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065-530-009
Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile www. b u tte c o u n ty. n e t/d d s PLAN CHANGED RECHECK ❑ Owner's Name: (il'%i�lll/alf AP#: BP#:�p''� s A Received By: Date: -� �Q Time: Contact Person & Phone Number: PURPOSE *OF PLAN CHANGE OR RECHECK ❑ Response to Inspector's Correction Notice — Inspector's Name: ❑ Response to Plan Check Letter - Plans Examiner's Name: *Submit two (2) drawings reflecting the plan change or recheck for plan review. If engineering is involved, the. engineer or architect must put his. requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. .WHEN APPROVED: ❑ Call and hold for pick-up. ❑ Deliver with Next Inspection ( for 8 %2 X 11 only) !imum-.,plan_change_fee_to_be collected at time of submission, plans examiner will determine if Donal plan ch'ecking-fees--are-needed: Minimum $118.98 paid. -F�� 6th Receipt #: Revised 6/07 BILL PELICH, RE. CIVIL JOHN LANE, R.G., R.E.A. LEE MARCUM . LEE & PIERCE inc. consulting engineers 546 ABBOTT STREET, SUITE 20 SALINAS, CA 93901-4323 February 12, 2009 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 BUTTE COUNTY FEB 12 2009 DEVELOPMENT SERMES SALINAS (831) 758-0096 FAX (831) 758-1213 ATTN: Building Department RE: APN 065-530-009, BPN®6-2153, Substitution of Structural Components L&P Job # 06502 To Whom It May Concern, Lee & Pierce, Inc. was requested by Mr. Williams to certify the following material substitutions: Item Substitution Comment Simpson framing Use 48" long MST extending a minimum of 16" MST required for uplift to anchor FTA to hold above and 16" below 2°d floor diaphragm framing. accommodate interior framing down 2nd floor Provide double studs where necessary and fill all clearances. Substitution previously diaphragm to top nail holes in MST. Installation on either side of all recommended by the. building plates of 1st story openings in 2nd floor walls and in exterior corners. inspector. LTP4 required for lateral bearing walls. Install LTP4 over exterior joint of plywood shear connection of 2nd floor diaphragm to paneling along top plate of 1st story walls and rim lst story wall top plates. joist of 2°d floor diaphragm 4 feet on center and at comers. Allowable fn shed Builder wishes to install a hydronic heating system Calculations for this increased unit flooring material in framing of I' floor diaphragm. Unit floor floor weight show loadings on floor unit weight on 1 st loading will increase from 3 lbs / sq ft to 16.5 lbs / joists and support beams to be within floor is 3 lbs / sq ft. sq ft to accommodate 1.5" of light wt concrete. This allowable stress ranges. Additional allowing hardwood substitution applies strictly to the I' floor. No lateral forces on shear walls or carpeted finish. increase in unit floor loading is allowed on the 2nd supporting, and framing within, the 1" floor. floor diaphragm are within allowable shear limits. Connect roof Builder wishes to delete this clip from the framing. Calculations show that the RBC clip is framing freeze Currently each joist is secured to the top plates redundant therefore it is OK to delete , block to top plate with H1 hurricane ties. The Hl tie is rated for both from framing detail. with RBC_ clip- _ uplift and lateral loads thereby rendering the RBC ` ' clip redundant. We recommend approval of by the building official. 10SEAh,'Yq�F Sincerely, LEE & PIERCE INC. CO rn NO. 6'9222 S ;V Bill Pelich, President Exp. Ab ! /o WM'COMMYRegistered Professional Civil EngWJP/kk FILE: 06502.Matl_Substitu ' CIVIL OF CA���O/ APPROVED BUTTE COUNTY FES 1 7 2009 -OEVELOr MENI' SERVICES BUTTE COUNTY PERMIT•NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061595 : OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/03/2006 APN: 065-530-009-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELECTRIC FOR WELL.AND FUTURE LOT Contractors' State License Law for the following reason (Sec. 7031.5 DEVELOPMENT Business and Professions Code: Any Gly or county which requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its Issuance, also requires the applicant for such. permit to file a signed statement that he or she Is licensed pursuant to the provisions of Owner: WILLIAMS BRIAN T ETAL the Contractor's Stale License Law (Chapter 9 commencing with Section HUTCHINSON CATHERINE A 7000) of Division 3 of the Business and Professions Code) or that he or 20110 CELESTE WAY she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the PRUNEDALE, CA 93907 applicant to a civil penalty of not more than five hundred dollars ($500).): l� I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business .and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: WILLIAMS BRIAN T ETAL pp such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for HUTCHINSON CATHERINE A sale. If however, the building or Improvements are sold within one 20110 CELESTE WAY year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of PRUNEDALE, CA 93907 sale.). ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed ; Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt Article 3 of Business and Professions Code ��under Dale: f��22�10 wrier: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to sell -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: - arrier:Policy#: Policy #: Total Square Ft: 0 S. F. 9' I certify that in the performance of the work for which this permit Is Valuation: $0.00 Issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' , compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby its V ed under the applicable provisions of the Butte County Code and/or I hereby affirm that [here Is a construction lending agency for the Resolutlons to =ndicatejTa)ovefcr which fees have been paid. performance of the work for which this permltls-issued°(Sec.-3097-Civ.) --- - — By, rt ` Date: Name: ---� � PERMIT EXPIRES ON: - �� Address: (Date) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspectlon purposes. Print Name: (N LLI Signature: Dale: f)1;1, weer 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01.16-04 pg i F1 BUTTE C DEPARTMENT OF DEVI BUILDING PERMI' AND SUBMITTAL I OFFICE #: (5 A FEE WILL BE REQUIRED,, Website: www.but **PLEASE PRIN' OWNER INFORMATION CONTRACTOR Last Name LL1 irst Na"13, r 'ACV I AN Address 0 1' 0 C, ii:L+C�T�F_ ' - /A- Ci Statt.— Zi� O P 3 2- Pho64 Fax E-mail Lic. # ,APPLICANT SIGNATURE X — a For office use only.- nt :Zoning CONTRACTOR Name / i—/ r Address Z O 11 1D / D City Rk D Slat,,_ Zi Pho64 Fax E-mail Lic. # Class ,APPLICANT SIGNATURE X — a For office use only.- nt :Zoning ARCHITECT/ENGINEER Name Alf Address / D City O StateZip Zi Phone Fax E-mail AP# 06 5'-x'30 - oo9 State License Number ,APPLICANT SIGNATURE X — a For office use only.- nt :Zoning APPLICANT INFORMATION Name J2,0A50% 14AI All C / Address / D City O Stat Zi PlPne Fax E-mail AP# 06 5'-x'30 - oo9 ,APPLICANT SIGNATURE X — a For office use only.- nt :Zoning ZoningFlood Zone SRA Yes No Occ• Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: VVCK rVK JUtIMI I IAL REQUIREMENTS D UNTY ;LOPMENT SERVICF TTE PERMIT f APPLICATION COUNTY 'y tEQUIREMENTS �Q 30) 538-7541 AA'' T TIME OFAPPLICA)UN 3 U 2006 BP ecounty.net/dds FO C CLEARLY** DEVELOPMENT SERVICES PROJECT LOCATION AP# 06 5'-x'30 - oo9 Property Add ss RTHGOie, P.. city Cross Street WORKER'S COMPENSATION Policy Number 7 Carrier S �� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: S•EIQ `Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: Receipt . 0 Date!' Amount: K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 ?x:f � R,Q U0kr �- gCAFr� ar�- :5e'15eYer-e- SRA Sheriff SMIP Other Total REV 4-10-06 r 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 maa'or labor and material for construction of this proposed property impr eent: YES [r/] NO [ ]. 2. I HAVE [ %/]] mAVE 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: DATE: 0(e 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 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty-net/dds OWNER -BUILDER INFORMATION 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. "I 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 $500 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 contractor 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's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. 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. Sincerely, _7��d ��� � La Scott Rutherford Manager, Building Divi ion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY, DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 15244 NORTHLAKE RD Owner: Permit NO: 06-2153 APN: 065-530-009 WILLIAMS, BRIAN T ETAL Issued Date: 03/12/2007 ' By KEJ Permit type: RESIDENTIAL PO BOX 10010 Subtype: SFD-Custom/Model SALINAS, CA 93912 Expiration Date: 03/11/2008 Description: NSF DWELLING(3264), GAR(1526), (831) 320-9570 Occupancy: R-3 Zoning: TM -51l Contractor Applicant: Square Footage: WILLIAM CONST BRIAN WILLIAMS Building Garage RemdUAddn P O' Box 10010 P O Box 10010 3,264 1,526 Salinas, CA 93912 Salinas, CA 93912 (831)320-9570 (831)320-9510 Other Porch/Patio Total 60 4,850 FEE INFORMATION CWIF SF $2,005.09 CWIF SF $2,244.02 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DB R3 Dwelling -Custom, Model $2,217.29 DBSMIP Residential $24.97 Fund 10 BLDG $1,.18 SRA Fees $95.00 Total Charged: $8,274.55 Fees Paid: $8,274.55 $95 Balance Due: $0.00 Receipt No: B2128 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License WILLIAM CONST 567077 / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of than five hundred dollars 03/12/2007 penalty not more [$500]; Please one of the following: Contractor's Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED Section 3700 CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrie �Number: Exp. Date ' ` Contractors License Law.). , (This s ion need notbecomple edirhe permit is oro a hundre ollars$00) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Co nsalion laws of California, and agree that if I should become subject to the workers' X 03/12/2007 tA— co a ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Own ignature Date pr isi s. X 03/12/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign t Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use o upancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co y enter the above mentions props y for inspection purposes. I hereby certify that 1 am the pr a owner or am horizedI cl on lieproperty owne behalf. CONSTRUCTION LENDING AGENCY 03/12/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e f Pe itte SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name} /t ��� INS irst Na Q/� r. /C Address - O 0149 City Stag' _ _ Zip q�>9 2_ PhonA3,, O Fax 1 E-mail r � ARCHITECT/ENGINEER CONTRACTOR Name City Address /j D _ /�me Zip 39,0 r City Fax Stat zip 17390 Phon .Zo 95 -?o Fax E-mail Date Approved: Lic. #6 0 Clas ARCHITECT/ENGINEER Name 'E_ AEf /,���� A5;ElG _ Address 't City State Zip 39,0 r Phone g3 7 $0O Fax E-mail Stat%i�sp Number L APPLICANT INFORMATION Name Address City State_ Zip 9391 Phone 3 , 0 957r Fax E-mail PPLICANT SIGNATURE X For office u e.only: Zoning S Flood Zone fir SRA es I No Occ. TyAb Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT �N/O�. BP BIN #�s PROJECT LOCATION AP# 0 (12 ®dli 9 Property AddressCi D.. L ., fir Cross Street 7F_,,Z_ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Sheriff LENDING AGENCY Name IA— 1011A— Address Address Description or Scope of Work: Sire 14 Sq FT- Living3Z64- Garage/,� (,,, Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Pade 1 of 2 REV 5-12-05 Received 401&_ Amount: 0 • " Bldg SRA' L.� 2 Receipt #: J Sheriff SMIP Date: a/'1 (�� Other Total Pade 1 of 2 REV 5-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature' authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 0.07 '' d .-.. . : v ,t .Y Y ._, . ., - ✓.t �Y, r.- ar'. " �-. IT.' r�4 AFI `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 O/_ _ � /� PERMIT APPLICATION DATA SHEET iG 3 OWNER: \0 I I I iayh<' ASSESSOR PARCEL NUMBER a, �-- v - o 0 Proposed Building Use: w S Permit Technician.1W� Date: Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. '[tr 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. * S.Engineered truss details and layouts in duplicate. No faxesl 0 5. Letter from Engineer or Architect for truss design review. _7V:_ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10.`Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ Soi s Report and/or Engineered Foundation required ........................................... t gFees Erosion Control Plan Required........................................................................ as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ VO 21. Site plan and business license approval from the City of Biggs .............................. 22. California Department of Forestry plan approval ®11id. Sent by: ........... 23. Planning approval for (A) User (B) Parking: (C) Parcel Check:...... tA /a- o0 ❑ 24. Contact Land Development about -improvements, -Drainage ........................ 11 1 25. Fire Marshall Review (commercial projects only). Sent by ...................... 26. NPDES Form............................................................................................. 17/ 27 Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... etter of Signature authorization.................................................................... 31. ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued I hold for pickup. I have been informed'V the above items and requirements for obtaining a building permit. Applicant - Date: - I - U6 2� 1. Index permit ap is ion for the above items numbered: Plan Check a ter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own dvised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer iced of the o2 y Plans reviewed by- DateD6 Structural reviewed by: Date: phone, ❑ mail, :co Date: Plans approved byDate: Z /s Structural erg approved by: Date: 15/07 Note transfer by: Date: Yellow: Building Division c' Y Plot Plan Attached Floor Plan Attadted Sent to BD/DS `A. TO: Building Division =Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for ✓ dwelling. Other i-3,EFbP—9'— 0�/�/�/- %IJDt� Hold final for: Building Clearance 9/2005 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.netidds www.buttegeneralplan.net ADMINISTRATION " BUILDING " PLANNING February 14, 2007 WILLIAMS, BRIAN T ETAL PO BOX 10010 SALINAS, CA93912 Subject: Permit 06-2153 (APN065-530-009); NSF DWELLING(3264), GAR(1526), COV(60) Dear Applicant/Representative: The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application,* and requires the following revisions to your site plan, or information in order to continue the review (this may be for notification purposes, please see below): ❑ Site Plan Resubmit – Follow Requirements ❑ Setback Conformance Erosion Control Plan ❑ Front Yard Watershed Protection Zone ❑ Side Yard ❑ Cohasset Specific Plan ❑ Rear Yard ❑ Subdivision Map Note ❑ Special Setback or Parcel Limitation ❑ Off -Street Parking; Development Standards ❑ Federal Aid Road/Arterial ❑ Parking for Specified Use ❑ Easement ❑ Lot & Landscaping Requirements ❑ Subdivision Map Condition/Note ❑ Oak Tree PlanTE—]North Chico Specific Plan – Erosion Control ❑ Fire Sprinklers* ❑ Notification Only – No Action Reg wired ❑ Other: * Fire sprinklers, and the SRA setback, are not requirements for the Planning Division approval, and this notification is for informational purposes, however it may be requiredfor the issuance of a buildingpermit. The requested information, or notification, is described on the included hand-outs. You will also be given some brief direction, on the following page, of how the information should be submitted or returned to the County. Should you have further questions please contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday. through Friday at (530) 538-7603, or the appropriate Department/Division identified in the hand- t. r . S' ce ly, hris Tolley Associate Planner Cc. BRIAN WILLIAMS, Applicant [CONTRACTOR], Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 Owner App Date RECEIPT OF FEES SCHEDULE - RESIDENTIAL WILLIAMS APN No: 065-530-009 Permit Type: F------F--]Subtype- F 9/7/2006 Permit No: BP 06-2153 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA Res Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application 4 5 6 7 7a 8 9 10 $3,695.49 $1,478.20 $2,217.29 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $1,573.20 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,683.18 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $6,591.37 Balance of Building Permit Fees (from No. 1 above) 8801.091 7395.04 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) 7491.04 6984.04 6198.04 Processing Fee is automatically added to impact fee total Other*: WATER TENDER FEE (Not collected when Impact Fees Applicable( Enter Bat.# Other*: IMPACT FEES - RESIDENTIAL* 1per Dwelling 1771 Comanche Creek IPer Dwelling Applications After 04/15106 ,c SFD ,> MFD Ul MH County 1 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan 0 SR -1, SR -3, SR-1/PD 8801.091 7395.04 R-1 o R-2 R-3 8897.09 8390.091 7604.091 7491.04 6984.04 6198.04 Processing Fee is automatically added to impact fee total 1 WATER TENDER FEE (Not collected when Impact Fees Applicable( Enter Bat.# DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 1770 Butte Creek 1771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776.Mud-Sycamore Creek 777 PV Ditch 8486.40 8582.40 8075.40 7289.40 RECEIPT DATE Tech/Asst $100.00 $4,349.11 $200.00 $2,217.29 $24.97 RECEIPT D T Tech/Asst $8,341 $9,088 $6,776 $8,267 $7,211 RECEIPT DATE Tech/Asst � 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW _- 11 THERMALITO DRAINAGE AREA $684 Maximum C _ Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling J $136 At time of building permit—� $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Paradise High 093 9 12a RECREATION DISTRICT FEES' I Paradise Toon V vi- 11111' At the 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 checking process. IrkApplicant: Date: - y 7 - 0� Pursuant to Government code ection 66020, you are hereby notified those Items followed by an " " may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 1 'L f AND WHEN RECORDED MAIL TO: BUTTE COUNTY 116&u0 ^ZG DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIII'II ��" IIII/'II�' I"1 II'II I I') 2�07-006430 Recorded I REC FEE 10.80 Official Records I County of I COPIES 2.50 Butte I COHFORNED COPY 1.00 CIMM J. GRUBBS I County Clerk-Recorderl 01 I DD 02:51Pm 07 -Feb -2@07 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT - FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 9 C/fc-2 PROPERTY OWNERS: State of California County of 2-O v 100 ) On t/L ©eA 077. AJ;6 before me, personally appeared(_;Q..7WZ?;,�; )&, >t�vt`%f! r�Sox7 Acv dq, L)j i t4,tknts personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s),Ware subscribed to the within instrument and acknowledged to me that ho4he/they executed the same in hisfher/their authorized capacity(ies), and that by hi~/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h ri an officials al. ��Y DONgIA y, nif Signature eal: Omm,#1/ a NOTARY FI18lIC•CAIIFORNIA CQ // � Dub Coenty "` A.P. 4 6&3 - 5 3o -o o� MY Comm. res Neroh 18,4006 00 -" RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No. 302245 -WC Title Order No. 00302245 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Brian T. Williams 20110 Celeste Way Prunedale, CA 93907 1111 I l f 1 i t 111111 111111111111111111 2�Q1 1 —�0 1 03 1 8 Recorded I REC FEE 7.00 Official Records 1' TAX 97.45 unty Cof I E f CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Fay 09:00AM 16 -Mar -2001 I Page 1 of 1 At.N: Ubb-b;JU-UUU GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) E Documentary transfer tax is $87.45 [ X ) computed on full value of property conveyed, or [ 1 computed on full value less value of liens or encumbrances remaining at time of sale, [ 1 Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Samuel Hernandez and Corlyn L: Saldana, husband and wife hereby GRANT(S) to Brian T. Williams,_ an unmarried man, andolCatherine A. Hutchinson, an unmarried woman as Joint Tenants. the following describeWreal property in the City of Unincorporated County of Butte, State of California: Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on August 25, 1972, in Book 44 of Maps, at Page(s) 4. DATED: February 26, 2001 STATE OF CALIF RNIA COUNTY OF ON before me, Sandra uggee , notary personally appeared Samuel Hernandez and Corlvn L. Saldana personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(iss), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my h d d official se*. Signatur SONDRA P. MUGGEE Commission # 1150439 Z •s NotaryPublic-California $ Los Angeles County My Comm. l5q:*es Aug 8, 2001 wqpmwpq , ,.; .- C .ttfg MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) ' ' "` .:►. GRANT DEED BUTTE COUNTY FEB 2 b 2007 DEVELOPMENT SERVICES :. AND WHEN RECORDED MAIL Tli: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 7 -Feb -2007 2007-0006430 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 579�44TPI-c-i4�e —� Date PROPERTY OWNERS: /�1.t/lA°nAC14 State of California County of ;5 i�, 172� OnC/G�ft31"A �i. Z before me, i --L>0 It, 4--!l-10 #- %mo i 6� C personally appeared C:4 yffi�JLS °Lf v�f��SpJ ��„ h tjR�a° L'% personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)yare subscribed to the within instrument and acknowledged to me that he /they executed the same in hi0irr/their authorized capacity(ies), and that by hfsAmr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an official s al. �0 [7QN�lq a, MC ARE Signature( eal: NQfACOMMOV iL#Gl1FORkip N DUN / �J--" J J C?D -o� MY Comm. EVIFN M A.P. # (pardi 18, 1008 RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No. 302245 -WC Title Order No. 00302245 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Brian T. Williams 20110 Celeste Way Prunedale, CA 93907 ILII II(((I ! II({ I II illl ! I lIII If(III 2 43 Qy 1— Iola 1 QJ 3 I. 8 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 16 -Mar -2001 REC FEE 7.00 TAX 87.45 Fay Page 1 of 1 vvv vvv vvv GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) i Documentary transfer tax is $87.45 ( X ) computed on full value of property conveyed, or ( ) computed on full value less value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Samuel Hernandez and Corlyn L: Saldana, husband and wife hereby GRANT(S) to Brian T. -Williams, an unmarried man, anda?Catherine A. Hutchinson, an unmarried woman as Joint Tenants. the following describeWreal property in the City of Unincorporated County of Butte, State of California: Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on August 25, 1972, in Book 44 of Maps, at Page(s) 4. DATED: February 26, 2001 STATE OF CALIF RNIA COUNTY OF ON �L I before me, Sondra uggee , notary personally appeared Samuel Hernandez and Corlvn L. Saldana personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the SONDRA P. MUGGEE person(s), or the entity upon behalf of which the Commission # 115o439 person(s) acted, executed the instrument. Notary Public - California L� MAIL TAX STATEMENTS AS DIRECTED ABOVE Witness my h d d official se Signatur Z •s Los Angeles County My Comm, Expires Aug 8, 2001 f U -Z13 (Rev 7/96) GRANT DEED BUTTE -COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �4. (One form per Building) 'i. School District r Ni ��� A Gil/I Building Department No. Tax Rate Area No. A.P. Number _?Jurisdiction: = City County Property Owner Property Location/Address Subdivision Lot No. ..................................... .................................... _...................... , Residential Development , Sq Footage No Li ingMobile•}Fiome:,,,. Addition/• ; 'Supplembntal•to =' >=' ; a (Group k)`" Units ` InstallationConversion Permit # Cr. Demo - ( ) *(No foundation inspection) existing sq. ft. see attached I Commercial/Industrial 0 Q New Addition Building Department Re resentabve (Street Address) Net total sq. ft. Deed Restricted Sq. Footage. (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) _ ,�_��� Date on No. a!]Z— A ) {� School District certifies that (Payor) (City) (Zip Code) (Phone Number) 1 has complied with the' requirements of Resolution/No. •, « „ m by payment of >. m representing L square feet. B 2926 $ FULL MITIGATION $ Date f Paid by Check # `, Remarks: f 'Y 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 8-fARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) Project Location /Address Subdivision Name 1/ New Development Alteration/Addition(s) Mobile home Demo Permit (date Comments: K- 'Qe Building Permit Number AssessablVSq. Ftge Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential .. Multi -Family Dwelling Mobile home replacement verified by Assessor Department ed) / verified by Building Department ❑ FRRPD ❑ CARD -0 PRPD 0 DRPD certifies that: Z731 3 2,o — Applicant Name Phone Number J90; '71,-z /oab 1-0 I,'n& CA 939/ Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. o y) 9 l by Payment of: Dwelling Units @$ per unit for a total of $ 3 2 Cq Square Feet @ $ 3 2 6q per sq foot for a total of Remarks: Paid by Check No: WC. 1JV 9,0 Paid b= �' Com: It Receipt No: a Recreation and Park Distn resentatrve— 'Daae Butte County DepartmentofDevelopznerztServices o$urr�,a 7 County Center Drive Oroville, CA 95965 °O'=-;, :a o (530) 538-7601 Telephone coUN�y (530)538-7785 Facsimile BUILDING PERNIIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from * other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • .I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained}' a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans !. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: Building site address: �� -� Permit No.: 0653 © DD I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of th above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE o�P,UTT, ° p V 5 Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) ' Phase II Construction Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement ►LESS THAN I ACRE1 Project Description: Project Location and/o Parcel Number: 14• �? 30 0 0,9 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. . Signed: Title: WssJ 'io c— sec, 7 L E6E ID O 5-1114 /O LS 2845 • gree./J/s"/P L S 2843 ♦ Fund n..//'Jen ,3a5/5 of (gear//7 Th. Basis o/'B a�.-.y fes. fh/s P �c�/Mop .s /h. /V..lh'/.ne oJ'fhs S.ofh LY.af //¢ olS.c /roe 7 Jo.Een Fo..f D•ed rocoido o/>n B.4-/638 O.R. oJPo9e 339 and Sh.—er os /V89.0e,16-Eos. sold W.—I.- '4- / 'y/ SURVEYOR'S CERTIFICATE This mop • . P..P.,.d by m —dor my dlacflon A.d •.. ...PU.d (.....told dnfand rt en..d neon o fled ._' In C_fo..... : r". In• ..OulNm.nl. o/ Ino SI/BDIVISfON MAP ACT o/ In. I.pY..1 P/ PAYMnVA ltaLA /.4,1972, f n ... by ...Ilf, Ino1 It 1-f.—`1. /M opp and WWI- .., one I.. oPI'l—I 14—of. Tbof off •S'opP/leoe/e W. l.. one foto/ ni* l�iZ. barn omplo.d grits. '1 65.2203 )Y i'44 ; /i/ o•n WNA.by-L 26.! ah. it Lond$—,o. F8i CAl\b COUNTY ENGINEERS CERTIFICATE This .oP 1.. bean a—Med this 99' Joy o/ A—. ,1972, to, eonfo—oo. with In. r.pnl.....1. o/ 5.01.n 11575 SUBDIVISION MAP ACT.. :=CC"AY_'Gi157LEBERR� / ._ R. L, E,_i 2T -" RECORDERS CERTIFICATE SCALE I" -foo Fll.d Inrt_a?.Xdol 0. e2. 1972, of In 9.04 41fg of PARCEL MAPS v p09e- .t Ina r.9...1 ./ evnly .core.. Cmm'y of Dv//. o.pnfy SERIAL No. 5-490' PARCEL MAP FOR - RAYMOND KOLE oPo.Ji on offiS. LV. G,/i¢olf.SeSWL/q. S.c Jio/s7 7- 23/1 '44E MOM Quf Je Co un fY Co//lo JOHN W. HAMBY L.S .2843 LICENSED LAND SURVEYOR 65/ PEARS ON ROAD PARADISE, CALIFORNIA Ai, ,,f 9 1972 665-530-009 06-2153 WILLIAMS, BRIAN n�E. NORTALAKE, MAGALIA - N O T E S Cont: WILLIAM CONST NSF/GARIDECK(COV) RESIDENTIAL APN: Permit Na Owner. Site Address- Contractor. Type of Permit SPECIAL CONDITIONS . CHECKED BY K� ROOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION n EMS Q VERIFY Q USE PERMIT CONDRTONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REQtSPECTION FEE PAID Q ENV HLTH CLEARANCE +=OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Lorin -Test FaIUC/0-Concrete 4 Wtr; Loctn Test -Easement Needed -Regulator S Elec Loctn-Clmcs-Cmd Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged - 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers o,r mss` or Drawing MISCELLANEOUS' DECKS-COVERS'CARP0RTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; Soils-Sz-0pthSpacing-CnnctmSteel 3 Decks. Girder fJotsts-Ddgng-Brcing Stairs-DuardlHandralis 4 Wood Awn; Posts-Beams-Rftrs-C_nnct sShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnetnsSpiice-Decal-Encisrs ti Carports; Wndws-Doors 7 Electric 8 Fang; Sills-AnchrsStuds-lbRas Trusses 9 Siding; Nailing VengerStucco-Lath 10 Roof. Shthg-Roofing 11 EA; Steps-Doors-Lar►drigs 12 Braced Wall pnis 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Stegi-Cnncbts Thickness Dead Men -lining .4 Elec Rcptds/Lting; D-istance-GFl. 5 Elec Fool 4ting; 15 volts-GFl 6 Elec.Ericlsrs; Conduit Entries -Terminals -Listed 7'Elec Bonding; Metal w/T-Crdtng Eqpitr 8 Elec Gmdng, Eqp v+W Crcitng Eqp-Pool ightg Bares-Epcisfs-pniboardsansuitndo Main Conduit 9 Health Dept Appi4l . 10 •Pimb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding. Diving board or Slide = Nol RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 2 Ftg Main; Soils Elec Gmd Ftp Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings $ Anchr.11ail Fr4ctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth S6 Shwr Pan; Test. Fust fir -Tub Act 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tubi & Shwr, 2nd fir - Tub Ace 6 Stemwalis Garage; Steel-Biockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frple FtgSteel 9 DW V; Fall -Fitting Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test Anchrs-RgltrService Test 12 Elec Undrgmd DATE M E C H A N [CAL 13 Plenums & Ducts; Clmc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support " 14 GirdersSlits-Anchr BoltsJoists Vnts-Cripples 62 Vent Fan, Exhaust abv lnsultn 15 Ace & Vntitn 63 Condensate Drain & Ovrf[w, Sz & Grade - 16 insulation 64 Furnace -Vent Acc-Comb Air RhmMent 115 Outlet 65 Attic Are & Pitfrin if Furnace In attic DATE jFrRAMING 17 Sills Proper Materials & Anchrs DATE F 1 N A L 18 Wills Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-landings 19 Bearing Walls over G-irderf.j& fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (iat Proof) 68 Furnace Vnts-Clme-Comb, Air-Cnnctr 21 Fire Stops.'17drred CellingsStairi-ChasersTutu In Garage; abv4lr-Ducts-Mech Prtctn 22 Headers &'6"-&! &'Bearing 69 Bedroom Exiting 23 Hangers-P•osfCaps-Anchrd:Cnncins70 GFl A Bath Fxtrs & Tub AccSpa 24 Ceding loist4U& Ties-Purlim-Roof Brac-TrussShthg 71 GFl Are Faun 25 Frple Ties or Type A Flo' 'pie Throat C[me 72 Elec Trim & Subpn[, Breaker Szs & Labels 26 Attic Ac—c';Sz &*rvi tjr-IjraR Stop -ins Baffles 73 Sbairs, Guard/Handrails 27 Bdrm Wndws or., Exiting Doors-SillFit & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtbi Framing -RC Chirinel 75 Elm Outlets at Wood PnL Int & Ext 29 Prprty Line Firewall & Opngs' - 76 Ktchn, Fxtr & Appinc; Grnd-AirGap•Cooking Cimc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcts ai Ktchn Counter 31 Stairs; VVidbv-Hdrm-Rise-R m4:and`urg-Fire Prtctn 78 Garage Fire Dobr, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Mc Vnts-Rftr Outrgrs 79 AC Duct In Garage -Damper. 33 Siding -Nailing Veneer 80 Wtr Htr. Vnts•Cime-Dom Air Cnnctr-PRY; abv f r 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyLts•Plastic . 81 Plmb; Elec & Mech Eqp Listed for Locin 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GF) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrdn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes Q No 4 It o* �y� 87 Stucco Brown -Finish 88 AC Unit Dscnnc% Elec-Pimb 89 Vrrts abv Roof, PImb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd DATE ELECTRICAL 40 Fxtr & Tmsfnnr Clrnc-Ins Prtctn 41 Elec Rcptcis Spacing-Dts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous liispctns 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-GO to grade -HD Apprvi 46 2 Appinc Cires In Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz , [:ICU or [::]AL 98 Address Posted AC Wire Sz yaQCUor0AL 99 Fire Sprinkler 48 Range Clic pa Q CU or ❑AL Oven Circ pa [::ICU or QAL Insulated Neutral [—]Yes ❑No 401 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Meth Eqp 51 Clothes Closet LI-Shwr LI -Spa Lt 52 Smoke Detector DE� L MARK E DORNAN STRUCTURAL STEEL 81: WELDING SPECIAL INSPECTOR The Individual named hereon Is CERTIFIED in the category shown, having been so cerdfled pursuant to successful completion of the prescribed written ' examination. Expiration date: March 29, 2008 No. 5029719.85 Not valid unless signed by certificate holder. l ICC certification attests to competent knowledge of codes and standards. 11� • 1 Y p , c. Mark E Doman Building Inspector UBC j The individual named hereon is CERTIFIED in the category shown, having been so certified pursuant to Successful completion of the prescribed written requirements. ' Expiration date: Sep 2�, N0. 5029719-10 ��!�L Not valid. unTesnign6U by certificate holder. i ICC certification attests to competent knowledge of codes and standards. ! 7 uv NOTES BG (sal G �I�CfO !`J �„t+ s:A,Le,Q ttr- wc� 0 164 c�c ego p w�sr . APN: Permit No. Croner. Site Address: 19 m "G Xel,, ' Contractor. Type of Permit: e OFFICE COPY Address GAS Meter By Date ELECTRICZ f N Meter ByIC �� Dat�_L_Ij, C F--1 sRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING_LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: Y t SIGNATURE: CHECKED BY +.�T`$7,SeZr:�..�-:7..«-:C...-.t'�Y"•,t-�.•c.... ^-?— ?`y.�:..t` .r—..... r—.....,y„�Y—-..—`.,r...':r�..�-.*�..+^.iw'�+.•.'.--.•'"�,,... _w BUILDING DIVISION ... - .. ..-� DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER -��) 11 PERMIT NO. I 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. C 61711" ✓�. *`. '1 Y a Date _ Inspector. ILI REV 4/05 Phone # J 3 lS FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ..•. COUNTY OF BUTTE �. BUILDING DIVISIONIM =a DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 =_ CORRECTION NOTICE lG C 1Au► S OG -1 9 T x OWNER PERMIT NO. A.a 4 A routine inspection indicates that the following violations of Butte County Ordinances exist -a 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. Y _Ai �- l Date _ Ml - 06 Inspector �/ r. (1�%2 ���VU`/ • REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY PERIVII I Ivu. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061595 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/03/2006 APN:O65-530-009-000 the Business and Professions Code, and my license Is In full force and effect. License Class : License Number: Site Address: Date: Contractor. Map Index: " OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: ELECTRIC FOR WELL AND FUTURE LOT Contractors' Slate License Law for the following reason (Sec. 7031.5 DEVELOPMENT Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its Issuance, also requires the applicant for such, permit to file a signed statement that he or she Is licensed pursuant to the provisions of Owner: WILLIAMS BRIAN T ETAL the Contractor's State License Law (Chapter 9 commencing with Section HUTCHINSON CATHERINE A 7000) of Division 3 of the Business and Professions Code) or that he or 20110 CELESTE WAY she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the PRUNEDALE, CA 93907 applicant to a civil penally of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business .and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: WILLIAMS BRIAN T ETAL PP provided that such Improvements are not Intended or offered for HUTCHINSON CATHERINE A sale. It however, the building or Improvements are sold within one 20110 CELESTE WAY year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of PRUNEDALE, CA 93907 sale.). ❑ I, as owner•, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed ; Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of Business and Professions Code Dale: a36-1 -- ner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell -insure for License #: , workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance. of the work for which this permit - is issued. ❑ 1 have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. 9' 1 certify that In the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 1, Applicant: I V WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees.. CONSTRUCTION LENDING AGENCY This permit Is hereby Is ed under the applicable provisions of the Butte County Code and/or to a ove for which fees have been paid.ertormance I hereby affirm that there Is a construction lending agency for the Sec C.ly. Resolullons Sdicated /�p oflhe work for which lhls ermit-Is•Issued 3097 P ( )Y -B1�''� -- Dal-e� Name: PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that 1 am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: TZ (�/�Signature: „ Date: 1 3 0 wner ❑ Contractbr 13 Agent for Owner ❑ Agent for Contractor 11 r Ruildinn Parmit 01.16.04 o0 1 o- OK o = Not OK i - MANUFACTURED HOMES .`--_DATE MISCELLANEOUS - DATE PERMANENT FOUNDATION SOFTSET 1 Zoning_ Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test;`FalUC/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-DImt:s-Dmd "Amp -Concrete 6 Yard Gas; Loctn-Test Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Llne 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers D E _CK S -C O V E R S -C A R P O R T S •G ARA G E S 1 Zoning4etbacks-Easements 2 Ftgs; SoilsS-0 zpthSpacing-CnnctrsSteel 3 Decks, Girders1Joists-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-ercng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wap pnls DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 EIec.RcptclsfWng; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elee.Encisrs; Conduit Entries Terminals-1-isted T Elec Bonding; Metal w/5'-Dreftng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg ` Boxes-Encisrs-01boardsansultn to Main Conduit 9 Health Dept Ap'm 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing Alarms 13 Bonding, Diving board or Slide d� o`er d$ Pool Drawing 0 = Nat OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE IPLUMBING \ 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SollsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalis Wain; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgIUService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation oa DATE JFAAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders .& fir Nailing 20 Draft Stop In Walls (rat proof) • 21 Fire Stops; Furred CeilingsStairs-Chasers Tubs 22 Headers & Beams -Si &-Bearing' 23 Hangers-Posf Caps Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue=Fr. Ic Throat Cimc 26 Attic Acc; Sz &'Rmz Prtctn -Draft Stop -ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtetn Framing -RC Channel 29 Prprty Line Firewall & Opngs ' 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace IntiExt Wall pnis 38 Insultn-Walls-Ceilings 39 I nfiltration-Walls-W ndws o's d mss` DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ya Q CU or F-1 AL AC Wire Sz Q CU or EIAL 48 Range Clrc a, ❑ CO or ❑ AL Oven Circ ya [--ICU or QAL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping uAtt MECHANICAL 61 AC Ducts Insults & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace In attic FINAL 66 Ext Steps -Door & SideU Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Arc Fault 72 Elee Trim & Subpnl, Breaker Szs & Labels 73 Stairs, GuardlHandraiis 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters Q Yes [:)No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI RcptcWndrgmd 92 Vntitn thru House 93 Glass Prtctn 94Cor ections from previous Irispctns 95 GasTest-Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted .99 Fire Sprinkler R e° SITE PLAN REVIEW APPLICATION Date: ed lL 17, O Q� AP# 696 0-1-, Permit Number (if applicable) Bin Number APPLICAATINFORMATION Parcel Size: 7e z C Owners Name: l,q A-; �i 1- L !,g- /Y? Owners Address:�l�Oe Lc'STe ��-�.ye..eSC E' . Telephone No.: Site Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel. [Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Zone: L, slal�� XAppro eConditionally Approved ❑ Resolve Problems Prior to Approval / Resolved _ f By'�) Date / � V 2006 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: 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 ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: /�� " S� �%, General Plan: Applicable Building Setbacks: 'Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front v Side /0 1 Side Street Rear 69 _ Height Waterway N/A N/A N/A 'Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 U Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: E] No ❑ Yes ' Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map: Map Date of Recording: XP S 24 72 Lot: Book: Page: G 3 2006 �o N N C o W �!1 O w N N C N � W �!1 O 0