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Home My WebLink About065-280-031- � - R • r +, r � ' _ - . 1 �. • _ • � I � ♦ - _ � y . Y; .. � f' .. y T - .� • � � � J NOTES RESIDENTIAL 065-280-031 3-2210 PERMIT NO. I GEIER, ROBERT 14840 MAGALIA DR-MAGALIA Cont: SKYCREST ENTERPRISES GARAGE t i t' I � � 1 F SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1� i i r � s JOB FINALED (Date) I Signature J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 4. 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch " 4. 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect 9/Siding; 8. Utility Clearance .1 oof; Shthg-Roofing . Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector , 6. Water; MH Test -Regulator -Connector - 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. _ Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected . 8. Gas and Electricity Tagged 9. Exits. 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS,,,�ARAGW(Plans) OK except #'s 4V Zoning Requirements-Setbac s asements 4. 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. Eje6tric 10. g.; Sills-Anchors-Studs-Rftrs-Trusses 9/Siding; Nailing -Veneer -Stucco -Mesh .1 oof; Shthg-Roofing . Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date C Card 13-17_4 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 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s _ 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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/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 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 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 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ !ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al • Insulated Neutral ❑ Yes ❑ No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing 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 37. 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 FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood 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 -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Orovjlle, California 95965 • Telephone (530) 538-7541 1 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-280-031 ZONING BUILDING PERMIT OWNER GEIER ROBERT (925)372-8502 TELEPHONE SO. FT. OCC. BUILDING VALUATION 576 018 10,369,00 .OWNERS MAILING ADDRESS 14840 G CONTRACTOR'S NAME SKYCREST 1 TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS 13668 HW 99 E. CHICO CA_ 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 10 368.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 8i.90 BUILDING ADDRESS 14840 MAGALTA DR- MAGALIA (,A- 99654 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24x24 GAWE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VR LESS Main Service 2o0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full fo a and effect.POWEPPARATUS 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' corrlen� n ins canc�cerrier and policy number are: Carrier �Tj}.% � (yi Policy Number Z,rg c A ag,O (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with tho a provisions. Date of Applicant - Ow ❑Contractor Agewdermit is required for excavations over 5'0"deep and demolition or constructionfih�" JHA s over 3 stories in height. Main Service 200A TO 100-A 46.00 NEW CONST. OWE NG OCCUP. s0 OR ADDNS. ( a Acc. BLDs. 3.5aFT. 20.16 CONST �N R,MULTI.OUTLEi @7.50 8 SINGIER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES20 @'.50 BAL .50 Ex. Occup. ouTLFrs ..,6 LINISR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ U CONST. TYPE VN TOTAL FEE $ 268.06 HAZ. ___ p, FEES IMP / FLOOD X CDF PARCEL PO HD ISSy� Y This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B( " . dD PERMIT EXPIRES ON p the applicable provisions Resolutions to do work been paid. to Date Receipt No. 382591/$268,06 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -i.a..--rvn..�,.s.:.•�.rrk.:�.it.-rr...f .kj a•r' `"'i .... .-1 -.f ljy`yiy p7.ar'„1. Cl{ yt�r'tt �.. .:-� ' ./- • �` . .:��. 41 COUNTY OFBUTTE-DEPARTMENT F �VELOPWENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Yhone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET +Gtr; "• l ,, /' /' �j ) OWNER:��/� Ki Y ASSESSORPARCELNUMBER37 Proposed Building Use: Date: t22�' U 11 ms required in order to appy fora permit. I boxes M be c tecked OR marked NA in ord r t apply. 1. Site plans, 3 or 4 sets, signed by the pr are of the pl is. Complete plans, 3 or 4 sets, signed by the preparer of the plans. j 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan'reyiew, line-up when required items are received. I El 8. Flood Elevation--Pertificate, wet -stamped and signed, in duplicate.. ❑ 9. Site plan and busigess license approval from the City of Biggs...... h410. Letter of intent for non-residential buildings ............................... 11. Detached Accessory Building Form filled out by the owner........ ❑ 12. Hazardous Material Form ...................................................... 111" 13., Fire Sprinklers.................................................................... ❑ 14."Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Date Received By ...................... Sent by Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16., Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and site plan approval from the Environmental Health Department in 19. City of Chico Plumbing permit....'.......................................................:............ f, .s O 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ •21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (0 Given to owner, ❑ Mailed to owner) ..................... - ❑ 29. Letter of Signature authorization.................................................................... b 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ -31. Manufactured home utility clearance............................................................... 0 32. Existing violations and/or expired permits......................................................... '" r ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: 0- , n When issued Telephone and hold for pickup. I have been informed of the above Applican . ez�, Ir 1. Indexp i appy ication for the above 2. Additi nal'items required requirements for obtaining a building permit. Date: Plan Check Letter Contrarctof, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by [I phone, ❑ mail, ❑ co ter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 4 r w I N N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 E M No (Rev.12/'96) Asbe"OR PARCEL NU APPLICATION AN-D-PIERNfr'I' ZO W NO r^ -yam BUILDING PERMIT •� TeIFPNONc OWNFA9 Ci �� ,�%�.Q� SO• �• OCC. BUILDING VALUAT r SK1'CREST ENTERPRI; coNr,Ajon iYlO AJ DMAm a H/C DO TVWCI—L ER LeNDEav MARJNO ADORE" ARCWfFyT OR E1+OuiEFA �ACHTI:LT OR D+OWFEA9 MA.UW ADDAZ" BUlDv+O ADORF�9 n LOT NO. I VUBONSION944ye USEOFSTRUCTURE SF O Duplex O Mobllehome lather /9/l TYPE OF WORK N— O Addition O Remodel O Utilities O Installation O Other O Describe Work: )C�_�_/L_�•�� r n !_ i 2-2694 Fire lace Total Valuation S NO. FIIIn.R Fee Permit Fee Plan Checking Fee Ener Plan Checking Fee MAF WIN S 20.00 b %, 5 b $ O 6 AMOUNT RECEIVED $ Y �� *RECEIPT NUMBER *TO BE PUT INTO COMPUTER PERMIT FEt . $ Mobile Home Installation Fee ; b Energy Inspection Fee , CONST. TYPE[ ` TOTAL FEE Sr , MAZ. D. FEES ju '�• • _ ROOD C.J� .PWC PO � �D of 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 peen paid. By Data _ PERMIT EXPIRES ON ib PERMIT FEE L PERMIT FEE S - PLUMBING PERMIT Fee 20.00 (---„--� Filing'Feely 20.00 Each Trap I 7.0 Solar or heat pum water heater 3.00 Water_2121ng I 15.00) Each gas water heater o ent I 15.00 Gar. I In ate - s outlets 15.00 Buildln se 15.00 Mobile orae S G W I Q20.00 $ O 6 AMOUNT RECEIVED $ Y �� *RECEIPT NUMBER *TO BE PUT INTO COMPUTER PERMIT FEt . $ Mobile Home Installation Fee ; b Energy Inspection Fee , CONST. TYPE[ ` TOTAL FEE Sr , MAZ. D. FEES ju '�• • _ ROOD C.J� .PWC PO � �D of 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 peen paid. By Data _ PERMIT EXPIRES ON PERMIT FEE L ELECTRICAL PERMITFiling Fee 20.00 (---„--� Main .Service 600v OR LESS now OR Lees I i 23.00 i Main Service moA To 1000A 46.00 NEWC DWR100 ocCUP. OR ADONS. L ACC. BLDG. 3.5c i°' NO"Ea12. ' MutTwu LET Q7.50 I POWFA APPARATUS *PERMIT $ Ex. occu DuneT OR F«iVRFy B ®':� 4 _ Ex. Occu FtxeD APPU/S. oR o Rest Fw 5.00 Tem orar Service 23.001 SRA $ Moblle Home Facilities 20.001 MISC. Wiring1 _ 23.001 SHERIFF $ PERMIT FEE _ MECHANICAL PERMIT r Filing Fee 20.00 OTHER $ Heating F Coolln Hood $ Ventllatlon $ O 6 AMOUNT RECEIVED $ Y �� *RECEIPT NUMBER *TO BE PUT INTO COMPUTER PERMIT FEt . $ Mobile Home Installation Fee ; b Energy Inspection Fee , CONST. TYPE[ ` TOTAL FEE Sr , MAZ. D. FEES ju '�• • _ ROOD C.J� .PWC PO � �D of 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 peen paid. By Data _ PERMIT EXPIRES ON BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM J (One form per Building) School District �( �� Building Department No. A.P. Number Jurisdiction: City County Property Owner v G—r„Q r\ D v/ Property Location/Address 1 � ` v Subdivision Lot No. Residential Development .................................................................. Sq. Footage (p No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ........................................................................ Commercial/Industrial C Building Department Repn Distfict dentification No. /1IS27 6 (Street Address) " 0 0 New Addition " (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) Date e -4( -,LO School District certifies that ,dt — (Applicant) has complied with the requirements of Resolution No. representing — square feet. strict Representative by payment of $ AB 2926 $ FULL MITIGATION $ Date Paid by Check # Remarks: ce b , 44 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with 1' Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), 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.xis 00/98)dmm LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE saidingPermitNo. - Address :AP � OWNERS G��' �-rtf'/ GErtc,v MA�+E ent/Previous AP. NAME: CL' ';S r t' ' ' NUMBER: PRINT LAST NAME FIRST COUNTY'ZONING:r ;:;..,I .., `• ta. a. •. :: t . DESIGNATION: ; .W ice"' FLOOD 'ZONE:- - -.FLOOD MAP: I60 0 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBL _ 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: ' - i MAP INFORMATION: SI e7LMA- L or,.0 4�=SrAfrjeS UNI T I DATE OF RECORDING S Lz 3 SS LOT Lit BOOK 3o PAGE 47-49 COMPLIANCE WITH OLD SUBDIy4SION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES V NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. 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. n �C 2. Maintain a 20 ft.building setback from right-of-way/seREerline of _ M 46 A C /A d /2. L10 / /--/Zom 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 _S to Battalion Number of the Butte County Fire Department. X7 . 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. Pay~ to be fide to the PbWAkg nNierion: 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. 1' V' ..,_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. 21. 22. 23. 24. 25, 26. %UO 1NUM013A30 ONd1 3.11f18 JO %,An00 1661 6 z 8dd 43AI3338 LD 7/96 C:%wp 1xFORWS.R,BLDOFEAM.QA Department of Development Services Building Division •7 County Center Drive Oroville, CA 95965 (530)53a77541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT -OF USE Plan review will not be started until this form is completed, si by the property o er, and returned to the Butte County Building Division. Attached ccesso Buildings a Additions will be checked for residential use. Exception: Ges nd Carpo s. Owner: Ph e: U— Mailing Address Site Address:/f Assessor's Parcel Number: Zone: Please answer questions 1-16, an plain an)ye answe for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: I. Is there a primary dwelling on the property? 2 Yes ❑ No Is die structure already built, under consw� on, or under notice of code violation? Yes ❑ No 3. Will items produced in this buildin/iling? ered for sale? 4. Will the public have access to this Yes ❑ No 5. Will any advertising, on or off siteciated with the use of this buildin�YesNo SITE CONDITIONS:g�YesNo 6. Is the swcture foundationwithin of septic tank or 10' of leach lines? 7. is any portion of the swcture to •aced closer than 20' to our front property line? Yes ❑ No 8. - Do you plan to add a driveway or modify existin access to a counp maintained road? Yes ❑ No y. Will the proposed structure a croach within any recorded easement? Yes � No CONSTRUCTION FEATURYS: Yes ❑ No 10. Will this building have insulated floor, walls, or ceiling? 11. Will this building be h�%d or cooled? Yes ❑ No 12. Will this building have/a water closet/toilet? 1'� ❑ No 13. Will this building h51e � a sink? Yes ❑ No 14. Will this building a water heater? YesNo Yes ❑ No 15. What type of floor covering will the building have?� 16. What type of wall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) I . ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered struct&e'intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant'to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-lawuarters ❑ ❑ Recreation Room ❑ Game Room q Bonus Room Study El ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ CanningKitchen El Sewing Room ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy Z ❑ Other — Use = Describe type or Workshop Must be approved by the Butte County Plaming Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws requu disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print Owner's Signature: _ /�� - Date:—,2,///,o 2 of 2 r .2 NOTES RESIDENTIAL 065-280-031 PERMIT NO. _ GEIER, ROBERT 14840 MAGALIA DR, MAGALIA +`+ y I Cont: SKYCREST ENTERPRISES i + NEW MH PERM FND NEW SITE -THE HCD FORM 433A FOR THIS MH CANNOT BE I RECORDED UNTIL ONE OF THE FOLLOWING HAS �--BEEN TURNED IN TO THE BUILDING DIVISION: .(1) LICENSE PLATE(S) OR DECAL (THE �- INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). I RlSPECTOR TO VERIFY SERIAL & LABEL #'S. S ECIAL CONDITIONS CHECKED BY ZSRA j FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. AAA�..LV OFFICE COPY r i } Address i GAS Meter By Dat ELECTRI 11' Meter By Date r� GAS Meter By Date ELECTRIC �I Meter By Date 19' 0, m /#% Sl< 71l,v e Nc0 u ULT 6-53.113 U'LI 553 9/3 ti 1. JOB FINALED (D Signature J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. ectricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location-TSt-Wrap;-/(jam/" ' 5 / P Nat. or/ P' L "ft./ P 7. Well Clearance "& Disconnect 8. Utilitv Clearance Date 7tj r%Y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MO LE HOME INSTALLATION (Plans) OK except #'s tj oning Requirements -Setbacks -Easements 2V Footings; Size -Spacing -Marriage Line as; MH Tes errand-Va ve-Connector 4. lectricity; MH Test -Cr sovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occuparcy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date ti Date Z4 Date Card B-1 Date Card B-1 ate PEAMANENTtND SYSTEM (ONLY) Card B-1 Card B-1 2. 1. Zoning Requirements -Setbacks -Easements 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails F otings; Size -Spacing -Marriage Line 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing locking 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Gas; MH Test -Demand -Valve 6. Carports; Windows -Doors Electricity; MH Test 7. Electric DrWater; MH Test 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Water and Sewer Connected 9. Siding; Nailing -Veneer -Stucco -Mesh . G s and Electricity Tagged 10. Roof; Shthg-Roofing 9 -Exits 11. Date Li nse Decals . Verify #'s with Office . 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 r 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 J=OK 0 = Not OK Not Applicable r = Not Ready RESIDENrtIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 23. Fire Sprinkler; Test 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. 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 37. 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 & Plafform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing 9 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter, 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 03/23/2004 13:21 5303429174 CHICO BLDG SYSTEMS PAGE 02 M=4 i DO ROT ALL THE Al COUNTY OF BUTTE IS APPROVED DEPARTMENT OFrDEVEl OPMENT SERVICES- BUI1NG DIVISION Chico -4jjMain Street NOTICE -------------- Post IN& job card In a safe. conspicuous place. Do no, remove until-aitJ1 irejd_ Inspections. are -made. and _tt building is approvedi for occupancy. 1`1311a must be available on the job lite. 065 -2* -03 03-2209 A. P. No. — GEIER, ROBERT 0 w ner 14840-M.AGXL_IA-DR, KAGALIA n" Contractor. Cont: SKYCREST ENTERPRISES NEW MR PERjvLEND_KFW.SITE_. Permit No.. PERIAR-TEE-MUST CALL FOR INSIPPMONR i ,-UPY-UNTIL- FE IS SIGNED ORIVIMLE-HONE R O.CCUPA N_Cy. 538-7541-dLIR17FLIA 1 891 so DO ROT ALL THE Al AND -THE -BUILDII IS APPROVED 0 rov 019 •7 Count y Center Drive Chico -4jjMain Street -------------- ,-UPY-UNTIL- FE IS SIGNED ORIVIMLE-HONE R O.CCUPA N_Cy. 538-7541-dLIR17FLIA 1 891 so tr • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive Oroville, California •c95965 • Telephone (530) 538-7541�� - „pF�Mlhp+� (Rev. 12/'96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-280-031 ZONING -RT-15M BUILDING PERMIT OWNER GETER (925 TELEPHONE 372- 502 SO. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS 14840 MACWIA DR_ MAGALTA 95954 `FT. 6 P54 106,704.00 CONTRACTOR'S NAME SKYCREST ENT, TELEPHONE .i 42-2694 CONTRACTORS MAILING ADDRESS 1 '� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1060 04.00 ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee 664.00/2 $ 332M ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 375.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or hes pump water heater 1 23.00 Water pipin 15.00 15.00 Each as wa er heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH XRM on pFRM FND NW ST,T,F Gas piping stem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 SNOW LOAET):2500-3000ft. FLOOD: x,04000 SRA ELECTRICAL PERMIT Fling Fee 20.00Main Service 200AORLESS 23.00 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 full fo ce and effect. / 4 �hy License Class Lic. No. ! / c i 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 permitis issued. My workers' c p nsa ' n insure ce carrier and policy number are: Carrier /`� Policy Number (The above sections need no be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with tho provisions. _ Date Sig re of Applicant - wne ❑Contractor ❑ Agea HA permit is required for exc vations over 5'0"deep and demolition or construction tructures over 3 stories in height. Main Service 20" TO 1000A 46.00NEW CONST. DWELLING OCCUP. s° OR ADDNS. ( 8 ACC. BLDS. 3.50FT. NpN q°OLID ' MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET US 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES s„L @ .w Ex. Occup. OFlxUTis as OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 2 3 .00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 483.00 HAZ. . FEES MP ROOD X CDF PARCEL PID HD SIjH This permit is he issued under of the Butte County Code and/or indicated above for which fees have By bW PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat ate Receipt No. 382591/$483.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT } �. r�.,.,,ti„j z ..;:+- �_ • •�....y.+:.t - . •- ..._.,....r4.vrr.'rynti..� TtY.-civil' y4tk,y+:, COUNTY OF BUTTE -DEPARTMENT OF D'FlL,O;�IENT SERVICES -BUILDING DIVISION w..:_w, ,� •; ' .`i" 7 County Center Drive, Oroville, CA 95965 Phone°0530)538-7541 Fax (530)538-2140 PERMIT APPLICATION �iTA SHEET OWNER: • 1 `( ASSESSOR PARCEL NUMBER GCS �5 Proposed Building Use: Counter Technician: Date: ms required in order to apply for a permit. II boxes MU ,T be checked OR marked NA in order apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets,, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! �O �br,, r_ e ❑ 5. Energy compliance des nand supporting documentation i a e. Manufactured homes Data sheets and installation i Marriage line info, Floor Plan,106 down or fnd plans, all in't�u'Tic ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and ca evations in triplicate. (D) Floor `plans in triplicate. All of these must' - stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. returned to the plan review line-up when required items are received. Date Received ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 9. Site plan and business license approval from the City of Biggs...... ❑ 10. Letter of intent for non-residential buildings ............................... Cl 11. Detached Accessory Building Form filled out by the owner........ ❑ 12. Hazardous Material Form ...................................................... ❑ 13. Fire Sprinklers..................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other 0 w, The permit will be indexed and uk By .................... Sent by 0--t> ' Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 7 Statement of Intent for Non -heated and A/C Buildings ............................................. 8. Sanitation and site plan approval from the Environmental Health Dep me tin 9. ity of Chico Plumbing permit ................................ . California Department of Forestry plan approval aid / Sent by1 ................ "l 21. Plannin approval for A Use: C,>)<(B)Parking: C Parcel Check: 9 PP OO ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage.......... .................... 4 ,23. NPDES Form............................................................................................. 24. Encroachment Permit for driveway from the Public Works Dept ................................. 7V I_ -j S ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 29. etter of Signature authorization................................................................... ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ 31. Manufactured home utility clearance............................................................... ❑ 32sting violations expired permits...................•..............g...................... _ EJ 33'r Grant Deed' M.H. Title/Statement of Facts, ❑ Letter from Leal Own` Check to H.C.D. $ ❑ 34. Other: _ When issued Telephone and hold for pickup. I have been informed of the above items requirements for obtaining a building permit. Applicant: 1 Date: 1. Index rpif application for the above items num - red: 2. Additierial items required Contractor, designer, owner, was advised of the above data by hone, ❑ mail, ❑ counter, by j Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter by Plans reviewed by: Date: Plans approved by: �r Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division r r.: Check Letter Date: i. L E.H. USE ONLY �' •Plot Plan Attached rloot Plan A Chad Sans to 8.D 104 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance • rc� D S— v3 � a Owner LI AP# Plan Approvf Sewage Disposal X Water Supply: Public Private Well Clearance fowelling. Other Hold final for: Final clearance O.K. for: NOTE: ntal health Specialist 8/96 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telepho a (530) 538Z5j 7 PERMIT NO (fZev. 1 6) APPLICATION AND-P�RNf(7 - •¢ctzaoaP wuaEA O oN DING PER TO e9 13 BUIL —N I SD. FT. OCC, BUILDING VALUATI N v ¢ 3 I N SKYCREST ENTERPR/SES CY TCIHONe 342-2694 H/CO CA 95973 _ U:HOFR'¢ VNlY10 AooRFs¢ _._ I Fireplace - AACmnrsroRENauEER Total Valuation S UCEN¢E No. ARCSfTE� OR D+OWFER•¢ 1WJNO ADORE" F1112Fee 5 20.00 O Per Permit Fee _ nn 43 Plan Checkin Fee EnQfgY Plan C ocking Fee b i SiE3z�A L'�f✓L f �� 5 LOT No. /;�, ¢UBONGIONv v1r 'zO 4 % LJ ( PARCEL MAP �7 PERMIT FEE S - I PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each TrapI 7.00 SF O Duplex O MobllehomeOther Solar or hoaL2ume water heater 2 3. 00 - ePEcw Water I In 15.00 TYPE OF WORK Each as water heater or vent I t 5.00 Now O Addition O Remodel ❑ Utllitles O stallatbn O Other D Gan Piping stem 1 - 5 outlets 1 5.00 Describe Work: Building sower 15.00 f - � Mobile Home S G W � Q20.00 IvEce� >� PERMIT FEE s ELECTRICAL PERMIT I Fling Fee 20.00 SNoLn)-kC. 25aa `3 Maln Service ¢�awoA�es i I 23.00t �(��D-j�+ �� Lj ��_ �� 1 ,5. Mai Service ¢ou To 101o4 46.00 • �• cotaf OR AOON¢. oc , ¢O 6z1 i ACC. BIDS. 3.5CR' NO"ERID. • MULTFOU LEr Q7.50 POWER APPARATU¢ i *PERMIT $ _ �� a• Occup. ovnxr OR F«TUR" ® .00 Ex. Occu Ld APPUt¢. OR O Rwio. EA 5.00 TemporaryService iTomp_,y SRA $ 23.00 Mobile Home Facilities 20.001 _ Mac. Wiring23.00 SHERIFF $ PERMIT FEE ri�02 MECHANICAL PERMIT OTHER $ Heating Coolln I Hood _ 1 8.50 $ _ Ventilation $ PERMIT FES' s Mobile Home Installation Fee I b «. Energy Inspectlon Fee S AMOUNT RECEIVED Occ T. TYPE $ , TO L FEE S NA2. O. FEESRMP O 1 c:) CE b 6S OF I I i This permit Is here y Issued under *RECEIPT NUMBER J the applicable provisions of the Butte County Code and/or Resolutions to Co *TO BE PUT INTO COMPUTER work Indicated above for which lees have Caen paid. By Date _ PERMIT EXPIRES ON 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 PROPROSED BUILDING USE A.P.#OQ5• 'm -03/ DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Divis' Residential............ X $360.0 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) -4/ 7. SRA FIRE INSPECTION AND PLAN CHECK FEE . $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the abo}�e fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process, APPLICANT DATE Pursuant to Goa ent Code Section 66020, you are herebyotified 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 specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) .. ®7/23/2693 06:35 5303429174 CHICO BLDG SYSTEMS PAGE 91 Fl l7ih Ea1tr_ rounty F'tl:,l ic}�Work a17 2000 04; 5 FHS �yiJ. :-S3&-538-76a:5 _�Pt'{ P 1 D3 MIN ENCROACNMENT PERMIT COUNTY OF $UTfE ♦ DEPAATMENT If PUBIC MORIA Y Caur.ty Curler Drive ♦ Crovllie, GA 95863 0 PhOrlil: (530) 538.7891 • Fax' (530) 536-4356" Download Forms: vrmw.buttW4unty.net/pubtigwbrk9 NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE permit Number Di� ict, phone: (530) 538-7339 34 9 7y LC APPUCAran _ 1 �^ th armed, lcreby DWY t0 e y of Butte for M •nOechntent Da'rnit to do the foi{otMng v�ort. uncle' or ave the County roads a•.ct l! W_, a under ' n, nv a s, oe In aecohan:e with a,.Lu tv wdi ! and g®�mg, JAA Information ereept eipnaara mus: or lebj onnW3 _ P")w . � ..,o,:al+on of WwR to bd ODtm' e ►epiCar+re sipr�sue: CONTtMACTOWS INPORMAT10N R. CDa1:8cs,r'e N&MV .✓ee- s "`°�"".r�... /3 5�$' ✓ �% fir'• � +% Contnxtof�N_ofh . iJ. GIl 0o9tlnWt>v+b0: voe Noy +4. Gcntradore Stti nn�� TV/rE,9(r WORK TO DONN +s. ala+• Check Curb: 0 Gutter E3r�Sidawaik: ❑ 0811 0i �errlMiT anm _ I Inncc�plience wlp) the above request, and subject to all terms, odrdtlane ding those printed on the back of this tarn) and species condOws written below, Is her ranted. � I Ul"Corcrountl Service Ajqrt_N,S,AA must be notif ed two working nays pAet b any excalation, 800.22'-26M 20. a All wnik shall oonborm to eecnmpahyb►e: Detrol W Plena Q 6pedai Cendilbns 9 {I i1'. D+ a laWed Q3 22, Eapfration l)IrOP �. , / O& nry: Yeti Iq No U tilike Crum, Oirecior of Public Works By: "Idols:. If pa mils are faxed to any nurrbet besides (538)538 356. Vt ey can be delayed up to rx,e week, Pejo 1 •t2 ctexnl Cvu6uom . 9n r�� 2 SITE PLAN, REVIEW APPLICATION Date: :T— 23 — AP# Q Permit Number (if applicable) 2 Z G, C) APPLICANT INFORMATION \ Parcel Size: Owners Name: r Cd2 42U.3 �2. 1 Owners Address: j L) 8 Ll S Icy G�GST' G1�, Telephone No.: 2S S7'Z u -Z- Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition IM Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form 11 Other: C--iZD s ( o.,0 Loj jrrrvp L P % jcx_r) Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For -Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date Page 1 of 5 ,► . ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area: 3aMrO -fi- ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ® Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: O N o o c�— Index Date: 6 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: R T - 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Paoa 7 of i Zoning Code Streets & Highways Fire Prevention Subdivision Map Front C Side O Side Street Rear S 3 Height Waterway N/A j N/A j N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Paoa 7 of i y Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * 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: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Decd Creation: E] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: S i >F—L. -C)Q-0 Map Date of Recording: Lot: Cl �P ❑ Use Permit/Minor Use Permit Permit Number: Book: 3O Page: H 7 L) Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval• ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements 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. FJ U Page 4 of 5 4 Watershed Protection Overlay Development Standards Firhaven Creek, Paradise Reservoir and Magalia Reservoir Watersheds Land Use 1. Current lot or parcel sizes in the Watershed Overlay Zone shall be stringently maintained. No further division of lots or parcels shall be permitted. 2. Current zoning shall be maintained, other than to allow the consideration of zoning proposal to a larger minimum parcel size. 3. No change in zoning shall be made and no use permit shall be issued unless and until the individual and cumulative impact of additional sewage disposal and surface water runoff created by new development which such zone change or use permit might allow can be proven to the approving authority by the applicant(s) to have no adverse effects upon the water quality of the watershed. Sewage Disposal 1. A 100 -foot sewage disposal setback from a perennial stream, a 50 -foot setback from an ephemeral stream or drainageway, and a 200 -foot setback from a lake or reservoir shall be strictly enforced, regardless of the date the lot or parcel was created. 2. Appendix VII of the Butte County Improvement Standards for Subdivisions and Parcel Maps and Site Improvements pursuant to Chapter 20 of the Butte County Code which now applies only to single-family residential lots or parcels created after April 4, 1974, shall also apply to all other development, including multi -family residential, commercial, and industrial, on all lots or parcels regardless of date of creation. The gallonage of sewage application shall be pro -rated in proportion to the useable area of the lot or parcel as determined in accordance with Appendix VII, using the Table I value of 350 gallons/day area requirement. a. A variance may be granted only on an existing lot or parcel when special circumstances are applicable to the property involving the soil characteristics, topography, or surrounding property characteristics. Variances may be granted only to the useable area requirements of Appendix VII, Table I. Cumulative effects within the hydrologic basin shall be considered prior to issuance of any variance. In no event shall a variance be granted that would provide less useable area than the requirements of Butte County Code, Chapter 19, Section 19-12. b. An application for a variance shall be made in writing on a form prescribed by the health department. Upon receipt of the application, the Health Officer together with the Manager of the Paradise Irrigation District, and the Chairman of the Water Committee of the Upper Ridge Coordinating Council, shall make an investigation to determine whether a variance should be granted. At the conclusion of the investigation, the Director of Environmental Health shall prepare a written order granting or denying the variance, and shall include in such written order specific findings of fact and reasons for its granting or denial. � vt c. If the Environmental Health Division of the Health Department denies the application for Variance, the applicant may file an appeal with the State Regional Water Quality Control Board within ten (10) days after denial. The decision by the State Regional Water Quality Control Board shall be final. Erosion Control Measures 1. All roadways or driveways for new home sites on new or existing lots shall be surfaced with at least 2 inches of class 2 aggregate base, unless required to be developed to a higher standard. 2. All roads and driveways shall meet the minimum requirements as prescribed by Public Resources Code 4290 and 4291 and Butte County Fire Safe Regulations, or as prescribed by the Butte County Department of Public Works. 3. Erosion and sediment control plans prepared by a qualified professional shall be submitted with all building permits, discretionary development projects, and grading plans. All construction activities shall comply with the provisions of the erosion and sediment control plan. The plans shall include both temporary (first year) and permanent erosion control protection measures that prevent sediment and other pollutant discharges from reaching watershed drainages and streams. At the end of construction, and prior to building occupancy, the qualified professional shall certify to the Planning and Building Divisions that construction was in accordance with the erosion and sediment control plan. 4. The erosion and sediment control plan shall include the time of year for construction activities. No construction shall occur after November 15 or before April 1 unless the preparer of the erosion and sediment control plan certifies that the conditions are suitable for such construction activities. Should grading be permitted during the rainy season, the smallest practicable area of erodible land shall be exposed at any one time during grading operations, as directed by the qualified professional, and the time of exposure shall be minimized. All areas where land clearing has been completed between April 1 and November 15 shall be stabilized and/or planted no later than November 15. 5. No structures shall be placed within 200 feet of the high water mark of the Paradise or Magalia Reservoirs or within 50 feet of the top of the bank of any perennial or ephemeral water course, as shown on the most recent edition of USGS 7.5 minute topographic maps, in the Firhaven Creek, Paradise Reservoir, and Magalia Reservoir watersheds. This provision shall not preclude development on a parcel that would otherwise become undevelopable due to this provision, provided that a variance is obtained pursuant to Section 24-50 of the Butte County Code. 6. The location of homesites (building envelopes) shall be shown on all future parcel and subdivision maps located in the Watershed Protection Overlay Boundary. 7. Erosion and sediment control plans shall be prepared by a qualified professional involved in the preparation of erosion control plans and shall be submitted for all three -acre conversion exemption timber operations within the Watershed Protection Overlay Boundary. 8. Three -acre conversion timber harvest operations shall not be conducted in the Watershed Protection Overlay Boundary during the period from November 15 to April 1. COPY of Document Recorded 24 -Mar -2004 2004-0016222 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT G. GEIER AND KRISTINE A. GEIER REAL PROPERTY OWNER/LESSOR 14840 MAGALIA DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE IIP 03-2209 530 538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER v " 19�ATURE OF LOCAL A ENCY OFFICIAL. DATE SKYCREST ENTERPRISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO SKYLINE HOMES INC. 2004 WOODFIELD P227 -CTB MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 17=70-0449-S-A/B 76'X26' ULI 553913/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 065-280-031 SEE ATTACHED f Preliminary Report Order No_ BU -210230-2 AMM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. V, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 23, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 47, 48 AND 49. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS NOW OR AT ANY TIME HEREAFTER SITUATE THEREIN AND THEREUNDER AND WHICH MAY BE PRODUCED THEREFROM, TOGETHER WITH THE FREE AND UNLIMITED RIGHT TO MINE DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE OF SAID LAND AT ANY LEVEL OR LEVELS 200 FEET OR MORE BELOW THE SURFACE OF SAID LAND AND FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. APN 065-280-031-000 Page 4 BUILDING PERMIT NUMBER: 03-2209 Address or location of unit: 14840 MAGALIA DRIVE, MAGALIA CA 95954 Legal Description of Real Property: AP# 065-280-031 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ROBERT G. GEIER AND KRISTINE A. GEIER Owner's address: 14840 MAGALIA DRIVE, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: ULI 553913/4 SERIAL NUMBER OR V.I.N.: 17-70-0449-S-A/B MANUFACTURER'S NAME: SKYLINE HOMES INC. YEAR: 2004 OFFICIAL APPROVING INSTALLATION: DATE: 3 -;� �2 . 0 4 PHONE: (530) 538-7541- H.C.D. 513C 02/05/2004 08:57 5303429174 CHICO BLDG SYSTEMS PAGE 02 TA drams dUSINE88 TRANSPOR :. , - - E •X MOANCIS _.: IVIBION 'i• MAP1 r� MAN FACTURER"CERTIFICATE OF 01 1 IN• ".... s �a o. CHECK IF THIS IS A DUP.LICATE.MC0-FNT'ER ORIGINAL MCO NO. Mi!INUEAQTM 71- AN R G (qg NUMBER OF L:-SFD:(SINGLE•.FAMILY DWELLING) El MU, MH (MULTI -UNIT MANUFACTURED. HOUSING TRANSPORTABL SECTIONS COMMERCIAL ..COACH; OCCUPANCY'GROUP ' MANUFACTURER —NAME: ' MANUFACTURER LICENSE SKYLINE ROMES INC MANUFACTURER ADDRESS: 90002 SUGGESTED RETAIL PRICE FAST REAMER STREET WOODLAIR, CA (State)95776 S 101, 897.00 MANUFACzi) TURER TRADE NAME: MODEL NAME AND/OR : DATE OF MANUFACTURE: WOODFIL'LD P227—CTB 1/30/2004 dAME OF OEALER'OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. D LER NUMBER OR GATE OF TRANSFER: TRANSFEREE. DESIGNATION: SKYCREST ENTERPRISES/COUSIN GARY'S HOMES 2/3/'2004'' )EALER OR•TRANSFEREE ADDRESS: 8 HAY' 99 E ruipo CA 7 3 IdVENTORY CREDITOR NAME: (Stat(zip) TEMON"'FINANCIAL CORP BOX "16520 HO' 3105 Sla(e ZI ... SECTION UANVFACTURGR SERIAL NUMBERfy HCOIN51GNIAORMUD LABEL NUMBER f4GTH WIDTH NCHEB POUNDS. 7-70-0449—S-8 .ULI. 5539.13..1.j9., 3.¢6 2 17-70-0449—S—A- ULI'553914 A 156 31,646 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA MU 95938 9lrser C1 DESTINATION FOR UNIT DESCRIBED ABOVE: State 21 E COIISIN GARY'S HOMES Strom 13468 HWY 99 E cll I'• CHICO CA state 95973 (ZIP) 09"I'lly t+^oe' PeneOy of Perjury Under Vb taws glans State M Calilmnis that the OW-* teas tiro Vw end comea. Exocvtee on 9/3/2004 et WOODLAND YULO CA (Dale) (ceryl (County) (Stele) SIGNATURE OF AUTHORIZED AGENT; �•—�-'— .., ORIGINAL (Pini) FORWARD TO -THE INVENTORY CREDITOR UNLESS THERE ISNONE. TtIEN FORWARD TO THE PUR (LASER (DEALER OR TRANSFEREE,. COPY t (WHITE) FORWARD TO TME DEPARTMENT AT P.O. BOX 1828, SACRAMENTO. CA 95012.1828. tMTHIN RrYE (SIVS OF RELEASE. COPY 2 (VELLONI) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION, COPY 31GOLOENR00) TO BE RETAINED BY THE MANUFACTURER, NCD 483.0 - Side 1 . (7/97) A STATE OF CALIFORNIA ' s DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS is unit is a: M Mobilehome 11 Commercial Coach Floating Home Truck Camper cal (License) No.(s) Trade Name / Serial No,(s) ne, the undersigned, hereby state that the unit described above: 67— C_ ej �-na-4) 'Q 0,+ �f-o L� rwfio� �fiant further agrees to indemnify and save harmless the Director of Housing and Community e,ielopment, State of.California, and subsequent purchasers of said unit, for any loss the-, �v suffer resulting from registration of the above-described unit in California, or from ,suance of a California certificate of title covering the same. /We certify under penalty of perjury that the foregoing is true and correct. xecuted on 71 ,, at Jl 1 CO 0 e (City) (State) Signature of each affiant qty SCO 476,6 (Rev 11/86) Printed name of eachaffiant `, <c ouSin Ccam`' S140rY--)e_S v State ��-� ' •��hlllllll!{lilllillllllllll Q� In RECORDING REQUSTM 8Y V 1 999-04& 1 ImAtb7 BIDWELL TITLE & ESCROW COMPANY Recorded 1 REC FEE 10.00 Official Records I Order# 1-185700 Coun�_Of I BUT7E I CAME J. GMBS Recorder I AND WHEN RECORDED MAIL TO RIIBENARY DIDON I ROBERT A. tFR 89. -Up 15 -Mar -1999 1 Paye 1 of 2 2723 N. 160000 FASTA LAYTDN, UT 84040 SPACE ABOVE THIS LINE FOR RECTA DER'S USB APO 06S-280-071 Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE do ESCROW COMPANY The undersigned graator(s) doclare(ts): Documentary transfer tart is S - 0.00 -"THIS IS A HONAF'IOE GIFT AND GRANMR RF.CM'IVFD NMING IN (x ) computed on full value of property conveyed, or. IMT'URN, R 6 T 11911. " ( ) Computed on full value lets liens and rncumbrances remaining at time of sale. (x ) Unincor[ppoorated aroa ( ) UNINCORPORATED AREA and FOR A VALUABLE CONSIDERATION, recalpi of which is hereby acknowledged, GERALD GEIER AND MARIE GEIER, HUSBAND AND WIFE hereby GRANT(S) to ROBERT G. GEIER AND KRISTINE A. GEIER, HUSBAND AND WIFE AS JOINT TENANTS the following described real property in the UNINCORPORATIM AREA County of BUTTE State of California: GEM ATTACRBD 9CURDULH C FOR LEGAL DESCRIPTION Dated: February 26, 1999 GERALD (TRIER' State of California c awooffCQ,�ni1M tnQ, f SS. On ballots m, ft utaleraiaocd a Noury Pibrk. in sad for acid Stew pettonally spewed Com,e.nn.Id Ge -;Pr- nvvj Pomona, I NMI 0 (or pec w to fm *aft basis of ssdsfaesory eywrace) to be the pamon(s) whose tames) dare subsertbod to the wlthla Inurarnent and acbmwiealsed to me that 6QWtmy etamiad Ise um In r View heir aatlwritsd espaeity(ks), and that by Itiegar A?Wr siaestum(s) on ttte 4uuumrcnt Oe peesod(s) or the eolity upon behalf of whkh the pawn(s) aural esauW the inummeoL WITNESS my hams eetl orficial ted. lal!%/11141.! tr 0 HARIB GEIER Description: Butte, CA Document. Year. DoclD 1999.10807 Page: 1 of 2 Order. wen Comment WMDEINISE L. iMlLli!AM8 OssMI 0 tt20y74 RA COGTA COtAiTY E UP. DEC. 2%i0C2'a (itis area for affirm noterial real) Prcliminary Report Order No. BU -210230-2 AMM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SMRRA DEL ORO ESTATES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 23, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 47; 48 AND 49. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS NOW OR AT ANY TIME HEREAFTER SITUATE THEREIN AND THEREUNDER AND WHICH MAY BE PRODUCED THEREFROM, TOGETHER WITH THE FREE AND UNLIMITED RIGHT TO MINE DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE OF SAID LAND AT ANY LEVEL OR LEVELS 200 FEET OR MORE BELOW THE SURFACE OF SAID LAND AND FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL OEL, GAS AND OTHER HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. 'r APN 065-280-031-000 4 t Page 4 . . ....... ... f- AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 CGI:`Y of Document Recorded 06 -Aug -2003 2003-0052474 Has not been compared with original BUTTE COUNTY RECORDER 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, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date 'i -C' 3 PROPERTY OWNERS: David D. Agostino Alice Louise Agostino State of California County of Bette Cc: C C, -.L, G On before personally appeared A y i n 'k-) (1 Chy��t n o A Lac - �u� ; (0 G,.4. < y- j ro c' personally known to me (or-procved-to ) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/she/tbey 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 my hand and official seal Signature C Seal: DOREEN JEAN ROBERTS Commission # 1375165 APN: 058-600-033-000 Z =� Notary Public California zz Contra Costa County [- My Comm. E)pires Sep 16, 2006 p Jun -16. 2003 5:41 PM Preliminary Report O .WAGAIIA No -8137 P. 4/5 Order No. BU -210230-2 AMM Description The land referred to heroin is situated in the State of California, County of Butte, and is described as follows: LOT 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. I", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 23, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 47, 48 AND 49. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS NOW OR AT ANY TIME HEREAFTER SITUATE THEREIN AND THEREUNDER AND WHICH MAY BE PRODUCED THEREFROM, TOGSIHER WITH TTY- FREE AND UNLIMITED RIGHT TO MINE DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE OF SAID LAND AT ANY LEVEL OR LEVELS 200 FEET OR MORE BELOW THE SURFACE OF SAID LAND AND FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. APN 065-280-031-000 N Page 4 �,e #11 Cousin nary Circle "The Yuba Classic" 3 Bedroom I.Bath, 1976 Sq. Ft. OEtE r+a, � , _ � � i1 I " U TCNEM BREAKFAST UTILITY f779 \ DINING ROOM �S'-4 AREA BEDROOM 12' - B Q y i o" If III I a A No. 2 I I -- I VERT ---------1 L.1iNEfYiH TNfU,.ptf n MASTER ,'ro�rat" ooRr" \ / BEDROOM - - BEDROOM FOYER ,'' FAMILY ROOM \` No. 9 � 23 d � �' I me. t LIVING ROOM �. , " PIanAP=fE%B ,--- Butte County ; Lnviron Env* me tal Heal% el:oRooM �'�ntalyea�th FAMILY ROOM BEDROOM No. S , JUL to ' u' e. No. 4 C 2 3 2003 10, �Ch>co, CA S nature, OPTION 4TH BEDROOM Features in this Model include: * Picture Window & Dormer * Glamour Master Bath with Corner Tub, Stall Shower and Skylight * Master Bedroom Walk -In Closet * Oak Kitchen Cabinets with Drawer Over Door Construction * Sheetrock Walls with Rounded Corners * 4`h Bedroom Option Available * Exclusive Safease Package * Residential Heat *Deluxe GE Kitchen Appliance Package * 6" Exterior Walls * Sliding Glass Door * Skylight in Kitchen * Recessed Entry .y NOTES RESIDENTIAL i PERMIT NO. x065-280-031 _ V 04-1 764 1 AGOSTINO, DAVID . 14840 MALT ALIA DR, MAGALIA 4 j Cont: OWNER OPEN DECYJMH • `I SPECIAL CONDITIONS j! CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER :t tr 3 ).JOB FINALED (Date) i � Signature J=OK 0 = Not OK - = Nnt Applicable . =' Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements 7. 2. Soils; Special MH Support Sketch Sills-Anchors-Studs-Rftrs-Trusses 3. Sewer; Location -Test -Fall -C/0 -Concrete Siding; Nailing -Veneer -Stucco -Mesh ' 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; Loca-ion-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG Elec.; Pool Lighting; 15 Volts-GFI 7. Well Clearance & Disconnect Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Utility Clearance ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES (Plans) OK except #'s 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. EjWric 8/4-rmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. fjpe; Shthg-Roofing Date Ext.; Steps -Doors -Landings 12. Braced Wall Panels` Date 7//%Ze-Ward B-1 Z- / / Date Card B-1 f Date ( Card B-1 - J Date Card B-1 Date POOLS (Pla s) OK except #'s Plumb.; Cir. Test -Water Supply Test 1. Setbacks -Easements 12. 2. Soils; Compaction -Structure Stability ' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. 7. Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- 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 UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 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 53. 20. Shower Pan; Test, First Floor -Tub Access 54. 21. Test Tub & Shower, Second Floor -Tub Access 55. 22. Gas Pipe; Sixe & Anchors 56. 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. 24. Fixture & Transformer Clearance -Ins. Protection 62. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 63. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water FINAL (Plans) OK except #'s 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Ext. Steps -Door & Sidelight Protection -Landings 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Smoke Detector 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Garage Fire Door; Swing -Landing -Closure 37. Vent Fan, Exhaust above insulation A.C. Duct in Garage -Damper 38. Condensate Drain & Overflow, Size & Grade Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Plb.; Elec. & Mech. Equip. Listed for Location 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 FRAMING (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 41. Sills Proper Materials & Anchors Clearance Looked under Floor ❑ Yes 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 86. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 87. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r 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 PERMIT NO. BP041764 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/24/2004 APN: 065-280-031-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 14840 MAGALIA DR MAG Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: DECK (288) 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 Owner: AGOSTINO DAVID D & ALICE LOUISE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2020 LASALLE ST 7000) of Division 3 of the Business and Professions Code) or that he or MARTINEZ, CA 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 94553-1937 applicant to a civil penalty of not more than five hundred dollars ($500).): Ld I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: AGOSTINO DAVID D & ALICE LOUISE 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 2020 LASALLE ST year of completion, the owner -builder will have the burden of MARTINEZ, CA proving that he or she did not build or improve for the purpose of sale.). 94553-1937 ❑ 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.). Contractor: ❑ I 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 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 the Labor Code, for the performance of Architect' the work for which this permit is issued. My workers' compensation insurance Engineer: g carrier and policy number are: Carrier: Policy #: eJ I / certify that in the Total Square Ft: 288 S.F. performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $2,880.00 become subject to the workers' compensation laws of California, Census Code'' 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. Date: / Z��0� / i"—ht' Applicant: �m�/%� ` ' (aLU , C I S�• Gtl 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. CONSTRUCTION" LENDING AGENCY This permit nder the applicable provisions of the Butte County Code enrtlor 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.) Resolutionsed abov which fees have been paid. a2& Name: BY Date: PERMIT EXPIRES ON: Date Address: ClI 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 county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name1 (� Signature: Date: Z b Owner 0 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.netWds PERMIT NO. BP041764 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 06/24/2004 APN: 065-280-031-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 14840 MAGALIA DR MAG Date: Contractor. Map Index: Description: DECK (288) OWNER -BUILDER DECLARATION from the I hereby affirm under penalty of perjury that I am exempt 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 Owner: AGOSTINO DAVID D & ALICE LOUISE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2020 LASALLE ST 7000) of Division 3 of the Business and Professions Code) or that he or MARTINEZ, CA she is exempt therefrom and the basis for the alleged exemption. Any 94553-1937 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).): Ld I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: AGOSTINO DAVID D & ALICE LOUISE 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 2020 LASALLE ST year of completion, the owner -builder will have the burden of MARTINEZ, CA proving that he or she did not build or improve for the purpose of 94553-1937 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.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 288 S.F. Policy #: J/ IGI 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 Valuation: $2,880.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater lc� �o� P {ITt°t°�U Applicant:. �n/j�%} et4 , I So. c' 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. CONSTRUCTION LENDING AGENCY This permit is here y issued under the applicable provisions of the Butte County Coda and/ r 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.) Resolutions to do or indicated abov which fees have been paid. BY Date: Name: PERMIT EXPIRES ON: Date Address: ❑ I 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. i ❑ 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 county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Namej V J (�fZ� ��!`�r� i� Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES I r` BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X '� "/ Q_ Ir '.t' 7t='::j For office use only: OWNER Name G0s ( 2) Address C) 1 IL City L I A7 ` Stated State CA Zip Phone 5 ,,, _ _4� E-mail Fax E-mail Planner APPLICANT SIGNATURE X '� "/ Q_ Ir '.t' 7t='::j For office use only: CONTRACTOR Name A q I a . Address 1 IL City ` Stated State Zip Phone E-mail Fax E mail Planner Lic. # Class APPLICANT SIGNATURE X '� "/ Q_ Ir '.t' 7t='::j For office use only: ARCHITECT/ENGINEER Name A q I a . Address 1 IL City ` Stated State Zip Phone E-mail Fax E-mail Planner State License Number APPLICANT SIGNATURE X '� "/ Q_ Ir '.t' 7t='::j For office use only: APPLICANT NAME Na A q I a . Address 1 IL City ` Stated Zip Phone'30 7 Fax ^873 E-mail Page APPLICANT SIGNATURE X '� "/ Q_ Ir '.t' 7t='::j For office use only: Zoning J Flood Zone I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 04 BIN # LOCATION AP# C' 65 1 Property Address 4L'A ba, M r1/ -4(_(n,, Cross Street U->) 1-0 L rlfg. WORKER'S COMPENSATION Policy Number 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 Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:Amount: I 150.— Bldg SRA Receipt #: f06 ¢3 ¢ Sheriff SMTP Date: &.17- o4 Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS4r'. The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. 0 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). D 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 "r-OUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION f 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: AG o *57-1 0 0 ASSESSOR PARCEL NUMBER O 4- 5•�1 $O • 0 3 f Proposed Building Use: SGL- Counter Technician: `" Date: 4-17..o4 Items required in order to apply for a permit, All boxes MUST be checked OR marked NA in order to apply. 1 1. Site plansoor 4 sets, signed by the preparer of the plans. . ,5, , 2. Complete plans&r 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ �` 5. Letter from Engineer or Architect for truss design review. ❑ 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 engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Lefler 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 Cr8'Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers......................................:..................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Ehgineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent by: ............. k---23. 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑/ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27 Encroachment Permit for driveway from the Public Works Dent p........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 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............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone. A"7 3 . G,!j -7 I and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. 6 Plan Check Le er Applicant: 1. Index permit application or the above it numbered: 2. Additional items reouired Date: Contractor, design , own ` , was advised of the above data by phone, C3mail, ❑ counter, by ` Date:7 Contractor, designer, her, was advised of the above data by ❑ phone, ❑ mail, ❑ count r, by J Date: _� �• Plans reviewed by: MC ---Date: -i' • 0 Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE GWLX Piot Plan Annchod Floor Plan Attache sent to 8.0. TO: Building Department K FROM: Environmental Health SUBJECT: Sanitation Clearance —L�w w er s Loc i n AP# Plan Approved for: Se I� Wat r Supply: Publix— Priva Wel Clearance for dw ng. Other Hold final for: Final clearance O.K. for: NOTE: En 8/96 O 00 0 0 �o � A�ouN�yy �QLIC WO�� Department 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 [LESS THAN 1 ACREI Project Description: _(��,o� �Pt �P44 Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Building Permit Number: Q Z/' / 7 (0 4 Owner Name: 4 0 0 5 4-1 n p Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 Catifornia Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: d L/- /7Cc f Owner Name: l.� OS4'1 eJ o Parcel lies within the .State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. == The following parcel map requirements shall be met: All structures and equipment including overhangs 'shall be clear of all easements. A setback ofo eet from the side and&M get from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect.. Environmental Health JUN t 5 2004 Chico, California ELECTRICAL,' MECHANICAL CONSTRUCTION ( NOT PI SHALLCOMPLY WITH CUI OF NEC, UIVIC . AND UPC I C,r'J.. t.�'1 �L�+..:� ,.lam. • � I. .\. I 4'Pea Pps 1s DOCKS ,..,� °,x,17 " \ PLUMBING CHECKED : j dT EDITION i j I i f97"1 + ALI i -OTE: See the attached ILRen entionstructjon Reouirementsn .. ....... �:.... _ _..._...._.�.._._.........._..._._..._.._..._�..... _._ Pages SCALE: fR . L, ECC? 1Ni r� -e c _ '10LDING DEQARTt EA. _ � �' �. o. �� . Qct � � ► � � - a �,� ��.��,� ® � 1 �, ¢ (�( fes.. p'� jf// � i" /�H�• , /�++ + y r t %�. r(q^' p^�; /� ` 1` /spy ([�• }� .toni (p�A A�+�l�i 6"�ry..e iz,e� /,' ft? '� t�./n�:� I��__..rl._E-f.•..'_�__w_.L�.4_..l_+.i4 �.�R...R:.�L_M!?t� ...'�.�_... /` .'_"y'""}.. .p. .t....._.y�.. -- .. _._ _... _.._.._........_. _._2 o N_....r.._.!\S G .. ....... __-._:._.._.... _ _:. .................... __..... _..._ _ .._..._...._..... _.. ..... CA z: 4 QL 6E vJ r M UDS) bL ;00 ri _0 z 70 it W V) - D 0 ---------- F ZDV i� tv to CA (TI M 5i P F. -Z0 BUTTEc OUNr U WING DEPARTMp, ,po CD m k W.J2 1U 00 2 L Z) GHQ beck` A-LL PROFOSF—I D F i -'XZ4' Ar -7771 RASP,48LC R4WD ROIL ck 3 w 4- Y, 12. V) APPROVED Butte Cou )K EmImum—l— " ILI Signature re 5CALG 212- 411 0/G ENVIRONMENTAL HEALTH MAY 9 2004 CHICO, TE . . ...... ... C 1) FLAW Environmental Health JUN 1 5 2004 Chico, California ............... 15TI (449 or z4 -,x Z-4 S �� 7{{jj� \ I y ?4? Z N 'q ........... . ...... . .... ..... . . ........ SCALE I lo' L)TIL-tTY GAL-1Ai D 9- 2?0- 03.1 k Z E (A"(FIO �41 . ......... N—J-14 t A A F05P v)" 1.11ee ENVIRONMENTAL HEAL7,,-I AUG 12 2003 6-?. ae CHICO, CALIFORNIA APPROVED B eCounty e a HeWth g 12