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Home My WebLink About068-224-002µ RESIDENTIAL S PERMIT NO. _ 068-224-002 HAASE, JAMES G (5 - go Y-9 �O LINDA LOMA, OROVILLE �`. Cont: OWNER 'y PC- X pu Ccp NSF, w l 04-0877 OFFICE COPY Noy Address 20 Li t i6p, t) 0 GAS' Meter By Date_ I ELECTRIC Meter By. D. StNcWv�pti(S Date2-17-10 i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY x USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 0-4/ •- \Ci� \� OFFICE,COPY p CITY OF OROVILLE BUSINESS ASSISTANCE/ Address HOUSING DEVELOPMENT G f r11 • 0 . JAMES HAASE — HOUSING DEVELOPMENT y SUPERVISOR 1 ELECTRIC 3v TEL.: (530) 536-2540 Meter By Date 1735 MONTGOMERY STREET CELL:530530 370-6939 OROVILLE, CA 95965 FAX: E-mail: haasejm@cityoforoville.org -7 / JOB FINALED (Date) :J b • Oy J r Signature J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s < 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;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card 8-1 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 10. Plumb.; Cir. -Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 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 = NotOK - =Not Applicable Ap . = Not Ready FRAMI (Continued) RESIDENTIAL Da _ _,#JND . fiftfLOOR (Plans) OK except #'s Z9ping-Setbacks-Easements-Flood-Slope Date PLU ING (Permit) OK except #'s tg ain; Soils-Elec. Grnd.-/ /" Ftg. Depth 1 r tF; Vent -Access -Combustion Air Baffl 3600Kg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 5 4. EW., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Shower Pan; Test, First Floor- u ccess drm. Windows or Exiting Doors -Sill Ht. & Dimensions mwalls, Main; Steel -Bloc kouts-Wrapped 52. as Pipe; Sixe & Anchors Viou-S GS b(C Oxb - mwalls, Garage; Steel -Bloc kouts-Wra ed 23. Fire Sprinkler; Test < l–I S G "' Hold Downs and Special Anchors Date 7. Slab ,Steel -Wrapped / 8. P rs-Fir lace Ftg.-Steel 55—Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D. ; Fall -Fitting -Test -2 Way C/O -Sewer Test 2 eg,Receptacles Spacing -Lights & Switches at Doors 10. , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 5krcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test qu . Ground made up w/Mech Fasteners -Bon Ga Water ' 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation 34.` IotFje Closet Light -Shower Light -Spa Light 16. Insulation (Single & Duplex) If Date FRAMI (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLU ING (Permit) OK except #'s Fireplace or Stove, Clearance -Hearth 1 r tF; Vent -Access -Combustion Air Baffl Eoplace Ties or Type A Flue -Fireplace Throat Clearance 1 r Pipe; Test & Anchor -Nail Protec 5 D .V; Test Fittings & Anch ail Pobtection t•0(pR,Ti Shower Pan; Test, First Floor- u ccess drm. Windows or Exiting Doors -Sill Ht. & Dimensions 21. Te Tub & Shower, Second Floor -Tub Access 52. as Pipe; Sixe & Anchors Viou-S GS b(C Oxb - Ib.; Elec. & Mech. Equip. Listed for Location 23. Fire Sprinkler; Test < l–I S Property Line Firewall & Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 55—Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 2 x & Transformer Clearance -Ins. Protection 57. 2 eg,Receptacles Spacing -Lights & Switches at Doors C. Unit Disconnect, Electrical -Plumbing 2 ze oXes & No. of Conductors Stapled 5krcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 2 ex Installed Close to Edge of Studs & C.J. 5 . qu . Ground made up w/Mech Fasteners -Bon Ga Water ' V ntilation Throughout House Ap liance Circuits in Kitchen & Conductor Size GFI Shear Walls; Nailing -Bolts 3 f d Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al orrections from Previous Inspections ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No s Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval 32. Service -Riser Conductors & Ground Main Disconnect Insulation -Walls -Ceilings A. Equip. Clearances Panels-Motors-Mech. Equip. 63. 34.` IotFje Closet Light -Shower Light -Spa Light Date moke Detector Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA.bIlICAL (Permit) OK except #'s C. cts Insulation & Support ent F n, Exhaust above insulation Smoke Detector 3 n ate Drain & Overflow, Size & Grade 3 u ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM>G (Permit) OK except #'s 4 . Sills Proper Materials & Anchors a uds-Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 45. Fire tops, Furred Ceilings -Stairs -Chasers -Tubs r ' 4 - . eaders & Beams -Size & Bearing , Date FRAMI (Continued) Exit' g a ers-Post Caps -Anchors -Connectors Stairs —& Rails ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace or Stove, Clearance -Hearth 49. Eoplace Ties or Type A Flue -Fireplace Throat Clearance 5 Aftjc�.Access; Size & Romex Protection -Draft Stop -Ins. Baffles c. Outlets & Receptacles at Kit. Counter 5 .. drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel Ib.; Elec. & Mech. Equip. Listed for Location 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits rd ails & Deck Construction -Post Caps F Bents & Crawl Hole Door Drainacle & Wood -Earth 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 55—Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 84. 57. Sidin - ailing Veneer C. Unit Disconnect, Electrical -Plumbing 58. 5krcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 . Glazing Area -Glass Protection -Skylights -Plastic V ntilation Throughout House 60. Shear Walls; Nailing -Bolts 2 'OS orrections from Previous Inspections race Interior/Exterior Wall Panels s Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval 62. Insulation -Walls -Ceilings 96. 63. Infiltration -W -Windows Date GZ Card B-1 Date Card B-1 Date L, Card B-1 Date Card B-1 Date FIN (Plan OK xcept #'s . ,ol�xt. Steps -Door & Sidelight Protection -Landings Smoke Detector Siff Furnace Vents -clearance -Comb, Air -Connector - X Garage; Above Floor-Ducts-Mech. Protection Or,Ped.worn Exit' g I. & Ba Fixtures & Tub Access -Sp lec Subpanel, Breaker Sizes & Labels Stairs —& Rails 7 Fireplace or Stove, Clearance -Hearth Alec. Outlets at Wood Panel, Int. & Ext. Kil. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure C. Duct in Garage -Damper . Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7 Ib.; Elec. & Mech. Equip. Listed for Location f ec. Receptacles in Garage (F.F.I.)-Romex Protection . Insulation oam-Looked in Attic 81. rd ails & Deck Construction -Post Caps F Bents & Crawl Hole Door Drainacle & Wood -Earth earance Looked under Floor ❑ Yes Z O /!o _ Following Instld./Drive U Yes G No/Walks ❑ Yes QW/PlantefsOYes U No 84. St co Brown -Finish C. Unit Disconnect, Electrical -Plumbing W,Vents, Above Roof, Plbg-A pliance-Fireplace-Clearance to Openings ter Well, Dis onn , Electrical, Plumbing . E terior Ele T' , G.F.I. Receptacle -Underground V ntilation Throughout House Glass Protection orrections from Previous Inspections s Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Da Dat Card B-1 Date Card B-1 Card B-1 14 Date Card B-1 at Final: Mar 15 06 02:55p _V. • • • iI ylin r' r It m Sm nz_ SWUi �' 51 • � Com' =Ma1� �i68�� Impim) is �. +N pas PP�iR 1WM WUVUWW4 -9 /voougmis 919 I amu. HOOV a33NV*f bid IwV/tW PALL GUM P �- (NPAW)CHOPPOW PgulqL&WWM 4PM ando gad pgpupqmq If l Ili1 fit' PWM =AL I" M t-ai BLUWM SP GUM PADS 31Li I�Ot�AN x''00 tMLVTMMRBM ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone (530) 538-7157 Ext. 2016 OV 391/0 APPLICATION / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads nd highways, all in accordance with County ordinances and.general laws. All information except signature must be typed or legibly rinted. Applicant's Name: J1, III CP fc:p la. Company Name: . Address: N [ Phone: 4. Asses or's Parcel Number. Location of Work to be Done Applicant's Sign 7. D te' — 629 CONTRACTOR'S INFORMATION . Contractor's Name Address 2,5-9ve v 0. Phone:O s / 11. Fax: D 3 _ ?—p 2. Contractor's License tuber:Z ` —/ 13. Certificate of Insurance: Yes E'—No: El 4. Contractor's Signature: 49 14a. Date Signed: 1 5. Authorized Agent: TYPE OF WORK TO BE DONE 6. Please Check: Curb: ElGUttei: ElSidewalk: El17. If Dri way ZL t Type: 5-3i PJd 8. Other Work - Describe: 19. Plans Atthed: les ❑ No PERMIT GRANTED n compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, )ermission is hereby ranted. >.0. Conditions 01 Underground Service Alert (U.S.A must be notified two working days prior to any excavation. 800-227-2600 21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 22. Date Issued 5 — X _ 405-- 23. Expiration Date: ��+� 41 — O 05:;7 24. Surety: �f 25. Date Paid: 26. Amount Paid: // 27. Paid By r28. R ipt No.: Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: ❑ Completed . K ❑ Completed —Not OK ❑ Addition Comments Attached Use only: 31. Comments: Note: tI permits are taxed to any number besides (530) 5384356, they can be delayed up to one week. Page I of 2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP040877 PERMITS BECOME NULL AND VOIDYEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. _1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/11/2005 APN: 068-224-002-000 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. Site Address: 20 LINDA LOMA DR ORO License Class : License Number: Date Contractor: Map Index: Description: NSF (1948) GAR(866) COV (97)OPEN(223) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HAASE JAMES M permit to construct, alter, improve, demolish, or repair any structure, prior 1021 H ENSHAW AVE 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 CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95973-8736 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 penalty of not more than five hundred dollars ($500).): Cf/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 Applicant: HAASE JAMES M 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 contractorsto construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: ner. License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 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 Total Square Ft: 1948 S.F. Valuation: $126,620.00 Policy #: Census Code: , Ak-1-1certify 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties nd one a 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 h eby issued under a plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to work indicated above or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date -15 PERMIT EXPIRES ON: .70 Date Address: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0, Notification in accordance with Section 1D827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 state 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 enter upon the above mentioned property for inspection purposes. Print Name: S, 04 Signatur Date: � O ner O Contractor ❑ Agent for Owner ❑ Agent for Contractor ° BUTTE COUNTY ° DEPARTMENT OF DEVELOPMEN )0 BUILDING PERMIT APPLIC ° 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) ° OFFICE #: (530) 538-7541 ° PERMIT NO. NEAREST CROSS STREET: grT ; APPLICANT NAME: PHONE/C� STREET ADDRESS: FAX. CITY, LP: E-MAIL* CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY. ZIP: E-MAIL• LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE! STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permitJ ❑ Proposed Change of Occupancy (note previous use) f- /c4 p Zop -t' X 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. E Notes: Application Received by: C Receipt number:; lkf m /�;cb 4". /4z73 52,x. 0152A,9 Date. Amount Received: BOUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 %J PERMIT APPLICATION DATA SHEET OWNER: V1 ASSESSOR PARCEL NUMBER Proposed Building Use: n Counter Technician: Date: }tems required in order to apply for a permit. All boxes MUST be checked OR marked NA in • Wr to apply. -• ...,;� `fi1f:; ; �1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 73. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. XY-111 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these w _ must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 1AJ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico Zoroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Aw17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ( Fees as shown on the attached Schedule of Fees Due Sheet .............................. - -65 22. City of Chico Plumbing permit........................./�aid-.. ................ 23. California Department of Forestry plan approval Sent b . F-0 . ......... ( � ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Chec 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:.......... ..... Recorded copy of Agricultural Acknowledgment Statement............''.... . ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: w When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: I _ Date: e;e - ® 4--- 1. Index pehit-app icaion for the above items numbered: ( Plan Check Letter 2. Additional items requir Contractor, designer wner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: r7 t OS Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I #I Date Structural reviewedy: Date: Structural approved by: Date: Note transfer by: Date: 2 Yellow: Building Division E.H. USE ONLY Plot Pian Attached ✓ �r Floor Plan Ataactted —*7, Sena to B.D. ' TO:. Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ,/ Water Supply: Public _,Z Private Well Clearance for ✓dwelling. Other -f/6Ge IJ40.6e_lt�4--) Hold final for: Final clearance O.K. for: NOTE: 1115 En 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES i�`_,A.P.# 6(9� OOz PR PROSED BUILDING USE _ DATE --r— ( — 1. BUILDING PERMIT FEES --- Balance Due ..................... RECEIPT # DATE REC. S /IQS7:p, --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... ` 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) " 1 V 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) (04- 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ %A�j / 10. OTHER 3� by At time of permit application, I was advised the abo a fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) National. Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREI Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb I acre or more of land: I am aware that submitting false and/or inaccurate information may result in revocati n of grading and/or other permits or other sanctions provided by law. Signed: Title: eet? 1.41 1A 14 Date:/ Q� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (� (One form per Building) School District , D/ `' L CE'!'✓( &`NT Building Department No. C/ D A.P. Number 27r00?—Jurisdiction: City =ZlCounty Property Owner / �`r/ r /�i ,/ � C Property Location/Address �� Subdivision Lot No. ..................................................................................................... Residential Development Q Q No of Living Mobile Home Addition/ *Supplemental Units Installation Conversion / Q Q Sq. Footage / v to (Group R) Permit # € ............................................................................................... *(No foundation inspection)_ .... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition Sq. Footage (Including Exterior Roofed Areas) Building Department Representatives Date District Identification No. V VO School District certifies that (Applicant) (Street Address) (Phone Number) '1501 (a (City) (State) (Zip Code) S� has complied with the requirements of Resolution No. () :9 '0* - —A � by payment of $ E 3 b3 �r representing I square feet. IAB 2926 $ Fuu MMGAnoN $ School District Repriientative Date Paid by Check # Remarks: I OIL It RA Nolen: You may protest the Imposition of the fans kianttflad above by submitting a written protest to the District, In compliance with Government Coda Section 66020(a), within 90 days from the date fees are paid. Failure to subnnit a timely written protest will prohibit you from challenging the Imposition at d fans In any court action. M. subsequent to the School District RepraakaUw signing thio Butte County Schools Impact Fee Cwtiration Form, the school District Is notlflad by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA) this project may bre subject to additional school fess to fully mitigate Its Impact on the school districra schools. White (applicant), Yellow (building department), Pink (school district) feeforrn.xis (10/03)dmm ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District p // Phone (530) 538-7157 Ext. 2016 APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: la. Company Name: 2. Address: 3. Phone: `( 4. Asses or 's Parcel Number. 5. Location of Work to be Done / 6. Applicant's Sign 7. D te' CONTRACTOR'S INFORMATION 8. Contractor's Name 4:a- r u tdAKS 9. Address /•f 10. Phone: 11. Fax: 12. Contractor's License tuber: Z ` i 13. Certificate of Insurance: Yes 2rNo: El14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Dn way L'st Type: s --3i 'j. 18. Other Work - Describe: 19. Plans Attched: V!i es ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, omission is hereby granted. 20. Conditionse, &e -- S-31 Under Under round Service Alert .S.A must be notified two working days prior to any excavation. 800-227-2600 21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 22. Date Issued 23. Expiration Date: 24. Surety: 25. Date Paid:" 26. Amount Paid: / 27. Paid By 28. R ipt No.- Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: ❑ Completed . K ❑ Completed -"Not OK ❑ Add itionatf Comments Attached use only: 31. Comments: voce: if permits are taxed to any number besides (530) 538-4356, they can be delayed up to one week. P?Or I of 7 February 7, 2005 Building Official County of Butte 7 County Center Drive Oroville, CA 95965 Re: Plan Review: Haase SFD Address: Linda Loma Dear Sir/Madam: County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-0877 LP2A Job No. 2040015-034 Linhart Petersen Powers Associates (LP2A) has completed an FINAL review of the following documents: 1. Plans: Two (2) copies Plan Sheets 1 through 4 (4 total sheets) Title/Cover Sheet dated July 08, 2003 by C. Colby 2. Structural Calculations: Not Provided 3. Title 24 Energy Compliance Documentation: Two (2) copies dated March 16, 2004 by Energy Calculation Services. 4. Prefabricated Roof Truss Calculations: Two (2) copies dated September 24, 2003 by MiTek. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes (i.e., 1997 UBC, 2000 UMC, 2000 UPC, and 1999 NEC as amended by the State of California) were used as the basis of our review. Please note there are no further comments. Note that the Brace wall design at the front of the structure does not comply with the letter of the code, but complies with the intent of the CBC. Adequate bracing has been provided. The above documents now bearing the "LP2A Plan Review Approval' stamps on all appropriate sheets are enclosed. Please let us know if you have any questions. Thank you, Sincerely, LINHART PETERSEN POWERS ASSOCIATES Robert T. Berna ICBO/ICC Plans Examiner RTB:ag Enclosures: a LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653 Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile 00 O TO: ' r FROM: TOM I SUBJECT: O < DATE: LP2A Scott Rutherford (530) 538-7160 sruthe rford 0buttecou nty. net Plans Transmittal For Review Per Contract Applicant: Haase James Permit ` 4,113 7 Project Type: N�S�� M.r �_�� APN: 11�68t,,,22�_��, 100% 70% Plan Check Fees $ 779.50 $ 1,113.57 $ 779.50 LP2A Fee $ 779.50 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations - Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 iA AND WHEN RECORDED MAIL TO: & BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 �'� .�R II{l ill 111 l 1111 l 111 111 l 11 1111 11 111 GD 10 0023589 Recorded 1 REC FEE 10.00 Official Records I CONFORM 1.00 Count Of CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Myles 01:55PN 23 -Apr -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PN ode -z" oar S�e-_ alfucAPd s6ee-'f' Date '� 9 --0 ¢ PROPERTY OWNERS: / & R State of California ) County of 3v-rr' ) ,/ On Lo 310 before me, li -elp-Y � � IZ11 w'e � M6T7AL12-j� personally appeared TAM& S tlk— S lP personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h nd d official seal. Signature ASeal: KARYJ. BIDWELL Commission #1381097 n �1 v Notary Public -California Cn A.P. # 2� y �� My Comm.uExp. NOV 08, 2006 Preliminary Report Order No. BU -209058-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 35; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "LINbA LOMA SUBDIVISION UNIT NO. I,,, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 1 I; 1950, IN BOOK 18 OF MAPS, AT PAGE(S) 22 AND 23. APN 068-224-002-000 Page 4 0 O.B.-1 OWNER -BUILDER ,'6 EwFiCATION 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. I personally plan to provide the major labor and materials for construction of thero osed property improvement: YES M NO Elp p �I HAVE CK HAVE NOT ❑signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: may: 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: 6Ty. 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 WORD SIGNED. PROPERTYOWNER: R: This Owner -Builder Verification is required by Section 19531 and 19832 of the California Health and Safety Codes. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORIWIATION 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 worm with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate Family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation inswrance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the haemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your .obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. Mc 1 C. Vi ira, C.B.O. , M er, Building Inspection r NOTE. This OwieTBuffderinfonnation is required by Section 19930 of the Cagontia Health and Safety Code OVER PLANNING DIVISION - BUILDING PLAN APPROVAL Use: O Y-- Date: 4 s Parking: Landscaping: Other. v Signature: