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HomeMy WebLinkAbout066-450-0054 i - T" --- --- RUDY JOHNSON (06- `ISS oS V 5O 4005 E/S Skyway straight across from �Magalia H.S., North CONTR: Lewis McGuire, Ch•co ;`ermit L�089-73B (deck) �• ����9? AP 66-45-05 . RUDY JOHNSON 11050 Skyway, Magalia, (across . "— from_Magalia:,School).......... contr: Four Counties Rfg.^, Chico Pdrmit## 4695-74B(reroof) { 066-450-005 01-3129' DIXON,PATRICK & PATRICIA 13664 SKYWAY, MAGALIA ADD BEDROOM &BATH ENVIRONMENTAL HEALTH CLEARANCE D'? -DATE I — l _ 0 2 - 066-450-005 02-0622. DIXON; Pat & Patrick 13664 Skyway, Magalia - Cont: Steve Eurotas !P -,,h0 5 3 -02. Re -build Ex Deck/SF 066-450-005 '05-0712 DIXON, PAT•I', ,. •� a,. , 13664 OLD SKYWAY, MAGALIA Cont: MARK HAUSKEN§ VM REP EX DECK" r 7 t •r • t LO ' RESIDENTIAL -Y PE IT NO. _., 066-450-005_ 05 + DIXON, PAT: 13664 'OLD SKY,\VAY, MAGALIA } Cont: MARK HAUSKENS . - ` REP EX DECK r N SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO50712 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: 04/11/2005 APN: 066-450-005-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: 'Z !n `� &0 Site Address: 13664 SKYWAY MAG Date: r�— L*�Q4ontracto�Map Index: 'OWNER -BUILDER DECLARATION Description: NEW OPEN DECK 650 I hereby affirm under penally of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 SQ. FT. (REPLACEMENT) 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 Owner: DIXON PATRICIA M & PATRICK signed statement that he or she Is licensed pursuant to the provisions of 13664 SKYWAY the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954-9449 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the 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' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MARK HAUSKENS such work himself or herself or through his or her own employees, 265 E8TH AVE. provided that such Improvements are not Intended or offered for CHICO CA sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of 95926 - proving that he or she did not build or Improve for the purpose of (530) 894-5195 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' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: - WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: ❑ 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. Architect: I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: 't G �� F'.c WCC Pollcya: OQ ,Z Z=, 4D ._-2_0045 Total Square Ft: 650 S.F. Valuation: $6,500.00 ❑ 1 certify that in the -performance of the work for which this permit Is Census Code: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, K5, j and agree that if I should become subject to the workers' v compensation provisions of Section 3700 of the Labor Code, I shall +� forthwith comply with those provisions. <-7 Dale: Applic WARNING: Fallure 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-l'iereby Issued•G der the p licable provisions of the Butte County Code and/or 1 hereby affirm Thal there la a construction lending agency for the Resoluta to do work Indica1 13 fpr ch fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Clv.) — '�'r� Data: % U' Name: By. P IEXPIRES ON: Address: Dale ❑ I 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 19627.5 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 slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to 4ener upon the above mentioned property for inspection purpo Prlhl Name: r LLi.t S-P_1�.� Signal" "lll...YYY��� Date: `Cl Owner;ii�,Conlraclor ❑ Agent for Owner ❑ Agent for Contractor B. C. Buildinp Permit 01-16-04 pp 1 J=OK 0 = Not OK . = NotReadyable 7. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Elec.; Receptacles and Lighting, Distance-GFI 3. Sewer; Location -Test -Fall -C/O -Concrete Card B-1 `. Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG ISCELLANEOUS Date DECKS, ERS, CARPORTS, GARAGES (Plans) OK except #'s onin Requirements -Set acks-Easements Ings; Soils Size- D h-Spacing-Conne rs-St 3. Decks ers and/joists,-Decking-Bracing-Stairs-Rails od Awn.; P -B s-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Ve er-Stucco-Mesh 10. Roof; Shthg-5o6fing 11. Ext.; St - oors-Lams 12. Braced Wall Panels ,Date, - 3-()5 Card B-1 U Date Card B-1 7. Well Clearance & Disconnect :Date POOLS (Plans) OK except #'s 8. Utility Clearance 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI Date Elec.; Pool Lighting; 15 Volts-GFI Card B-1 `. Date Card B-1 Date 7. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date DECKS, ERS, CARPORTS, GARAGES (Plans) OK except #'s onin Requirements -Set acks-Easements Ings; Soils Size- D h-Spacing-Conne rs-St 3. Decks ers and/joists,-Decking-Bracing-Stairs-Rails od Awn.; P -B s-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Ve er-Stucco-Mesh 10. Roof; Shthg-5o6fing 11. Ext.; St - oors-Lams 12. Braced Wall Panels ,Date, - 3-()5 Card B-1 U Date Card B-1 Date Card B-1 Date Card B-1 :Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes Cl No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is in full force and effect. License Class : 1F2 I License Number: Z Dale: W r) _ D 4onlraclo ' 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, after, 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 the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 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, provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one 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 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 pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier:_G T 2 5,iya{" Policy fl: 0® 27--i 4Q —Z 0 0 ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applic l: p 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) PERMIT NO. BP050712 Issued Date: 04/11/2005 APN: 066-450-005-000 Site Address: 13664 SKYWAY MAG Map Index: Description: NEW OPEN DECK 650 SQ.FT.(REPLACEMENT) Owner: DIXON PATRICIA M & PATRICK 13664 SKYWAY MAGALIA, CA 95954-9449 Applicant: MARK HAUSKENS 265 E8TH AVE. CHICO CA 95926 (530) 894-5195 Contractor: License #: Architect: Engineer: Total Square Ft: 650 S.F. Valuation: $6,500.00 Census Code: K5q ereby Issued,u der thep licable provisions of the Butte County Code and/or to do work indfcaft abovel for WAch fees have been paid. ON: X Date: / / / -70. Address: I fuerel ❑ I 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 19627.5 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 any official form or document of Butte County. I hereby authorize representatives of Butte County to i S en er Q upon the above mentioned property for inspection purpo Print Name: _ r i 4--P Signa r Dale:oz; – 0 Owner gConlraclor ❑ Agent for Owner ❑ Agent for Contractor n n n...ir.__ -—:1 M_1R_nA — 1 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 OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE Z4 - e,2041,t, For office use only: OWNER Last Name c First Name Address O f ( !�' City ev , / (�o Sta e Z' Phone D� Fax E-mail Class APPLICANT SIGNATURE Z4 - e,2041,t, For office use only: CONTRACTOR Name Flood Zone Address 2 e--5 F_ 01�- City U State(a ZIp9 5q Z, Phone Fax E-mail E-mail Lic. # Class APPLICANT SIGNATURE Z4 - e,2041,t, For office use only: ARCHITECT/ENGINEER Name Flood Zone Address S City U State Zip Phone Zip 9 �2(v Fax E-mail Planner State License Number APPLICANT SIGNATURE Z4 - e,2041,t, For office use only: APPLICANT NAME Name Flood Zone f� S Address , (0 U City Ght w Type Const. Statee,,, Zip 9 �2(v Page Lot # Planner Date Approved: Phone � � � 9 � Fax E-mail APPLICANT SIGNATURE Z4 - e,2041,t, For office use only: Zoning Property Address 1-3 & �, 4D Flood Zone X SRA Y No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. N:- �7, BIN # LOCATION AP# / (1P ` t4 I Property Address 1-3 & �, 4D Fross Street S WORKER'S COMPENSATION Policy Number 'r'Ou OD ZZg arri r L 'T �Dyh L rt1 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: &_Kt'_-&kjA'j wood 0j" Sq. Footage ❑ 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. I I Receivedby u 60, �� 6c)Bldg I I Receipt #:" 1 �?,J 44 �/� 16 S I I Date: 8 _/ 60, LpI Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �/� V / 50 '' l �- ASSESSOR PARCEL NUMBER / �% Proposed Building Use: W C� e mit Technician: Date: �/ / (/1JS Items required in order to apply for permit. All boxes MUST be checke 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. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remai ng Items needed to issue the permit. (May require additional plan review upon receipt of the following items.) '? o Is�6- Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville as a licable �6 Ire Sprinklers............................................................................................ �-{�? i�� ❑ �7. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit...................................................................:.... ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ tF26. NPDES Form............................................................................................. ❑ 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) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded 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 Telephone l^/>/%S t��'�1"1\ • and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicall1 �D l <�a� '3 ' -% S Date: 1. Index permit application for the above Items numbered: Plan Check Lftter 2. Additional items required ontrac o esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, y Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ow, wcoas advised of the above data by ❑ phone, ❑ mail, ❑ , y Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed y:WDate: Structural approve by: Date: Note transfer by: Date: Yellow: Building Division o'?PaT OA, O p t Ac0 U t4 otic Department .0 ® u n t Michael Crump, Director ®f Public of a U t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storrs Water Permit and Stores Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN I ACRE Project Description: Project Location and/or Parcel Number: 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 I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that. submitting false and/or. inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 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. (J `�� A.P. # ��lW PROPOSED BUILDING USE �GIL�I �iLL/ DATE / 7705 . RECEIPT # DATE REC. �/ 1. BUILDING PERMIT FEES � --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... Ix $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. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 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 �'3 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. DATE 3 —1-7 O 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) ,r Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from .finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-12 1414• 3-12 Max to• Ma:. 1 -1/2 min.. 2-12' 4" Max. Intermediate rails V Max. spacing shall prevent 1-12" the passage of a 4" 3-12 ' may- 36" aL36" Min. diameter sphere. 1-114 242' 4" Max. HANDRAILS —�— 1 42' Min. Top of 4' Max. Top of Deck W Handrail Joist �C ® I height 34"-38" Anchor stair )0 stringers to the 4'- s•Mln. Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and 9'Min screws, lags, M.B. Min. clear width (-� •• Girder at stairs shall Pier posts greater 6'Max be 36" than 3 feet in height need to be diagonally Post Min. 2 - 1/2* braced between dia. thru posts. An approved post cap connection or connect girder & post with 1/2* plywd bolts required gussett & 3 - 16d nails top & bottom 4 - 16d nails or an approved 3 - 2 x 12 ® Min. 2x pressure post base 6" Min. Stringers treated sill plate connection , If using precast piers, 8" Min. embedment wet set 12 x 12 footing Attach precast pier stringer to into concrete sill plate with footing. angle clip TYPICAL PIER FOOTING Handrail 1997 USC -XIS Department of Development Services Building Division 7 County Center Drive oroville, CA 95965 .(530) 538-7541 (530) 538-2140 FAX GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) e 4" Max 4- Max. 36" Min. Top of Deck SIDE VIEW Min. 2x pressure treated ledger Min. 2 — 3/8" x 2-1/2" lag bolts or screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.Xls Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4' Max. Top of 3/4" clearartce Joist to the edge of �he wood member joist A Min. 2 - 1/2" dia. thru bolts required GUARDRAIL An approved post cap connection Girder or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 12" x 12" Footing TYPICAL PIER FOOTING 8" Min. embedment E.H. USE ONLY Piot Plan Attached Roar Pian Attached Sant to S.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 4T /x 0 A i3 ,� ,� Owner Locatio AP# Plan Approved for: Sewage Disposal ✓ Water Sup ly: Public ✓ Private Well Clearance for dwelling. Other Hold final for: Final cle ce O.K. for: NOTE: 5'—o G- Environmental H 8/96 8/96 NOTES RESIDENTIAL 066-450-005 " � 01-3129¢ PERMIT NO., DIXON,PATRICK&-PATRI( 13664 SKYWAY, MAGALIA ADD BEDROOM & BATH 1 oa--Coc`�21- �suk - Ll •r r 1j Y r t SPECIAL CONDITIONS -- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date)--, Signature CHECKED BY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3129 ASSESSOR PARCEL NUMBER 066-450-005 ZONING R1 BUILDING PERMIT OWNER PATRTCK & PATRICIA DIXON TELEPHONE 876-1905 —609 SO. FT. OCC. BUILDING VALUATION 886.00 . OWNERS MAILING ADDRESS 1'16A4 SlAy, MA ;A1,TA 99)54 CONTRACTOR'S NAME TINKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Q 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2O•DO Permit Fee $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDTrlA�bb rSSKYWAY, MAGALIA 33 Energy Plan Checking Fee $ 2-3-00 $ PERMIT FEE $ 544.60 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Y SF Duplex ❑ Mobilehome ❑ Other 6 SPECIFY Each Trap 5 7.00 35.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition C0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDROOM AND BATH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.09 Mobile Home S G W @20.00 PERMIT FEE $,no nn ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.0A 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.POWER 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNo occuP. 3.5Qso ADD ( —OR NS. MULCrICG.0CET NDN REs10. c 97.50 APPARATUS b SINGLE OUTLET C1R. 20 Q 1'00 OUTLET OR FDCTURES Ex. Occu BAL .50 Ex. Occup. ounErs AEESID.OFR.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling' F ee 20.00 Heating Cooling Hood 6.50 Ventilation TY JC.T PERMIT FEI: $ 29 50 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.) 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 w– ers' com n-sation provisions of section 3700 of the Labor Code, I shall orth hith Com ly with those provisions. _ Co \\ /1 X Date �JeG, �Z ®� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE =.AES IMP I FLOOD I CDF – PARCEL I PD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove f w ich fees have been paid. 117-V L -P By Date PERMIT EXPIRES ON D,1 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r;i!`v`.Nn,��,�;r.:'a.'o'f'.r"Y�.'�z.!.d'•''ti""y:.:�.P�"�e�r,�y"r`^�"`--�".i�,ajr-J�►a•1.s�'� x.. r t t.vi-n.:.�,+4 JW 4 - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS10,: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: AXON ,{ASSESSOR PARCEL NUMBER: Proposed Building Use: j/� �/ai� Yding Inspector: C_ - Date: .12,-12-01 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans, ............................................................................................ ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. 10. Fees of $.......................................................................................................... 1. mpact Fees as shown on the attached schedule ............................... .......... ........... 112. C ifornia Department of Forestry Plan Approval/Fees............... .......�......3- ..�..... 13. Flo Elevation Certificate.................................................. ................................................................ 5jf14. Sanitation and Plot Plan Approval C'H �� Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ Ll 16. Plot Plan and Business License Approval from the City of Biggs ❑ 17. Planning Approval for (A) Use: 00 K (B) Parking: ......... . ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage egal Parcel ........................... ❑ 19. Enc'roachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector' (Date) r' ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number.............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) . .............................. !............. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. 90eelephone 4976-1105 and hold for pickup at i 4 offic,e.J/Deliver with Inspector. Applicant: p c�--�----' Date: 1 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, Q Air Pollution Date: By: Copy of Plans sent ❑ Health Department, ❑ Fire Depa ent, El1. Index permit Application for the above items ered: 2. Additional items required: Contractor, designer ne was advised the above required data Date: ❑ mail, ❑ Building Division counter, By: Contractor, designer, ownei, was adv' d of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: By: ❑ Plan Check List Date: Date: Contractor, designer, owner, wasXvised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building D' 'sio ounter, By: Dat Plans reviewed by: Date: Plans reviewed by: Date: % = ri Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.M. USE ONLY `✓ Plot Plan Attached Floor Plan Attach d Sent to B.D. Owner oca io AP# Plan Approved for: Sewage Disposal �Q ater Supply: Public Private Well Clearance for dwelling. Other l L� 16/1 Hold final for: Final clearance O.K. for: t 1 NOTE: kjJ (xIA W (Ac,,Kwz- ( ut Off 1 n kO -"k-.- -a / Jar). Zbv: Environme tal Health Specialis Date 8/96 -�����..Mf"`'�+'w `.a..��-.�..i+.�.• ..r-�.---+'�`-....��'"''..-.'ti"..+tiR�'w--rww-`�.a'�e}'h`^'. ��h.,ti'" 0:. .._ e 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. ,c�G h �P•era c� I ka�1 A.P. # PROPOSED BUILDING USE � � � DATE �2 �/ � RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ....................................................... $ --Additional Fees Due.:-,.......... ... ­ $ --Additional Fees Due ....:....................................... $ f --Revised Plan Checking Fee ................................. $ `! 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ................:................... x $360.00 = $ Units Commercial (sq. ft.) ....................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ J/ #Units Amt. Commercial (Sq. ft.) ............. x $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $$510.00 (paid at Building Division) _a</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 At time of permit application, I was advised.the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ! DATE 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) a -Y,,... ...=�: _ '.a ry'7"" ,. r'r+'r'P!!?h{,e!lr-irFkk'►'�[.F .^,}:. L.ai �M'S'E,r.k�..4. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District AARAN I< r__ Building Department No. A.P. Numberr 4056— Jurisdiction: city County t t Property Owner �f IC.:C %`.(%'Tib/G /Q %4 / Property Location/Address �,3�j� < Lj/ � /�/,(� 9SG% -- Subdivision Lot No. ................................................................................................................... Residential Development Sq. Footage No of Living Mobile'Home Addkion/ -Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial.,..-K,..,,...:.�e,,,,.,.r...�..,�,..e�..•,...-s..r,...« . - z� ,*.Sq =Footage t -#:- �- - New Addition (Including Exterior n _ Roofed Areas) Building Department moor runs reviewea oy Scnooi uistnct r'ersonnel District Identification No. A "' 6 School District certifies that (City) has complied with the requirements of Resolution No. representing f,( �% / square feet. c School District Representative (State) Date (Applicant) 7 Cl (Phone Num (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Paid by Check # Remarks: Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any -court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm �.r,. r ,P ,�►""`a "� .,� `^�`�! : yr...},,,:. `ii - , _�,� ��, ;....aw. : ,�...:,�� .� N- .j..,,,..�;:F,,,-w,.:-sc .�:� .,r.c-�+:•c`:d�w- .•..���,_.,.>. ��.. �, . � � .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 .) PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-450-005 ZONING 1 BUILDING PERMIT OWNER 2AT & PAN= DIXON TELEPHONE SO. FT. OCC. BUILDINGVALUATION 168 0 2184,00 OWNERS MAILING ADDRESS 13661A SKYWAY, MACAT,TA 0%QrA CONTRACTOR'S NAME STM RURWAS TELEPHONE 872-4183 CONTRACTORS MAILING ADDRESS PO ROY 1749- PARADISE, CA 95967 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is 2 84.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.00 BUILDING TM4 SKYrdAY, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 109.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CT Duplex ❑ Mobilehome ❑ Other CT SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGlifies ❑ Installation ❑ Other t Describe Work: RENT1D EX DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 1 5.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200.0. 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 isinfull force and effect. �1�. License Class �1> Lic. No. 7 t'/ I -BUILDER DECLARATION 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooL To 46.00 CCU000A NEW CONST. DWELLING OCCUP. OR ACDNS. ( a ACC. BLDS. SO 3.5,s NEW IpµRESID. T.MULTI.OUTLET 97,50 apOWE.N.R A PU LEf IS �(, OCCU OUTLET OR FDTTURES OWNER BAL O 1.00 Ex. Occup. O ED R6Ip.0Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 LEt tF^I' E FA&/ Q 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.) ❑ 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 ovisions of section 3700 of the Labor Code, I shall f with Xmply with ose provisions. X Date - `Ignatur :4 AppGe6fi0-- ❑ Owner ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 109.00 HA2. t. FEES IMP I FLOOD I CDF PARCEL I PD I HD E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1 / / By i / PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Z (Da 14 Receipt No. JAJOS slug . UU, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75bQ::Qp PERT N . (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-450-005 ZONING BUILDING PERMIT OWNER PAT & PATRIX DIXON TELEPHONE SO.FT. OCC. BUILDING VALUATION 168 C 2184.00 AI OWNERS MUNG ADDRESS 11664 SKYWAY, MAGALTA C CONTRACTOR'S NAME STEVE EITROTAS TELEPHONE 872-4183 CONTRACTOR'S MAILING ADDRESS P0 ROX 1749, PARADISE. CA 95967 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2 84-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ -35-00 BUILDING A[MUSKYWAY, KYWAY, MAGALIA AM6 Energy Plan Checking Fee $ $ PERMIT FEE $ 109.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 13� Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X] Describe Work: REBUILD EX DECK Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class-� Lic. No. � 1 OWNER -BUILDER D CLARATION 1 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, army 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 zoOA TO ,000A 46.00 NEw CONST. owELUNG occuP. OR ( 3.52sFTO. NEW CONST. MULTI-OUTLET�OCC. NON-RESID. BRANCH CIRCUITS@7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES so @ ,.00 BAL @ .50 FIXED APPWS. OR Ex. Occup. ouTLET'S RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. I 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 S-EI&O � MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California wor rs' compensation ovisigns of section 3700 of the Labor Code, I shall f ith mply wit9mose pro vis' ns. X Date gnatur f Ap I t - ❑ Owner ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 109.00 HAZ. D. FEES IMP ROOD CDF PARCEL PD Ho ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo a for hich to s have been paid. By Date Z PERMIT EXPIRES ON Date Receipt No. 343585/$109.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,�,....rsy.`.Y.y/1':-+r�a,.�.:,1.•�-r^intiw.itt.""��.��.s�::7q�:7�i{viY'�`��'rn'�rl'�+q�'fii1761aC<..iE�;%..., '.„,sem ..... ,. � .,,, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: It �`� ASSESSOR PARCEL NUMBER v S Proposed Building Use: (r r n "' Counter Technician: Date: Item required in order to apply for a per it. All boxes MUST be checked OR marked NA in order to apply. I ..Plot 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. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ~�, k 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ...................!............ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Btiilding Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel 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) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 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, 0, Check to H.C.D. $ ❑ 31. Other: When issued Telephone r3f and hold for pickup. I have been infor W f a above' ms and r uirements for obtaining a build' g permit. jo Applicant: Date: Z--- 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Building Division Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ count r, N Date: _ Plans approved by: Date: Structural approved by: Date: ✓ = OK "0 = Not OK y ,■ = Not Applicable ° M®BI•LE HOMES = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 1. Zoning Requirements -Setbacks -Easements Siding; Nailing -Veneer -Stucco -Mesh 2. Soils; Special MH Support Sketch Roof; Shthg-Roofing 3. Sewer; Location -Test -Fall -C/O -Concrete Ext.; Steps -Doors -Landings 4. Water; Location -Test -Easement Needed (Sketch) Braced Wall Panels 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L'ft./ /'LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Size -Spacing -Marriage Line 7. 3. Gas; MH Test -Demand -Valve -Connector 8. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9. 5. Drain; MH Test -Fall -Flex Connector 10. 6. Water; MH Test -Regulator -Connector 11. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date f DECKS COVE ARPORTS GARAGES (Plans) OK except #'s Zon' equirements-Setbacks-Easements ootings; 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 1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 RESIDENTIAL (Single & Duplex) = Not Ready Date jJnderfloor (Plans) OK except #'s 2 W42 Zoaing-Setbacks-Easements-Flood-Slope Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth �,.Etffr Qarage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth rc es & Decks; Soils -Steel-/ r Ftg. Depth r 5 ftlfmwalls, Main; Steel-Blockouts-Wrapped yeffy-Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors 7. Slab teel-Wrapped 9ler -. ireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test ZTP ��• Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 64-�ater Pipe; Test -Anchors -Regulator -Service Test lenu s & Ducts; Clearance -Material -Support -Ins. rcjgFs Sills -Anchor Bolts-Joists-Vents-Crippies & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle �1 ater Pipe; Test & Anchor -Nail Protection L1 .V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELE ICAL (Permit) OK except #'s ixtu� & Transformer Clearance -Ins. Protection ec. R e ceptacles Spacing -Lights & Switches at Doors 2 e 's & No. of Conductors Stapled omyr lhstalled Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water _-2JL-Q-AVpff,ffnce Circuits in Kitchen & Conductor Size GFI . eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle/ / ga Cu or AI.Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes Q No er -Riser Conductors & Ground Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. othe .Closet Light -Shower Light -Spa Light 24-e<-ke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Co n"sate Drain & Overflow, Size & Grade as -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F ING (Permit) OK except #'s Sit�per Materials & Anchors _4.1al uds-Nailing Spacing & Braces -Plates -Sound earl alls over Girders & Floor Nailing raft 0 Walls (rat proof) re s, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) H rs-Post Caps -Anchors -Connectors aW'Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. ace Ties or Type A Flue -Fireplace Throat Clearance -41�Attic A locess; Size & Romex Protection -Draft Stop -Ins. Baffles X50 drm. Windows or Exiting Doors -Sill Ht. & Dimensions ge Fire Protection Framing 02-'Prop.ody Line Firewall & Openings ,pe -16t. Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. PI d on Roof Overhang -Attic Vents -Rafter Outriggers brlTo7S Veneer 57. Stuqco, Mesh -Drip Screed -Fd. Vents•Underflr. Access A Ging Area -Glass Protection -Skylights -Plastic 0 Shear Walls; Nailing -Bolts 60. Br Interior/Exterior Wall Panels 41"InpWi-on-Walls-Ceilings &E -infiltration -Walls -Windows Date (% Card B- Date Card B-1 Date T r Card - Date Card B-1 Date ZINAL (Plans) OK except #'s xt teps- Door & Sidelight Protection -Landings S Detector Furnace Vents -clearance -Comb, Air -Connector - In ge; Above Floor-Ducts-Mech. Protection Bedqq= Exiting . ath Fixtures & Tub Access -Spa EI . Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails e or Stove, Clearance -Hearth JU-Iflec. Outlets at Wood Panel, Int. & Ext. Z2 1GirFTxt-S-Appliance; Ground -Air Gap -Cooking Clearance j3—Etet-Z-5tlets & Receptacles at Kit. Counter Fiie Door; Swing -Landing -Closure t in Garage -Damper V,16. Htr.; Vents -Clearance -Comb. Air Connector- P.R. V. in Garage; Above Floor-Mech. Protection 7 Elec. & Mech. Equip. Listed for Location -in Garage (F.F.I.)-Romex Protection ns ion -Foam -Looked in Attic Guar Rails & Deck Construction -Post Caps 1 dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instid./Drive J Yes Z) No/Walks Z) Yes J No/Planters :1 Yes ] No ,_tlCt0-Brown• Finish F. A.C. nit Disconnect, Electrical -Plumbing ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. V2Lg Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. WatSA Sewer Connected -C/O to Grade -HD Approval 'y Compliance Certificate -Other Certificates 60'Address Posted Date Card Date Card B-1 DaT Card B1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: APA creio Certificate of Conformance Certificate 05 4 05 0 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance' with the applicable standards and associated= specifications indicated below: ANSI Standard A190.1-1992, For WoodProducts — Structural Glued Laminated Timbef NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses A1TC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of.Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. Ve­ 27 W 00 �4 5 ice= C10► .� q SN'tN` by _X_�_Lj Thomas G. WiIliamson Executive Vice President E.vG::VEE.4�0 WOOD SYSrEA!S is a r313!nJ c^:00+3:ir•1 01 APA _ THE ENG!M1'EEnED b'r'OOD ASSOCWION 701 15ouln 19111 S•ree: • P.O. Dox 1: 700 Tacoqu. Y A *?PA 11.0700 T�IeClorle: (253) 5G5•E•o0J • F-a.r N -i rho:: (253) 565.7265 y4• 11-30-2001 10:48M FROM BRANT NIGHTINGALE DESIGN TO 8943422 P.01 ARTicAiRv..- SA" i 1 w HEATING AND AlIR WNQITI4NING *—EAW, OROVILIP CHICO PARADISE89-3330 895-3330 8723330 OR CALLOWARTIC ACRE (278.4224) Homephone: Work PhonC,titate ap. �.�..- Job Location: Cross Street Job Number; KUrnWG, �aGeSIOR-111-190' 3&,flc, 100,01#062 COOLING U0 ►UALI� ID ADDITIONAL '�' U'�'Is l� 1 i.................... :: '............:...........:.. 70. I . Photo Filter Site Diagram Roof pitch/T.ype Financing _ Terms _ Flue Size Extra Billing trtsulation............................................................................... 1 Elecboatatic Air Clow ............................................ S Thetrtltl6iatr r r r �, r :.. ............ :..................................... Extended Waftnty ...... a y?ee— ...XM40,I✓...... Factory Compromw Warrenty _ _ /Q Factory Hem E"or wAminty iS Unites listed above, this work order does not Indude any mrpentry worn, Cora. work permit and permit tees, etectra:al work, Ilea PIPIM or duadng moMoetions or repair. TOTAL We propose to fumnah materials and tabor In accordance with the above epocifi ardor fur a total Installed price of pnaudes re 8nMdod optional eyulp rterd) .................. I I 0 Work will commence in appro)(ImPals days. Eatlmetes valid for 14 days. Payment to be made as follows The above prfce% spedfimUo s and condittons are wMafactM. You arm hereby authortaed to do the ortt fled. Payment wt8 be made as noted. Accepted by. Date: hcd Artic Alm bv:Dam: ep- 8' g THENWH YAtLFr6 fl HEATIMANDAIRCONDITIONINP, COMPANY I TOTAL P.01 �- PERMIT NUMBER - B 4089-73B p E ( PERMIT EXPIRES ,OWNER Rudy Johnson CONTR: Lewis McGuire, Chico LOCATION (A.P. 57-31-r44 j E/S Skyway straight across from Magalia High School north of sign over drive I'Call of the Canyonf? r .i d 'r tl ' h DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE Department of Public Works BUILDING INS'PECTI'JNe�RECORD Zoning Setback % I y" -7! Forms q— % 3 Foundation Q�m Piers & Girders Fireplace Rgh. Plumbing Bond Beam -- Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing % �j Plmg. Topout Rough Elec. Wtr..Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final / 7 2, Final Wil% %� nG�.% �-� Final T �- DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive, — Oroville, California 95965 Tel ephond: 534-4541 APPLICATION AND PERMIT BUILDING Owner © SO. FT. OCC. BUILDING VALUATION O_0 Q goo Mailing Address Telephone No. Fireplace Contractor �� Total Valuation QQ o� Mailing AddressQ fou °�R_ A. Permit Fee Plan Checking Fee &/or Penalty /G Tele hone No. O Permit Fee $O Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 'Cr/S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 P'V�J1 Each gas water heater or vent 1.50 A. P. No. —3 41 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S tion ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd �� Parcel//hpproval PI pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family J0J Iq Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_ 010 Receps., switches & fix outlets �ZoM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / ,/ :�".����Z�/`"P Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No..,�S�-? r�0 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. j� I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /2 Date,Z� Signature of Permit�r Agent Receipt No. Z/� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date �% —7 -3— 7 Building permit expires Date r i `PERMIT NO. '4695-74B J s E 1 M � MH UTIL. ;PERMIT NO. fPERMIT EXPIRES p, e (OWNER Rudy. Johnson CONTR. Four Counties Roofing, Chico �! ),LOCATION (A.P. 66-45-05 ) ,;'11050 Skyway, Magalia(across from Magalia School) I 1i Temp. Power Pole Called PG&E Temp; ,,�yU . Serv. C5'lled PG&E Temp. Gas Serv. Called PG&E JOB J FINALED (Date) (Signature) Masonry Walls COUNTY OF BUTTE — DEPART-MENT`OF PUBLIC WORKS 1 BUILDING INSPECTION RECORD Throat BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas 4 Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough i Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. I, Scratch Heating Service • Brown Cooling Temp. Pole i Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUB I W 7 County Center Drive — Oroville, California 95 Telephone: 534-4541 APPLICATION AND PERMIT / authorize rppresehiptives of the County of Butte to enter upon the above -m on pr perty for inspection purposes. / X Date// /-P —7S_' Signature ofPermitee or Agent Receipt No. ��(//.6 5J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date /!� % Building permit expires Date ...............��.�..`f.`.7J.. B ILDING Owner Rudy Johnson SQ. FT. OCC. BUILDING VALUATION Hot re -roof Mailing Address County Road D Willows,California Telephone No. Fireplace Contractor Four Counties Roofing Company Total Valuation Mailing Address 740 W 12th Street Permit Fee Plan Checking Fee &/or Penalty Chico,California Tle hone No. e�. _0041 Permit Fee $ 12.00 $ 1 0( Building Address Magalia psp 8X PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 CRoss FJ9 0,464JJ4 Sat+ooL Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �(p , �S' Os Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. I .San4aSiw I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW [—]ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Hot re -roof Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than l2) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal�d?o Receps., switches & fix outlets b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Roofing. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 252071 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 1270 authorize rppresehiptives of the County of Butte to enter upon the above -m on pr perty for inspection purposes. / X Date// /-P —7S_' Signature ofPermitee or Agent Receipt No. ��(//.6 5J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date /!� % Building permit expires Date ...............��.�..`f.`.7J.. 11 SITE PLAN 2' o •La i.... . .... .... .. . ................................... .._.. ..............-. ........................ ....................... . -. .. ....................... >• - - - _ •F. 'h f Lgj: ..;.. ;} J e$z• -w .a<. _ ^�:�t"T'S ,,. 4'... A., ~ 1 C _■/ ��aa-,, moi, .. ;'.i. : .'t... • i.-1 t f 4„ .. .. .. .. .. zi Y < e4p t.'• hY� •�• ♦t i t. -.tai �a.. _ i �t' i e' .I„^Y yj 4 a� t - 1 } w ..�. eye. . i .. t .r .. r .. r ti• µ_ j', - jf. f y.41r .. .. .. .. /' j. x w t r. a .H tae .. 't 3. .I i. 1-• ! - 1 •-t.F..:i}.i. � f .rt •:J fi •'?::': '� i - • `��;� f1 C: i i.. _ ......._ ........... - �” f t-} y t' d • f : 'S�0 �t !-, �• ,e r f S,. rad ..i 't .. ..................... .. ............. , +` 4 S`. 3 _ n ,a v il A .1 rt. -;- s tip+. e :.k '`^+• , 4p- - t S`'t=-t r"'- _,,.r 'M, .ice• s .. - .-h.#•' -� .. .. .. .. ;.. ry_ .. .. _7*.... .. .. .. ... _ ..6.•vi :.......................... ....... : .....:...... Assessors Parcel Number ❑ © © — ❑ 0 ® — ❑ ❑ 0 Scale: 1" Owner Name PAT 17 txo Address / Phone No. _13 6, 6 q Qt -r-> S j�y vu h y 8-7 4.i q 0 - Site Location t3 6 (,y 01-0 S �� �.� Nl R� �, ►� G Contact Name iylark CL- u.sl4-e4 Phone '5b eq+ S") Q 5 Ochsbw AMM FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN:. 4.0(r USES: ot rr -Wl LA 17 SITE PLAN 7 .... 7" ...... 7'*'*'-"*'*': —7 ..... 7 ..... -7 ............ ...... 7 ------------ ............ .................... ...... 7 ............. ...... 7 ............ .............. ...... ..... ...... ...... 7 ..... —7- ...... ............ ...... ...... ...... * ...... ............ ...... ...... ..... ...... ...... ..... ............ ...... ............ ...... 7 ......... .................... ............ ............. ...... ....................... ...... ...... ............. ...... ..... ..... ............ ...... I .............. .................. . ............ ............... ............. ...... ...... 7 ...... ............. ....... ............. ...... ...... ............ -7 ------ ............. ...... .............. JIST6,Aq, tv > ............. tM 0 IM C, 0 0 Cc < .................. ............. ...... ...... ...... ...... .. ..................... ...... ..... ........... ....... . . .................... .............................. .......... . ..................... ....... ............ ....... . . ... ... .......... ...... ...... ..................... ............. ................... ............ .......................... .................... .................... ...... ...... .................................................... .............................................................. ................................................. Assessor's Parcel Number 0 Rol [9 — El H RD— [E F21 RScale: 1 Owner Name -PA-r ViXDIQ Address/ Phone No. 1*36,614 OLr-> nA j e�-, :5 3c> a-7 � 1 q V Site Location t-3&644 OL -U> 5�&oay Li it Contact: Name JyjOwL<= Phone 5v Odakm A =3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: Environmental tie. MAR 1 7 bi Chico, CA vow f -4 tl) p a—A