / By
The following data must be submitted prior to permit issuanc Cir n of ch ed above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
;:5 �i1'�r:%�"9�.r1J''Ywsts{�:y.?�:iww,:ps:�r s�`�►4 � S �Y'3`� y� f�i�� ,(
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95.965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPOSED BUILDING USE
A. P. #
DATE
REC #
DATE REC
1. BUILDING PERMIT FEES '?s
Balance Due
-- ................
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $�
U %
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq.Ft. . Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
t/ 7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
�.
8. WATER TENDER FEES (Battalion #. )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the "
building permit. These fees may be changed during the plan checking process.
J'
APPLICANT
DATE
Original -Owner Copy -Building Div.
(Rev. 12/96)
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No.
OWNERS A.P.
NAME: �alSL�6fi-7,ze, NUMBER: 0lo �5- "=
PRINT LAST NAME FIRST
COUNTY ZONING cc
DESIGNATION: 9' FLOOD ZONE: FLOOD MAP: 5-0
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
rt"A-1 SF
DEED INFORMATION:
DATE OF CREATION:
LEGAL ACCESS PROVIDED:
PARCEL CREATION BY DEEDS
YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION
COMMENTS/CONDITIONS:
MAP INFORMATION:
OR MAP
DEED REFERENC
LEGAL ACCESS REQUIRED: YES NO
YES NO
j2A-2A-0i5e PtN-r--s V Nf r 11
DATE OF RECORDING -7L-70 LOT 3� BOOK �CJ PAGE
COMPLIANCE WITH OLD SUBDIV ION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to
B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THEBU/LD/NG DIVISION UNLESS OTHERW/SENOTED.
_ 1. Maintain a 50 ft. building setback from centerline of road.
X 2. Maintain a 2 / ft.building setback from rig ht -of -way/iat�e
efrline of V %
i cTDe-i A- 6-o d it'i
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
)(7. 'Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 8. Connect to a public water supply.
9. Connect to a public sewer system.
10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be -paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. 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.
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
X21. S 3g M I a � K- 4—OC 4-rc Q rJ5 0
22
23
24
25
26
AIG 1AO 1�
,(8 XA100
1.661 � Z 833
C13AI333H
LD 7196
CAWP51 \FORMS.K\BLDGPERM.CLR
RESIDENTIAL PLAN CHECKING GUIDE
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
OWNER: BUIL DINGPERNffrNUMBER:
PLAN CHECKER: S A.P. NUMBER:
GENERAL:
.:
Zoning requirements: (side yards and number of permitted living units).
Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation.
Complete parcel size and dimensions.
Setbacks, side yards, easements, etc.
Other buildings or structures.
Grading, fills and/or drainage.
Flood hazard.
Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.).
F.A.U. & F.A.S. road setback.
2— Building or utilities across lot lines (Record form).
FLOOR PLAN:
Complete to scale plan with dimensions.
Required windows for light and ventilation (Section 1203).
Required windows for second exit (Section 310.4).
Skylights (Section 2409 & 2603.7).
Glazing in Hazardous Locations (Section 2406).
Required room sizes, ceiling heights (Section 310.6).
G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).
Lights, switches, receptacles, and exterior receptacles for maintenance ofinechanical equipment.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
Garage firewall, door size and closer (Section 302.4).
Minimum of one 3'0" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 310.9.1).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAII.S:
—I? Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
Standard bracing or engineered design (Section 2326.11.3).
Clerestory, requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Rafter ties or bearing ridge beam.
Fireplace construction details and calx if necessary.
Garage door and/or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection requirements.
Header size.
Sheetrock nailing inspection required?
July 1996
3.2
h6SCELLANFOUS U MS TO LOOK OUT FOR • . ,
Stairway details: landings, rise and nm, head clearance, handrails (Section 1006).
Guardrail details (Section 509).
Brick or stone veneer (Section 1403).
Exterior plaster - weep screeds (Section 2506).
Proper roof pitch for roof covering (Section 1501).
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
Living area over garage —complete 1 -hour separation required on garage side including supporting walls and posts.
Two exits on three - story dwellings (Section 1003).
Underfloor access and ventilation (Section 2317.7).
Attic access and ventilation (Section 1505).
Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
C.D.F. responsible area requirements.
P
July 1996
3.3
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[ 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apparte-aant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[�1 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[�] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical -curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�0 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of • 3-.
AP # PERMIT # N
[� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
1273.10 Turnaround. A turnaround shall be provided at all
/ building sites on driveways over 300 feet in length and
shall be within.50 feet of the building.
1273.11 Gates
[� 1. Gate entrances shall be at least two feet wider than
the roadway.it serves.
2. The gates must be located at least 30 feet from the
// roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels l acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
-] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and, fuels caused by site development and
construction, road and driveway construction and fuel
modification shall ba completed prior to completion of
road construction �r fiscal inspection of a building
permit.
Page 2 of 3
x
,
AP # PERMIT # N
[� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
1273.10 Turnaround. A turnaround shall be provided at all
/ building sites on driveways over 300 feet in length and
shall be within.50 feet of the building.
1273.11 Gates
[� 1. Gate entrances shall be at least two feet wider than
the roadway.it serves.
2. The gates must be located at least 30 feet from the
// roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels l acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
-] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and, fuels caused by site development and
construction, road and driveway construction and fuel
modification shall ba completed prior to completion of
road construction �r fiscal inspection of a building
permit.
Page 2 of 3
L
(k -s7- 3 a
AP # .
17 -7 -o Z ��
PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
24f -
NAME
- Class A or B roof
- Enclosed eaves
[ J If Building Setback is Less Than 15 Feet +
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10k of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer +
Metal
Other Butte County Fire Department approved materials
n
�'20
Date Signature
Page 3 of 3
And when recorded mail to:
Building Division
97 County Center Drive
Oroville, Ca. 95965
MAR 171997
NOT COMPARED WITH
nPl ,IKIA1_ DOCOMENT
97-009444 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires 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, necessarn- farm operations.
All that real property situate in the County of Butte. State of California. described as follows:
All that certain real property situate in the unincorporated area of the
County of Butte, State of California, being more particularly described as
follows:
Lot. 37, as shown on that certain map entitled "Paradise Pines Unit 11", which
map was filed in the office of the recorder of the County of Butte, State of
California, December 17, 1970 in Book 38 of maps, at'pages 17, 18 and 19.
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 herein described, and that
no damages shall be done to the surface of said land.
Date: PROPER OWNER
State of California)
Count.' of )
On before me,
personally appearedpersonally
known to me (or proved to me on the basis of satisfactory vidence) 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)-6n` e instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument. CWM.A$
WITNESS my hand and offi ial seal. M i
V) COMM. 1 1092339
-� NOTARY COUNTY OF BUTTE IA w
Signatur -' / Seal:
My Comm, Expires March 24, 2000
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
-'(One Form Per Building)
School District A-4441�E— Building Department No.
A.P. Number G4 -SK— Jurisdiction: 0 City � County
Property Owner �QQG,StIl/
Property Location/Address 15?04! . ° l
Subdivison
Residential Development
No. of Living
Units
Commercial/Industrial
0
MHI
New
_Lot No. J
0 Sq. Footage
Addition (Group R)
Addition
Building Department Rep
Sq. Footage
(Including Exterior
� R ofed Areas)
1Y �
Date
(Floor Plans reviewed by School District Personnel)
Distri t Identification No. '"/ 7-0 3S
School District', certifies that 9UJ`
(A plicant)
d .4�� 5-7�" 773 -�'y�
� --- /
Address)
(City)
has complied with the requirements of Resolution No.
representing X73-'" square feet.
Schon District Representative
Paid by Check # Remarks:
Bank Number
Paid by Cash
I
(Zip Code) /A
by payment,of $ O� �7W 3• Q
AB 2926 $
FULL MITIGATION $
3—/7-97
Date
If, subsequent to the:School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district)
feeform.wkl (11/94)dmm
LANb DEVELOPMENT
BUILDING i/ ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No.
Address: V 1d;0, l - 07—
Parent/Previous AP:
OWNERS p A.P. ,gyp 2
NAME: �) � t-« ��� T� 11 S T NUMBER:
PRINT LASt NAME FIRST
COUNTY ZONING
DESIGNATION: I` 1 FLOOD ZONE: FLOOD MAP:
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION:
_DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION: tV C-5 UN I -T- k I
DATE OF RECORDING 2-ZI % %0 LOT 3� BOOK c3 g PAGE 1-7
COMPLIANCE WITH OLD SUBDIVI N LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
42. Maintain a 25 ft.building setback from right-of-way/see&wline of
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
_ 6. Pay water tender fees in the• amount of $ to Battalion Number of the Butte County Fire Department.
�7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
_ 9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ '
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made W the Plaming Divuian.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X "! 8. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. 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.
_ 20. If any cultural resources are encountered during -ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
„V21. S 05 38 M 1 8 F ✓Z ljc:)ckl-) v'i1 d r= E,�S�Nt EN -c -s
22.
23.
24.
25.
26.
AIa 1NVM013A3a aNdl
3111"18 A0 A1N1"100
L661 8 Z Ndr
C13AI333H
LD 7/96
C:MP+ I\FORMSAMOOM M. CUR
—1Y
/ : �' rl 11-C.
Ile
S1
'ronmental,
Health
31997
0, Califo
APP11OVED
a U'
tte County
Environmental HeaM.!
. .. . .............
Date 21
iature
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28
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APPROVED
Butte County
I�nvironmentai tjqWRh
Date
Signature
Environmental Health
-
AUG 1 3 1997... -
Chico, California % Xi 3 �jl Peck
Lq 11
As. i
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7711
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OTO
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9�1
AppROVED
County
Butte
ErM.-onmental HealtFt
L
tte
-tgnSigna ure
ure