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065-410-015
NOTES 'f r � f RESE§EN�IAL PERMIT NO.065-410-015 04-02W9 i RYDEL, AL I COLUMBINE RD, MAGALIA 1"Cont: OWNER NSF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �OFFICE COPY Address 6y3�"/ �oluM�flnl� �C'o/aD GAS Z� y Meter By Date ELECTRIC ( .9PRu10y Meter By Date i JOB FINALED (Date) Signature r RESE§EN�IAL PERMIT NO.065-410-015 04-02W9 i RYDEL, AL I COLUMBINE RD, MAGALIA 1"Cont: OWNER NSF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �OFFICE COPY Address 6y3�"/ �oluM�flnl� �C'o/aD GAS Z� y Meter By Date ELECTRIC ( .9PRu10y Meter By Date i JOB FINALED (Date) Signature J=OK 0 = Not OK NotReadyab1e 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing , 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances 12. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity. Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer -Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals ' 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing , 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 o = Not - =NotAApplicable RESIDENTIAL (. p� . = Not Ready Date AUIAD FLOOR (Plans) OK except #'s <1. ning-Setbacks-Easements Flood Slope 2"V9., Main; Soils-Elec. Gr .-/ /' tg. Depth 3 tg., Garage; Soils-Steel-Elec.-Gr /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped W. Hold Downs and Special Anchors 7. 1 Plab, Steel -Wrapped Piers -Fire lace Ftg.-Steel W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test I1 ater Pipe; Test -Anchors -Regulator -Service Test 12. lectric Underground 1 lenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 1V. Access & Ventilation 16. Insulation Date - il,3 f, Card B-1 [ ' Date Card B-1 Date 31P1 j- Card $-1 Date Card B-1 Date ' PLU NG (Permit) OK except #'s ter Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection V D. V; Test Fittings & Anchor -Nail Protection ower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access P224 Gas Pipe; Sixe & Anchors Date C j'jj(*Card B-1 Date Card B-1 Date ` Card B-1 Date Card B-1 Date ELEC I[CAL (Permit) OK except #'s 24 ture & Transformer Clearance -Ins: Protection lec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled 2 Romex Installed Close to Edge of Studs & C.J. X28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI q-30—Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al r-Q".Ryfge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al sulated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground Main Disconnect i . Clearances Panels -Motors Mech. Equip. lothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s 3 A:C. Ducts Insulation & Support !;/Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FR INP. (Permit) OK except #'s IIs o I Materials & Anchors all tuds-Nailing Spacing & Braces -Plates -Sound aring Walls over Girders & Floor Nailing Draft top in Walls (rat proof) 4 F" Stops, Furred Ceilings -Stairs Chaser T 4 Headers & Beams -Size & Bearing jingle & Duplex) Date FRWNG (Continued) 44'/Hangers-Post Caps -Anchors -Connectors C' g. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. _.-49. ireplace Ties or Type A Flue -Fireplace Throat Clearance 66. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles dr . Windows or Exiting Doors -Sill Ht. & Dime s' ns rage Fire Protection Framing -RC Channel operty Line Firewall & Openings .Se,Wt. Doors -One 3' -Check Garage 3rd Story, 2 Exits ./Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection V. ?.Ifwood on Roof Overhang -Attic Vents -Rafter Outriggers Si ing-Nailing Veneer LfJt�" tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access WT Glazing Area -Glass Protect' n -Skylights -Plastic .60. Shear Walls: Nailina-BQXI Wall Panels r 63. Infiltration -W Is indows Date I ICard B-1 Date Card B-1 DateVV 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 J F Bath Fixtures & Tub Access -Spa 6 ec. Trim & Subpanel, Breaker Sizes & Labels tairs & Rails 71/ ireplace or Stove, Clearance -Hearth 72./Elec. Outlets at Wood Panel, Int. & Ext. 74. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 . Elec. Outlets & Recept es at Kit. Counter 7 G ge Fire Door; ing-Landing-Closure /X.-A.C. Duct in G ae-Damper in Garage�'Above Floor-Mech. Protection. IV ,96; Elec. & Mech. Equip. Listed for Location 72.-Elec. Receatacles in Garaoe (F.F.I.)-Romex Protection 89.-tfisulation-Foam-Looked in Attic 81�-uard Rails & Deck Construction -Post Caps 8 . dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 831"Following Instld./Drive EXes O No/Walks Owes O No/Planters O Yes ❑_No 84—Stucco Brown -Finish 85_A,C. Unit Disconnect, Electrical -Plumbing 86.-Verits Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87 ter Well, Disconnect, Electrical, Plumbing 8&—"'Exterior Elec. Trim, G.F.I. Receptacle -Underground W"Ventilation Throughout House 9Q'Glass Protection 9 _ �ectioX_!ro Previous Inspections Gas a to agged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date ' 4 Card B-1 Date Card B-1 Dat Z Card B-1 bate Card B-1 i Date Card B-1 Date Card B-1 Comments at Final �1 CertainTeed N Builders Statement InsulSaf� 4 Fiber Glass Blowing Insulation Hom r Name / Jobsite Na -n, <' Home Address (sign) me. CampanyName M , C/I guilder (Sign) Compony Name Date inspected By Coign If required) Ogle ■-VALUE ! 11111101111111 vu 1000 IQ. FT. qQ R OERlAG MINIMUM MEIOIrT rOUNliiV!R IR. MINIMUM 7HICKN459 To oomn a Thamul ItalilUnOa �^ (IV) or: I sq. h of n7t arta: obmtnu oI gap dmld nm cover mon dun: ('4.1LI Wei At per 1q R. or tn1t19a� mauadon 1hWW ont be Wal man: OVA.) Sh"W sot he 611 teaN 80 27 0. 99 49 29.6 34 0.800 IN 114" `" MAI 38 0.712 16% 3e 22.6 AN 0.615 `. 14% 30 10.0 18 0.486 12 28 16.6 68 r 1 0.418 tot4 Y9 101 77 0.358 a 19 11.1 80 0.301 71A is 7.7 120 0.908 514 11 0.0 151 0.170 4% THERMAL PERFORMANCE-ArnC BLOWING APPUGATION 1 , • to accordance with the chart above, you must install the minimum number of bags per 1,000 sq. R. of net area for each R -Value listed. I • The maximum net coverage must not exceed that specified for each R -Value, • The installed froulation must be at or above the specified rnir imum thickness for each R•Value. • Failure to instill the required minimum weight per Sq. R of Insulation at or above the minimum thickness wilt result in reduced R -Value. r • This product should not be mixed with other blown insulatiorle or the thermal claims Will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OYER MEATING• 00 NOT INSULATION TOP OR WITHIN s" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIOMT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS, 30-24.233 Bundlers Sletamenl A Saint-Gobain Company 02002 CeruMTaed Corooratun 1ro2 N�1rAlul TNICKIIIII ARM MO. FTJ IMIULEME t (✓) 01160 UIED gKirwRixi.4 Cr') OEIiINAI � 11�La a(-3 JLd r i I � THERMAL PERFORMANCE-ArnC BLOWING APPUGATION 1 , • to accordance with the chart above, you must install the minimum number of bags per 1,000 sq. R. of net area for each R -Value listed. I • The maximum net coverage must not exceed that specified for each R -Value, • The installed froulation must be at or above the specified rnir imum thickness for each R•Value. • Failure to instill the required minimum weight per Sq. R of Insulation at or above the minimum thickness wilt result in reduced R -Value. r • This product should not be mixed with other blown insulatiorle or the thermal claims Will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OYER MEATING• 00 NOT INSULATION TOP OR WITHIN s" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIOMT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS, 30-24.233 Bundlers Sletamenl A Saint-Gobain Company 02002 CeruMTaed Corooratun 1ro2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA * (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 558-7541 CORRECTION NOTICE ----------------- OWNER 'PERMIT NO. P A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. An if lid Z11 il— Date Inspector— /9 REV 10' 2 iN Igo- ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES a or - 41-1'Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 4: CORRECTION NOTICE K R�Jel O 213 1� OWNER PERMIT NO. 'r A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. P Date REV 10/92 Inspector ' _ i • ' ,- COUNTY OF BUTTE ,w BUILDING DIVISION -a DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7• County Cerner Drive • Oroville, CA • (530) 538-7541 r CORRECTION NOTICE 3. (` OWNER PERMIT NO._ fb A routine i spection indicates that the following violations of butte county Ordinances exist at the P above ad ress and should be corrected. Please notice this office when correction of work is Fr complet . If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. F; Ive 3 • e/doJih Ac 4)17- )°RRIZz - 4 R X2G1r2� or, b.� a s7�0 �M 1 r s 2 de- 1* -s =Date Z� �� Inspector ' REVJ0/92 5 COUNTY= OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 r CORRECTION NOTICE PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 e4-09t1q i (Rev. 12/96) 6 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D& o:o aQ��- Z° _� C/ BUILDINGPERMIT ,�,,,o„� /i OWNER rjel `7- SO. FT. O C. BUILDING VALUATION .OWNERSS � %% /�C� � CONTRACTOR'S NAME LEPHONE nw cr CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAULING ADDRESS Fireplace Total Valuation $ Li ILf ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee s i0a. R /� 1,1^40BUILDING 1 yv 1 Energy Plan Checking Fee $ �V $ PERMIT FEE $ LAT NO. SUBDNEIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Insfalla' [3❑ Yc Describe Work: I� Gas piping stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2DOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ,for the following reason: 1Tst`f I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatin provisions of section 3700 of the Labor Code, I shall fo with compl wi those provisions. X Date - 2 7 -�j r-/ Si u A a - 13Owner ❑ Contractor ❑ Agent n OSHA l6ermit is required for ex vati o- Ifver 60" deep and demolition or construction of structures over 3 stories in he Receipt No Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. s° OR ADDNS. g Acc, BLAS. 3.5Q�' S RR UI @7,50 NOµp °SID. " MULT.1 CIRCUITS POWE. APPARATUS 8 SINGLE OUTC.. Ex. OCCu OUTLET OR FIXTURES BAS @':50 Ex. Occup. o ITELETS ASID.°FRA 5.00 Temporary Service 23.00 r Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Voi4ilation P RMIT FEE S ile Home Installation Fee $ Energy Inspection Fee occ CONST. TYPE TOTAL FEE $ H FES IMP DF PARCEL HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. P ®j� By / ate l PERMIT EXPIRES OR— I D., e WHITE-D.D.S.-B.D. CANARY SSESSOR PINK -I ECTO GOLD ROD-APPL CANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 36) APPLICATIONAND PERR/ )R PARCEL NUMBER m �' , ^- -, ' 13UILDiNG PERnIII_T Q OCC ,'B L N V 1 ` TION /DABS pp�0.UCi1oN IFNDER 'F� - - `i AMOUNT RECEIVED $ r, -.,I) -AD�5 iLATE RECEIVED I Z%I D*- M■ U PERMIT FES s S Mobile Home Installation Fee $ E ergy Inspection ,Fee $ C*77 77 ITOTAL FEE $1, I,9 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ireplace F LEMUn 6°ArLG ADDRESS Valuation { i ARCFffrECrORENGINEER Fee 20.00 it FeeARCWMM OR ENWNWV3 1NWNG ADDRESSCheckin Fee $ BUL MG ADDRESS n�my Pian Checking Fee$ psja�tS<5 iPl1J� S . 3PERMIT FEE $ LOT No. SUBONSIONS UWE 2 �j PLUMBING PERMIT Filing Fee 7.00 20.00 Tr USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 �Cj SF Duplex J3Mobilehome 13Other SPED" Each gas water heater or vent 15.00 � TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New Addition ❑ Remodel ❑ Utimes E3lnst htion ❑ Other 3 Building sewer 15.000 E; ll S ' Mobile Home ISJ GI W1 1 @20.00 Describe Woric ► -A SND W -� PERMIT FEE c f x d LiC-D__ P— (A ELECTRICAL PERMIT Fling Fee 23.00 20.00 Z r"��' Main Service z wloAL Main Service 200A TO IOWA 46.00 colsT. owELLNG oxuP. 3.5 • OR AODNs. OR /jt / PAID $ f/` NDN-RNEW 6m. T.MuITI.O ,f �NGLEounmc • PERMIT FEE a swGLE DLmET as 445.00 Ex. Occu OUTLET OR Fwru;mF�®APPg /<�(7 NS.OR EX. OCCU DURE7S ESID. EA SRASDA $ Temporary Service 23.00 — Mobile Home Facilfts 20.00 Use. Wiring 23.00 SHERIFF $ !t—� PERMIT FEE s , MECHANICAL PERMIT Frmg Fee 20.00 $ Heating OTHERCooling Coolim AMOUNT RECEIVED $ r, -.,I) -AD�5 iLATE RECEIVED I Z%I D*- M■ U PERMIT FES s S Mobile Home Installation Fee $ E ergy Inspection ,Fee $ C*77 77 ITOTAL FEE $1, I,9 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date COUNTY OF BUTTE-DEPARTMENF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 - PERMIT APPLICATION DATA SHEET ll`` OWNER; ASSESSOR PARCEL NUMBER ✓ U .G Proposed Building Use: Counter Technician: Date: ' Items required in order to appli for a permit. All boxes MUST be checked OR marked NA in order Opply. / 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. 0 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. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other_ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ cp� 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required.................................................................. 21. Fees as shown on the attached Schedule of Fees Due Sheet ......................... ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval aid. Sent by:djU5. ......... q/ 24. Planning approval (A) UseQK (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... �26. NPDES Form............................................................................................. _27. Encroachment Permit for driveway from the Public Works Dept .....................'..... ❑ 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) ..................... 171 32. Letter of Signature authorization.....................................:......................... 33. Recorded copy of Agricultural Acknowledgment Statement.* ................................ 1 ❑ 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. $ i)e38.Other:9. n Issued Telepho e _ and hold for pickup. I have t Applicant: X/ 1. Index permit/applicatio 2. Additional jtems requ or the above items numbered: I Plan Check Letter Contractor, designer, , was advised of the above data by phone, ❑ mail, counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑coun r, b Plans reviewed by: _Date: Plans approved by: Date: Date Structural reviewed Date: S ructural approved Date: Note transfer by: Date: lz Yellow: Building Division E.M. USE 0 V Piot Plan Atbchad 14 P Roar Plan Attached Sam to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Lo 12 V wner Location AP# Plan Approv d fo : Sewage Disposal Water S pp Y: Publir� Private Well Clearance fo elling. Other R r, Hold final for: Final clearance O.K. for: NOTE: c® Enviro mental Health Specialist - - Date 8/96 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 LA &CE PR PROSED BUILDING USE A.P. # DATE RECEIPT # DA E REC. 1. BUILDING PERMIT FEES �n D .� ` --- Balance Due ..................... $ lY Q0 L =-- Additional Fees Due........... $ 211 -SR viPlan Checking Fee... $ , SC OOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential........... X $360.00 =$� Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. Residential (per unit)..... X # Units Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. Amt. (paid at Building Division) 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES / 10.00 (paid at Building Division) J FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 1/7 7 /0 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 may be changed during tDe plan chggking pro/ APPLICANT fees are required to be paid prior to issuance of the permit. These fees DATE / -_ Z 7-0 Pursuant to Government Code Se tion 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of apl5roval 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) BUTTE COUNTY SCHOOLS. IMPACT FEE CERTIFICATION FORM (One frm per Building) School District Building Department No. A.P. Number OHCS-�1d Q� J isdic ion: City County Property Owner a�•„�_ Property Location/Address Subdivision Residential Development Lot No. .................................................................................................................: i Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation inspection); €................................................................................................................... Commercial/Industrial F-1 Sq. Footage New Addition (Including Exterior Roofed Areas) I�'U Building Departmen Represent titre Date (Floor Plans reviewed by School District Personnel) Distri Id nthcation No.41/ School District certifies thatIF (Applicant) (Street Address) (Phone Number) 1_4, (City) has complied with the requirements of Resolution No. —6d7 A . square feet. School District Representative Paid by Check # Remarks: (State) (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written.protestto the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees -are, paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School. District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this 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.xls (10/98)dmm 0 No of Living Mobile Home Units Installation Lot No. .................................................................................................................: i Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation inspection); €................................................................................................................... Commercial/Industrial F-1 Sq. Footage New Addition (Including Exterior Roofed Areas) I�'U Building Departmen Represent titre Date (Floor Plans reviewed by School District Personnel) Distri Id nthcation No.41/ School District certifies thatIF (Applicant) (Street Address) (Phone Number) 1_4, (City) has complied with the requirements of Resolution No. —6d7 A . square feet. School District Representative Paid by Check # Remarks: (State) (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written.protestto the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees -are, paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School. District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this 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.xls (10/98)dmm AND WHEN RECORDED MAIL TO: „ BUTTE COUNTY BUILDING�DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 17 -Mar -2004 2004-0014858 Has not been compared with original BUTTE COUNTY RECORDER 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: 4 t S Q r e c>e Date PROPER MS: State of California County of ;V77 -,,4_r On before personally appearedAL ,Q yaff4gfe personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNES§o y hand and official seal. Signatu A.P. # MARION L. . %hri Seal: o 0 Comm. #1299521 NOTARY PUBLIC CALIFORNIA 0 v E,, BUTTE COUNTY -� My Commisslon Expires Ap03, 2005 .4 rj EXHIBIT "ONE" Lot 105, as shown on that certain Map entitled, "Paradise Pines Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on June 17, 1970, in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a Corporation, to E.D. Storts, et ux, recorded September 4, 1947, in Book 423, Page 385, Official Records. Assessor's Parcel No: 065-410-015 _�_ R:. -� Ilillllllllllllillilllllllllllllli --., — AND WHEN RECORDED MAIL TO: 2004 0014858 �'�t• " Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION Official Records I CONFORM 1.00. 7 COUNTY CENTER DRIVE 4, ve �� CountyyyOf I OROVILLE, CA 95965 1 CANDACE J. 6RUBBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 11:13AM 17 -Mar -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones.and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: -� � i S' � S 0-1- (�!-cs J J z"N�3' —, 1 A- t^ ecru Date rZ O State of California County of AV77-,--- PRO ERTY S: L 1 ,kA On -5 "/ `%-O before me, personally appeared &J, ,rc' 1/D9LL, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNES lly hand and official seal. Sign 40t? ....NQ MARION L. BECKER Seal: '- Comm. #1299521 0Z 6I� NOTARY PUBLIC CALIFORNIA Q �I BUTTE COUNTY a My Commission Expires Apr. 13, 2005 _� Z EXHIBIT "ONE" Lot 105, as shown on that certain Map entitled, "Paradise Pines Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on June 17, 1970,• in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a Corporation, to E.D. Storts, et ux, recorded September 4, 1947, in Book 423, Page 385, Official Records. • Assessor's Parcel No: 065-410-015 ,, ), BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM , This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR:! The following information is required for HousingCo mplaints and the Co mplainant MUST BE. the person- living at the -,complaint address! : V Complainant:. ` Address: Phone Number: The above information is not available to the public!!!!!!! (2) o,%JTr o 0 RESIDENTIAL PLAN 0 ° REVIEW GUIDE °o c SINGLE FAMILY, DUPLEXAND M7SCELL4NEOUS ONZY c�U H.ty Owner. Building Permit Number: Plans Examiner:,L;/zda A. P. Number: 4061-01-5 il GENSERAL: 061-01- GENERAL: zoning requirements = (number of permitted living units). Plans signed by the designer. 3 Proper description of work on the application_ Existing violations on the property. Recorded notice of violation. Building permit valuation. PLOT PLA`: Complete parcel size and dimensions. Setbacks, side hard, easements, etc. Other buildings or structures. Grading, fills andior drainage. Flood hazard. Special conditions on Parcel Map: Noise [j SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal :did Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: 1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 2. 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 20". When nindo%%s are prodded as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). jany lazing in Hazardous locations (Uniform Building Code section 2406). abitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permiod in this ection. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less thm 7 feet easured to the lowest projection from the ailing (Uniform Building Code section 310.6.1 ll habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 fxt in dimension (Uniform Building Code section 310.6.2 & 310.6.3). ki in baths. garage, kitchen, w•et bar, and exterior receptacles (NEC 210). Fater heaters %%hich depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening ism ab®th or bedroom (Uviform Plumbing Code section 509.0). uel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom. or is a roost. compartment or alcove opening directly into any of these (Uniform Mechanical Coda seedon3044 fGarage f re wall separation - rrgtured on garage side including supporting walls and posts (UnilbrtnBidi+dio8 Code section 302.4 exception #3). U, rider no circumstances shall a private garage have any opening into a room used for sleeping purposes (C;nifor:n Buildin; Code section 312.4). Wood stove location - Alcove — URIC section 203 confined space & 223 unconfined space & 304.2). Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 It Water c oseclearances (Uniform Plumbing Code 408.5), ent minimum 1024 sq. in., & 30" circle (Unif6rm'Plumbing Code- 412.7). Sbov6,ercompanm f j ' f' sufficient size to support walls shall be supported on masonry or concrete foundations that shall be 0 SUM Bea6ng,�% aU loads Worm Building Code section 1806.3). -STRUCTURAL DETAILS:- ;,`Bed Braced wall panels 8 f&g from each end of.a braced %%2U Brjced A%11 panels shall Stan at not more than6� 220.11.3). Spacing shall not must be in line or offsei from each 6ther bv'.dir6ctinot.rfiore than 4 feet(LMC-WC'j 3 ixoted 34,fmt on center in both the longitudinal and transverse ons (UBC _ section 2320.4.1.) Braced*aU lines must be continuous throughoitt ilii strucmm. California licensed archite& or registered engineer must prepare a lateral analysis for the areas of the building must include"Ate designer's'ex" stamp, signature. This not that do ' comply uidi the Uitnrm Building Code and cover • regisiration number and expiraiion date on all sheets of plans depicting the designed elements _.yof calculations. .. Clerestory. requiring uiring ball oon Miming and/or engineering. FwnAkion plans cor�pGte . enough I- to construct building (Uniform Building Code Table 184-C). oor.constructl*on details completkenoulo to construct building.'' -Elevadons and wall construction d-6—Wi s complete enougb.to construct building. construction detaiii com' ple"te -enough to construct building'- ,,F'*I= construction detailiand calculations if necessary. "Garage door header size(s). 6i6 header size(s). ;Tj,pkil header size(s). tud heights: expansive SOB special foundation dEsign required. Retaining R alls requiring desigri. Tsum wallboard "nailing inspection required. 0 - thii ldi-esi flooris full)- enclosed. than a minimum of tA;O openings are required with a total ]State area bel^ A i%ith the bottom of the openings no net --r- - " " e net area of at least one square inch for every square foot of area enc osed more than one fool'above grade. Alternatively, certification maybe provided by a registered professional X , enginee , r . or architect that the design Will allow equalization of hdAsiatic flood fOrces on ei-teriOTIMUS. Building must be designed and anchored to prevent floatation; collapse or lateral movement Construction design requirem6ts'musi be shown on the building plans. oth - service facilities shall be Ele*=c, beating, vendlabon,,plumbing and air conditioning equipment and other designed and/or lo, during ciited so as to prevent water from entering or accumulating with the components conditions of floodifi ng. �mcELLA.NzEous ITEMS: Code section 1003) 1 details -landings, rise and run. head clearance, handrails (Uniform Building (Uniform Building Code section 509). Bri& orstone veneer (Unif6rm Building 6de section 1403). 2506.5). Eitaior plaster— weep screeds (Uniform Building Code section ;Roof pitch for roof covering (Uniform Building Code Table 15-B• 1& 2, 15-D-1 & 2). 't6m insulation - protection. 36" hills and stairways (Uniform Building Code section 1004.3.3-2). Tv6v exits on three - story dwellingi (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 8 2306.7). j.',1R-_Atdc access and ventilation (Uniform Building Code section 1505). F�Sound requirements.; compliance j ance and supporting documentadon. CDF responsible area requirements. 71fUiLDING PERMIT REQUMENfENTS: V. "0, SRA. 2.. k_, 'Flood elevation certificate. ,Fin Sprinklers p , ers required., 4.-,-0 Special lnspe&ti'onrequi-rem ems. 5. 4 E) Use Permit conditions. " 11 . I Sub- Standard Hoiisin9 lever. 0f 2 P212e 2 • S E PIANREVIEW APPLICATION Date:I �y AP# �O Tc —Q Permit Number (if applicable) y — I Bin Number - —7 APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Parcel Size: Situs Address: CST 0 9_01_U_/1/L-/6//L)6 kD Proposed Use: Res' ential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition WeSfeptic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel R W 1 cultural Buffer Form ❑ Applicable _N N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ' IS Conditionally Approved. ❑ Resolve Problems Prior to Approval • Site Plan Stamped Approved By Date 2- — Page 1 of 5 ITt I I ALL ITEMS CHECKED APPLY. TO THE PROPERTY Parcel,Is In: Snow Load Area: -T- C.-) �ZYa�' - ' , •" Lj Land Conservation Act Minimum Acreage: ❑ Verify residence can be'built per contract ❑ Nitrate Action Plan (See Envir'on"'m'ent'atH,ealth for standards) F] Watershed Protection Overlay Zone (See attached standards and requirements) Fj Expansive Soils (Test for expansive soils^and if verified proper foundation design required) SRA - (CDF to determine specific requirements) E] 160 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: C) 4 0 0 —Index Date: P 9t Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Recla'ination- District(Approval'ffiust be obtain6d from the California Reclamation Bo North Chico Specific Plan'(§ee"Development'. Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) E] Cohasset Area (See attached standards and requirements) Ej Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------- I ------------------------------------------------------- ----------------------- ❑ Detached Building Use Form F1 Encroachment Permit ❑ Agricultural Worker Affidavit E] Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. a. F] CDP approval needed for encroachments into SRA setbacks; Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. a. F] CDP approval needed for encroachments into SRA setbacks; Page 2 of 5 4. Applicable Development Fees: Standard Fees Amount Formula • F-1 Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other • • -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps fecorded 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 im Subdivision Map/Parcel Map: At Map Date of Recording: 1o`Js7 7-® Lot: to, ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 S Date of Approval: i Page:? Z. _ • Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard ,13D, unless a pressurized community water system,.with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan* must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 n Page 4 of 5 • ?NA9AV17 70,7 k ffm 0 0- BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 7 County Center Drive sTOEroLv:(e, ) 5 8-72: (530) 538-7281 FAX: (530) 538-2140 c: • APPLICATION Owner's Name &L 9 -vi Applicant's Nar ie---� Mailing Address 1. Construction Site 411 Main Sheet P.O. Box 5364 TEL: (530) 891-2727 FAX: (530) 895-6512 FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Po I7© is Parcel No. 6 41 fid- b LS hone No. 520 7 Z^ Z � Z2— (Street and number or direction and distance to nearest crossroad)) 2. Lot Size :7 _jeet x 2 d feet. 5� acres 3. APPLICATION FOR: New system for new building Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities ❑ 4. Type of building to be served by proposed system: Mobile Home ❑ (size 1 No. Bedrooms Garbage disposal? House No. Bedrooms 3 Garbage disposal?.� c Other (specify) 5. Water supply for premises: (Must be safe, potable water) Community Private well ❑ Other Water supply for ajoining properties: Community ❑ Private well ❑ Other 6. WORKMEN'S COMPENSATION INSURANCE ❑ I have placed on file with the County of Butte a certificate of Workmen's I am aware of the provisions of Section 3700 of the California Labor Code. Compensation Insurance. Which requires every employer to be Insured against liability for Workmen's Compensation. I certify that In the performance of the work for which this permit Is Issued I shall not employ any person In any manner so as to become subject to the Workmen's Compensation Laws of California. 7. SCALE PLOT PLAN TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. b. Location of all proposed and existing buildings, structures, driveways and parking areas. c. Location of large trees, rocks, or other obstacles. d. Location of any well, spring, creek or other body of water on the parcel and within 100feet of property line. e. Show direction and approximate amount of slope. f. Source of water. g. Water lines. h. Set back lines and easements. i. Proposed sewage disposal system and area for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied orthe system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy can tpke c . Signe Owner f Authorized agent [I Licensed contractor [IDate / 2` 3 (An original letter of authorization must accompany this application in order for an authorized agent to sign.) FOR OFFICE USE ONLY Legal parcel? Zoning Use permitte U3 Access Rcpt. No. Amount n rn Water plans cleared Potable water Comment S4 -579R BOB MANGRUM - 5655 ALMOND STREGT .qrRGY`CONSULTMT PARADISEXA .95969 530-876-9616 530-577-3979 FAX 1P1AtiAlix, Z tyl Zk;ULIA11IUAU jjzS��xi'`� Title 24 Residential - Title 24 Commercial Uc. 11518627 TITLE 24. SUMMARY JOB NAME:. iQYQE L II.E.R.S. VERIFICATION REQUIRED YES NO INSULATION: ATTIC = R-68 WALL A-13 FLOOR = 12-1 SLAB = FENESTRATION: "U" VALUE SHGC SIIADING b,-AJ�> IIVAC SYSTEM: SQUARE FOOTAGE 425-0-S- HE, 25-0-SHE, ATING btu's = z/zf-*�-3 IISPF ATUE: 90 COOLING btu's = SEER: - 10, WATER IILIAT-ING SYSTEM:; GAL. STORAGE GAS . = �O ENERGY TACTOR = Oo 2 GASINSTANT = RADIANT ROOT: ` YI+;S: NO • � HOUSE WRAP: YES: NO: .� 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 Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or o r permits or other sanctions provided by law. Signed: ///Y� / . , 1 f� Title: Date: f 2 -7 —,1 �z O.B.-1 OV`J WR -BUILDER VERIL'ICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. 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 materials for construction of the proposed property improvement: YES 1 NO ❑ 2. I HAVE - HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (fum) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this 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. OPERTYOWNER: -------------------------- NOTE: This Owner -Builder Verification is required by Section 19531 and 19532 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. OVER. OWNER BUILDER INFORMATION Dear Property Owner: o.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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 law to be licensed and bonded b the State of California and to have a businesss i � b Y 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 you plan to subcontract; you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are'not licensed as contractors or subcontractors, then you may be. an employer. 0 If you are an employer, you must register with the State and Federal Governments 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. There may be financial risks for .you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation isui ra +ce. ♦ For more specific information about your obligations under Federal Law, contract 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 t�at 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 contracting the Contractors State License Board in your community or at 1020 N. Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you, are aware of these matters. The building permit ,will not be issued until the verification is returned. rely, :. Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builderinformadfon is required by Section 19830 of the California Health and Safety Code OVER 1 .�'ta^✓ 3""�. $21M." .... ., '.' .... .. ....`.�.'+'h�,.,,..r.�k..��.s...._>".,.,:4-_�'�-."S✓t^`..o-.2`�.ts._.e.&�'I.%�'-3tin s�Y SL�'$'. AS ''r�. Se .^�"s' �' %'i v .�.. ILL AL 1 t _ rF i, i.l h_ I I� t i