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RESIDENTIAL �. .
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066-440-063
MELVILLE, CHARLES
/3S8v11WOIZCT.,MAGALIA �'/
NSI---21312W/GARAGE
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SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS . '
SUB -STANDARD HOUSING LETTER
OFFICE COPY _
CHECIKED
BY
Address
G ASi,
Meter By Date
ELECTRIC
Meter By Date OL
JOB FINALED (Date) I
Signature
e= OK
0 =, Not OK
= Not Applicable
' = Not Ready
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-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"ft./ /'LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
FINAL (Plans) OK except #'s
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Setbacks -Easements
-5.
Drain; MH Test -Fall -Flex Connector
Soils; Compaction -Structure Stability -
6.
Water; MH Test -Regulator -Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Receptacles and Lighting, Distance-GFI
8.
Gas and Electricity Tagged
Elec.; Pool Lighting; 15 Volts-GFI
9.
Tie Downs -Type -Installation Cent.
Elec.; Enclosures; Conduit Entries -.Terminals -Listed
10.
Exits; Insp.-Sketch
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
11.
Cent. of Occupancy
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
12.
Permanent Foundation Only; License Decal
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.
EM.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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 in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
= Not Applicable RES
Not Ready
Date Underfloor (Plans) OK except #'s
t/Ft , Main; Soils-Elec. Gr .-/ Z P' Fig. Depth
g., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
g., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6. 5Lemwalls, Garage; Steel-Blockouts-Wrapped
6q/Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
iR'1).W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
_;A --Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
/Il.'Plenums & Ducts; Clearance -Material -Support -Ins.
4erGirders-Sills-Anchor Bolts -Joists- Vent s-Crippies
Access & Ventilation
16. Insulation
Date Card B-1 0-' v Date Card B-1
Date Card B-1 Date Card B-1
Date W61MBING (Permit) OK except #'s
W Htr.; Vent -Access -Combustion Air Baffle
IJW<ater est & or -Nail Protection
_W.V , tings & Anchor -Nail Protection
20. Shower an; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
as Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
xture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
o ex Installed Close to Edge of Studs & C.J.
' quip. Ground made up w/Mech Fasteners -Bond Gas & Water
V
28. 2 Appliance Circuits in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30. Range Circle/ / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
e vice -Riser Conductors & Ground Main Disconnect
Z. quip. Clearances Panels-Motors-Mech. Equip.
33. Clo hes Closet Light -Shower Light -Spa Light
moke Detector
(Single & Duplex)
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
41'Clin
Card B-1 Date Card B-1
Date
're ce s or Type A Flue -Fireplace Throat Clearance
tic A cess; Size & Romex Protection -Draft Stop -Ins Baffles
MECHANICAL (Permit) OK except #'s
r indows or Exiting Doors -Sill Ht. s
35.
A.C. Ducts Insulation & Support
5
36.
Vent Fan, Exhaust above insulation
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Veneer
39.
Attic Access & Platform if Furnace in Attic
azing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MING (Permit) OK except #'s
ieoo�siills
rxaper Materials & Anchors
a uds-Nailing Spacing & Braces -Plates -Sound
BeWii<g Walls over Girders & Floor Nailing
Stop in Walls (rat proof)
Fir tops, Furred Ceilings -Stairs -Chaser ubs
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
H a
jWrs-Post Caps -Anchors -Connectors
41'Clin
. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
're ce s or Type A Flue -Fireplace Throat Clearance
tic A cess; Size & Romex Protection -Draft Stop -Ins Baffles
r indows or Exiting Doors -Sill Ht. s
Garage Fire Protection Framing
5
pg ine Firewall & Openings
53
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
lyw od on Roof Overhang -Attic Vents -Rafter Outriggers
tjf,iding-Nailing
Veneer
_1J -8 co esh-Drip Screed -Fd. Vents-Underflr. Access
5F.
azing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace rior/Exterior Wall Panels
sula' -Walls-Ceilings
&g,47 -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date L (Plans) OK except #'s
Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace Vents -clearance -Comb. Air -Connector -
In G age; Above Floor-Ducts-Mech. Protection
edroom Exiting
Bath Fixtures & Tub Access -Spa
Aal_I011rirn & Subpanel, Breaker Sizes & Labels
St ' s & Rails
it lace or Stove, Clearance -Hearth
Elec. Outlets at Wood Panel, Int. & Ext.
t. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
lec. tlets & Receptacles at Kit. Counter
arage Fire Door; Swing -Landing -Closure
C. Duct in Garage -Damper
ir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
7 Elec. & Mech. Equip. Listed for Location
7 lec. Receptacles in Garage (F.F.I.)-Romex Protection
ns ation-Foam-Looked in Attic
Guard Rails & Deck Construction -Post Caps
n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
,Q---rollowing Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
inish
. A.C. Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8§Water Well, Disconnect, Electrical, Plumbing
�J xterior Elec. Trim, G.F.I. Receptacle -Underground
aae/Ventilation Throughout House
4KGlass Protection
9 orrecti from Pre iou pect ions
91. G est eters ged, as -Electric
33�-dater & Sewer onnected-C/O to Grade -HD Approval
93 a gy Compliance Certificate -Other Certificates
9 ddress Posted
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:
.L: "424.0
COUNTY OF BUTTE
BUILDING DIVISION.,
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
Niel 101. l L --30'
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.
M
O
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mss' �'r"1y1 e„�e,F�:��sT'<,F•�C�_;,y
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COUNTY OF BUTTE
BUILDING DIVISION ;k
DEPARTMENT OF DEVELOPMENT SERVICES r
.?
411 Main Street • Chico, CA • (530),891,-2751
7 County Center Drive • Oroville, CA • (530)'5313-1541
CORRECTION NOTICE
�
WN
�t
OER�PERMIT NO. R
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need "additional explanation,
please contact this office immediately.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��,0 lTJ 0•
(Rev.12/96) APPLICATION AND PERMIT
AST6 P W!'653
ZONINRT-1
BUILDING PERMIT
OWN/ERRb7b�7• �
ld7tiiSL1 S NDLY =
TELEPHONE
876-8138
SO. FT. OCC. BUILDING VALUATION
T_ 881344-
OWNER'S MAIUNG ADDRESS
P.O. BOX 1639 MAGALIA CA 95954
_16'36
795 11 14 130
CONTRACTORS NAME
NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace "All 1,500,
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 667-50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
198
$ 433
BUILDING ADD MIWOK CT. MAGALIA
Energy Plan Checking Fee
-
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF I Duplex ❑ Mobilehome ❑ Other
SPT
Solar or heat pump water heater
23.00
Water piping
15.0015.00
Each as water heater or vent
1 5.00
TYPE OF WORK
New LX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SINGLE FAMILY — 2 REDROOM
Gas piping stem 1 - 5 outlets
15.00 1r, nn
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ 134.00
ELECTRICAL PERMIT
Filing Fee 20.00
600VOR LESS
Main Service 2a.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
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 To ,
46.00
WEE200A
NEIN coNsr. DWEUING occuP.
U
OR ACC. S.
3.5QF°:
co"� T. MLI
=RESID. CU
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR. 1
Ex. OCCu OUTLET OR FIXTURES
20
SAL, @ 1.50
LNS
Ex. Occup. oFlx�eED�A 0 oE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
IQ 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
IrtWith comply with those provisions.
X Date" �� _ ��%�
Signature of Applicant7- ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavati ns over 60" deepa d demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
20 00
Hood 6.50
Ventilation
PERMIT FEt= $ 66.00
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
al
CONSTV TOTAL FEE $ 19520.59
HAZ.
,�-
p, IMP Io
CDF
PARCE
HD SU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By.
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
i� Z
O
(D,913)
Receipt No. 343008 $536.85
WHITE-D.D.S.-B.D. CANARY -ASSES PINK-INSPEC70R GOLDEN OD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPOSED B DING USE
1 1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
/--Revised Plan Checking Fee .............../f............. $ C
2. SCHOOL DISTRICT FEES
paid at District Office)
3. SHERIFF FEES (paid at Building Division) 3
Residential .... :............................... x $360.00 = $
Units
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
Commercial (Sq. ft.) ............. x =$
''' Sq. ft. Amt.
::!;;Z_75. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
IC)7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P. #�� '7 7 7 -
DATE
RECEIPT #
�tb3uf
DATE REC.
r ,i�'—�_,�o'L
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees .
may be changed during the plan checking process.
APPLICANT /� f/�/1%� r ` ' DATE 2_00 1 --
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
V ��'.� i r .-. .w�-.n,'...� r„- v-;...�-qas_.wy.�.�_'^..�'r:.....1,w•...-. '+.:�4-^-tiN.�l.""'-�+. ��.,,...:..� l . .. -
••w. '� COUNTY OF BUTTE-DEPANT 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: �ZwaV�4 ASSESSOR PARCEL NUMBER
Proposed Building Use: I Counter Technician: 174T Date: OR— epO" 4A
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
[(tel Plot plans, 3 or 4 sets, signed by the preparer of the plans.a7
Complete plans, 3 or 4 sets, signed by the preparer of the plans. ��
/0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed cal ations.
r. -Engineered truss details and layouts in duplicate. No faxes!
'-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.
.. 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. i
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit iyill 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
1
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)' A
F
Z6.
;.7FFees as shown on the attached Schedule of Fees Due Sheet .......................................
,'rStatement of Intent for Non -heated and A/C Buildings .................................... ~. Sanitation and plot plan approval from the Environmental Health Department in
17. City of Chico Plumbing permit ...........................................:.. ................y
�2�'V�-
'$. California Department of Forestry plan approval ❑paid. Sent by: Z .....................
❑ 19. Planning approval for (A) Use: OK (B)Parking: . (C) arcel Check:
❑ 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) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Letter of Signature authorization....................................................................
7. Recorded copy of Agricultural Acknowledgment Statement ..................................... Q
❑ 28. 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: Date:
1. Index permit application for the above items numbered: _ — r7 =1a
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the ab ve data by ❑ phone, ❑ mail, ❑c u er, Date:
Y�
Plans reviewed b L Date: �• �— Plans approved by: � Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
J
E.H. USE ONLY
P:;"-i4;'A '
i'i1•n ached
I' float Phn Attached
Sejht,6 B.D. /
I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I� I -
Owner Location AP#
Plan Approved fo : Sewage Disposal Water Supply: Public% Private W II
Clearance forudwelling Other IQ r' l^�
C421
j U
Hold final for:
Final- clearance O.K. for:
NOTE:
9/96
Specialist
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
form per Building)#
r(One
'f
P
School District►
/
Building Department No.
A.P. Number v "" � O �"
Jurisdicttion:�/ City
County
Property Ovmer A�
) `^ Iul "`"`-'�—
(
���i� C
�� `� CAL,
Property Location/Address
"""�-
All (/1 l
� �-�
Subdivision
Lot No.
...................................................................................................................
(0
Residential Development 0
Sq. Footage
M No of Living
Mobile Home Addition/ 'Supplemental to-,--,_
(Group R)
Units
Installation Conversion
Permit #
i...................................................................................................................
'(No foundation inspection);
Commercial/Industrial
F
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
0 z
Building Department Representative
Date
(Floor Plans reviewed by School District Personnel)
Di s i • t Identificati n No. ®r otpvir
School District certifies that / (./L
(Applicant)
G�oJc � �. 976-,01 �
(Street Address) (Phone umber)
COP vg/
(City)
has complied with the requirements of Resolution No.
representing 16 6 square feet. ,
School District Representative
Paid by Check rr
Remarks:
(State)
(Zip Code)
by payment of $
o
rB 2926 $
LL MITIGATION
$
Date
33s3.�a
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 (CEGA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
AND WHEN RECORDED MAIL TO: 10a ' —100 0 j3 6 6► S
BUTTE COUNTY BUILDING DIVISION Recorded i REC FEE 10.00
7 COUNTY CENTER DRIVE Official Records I CONFORM .00
OROVILLE, CA 93965 County
BUTI EOf I
'CANDACE J. GRUBBS I
Recorder I
ROSEMARY DICKSON I
Assistant I Kristyy
10:479M 21 -Feb -2002 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, 2
plowing, spraying, pruning, and harvesting which occasionally gwerate 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:
DateZ4a20, 20� 2
State of California
County of Butte
PROP RTY OWNERS:
Charles R. Melville
nnie - S . Pre vi e
1
On _ 2/20/02 before me,
personally appeared_ Lnaries x. Meivitie ana .Iennze z). meivi.i'ie -- personally
(mown to me (or proved to me on the basis of satisfactory evidence) to he the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my h off IW e'aL
Signature Seal:
A.P.# 066-440-002 / 066-440-003
" A.BURCHAM
O �, ';� COMM. #1281413
10 NOTARY PUBLIC CALIFORNIA 0
BUTTE COUNTY _
piny Commission Exptra9 ocL 22, 2004
Order No. 303206
EXHIBIT "ONE"
Lot 65 and 67, as shown on that certain Map entitled, "Indian Meadows Subdivision
Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on
August 17, 1972, In Book 38, of Maps, at Page(s) 99 and 100.
EXCEPTING THEREFROM, as to an undivided 33 1/3 interest in all minerals as recorded
in Deed recorded In Book 743, Page 63, Official Records of Butte County. Said
reservation did not include right of entry for mining purposes.
RESERVING THEREFROM as to an undivided 66 2/3 interest in all minerals below a
depth of 200 feet.
Assessor's Parcel No: 066-440-002 / 066-440-003
PLAN REVIEW RESPONSE FIRM
.n order to expedite the review of your plans, please complete the following information and return this form with your re-submiWL If
:..his 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
tsponse 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 CA- i ie, DATE: -
Cha.,)es Ke-1
ASSESSORS PARCEL NUMBER PERMIT NUMBER
06G - o 0;--6360
RESPONSE FOR PLAN CHECK LETTER DATED:
filo k-;1 30 . D-od'�—
PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS:
COMMENTS:
i
PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS:
.COMMENTS:
PLAN CHECK ITEM # IRESPONSE BY: ILOCATION ON PLANS/CALCS:
NTS:
PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS:
(COMMENTS:
i
PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS:
RESPONSE FOR PLAN CHECK LETTER DATED: I I
PLAN CHECK ITEM # IRESPONSE BY: ILOCATION ON PLANSICALCS:
PLAN CHECK ITEM #
RESPONSE BY:
LOCATION ON PLANS/CALCS:
COMMENTS:
PLAN CHECK ITEM #
RESPONSE BY: -
LOCA'r! t4 ON PLANSiCALCS:
COMMENTS:
PLAN CHECK ITEM #
RESPONSE BY:
LOCATION ON PLANSICALCS:
COMMENTS:
PLAN CHECK ITEM #
RESPONSE BY:
LOCATION ON PLANS/CALCS:
COMMENTS:
PLAN CHECK ITEM #
IRESPONSE BY:
LOCATION ON PLANSICALCS:
COMMENTS:
1. A. FLT engineering has reviewed and made all changes per your request and
stamped the plans per your request.
B. The bay window is relocated, to scale out to 32 inches.
2.
3.
C. Delta symbol 1 is a error and eliminated from the plan.
A. All garage walls will have 5/8 type sheetrock installed, the ceilings will have
supports at 16 inches on center.
A. Plan will be noted that a floor will not be installed in garage attic .
4.
A.Holdowns will be noted on plans and HD2A holddowns installed at those
locations .
5.
A. 4 elevation views will be provided per your request
6.
A. Supports for girder truss will be shown on plans.
7.
A. Beam sizes for garage doors will be noted on plans.
8.
A. Foundation will have the supports redrawn to reduce the spans to comply with
Uniform Building Code.
9.
A,Eaves will be enclosed on the left and rear of building per fire requirements.
B. Class A 25 year composition roofing material will be installed.
April 30, 2002
Charles Melville
P.O. Box 1639
Magalia, CA 95954
•
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 066-440-003
Building Permit Number: 02-0360
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.
NON-STRUCTURAL COMMENTS'
rz_7zi) Front wall of house does. not meet bracing requirement of Chapter 23 of the Uniform
building Code. The alternate braced wall panel on the left of masterbedroom window does
not measure 32 inches unless you move window over. What is the delta symbolai You will
need to revise plans to show window in the correct location or provide a lateral analysis for
this wall line.. If an engineer does a lateral analysis he must submit two sets of stamped
signed calculations and he must stamp and sign two sets of the plans.
2. Plans will be noted that all walls and the ceilings of the garages will be 5/8"''s Type X sheet
rock with supports at 16 inches on center.
3. Plan will be noted that there will be no flooring in the attic space.
All holdown type and location are to be shown on the foundation plan.
5. Provide four, clear elevation views of this structure:
7'L7—(D Support for the girder truss and paralam beams are to be shown on the plans and sized for
loads.
7. Provide size of beams at garage doors.
ALT 4x8 floor girders are over spanned. Provide gravity load analysis for spans as shown or
tighten up spacing of supports.
9. Eaves must be enclosed on the left and rear sides of the building and Class roofing materials
must be used. These requirements are from the fire department as part of the State
Responsibility Area for fire protection.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Martha.
1 of 2
April 30, 2002
Charles Melville
P.O. Box 1639
Magalia, CA 95954
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 5384541 (530) 538-2140 FAX
Assessor Parcel Number: 066-440-003
Building Permit Number: 02-0360
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.
NON-STRUCTURAL COMMENTS:
Front wall of house does not meet bracing requirement of Chapter 23 of the Uniform
building Code. The alternate braced wall panel on the left of masterbedroom window does
not measure 32 inches unless you move window over. What is the delta symbol 1? You will
need to revise plans to show window in the correct location or provide a lateral analysis for
this wall line. If an engineer does a lateral analysis he must submit two sets of stamped
signed calculations and he must stamp and sign two sets of the plans.
Plans will be noted that all walls and the ceilings of the garages will be 5/8 's Type X sheet
rock with supports at 16 inches on center.
Plan will be noted that there will be no flooring in the attic space.
All holdown type and location are to be shown on the foundation plan.
�! Provide four, clear elevation views of this structure.
Support for the girder truss and paralam beams are to be shown on the plans and sized for
loads.
Provide size of beams at garage doors.
4x8 floor girders are over spanned. Provide gravity load analysis for spans as shown or
tighten up spacing of supports.
Eaves must be enclosed on the left and rear sides of the building and Class roofing materials
must be used. These requirements are from the fire department as part of the State
Responsibility Area for fire protection.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Martha.
1 of 2
0
0
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
Martha Christy
Plans Examiner
2 of 2
February 21, 2002
Charles Melville
P.O. Box 1639
Magalia, CA 95954
Department of Development Services
Assessor Parcel Number: 066-440-003
Building Permit Number: 02-0340
Building Division.
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
PART — I
As part of our attempt to expedite plan check, a cursory review of your plans has been
done. We will require the items below to be submitted before your permit comes up for
plan check. This takes between 3 and 4 weeks at this time.
Provide additional information and/or make revisions to plans, specifications and
calculations as follows:
1. Your plans refer to a "future" game room. Please eliminate ALL references to this room and
ALL references to the stairs from your plans, A floor will not be allowed up there at this
time, and a permit will be required to convert this attic to a room. It will be checked as an
attic only at this time. OR, you may include it in this permit, and it will be a part of this
plan check. Please keep in mind that the game room must exit into the living portion of the
house or directly to the outside, not into the garage, and must be heated. This square footage
must -be included in the energy calculations, and the energy calculations revised as to location
of all ducts. This room must have adequate natural light and'ventilation also.
2. Please remove the wall between the two garages, as a garage must have a garage door, or re-
label the back garage. Please keep in mind that this wall is a bearing wall, and will need to
be'replaced by a beam to support your ladder framing. This beam must be on the plans.
3. Please provide a lateral analysis of the front of the building by an architect or engineer. Have
him include a letter that he has reviewed the trusses for his design.
4. Please show the location of your HVAC unit on the plans.
5. Please show all distances to property lines from the house.
6: What is 1/2 sheet siding @ 16 oc??? Please clarify.
7. Please show the method of bracing and the height of all cripple walls.
If you wish to discuss the above requirements please call me at (530) 538-7541 between the
hours of 1:00 p.m. and 4:00 p. m., Monday through Friday.
1 of 2
Sincerely,
Linda Simpson
Plans Examiner
2 of 2
PROJECT PROCESSING ' ',l
JOE
1 • v r
WORK 1 1. •
1 L DESi 1' • •
r
o „ . ° RESIDENTIAL PLAN
° _.:-� ° REVIEW GUIDE
SINGLE FAMILY, DUPLEX AND
MISCELLANEOUS ONLY
Owner: I Y I�'i�Vl��� Building Permit Number:
0'1-� ®3�0
Plans Examiner::Vfartha Christy A. P. Number: (9 (-06 -4q6 — o a��
G NERAL:
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.
PLOT PLAN:
Complete parcel size and dimensions.
Setbacks, side yard, easements, etc.
Other buildings or structures.
Grading, fills and/or drainage.
5. Flood hazard.
6. Special conditions on Parei6l Map:
Noise ❑ SRA Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑
Federal Aid Route and/or Federal Aid Secondary Route setback requirement.
S. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.)
FLOOR PLAN:
1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).
2 10% of natural light and 5% of ventilation (Uniform Building Code section 1203).
3. Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet. The minimum net
clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 207.
When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than
44" above the floor (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 ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this
section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet
measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1).
7. All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in
any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
S. GFC1 in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210).
9. Water heaters which 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 into a bath
or bedroom (Uniform Plumbing Code section 509.0).
109
0 Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in
9
a room compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5).
l l . Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building
Code section 302.4 exception #3).
12. Under no circumstances shall a private garage have any opening into a room used for sleeping purposes
(Uniform Building Code section 312.4).
13. Wood stove location - Alcove — UN1C section 205 confined space & 223 unconfined space & 304.2).
14. Smok: detectors (Uniform Building Code section 310.9.1).
Page 1 of 2
(? f -
Y� OF V1'�Gt-s FW d r'60"') t c�'rl
15. Water closet clearances (Uniform Plumbing Code 408.5). l
16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 'C.�1 C/✓OLA
17. 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).
-STRUCTURAL DETAILS:
1. raced wall panels shall stan at not more than 8 feet from each end of a braced %%211 line. Braced wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed 34 feet on center in both the longitudinal and transverse directions (UBC 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 designer's "wet" stamp, signature,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations. r
, Clerestory requiring balloon framing and/or engineering. �n C)
C
Foundation plans complete enough to construct building (Uniform Building Code Table 1 �I-C h0(d dev
4tFloorconstruction details complete enough to construct building. T004i" Ot'+ r (OCA dn
FElevations and wall construction details complete enough to construct building'. p t/! Gf e L( I _ r Zind.
)
7. Roof construction details complete enough to construct building. � ,1/et, 1 or V` 1'��
8. Fireplace construction details and calculations if necessary.
Garage door header size(s).��,yj�
Porch header size(s). �,►'�1 v' I Or Jed' J
V
Typical header size(s).
Stud heights.
13. High expansive soil — special foundation design required.-lh1'ZIJy-�
14. Retaining walls requiring design. �r�
�ypsum wallboard nailing inspection required.
10. 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
more 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.
1. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be
designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
MISCELLANEOUS ITEMS:
Stairv►ay details — landings, rise and run_ head clearance, handrails (Uniform Building Code section 1003).
Guardrails (Uniform Building Code section 509).
Brick or stone veneer (Uniform Building Code section 1403).
Eacterior plaster — weep screeds (Uniform Building Code section 2506.5).
51 Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2).
6 Foam insulation — protection.
7 36" halls and stairways (Uniform Building Code section 1004.3.3.2).
8 Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2).
9 Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
1 . Attic access and ventilation (Uniform Building Code section 1505).
1 Sound requirements.
nergy design compliance and supporting documentation. I
CDF responsible area requirements.
BUIL G PERMIT REQUIREMENTS:
1. ff S NRA. "Q.� �&w R
2. ❑ Flood elevation certificate. Vb v�
3. ❑ Fire Sprinlders required.
4. ❑ Special Inspection requirements.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing letter.
• Paee 2 of 2 •
n ' ' OLAN REVIEW RESPONI& FORM
In order to expedite the review of your plans,; please Complete the following information and return this form with your re -submittal
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 v
response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate
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 LEITER AND RETURN WITH REVISED AND ORIGINAL PLANS
OWNERS NAME DATE:
ASSESSORS PARCEL NUMBER PERMIT NUMBER
N 6 - - 4Lo a0-3
RESPONSE FOR PLAN CHECK LETTER DATED:
/:d e) --
PLAN CHECK ITEM N RESPONSE BY: LOCATION ON PLANS/CALCS:
i C'I1C.-les Aelv,'[L
COMMENTS: /I _ _ _ /-P + . \ , / 1 -7-- -1 . , . „-4- , ,
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PLAN CHECK ITEM N
RESPONSE BY:
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LOCATION ON PLANS/CALCS:
COMMENTS:
S I� Il
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PLAN CHECK ITEM N
PLAN CHECK ITEM N
3
RESPONSE BY:
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LOCATION ON PLANS/CALCS:
COMMENTS:F L 1
nee
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RESPONSE BY:
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LOCATION ON PLANS/CALCS;
COMMENTS:
Cal) �for a.r) v)' ►tq/
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RESPONSE BY:
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LOCATION ON PLANS/CALCS;
COMMENTS: P J /Q n / S c 'T(,, h C ,.y
yr-, npVrt v / , "!. > c .
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FLAN REVIEW RESPOND FORM
In order to expedite the review of your plans, please complete the following information and return this form with your re-subraitW
this form is not complete. as to all correction items. we will not be able to accept your resubmittal for review. There must be a
response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate
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:
3 -)V ,� 00' 2 -
ASSESSORS PARCEL NUMBER PERMIT NUMBER
NZ L�+G -oo3 0,1--0344
RESPONSE FOR PLAN CHECK LETTER DATED:
,b . O 2—
PLAN CHECK ITEM N RESPONSE BY: LOCATION ON PLANS/CALCS:
comes Koly > >e.
COMMENTM G r? I I .S h g �lSTS.
r-9.(. p . &�Q Y- ZnnTa 1 . S / d„", a TA Arte 11 Pnl ri IJP_ ✓^ -�A 117 -
PLAN CHECK REM #
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RESPONSE BY:
LOCATION ON PLANS/CALCS:
COMMENTS: yt ZP)
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PLAN CHECK ITEM ti IRESPONSE BY: ILOCATION ON PLANS/CALCS:
COMMENTS:
PLAN CHECK ITEM 0
CHECK
SE BY:
LOCATION ON PLANS/CA
ON
ro CHlCO ENV. HEALTH
❑ APRROVED
Grne�a/ Info�madon
Owners Name:
Owners Address:
Building Site Address:
c1
Property rl? brmation
Q T
DMONALLY APPROVED
JL
_..
I+ -
PLANNIING
J -
❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
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AP#: n(olL, — y D ims
Parcel Acreage:
PAD- a r 3 W_
Permit Type:
❑ Agriculture Building ❑ Commercial
❑ Industrial
❑ Mobile Home 45FD ❑ Residential Accessory
ivi 'on Mao
❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel >�eptic ❑ Well ❑ Other
Zone District:
r `�
Date of Zoning Ordinance:
General Plan:
Side street
Development Agreement:
Jse Permit:
v
Variance:
Nei rit
?arcel Is In:
Land Conservation Agreement
IN No
❑ Yes, check use
Minimum Acreage:
Nitrate Action Plan
® No
❑ Yes
Violation Area
ja No
❑ Yes
In No
❑ Yes
❑ Chico ❑ D2N ❑ Cohasset
Specific Plan
No
❑ Yes, check use
Enterprise Zone
No
❑ Yes
'
Number:
Floodplain
Zone: Panel
jj No
E] Yes
Watershed Protection Zone
proposed Use
Complies With: General Plan
® Zoning
-'roposed Use
Requires: ❑ Use Permit
❑
Minor Use Permit
❑ Administrative Permit ❑ Accessory Building Use
-ommercial/Industrial/Multi-Famil
Parking: ❑ Parking Requirements are OK as Shown
Landscaping: ❑ Landscaping Requirements are OK as Shown
Road and Drainage Improvements Required: ❑ No ❑ Yes
aoolicable Setbacks:
❑ Other
❑ Other
rA
Zoninci Code
S t & Hichways
Fire Prevention
ivi 'on Mao
Front
' L
Side
Side street
Rear
v
Nei rit
rA
nvironmental Health Issues:
Septic Permit Review
Well Permit Review:
Land Oevelopment Review
'arcel Created bv:
❑ Deeds Date of Creation:
Agriculture Affidavit Required ❑ No ❑ Yes
Designated Well Site ❑ No ❑ Yes
Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes
Deed Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments:
Legal Access Provided:
Legal Access Required:
❑ No ❑ Yes, Road Name:
❑ No ❑ Yes
)NL-)IAJ so r3 _ q' 3
*Map Date of Recording:
6-I-)- "72
Lot: L —7
onditions That Must 7e Met Prior to Issuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access
❑ Comply with condition no.
❑ No ❑ Yes
❑ No ❑ Yes
Block: Book: 3
of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application).
❑ Provide Creation Deed
99)10-D
Page:
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
N
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
eneral Comments:
-S NO W Le) -f) -ro `Z�c5D -FT -
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 )M NO 0
2. I HAVE �1 HAVE NOT 13 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: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
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:
PROPERTYOWNER: 4'e"'74
SOCIAL SECURITY` NUMBER:
DATE: ��i6 ��. 0-0O 9 -
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.
OVER
OWNER BUILDER INFORitiIATION I
Dear Property Owner:
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 ✓ou employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 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.
♦ The -e 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 Contactors 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.
I+Micel
/L&11-1
Vi ira, C.B.O.
uilding Inspection
NOTE. TMs Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code -
OVER
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