HomeMy WebLinkAbout065-520-002Z.��aT'
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M AT�_EN John & Teresa'
=.15508.=C6utolenc Rd, Magalia
.,i.(newc`shop';building)
'03-2332 ` 4
002
"ALLEN; JOHN'.
�55d�COUTOLENC; MAGALIA
� :NEW SINGLE FAMILY ;�
..;�
,
065-520-002 +" *' ,x 44
'�~ALLEN; JOHN '' `� "�c��.;�F.^• t
' 155i8'COUTOLENC=MAGALIA
Cont:"Ol"ER '1i�
1ST RENEWP:L 03-2332:{=►! $t j; y
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
` 7 County Center DriveOroville, California 95965 • Telephone (530) 538-754 + PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ��' C. I
ASSESSOR PARCEL NUMBER L�, ®y
=oT".�C7�
BUILDING PERMIT
OWNER 1
MO h
SO. FT. OCC. BUILDING VALUATION
.OWNER IU DRESS
V
CONrRA OR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGIN E
e
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
\C�
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: }"
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE :
ELECTRICAL PERMIT Fling Fee 2 0. 00
Main Service E0.A OR IESS
200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCURSO
OR ADDNS. ( a ACC. BUDS. 3.5QFr.
NON-R°E.4IIDDT. MULTI.OUTLEr. 97.50
OWER APPARATUS
a SINGLE OUrLEr CIR.
20 @ 1'00BAL Q .50
Ex, Occup. OUTLET OR FIXTURES
Ex. Occup. oui
V
011'101'"ax�BtILD#E ° AICATI
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 material for construction of this proposed
property improvement: YES -P,5'1 NO [ ].
2. I HAVE [I'% ] 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: X� -
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
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
?s�,�s
1O I ` $�Ex'I=LDER�I�IAI N4
w�.�.,�..�.s�..:�c>,�...,
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.
%6
Micilel C. Vieirl C.B.O.
Ma ager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
NOTES,, RESIDENTIAL ot
--069�20,
--
0
3-2332
PERMIT NO. ALLENOOHN-? y-
COUTOLENC, MAGALIA
NEW SINGLETAMILY
el
0712 d � . c� � cam- ��✓ �
SPECIAL CONDITIONS
i
y CHECKED
BY
SRA -
,1 - FLOOD CERTIFICATE REQ.
' FIRE SPRINKLERS REQ.
- SPECIAL INSPECTION ITEMS
VERIFY,'
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
�
DETACH FOR •SERVING UTILITY
Address
GAS
�t Meter By Date
f
*'F/ ELECTRIC
Meter By Date 9�
NJOB FINALED(Date) .,
' Signature �'
COUNTY OF BUTTS
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
Date (J (t - Inspector. k1 H S
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
�r7 County'Center Drive • Oroville, CA • (530) 538-7541 '
CORRECTION NOTICE
OWNER PERMIT NO.
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.
r
.r
ik
Date ''' Inspector
REV 10/92 xt
7
COUNTY OF BUTTE,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street --Chico, CA - (530) 691-2751
7;Counly Center Drive • Oroville, CA •
P1530) 538-7541
CORRECTION NOTICE
vAL&j
OWNER : PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this officd when correction of work is
completed. If.you have any questions pertaining to this matter, or need additional explanation,
please contact this office imm tely.
AVA Aa (r
4� AjP
Date 1 20"Inspector -
REV 10/92
V
-V
4� AjP
Date 1 20"Inspector -
REV 10/92
` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
o �7„Gbunty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 j� P 'rEVMIA
(Rev.12A15). '-�
APPLICATION AND PERMIT ( }
ASSESSOR PARCEL NUMBER
/Vo 5W(V,_-(V�/yLry
65 520 -WL
065-520-002
ZONING
BUILDING PERMIT
��N6EP
` /�(�'7
626-614-V 7 / 1
Jyy
TELEPHONE
FT. OCC. VALUATION
Q� � �t y�y�t A T�SO.
. G/ 1.75 MAAIUNG.�1D_D+ ESLO� DEN, ARCADIA 9/00-7
`i
(BUILDING
5 � a` � � ',
909M.00
CONTRACTORS NAME TELEPHONE
i,Jwl\Calms
.1 i / ' 38 • 00
JJ
-
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 134 311.00
ARCHITECT OR ENGINEER
LICENSE NO.
-Filing Fee $ 20.00
Permit Fee $ 762.00 -
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $ 49 5.30
By DTdeD RUIPTOLFNC MAGALIA cA 95954
Energy Plan Checking Fee $ 23.00
PERMIT FEE $ 1300.30
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee _ 20.00
USEOFSTRUCTURE
SF ® Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00 U
Solar or heat pump water heater 23.00
Water piping 15.00 1,.UU
Each aas water heater or vent 15.00
TYPE OF WORK
New^ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r
Describe Work: NEW SINGLE FAMILY
Gas piping system 1 - 5 outlets 15.00 15.
Building sewer 15.00 15.UU
Mobile Home I S I G W 920.00
PERMIT FEE $150.00
ELECTRICAL PERMIT Fling Fee 2 0. 00
OR LESS
Main Service 800 .V
200A OR LESS 23.0623. 00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license in full force and effect. �
isLicense Class Lic. No. `
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
p0' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 (have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46,00
(yr (gyp8
NEW CONST. ( DWELLING CUP. 3.5¢F°: .0
OCB.
OR ADDNS. a ACC. BLO6
NO"i.RESID. MULTSRANCI.OLITLETITS 97.50
POWER APp US
8 SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FIXTURES Bn� @'1.00
Ex. Occup. DFIXirr rs g.,6°Ea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $139 Q$
•
MECHANICAL PERMIT Fling Fee 20.00
Heating 20.00
Cooling 25.00
Hood 6.50 .50
Ventilation 4.50
(AS k1fteLAU 15.00
PERMIT FEE $91.00
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.)
,7- 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/�%��' �-
X 01/Y 92111 /,.,F, Date _. 5 - D
/x;
Signature of Applicant -A Owner ❑ Contractor ❑ Agent �
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height./
��
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
KSC
Co VIN TYPE TOTAL FEE $ 1726.38
H Z
D. FEES GIMP
FLOOD
L./
CDF
EL
HD
J --'`
,ISSUE
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.
e�y „f` Date ///)&/� j
PERMIT EXPIRES ON f
+ Date
�ReceiptNo. `�tP
/�.f�t/
WHITE -D.D.S.-B`D. CANARY=ASSES'SO2:2 PINK -INSPECTOR 'GOLDENROD -APPLICANT
,/
r. ''`. ''*a•'�F'i�.''1�FM_syM`7�W1„'w—'w�N w.� +h :_ �.. rw,�` � _ ,- ,_, r.--;-wA�s�iiS.�w-�,�;p-.j,j.'�+.F,;:j7wi7.:wF+•-�yj'> E `..
' 065 520-002,- '���. 4Y x'04 3447
ALLEN,";JOHN
A iEN
5518 COUTOLCN; IvIAGALIA al'
IST RENEWAL 03-2332 ..yam•* ^� ' - '
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION. .
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 0'- -)�4!
ASSESSOR PARCEL NUMBER r5a0
ZONI.
BUILDINGPERMIT
OWNER
G
'� T
SQ. FT. OCC. BUILDING VALUATION
-OWNER'S LI ( GrAODRESS ! �-
C-44,}
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit•Fee >p
$ --
ARCHITECT OR ENGINE 'SAMA NG `RESP
,.
Plan Checking Fee
$
BUILDING ADDRESS
/�..�
Energy Plan Checking Fee
$
$ /
�^•
PERMIT FEE
$ O �"
LOT NO.
SUBDIVISIONS 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 ❑ rUtilities ❑ Installation ❑ Other ❑
Describe Work: j ,�
,
Gas piping syste!Ln 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
i
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA600V OROR 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:
00 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
y of one hundred dollars ($100) or less.)
a I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ �/y
X �.�'1+► Date / _
Signature of Applies- ❑ Owner ❑ Contractor ❑ Agent
An -OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service Zoog To ,000A
46.00
NEW CONST. DW NG OCCUR
OR ADDNS. ( 8 ACC. S.
SO
3.50FT.
T.
NNON-RESID. MULTI -OUTLET 97.50
POWER APPARATUS
a SINGLE o,rrLt1 cIR.
EX. Occup. OUTLET OR FORURES
.00
BAL @ �. 0
FIXPPLNS
Ex. Occup. our EDs RES OR Ek 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ O'
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PO
HD
S E
This permit is hereby issued under
of the Butte County Code and/or
indicated abov for which fees have
By
PERMIT E (P RES ON
the applicable provisions
Resolutions to do work
been paid.
�•� .
Date �L
(Date)
Receipt No. I K u
WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PINK -INSPECTOR GOLDENROD -APPLICANT
J=OK
0= Not OK
_ = Not Rbye
. =Not Readyeady
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
5..
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/. /" L "ft./ P LPG
7.
7.
Well Clearance & Disconnect
8.
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
Ext.; Steps -Doors -Landings
Card B-1 Date Card B-1
Date
Braced Wall Panels
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6.
Water; MH Test -Regulator -Connector
Elec.; Receptacles and Lighting, Distance=GFI
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Pool Lighting; 15 Volts-GFI
8.
Gas and Electricity Tagged
Elec.; Enclosures; Conduit Entries -Terminals -Listed
9.
Tie Downs -Type -Installation Cert.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10.
Exits; Insp.-Sketch -
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures- Panelboards-Ins. to Main Conduit
11.
Cert. of Occupancy -
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
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- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date - Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDrAFLOOR (Plans) OK except Xs
?/ 5tg, Main; Soils-Elec. Grdd-/ /" Ftg. Depth
F g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
� ,Xtemwalls, Main; Steel-Blockouts-Wrapped
6af Hold Downs and Special Anchors
7. S15p, Steel -Wrapped
8. s -Fireplace Ftg.-Steel
ge"D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer
10. UF, as Pipe; Size Anchors -Yard Gas g; Size est'
J1 illelfflater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
!? 13. Plenums & Ducts; Clearance -Material -Support -Ins.
1 Irders-Sills-Anchor Bolts-Joists-Vents-Crippies
Access & Ventilation
16. Insulation
32. Service -Riser Conductors & Ground Main Disconnect
33 E ui . Clearances Panels-Motors-Mech. Equip.
3¢ lothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date j
ti��
Date
Card B-1 ate Card B-1
Date
Car B-1 Date Card B-1
Date
BING (Permit) OK except #'s
IWA-Ate"tr.; Vent- ccess-Combustion Air Baffle
Date
Water Pipe; st & Anchor -Nail Protection
q �u
D .; Test Fittings & Anchor -Nail Protection
11-1-0 (�4 X
00"Shower Pan; Test, First Floor -Tub Access
st Tub & Shower, Second Floor -Tub Access
3
UPO'Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
3
.�F,`ondensate Drain & Overflow, Size & Grade
Dateelt
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
ELE,dTRICAL (Permit) OK except #'s
24/ Fixture &Transformer Clearance -Ins. Protection
. Attic Access & Platform if Furnace in Attic
254. Elec. Receptacles Spacing -Lights & Switches at Doors
Date
26. Size Boxes & No. of Conductors Stapled
Card B-1 Date
27 Romex Installed Close to Edge of Studs & C.J.
Date
2 Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date
2 Appliance Circuits in Kitchen & Conductor Size GFI
V. Subfeed Wire Size/ Z / . orAI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /g or AI -Oven Circ. / /ga Cu or Al
.Insulated Neutral YYes O No
32. Service -Riser Conductors & Ground Main Disconnect
33 E ui . Clearances Panels-Motors-Mech. Equip.
3¢ lothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date j
ti��
Card B-1 Date
Card B-1
Date
I
Card B-1 Date
Card B-1
Date
MECjIIANICAL (Permit) OK except #'s
3
.C. Ducts Insulation & Support
3
. ent Fan, Exhaust above insulation
3
.�F,`ondensate Drain & Overflow, Size & Grade
3
�rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
4
. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date FRAMING (Permit) OK except #'s
4&/Sills Proper Materials & Anchors
4 alts Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
A�A rnfR CTnn in Wnlie lrmf nrnnfl
W Fire StopskFurted-6tti*-Stairs-Chasers-Tubs f! J
46. Headers & Be�ris-Size & Bearing
Date FRAMING (Continued)
_ 47. _ -Hangers- Post Caps -Anchors -Connectors
49. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shtinq.-Rtnq.
4.9, -Fireplace Ties or Type A Flue -Fireplace Throat Clearance
ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 _ rm. Windows or Exiting Doors -Sill Ht. & Dimion
eFs'1:'�
521 --Garage Fire Protection Framing -RC Channel'`
54� Ext' Doors -One 3' -Check Garaoe 3rd Storv. 2 Exits
55. _5Iairs; Width -Headroom -Rise -Run -Landing -Fire Protection
5 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. g -Nailing Veneer
dcc Mesh Drip Screed -Fd. Vents-Underflr, Access
§6. GI ing Area -Glass Protection-Sk lights -P stic
6 SS ear Walls; Nailing-Boltso ��j� jn
6f.— Brace Interior/Exterior Wall Panels
Date 11 V- 4 Card B j1 Date Card B-1
Date Card B11 Date Card B-1
Date L Plans OK except #'s
64J Ext. Steps -Door & Sidelight Protection -Landings
Vents -clearance -Comb, Air-Connector-
InS,a ge; Above Floor-Ducts-Mech. Protection
edroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
ec. Trim & Subpanel, Breaker Sizes & Labels
10. Stair Rails
replace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closure
.C. Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in ara e; Above Floor-Mech. Protection
Plb.; Elec. & Mech. Equip. Listed for Location
Ca,ele'c_Beceptacles in Garage (F.F.I.)-Romex Protection
89 -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
t82_tMf VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following Instld./Drive D Yes O No/Walks 0 Yes O No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
5 . Unit Disconnect, Electrical -Plumbing
45,NenTs Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
terior Elec. Trim, G.F.I. Receptacle -Underground
:88. tilation Throughout House
s Protection
orrections from Previous Inspections "
Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connecte4Z0_t_Q'dradehD Approval
94. Energy Compliance Certificate -Other Certificates
ddress Posted
9 e Sprinkler
Date . tq-oSCard B-1 S , Date Card B-1
Date ( 07 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOo�
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 2� ��✓
(Rev.f2/96) APPLICATION AND PERMIT ;J
ASSESSOR PARCEL NUMBER
065-520-002
ZONING
TM5
BUILDING PERMIT
DIMN W ALLEN 626-614-0971
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
G,J�IUE s �" EsIONGDEN, ARCADIA
1181530.00
CONTRACTOR'S NAME TELEPHONE
OWNER
,
.
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 134 311.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Permit Fee
, - $ 762.00
Plan Checking Fee
$495.30
BS{ItQI ffRnUTOLENC MAGALIA CA 95954
Energy Plan Checking Fee
$ 23.00
PERMIT FEE
S 1300.3
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 70. 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 ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describ Work: NEW SINGLE FAMILY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$150.00
ELECTRICAL PERMIT
I Fling Feel 20.00
Main Service a00V OR LESS
2o.A OR LESS
23.00 3.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( g )
and my license is n full force and effect.
License Clas._ Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P hY P 1 rY P
Law for the following reason:
t' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( & ACC. BUDS.
SO
3.50N. 96.0$
NEW CONST. MUL,' C%, LET
NON -REBID.
@7.50
POWER APPARATUS
a SINGLE oLmEr cIR.
Ex. Occup. OUTLET OR FURES
SAL @':50
Dn
Ex. Occup. FixED APPLNS. OR
O.FIXED REBID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
s 139.0$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 1 20.00
Heating
0.00
Cooling5.00
Hood
6.50 5.50
Ventilation
4-90
GAS FIREPLACE5
00
PERMIT FEE
$91.00
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
fY P P
employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�-.
X Date _(S -_
Si�atureofplicant � Owher ❑ Contractor ❑ Agent
onstruction
OSHA permit is required for excavations over 5'0" deep and demolition A19
f structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
CO"TYPE
DD TYPE TOTAL FEE $ 1726.38
H FEES P FLOOj
V
CDF PARDEL
i/
P _
HD SUE
This permit is hereby issued under
of the Butte County Code and/or
indicate above for which fees ave
B
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate
I Date
Receipt No.
WHITE-D.D.S.-B. CA R -ASS PINK-INTPECTOR OL ENROD-APPLICANT I
I
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: 1LQb U JASSESSOR PARCEL NUMBER C
' -Ja(0, v v�
Proposed Building Use: 0 � Counter Technician: Date: P 'y 1
Items required in order to apply for a permit. All boxes MUST be checked OR m r ed NA in order to apply.
! 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
43. 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. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans -and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received '} By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot 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 .....................................
*13.
. Hazard ou aterta.....:...................................................... ./ � .......... _
Other.
NPS
Remaining items need- o issue the permit. (May require additional plan review upon receipt ohthRollowing items.)
d
I k%14. Fees as shown on the attached Schedule of Fees Due Sheet.......................................�G C.
J*1§0 ,
❑ . Statement of Intent for Non -heated and A/C Buildings.................................J....
! 16. Sanitation and plot plan approval from the Environmental Health De artin in CQ
A V1.S
City of Chico Plumbing permit ............................ %............� tt__
California Department of Forestry plan approval[paid. Sent, by: �P ��....................
� 9 Planning approval for (A) Use: (>1-'— (B)Parking: (C) Parcel Check:
_4�
❑ 20. Contact Land Development about ❑Improvements, ❑Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... •
❑ 2 Worker's Compensation Carrier aPd Policy Number ..............:..............................
Owner -Builder Verification (❑►Given to owner, ❑ Mailed to owner) .................... p �/
❑ 26. Letter of Signature authorization .................................
-11101
2ecorded copy of Agricultural Acknowledgment Statement .
❑ 2 Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:
1. Index peyfr t application for the above items numbered:
2. Additionl/aaf items requir l
Contractor, design, owner, 'as advised cf the above data by phone, ❑ mail, ❑ counter,
Contractor, design dvised of the ab9�je by ❑phone, ❑mail, ❑counter, by
Plans reviewed by: Date: / U Plans approved by:
Structural reviewed by: Date: Structural approved b
Note transfer by: A/ Date: / d03?
Yeflow- Fi iildino nivicinn
MCME
Check
-2
,1 ro7
E.H. U3E OWIY
Piot Plan Attached
'door Plan A the
Sent to 8.0
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
:�I V -
Owner Location AP#
Plan Approved o • Sewage Disposal ater Sully: Public Private Well
Clearance for welling. Other
Hold final for:
Final clearance 0 for:
UOTE: O-/1 �, . iti✓i � � , G 1 t�vf n 57-14 )1 r n
En
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 I ,
PRO ROSED BUILDING USE N J
D
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
---R d Plan Checking Fee.... $ ! 1 C
2. L DISTRICT FEES U J�
�pa at School District Office) (form available after Plan Check)
� 3 --SHERIFF FEES (paid at Building ��ff�
Residential............ $360.00 = , 3� o
U its
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
A.P. #01.0 5' 54901.y�
DATE
RECEIPT # DAV REC.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE ®� O
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan c4c] ing process.
APPLICANT DATE <F—S— 03
Pursuant to Govern e t Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from h 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 specifi n Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BU / DING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (5 0) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT
SIN ASSESSOR PARCEL NUMBER `� ZONING w BUILDING PERMIT
MOWNER / U � q� TELFPMn/yED�� SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADD S 0'S/ (/f/"!/ .' <)
anr� v
N CONTRACTOR'S E / TELEPHONE
�/ r /
' CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS Fireplace 1 06
Total Valuation $"
ARCHITECT OR ENGINEER LICENSE NO.
—Filing Fee 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee
PALAPlan Checking Fee $ .
BUILDINGADDRESS J
Energy Plan Checking Fee $ 2-
ba-,
_ $
l a041 PERMIT FEE $
LOT NO. SUBDNISIONSNAME PARCEL MAP
�� y Li-' % )- g _-�3 PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
Each Trap 0 7.00 a
g �� S'fl`e- Solar or heat pump water heater 23.00
S Duplex ❑ Mobilehome ❑ Other Water piping 15.00
SPECIFY
TYPE OF WORK Each gas water heater or vent 15.00
Gas piping stem 1 - 5 outlets 15.00 �
New Addition ❑ ``Remodel ❑ Utilities 13InsffiIlation 13 Other CI Gas
sewer 15.00 S�
Describe Work: )V25E
Mobile Home I S I G I W @20.00
�} SN D1ni L�D q , 25010 -r-C> Saa'r-> PERMIT FEE S
F (1 a't� x/ o9C_yDC__ SQA ELECTRICAL PERMITFling Fee 20.00
(' Main Service croon on LLESS 23.00
Main Service 20a+ TO LCOOA 46.00
NEW CONST. DWELLJNG OCCUP. SO
OR ADDNS. Bens. 3.50'7.
• '
513 --VEW -CONS I.-
Str M Eme NON-RESD. @O 7.50
POWER APPARATUS
S 8 SINGLE AP=L
EX. OCCLI OUTLET OR FIXTIJRES 2L 0 1'00
BAL p .so
FIXED APPLNS. OR
R )k Ex. Occup.ounETs ESIo. EA 5.00
s�—Temporary Service 23.00
O Mobile Home Facilities 20.00
MOM Misc. Wiring 23.00
PERMIT FEE S )
MECHANICAL PERMIT Fling Fee 20.00
Heating —
V —
Coolingrj
Hood 6.50 S U
Ventilation 0 •9=eja4 _00
SU
PERMIT FEE $
Mobile Home Installation Fee $
nergy Inspection Fee $
N IV .TYPE TOT L FEE -71
2",Cc"
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0° deep and demolition or construction
of structures over 3 stories in height.
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ID. FEES I 'I �" I °`� YIL
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
A.P. Number 15AM d 2 Jurisdiction: Q City County
Property Owner
Property Location/Address
Subdivision
Residential Development
C ommerciaUl ndustrial
Building Department
(Street Address)
(City)
Lot No.
Date _
trsoor rians revieweo oy Jcnool uistrict rersonneu
No. OJ `J��
School District certifies that
(Applicant)
U(Phone Number)
has complied with the requirements of Resolution No.
�C 5 square feet.
Paid by Check #
Remarks:
(Zip Code)' D
by payment of $
8 2926 $
FULL MITIGATION $
1i
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to 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.xis 00/98)dmm
RESIDENTIAL PLAN
0
REVIEW GUIDE
c SINGLE FAMILY, DUPLEXAND
n_ ,d MISCELL4NEOUS ME
Owner. a&,4) Building Permit Number:
Plans Examiner*: ,L1/zdA 5�.�njv.,�n A. P. Number:
EL ER.-kL:
Zoning requirements — (number of permitted living units).
'Plans signed by the designer.
"Proper description of work on the application.
Existing violations on the property.
recorded notice of -violation.
/Building permit valuation.
LOT PLA:
Complete parcel size and dimensions.
Setbacks, side yard, easements. etc.
Other buildings or structures.
Grading, fills andlor drainage.
Flood hazard
Special conditions on Parcel Map:
Noise 0 SR. -k ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑
Federal aid Route and/or Federal Aid Secondary Route setback requirement.
Building or utilities across lot lines (Lot merger approval by Butte County Land Development)
'LOOR PLA`:
Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).
10410 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 mhgmmn net
clear openable height dimension shall be 24". The minimum net clear operable width dimension shaU bt; 20'.
When % indo« 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).
Glazing in Hazardous locations (Uniform Building Code section 2406).
Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permilsed in this
section. Kitchens. halls, bathrooms and toilet compartments may have a ailing height of not less than 7 &et
measured to the lowest eroiection from the ailing (Uniform Building Code section 310.6.1).
All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet is
any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
GFC[ in baths. ;wage, kitchen, wet bar, and exterior receptacles (NEC 210).
Water 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 tato abath
or bedroom (Uniform Plumbing Code section 509.0).
Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedcoM or in
a room compartment or alcove opening directly into any of these (Uniform Mechanical Code secd=3043).
Garage fireNvall separation - required on garage side including supporting walls and posts (Unitbrm g
Code section 302.4 exception #3).
Under no circumstances shall a private garage have any opening into a room used for sleeping purposes
(Unifor-n Buildin; Code section 312.0.
Wood stove location - Alcove — U1�1C section 205 confined space & 223 unconfined space & 304.2).
moke detectors (Uniform Building Code section 310.9.1).
Pagel of 2
4ater closet clearances (Uniform Plumbing Code 408.5).
Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7).
Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support
all loads (Uniform Building Code section 1806.3).
UCTURAL DETAILS:
1. Beed wall panels shall star at not more than 8 feu from each end of a braced Nall line. Braced Wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Sparing shall not
exceed 34 feet on anter in both the longitudinal and transverse directions NBC section 2320.4.1.) Braced wall
lines must be continuous throughout the structure. -
2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building
that do not comply with the Uniform Building Code. This must include the designees "wet" stamp, signature,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations.
Clerestory requiring balloon framing and/or engineering.
Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C).
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calculations if necessary.
Garage door header size(s).
Porch header size(s).
. Typical header size(s).
. Stud heights.
. High expansive soil — special foundation design required.
. Retaining calls requiring design
G)*= wallboard nailing inspection required.
If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total
net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no
mors than one foot above grade. Alternatively, certification may be provided by a registered professional
engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement_ Construction
design requirements must be shown on the building plans.
Electric, heating, ventilation, plumbing and air conditioning equipment and other v -x% ice facilities shall be
designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
CELLANEOUS ITEMS:
[.Foam
tairway details — landings, rise and run head clearance, handrails (Uniform Building Code section 1003 ).
uardrails (Uniform Building Code section 509).
rick or stone veneer (Uniform Building Code section 1403).
Exterior plaster— weep scroeds (Uniform Building Code section 2506.5).
oof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2).
insulation — protection.
6" stalls and stairways (Uniform Building Code sectionlOQ4.3.3.2).wo exits on three — story dwellings (Uniform Building Code section 1004.2.3.2).
nderfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
ttic accessand ventilation (Uniform Building Code section 1505).
ound requirements.
nergy design compliance and supporting documentation.
DF responsible area requiremcnu.
MDING PERMIT REQUIREMENTS:
1. ❑ SRA.
2. ❑ Flood elevation certificate.
3. ❑ Fire Sprin1ders required
4. ❑ Special Inspection requirements.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing lener.
Pace = of
PLAN REVIEW RESPONSE FORM
In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If
this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review,. There must be a valid
response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate your
response to each item and the location where the information can be found on the plans/calcs.
ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS.
OWNERS NAME
DATE:
LOCATION ON PLANS/CALCS:
.� T AA
COMMENTS:"
ASSESSORS PARCEL NUMBER
PERNUMBER
L.
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RESPONSE FOR PLAN CHECK LETTER DATED:
PLAN CHECK ITEM #
A �? -1
RESPONSE BY:
_.._
LOCATION ON PLANS/CALCS:
.� T AA
COMMENTS:"
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PLAN CHECK ITEM #
RESPONSE BY: LOCATION ON P�fL�,ANS/CALrrCS::
COMMENTS:
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PLAN CHECIUME
(4- 0
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RESPONSE BY:
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LOCATION ON PLANS/CALCS:
1
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COM
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PLAN C K
RESPONSE BY:
LOCATION ON PLANS/CALCS:
T���•�' ISN.
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COMM
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PLAN CHECK ITEM N
RESPONSE BY:
LOCATION ON PLANS/CALCS:
COMMENTS:
Y. 5 S14XE i? i i FILE
October 3, 2003
John Allen
719 A West Longden
Arcadia, CA 91007
Department of Development Services
Building Division
7 County Center Drive
Orovil.le, CA 95965
(530) 538-7541 (530) 538-21.40 FAX
Assessor Parcel Number: 065-520-002
Building Permit Number: 03-2332
2
5 -7o -o -
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Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan
examiner's comments are listed below. Please respond in writing to each item by completing and
returning the enclosed PLAN REVIEW RESPONSE FORM.- Your complete and clear response will
expedite the re -check and approval of this project.
F
TRUCTURAL COMMENTS:
ur water closet must have 30 inches of clearance side-to-side for 24 inches in front of it. Please
se bathroom 2 so that it complies.
STRUCTURAL COMMENTS:
Provide additional 4' shear wall along wall line A as specified in the structural calculations. The
calculations specify (5) 4' panels, the plans show only (4). /48
rovide strap ties and/or blocking at the discontinuities in the top plates along wall line B to transfer iegyred lateral forces. C�t,��$
ovide collectors on the plans as specified on pages 1.1. and .12 of the MaxQuake calculations. AA , L Sf"IOU
Provide shear transfer details of the roof diaphragnn connections to the cave gableends and interior✓ (401(
ear walls. o�-A tL CONNC'Zn-(J t>1--/hy L Y s S rye' LV tN $'w SCl b
K ;0,-r
ovide shear transfer details of shear wall connections to the foundation. Show how shear will be
afrom the rim joist to the mudsi11.
W Please specify size of the beam shown over the den/hallway oil the roof plan.
If you wish to discuss any of these requirements, please call (530) 538-7541. betty on ie hCou io� .1.`001
p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask
answer your structural questions. 1* W 1 (-(- S �,
Please refer to your Data Sheet for remaining non -plan check items. (You received tl ' it McPybU ,
applied for your permit.) The counter staff will answer any questions concerning the Data 5Jae r----\
nda Simpson
Plans Examiner
cc: Larry Warner, Architect
74
(Sa�, k-ln�
Philo Hwit, P.E.
Plan Check Engineer
1�
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loft III
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•
SITE PLAN REVIEW APPLICATION-
Date: AP#%(� J' Sart UZ
Permit Number (if applicable)
• APPLICANT INFORMATION Parcel Size: 7 S
Owners Name:
A 'W . Low 6--36n-1_> AZ-CnL� 1A eA..9)O6 7'
Owners Address: c �� Q'r ��0
Telephone No.: 6.2,6— t 7 q— 0 9 7 1
Situs Address:
Proposed Use: 77 L57k-L��I jgGl% .._
T
entialew Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family ,
❑ Single Family Remodel
• Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
® Septic Well
❑ Agricultural Exempt Building
Other: 0r, Al , 9V -f4 -6Y2 / S S O &S ,
Brief Explanation (if
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
6-b
❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval .
❑ Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
0 Snow Load Area: •2tE�&C> I"
❑ Land Conservation Act Minimum Acreage: �
g ❑Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
® Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• • Flood Zone:
• Flood Panel No.: ® t -j e Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
•
Zoning: i rn --
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
0
SO
Side Street
Rear
2J
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
•
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount
• ❑Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
F-1. Chico Urban Area — Road
❑ Thermalito Impact
❑ Other .
Formula
-------------------------------------------------------------------------------------------------------------------------
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
• R 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 recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
------------------------------------------------------------------------------------------------------------------------------
Page 3 of 5
_Subdivision Map/Parcel Map:
Map Date of Recording: 1—
f:>.I---
Lot: 1 Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page: 9 -?
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: /,l 0 A 15 +-e C, F,4---- .,
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
1�
n
LJ
❑ 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, Nl~PA Standard .1313, 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 Plas
must be prepared by a registered civil engineer or other qualified professional and b
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
Page 4 of 5
FROM :SierrkWestSurveying FAX NO. :530 877 6254 - Sep. 11 2003 02:45PM P1
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PHONE NUMBER: SENDER'S REFERENCE NUMBER:
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NOTES/COMMENTS;
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5437 BLACK OLIVE DRIVE
PARADISE. CALIFORNIA 95969 RECEIVE®
(5 30) 877-6253
(530) 877-6254 - FAX SEP 1 1 2003
COUNTY OF BUTTE
LAND DEVELOPMENT DIN.
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National Pollutant Discharge Elimination System (NPDES) Phase II &
SWPPP Non -Certification for Project # for Butte
County Storm Water Permit Compliance
By signing below, I, the project architect/engineer of record, indicate that am aware that a
construction project that disturbs more than 1 acre of land requires a Construction Storm Water
Permit from the State Water Resources Control Board. I, additionally, understand that it is the
project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 0.1.), a Storm
Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources
Control Board to obtain such a permit. I, further, certify that this project will not disturb more
than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California
Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be
implemented to effectively minimize the negative impacts of this project's construction activities
on storm water quality. I acknowledge that it is my obligation to make the project owner and
contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure
their effectiveness. If, at any time, site conditions and/or observations by a County official
warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made
without unnecessary delay. I am aware that failure to properly implement and maintain the
BMPs necessary to prevent the discharge of pollutants from this project during construction
could result in significant penalties and/or delays.
Signed:
Title:
Date:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than 1 acre 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 more than 1 acre'of land. I, further, certify that this project will not disturb more than 1
acre of land. This document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified individuals properly
gathered and evaluated the information submitted. Based on my inquiry of the person or persons
directly responsible for gathering the information, I certify, to the best of my knowledge and
belief, that the information submitted is true, accurate, and complete. ; -
Signed:�--
Title: 7I �\
Date:-� — B�-� ✓1 t�F
NPDES & SWPPP Non -Compliance Certification Draft Q /�
Butte County Stormwater Plan (J lJ
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f
AND VViFiEN/R&ORDED MAIL TO: 2�3%
u BUTTE COUNTY BUILDING DIVISION
03
7 COUNTY CENTER DRIVE SF
OROVILLE, CA 95965
Gm03-00535549
Recorded
OfficialRecords
COME f
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:23PM 11 -Aug -2003
REC FEE 10.00
CONFORM 1.00
Lisa
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:
Sc: --e `11�c��c�i i to �'
Date AU Q, 0QO3 PROPERTY OWNERS:
State of California )
County
of,-bk-A 1� ) /`
On before
personally appeared _�(7\� d V\J , 1 I �> {� .t' 1 2NEZ: persomaily
k*ewa-to-me (or proved to me on the basis of satisfactory evidence) to be the person) whose name(4 is/ale subscribed
to the within instrument and acknowledged to me that he/skeft#:ey executed the same in his/hp/tBeir authorized
capacity(Ws), and that by his/hO their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(A) acted, executed the instrument.
WITNESS my hand and official seal.
i
Signatur � Seal: THERESA GAGNE
COMM. 11378200
/ IWTARY aueuc-CAUFO IA
COUNTY OF BUTM
A.P.# a �"S�� ��
Comm. Ex ins Oct 5, 2008
EXHIBIT "All
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATED IN THE COUNTY OF
BUTTE, UNINCORPORATED, STATE OF CALIFORNIA, DESCRIBED AS
FOLLOWS:
BEING PARCEL 1, AS SHOWN ON THAT CERTAIN MAP, FILED IN
THE OFFICE OF THE RECORDER OF SAID BUTTE COUNTY, STATE OF
CALIFORNIA, IN BOOK 44. OF PARCEL MAPS, AT PAGE 97, AND
MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTHWEST CORNER OF SAID SECTION 6;
THENCE ALONG THE SOUTH LINE OF SAID SECTION, NORTH 83°
45' 40" EAST, 1263.68 FEET TO THE SOUTHEAST CORNER OF THE
SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID
SECTION 6; THENCE ALONG THE EAST LINE THEREOF, NORTH 00
37' 22" WEST, 66.46 FEET TO THE TRUE POINT OF BEGINNING
FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE
POINT OF BEGINNING, CONTINUING NORTH 0° 37' 22" WEST,
313.54 FEET; THENCE LEAVING SAID LINE, SOUTH 83° 40' 25"
WEST, 11-68.75 FEET TO THE EASTERLY LINE OF COUTOLENC
ROAD; THENCE ALONG SAID EASTERLY LINE, SOUTH 160 45' 22"
EAST, 374.35 FEET; THENCE LEAVING SAID ROAD, NORTH 80-
401 04" EAST, 1071.30 FEET TO THE POINT OF.BEGINNING.
O.B.-1
OWNER -BUILDER VERIFICATION
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.
16 personally plan to provide the major labor and materials
J for construction of the proposed
CDproperty improvement: YES f NO ❑
I HAVE 0 HAVE NOT ❑ signed an application for a buildingpen-nit for the proposed work.
have c6ntracted with the following person (firm) to provide the proposed construction:
'Z ♦ ART
ADD SS: CITY:
P CONTRACTOR'S LICENSE NO.
4. plan to provide portions of this work, but I have hired the following person to coordinate,
s ervise, and provide the major work:
N .
ADD SS: CITY:
PHONE- CONTRACTOR'S LICENSE NO.
5. I wi provide some of the work but I have contracted (hired) the following persons to provide
the ork indicated:
N ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SE
DATE:_ _,4P S— p
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.
X
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 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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
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.
♦ 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 insurance.
♦ 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 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 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,
fw �
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
1
RESIDENTIAL
21602-91B,g.,�.__._
ALLEN, John & Teresa
15508 Coutolenc Rd, Magalia
(new shop building)
JOB FINALE
Signature
otic /c Via- a
o . lea 4,,J S--eA 1)7 4-�
o, 4 4,,eA—
0
J=OK
O = Not OK
NNototReadable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /'•L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date �' Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECK OVERS, CARPORTS GARAG Plans OK ezi a t #'s
on g Requirements-Setbac --Effsements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. De ; Griders and/or Joists -Decking -Bracing -Stairs -Rails
ood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7/'Electric
8. rrrg; Sils-Ancho -Studs-Rftrs-T 6sses
9 i ing; Nailing -Veneer -Stucco -Mesh
1 of; Shthg-Roofing
11. xtt..; 66Steps-Doors-Landings
l� &
Date 7 -1-6- OyCard B-1 G Date Card B-1
Date / Card B -1/,-V 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, Distances-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 in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
,7/1 r j5, ,,,",
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date ,UNDERFLOOR (Plans) OK except ff's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped ,
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except k's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- ----- --------------------------
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------------- ------------- ---
19. Shower Pan; Test, First Floor -Tub Access
------------ -----------------------
20. Test Tub & Shower, Second Floor -Tub Access
---------------------------------------------
21. Gas Pipe: Size & Anchors
----- ----------------------------------------------
Date Card B-1 Date Card B-1
------------------ -----------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
-------- ------------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
--------- -------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
---------- ----------------------------------------------------------------
26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water
----------- -----------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------- ---'-----------------------
28. Subfeed Wire Size/ r ga. Cu or AI-A.C. Wire Size/ / ga.
Cu or AI
29. Range Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------------------------------------------- - ------------------------------
30.
- --- -----
30. Service -Riser Conductors & Ground -Main Disconnect
-----------------------------------------
31. Equip Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
----------- ------- --
33. Smoke Detector
---------------------------------------------------------
--------------------------------- ------------------------------------------------ ---
Date Card B-1 Date Card B-1
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft's
34. A.C. Ducts Insulation & Support.
----------------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
----------- ------------ -------------------------------------
36.
---------------
36. Condensate Drain & Overflow: Size & Grade
------------------------------------------------------------
-- ----------- 3T Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-------------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
-------------------------------------------------------------------------------
Date Card -B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
------- ------ -- ------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--------------------------------- -------------------------------------------------
41.
---------- -------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
--- - -- ---------------- --------------- ------------------- -------
42. Draft Stop in Walls (rat proof)
----------------------------- - --------------------------
--------- -
43. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub
----- -------- --------------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued),
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors-Sill.Hgt. & Dimensions
50- Garage Fire Protection Framing
51. Property Line Firewall & Openings _
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
----------------------
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55._ Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
_ _
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
- -- - ------ --------------
Date _ _Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft's
61.- Ext. Steps -Door & Sidelight Protection -Landings
---------------------- ---
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
------------------
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-------------------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
67. Stairs & Rails
---------------------- ----------- -
68. Fireplace or Stove: Clearances -Hearth
----------69.-Elec.-Outlets at Wood Panel: Int. & Ext.
----------------- -
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
-- ---- -------
--------------
--- - - -- -------------- ------ ---
71. Elec. Outlets & Receptacles at Kit. Counter
----------- -
72. Garage Fire Door: Swing -Landing -Closer
------------- ------------------------
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
---------------------------------------
75. Plb., Elec. & Mech._Equip. Listed for Location
--------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
----------------
-------------------------------------
77. -Insulation-Foam-Looked in -- Attic ❑ Yes
------------------------ -
78. Guard Rails & Deck -Const ruction- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters _❑ Yes ❑ No
81. Stucco Brown -Finish
------------------------ ---
82. A.C. Unit: Disconnect. Electrical, Plumbing
- -- - ----- -- ------------------------ -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
------------------- ------
86. Ventilation Throughout House
-------- ------------------------------
87. Glass Protection
--------------------------------------- --
88. Corrections from Previous Inspections
- - - -- - ------------------------- ----------------------
-.----89.-Gas-Test-Meters-Tagged:
---------
89. Gas Test -Meters Tagged: Gas -Electric
------------------------- ---------------- ----------
90. Water -&-Sewer Connected -C/O to Grade -HD Approval
91. Ener Com fiance Certificate -Other Certificates
------- -----------------------------------------
Date Card B-1 Date Card B-1
-
----------------- ------------------------ -- --
Date Card B-1 Date Card B-1
----------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE I I
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
j,Gaz- s,
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Vj
K
f 1 r r 4 .sr
i.
Date - ( Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307 —
CORRECTION NOTICE
44-1- �e.e /6
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining'to this
matter, oohr��need additional explanation, please contact this office immediately.
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A
j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,
/ -� 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541
• APPLICATION AND PERMIT /
ASSESSOR RC NUMBzi
58-47-002
ZONING'+'��
TM5
BUILDING PERMIT •
OWNER
John & Teresa Allen 818
TELEPHONE
837-6666
SQ. FT. OCC. BUILDING VALUATION
1900 M 27,000
OWNER'S MAILING ADDRESS
122 Grand Ave. Monrovia CA 91016
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation is 27, 00
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 179-50
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee $ 89-75 ROXXX
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Coutolenc Rd 1 04
Permit fee $ 97Q_ 29
PLUMBING PERMIT Filing Fee 10.00
1/3 milp nortb of Hupp—Coutolenc
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
2
SUBDIVISION NAME
PARCEL MAP
44/97
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other shopBuilding
SPECIFY
Gas piping system 1 - 5 outlets
5.00
sewer
5.00
Mobile Home IS G IN
0.00 ea
TYPE OF WORK
NeWW Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD -L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (, DWELLING OCCUP.N)
OR ACDNS. ACC. BLDGS.
'/x2sgft 37.50
NEW CONSTFLU I -OUTLET
NON.RESID. BRANCH CIRCUITS)
2,50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20@20@5O 30
SA06
FIXED APPLES. OR
EX. Occup. OUTLETS (REST D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 60.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
�--_2",— 9
X Date f
5i ure of Applicant — Ownerx Contractor ❑ Agent ❑
OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ructures overr33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
E
TOTAL F E $ 339.25
HAL cuA
PAR
sc
fL
PAI2
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
O�I�RELCTIRI OF PUBLIC WORKS
By Date
PE IT EXPIRES Date J�
Receipt No. v
WHITE-D.P.W.. YELLOW-ASe(990R. PINK -INSPECTOR. GOLDENROD -APPLICANT
.'*i m. -s wv.wr:."r^., 7ATyf�tiy�Air�'•�.Y" 'r ry? �A��7�'� -;:2. f. � �.. Y44y ] . ..��'Y� My�i �"' � � ��� Y..�-•�
COUNTY OF BUTTE - DEPAR0TMENT,.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
�s
,- PERMIT APPLIC,ftoWDATA SHEET
/^1 Permit No.
OWNER J H� /tl ��� a , A. P. No. �- C) 0 2
Proposed Building Use der e. yBuilding Inspector �5^� Date 5-
At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ...............................' ..........
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
-13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18 Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy) S. 30 .
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date);
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................. T� _
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... r `_
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of sign ure'authori at' n ...................................
0 1 -mer.
27.
,When you issue the permit, process as follows: Mail to owner. Mail to contractor.
' Telephone and hold for pickup at - office. Deliver w.
/inspector.
Other
00,
AppI ica Date —Z
f
Copy of Haz-Mat form sent Health De�ireDept.
Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. Other Date By
The following data must be submitted prior to p rm't is ance: ircle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date
Contractor, designer, owner, was advised of above required.data by—phone _ma11 j_oun ter by date
Plans checked by /Date Plans approved by Date!
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
I A
TO Buildina Department
I FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply Y�
Clearance for � bedroom— crbi; e, home. Other 011) 0
NOTE
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Sant r an �„
TO: Building Department -
FROM: Encroachment Permit Section
RE: Driveway Clearance
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owner location
.-8
AP #
Driveway permit % 6 lj? has been issued for the above property.
si ature date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541
' APPLICATION AND PERMIT
I
ASSESSOR PARCEE NUMBER ZONIPFO '
/11 S' top
OWNE
BUILDING PERMIT
ELEPHONE
.�/ (T ,S 66 66
OWNER'S MAILING ADDRESS
/7.7. 1qA J,0AME ✓4
SQ. FT. OCC. BUILDING VALUATION
-00 ,,,;F, 2 v o
CONTRACTOR'5 N
C>L-i ria
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
To Valuation $ Z
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee $ 1000
Permit Fee _ $ �� SV
Plan Checking Fee
ARCHIT CT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Energy Plan Checking Fee $
Penalty $
Permit fee $ 7-7 7, Z,5S
C o v o L 0/%/C, : /i0 •
PLUMBING PERMIT ilingFee 10.00
Mif� A1104 y Vti /7viP/0T CaJV*VL VG,
Each Trap 2,00
Solar or heat pump water hea r 20.00
LOT NO.SUBDIVISION
NAME
PARCE MAP
Water piping 5.00
Each qas water heaterpf vent 5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑yBuilding
Y
Gas piping system 11/_5 outlets 5.00
sewer . 5.00N�
Mobile Home S I G I W 10.00 ea
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work:
Permit Fe $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
00V OR L
Main service 100 AMP ORSLESS 10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profe$sions Code -and my license is in full force and effect.
License No. Classification.
I, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP t 2.50 Z ��
NEW CONST. ( DWELLING occuP.ai) i +h¢sgft 3i s�
OR ADONS. ACC, BLDGS.
NEW CONSTR. M U TI.OUTLET
BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES .2 -Fot
P 100
ALO 30*
EX. OCCUp. FIXED APPLNS, 'OUTLETS (RESIDOR
A EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate 'of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
-
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains='County in nsequence of the granting of this permit.
X j_1/_ �j
Date
Si ure of Applicant — Ov,ne Contractor ❑ Agent ❑
n OSHA permit is required or cavations over 5'0" deep and demolition or construct-
ion of structures ovee� 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
9� q ZS
TOTAL FEE .$ J /
HAZ.
CUA PARK
SCHL
FLD coF
PAR
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1 HD.
IssuE.
This permit is hereby Issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work Indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No._ Q_l f z)q
WHITE-D.P.W.. YELLOW-ASe[330R, PINK-INSPCtTOR. COLDENROD-APPLI CANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95.965. Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
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 or no)
2. I (have/have not) signed an a lication for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
6
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 City
Phone Contractors 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
Social Security Num
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
JOHN & TEREN ALLEN
122 GRAND AVE
MONROVIA CA 91016
With reference to the above subject:
" Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
" We need the following information:
PHONE: 916-538-7541
DATE MAY 29, 1991
RE: BP APPL. #1602-91
NEW SHOP
A.P. yp 58-47-02
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in , including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section"(DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
.Oroville, for
Completed Owner -Builder Verification form.
Recorded copy.of deed showing
Recorded copy of agricultural acknowledgement statement.
OTHER 1) LETTER OF INTENT FOR THE USE OF THE BUILDING.
2) BEAM AT ROOF PITCH CHANGE IS INADEQUATE.
Should you have any questions concerning the above, please contact _DAVE WASNEY
of this office. (BETWEEN 3PM & 5PM)
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
/.J.F. Glander
��Chief Building Inspector
•.� �l®613.
i
ej
122 Grand Avenue
Monrovia, Ca. 91016
June 6, 1991
County of Butte
Department of Public Works
Oroville, Ca. 95965-3397
RE: Letter of Interest
A.P. #58-47-02
New Shop
To: -.Whom it May Concern,
The sole purpose of this building is strictly for personal use.
The new shop is'for storage of my boat, motor cycles and my
wood working tools. This is not a commercial building.
Sincerely,
John Allen
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