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065-290-034
1 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.netldds Yi AA? .11001 9MM10. ' LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued -Date: 10/12/2005 APN: 065-290-034-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 14798 MAGALIA DR MAG effect. License Class : License Number: Map Index: Date: Contractor. Description: NSF (1750) GAR (528) COV (95) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: OROPEZA, ANDY & ELIZABETH Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1650 MEADOWBROOK LN signed statement that he or she is licensed pursuant to the provisions of PARADISE CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95969 she is exempt therefrom and the basis for the alleged exemption. Any (530)876-1730 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, 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 Applicant: OROPEZA, ANDREW AND ELIZABETH Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1650 MEADOWBROOK LN provided that such improvements are not intended or offered for PARADISE, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95969 proving that he or she did not build or improve for the purpose of 530-876-1730 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 Contractor: pursuant to the Contractors' State License Law.). D I am Exempt under Article 3 he Business and Professions Code oOwner: Date:D WORKERS' COMPENSATION ECLARATI N I hereby affirm under penalty of perjury one of the following declarations: License #: Cl ' I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance, carrier and policy number are: Carrier: Total Square Ft: 2373 S.F. Valuation: $127,942.00 Policy#: ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall e forthwith comply with those provisions. L —7 Date: Applicant: -�A WARNING: Failure to secure workers' compensation coverage is So 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 hereby issued under the applicable provisions of the Bufte County Coda enrUor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ:) ,/� '� —12 12_ /�� �� 6ll % Name: By: i ° 1 Date: PERMIT EXPIRES ON: 10 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance f any official form or ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo Print Name:Signature: Date: 6 0wner ❑ Contractor O Agent for Owner ❑ Agent for Contractor BUTTE COUNTY 6rJ' v EPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION I % AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #:(530)AT538 �r A FEE WILL BE REQUIRED AT TIMEE OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY* * OWNER Last Nara Z + W Fi NaMe Address. t� City :%.y1911 -'e__- Stag Zipq 5- (' Phone _ 0 _ g 2(o _ I_7 Fax Alm e— E-mail ARCHITECT/ENGINEER CONTRACTOR Name St Address Phong ' _ City E-mail State Zip Phone Map Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name S� P� Address �. City -S St Zip�SG Phong ' _ Fax E-mail State License Number APPLICANT SIGNATURE X c9 For office Vie only: APPLICANT NAME Name r e Address ` f V� City11.1� I No Sta}�S. C Zip 9 5 Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X c9 For office Vie only: Zoning _j Flood Zone Cross Stre%-- ;T 1 l SRA I )6s I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc /l7 Iq PERMIT LOCATION AP# b S,�)Lo 0 pe y dd ess Nq iC` City Cross Stre%-- ;T 1 l WORKER'S COMPENSATIO 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. Other (3 Total LENDING AGENCY Name Address Description or Scope of Wor . a 9� cbv Sq. Footage �-� rJ(0 I)SY ❑ 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. Page 1 of 2 REV 2-24-05 Received by: Amount: )6&5 Oo Bldg au (� SRA Receipt #: Sheriff ✓� SMIP Date: � �j O`Y / Other (3 Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS ' The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additionql items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Ell Applicant: Oro eza, Andy Permit No: 05-1388 Project Type: NSF/Gar/Cov APN: 065-290-034 100% 70% Plan Check Fees $ 1,085.26 $ 759.68 $ 1,085.26 $ 759.68 WILLDAN Fee $ 759.68 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department of Development Services T tF w 0 YVONNE CHRISTOPHER, DIRECTOR o o � � o (e N 7 County Center Drive ° ° Oroville, CA 95965 CSU M (530) 538-7601 Telephone N �y w (530) 538.7785 Facsimile co TO: WILLDAN I• O FROM: Scott Rutherford (530) 538-7160 srutherford(@buttecountv.neLO t SUBJECT: Plans Transmittal For Review Per Contract O DATE: 6/3/2005 Applicant: Oro eza, Andy Permit No: 05-1388 Project Type: NSF/Gar/Cov APN: 065-290-034 100% 70% Plan Check Fees $ 1,085.26 $ 759.68 $ 1,085.26 $ 759.68 WILLDAN Fee $ 759.68 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other « ,..�,." t v r. .. � .� _. r.� ._.. � . w-.. _ ,. .. .tir Fes, -Y ^..r . .--- ,. .` .. � ✓ � � � 16 - COUNTY COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (Xoix,� ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST 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! ❑ 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) Installation manual, including 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. Letter of intent fog non-residential' buildirigs t7, 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑' w 14. Other Rert;aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) —� ��nS 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ;;, ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by—.. ❑,Ct Soils Report and/or Engineered Foundation required ........................................... �1 Erosion Control Plan Required .............................. . ` I -�( Fees as shown on the attached Schedule of Fees Due Sheet...... ......................... ❑ City of Chico Plumbing permit........................................................................ V❑ / 22. Site plan and business license approval from the City of Biggs .......... ..... iN 23. California Department of Forestry plan approval epaid.�Sen (� �5 24. - lanning approval for (A) Use: a (B)Parking: (C) Parcel c : / 0 l -25. Contact Land Development about p _Improvements, _Drainage ........................ T- NPDESForm..:.................!....................................................................... v -c� ncroachment Permit for driveway from the Public Works> Dept ........................... -b Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( t(Given to owner, _Mailed to owner). .................... *Existing etter of Signature authorization ............................. p� ecorded copy of Agricultural Acknowledgment Statement ................................. violations and/or expired permits......................................................... ❑ 34. Deed Restrictiori..........................................................::.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title se. arch, registration or MC ..- ................... Other: Y -(.QA gp Z 37. ther: r When issued Telephone so&=l —1 ? U and hold for pickup. I have been informed of the above items and requirep is for obtaining a building permit. Applicant:.-1ate: S (o " 1. Index permit applk&on for the above items num red: PI n Check Letter 2. Additional items re&ked- I I Contractor, designe o as advised of the above data by ER/phone, ❑ mail, ❑ counter, by Date: Contractor, designer o e as advised of the above data by M phone, ❑ mail, ❑ counter, by Date: 10 LO Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed y: Date: Structural approved by: Date: Uj Note transfer by: Date: Yellow: Building Division E.H. USE ONLY -c. Rot Ren Attached a/' Float Ren Ansehad Sent to 8. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance lei /J �= �. /-YL ! /9 /�J ty = ®� °off Owner Location AP# . Plan Approved for: Sewage Disposal Water Supply: Public "'/ Private Well Clearance fordwelling Other�7�L�-�� /4 TT,4f7f�"5,6 C1 s4iE:/� 9th - Hold final for: Final- clearance O.K. for: NOTE: a - - ja�� "'i Lt--"; �2�/ Y2/&-4�,aov3 mental Health Spe ialist . Date . 8/96 0�)- 01<� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE l PROPOSED BUILDING USE I4 1. BUILDING PERMIT FEES$ ���� Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES���-� (paid at District Office) (Available after Plan Check) 3.%'de:ntial ES (paid at Building Division) .................. x $360.00 = $ Units ft.) ............... x $0.03 = $ Sq. ft. 4. (paid at Building Division) Residential ............� ... x - C�.✓� ��sz�J is c �Cok Commer (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 10=4 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE lXi$2500.00 (paid at Building Division) .OTHER :5` �� a A.P. P t-& DATE 16� RECEIPT # DATE REC. (, \'I� 1 /0-/ . 0-0) ail / U DO 0 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE.. SJ - -2 % - Ci 5 Pursuant to Government Code Section 66020, you are here`6y notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.- Please ignature:Please complete and return this information at your earliest opportunity to avoid unnecessary delay, in processing and issuing your building permit. No building permit will be issued until this verification is,received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES ] NO [ ]. 2. I HAVE [X ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 M Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. KIM C. VieirJ C.B.O. Maqager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. l //G. 0 .: n � � s U VA' l a�Uc WO��g Department - C o u n t Michael Crump, Director of Public o f B u t 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 9 ACRE] Project Description: N Project Location and/or Parcel Number: 0 , o By signing below, I, the project ownerlowner'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: 5 6s- j.,tss than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Waw Management Program t Butte Coun[yDepartment of 0 0 7 County Center Drive \DeveloprnentServices 1.4 . °0-1 ° <. Oroville, CA 95965 �. 0 �1 o (530) 538-7601 Telephone • cUUN�y (530) 538-7785 Facsimile ]BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or rgquire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: t' 'z -a . e7 APN: Building site address: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: S-C4(0- SIGNAtORE OF APPLICANT DATE i 4 2,\f RE ORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Andy Oropeza and Elizabeth Oropeza 1650 Meadowbrook Lane Paradise, CA 95969 A. P. N .: 065-290-034-000 210rD5—I12�Qi2' 1 52% Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 18 -Apr -2005 REC FEE 1@.AO TAX 63.80 Mark Page 1 of 2 Space Above This Line for Recorder's Use Only File No.: 0402-1848839 (MT) GRANT DEED The Undersigned Grantor(s) Declare(s). DOCUMENTARY TRANSFER TAX $63.80; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, x unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Elton Jay Allred and Laura Lee Allred, husband and wife as joint tenants hereby GRANTS to Andy Oropeza and Elizabeth Oropeza, husband and wife as joint tenants the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 89, AS SHOWN ON THAT CERTAIN MAP ENTITLED, SIERRA DEL ORO ESTATE UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 23, 1963 IN BOOK 30 OF MAPS, AT PAGES 47, 48 AND 49. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS NOW OR AT 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 FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. aura Lee ' • wdos Mail Tax Statements To: SAME AS ABOVE A.P.N.: 065-290-034-000 Grant Deed - continued File No.:0402-1848839 (MT) Date: 04/07/2005 STATE OF California } } ss. COUNTY, OF�Df� } Ori &2-t - $, 2-(1,o'::) before me, personally appeared atjaza Lee A/it2P_.D proved to de on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that..be'/.she/they executed the same in When heir authorized capacity(ies) and that hip/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. r My Commission Expires: - dab This area for o>ficiai notarial seal Notary Name: -vZo�/ !" e,rl�— Notary Phone: (5-3�') 2J 3— 53 K Notary Registration Number: /3?7Lf County of Principal Place of Business: SHARON MILLER Commission # 1377480 Z ..� Notary Public - California > Nevada County My Comm. Eplres Sep 30 2006 Page 2 of 2 i t l;, N�UWILLies Serving Publ,DA�N July 5, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: -Approved Jurisdiction Job No: 05-1388 Assessor's Parcel No: '065-290-034 Description: Oropeza — NSF/Gar/Cov Willdan Project No: 14353-1718 Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: i ➢ Plans: Two (2) copies of sheets 1 through 5, not dated, by J. Peppier Designs ➢ Energy Calculations: Two (2) copies dated 05/23/05 by Robert A. Mangrum ➢ Truss Calculations: Two (2) copies dated 05/25/05, by Jarrod P. Holliday, P.E. The plans have been.stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans 'and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. 7. W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit application. Specific Use Type of Occupancy Type of Construction Stories V Floor S Ft 2nd Floor S Ft Total Sq Ft Dwellm* R-3 V -N 1 1750 NA 1750 Garage U-1 V -N 1 528 NA 528 Covered Porch R-3 V -N 1 95 NA 95 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. 4Sincerel , Isaac Kuste Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Elizabeth Oropeza, 1650 Meadowbrook Lane, Paradise, CA 95969, Fax: (530) 876-1730 Page 2 of 2 County of Butte Permit Number 05-1388 Willdan Project Number 14.353-1718 B ALAN CE OF FEES SHEET DATE: Oso` PERMIT. #: ASSESSOR PARCEL #: OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): SRA: COPY FEES (Sl or more) $ $ BASIN DRAINAGE - BC RESIDENTIAL IMPACT County Wide Chico Urban _ $ El Medio North Chico Specific _ WATER TENDER FEES BATTALION # FEMA $ SMIP $ S l " OTHER RE CEIPT NUMBER(S) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING -DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0051798 Recorded I REC FEE 7.00 Official Records I County of I COPIES 2.00 Butte I ONACE J. 6RUBBS I County Clerk-Recorderl I SA 011:IBAII 3"ug-20116 I Page I of I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: L o + ,` `� A f CSS S �O � N V". O �0-�" QCe� al 1� c� k O_V�� a i E�-rq d e-� O�r-p � Q `� 1n �, W �\ \. C_ Lam ed o -� is e. o e r- e Lov-de'�- o -�-I e C�v`VA b -� 0- ` �-o�� e d C-aA oar v.�c,. a� v s� �- 3 l 9 b 3 wl *�2' 0 o .� Mo,�s 1 c,k t 0,� -e.s q-71 Date x' 3O - o J PROPERTY OWNERS: Av�.Jve..s 0\r -O �P_ 1>^zQla-e Ov o��eza State of California ) County of u ) On before me, personally appeared e, u 'o zA- bco e.Lapersei all_ - knewfl-te-nye (or proved to me on the basA of satisfactory evidence) to be the persons) whose name(s) Ware subscribed to the within instrument and acknowledged to me that heAhO hey executed the same in 4WsAlwr/their authorized capacity(ies), and that by hisAeratheir 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 x416e�Seal: r COMM �B157244119 Q 2 � NOTARY PUBUC-CAUFORNLk BUTfECOUNTY 0 PCOMNL EXP. APRIL 24, 2009'+ ,Ooffl4 is OWD" f 'r 5tIvi I .lJo-.s'-:.1�L�.�•4\..t?�w.1., J.•..�s��....�..a ^ �.+.,� _!, �.1 Cn'„1::G''JiJJt+si'=�tiOh�U' ►•mac+tet.>»::^cr-,+s�•c=-e�-cr'v ti4�e�'•s-•-i, rAj CISin i � �UTTF ENCROACHMENT PERMIT^i I o °01 County of Butte Department of Public Works 0 07 County Center Drive Oroville, CA 95965 9 °°u { / Phone: (530) 538-7681 Fax: (530) 538-4356 �C/C W� AII•information except signature must be typed or legibly rinted Permit if: NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel ,)(� Property Owner' Name: Number (Required): 0 65 03 - CU Gi /� r h Phone: f,5 3 Q J i '7 Property Address: PROPERTY `` (� l n c) v\ (j, $ S V` OWNER Miili� g�d3 s (Ierenc): Pact 10 b tk PPS d \'.S -4L C4 cl 6(469 Work will be Contractor' e: .�.r C performed by: ontractor C3Property Owner ^ / rnone: j j> _J /V}(�JC-Y //lam C/I� WORK Contractor's License II � �I Certificate of I surance currently � Yes ❑ No PERFORMED BY Number: .�{ _ r ,Jl on file with Department? ,firJ Applicant is: Property Owner ❑ Property Owner's Agent ❑ Contractor ❑ Other: I / WE, the unde igned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the CoAlk roads ggAighways, all in accordance with County ordinances and general laws. Signature: Date Signed: Road affected: -- �••s��-G Y f ,, , Time and Duration of Encroachment: Permanent Encroachment ❑ Temporary: From To LOCATION Type of yy�� Encroachment: Driveway F-1 Roadway 11 Culvert ❑ Fence ❑ Pipe,'Pipeline ❑ Sign/Billboard ❑ Other Site Plans Yes ❑ No Attached: PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. O Other Conditions: \S t.rJ R -00'L' o Lr AJe, PERMIT CONDITIONS (To be filled in by County) For County Use Only no 1 -t.J�—r Q-�` C7 .� r�.A�'� Ar� �-1 'D c� t�) 1 Q 2 \'J A E l 1 l 4r c ty, Date Expiration Surety: Issued: Date: Daten Amount Paid Check Receipt Paid: `7 GS Paid: ,Qj� By: AP LttAut iiW No: 41 No.: 37 Mike Crump, Director of Public Works By: Road District: Inspected By: Inspection ❑ Completed - OK ❑ Completed - Not OK Results: ❑ Additional Comments Attached Note: If oermits are faxed to any number besides (530) 538-4356, they can be delayed up to one week Form: 2oo5o6EP Page 1 of 2 "INV. �. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One font per Building) School District / ��� I J �S Building Departrnent No. A.P. Number ���`Jurisdiction: City ©C' unty,�"` Property Owner Property Location/Address s Subdivision',, Residential Development No o Living Units Commercial/Industrial Q New Building Department Representative 2t ;atiori .No. Com, 4 (Street Address) Lot No. 0 Addition School District certifies that has complied with the requirements of Resolution No. I representing1 square feet. Representative Paid by Check # Remarks: (State) » r Sq. Footage (Including Exterior Roofed Areas) Date s (fpplican f ° (Phone Number) (Zip Code) by payment of $ / 7S 2926 $ FULL MRIGATION $ Date Notice: You may protest the imposition of the fess Identified above by submitting a written protest to the District, in compliance with Govwnmsnt code Section 66020(a), within 90 days from the date Nes are paid. Failure to submit a timely written protest wlll'prohibit you from challenging the Imposition of the Nes in any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fes Certification Form, the School 101lct Is rhoflfls 'by Un applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quallty Act (CEQAh this project may be subject to additional school Nes to fully mltigate.lfs Impact on the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) feefor ads (10/03)dmm ,I :•kt- } l� Sq. Footage Mobile Home ;. Addition/ 'Supplemental to (Group R) Installation Conversion Permit # ...................................... *(No foundation inspection) Deed Restricted Sq: Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) 0 Addition School District certifies that has complied with the requirements of Resolution No. I representing1 square feet. Representative Paid by Check # Remarks: (State) » r Sq. Footage (Including Exterior Roofed Areas) Date s (fpplican f ° (Phone Number) (Zip Code) by payment of $ / 7S 2926 $ FULL MRIGATION $ Date Notice: You may protest the imposition of the fess Identified above by submitting a written protest to the District, in compliance with Govwnmsnt code Section 66020(a), within 90 days from the date Nes are paid. Failure to submit a timely written protest wlll'prohibit you from challenging the Imposition of the Nes in any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fes Certification Form, the School 101lct Is rhoflfls 'by Un applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quallty Act (CEQAh this project may be subject to additional school Nes to fully mltigate.lfs Impact on the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) feefor ads (10/03)dmm ,I :•kt- } l� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2'005-0%1798 Recorded 1 REC IKE 7.0`, Official Records I County of I COPIES 2.ello Butte i CURDPCE J. GRUBBS i County Clerk-Recrrderi i ISR 01.1:10AN 30 -Nun -2005 i Nage 1 of 1 IIII III III IIIII1111111111111111III AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: CLS Show o v� �'�a� c -�- a� Mat' i* e_ro-%-a d e- 1 ov-a es4-a-k e v.v. v�O �, UJ IN 6CA-1 ►��� was r o Vk %X -e. o b e COV_Vt� y o T e= o- v_ ;,.s 3 , 9 b 3 o© k Date x' 2>o- ns, PROPERTY OWNERS: A v\J e J16:a4� ( — 1z O e O,. oL>C2_Q State of California ) County of i?� �_ k-� a � On Auga5k 30 f;.005 before me, personally appeared Anrife S U,- ' e_ �' E I � Za�eth. M• tic6aeX-0 --pers"-11- Wewn to ma (or proved to me on the basA of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that lhefshe> hey executed the same in #sAer/their authorized capacity(ies), and that by htheir 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%— Seal:OCOMMu. LEAH A. BELBEN COMM. # 1572419 e� L7 D_ / % r - NOTARY PUBLIC -CALIFORNIA O A.P. 4 EXP.COUNTY 24,2009-1 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING July 26, 2005 .., Liz & Andy Oropeza 1650 Meadowbrook Lane ' Paradise, CA 95969 Subject: APN — 065-290-034 Dear Mr. & Ms. Oropeza; The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit for a new house. Your property is located in a Watershed Protection Zone and therefore the requirements of this zone must be met when any construction activities occur in this area. I have attached a copy of the policies, procedures and standards for these Watershed Protection Zones. In these regulations it states that erosion and sediment control plans, including provisions for wet weather conditions, are required to be submitted with all building permits, discretionary development projects, ... The erosion and sediment control plans shall comply with the recommendations of a qualified professional involved in the preparation of erosion control plans. Please submit an erosion and sediment control plan for the Butte County Engineer to review for approval. Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8,:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerely, . f Stephen Streeter + Planning Manager 13013 MANGRUM 5655 ALMOND STREET . .q1 RGY••CONSULTANT- ... _ PARADISE, CA 95969 .5A-876-9616 530477-3979 PAX )PARADISE MECHANICAL DrSX•CxN Title 24 Residential Title 24 Commercial uc. P516627 -''- TITLE 24 SUMMARY JOB NAME:�RP z -;r - H.E.R.S. VERIFICATION REQUIRED YES. NO ✓ INSULATION: ATTIC -g g WALL ' _ /z /3 FLOOR SLAB = FENESTRA.TION:. 5 i� ,0DA" VINvL 1:W4 (e_5 "U" VALUE _ 00.570 SHGC = o . (,i o 4 G 0.67 SHADING = HVAC SYSTEM: SQUARE FOOTAGE /7— HEATING btu's = 2876 S HSPF AFUE: 9a... COOLING btu's = SEER: WATER HEATING SYSTEM: GAL. STORAGE GAS = 5-0 ENERGY FACTOR = 0. a GAS INSTANT = RADIANT ROOF: - YES: HOUSE WRAP: . YES: NO: NO: �� INSTALLATION CERTIFICATE (Page 1 of 7) CF -6R F •� 1 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of,final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip. Type (pkg. CEC Certified Mfr Name Cooling Equipment Equip. CEC Certified Compressor Type (pkg. Unit Mfr Name and # of Efficiency. Duct Duct or Identical (AFUE, etc.)' Location Piping S stems>_CF-1R value attic etc. R -value Cooling Cooling Load Capacity # of Identical Efficiency (SEER, etc.)' Duct Location Duct Heating Heating Load Capacity (Btu/hr) (Btu/hr) Cooling Cooling Load Capacity 1. > reads greater than or equal to. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or mote efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. RURIGERATION AND HEATING M. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution IfRecir- # of Rated Tank Effi- External Heater CEC Certified Mfr Type (Std, culation, Identical Input (kW Volume - ciency2 Standby2 Insulation Type Name & Model Number Poiht-bf-Use) Control Type Systems or Btu/hr) (gallons) (EF, RE) Loss (%) R-vitltfe3 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and h;at pump water heaters, list Energy Factor. .For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation is mandatory fot storage water heaters with an energy factor of less than 0.58. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111.. I, the undersigned, verify that equipment listed above my signature.is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (frond the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR Genetal Contractor (Co. Name) OR Owner July 1, 1999 SITE PLAN REVIEW APPLICATION Date: AP# 5- P ermit - Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: F-76 -/7,31 A . n e A Residential 10 New Single Family Residential Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ . Septic ❑ Well ❑ .Agricultural Exempt Building ❑ Other: DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit Plan Stamped Approved By'ZIA Date 10 L0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: N Snow Load Area: -,2-5-00 9b 3000 f+ -- El 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) pp. SRA - (CDF to determine specific requirements) l ' ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: A0607C 1/06(1 Index Date: g"q 9- ❑ Sacramento River Reclamation District (Approval must be obtained from the C ifo is 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 E] Minor Variance El Variance EJ Administrative Permit ------------------------------------------------------------------ ----------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: eT— I op (9 - L -D Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side i Side Street Rear 5 , Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 :I ` w Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 _❑ Chico Urban Area —Road ❑ Thermalito Impact ❑ Other Amount Formula ---------------------------------------- --------------------------------------------------------------------------------- Subdivision Map Special Fees ' ❑ Water Tender ❑ Road Improvement ❑ N.orth Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: E] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: —El Meet Parcel size required by zone El. Meet current Environmental Health Department requirements Page 3 of 5 IN Subdivision Map/Parcel Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: 3� Date of Approval: Page: / 7 - L/9 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 roa ISI Page 4 of 5 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuildinD Permit Site Plan Reviewl.doc Page 5 of 5 YE, TM D"'l-Ii.r. TITLE cvw*w. A comn r.o. As TPw tt cr FCa,U"`t It- 195r, IN VOIUvr 927 �r nU7TE 'UVHIY IT VAI. 2o. 0 9-AvIR, 'fa v�c FIF1 0, m -C ", �C` 'Ar DLUAQF 5,7 C SU'IE CUUhYI :7 Are OU1r1r':1;A11L SLC�;UIRIIX 11 I'll .1 AND F. 1958 IN WLa" 92?.OF OF Filllr .AU- 11 0 AL TITIr '911 jtFjE.dEM 1.. IN O1v.c II.E or 1.711: R - , ;:CIA COLi'I r Ci L 'i G I i0 XC jai 11, lizu li, Vnijoir. I.w Of ii,iTIC CCUNly 0`10� OFFICIAL RECURtia Ai P. -C 247. AID JULY 11, I<W -- 0LOK 10e, 01 M -TIZ 1.11LIC, 011"C'ki. RECORDS. AT PACE 21 9. a,0 -,CH. 14P61 IN ��,Lklc 11U1. CF 'UTIZ COUNTY OFFICIAL RE=RDS ". PAC' 5. -9 JL'IE Z.S, .9W IN -11LUTIE 1125 Or C1111C COUNT, OFFICIA1. RCCORDS AT PACE "52. ioc "Ay 6,'1962 962 IN Or num cmm,, OrriciAt inCIIINI; AT PARE 27, _-No 0E. 1960 114 WJLUH. 1090 Or 3UTU C.-UNTY OrFit.14L RE--NIROC A! FACE 45k Z -1G 1^111011 :.1, TAIERT IV., At :FAk,W'C, A IILIF��AIA LORI`Qg.-CR, IkC VAGALI CA,lr- UR,i, A _ ,0_0,A I. nil, A..,O. fln KNOLL, A CALIFURI- -'Rf`()nAIj0N, AS -EAS nr THE A n AS j "W 19CLWLD IN INC .11 "P DEL 0 . 15.1I F. S , fW-- (1. THC AHR.CXr. - DO KifCC, CCRTI" I..., IL IF ,,I. OILYR1,G5E COH�--Eor IS NCCESSkqY !C F45S :oi=E�q -IF TO SA12 LAND. AND 61. -CE47 7* THE. "IT.P-7101 pAD IlElOMDA11CR Di SAID As fUICTIN tltilN THC COLIA-M AUPOER 1-11-.3. 1;-EnV,,!. UAC WLIA DRIVE, i`INCVILW VAT. VC , U -A AGCHI VC A iio C 0 • CRIVQ- V-qC H`FRE 6, O-Ekto I'D ROF- � _ IS SM --N 0:1 SAI FOR nEC:CATI-;.'J TOP Fa!LIC Rt 101� rCUIiTI ColC V-OtES. ISPtr.l (I " LSQ OFFER 'OR VEDICillell. +::D CO tilcel .D, -ITT FIT . .UPS .. � "URr0.'•E5, R'Ci!T& -)P HAY VIO Ek-"E-r-lS io" -LE GLil :NO I.CHO,-ES T`FhTV l'!C1 MWI TIC tOT Llil--S FIVE F1:::) IN 0107 CWONS 5,091 ON S',10 VA-, ALSO --SEVENTS r4': il-f.-CNIA ri- Ll,;N, .11 Lill' C C-01 111EI m Eln ;Ill Ali, "t C - "It' `111.1!i - -� NC 'I LIEF. IS - fan E pw%i5ii, 5I1T- Or CAL A, ', '1S COUNTY VF N _v Tr " 23 1. OF 1-11), PEI E k.r. ,o, �Nv. rL.91 IC 11 '1 T 'NE "r, 'I" IC. Prii-SCMALi.1' 4-CA`IFO ,4, Al U'l -1, X, vInf 10 .1, IC E! TI!- cF 'It TITLE C -O I LOA, "" C4 fyfCt-C ?ME CPllr'CITI ARC I % "f C, 1.' 011 'a Elf'U Ell 111C E I '. rr-As" 1 AL" - V nEiE- -. ,v-,rp I.A rI Nr -1 -aLIC CA C, -,Nu. .... ..... ..... SIATC CLI, it r 13 rCASCH-i "PC -CC SAV 10'iTING, Kii'll N a �C 1H ef I,! -" Ry SHE S. A U. CU., I I—_ A -14ALIA -1 -t10 r1k 'NULLS 'CR,-., •IECUIW , �CA !I, It ,NO -1411! 10 r if, At 4:- :'%rrtrEC, PcHdr VOR!'nRAI I ON'; N'A1tF- r1tv. THAT .. ......... . I. V. r. rl;AN, HIPCCT�; :;r oLAINIQ.; ---1 THE Pnji;S 10"Hi951?N cr I,,, mum, or 9LU FE, c -,ii w 0 MCI C3R0 FFf CfQTIFI (HAI THE -.H,,cxco mv,:. YAP GI Str?- ESTATES SUBIT1111m.t, -.11 1M oES1,4. I'VE •1p -ICH ,,5 CC --In, DAY /a. 6y IT :. R. °. WNF.Itk, Oocc- , !'UL"'I.. oci✓s or 'HE IIANTY 'I:' li,ntE. 4TIIE or CAL,rop, I?o HEqefij THAT 4 AVC CKAVINtl THC -1 OF SIER11. DEL U0. ESTATES 1-7 It IS SUKITINTIALLI INC "'IF IS A-0EAREV ON IPI 791W.1 -F VAP C.: PILC. .NO AW APPROWC ILTERATI lI, THE PRCi OF I "r VISION'o' I., C.U. I I "N N I v- A�4py LL -t ORDIIA!iCES APPLICIEILC Al I -E 71"0 or •PPW-L IF -U TCNjVC YAr .-r Kr,: C3,T, CO _ "D ANATj,*,rlFn. ti,%1 -1-C HIP IS IEC.11AI.L1 CORRECT. t L I, DF CALIF O`N`1A 00 41RE-Y CCol- T;iAl ',1:9E R. e 11: 1 Av' Air., 0" 'S HE EST'lcs. "' IN 'iET F0`1711. DR TAIIJ CTATC, lWi,ITY. 'i" "o" ' IAI�". 11 `PCC I A L ASSC,1`L!!njS -FS. LYCEpi T.ICF L•4 SPECIAL 0!ICISVENTS N " 01 ..1 I'I`,JSLf. TAXES 0 11116"ClItS ATilCH ;;I. A LIEN. -07 •n`1 YET NA -LE, I ES1 I V, 1[ 70 PC IN me Avous, 3 4o : i F ��VT F I L31h CAT COUYIr A" S"""'SCRS r`Sri l 41P OF .11EIIIA uEj CRO ES -7-5. ;�E OF SIT11-c-1 SE�"- IN I.r +611.09 •C ".IN"FO wo 71 'NEURr --AXF.n *MICH 4RC A LIEN, , OXI " - - St" - YET pAYA!ILE. -S AC-llco�ca. I "", '"' R" 0 01,,%,, pw"E. ""LIA -Illn, I'D A113EILOO US SHGa:! • , o "" v4r. .10 -�IrIfRcv FOR S �E, liAS rurr,co oN B[H,H., C.- TI�E PHGLIC 1'(+n FOAp FDIC&t1LFj FOR ilritt, V -e.,3 IT 1 -1 1-111-�- ' D ::1.1 TE or 'I., C -q! IF' 1 AV , L I :CNS:U LAI FOIMI.. . I1'H11 TH` -I!kL[I 1-4P OF SIERRA L. -L GR` L11 -11.S Epp.ES(Hlr I -11E 1 .1 S' --ER. CI OA' IN -6fu-A , 140.2, THAT THE SO11fj irr",E 11;0 C.10"I'11L. 1 A, - £F :SIN T-,FR(qAi ExIii l�f, AVC "I I It CH41AC7EI Iicc- INEICATI.O. I'C kPt SUFFICIENT 1. CIlAI,LC !;URvci w fir fix nt"r.c or IMF "C'OICER ', a:!- IL . �C:;" ''. SlAyr. iJjC01yIOrly FO�J1I .10 THE I "IF" 01 1!'Ll -U11NI. Iu1S _!j AN .A r _C _ ; - I v -j. AT Ni� I A_ I A- ow, -Z-0- I! "cts 4-1 SIERRA DEL ORO ESTATES UNIT NO. I BEING A PORTION OF FIR HAVEN SUBDIVISION SECTION 13, T23N R3E, M.D.B.am. PARADISE BUTTE COUNTY CALIFORNIA OWNERS AND SUBDIVIDERS SAM FORTINO CHICO, CALIF SCALE:I"- 100' MARCH. 19152 JOHN W. HAMBY L.S.2843 R.SEV1..D DRIVE I. V. r. rl;AN, HIPCCT�; :;r oLAINIQ.; ---1 THE Pnji;S 10"Hi951?N cr I,,, mum, or 9LU FE, c -,ii w 0 MCI C3R0 FFf CfQTIFI (HAI THE -.H,,cxco mv,:. YAP GI Str?- ESTATES SUBIT1111m.t, -.11 1M oES1,4. I'VE •1p -ICH ,,5 CC --In, DAY /a. 6y IT :. R. °. WNF.Itk, Oocc- , !'UL"'I.. oci✓s or 'HE IIANTY 'I:' li,ntE. 4TIIE or CAL,rop, I?o HEqefij THAT 4 AVC CKAVINtl THC -1 OF SIER11. DEL U0. ESTATES 1-7 It IS SUKITINTIALLI INC "'IF IS A-0EAREV ON IPI 791W.1 -F VAP C.: PILC. .NO AW APPROWC ILTERATI lI, THE PRCi OF I "r VISION'o' I., C.U. I I "N N I v- A�4py LL -t ORDIIA!iCES APPLICIEILC Al I -E 71"0 or •PPW-L IF -U TCNjVC YAr .-r Kr,: C3,T, CO _ "D ANATj,*,rlFn. ti,%1 -1-C HIP IS IEC.11AI.L1 CORRECT. t L I, DF CALIF O`N`1A 00 41RE-Y CCol- T;iAl ',1:9E R. e 11: 1 Av' Air., 0" 'S HE EST'lcs. "' IN 'iET F0`1711. DR TAIIJ CTATC, lWi,ITY. 'i" "o" ' IAI�". 11 `PCC I A L ASSC,1`L!!njS -FS. LYCEpi T.ICF L•4 SPECIAL 0!ICISVENTS N " 01 ..1 I'I`,JSLf. TAXES 0 11116"ClItS ATilCH ;;I. A LIEN. -07 •n`1 YET NA -LE, I ES1 I V, 1[ 70 PC IN me Avous, 3 4o : i F ��VT F I L31h CAT COUYIr A" S"""'SCRS r`Sri l 41P OF .11EIIIA uEj CRO ES -7-5. ;�E OF SIT11-c-1 SE�"- IN I.r +611.09 •C ".IN"FO wo 71 'NEURr --AXF.n *MICH 4RC A LIEN, , OXI " - - St" - YET pAYA!ILE. -S AC-llco�ca. I "", '"' R" 0 01,,%,, pw"E. ""LIA -Illn, I'D A113EILOO US SHGa:! • , o "" v4r. .10 -�IrIfRcv FOR S �E, liAS rurr,co oN B[H,H., C.- TI�E PHGLIC 1'(+n FOAp FDIC&t1LFj FOR ilritt, V -e.,3 IT 1 -1 1-111-�- ' D ::1.1 TE or 'I., C -q! IF' 1 AV , L I :CNS:U LAI FOIMI.. . I1'H11 TH` -I!kL[I 1-4P OF SIERRA L. -L GR` L11 -11.S Epp.ES(Hlr I -11E 1 .1 S' --ER. CI OA' IN -6fu-A , 140.2, THAT THE SO11fj irr",E 11;0 C.10"I'11L. 1 A, - £F :SIN T-,FR(qAi ExIii l�f, AVC "I I It CH41AC7EI Iicc- INEICATI.O. I'C kPt SUFFICIENT 1. CIlAI,LC !;URvci w fir fix nt"r.c or IMF "C'OICER ', a:!- IL . �C:;" ''. SlAyr. iJjC01yIOrly FO�J1I .10 THE I "IF" 01 1!'Ll -U11NI. Iu1S _!j AN .A r _C _ ; - I v -j. AT Ni� I A_ I A- ow, -Z-0- I! "cts 4-1 SIERRA DEL ORO ESTATES UNIT NO. I BEING A PORTION OF FIR HAVEN SUBDIVISION SECTION 13, T23N R3E, M.D.B.am. PARADISE BUTTE COUNTY CALIFORNIA OWNERS AND SUBDIVIDERS SAM FORTINO CHICO, CALIF SCALE:I"- 100' MARCH. 19152 JOHN W. HAMBY L.S.2843 N c r t Av, estc Orn el lot a 213�� /65,n0= Censer c/nc•el mens mte �ernmenu4l n arlwa L.5. 1961, NOr1A<O et aornlr for 2=$� a5,ls'--- Fn eT°1a•ae"w �E"`._v.._ _ a �i IMPERIAL 3S 114 -- 9de.[- r lot 21} V p 1 119.12 'I�WAY 111,42 116.08 I % 165ia NOTES- , ,m >.e'• ����2�,,_,.,o - a a 44.z11 TAe basis of bearing if the revised Record of p.n Survey of FIR HAVEN SUBDIVISION filed far _ °aIJ'0i 3030' `100 m_- .3P�M1 30'1130'mv0"a 'ta• see 3030' ��J'°Po -- recard an 12 Macrb, 1962 In map book 27, pupae m H . I I I o I m I 62 - 21 P• I ^ I dJp. a 8..3. and 10. 13 S.00cx I Hag° ]'S2 E - n Im a I 20 S' 41.80 3].00 Hag°5 'S2 E - Total 8 -Oge in Subdivision - 54.4] I"m (ml I I 13S.po 1!5.00 H89°]3'52"E ocrea 1e In Lots -59.15 102 n o $ I I'„ 135.00 acreage in Streefs 99 60 15.30 c - �.I Ie eI 61 22 ^ l 33.00 t!].o0 _ C I 3/4" it On pipe set 00 all IOt Corn Clf. I I C 19OI ICI 15900' 135.00 CURVE DATA 103 �.^i 135...' A. R°20.00 B.R=20.00 CR=20.00 Io el 90 65 �0 1 oI 60 23 vi cI O°90.10'30' A=89.49.30•' A=90.00'00' 135.00 18 L°31.48 1 A L°31.35 L=31.42 141.24' 13900' Io •m 135.00' 135.0 a n I I O 115.00' 104 to i ". I 66 o _ oI Icl 59 24 I • I of !3.00 7 n 140.91' 1moo.0 _ _ 135.00135.00' I - dfor lulu•• -b-W..Xeae.vea ler •v1m- auea.vleron - 105 e I 96, 67 I c I a 1 0 58 23 _ n� 13s.00' 1 1 6 140.50 0 135. l0 135.00 133.00 0 _ 106 IA 0 2I a o I� 95 68 I_ 5T 26' .00' - I - - G I� 15 135 ml 4..25 115.00 LEGEND- 1]5.00' 135.00' f4' .35,00' 10 lot Ins n O InOicotef con cre to monument- sal. morkad L.S.2843. a� ^ l0 94 m 69 ei w 56 27 aro nIn' -ind icatef o setback line. 13900 o In ,_• eII _ W 14 indico p le- points found. -.13300=-NLo oi�_�1 Indlcatea 314" it pipe set. I,m _ _ __ __ _ _-o:i of _ 35.00'__! _-5.00' 0 on m _ ^ { am Indicates 5�s 20 ancbora.......• u I c•a2x�x+ -- - - _ _ _ --- - -. - -- p< nta. IDB3 .l.m 93 TO Lo O Ir� IILrrI n'^ �Ia mIW to lm 55 29 .ea'le 13 _ .99 0 _ Io t� .!9 1130 O> .35.00' 133.00' G 133.00'_ 109 I.a _ 0 c z z LOCATION DIAGRAM 1 •. 4ILE 1 tl 29 I 54 155.00' IO 12 SIERRA DEL ORO ESTATES - to of 1� _m I ( ,.39.29' .35.00' , 135.00 .5500 135.00 11iO UNIT NO. 0 m ° 0 ^ I 1 'oo o� 91 72 Io o.l s3 3o Io i •9I II BEING A PORTION OF FIR HAVEN SUBDIVISION I IS9.9) 153.00 I 133.00' 135.00 I Il300_ n I_ nl 1 90 73^) I 52 31 I^ 135.00 _ I I m O I OI p 10 IS e.6o' .13.00' I I35.0O' IS5.22L__ nz �" Go , 89 •' 74 51 32 c I 9 1]500' 0 30'I S0 I I o_ l0 1 y0 ^ I I ^ l I 155.26' 155.00' I _ J _ 135.00 135.00' 30` 30' - O ] 3100 pig. - .353.26. X99 3552_ `2.30' 1993.11 ".*'or 1:'3. I 39 1. '75 I si.- L.n. - sneer SECTION 13, T23N R3E,M.D.B.BtM. PARADISE BUTTE COUNTY CALIFORNIA OWNERS AND SUBDIVIDERS SAM FORTINO CHICO SCALE:1 100' MARCH,1962 JOHNW HAMBY L. S.2B43 o �%3 T 7, o Department o f Development Services 0 o Building Division o_ 0 7 County Center Drive 0 r 0 Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX �QU www.buttecounty.net FACSIMILE COVER SHEET Date: I /off 0 9 To: From: Subject: ala Ind �.t rw�i 65 -13W 14-f`1$ Mn4t,4i-,'A T)R . Number of pages (including this cover sheet): 3 Fax Number: 37Z — g� If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: / n Review and respond accordingly.F_ - A--) 71 For your information only.&Qr Sincerely, /i 1. CONMENTIALHYNOTE. The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this commurfications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. NQS 3 PERMIT NO. RESIDENTIAL 065-290-034 05-1388 OROPEZA, ANDY LMAGALIA DR, MAGALIA c�iLER NEW SINGLE FAMILY OFFICE COPY Address V 4 79e �4 ei•'9 LJ A GAS Meter By Date ! ELECTRIC Meter By Date g?(p- J73� Nt�rrE , 7o -.38 19 cc -cc SPECIAL CONDITIONS PERMIT RE.JEWAL YEo Sf DATE: BP# (, T_.s38'8 — Fl EXPIRES:_ /0--`Z-407 FIRE SPRINKLERS HtU. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 25 C--D--y JOB FINALED (Date) Signature e 4 C p Not OK e NalAfP5aWc . = Not Ready Date RESIDENTIAL (Single & DuPlex) OK Sorts-Steel-Elec. \ a. Hold Downs and Special Anchors 8. Pi -Fin lace Ft : Steel I(r 2p� 5 polos. 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 -Suis -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date (b -% -O$ Card B-1 1(1aSio S• Date Card B-1 Date Cana B -i Me Card B-1 Date PLU G (P.ermi except #'s W ter }ttr-CombusUon Air Bathe NA Pi ; T Anchor -Nail Protection 1 .V.; Test Fi�ttrngS,Btfehor-Nail Protection rte! t n 7 . Chnw pa 1 QstSFr;t Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 ()8 Date Card B-1 Date B 1 Date Card B-1 Date ELEC PEAL (Permit) OK except 8's ire- Transformer Clearance -Ins. Protection 2 mac. Receptacles Spacing -tights &Switches at Doors '25. Si3g Xes & No. of Conductors Stapled 27--RomWastalled Close to Edge of Studs & C.J. 2 . ui rGround made up w/Meeh Fasteners-BomGas & amnlhneo Cim, ale in Krtehen & Conductor Size GA 31. Range Circle) Cu or AI -Oven Circ. / /ga Cu or Al in ated Ne at O Yes O No 3 . Sgwice-Riser Conductors & Ground Main Disconnect Equip Clearances Panels -Motors -Meth. Equip-, 34!0otbes Closet Light -Shower Lighl-Spa Light moke Detector Date tib Card B-Ij Date Card B-1 Date Card B-1 Date Card B-1 Date M C iCAL (Permit) OK except 2's 3 Ducts Insulation & Support V t -F Exhaust above insulating: Condensate Drat & Overflow, Size & Grade ac ceess-Comb. AR-Retum Air Vent 115 Outlet Attic Access & Platform If Furnace in Attic Date -Q Card B-1 Date Card B -i Date Card B-1 Date Card B-1 Date FRAMING fermtt) OK except k's 41 - ll Proper Materials &Anchors 41"Wa!Ltuds-Naifing Spacing& Braces-Piates-Sound 43' g Walls over Girders & Floor Nailing 4 ra Slop in Wails (rat proof) a . ir�,Stops_Furred Callings-Slairs-Chasers-Tubs 66. Furnace Vents -clearance -Comb. Air -Connector - In Garaae: Above Floor -Ducts -Meth. Protection Bath Fixtures & Tub Access -Spa c. Trim & Subpanel, Breaker Sizes & Labels 70. lairs & Rails 1. Fireplace or Stove, Clearance -Hearth 72. ElqS.Outlets at Wood Panel, Int. & Ext. 7 . . & Appliance; Ground-Air-Ga-Cooldng Clearance ec. Outlets & Receptacles at lit. Counter 7S arage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location C7V Elec. Receptacles in Garage F.F.I.)-Romex Protection Bp. ! on -Foam -Looked in Attic B - Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor E3 Yes 83. Following InsadJDrive O Yes O No/Walks O Yes O No/Pianters O Yes O No 84 Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 85-le-n-ts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87.• Water Well, Disconnect, Electrical, Plumbing 88 erior Elec. Trim, G.F.I. Receptacle -Underground 89. entilationThroughout House 9 ss Protection S rrections from Previous Inspections Gas Ta eters Tagged, Gas -Electric 9 ter & Sewer Connected -C/O to Grade -HD Approval 94 Energy pliance Certificate -Other Certificates ress Posted 96. Fire Sprinkler Date (,, I f J� Card B-I/_/f Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 Comments it Final: