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HomeMy WebLinkAbout068-360-107BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FEE INFORMATION DBP Solar Water System Fixture $118.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GAAMA ENTERPRISES INC, DI 720399 / D 35 C 46 / 03/31/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/22/2008 Contractor's Signature Date I ' WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: PREFERRED EMPL(policy Number:WKN1122507 Exp. Date:09/01/2009 (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ 09/22/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $118.98 • - Fees Paid: Balance Due: $0.00 Receipt No: OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 penalty of not more than five hundred dollars ($500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). j� I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED LL]] CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's 09/22/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building j construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless; Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Fp to enter the o e mentioned property for inspection purposes. I hereby certify that I am the e owner ora thorized to act on the propgrty owners behalf. _ /til/ 09/22/2008 Owner'Y ' Contractor OR. E]Agent for Owner Agent for Contra FILE COPY PROJECT INFORMATION - Site Address: 4308 HILDALE AVE Owner: Permit N& B08-1943 APN: 068-360-107 RYAN, DENNIS AN BECKEY Permit type: MISCELLANEOUS 4308 HILDALE AVE Issued Date: 09/22/2008 By TMP Subtype: Plumbing OROVILLE, CA 95966 Expiration Date: 09/22/2009 . Description: SOLAR POOL WATER HEATER (530) 532-1991 Occupancy: Zoning: AR Contractor Applicant: Square Footage: GAAMA ENTERPRISES INC, DBA HOL RYAN, DENNIS AN BECKEY Building Garage Remdl/Addn 1188 EAST LASSEN AVENUE # 2 4308 HILDALE AVE CHICO, CA 95973 OROVILLE, CA 95966 Other Porch/Patio Total (530) 343-8245 (530) 532-1991 FEE INFORMATION DBP Solar Water System Fixture $118.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GAAMA ENTERPRISES INC, DI 720399 / D 35 C 46 / 03/31/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/22/2008 Contractor's Signature Date I ' WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: PREFERRED EMPL(policy Number:WKN1122507 Exp. Date:09/01/2009 (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ 09/22/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $118.98 • - Fees Paid: Balance Due: $0.00 Receipt No: OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 penalty of not more than five hundred dollars ($500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). j� I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED LL]] CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's 09/22/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building j construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless; Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Fp to enter the o e mentioned property for inspection purposes. I hereby certify that I am the e owner ora thorized to act on the propgrty owners behalf. _ /til/ 09/22/2008 Owner'Y ' Contractor OR. E]Agent for Owner Agent for Contra FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. '-1 qA13 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Na e t A� Firs t'XIA/ ,t Mailing Ad ress 1130T 1-11119,11k Avl City 0 0?,a Ih //t State C/. Zip S 96 Phone S - )L . 0, Fax E-mail 0 9 -YIW 1 9 k .S c 6 109 /, AA 7' .,,�PPLICANTPqW fiTURE X OL PROJECT LOCATION AP# Property Address L 3 lido /f Ail -c City , tz0 14 //If C S WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. ooF /2?0 U wT / X00 T Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name FloodZone Address Address City City Gh /G 0 State C Zip S 9 73 Phone _ �y�y5 Fax E-mail State License Number ` 2 _ y Lic. # GL 7 )03 91 Class .,,�PPLICANTPqW fiTURE X OL PROJECT LOCATION AP# Property Address L 3 lido /f Ail -c City , tz0 14 //If C S WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. ooF /2?0 U wT / X00 T Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name FloodZone Address SRA City No State Zip Phone City Fax E-mail Zip State License Number .,,�PPLICANTPqW fiTURE X OL PROJECT LOCATION AP# Property Address L 3 lido /f Ail -c City , tz0 14 //If C S WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. ooF /2?0 U wT / X00 T Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name FloodZone SRA ur No Address Type Const. City 0 XU v State Zip PJPhone ` 2 _ y Fax E-mail iJ ftfAw/ 5g c- 6 4M At/, .,,�PPLICANTPqW fiTURE X OL PROJECT LOCATION AP# Property Address L 3 lido /f Ail -c City , tz0 14 //If C S WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. ooF /2?0 U wT / X00 T Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. I Rr�O1"--HOLIDAY p 0 0 L S RETAIL & SERVICE? INC. .Pl� '-)Yl;s �Gg-1 G�13 BUTTE COIUM�Y BUILDIR9E D�- APPROvitu. g ✓�� ��z w.e - p 2z 1*;�L- I', 52.9z � s'o CL# 720399 C61/D35 HIC C46 / • 0 6 L's 1188 E. Lassen Ave. #2 Chico, CA 95973 530.343.8245 892.2382 (fax) The 1IL'LlOCOL: f.olletur i'sfhe., . i'if.os rtt��7tr'tT`titrJi Wert rl � 1fE ttel (Ili the r-ti�r�t4�l to�ct�c.. Irl told ifiuoli, 1 t by the Eixrit ds 1w&.0 solar pool Collector UU111116c o, L hem 4 Ile Heli®c®1's Unique Technical Features 13 Patented Individual Tube Design allows for expansion and contraction, eliminating cracks and leaks 2 One-piece 'over molded" construction eliminates welds 10 No moisture build-up under collectors Is Innovative mounting hardware eliminates need for radiator hoses, metal clamps and multiple straps across the collectors 12 Designed to withstand Hurricane force winds 0 Low collector head loss rate reduces pump requirements 1.4,110col was c:hoserl to heat the switrnntilltr pof)l fscilities for the stittuner Olyrnhic CGarties in 1996 Atlanta and 2004 Athens! How Solar Pool Heating Works A: Using your existing pool pump, pool water is directed through a series of valves to your solar collectors. B: Pool water enters the solar collectors of the bottom and rises to the top through the individual tubes of the collector. i i C: As the wroter rises through the collector it is heated by the suns radiant energy. D: The water is then returned to It, Cervi flo can Data ISO 9002 and ISO 9001:2000 Ortech International Laboratories 13 Solar Rating & Certification Corporation (SRCC) g Solar Energy Analysis Laboratory (SEAL) ® DSET Laboratories, Inc. im HRS, Florida (Required for commercial use) * Dade County, Florida * Miami Testing Laboratory * Florida Solar Energy Center (FSEC) ® C1y of Los Angeles #RR -4508 a British National Water Council (for potability) al German Federal Health Board a Israeli Technical Institute ca Standard Installation Corporation of Israel Perf&wtaHcle Rati.ngs x Certit ,ing r H t Lts er nay ' Performance Organization DC -50-i L( HC -40 HC -30' I ' Equations i iher�� xt3tt Int'1 Standard 47,400 39,400 •, j 28,440 .872 - 3.729 (Ti -TA)! I �-�'ar- `ti ORTEGH `�� � l .. f KAX 1.00 -.0316(6) -.0104(S )2 tailtl�8>�ii �� �§�'a -fi 7r)fi t v National Standard �• 47,400 }` _ 39,400 28:440 y f .872 - 3`.729 (Ti -TA) coual�s ddshodip tu�vl� ' SRCC ! I i f • . (( I _ 42 KqX ` 1.00 .0316(S} - .010 (S) T Florida Standard 956 8TU's1it2 I 956 BTU 02 t '956 BTU sift .828 - 3.26 (Ti -TA) ! I Vis;, - _ ) t# .. ii i _ ( l KAX =1,ob -.ii(s) f .( i Jr1iltti- C t1 a tht# Performance Note $�}j "c�iS�t ii{�l a Sour scientists agree that there are many variables to consider'Al properly saint a system. Vd;..d conditions. micro cl;m�tes.flo.v rales. oriertalian and shnoird of , ?1 (i6�4t1G1.0 QUO lift rte' r MIR sem" t bt1 t the pcoi an3br co:tecto s I affect the performance of your sgstem. A BTU atma is jest one of the marry factors to consider. �•� h'�Sia�!ertyf�cdm � h Collector lata nm�b�e�a` vo yrs arteastlt t1 -' terrsal' s ±�mlrtx�e�4 ��, Collector Model- HC -a0 HGO HC -50 HL-12.� tiG-10 ' �C Size", Nuininal 4 x 12.5` 4' x'10.5•. I 4' x 8' 1 x12.5' 1' x 10.E tti°1' Width ! 47" 120 un I 47" . 120 cm . !. 47" 120 cm -I i 11.75" i 11.75" ! -�t fdt Length 152.1° 380 cm 12T 32,3 cm j 91" 231 cm 151.3"• 127" ch �.r h Arca (sq: ft.) 5G.0 4.65 m2 41:6 3.88 m2 30.0 2.77 m2 12.2Y l.. 10.2 b >1na$O Ttt �1Fb Manifold Diautctrr 2" 5.08 cm 2" 5.08 cm I 2" 5:08 Cm .. 2' t 2° nil . ; 1Veight, l)n' i 22 Ibs. 10 kg ! 19 Ibs, " 8.5 kg 15 lbs. 6.8 kg i 5.5 lbs. 4 75 Ibs. V Iry�_ aiw�CrJ[LBllt 6 S Volume Capacity, 3.7 gal. 14 L 3.1 gal. 12 L !- 2.4 gal: 9 L 93 gal. .78 gal. WN, Wort:ing Pressure i , . 90 PSI i 90 PSI Y 90 Psi i 91) PSI i 90 PSI �i � `�� � Burst Pr�ssurc 27Q PSI 270 PSI. i. 270 PSI 270 PSI 270 PSI ' hc-ttig G itr ^,tbl ilidtl {rte{h atYl e� t ��� ,,. 4 Recommcni crl 1:10 s i 5 GPM i 4'GP%4 l 3 GPM 'I 1.25'GPM t GPM • ���b.11 eatti11 UU"�l r !rya Loss c�° Env 'late clipcal ' :C-' 0 0 Collector Rating Numbers 0.6W y r Thousands of BTUs per day per pane{ t s j Solar Insolation ' �, , ;%: Category i;T(OF) ZOWBTUNt2 f,SWBTU/ft2-1,00STU/ft2 ` A (-9) '98.74 78.07- 57 49 N .. Water p ;'� Temp. g (+9) { 6413 44 01 23.96 wMinus C (+36) . i 22.91 764_-_ o Oaa - : - r°:5 - =• q Air D (+90) 0 0 0 1 3 3 4 .5 6.._ r Temp. 3 E 0 0 FLOW RATE GPM _ 1362049th Street North, Clearwater, FL. 33762:. ®� ®. �> . S •.�Sa�. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4308 HILDALE AVENUE. Owner: Permit No: B08-1401 APN: 068-360-107 JONES, JERRY Issued Date: 7/23/2008 By GLB Permit type: MISCELLANEOUS 4308 HILDALE AVE Subtype: Private Poo[ OROVILLE, CA 95966 Expiration Date: 7/23/2009 Description: W08-0008 MASTER GUNITE POO) Occupancy: Zoning: Contractor Applicant: Square Footage: CARE -FREE POOLS CARE -FREE POOLS Building Garage RemdUAddn P O BOX 8689 P O BOX 8689 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)345-4639 (530)345-4639 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Swim Pool -Master Plan Co $512.42 Total Charged: $591.32 Fees Paid: $591.32 Balance Due: $0.00 Receipt No: B8049 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License CARE -FREE POOLS 380826 / C53 / 8/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X ' 7/23/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). — / ] LN�AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: LLLJJJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number:618-0000183 Exp. Dater/1/2008 's ContractorLicense Law.). (This section need not a completed if the permit is or one hundred otters ($100) or less. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: r �J RTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS `J 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' X 7/23/2008 compensation provisions -of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pr isions. X 7/23/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignatUfe Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the perry owner or am authorized to act on the preps owners behalf. CONSTRUCTION LENDING AGENCY R"ir !r & 7/23/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner EKontractor OR. DAgent for Owner bAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION NO: OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ?)b C A FEE. WILL BE REQUIRED AT TIME OF APPLICATION Website:. www.butteco6nty.net/dds B # **PLEASE PRINT CLEARLY** OWNER INFORMATION Lad Name y %U First Nameo M: iling Address Sl3a� HlL7Jg4E /4uF_ CilZ _i OnaUILc — State. Ph mem,-3�-— E-t rail CONTRACTOR Nae F EE poo45 Address f1 O -B 86 8 Cit :/ F' State. Zi i o PEG92 7 Phnney, geo3 9 Fax�-- E-mail ' Lig. #3X0 '?a Class S 3 ARCHITECT/ENGINEER , Nar to C i11 *V Add,ess 3 7,>,4 N Ur— &'),I) City ('�/CO State�.;.� irp SIS Pho ie�g y /3 J Fax E -m 3il State Ucense Number /�g�3. APPLICANT INFORMATION Narre F lQtc = 7Ot^JL S Address p o ;F>> City„,_ State�,� Zip . J� 8 Phot e y V03f ",34e E-mi:il APPLICANT SIGNATURE X42 a -t”. PROJECT LOCATION AN Property Address 436 P IgIQ4 ur city p2d f/'�LC WORKER'S COMPENSATION Policy Number I,?— / F3 Carrier 57 F��o If hiring anyone other than license contractors, a certHicate of worker's compensation must be shown at the time of permit issuance. LEND/NG-AGENCY Name. Address DESCRIPTION OR SCOPE OF WORK: coo/ re -S 4L)", art M / All Pa � Sq FT- Living- Garage Open Cov 13 Structure Built without Permits 0 Proposed Change of Occupancy (Note -previous use).- For se). For office. use- only: Zoning_ Flood ZoTT SRA Yes No Occ: ype Const. July 20, 2008 B A C H M A N BUTTE COUNTY DEVEMPMENT SERVICE 7 COUNTY CENTER DRIVE OROVILLE, CA. 95965 CAREFREE POOLS ATTN: PHILO HUNT ASSOCIATES On Master Plan for CAREFREE POOLS, I authorize to use the Master Plan for Damon Ryan, 4308 Hilidale Ave, Oroville, CA. 95965. APN 068-360-107 If I can answer any questions, please let me know. Ph. 530-342-4136 Sincerely, C.W. ACHMAN R.C.E.#16803 3 Dana Point Road Chico, CA. 95928 10 Zt- O Exp. � 11� Nc��80� � rn: !au r.r.F, COTTNTy JUL 2 3 2008 DEVELOPMENT SERVICES t-7 f e - ENGINEERING SURVEYING PLANNING ' • DESIGNING 3 Dana Point Road, Chico, California 95928 • Telephone: (530) 342-4136 TTF �'ouNiy Butte County Department of Development Services/ Building Division 7 County Center Drive, Oroville CA 95965 • (530) 538-7541 Telephone • (530) 538-2140 Fax www.buttecounty.net/dds www,buttegeneralplan.net Swimming Pool Requirements Drowning Prevention Safety Features Based upon California Health and Safety Code Section 115920-115929, known as the Swimming Pool Safety Act The County of Butte requires either listed, approved safety pool cover" meeting ASTM Standard F1346-91, OR a complying enclosure* which isolates the pool from the dwelling and remaining yard, OR a complying enclosure* which surrounds the perimeter of the pool and dwelling, with door alarms and self-closing, self -latching devices on all doors leading into the enclosure. *Enclosures • Minimum height of 60 inches • Access gales shall open away from pool and have self-closing, self -latching device no lower than 60 inches above the ground. • Maximum vertical clearance of 2 inches from the ground to the bottom of enclosure • No openings greater than %inch within 18 inches of the release mechanism when closed. • Gaps or voids shall not allow the passage of a 4 inch sphere. • Outside surface shall be free of cavities or protrusions. that would serve as a foothold or handhold that could enable a child of less than 5 years of age to climb over. • Maximum mesh size for chain fink shall be a 2.25 Inch square unless the fence is provided with slats fastened at the top or bottom which reduce the openings to no more than 1.75 inches *Pool Cover • Shall be correctly installed per the manufacturer's Instructions to prevent the access of children under five years of age to the water. • Shall be properly constructed to meet ASTM specifications and be labeled accordingly. • All ties, anchors or attachment points and controls for automatic covers must be installed in a way to prevent operating or uncovering the poll by children less than five years of age. • The pool cover shall possess a listing that insures the original design or performance of the cover meets'.or exceeds testing as prescribed by ASTM Standard F1346-91, Section 9 Test Methods for Safety Covers. Door alarms or self-closing, self -latching doors Windows and doors routinely closed and latched *Safety pool cover , *Isolation *Perimeter At a minimum, one of these shall be provided Gates self-closing, self -latching �U�-- �y LDI �'� (Revised 4/06) t County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Cafe Free Pools COnStfllim'R ADDRESS: P.O. Box 8689 CITY & STATE: Chico, CA 95927 nATI= nF RI Alnn• I I_%12w 7 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 068-360-107 Permit No.: 06-0561 _ r PAID RETAINED REFUND Development Services $ 467.42 $ 241.96 $ 225.46 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ - $ - TOTAL $ 467.42 $ 241.96 $ 225.46 . ............ ............. ............ ............................................. .............................. ............................................. :.:.:::> RE-AR'OWN-;-:::::::::-:::::: .. .............. ifUD.G.- : ............. .............. ............. .............. :AGCOtl1V i .............. ............. .............. ............. ;�l1vIOUNT. 101001 DVLPMNT SVC 440-001 4210500 S 225.46 1011822 THERM DRNG 1800 280 S 1011430 SMIP 1001 280 S - 1011811 SHR 1800 280 S - 101001 SRA 0100 4617240 S - TOTAL 1 1 $ 225.461$ 225.46 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of J 4 AJ 2007 at C 14 I C-0 Calif. � I Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appro'ation or Specific Board Approval (Check on�-theKmiie. Dated this \ day o A 1 1 , 200, at Oroville DC\al ,%'Partmert Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. �c [:U>l mry JAN 0 8 2007 DEVELOPMENT Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING December 20, 2006 Care Free Pools Construction P.O. Box 8689 Chico, CA 95927 RE: Permit No: 06-0561 APN# 068-360-107 Owner: Jerry Jones On 3/13/06, a deposit was made in the amount of $467.42, of which $241.96 is being retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $225.46. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior Administrative Division Enclosure: Claim $225.46 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Care Free Pools Constrt ADDRESS: P.O. Box 8689 CITY & STATE: -Chico, CA 195927 MATE rlF rl AIM• SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 068-360-107 Permit No.: 06-0561 PAID RETAINED REFUND Develo Ment Services $ 467.42 $ 241.96 $ 225.46 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ - $ - TOTAL $ 467.42 $ 241.96 $ 225.46 ............ ............. ............ :: w:• : :... ..... ..� ............................................. .............................. ............................................. EAI�:DOCVN::::::::.: ........................ .............. i;UDGT+;T: .............. .............. ............. .............. :ACC -0"T— ............. ............. .............. ............. ::-'AMOUXT:' .............. 101001 DVLPMNT SVC 440-001 4210500 S 225.46 1011822 THERM DRNG 1800 280 $ - 1011430 _ SMIP 1001 280 S - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 S - TOTAL $ 225.46 $ 225.46 I, the undersigned, declare under penalty of pe jury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2007 at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knov,Aedge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2015' at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY iEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Cale Free Pools COnstC'ucijon ADDRESS: P.O. Box 8689 CITY & STATE: Chico, CA 95927 DATE OF CLAIM: 11/14/06 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 068-360-107 Permit No.: 06-0561 PAID RETAINED REFUND DevelO ment Services $ 467.42 $ 241.96 $ 225.46 THERM DRNG $ - $ - $ - SMIP $ - $ $ SHR $ - $ - $ - SRA $ - $ - TOTAL $ 467.42 $ 241.96.$ 225.46 ............ ............................................ ............ !.�....... ............................................. ............................................. :.:.:. R tipv'Nc ...... .............. ... ...:.. .............. ............. .............. OC ..: .............. .............. ............. ►i 101001 DVLPMNT SVC 440-001 4210500 $ 225.46 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL$ 225.46 $ 225.46 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2006, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2006, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT 8 SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. CLAIMANT: Care Free Pools Construction ADDRESS: P.O. Box 8689 CITY & STATE: Chico, CA 95927 DATE OF CLAIM: 11/14/06 APN: 068-360-107 RECEIPT INFORMATION NUMBER: 449527 " BLDG DATE: AUD SUSP 3/13/2006 FIRE_ ISSUED TO: Care Free Pools Construction CHECK #: 0010 13453' 1001 ' AMOUNT: 0100.E $467.42 PERMIT #: 06-0561 rr440-001 rHRM DRN .-• (SMIP) Yes No Yes No Yes No PRIOR REFUNDS: x Accnt 4210500 FEES VERIFIED 280' x P41617240Cash Chief Building Inspector _ L.� REFUND BREAKDOWN Title " BLDG THRM DRNG_ AUD SUSP SHERDEVFEE FIRE_ Fund 0010 1800 1001 1800 0100.E Dept rr440-001 rHRM DRN .-• (SMIP) (SHR) i, (SRA). Accnt 4210500 280 ', 280' 280 P41617240Cash 101001 1011822 1011430 1011811 101001 �a DETAIL PAID RETAIN REFUND BLDG Time 109.98 467.42 a a .. .:. . »: >< Filing from Plan Check 0.00 0.00 0.00: Plan Check/Filing0.25 27.50 186.97 186.97 0.00 0.00 :::::::::: :::::::::: :::::::: : : : : : : : Inspection 0.00 280.45 1 280.451 280.45 ::::: ,*,',' :,.:,::,.:'.:*:* ......... ....................•.•.•.• ............................... .. . OTHER BLDG,. :::::::::::: Bldg SRA Inspection 0.00 0.00 Overcharged Bldg Insp 0.00 0.00 REFUND PROCESS FEE 54.99 54.99 -54.99 .54.99 BUILDING TOTAL 467.42 241.96 225.46 225.46 ::<::.::.'>.:.:? :.:.:.::.:.:.:.:.:.: ':.:_:.:.:.:.:.:.:. THERM DRNG0.00 000. •: ; SMIP 0.00 o.00 SHR 0.00 0.00 ....... SRA' -0.00 0:00 $ 467.42 $ 241.96 $ 225.46 $ - 225.46 $," $ Is - 0.2 APPROVAL CHECK: $225.46 Date Reviewed 12/19/2006 DIFFERENCE: $0.00 Scott Rutherford (Should be blank) Chief Building Inspector _ L.� NqV 14 06 04:29p Care Free Pools Nov 14 06 03:43p 530-342-0792 p.1 �vYrf Butte County Department of Development Services 0 0 0 0 Building Division o 7 County Center Drive c0 UNty s Oroville, CA 95965 (530)- 538-7541 REFUND REQUEST AMICATI®N REFUND POLICY butte County Code 3-41(1) 1. Refunds can only be made upon written rcquest by the person who paid the tees, whose nameA, on I he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. Tho request must be made within hvo years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -;f no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other Couniy Departments are not covered by IItis claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim %itl be generated for any fees tc be refunded and sent to the address bE*low for signature (by the person whose name is on the receictl and return to Develo men, Services for a meat rocessittq, CLAIMANT'S NAME:,::: _ MAILING ADDRESS' _ 0=ryr: PHONE::$3r7 ASSESSOR'S PARCEL NO.: lRease use one claim form per permit.) BLDG PERMIT NO.: Rbeei t No. 1 Receipt No. 2 Receipt No. 3 Y4, RECEIPT NO.: - RECEIPT DATE:RECEIPT 167, y '� AMOUNT:AMOUNT: REASON FOR REFUND REQUEST: (-p lit © ns c) f $tFC 4'46 Ft'+t ,4 13ia3 Check those fees which you wish to have considered for refund: Building Permit tees =$heriff Fees =SRA Fees (COF l=ire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. if you want the plans, you may pick them up prior to that time. ky- Dater 5rgnature KJr,ormsfReftmd Appftation 0&91E23 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. BP060561 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under t Issue d Dae 03/24/2006 APN: 068-360-107-000 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. License Class, C` License Number: 08 Site Address: 4308 HILDALE AVE ORO Date: Q G Contractor: C PIE Map Index: Description: IN -GROUND POOL: MASTER #502-01 OWNER -BUILDER DECLARATION 1 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: JONES JERRY D JR & KAREN J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4308 HILDALE AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966-7718 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).): ❑ I, as owner of the property, or my employees with wages as (heir sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: CARE -FREE POOLS Code: The Contractors' State License Law does not apply to an 9 ALYSSOM WAY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 8689 provided that such improvements are not intended or offered for CHICO, CA 95927 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530).342-4639 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the* property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law.does Contractor: CARE -FREE POOLS not apply to an owner of property who builds or imprqves thereon, 9 ALYSSOM WAY and who contracts for such projects with a contractor(s) licensed, pursuant to the Contractors' State License Law.). PO BOX 8689 ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 (530) 342-4639 Date: Owner: License, #: 380826 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I� 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: S721AY-2—'%' Total Square Ft: 0 S. F. Policy #: 6 le— Oro Valuation: $0.00 Census Code: ZL-,Ycertify 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: _A/bGl�,� Applicant: l WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCYThis permit is hereb issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.)Date:5.24', Resolutio do rk indicat d above for which fees have been paid. U performance Name: BY� ?>-0 PERMIT EXPIRES Address: (Date) ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that 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 purpDoesk Print Name: lv7 1( e� Signature: Date: �, � El Owner . YYContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 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 APPLICA TION Website: www.buttecounty.neUdds - "PLEASE PRINT CLEARLY" CONTRACTOR ARCHITECT/ENGINEER OWNER Last Name Address . 0 a �, 8 q e-5 first Name, zQ Address q 14u,'— FCity City O V ,CC E State Zip Phone J 17 f Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name 0 42E FQE�E l�ooL s 4C N ANd SS Oc_ Address . 0 a �, 8 q s a City N j CU State,,4 State Zip -7 Phone 34a_ 3 Fax 3,�,� ^O 9 '�— E-mail Lic.#3�a Class APPLICANT NAME ARCHITECT/ENGINEER Name 4C N ANd SS Oc_ Address s a City Fax 311c2- 0 -22 State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address p, -a dK 8 City C (,Cc StaC A Zip 9�a 7 Phone 3'V` qfl3cl Fax 311c2- 0 -22 E-mail APPLICANT SIGNATURE X For office use only: Zoning I A- R Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 561 BIN # LOCATION AP# D GF-- 36o -/o Property Address � Off' iL17�4-LC 14-d� City OQdrlicC.� Cross Street WORKER'S COMPENSATION Policy Number Carrier S 7-47-6 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: A) w N u w - p00L Sq. Footage 5-96 ❑ 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. Page 1 of 2 Received by: K, G. Receipt #: 41g521 %h ,k * 13AS3 Date: 3 - V�_ 0 G Amount: l Co -7.12— Bldg SRA Sheriff SMIP Other ty CO. �2_ Total REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 K TORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 .. .` ..y ,_ - ,. -..., .._ ,_ ..M y< . y y. - .r ,. -- •wy. ..y.,..,C..-.. ...ry.- .a..ry. r. .-...., •PT Y'. iv. r" _•� .T 8P �5 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: To is ASSESSOR PARCEL NUMBER nreA - sw • in 1 Proposed Building Use: -n) - G(aun d Pmt -Ma\ T-o'Pennit Technician: K.6. Date: 3/11/0 `Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �d t4 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �f 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 faxesl ❑ 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. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Iaming items needed to issue the permit. (May require additional plan review upon receipt of the following items.) IN 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. -4/14 /QCQ ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required....................................................................... QIOi 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. �' [3 10 full 20. City of Chico Plumbing permit........................................................................ L ❑ 21. Site plan and business license approval from the City of Biggs .............................. r 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. n 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............. 3 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑/ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... zi, . 26. 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 (530) 34 Z -y (AVt PO and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:2L& ag 'a Date: l% 1. Index permit application for the above items numbered: Plan Chec erier items required Sordesigner, esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date:. 'S- Z Z ill owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, bv Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Dat . Structural approved by: Date: (p Date: Note transfer by: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO:. Building Division — Development Services FROM: Environmental Health SUB CT: Sani tion Clearance / OVKrZ — Location Plan Approved for: Sewage Disposal: _� Water Supply: Public Clearance foP56;�--Awelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 e� . Date E.H. S Plot Plan Attached Floor Plan Attached Sent to BD/DS abf- 360-10 7 AP# Private Well ;tea - Butte CountyDepartznei3tol-Developnel7tSez-vlces o�urro 7 County Center Drive o"`> o Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PER?VHT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related. permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land. Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition ofplans. The Building Division will process the application through -the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the -building permit or require submission of amended building plans to the Building Division. Once the .plans. examination process .begins, there will be.no refund of plans examination fees. Any changes requiringsubmissionof amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: n ;' l/ j� e G/ APN: t1 (2?— 3 Building site address: X36? ��r�o -e Permit No.: 4!% I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: _ i o SIGNATURE OF APPLICANT DAT • QpR�FNT �uT7' �I o o 11, o o < `1 O 0 0 �et.rc woP�` Department C o u n t-1, J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination . System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: O(W— 360 —/.U% - 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: J �Zn,_-e Gl obi Date: 113 /0 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 04. 2006®0033619 y 4�. Recorded I REC FEE 22,00 Official Records I County of 1 COWORNO COPY 1,00 A Butte I CAMNU J. GRUBBS 1 When recorded return to: County Clerk-RecorderI County of Butte I KL Department of 011:39AM 30 -Jun -2006 I page i of 6 Development Services(IIII�IIIl�II�IIIIIIIIIIIIIlIIIIII Building Division 7 County Center Drive Oroville, CA 95965-3397 space above for Recorder's Use Owner Name: Jerry D. Jones and Karen J. Jones i Building Permit No: 06-1202 — Storage above -Garage d68'-3100-/47 DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 13th day of June, 2006, Jerry D. Jones and Karen J. Jones , hereinafter referred to as owner(s), are the record owners of the following real property: 4308 Hiledale Dr. Oroville, Ca. 95966, and as further set forth in Exhibit" X attached hereto and hereby incorporated by reference,. hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1202 was applied for on 05/22/06 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1202 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a new application for a different use has been approved; and Pic G rs d 6 VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in 'reviewing and approving Building Permit No. 06-1202 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1202 to Owner . by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: storage is not to be used for living and sleepin_-gg.. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of. Development Services, Building Division prior to the issuance of Building Permit No. 06-1202 DATE: L(in� , 204 Owner Signature: A A a A AI.AQ.-IMa. Q�l 4 oe/l /-rs-o; Print or Type Name of Above Owner Signature: b Print or Type Name of A e » i } NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) • ) SS. • , COUNTY OF BUTTE ) On O L b 6 /0 b before me, is lr o c h s e` , Notary Public, personally appeared ®o (.Personally known to m to be the•person(w) whose name(* is/ate subscribed to the within instrument and acknowledged to me that hel`sM/th2y executed the same in his/hwhheir authorized oapacity(ie.&), and that by his/ter/04sir signature(io on the instrument the person(*, or the entity upon behalf of which the person* acted, executed;the instrument. MCI=CAM r Oo I Wan • 1612966 WITNESS my hand and official seal. noarM+eue-call, mo -:. siftCM* ( .pr `i1rprCam � 10 V. Oct 11&20�[ Signat (Seal) STATE OF CALIFORNIA. ) 4 SS. ` COUNTY OF BUTTE ) i On D (e 13 a 0 (� p before me, s ns e ' , Notary . Public, personally appeared r g y, 7'e a r s i -, (or proved to me on the basis of satisfactory evidence) to be the person(D) whose name(* is/.,*a subscribed to the within-instrument.and acknowledged to me that /she/tkwy executed the same in hois/her/tWr authorized capacity(ik' and that by hie/her/ijgi- signature(* on the instrument the,person o t e t6gan-behf f which the persons •acted, executed the instrument: "Mmew"` Conm"I 1612966 � ` w" AMC - Cdlomb WITNESS'my hand and official seal..casM�i . ;;Mr.Goain.oc116. AAA Signatu .(Seal) This is to certify . , that • the Deed Restriction set forth above , is ,- hereby acknowledged by the Director of the Department of Development- Services and that Butte County consents to its recordation thereof. • ` Dated: Paul Klein :. Building Official, Assistant STATE OF CALIFORNIA ) , .. ) SS. COUNTY OF BUTTE Juries 19, ?corn befof me, "'.M• r''I` M��.c_arl _ ! Nota On ,� ry ' Public, personally appeared personally known to me , to be the person() whose ' name(s) is/aye subscribed to the within instrument and acknowledged tome that he/qWe/thpy executed the same in his/Vr/tF7kir authorizes capacity(iA), and that by his/tWr/ter signature(A on the instrument the'personoo, or the entity upon behalf of, which the person(s'j acted, executed the instrument. - . lam MCM LM WITNESS my hand and official seal.- _ can�ron*^dftric 15�67051 MvCOM.•ib�IfVvwM�, 6 .2 • g ature .(Seal); t y � • f 1 r � r � i - 068-360-107 06,1202-,-' _ JONES, JERRY NOTES fl i '4308'HILLDALE DR;,OROVTLLE Dc� (Cont: OWNER j o I GAR AGE(1200)STORAGE(1200) g�ZZ RESIDENTIAL q . 0 co NoT Rc W 14V f ?finE APN: - . Permit No. Owner 7 Site Address: i� Contractor. k 1 Type of Permit: r- 561 jOW4 �o�i 3%0 " Co34 (o d AlLV ftCO 77 s: Y t fit. DATE JOB FIN SIGNATURE: SPECIAL CONDITIO SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED , SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY j.: i +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS-. DATE PERMANENT FOUNDATION Lj SOFT -SET "---DATE 1DES*COVERS*CARPORTS*GARAGES 1 ZoningSetbacks-Easements Ing -Setbacks -Easements 2 Soils; Special MH Support Sketch � tgs; SoilsSz-OpthSpacing-CnnctrsSteel (Ardr 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Jolsts-Ocking-Brcing 4 Wtr; Loctn-Test-Easeinent Needed -Regulator Stairs -Guard_ /Handrails 5 Elec Loctn-DIrncs-Gmd 'Am -Concrete 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. 6 Yard Gas; Loctn-Test Wrap Nat or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum A ; olumns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; SzSpacing-Marriage Line 6 C ndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs Sills-AnchrsStuds-Rftrs-Trusses rSiding; 10 Drain; MH Test -Fall -Flex Cnnctr = Z Z 6,, Nailing-VeneerStuccataNr__---� 11 Wtr & Sewer. Connected -C/O to Grade 10 Roof; Shthg-Roofing\ 12 Gas and Electilcity Tagged 13 Tie Downs ❑ Foundation ❑ teps-Doors-Landings 10. 12 Braced Wall pnls 14 Exits 19 Cert of Occupancy'2 2 16 HUD Label/Insignia Numbers Serial Numbers e j3L Z DATE P O O 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnrictns-Thickness Dead Men-Uning 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lung; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Egp-Pool lghtg Boxes-Enclsrs-pnlboerdsansultn•to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test —I 1 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or. Slide 8J, Pool Drawing d4m r_ .f1 Y 4 �s i-, ct ' 1.9 + - OK 0 -Nal RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftp DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Ace 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fir$ Sprinkler; Test 7 Slab, Steel Wrapped 66"irard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 40 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE IMECHANICAL 13 Plenums & Ducts; Cimc-MaterialSupportansultn 61 AC Ducts Insultn & Support " 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Ace & Pltfrin If Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchm DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof) 68 Furnace Vnts-Cimc-Comb, Air-Dnnctr 21 Fire Stops,'Furred CellingsStairs-Chasers-Tubs In Garage; abv-11r-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub AccSpa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Are Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall .& Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Alr-Gap-Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir 34 Stucco lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn;. LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Pimb; Elec & Mech Eqp Listed for Loctn 36 Shear !T_ Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn v 41. Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 8 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dm e & Wood -Earth 86 Clrnc Drnge Planters F] Yes Q No °�• �� � � 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cirnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Irispctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz oa ❑ CU or �AL 98 Address Posted AC Wire Sz , Q CU or AL 99 Fire Sprinkler 48 Range Circ Qa ED CU or�ALAL Oven Circ , Q CU orInsulated Neutral QYesNo 94, ��` �• °.�` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Meeh Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o•' d� o'er /P C)01r)e sm(nS CD /%, c) C_ uQSTl AIi?<� t �r (-kyur) S 1FET(/ QiCA-SS fl D I N1 I WE WE z Date I I ` t % ', Insoector7!)FAD(ZA(•-} CA2PrnITC/Z 41. REV 4/05 Phone # S� CSO Z Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ` f.: 3i 11 _ p BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 w CORRECTION NOTICE `{ 12 0OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of is work completed. If, you have any questions pertaining to this matter, or need additional} explanation, pleas contact the Building Inspector as indicated below. /P C)01r)e sm(nS CD /%, c) C_ uQSTl AIi?<� t �r (-kyur) S 1FET(/ QiCA-SS fl D I N1 I WE WE z Date I I ` t % ', Insoector7!)FAD(ZA(•-} CA2PrnITC/Z 41. REV 4/05 Phone # S� CSO Z Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ` f.: 3i 11 .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE �y►�S 0-A — 2 0 -2!- OWNER OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. i-0 Date REV 4/05 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 v-- n,a.rv'Y.r . w-,..-•.-- r r �.rc-.+.-•w,.ti:'F'Y1Xwv+-..-.-• .�.,....:: J �'!r •:� -'.'-COUNTY OF BUTTE Y ;BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE Z 07 �I OWNER PERMIT NO. :"A routine inspection indicates -that the following violations of Butte County Ordinances exist at r the above address and should be corrected. Please call for re -inspection when correction of work is completed.. If, you have any questions pertaining to this matter, or need additional explanation, plea contact the Building Inspector as indicated below. Ce 1 ►a k '_ �� n 41 C Y Date Inspector ,REV 4/05 - :`,,� Phone # f FOR.RE-INSPECTION CALL: 538-7636 OR 891-2834 s .fesi _7- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 7 Countv Center Drive• Oroville. CA • (530) 538-7541 CORRECTION NOTICE 1a 6�� 6AER PERMIT NO. �'- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is complet d. If you have any questions pertaining to this matter, or need additional explanation, pl ase contact the Building Inspector as indicated below. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 U/7/ aVZD at/ 15rVi 42W 9 -7 v1d / /��7C� a& % oc/7Z r ; 'w ,µ S1 't 1' Date /P a I Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 t'tKIVII l Ivv. BP061202 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/05/2006 APN: 068-360-107-000 the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Site Address: 4308 HILDALE AVE ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: garage (1200), storage (1200) 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, alter, improve, demolish, or repair any structure, prior Owner: JONES JERRY D JR & KAREN J 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 4308 HILDALE AVE the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7718 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).): 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 Applicant: JONES JERRY D JR & KAREN J owner of property who builds or Improves thereon, and who does 4308 HILDALE AVE such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for OROVILLE, CA ' sale. If however, the building or Improvements are sold within one 95966-7718 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' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State cense Law.). O 1 am Exempt under Article 3 of Busines P f ions Code Own - Date: — License #: WORKERS' COMP-09tATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for 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: ❑ 1 have and will maintain workers' compensation Insurance, as Engineer: 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: 2400 S.F. Policy M Valuation: $57,600.00 fes' 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '\ Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one ` hundred thousand dollars (8100,000), In addition to the cost of �4 (7 compensation, damages as provided for In Section 3706 of the Labor V C code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is hereby'lissued nder thea7Rplicable provislons of the Butte County Co_ de and/or fdr fees have been I hereby affirm that there Is a construction lending agency for the Resolutions to/dam tp�oGKf�t Gated above which paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) By. ` Dale Name: PERMIT EXPIRES ON: - Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & 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 1 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 fficial form or document of Butte County. I hereby authorize represg� lives of 8ulte Count to enter upon the above mentioned property for Inspection purpose Print Name: Signature: Date: O Owner O Contractor Agent for Owner ❑ Agent for Contractor P01 16 04 i B. C. Building ermit pg BUTTE COUNTY PERMIT•NO. DEPARTMENT OF DEVELOPMENT SERVICES ` BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BPO61202 OFFICE M (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/05/2006 APN: 068-360-107-000 the Business and Professions Code, and my license Is In full force and effect. License Class : License Number: Site Address: 4308 HILDALE AVE ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: garage (1200), storage (1200) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JONES JERRY D JR & KAREN J 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 4308 HILDALE AVE the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7718 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).): 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 Applicant: JONES JERRY D JR & KAREN J owner of property who builds or Improves thereon, and who does 4308 HILDALE AVE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one 95966-7718 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.). ❑ 1, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' Slate 'cense Law.). ❑ 1 am Exempt under Article 3 of Busines Code ZZions Date: —Own License #: WORKERS' COMPE ATION DECLARATION I hereby affirm under penally 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 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: 2400 S.F. Policy M Valuation: $57,600.00 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of' compensation, damages as provided for In Section 3706 of the Labor 1111 -- code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby rissued nder the -a Iicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Is issued 3097 Civ.) Resolutions to d o.�aboyeh fees have been paid. �performance of the work for which this permit (Sec Date -Name: By.�] - v PERMIT EXPIRES ON: ( Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that 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 fficial form or document of Butte County. I hereby authorize repres lives of Butte Coun5to nter upon the above mentioned property for inspection purpose Print Name: ) I t L Signature: Date: O Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. cunning rermn 0 i-16-09 py 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 C (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION. Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" For office use only: OWNER INFORMATION Last Name No irst Name , F309C 2 o � ,2 Address Zip Phone E-mail City E-mail Sate Zi Class ^ Phone 9 Fax E-mail For office use only: CONTRACTOR Name No Address , F309C 2 City Zip State Zip Phone E-mail Fax E-mail Lic. # Class For office use only: ARCHITECT/ENGINEER Name Address No City , F309C 2 State Zip Phone Phone Fax E-mail E-mail State License Number For office use only: ARPLICANTINFORMATION Name No Address -- , F309C 2 City 0 v tate ip— Phone Fax E-mail For office use only: Zoning Flood.Zone SRA Ye No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: vvr=r% FVR 0u61V11I IAL KLQUIREMENTS L K TORMSWILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 PROJECT LOCATION AN ©6,y -- 3 6o — 107 Property Address City IZZ Cross Street WORKER'S COMPENSATION Policy Number Carrier PERMIT NO. BP06 1202 - BW # If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pennit issuance LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living arage Op n Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, anew application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other departmentcots are not refundable. — � f -.— P r-` Received by:1 l Amount: _ I / 9 Bldg Receipt #: Sheri SMIF Date: v Other 17 REV B-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intentfor Non -heated and A/C for Non -Residential Buildings. , ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate 0 , . . . ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor . plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3.. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. N ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process;.please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 r - 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 7. OWNER: g /� L` / ASSESSOR PARCEL NUMBER G r� �® a � Proposed Building.Use: ���� C: Permit Technician: /, Date: -2 --o Items required in order to apply for a pe, it All boxes MUST be checked OR marked NA in order to apply. \ /N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �j / N 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. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other \ R�nai Ing items needed to issue the permit (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Solis Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval rpm the City of gs---- .... ...... - _ 6C \ ) 22. California Department of.F y0sq plan approval paid. Sent by: l �i 4 23. Planning approval fbrp ;A)'Use: ---(B) Parking: --(C) Parcel Check: ............ _ �❑ 24. Contact Land Development about _Improvements, _Drainage ........................ ❑ - 125. Fire Marshall Review (commercial projects only). Sent by ...................... Iv.26. 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,,7<lvlailed to owner) ..................... �g 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 j� registration o MCO ......................... l 36. Other. G24A r' ❑ 37. Other. When issued Telephone v�Cffl_�_��and hold for pickup -_-3� 1 have been inform of the abov ' ems a requirements for obtaining a building permit. Applicant Date: 1. Index perm ation for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 0<z 49 Date: Structural reviewed by Date. Structural approved by: Date: Note transfer by: Date: Yellow: Building Division �l TO:. FROM: E.H. USE ONLY Plot Plan Atladted r / y Floor Plan Attadted Sent to BD/DS Building Division — Development Services Environmental Health SUBJECT: Sanitation Clearance ku'� !� z -. (� d, L3 Ow er Location AP# Plan Approved for: Sewage Disposal-.� Water S Clearance for dwelling. Other 30-7< V b S Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Public Private Well Date t 4 California. Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# 6 _ h2oZ- Under authority of Public Resources Code .Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building � Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be "provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will,be provided. 1273.10 Driveways [X] .(a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. f [X] .(c) Driveways exceeding 150 feet in length, but less than '800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart: [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. V of class 2 aggregate base shall be:required for all driveways, turnouts, and turnarounds. 127303 Roadway Grades [XJ The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 21 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. The len + [X] (b) length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Turnarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the —17' shall be a minimum of 60 feet in length ' 1273.06 Roadway Turnouts [X] - Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 c III F 1273.07 Roadway Structures [XJ (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11, Gate Entrance [XJ (a) Gate entrances shall be at least two feet wider on both ends then the width of the trafficIane(s) serving that gate. [XJ (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [XJ (c) Where a one-way road witha single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [XJ Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation, Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from. both-directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [XJ (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [XJ (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [XJ (d) Where a roadway provides access solely to a single commercial or industrial business,'.the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space J (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road Your parcel is larger then 1 acre but your minimum setback for buddings.and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 1 Same Practical Effect for Buildines less then 30 feet from Property line: If the Building Setback: is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County We Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements- Installation of ResidentialFire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. MAY 2'4--2006 Darren Read Date Fire Protection Planning Revised 02/28/06 3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 vwvw.buttecountV.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner jones APN No: 68-360-107 Permit Type: I Subtype: App Date: 5/22/2006 Permit No: BP 06 1202 Permit Desc: BUILDING PERMIT FEES ESTIMATED AT APPLICATION $1,044.81 Plan Check portion of Permit Fee $417.92 $626.89 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA• Yes Fire Plan Check - Non -Refundable $95.00 $95.00 _ (State Responsibility Area) Building Inspection $109.98 $109.98 - $204.98 NON-REFUNDABLE portion of fees due at application $512.92 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION RECEIPT DAT Tech/Asst J$622.901 �O6 21 5�22jj At the time of pejapplicatioI was advised the above fees are required to be paid prior to issuance of the permit. These Fees may be changed during the plan checking procesApplicant Date: a� r` V 6. Pursuant to Govection l5r6otro, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 r Gene Dill is authorized' to act as my agent f or the construction of my shop building to be constructed at 4308 Hildale Avenue, Oroville, CA, 95966. id by - - V ) - COPY of Document Recorded 30 -Jun -2006 2006-0033619 Has not been compared with original BUTTE COUNTY COUNTY RECORDER When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use Owner Name: Jerry D. Jones and Karen J. Jones Building Permit No: 06-1202 — Storage above Garage DEED RESTRICTION AND NOTICE OF LIMITED.USE FACILITY I. WHEREAS, on this 13th day of June, 2006, Jerry D. Jones and Karen J. Jones , hereinafter referred to as owner(s), are the record owners of the following real property: 4308 Hiledale Dr. Oroville, Ca. 95966, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. .WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1202 was.applied for on 05/22/06 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1202 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a new application for a different use has been approved; and Pa �-rs 4 4 E VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-1202 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1202 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the. use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized ,in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: storage is not to be used for living and sleeping.. If any provision of these restrictions is held to be invalid or for any, reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use.facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department 'of Development Services, Building Division prior to the issuance of Building Permit No. 06-1202 DATE: —56 , 204 Owner Signature: 0 Print or Type Name of Above Owner Signature: b Print or Type Name of A e NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat . (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) - On _ () 3C� Dto before me, � is lr'ro�. Iii h sC4 , Notary Public, personally appeared -Se rr o 7n IAe personally known to me ) to be the person) whose name(* is/m:e subscribed to the within instrument and acknowledged to me that hetsM/they executed the same in his/iFew/fir authorized-capacity(iss),_and that by his/tom/glair signature( on the instrument the person(*, or the entity upon behalf of which the person* acted, executed the instrument. Ccunn**X%,. * 1612936 WITNESS my hand and official seal. .Pubft-Caffcrnb _ � „ MyCanR6rpire� is - Signat (Seal) STATE OF CALIFORNIA COUNTY OF BUTTE On D 03 e j o tp Public, personally appeared before me, SS. Notary (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(* is/W subscribed to the within instrument and acknowledged to me that W/she/ti;wy executed the same in his/her/thir authorized capacity(iSa);"and that by */her/*mMr signature(* on the instrument the person(1-4--o .-tbe-eritity upQnbehaff pf which the persons acted, executed the instrument. FHVLMQMM.KW r C MVnb M 161 "36 MDbY P1vic - CGOOMM WITNESS my hand and official seal.suu.:CCU* Santi:.pxi�inM Oct 15. 20 Signatu _ (Seal) . f/e x115 - at This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: Paul Klein Building Official, Assistant STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On Ju+uc 19, sootbefo me, r �M �� M�` ,Notary Public, personally appeared A u� e,EI*J personally known to me to be the persono whose name(o is/ard subscribed to the within instrument and acknowledged to me -that he/s,We/thg executed the same in his/Vr/tl*ir authorized capacity(ios), and that by his/tWr/tlir signatureW on the instrument the persons'), or the entity upon behalf of which the person(A acted, executed the instrument. lam mcmum WITNESS my hand and official seal. CoaurdsWnala67os1 -. WC"MAP. Cc9omlo Ate coumlyl MY COMM. EVINK AW 6.2 Jg ature (Seal) 0/<- -Ay- o 6 OWNER -BUILDER VERIFICATION TION Attention Property Owner: ��aG /2aZ An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at.your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. �I personally plan to provide the ryrajor labor and material for construction of this proposed ����property improvement: YES.[V ] NO[ ). ` C:;:'I HAVE [ ] HAVE NOT [ signed an application for a building permit for the proposed work'. 3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE:. �- CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: . 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: r— DATE: - u NOTE:: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and'retumed to our office before we are permitted to issue the Butte County Department of Development Services �iJjrr ADMINISTRATION `BUILDING GIS PLANNING o !/ o 0 o o / o 7 County Center Drive Oroville, CA 95965 0 o (530) 538-7541 Telephone (530) 538-2140 Facsimile cOUN� OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing.yourself as the builder of the property improvements specified. _ 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 pian to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you maybe an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation km rance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Indushial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally orthrough their own employees, without a licensed contractor. or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so. that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. t„ P pFTnneNr i� o I O e 0 A�eQc WOR�9 Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE1 Project Description: �l�F fl%• Project Location and/or Parcel Number:&T- ®' 7 An D I T el 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 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte CounlyDepar&nent ofDeveloprneljt S'ezvlces 7 County Center Drive ° `: ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile cOUNAy BUILDING PERNIIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the.Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted,. without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). . Please print: Applicant Name: / /� fll L l Building site address: 0 � ,..� ? 6o Le APN: ®yrg' 3 b 0- 107 Permit No-: 25c>o 6 / 2,6 2 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission he above -referenced building permit application and my signature below. S RE OF APPLICANT DATE Copy to Applicant/EH/Fite Y,-:Forms/BldePermitwithoutClearzncrs 020705 NOTES RESIDENTIAL .. �. . d 6,-' PERMIT NO.' 068,360;107_�,. _;_02-3010 -" RICHER, JAKE % ` �3U HILLDALEIAVE., OROVILLE NEW SINGLE FAMILY - 2 " SPECIAL CONDITIONS y CHECKED BY z ZSRA ' FLOOD CERTIFICATE REQ. ai FIRE SPRINKLERS REQ. I, SPECIAL INSPECTION ITEMS r VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICETCOPY /,� Q �J Addres X130 6'X;'•/ ' � - i GAS a�=� Meter By D J - RIC _aZY +' ELECTRIC Meter By t JOB FINALED (Date�-=�-?� _ • Signature $ :. J=OK 0 = Not OK Not s = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 2. Soils; Special MH.Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4: Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ P' L "ft./ P LPG ' 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 40 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 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-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining • %� } 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDgKFLOOR (Plans) OK except #'s Main; Soils-Elec. Grnd.-/ I//' Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ / Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth walls, Main; Steel-Blockouts-Wrapped *00"Slan1walls, Garage; Steel-Blockouts-Wrapped 6�HolO owns and Soecial Anchors i/�fl/62 j9!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. earance-Material-Support-Ins. 1 14. Girder- ill ncho s-Joi - ents-Crippies 15 Acc Ventilation 16. Insulation Date/ Card B-1 Date Card B-1 Date%�Y,D ro3Card B-1 Date Card B-1 Date PLV2!BING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air Baffle yYater Pipe; Test & Anchor -Nail Protection 44 D.W.V.; Test Fittings & Anchor -Nail Protection 0. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 42 ge-GIsPipe; Sixe & Anchors 23. Fir Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection Vic. Receptacles Spacing -Lights & Switches at Doors 16—SE—eBoxes & No. of Conductors Stapled . omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI /ga. Cu or AI-A.C. Wire Size/ Na Cu or Al 31. Range Circle/ /ga Cu o -Oven Circ. / /ga&Lior Al Insulated Neutral UPres O No A32!Service-Riser Conductors & Ground Main Disconnect ,13—Equip. Clearances Panels-Motors-Mech. Equip. ,3A—eMes Closet Light -Shower Light -Spa Light .3 oke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA ICAL (Permit) OK except #'s A.C. Ducts Insulation & Support W--'V'ent Fan, Exhaust above insulation t38—Condensate Drain & Overflow, Size & Grade Furnace -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 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 FMMING in Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 4. ireplac es Zr Type A Flue -Fireplace Throat Clearance L50 --Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles TR rm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Frame g -RC Cha el e Line Firewall & Openings 15 Doors -One T -Check Garage 3rd Story, 2 Exits 5. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers ng- at i Veneer Stucco Mesh Drip Screed -Fd. Vents-Underflr. Access n.lq&g Area -Glass Protection -Skylights -Plastic ear Walls; Nailinq-Bolts Wall Panels 62. 63. Infiltration -Walls -Windows Date V. Card B-1 Date Card B-1 Date -Card B-1 Date Card B-1 Date FIN% (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector F 6 urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting j .F.I. & Bath Fixtures & Tub Access -Spa 469'—Elec. Trim & Subpanel, Breaker Sizes & Labels ai _,i rs & Rails ireplace or Stove, Clearance -Hearth k72--Mec. Outlets at Wood Panel, Int. & Ext. & Appliance; Ground -Air -Gap -Cooking Clearance L74-Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 1 Duct in Garage -Damper g_7- r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection LZD_-PT5-.; Elec. & Mech. Equip. Listed for Location ,9,B-Elec. Receptacles in Garage (F.F.I.)-Romex Protection Zja . nsulation-Foam-Looked in Attic 8 uard Rails & Deck Construction -Post Caps L82­15—dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./DriV9QYe`s_Q No/Walks es O No/Planters O Yes ucco Brown -Finish X85 �C. Unit Disconnect, Electrical -Plumbing diSe- lts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground Lag—Ve—ntilation Throughout House lis Protection V9 .—Gerrections from Psevious Inspections 92 Gas Tes eters Tagged, Gas -Electric a er & Sewer Connected -C/O to Grade -HD Approval 9 nergy Compliance Certificate -Other Certificates Address Posted 96 Date 6 �7 Card B-1,,O� Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: n, 'COUNTY OF BUTTE f� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 .7,County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ' I1; OWNER. r PERMIT NO: ItkA routine inspection indicates that the following violations of butte county Ordinances exist at the :..,,- above address and.should be corrected. Please notice this office'when correction of work is ff completed. If you have any questions pertaining to this matter, or need additional explanation, please conta tt is office immediately. 9 N �i Z�� Date 3� Inspector— REV 10/92, -6 d F, L.- 4, 02,0- r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _. 411 MainStreet - Chico, CA - (530) 891-2751 7.County Center Drive - Oroville, CA, (530) 538-7541 r � CORRECTION NOTICE OWNER PERMIT NO. s A routine inspection indicates that the following violations of butte county Ordinances exist at the I above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to'this matter, or need additional explanation, please contact this office immediately. 1� et:, 1,45 71- r . iJ Date 9/ Inspector REV 10Z COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 15 t Date. Z y Inspector_ -+r REV 10/92 i J COUNTY OF BUTTE t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE = MA'= 0) �. PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date ;� i K-... ( '- vr Inspector REV 10/92 w - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES i 411 Main Street • Chico, CA • (530) 891-2751 1 - - '. 7 County Center Drive • Oroville, CA • (530) 538-7541 j"'CORRECTION NOTICE - �G,•��,��. � _ O� _ .� ado DOWNER PERMIT NO. A routine.inspection indicates that the following violations of butte county Ordinances exist at the above= address and should be corrected. Please notice this office when correction of work is have an you If completed. p y y questions pertaining to this matter, or.need additional explanation, please' ontact this office immediately. 1" r / C� O r C4 i3 em . F ! -' Date `REV 10/92 z v U Inspector/� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 6Z - fol 0 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date 7)zT) REV 10/92 r Date 7)zT) REV 10/92 COUNTY OF BUTTE - DEPARTMENT 00 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 T (Rev. 12/96) APPLICATIOA-AND PERMIT ®7� _�V I N f) ASSESSOR ARC NUMBER^ SU 7 ZONING BUILDINGPERMIT OWNER IR CHJE TELEPH 5966 . SO. FT. OCC. BUILDING VALUATION 2127 R 114.858.00 OWNERS MAILING ADDR s 59r, 5 CONTRACTOR'S NAME 9 TELEPHONE 676 U 12 168.00 303 Cov 3,939.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $130.9 6 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 748.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUI I Og€ (� Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1222 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,20 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap Id 7.00 Zo OD Solar or heat pump water heater 23.00 Water piping 15.0015-00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMITY Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 150,00 ELECTRICAL PERMIT I Fling Feel 20.00 Main Service zoos OOR .ss 23.00 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 isfull force and effect. License Class I Lic. No. 3q62 -Z3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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' ompensation insurance carrier and policy number are: Carrier 67ATE Policy Number OD 11 (The above sections need°n t e completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. rj� X �/ ` Date _ Signature of Applicant - ❑ Owner ❑Contractor I$ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCU000A NEW CONST. DWELLNG OCCUP. SO W OR ADDNS. ( a ACC. S.3.54FT. 98.11 NON-REOSID. MULTI -OUTLET 97.50 S PSINGE OUTLET CIR. OWERLAPPARATUS 20 @ 1.00 Ex. Occup. OUTLET OR FDTTURES BAL O .50 Ex. Occu . DuT °s_REESI6.) OREE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating i 15.00 Cooling 1 15.00 Hood 1 6.50 6. 50 Ventilation -as °_re�la e 9.00 _ PERMIT FEE $ 85-00 Mobile Home Installation Fee $ Energy Inspection Fee $ 6.00 OCC R3/u CONST. TYPE VN TOTAL FEE $ HAZ. 1 D. FEES IMP FLOOD I CDF I PARCEL I PD I HD I ISS This permit is hereby issued under the applicable provisions of the utte County Code and/or Resolutions to do work indi to bo a for hich fees have been paid. 2 7 P3 By 7,17101� PERMIT EXPIRES ON Date ReceiptNo. WHITE-D.D.S.-874Y41NA PINK -INSPECTOR GOLDENROD -APPLICANT N�".-�,...�y�*_FuK�°'•`r�7►rf.rr.+� -"rF�n"+"'6'�',.*"i"rlTlt+M��"F�`�.•,.R��+•r'���ran'W^lFicr*'��•�..:�'r 14 COUNTY y ` x - 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 , �,j `/� OWNER: (��.� ' ASSESSOR PARCEL NUMBS 4 Y— 1•�jC.l�/ 16 Proposed Building Use: Counter Technician: vl Date: h) r./ -7 �O Items required in order to apply for a permit. All boxes MUST be checked 0 marked NA in order to apply. I Plot plans, 3 or 4 sets, signedty the preparer of the plans. jt5.omplete 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. ngineered 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. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner .......................•............. ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Rem K-,9 ms needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) M -Fees�as�Aown on the attached Schedule of Fees Due Sheet ...................................... > 5. Statement of Intent for Non -heated and A/C Buildings ..........................6; ✓ 1, 16. Sanitation and plot plan approval from the Environmental Health Department in (A - j7 fjZ1-1 0— 7. City of Chico Plumbing permit .........................j�......................................... Q 18. ' California Department of Forestry plan approval C7paid. Sent by: ❑ 19. Planning approval for (A) Use: (>V_ (B)Parking: (C) Parcel Check: 6—v — OZ L ❑ Ab. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. Q 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ i 23* ontractor's license information. (Number, Name Style, Classification) ...................... W4orker's Compensation Carrier and Policy Number ..............:.............................. 2 Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... - 13-6 2— Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 'r. ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ a ❑ 31. Other: When issued Telephone _ and hold for pickup. (o 93-017 ,41 z o6unCr I have been informed of the above items and requirements for obtaining a building permit. Applicanw-i-o--;Date: 0— % 7 " 02- 1. Index permit application for the above items numbered:, �, j .4<1 Plan Check Letter 2. Additional items required " ^T—'� Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abPoj� data by ❑ phone, El mail, ❑ counter, by Date: Plans reviewed by: cj Date: I ' 1 () *-M Plans approved by: Date - Structural reviewed by: L Date: 2 02 Structural approved by:• 1— Date: / •3 Note transfer by: Date: Yellow: Building nivisinn 0�^ Sot 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: ASSESSOR PARCEL NPdmarked ® 'JaO v Proposed Building Use: Counter Technici Date: tems required in order to apply for a permit. All boxes MUST be check NA in order to apply. &,/-,"Plot plans, 3 or 4 sets, signed by the preparer of the plans. omplete plans, 3 or 4 sets, signed by the preparer of the plans. ngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ngineered truss details and layouts in duplicate. No faxes! compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 9. Plot plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner. ❑ 12. Hazardous Material Form. ❑ 13. Other 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. ❑ X. Statement of Intent for Non -heated and A/C Buildings. 16. Sanitation and plot plan approval from the Environme al Health Department in OVA& ❑ /l7. City of Chico Plumbing permit. 1 roval paid18. California Department of Forestry plan app. ❑ 19 Planning approval for (A) Use: (B)Parking: (C) Parcel Check: V�.2Contact Land Development about ❑ Improvements, ❑ Drainage. 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. Wprker's Compensation Carrier and Policy Number. 25. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner). 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, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup.. I have been informed of the above items and requirements for obtaining a building permit. Applicant- Date: t G — [? —0 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. y 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. Original -Applicant COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 �V !� SCHEDULE OF FEES DUE J&O / OWNER A.P.1�hf 0 PROPOSED BUILDING USE lu C� I DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ?� I Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due .................. $ Revised Plan Checking Fee . $ &WULf2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division), Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 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 /o—(7—.OZ 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) I C:F .. ,tr _. .- ,'I'�IIII'IIIII� �o at✓ AND WHEN RE;OFDED MAIL TO: 412 0,110 2.- 0 0 6 8 -7 2 6 BUTTE COUNTY BUILDING DIVISION .'Recorded;!. ;t � I REC FEE 10.00 7 COUNTY CENTER DRIVE Off ficial -Records I CONFORM 1.00 OROVILLE, CA 95965 - ICOUCOPIES ` f 2 50 BUTTnty E I ' • v., - . ,t � CANDACE J. GRUBBS ' Recorder I ROSEMARY DICKSON I 02:21PM1stant 13 -Dec -2002 I PageyI-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 Cp 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: . . CHARITY b. BERRY Commission #1351356 O Notary Public - Califomia, Butte County My Comm. Exp. APR. 14, 2006 Date bljo� PROPERTY OWNERS: State of California ) t County of asI On +/a��3' before me, //a2G&� U- A •/1 r personally appeared du,tiL- car- 1C1 L:It•T"Elic__*J 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 hand and o ci 1 seal. * a.. Signature Seal: �. C:i-AHlTYD. BE $W Commissloe 11361 V Notary PuOMo Cdilort i t v� XP. #� _ - .;,' _ 8MM CatMv O ly l9 0 �0`� dMyCO�eM Exp: AF 0 Preliminary Report Order No. BU -202047-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 23, 1972, IN BOOK 41 OF MAPS, AT PAGE(S) 19. EXCEPTING THEREFROM THE NORTHWESTERLY 35 FEET OF SAID PARCEL ALONG HILLDALE AVENUE AS CONVEYED TO THE COUNTY OF BUTTE IN GRANT DEED RECORDED APRIL 26, 1978, IN BOOK 2278, PAGE 461, OFFICIAL RECORDS. APN 068-360-107-000 Page 4 c� r ^� E.H. USE ONLY Plot Plan Attached 1 Floor Plan Attache Sant to B.D. TO: - Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -3 o Owner Location AP# . Plan Approved for: Sewage Disposal,Water Super: Clearance for dwelling. Other )./L��1L�(.��1 Hold final for: Final clearance O.K. for: NOTE: Private Well Environmental Health Specialist Date Q COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 1.35965 • Telephone (530) 538-7516-A PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT "I R(-:) ASSESSOR PARCEL NUMBER 068-360-107 ZONING BUILDING PERMIT OWNER RICHTER. JAKE TELEPHONE 69.1-0114 SO. FT. OCC. BUILDING VALUATION 526 0 30682.00 OWNERS MAILING ADDRESS P.O. BOX 2531 OROMLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 3.682.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 4U.9J BUILDING ADDRESS 4308 HILDALE ORMUZ, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00` USEOFSTRUCTURE {{ SF D Duplex ❑ Mobilehome ❑ Other i SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other 0; Describe WorOPEN DECK AND PLACE WOOD DECK UNDER EX— COIMEa AREA FOR BP# 02-3010 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main $ServicezoEOOAOV OOR R 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 .*II force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, �] will do the work, and the structure is not intended or offered for sale. �tO 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I.am exempt under Sec. , Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BLDS. SO 3.50FT. T.MULT1T p RESID. , CIRCUITS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES s20 @ I.00 Ex. Occup. .' EDs A &OREA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION I 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 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that H I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit those provisions. X ()W� _ Date 1 .Z f�_ SignartL�e 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 co NST. TYPE TOTAL FEE $ 123.95 HAZ. p, FEES IMP I FLOOD I CDF PARCEL I PD H ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above or which fees have By PERMIT EXPIRES ON ///eL!/� the applicable provisions Resolutions to do work been paid. Date / p e� - Receipt No. Aq r r7 I / � %r+Z_� . CY �+"` WHITE-D.D.S`EI.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) 538-754 PERMIT NO. (Rev.12/96) APPLICATION AND PERMITS �)go ASSESSOR PARCELNUMBER 068-360-107 ZONING BUILDING PERMIT OWNER RICHTER.. JAKE TELEPHONE 69-1-0114 SO. FT. OCC. BUILDING VALUATION 526 0 3,682.00 .OWNERS MAIUNG ADDRESS PO. BOX 2531 OROVILLE. CA 95965 , CONTRACTORS OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation is 3,682.00 ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 4308 HILDALE OROVIUE, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBON510N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IQ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe WOriOPEN DECK AND PLACE WOOD DECK UNDER EX- CCVERED AREA FOR BP# 02-3010 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 RLES 800VMain Service 2o0A 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 0&11 force and effect. q > License Class Lic. No. 3 I �) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 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' com katfibon provisions of section 3700 of the Labor Code, I shall forth ith co yose provisions. X Date I Sign#e of Applicant -it-owner Contractor ❑ Agerh An OVIA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A W:U200A NEW CONST. DWEIIING OCCUP. SO OR ADDNS. ( a ACC. BLns. 3.5QFT: r"ro g6IDT MULTI.OUTLET @7.50 POWER APPARATUS S SINGLE OUTLET CIR. 20 @ 1.00 EX. OCCU OUTLET OR FIXTURES BAL @ .50 Ex. Occu . OUTLFDIEEDTSCRE�sID)0eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 123.95 HAZ. p, FEES IMP I FLOOD I CDF PARCEL I PO HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica W,w4h fees have been paid. By--Da--te// PERMIT EXPIRES ON J/> // lie Defe ReceiptNo. WHITE-D.D.S.• .D. CANARY• E OR PINK -INSPECTOR GOLDENROD -APPLICANT .''...'".".`SD�a+Nb�l/r�'+�ipHa+�v�.'�IyT'fit'&"'E+tQ�il''7�ti,�y�iF1►'R/l'!':`�. '19rT1.T`�`1Nale-ir'Gi.( ♦011 r4c.�= t� COUNTY OF BUTTE -DEPARTMENT OF'DEVELOP.MENT SERVICES -BUILDING DIVIShYN 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICAhON'DATA SHEET ISO x '36 -/07 OWNER: // ASSESSOR PARCEL NUMBER Proposed Building Use: C. l�/ Counter Technician:e;`�� Date: / a a Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-signed by the engineer. if Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be ;indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 5. Statement of Intent for Non -heated and A/C Buildings ........................................ 0. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit......................................................................... T California Department of Forestry plan approval aid. Sent by: ...................... 19. Planning approval for (A) Use: (B)Par ing: (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, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 0 -9 3 _ 0 and hold for pickup. I have been informed of the 19) cant: ( and uirements for obtaining a building per it. 1. Index pe pplication for the above items numbered: /6 Plan Check Letter - 2. Additional terns required Contractor, designer, owner, was advised cf 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: phone, ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counte , v Date: Plans approved by: Date: J- Z ®3 _Structural approved by: Date: Yellow: Buildine Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U -E ONLY Mat Plan Anachad Real Plan AtWcfead. Sent to G.0.I�— Owner Location AP# Plan Approved for: Sewage Disposal - Water Supply: Public� I Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: _ Ojp, 11)"aL - Environmental Health Specialist 8/96 1 - ZZ102's Date SS` F �. 4y.; 2.. i• I .; _��I Crr.iY a �v iF � .'rft-„' �. ..- .. � °.:�-; • '� `. . 1. - '�;� ° }, ` �r - , . I � ov ED Bunte County _ .... ' h. .nvironmental�.Healt pate n^.• . r < . P i (✓V s • I SEPTICIC • E SEPTIC V _ _..--�--�^' *' , LOCATION , ( _�_ ... Signat e ♦I � .- . ' � _ X111 ;. ....w ,� - � r ,+ HOUSE LOCATION I . • . - ” Y . I ELECTRICAL 7. NORTH a 0 104'-0.r HILLDALE AVE SITE f°.PLAN . II O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. personally plan to provide the ajor labor and materials for construction of the proposed ( property improvement : YES NO ❑ I HAVF�e HAVE NOT ❑ si ed 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: 4. 4. I plan to provide ti supervise, and provide NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. of this work, but I have hired the following person to coordinate, mai or work: CITY: 'S LICENSE NO. 5. I will provide some of the work but I have contracted (l�u the work indicated: NAME ADDRESS PHONE the following persons to provide OF WORK SIGNED: PROPERTYOWNER: SOCIAL S TY NUMBE DATE: Z o NOTE: This ner-Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER QA- I I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner=builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally.. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER CERTIFICATION :OF INSULATION' ADDRESS OR TRACT - SACRAMENTO BUILDING CONTRACTORS, INC. LOT # 1309 MELODY ROAD, MARYSVILLE, CA 95901wLIC#202026' �1 ; ❑ 605'S' AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 `� Y p ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 ❑ 8924 AIRPORT ROAD, REDDING,'CA 96002 L'IC#202026 DATE INSULATION COMPLETED ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION (" : SQUARE FEET) ' TYPE OF INSULATION TYPE OF INSULATION MATERIAL FIBERGLASS MATERIAL FIBERGLASS MATERIAL FIBERGLASS •: ;FORM -BATTS FORM BATTS &,BLOW FORM - ' BATTS ,. MANUFACTURER'S PRODUCT I.D.. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF ` OCF BAGS R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS WEIGHT PER SQUARE FOOT INSTALLED THICKNESS KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIALFORM R -VALUE MANUFACTURER FIBERGLASS BATTS OCF- , ,. AIR INFILTRATION SEALANT MATERIAL - MANUFACTURER. ' .. _ W R GRACE THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS SIGNATWJ TI ON A TITLE DATE I kbo , SIGNATURE - GENERAL ON ACTOR a TITLE DATE REMARKS WHITE - Builder Copy, Green - Builder Copy, Yellow - Customer Copy, Pink - Attic Copy, Gold - File Copy , , R G -f:, Reg. &0, 12-31 -2( t7 clvk 0C At\ � ,° ,3`20 03 ���G. � �' � , F 2ec � �eic '� �/. It�l ....... 14)1 4Z APA=VF%7 -- Certificate of Conformance Certificate .054076 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 Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated -Timber Combinations And "GAP" -' Computer Program For Determining Design Stresses w AITC 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. VI?1 Vtz 1 -3�r , t2 •� 0 0,0 so �. ;Z SErn AL =3= r to 00 ;' y ;H ,N4,011110 G, p,��• Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street • P.O. Box 11700 • Tacoma, SVA 98411-0700 Telephone: (253) 565-6600 • Fax Number: (253) 565-7265 FROM :F.L.T. ENGINEERING TO :5382140 V L V 7141ma-UREEMP 09', 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 County of Butte Building Division 7 Courtly Center Drive Oroville, CA 95965 Attn: Keith Long Cuhjecl: Response to Plan Review Project: Jake Richter Dear Keith: The following is our response to your plan re:vicw a 111111cnts. Non - Structural: 2003.01-13 03:37PM #260 P.02/02 (530) 872-0254 FAX (530) 872-9331 December 17, 2002 3. Max. girder truss loading at line 4 is - .5.40 x 28/34 � 4.45 k ( min. capacity of continuous footing per plans is 8.50 k ). 2 - 2x stud at all girder truss hearings wca'c noted on plans. — Sll•llCllllfll�• _. _.- .._..r--. .._. _. ..- dG�S�• •.�-7�i1.-��\ � f' � /.1�.[ . 1. Truster we�-e�in required to transfer./collcct any lateral lyad'with exception of trusscls- line 4, where the 1pax-.16ad is 330 lbs. (T5y);•and therefore no pec irements wcrc noted:", _ -- 2. By truss company. T'!;:' y' T'ts c' f/ est/. 74r" I' :e C-�- -. 'e'•.c o: G •/.eJf' 3. SS'1'1316 A. bolts are shown on foundation plan, note was added. 4. Note added on floor plan. 5.13y truss company. If you have any questions Ur require Iurther clarification please contact this offlCc. Co: ,take Richter Darren Diver Filc QRpFES3%pNq, . —40 2434 dr tq CIV OF CAO Sincerely, I"rank L. Tyukos RCL 32434 IQ PROJECT PROCESSING RECORD Applicant: Owner: A. P. #: %8 -2%0- /0 T Permit #: 2— C7 Work Description: Date 12L10 _(-UD Description of Step or Status Ac" r k v p ole_ — 10 -A-, - �- ---G-- January 6, 2003 Jake Richter P.O. Box 2531 Oroville, CA 95965 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 068-360-107 Building Permit Number: 02-3010 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Party responsible for plans is to sign the plans. Darren Diver or owner is to sign the plans. 2. STRUCTURAL COMMENTS: 1. See attached letter from plan review consultant If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Keith will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data She Martha Christy Keith Long, Architect. Plans Examiner Plan Review Consultant 1 of 1 Richter, Jake 02-3010.01 1/1/03 STRUCTURAL COMMENTS The engineer shall certify review of the specific truss calcs and that required ' spans and loading criteria has been met. This is not a reference to trusses used as drag trusses, rather the proper spans and loading criteria in all trusses. Provide TPI truss bracing criteria, or detail all bracing on the plans. Not provide the truss com an y. OA _ _7%,e�o &, hit dzL Keith Long Plan Review Consultant December 10. 2002 Jake Richter P.O. Box 2531 Oroville, CA 95965 40 Go Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 068-360-107 Building Permit Number: 02-3010 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON --STRUCTURAL COMMENTS: 1. arty responsible for plans is to sign the plans. All walls and ceiling in the garage is required to be protected with 5/8'h's Type X sheetrock. Plan will be so noted for you. Engineer is to address all truss reactions 5000 pounds and over. Provide foundation design and show required supports under each truss. STRUCTURAL COMMENTS: 1. See attached letter from plan review consultant If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Keith will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner Keith Long, Architect. Plan Review Consultant 1 of 1 0 v 0 • •vv1• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 � Ell M )r;r (Rev. 12/96) & APPLICATION AND PER sC_SSOR PARCEL NUMBER ���✓ I� )V.ONING O_U OWNER N OWN • �� �/ -/ ✓ SO BUILDING O 1 T sv' V NG TIO CONTRACT S TELEPHONE •- CONTRACTOR'S MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ (x _ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 0 Permit Fee $ 20 C •_ $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkinq Fee Q $ _ BUILDING ADDRESS i Energy Plan Checking Fee $ PERMIT FEE $ $ LOT NO. e SUBDIVISIONS NAME _ 1 PARCEL MAP PLUMBING PERMIT Filing Fee. 20.00 Each Trap 7.00 USEOFSTRUCTURE 1, OLi PC-- SJR❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 1 1 5.00 Each gas water heater or vent 1 5.00. TYPE OF WORK Nem/6Addition ❑ Remodel ]p Utilities ❑ Installation ❑ Other ❑ Describe Work: N s� Gas piping system 1 - 5 outlets — 15.001 Q Building sewer Mobile Home IS - WN 1 15.00 �� 920.00 - PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.0:, Main Service 000'0 LE 2300—" - - J� S C(2•• • � *PERAUT FEE PAID � � SRA SHERIFF OTHEQ � gHeating 00 uu AT&NT RGCEXWb 1 w ! �E w TO se � � comim Main Service 20aA TO /000A 46.00; NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BIDS. 3.5CsC FT. _ _ NEW CONS .OUTLET 7.50 NON•RESID. MULTI.CIRCUITS_ POWER APPARATUS 8 rIN.LF. OUTLET CIT. I ' 20 (q 1.00 EX. OCCU OtmFr OR FO(T11REs BAL� _ FDIED APPLNS. OR 5.00 Ex. Occup. OVTLETs gFSID. EA _ Temporary Service 23.00 Mobile Home Facilities 20.001 Misc. Wiring 3 0• - PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 d IS doolina 11 IF 1 1 Hood 6.50 V ntilation G PERMIT FEE S 7� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE r TOTAL FEE $ MAZ EES 00 OF CEL HO l SS - This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PER EXPIRES ON the applicable provision Resolutiions t�o p been aid. Date pare ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [FLU 1EHQHNM?MnHWR • 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 (530) 872-0254 FAX (530) 872-9331 County of Butte December 17, 2002 Building Division 7 County Center Drive Oroville, CA 95965 Attn: Keith Long Subject: Response to Plan Review Project: Jake Richter Dear Keith: The following is our response to your plan review comments. o (� Non - Str ral: ax. girder truss loading at line 4 is - 5.40 x 28/34 = 4.45 k (min. capacity of continuous footing per plans is 8.50 k ). 2 - 2x stud at all girder truss bearings were noted on plans. Structural: ��k o- rad V.>&� (DTrusses were not required to transfer / collect any lateral load with exception of trusses at line 4, where the max. load is 330 lbs. (TS9), and therefore no requirements were noted. �2 By truss company. ►-ice �sv►&-�s SSTB16 A. bolts are shown on foundation plan, note was added: �<< ,4'Note added on floor plan. g)By truss company. 1.C.�t-Q,=c�• If you have any questions or require further clarification please contact this office. Co: Jake Richter Sincerely, Darren Diver File Frank L. Tyukos RCE 32434 N Richter, Jake 02-3010 11/21/02 N STRUCTURAL COMMENTS Ql The engineer shall certify review of the specific truss calcs and that required spans and loading criteria has been met. Provide TPI truss bracing criteria, or detail all bracing on the plans. Please specify the required hold down and anchor bolts on the Foundation Plan. r 4c(—< 4. Specify double king studs at openings > 5' and use of DF #2 studs in Line 6, Floor Plan. Provide wet signature (i.e., original) of truss engineer on truss calcs with hand- written comments (e.g., A5, H4, etc.). A rubber stamp signature is not a wet signature. Keith Long Plan Review Consultant PdKN REVIEW RESPONSE ORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. I1 this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valid response to every item requested in our plan correction letter. `By others" is not considered a valid response. please indicate your response to each item and the location where the information can be found on the planecalcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME DATE: �ke, 4)au 1; -, 6 2 ASSESSORS PARCEL NUMBER PERMIT NUMBER RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: O // • ! 1 COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM #. RESPONSE BY: , LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: • RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEXAND MISCELLANEOUS ONLY Owner:.IG4c/— Building Permit Number: 0-2--301u Plans Examiner: Martha Christy A. P. Number: -460?— 3W —101 GENERAL: Zoning requirements — (number of permitted living units). Plans signed by the designer. Proper description of work on the application. Existing violations on the property. 5. Recorded notice of violation. 6. Building permit valuation. PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on P cel Map: Noise ❑ SRA Er Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ >l' Federal Aid Route and/or Federal Aid Secondary Route setback requirement. )F Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). Xi 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). J% All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). 1 l . Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3).4 C ei t' Under no circumstances sliall a private gar- age have any o -have into a room used foE/sleeping purposes (Uniform Building Code section 312.4). Wood stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2).' Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 ;`.. Water closet clearances (Uniform Plumbing Code 408.5). Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). I' Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C). 5. Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. 8. Fireplace construction details and calculations if necessary. 9. Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). 12. Stud heights. 13: High expansive soil - special foundation design required. 14. Retaining walls requiring design. 15. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or arclutect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: 1. Stairway details - landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). 2. Guardrails (Uniform Building Code section 509). 3. Brick or stone veneer (Uniform Building Code section 1403). 4. Exterior plaster - weep screeds (Uniform Building Code section 2506.5). 5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). 6. Foam insulation - protection. 7. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). N 0. Attic access and ventilation (Uniform Building Code section 1505). A1p fe- Sound requirements. Energy design compliance and supporting documentation. 13 CDF responsible area requirements. UILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing letter. Page 2 of 2 ,t� V 5 ^ �h s safetyialerttlsyTbol„Is;;used oto pattract Kyour ;y,atte�ntlon! PRSONAL`SAFETYjS,INV,QLVEDlalNhen •you see thtss1'50v,,ig,�ir mbol`=:BECOME-`ALERT. `HEED`ITS P4 �<s4i%r ;tMESSi4GE w. �+.?+.,; J.'d',. £�S �„ha�;,,•P,:-..•-: Y�. -�'-� t`t :. �'` A.F CAUTION •ideritifleslsafe'� operating ractices or indicates;unsafe condttlons that could resuit•in personal injury.or damage to structures: ` HIB -91 Summary Sheet COMMENTARY and RECOMMENDATIONS for HANDLING, INSTALLING & BRACING METAL PLATE CONNECTED WOOD TRUSSES° It is the responsibility of the installer (builder, building contractor licensed con(ractor, erector or erection contractor) to properly receive unload store handle, install and brace metal plate connected wood trusses to protect lite and property. The installer must exercise the same high degree of safety awareness as with any other structural material. TPI does not intend these recommendations to be interpreted as superiortothe project Architect's or Engineer's design specification for handling, installing and bracing wood trussesfor a particular roof orfloor. These recommendations are based upon the collective experience of leading technical CAUTION: The builder, building contractor; licensed,,. contractor, erector .or erection contractor:'(s ad ®vised to obtain and read the entire booklet "Com- mentary and Recommendations for Handling,'In stalling & Bracing Metal Plate Connected.Wood Trusses, HIB -91' from the Truss Plate Institute. 3. �f1`11jj,PNZANGER-V 1DANGER?designates'a kctaridition l f tF R lrA- `t{task i:,��' ta�wherefailuretofollo�winstructionsorheedwarn'� H Y R J J11tn'1 �.�4 tFY K - frV H ry ing w1IlNmost,likely resultaserious personate Jl- .'„ fiinJury or death:,ordamageaoatructures.�,.j f MAdRNING '}WARNING describes a condition where failuretofollow(nstructions;couIdresJe ultin'. severe personal Injury or damage to structures. TRUSS PLATE INSTITUTE 583 D'Onofrlo Dr., suite 200 Madison, Wisconsin 53719 (608) 833-5900 personnel inthe wood truss industry, but must, due to the nature of responsibilities involved, be presented as a guide forthe use of a qualified building designer or installer. Thus, theTruss Plate Institute, Inc. expressly disclaims any responsibility for damages arising from the use, application or reliance on the recommendations and information contained herein by building designers, installers, and others. Copyright m by Truss Plate Institute, Inc. All rights reserved. This document or any part thereof must not be reproduced in any form without written permission of the publisher. Printed in the United States of America. CAUTION: All temporary bracing should be no less than '2x4.grade marked lumber. '411 connections . , :... should be made with minimum of 2-16d nails. All Atru'ssesassumed 2'on-center or less. Ail multi -ply .,truses should be connected together in'accor- .:': dance with design 'drawings prior to installation. -TRUSS STORAGE ` CAUTION- :Trusses' should not �be unloaded on rough terrain or . uneven;�surfaces', which' could .cause damage to the'truss.' •:.. ” Trusses stored horizontally should be sup- ported on blocking to prevent excessive lateral bending and lessen moisture gain. WARNING: Do.not break banding .until,installa ''`tion begins or lift bundled trusses.,by the bands." WARNING: Do not use damaged trusses. �L Trusses stored vertically should be braced to prevent toppling or tipping. DANGER:' Do not store bundles upright unless properly braced. , A""DANGER: Walking on trusses which are lying flat Is extremely dangerous and should be strictly prohibited. Frame 't 0 12 4 or greater 7.1 Lir - uouglas Mr -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord All lateral braces Lateral Brace lapped at least 2 Required trusses. 10' or Greater / Attachment Required OITCHED .TRUSS } rL . °'0J%.lt ai' r •, YJ+&� •� : .,,,-.. ;.t „ . , ,. -. .r.q,(^ :.. ,. , , .. -;.•a :. •..r :..: v,,.. �.'. ::: ;•',:n,n;:^f :. , ¢ it. � 9..4e �'.7Ja# ° t } s~'"WARNING:': Failure tofolloititheserecommendationscouldresultln1r gar ;severe,personai Injury or damage to. trusses or buildings ;� ,' �;'; , i?r'r Y.;' ' s s i � 3 N 4. TOP CHORD TOP CHORD t4 SASPS TOP.`CHORO DIAGONAL BRACE I MINIMUM LATERAL. 8 CE SPACING DB (::: S1 SPAN PITCH SPACING(LBS) # trusses to the underside of the top chord when purlins 17 12 8' SP/DF F/HF Up to 32' 4/12 3.0 5' 20 15 Over 32'- 48' 4/12 6' to 7 Over 48'- 60' 4/12 5' 6 4 Over 60' See a registered professional engineer Lir - uouglas Mr -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord All lateral braces Lateral Brace lapped at least 2 Required trusses. 10' or Greater / Attachment Required OITCHED .TRUSS } rL . °'0J%.lt ai' r •, YJ+&� •� : .,,,-.. ;.t „ . , ,. -. .r.q,(^ :.. ,. , , .. -;.•a :. •..r :..: v,,.. �.'. ::: ;•',:n,n;:^f :. , ¢ it. � 9..4e �'.7Ja# ° t } s~'"WARNING:': Failure tofolloititheserecommendationscouldresultln1r gar ;severe,personai Injury or damage to. trusses or buildings ;� ,' �;'; , i?r'r Y.;' ' s s i � 3 N 4. TOP CHORD 0 MINIMUM TOP CHORD SASPS ' PITCH ' LATERAL BRACE SPACING (DBS) 0 Top chords that are laterally braced can buckle 'i°; [# trusses >.• together and cause collapse it there is nodiago- nal bracing. Diagonal bracing should be nailed Up to 28' to the underside of the top chord when purlins 17 12 are attached to the topside of the top chord. 3.0 6' 9 6 Lir - uouglas Mr -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord All lateral braces Lateral Brace lapped at least 2 Required trusses. 10' or Greater / Attachment Required OITCHED .TRUSS } rL . °'0J%.lt ai' r •, YJ+&� •� : .,,,-.. ;.t „ . , ,. -. .r.q,(^ :.. ,. , , .. -;.•a :. •..r :..: v,,.. �.'. ::: ;•',:n,n;:^f :. , ¢ it. � 9..4e �'.7Ja# ° t } s~'"WARNING:': Failure tofolloititheserecommendationscouldresultln1r gar ;severe,personai Injury or damage to. trusses or buildings ;� ,' �;'; , i?r'r Y.;' ' s s i � 3 N 4. TOP CHORD 1.'7F'+. MINIMUM TOP CHORD DIAGONALBRACE ' PITCH ' LATERAL BRACE SPACING (DBS) SPAN' DIFFERENCE SPACING(LBS) 'i°; [# trusses >.• SP DF I SPF HF Up to 28' 2.5 7' 17 12 Over 28'- 42' 3.0 6' 9 6 Over 42'- 60' 3.0 5' S 3 Over 60' See a registered professional engineer ur - uouglas tlr-Larch HF - Hem -Fir Continuous Top Chord Lateral Brace Required _F 7-1. 10' or Greater Attachment / Required —/ SP - Southern Pine SPF - Spruce -Pine -Fir 12 115 �C6 All lateral braces lapped at least 2 - trusses. Ix ro'''t '+ ,• '. v r < ��y;�' tip eb ,j� Top chords that are laterally bracedcanbuckle tog etherandcause collapse ifthere isnodiago- ?g p' �'�: 's �V _ ,• y ,`�J Gj nal bracing. Diagonal bracing should be nailed L \ rti to the underside of the lop chord when purlins are attached to the topside of the lop chord. 7. o s i� .?Z . l ' \ •,.�.;�:>.;::;�; ;.,;.':.'_' SCISSORS TRUSS A• Frame 3 BUTTE_COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM _ (One form per Building) School District �r�U / eC, A Building Department No. A.P. Number LA -36f urin is IQtI City County Property Owner Property Location/Address L Ile— Subdivision leSubdivision Lot No. Residential Development ........................................................................................................... Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # ............................................ '(No foundation inspection)? ...... Commercial/Industrial .... ........: l) ? y :?Sq. Footage * , New Addition -O(Including Exterior Roofed Areas) Building a rtment Representative Date moor rians reviewed Dy bcnool Uistnct Personnel) s District Identification No. c 1 1 e b ' �f � School District certifies that —� (Applicant) • ` \ a a1 9 (Street Address) (Phone Number) r` (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing /„a square feet. AB 2926 $ �IA,t FULL MITIGATION $ .l ALFA 1! .} `�.,7 - ae'• ,_ Lad School District Representative Date Paid by Check # / 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=couit 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.xls (10/98)dmm O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES �( NO ❑ 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with theollowing person (firm) to provide the proposed construction: NAME: �) a 14 K rc� �r ADDRESS: e-0- t13o � a 531 CITY: 0 �,Oi 16 PHONE: C9c13 - 0111.1 CONTRACTOR'S LICENSE NO. -� 0, (, Q a 3 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: ` SOCIAL SECURITY N FNMER:_ _ - DATE:_ la 13 J o NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER (Rev. 12/96) ESS.On PARCEL MBER COMRAC TORS MAIUNO ADORESS COIISTRUCTION LENDER LENDER'S MNUNO ADDRESS ARCHfTECT OR ENGINEER ARCHITECT OR ENGINEERS MAIUNG ADDRESS BUILDING ADDRESS LOT NO. I SUBONISIONS NAME APPLICATION AND PERMIT v J - E M I✓ 7 ZONING BUILDING PERMIT 2 -N O O IL NG T10 -- TELEPHONE Fireplace Total Valuation $r�- UCE14E NO. Fling Fee $ _ 20 Permit Fee g Plan Checking Fee $ ._sz / Energy Plan Checking Fee $� I► If $ _ -- / USEOFSTRUCTURE s-' Duplex ❑ Mobilehome ❑ Other sPEcIFv TYPE OF WORK Nee/p Addition ❑ Remodel P Utilities ❑ Installation ❑ Other O Describe Work: /V 5� "PERAIT FEE PAIS SRA SHERIFF AA 6VNT RECEXWb TO MTp CpM/Vm Receipt No. WHITE -D.D.S.-B.D. CANARY -ASSESSOR PINK--ECI GOLDENROD -APPLICANT PERMIT FEE I $ PLUMWERFiling Fee 20.0 Each Trap7.00Solar 200A TO IOOOA�3.5clic DWELLING OCCUP.OR or heatater 23.00Water piping15.00'_Each gas wat 1 5.00! Gas piping sys _ 1 5_0Buildin sew15.00Mobile HomeSF I 920.001 I PERMIT FEE I $ ELECTRICAL PERMIT I I Main Service 500v oR LEss 2c0A OR LESS Fling Feel 20.0 I -- 23.00; M$In Service NEW CONST. ADONS. 200A TO IOOOA�3.5clic DWELLING OCCUP.OR 0. NEWCONST ACC. BL.DS. CI. BLDS. NON-RESID. M U A K^ ' CIRCUITS_ I POWER APPARATUS @7.60' 6 SINGLE. OUTLET CIR. I Ex. OCCU OUTLET OR FMRES 20 rg 1.00 EX. OCCU FIXED APPLNS. OR RAL (3 .50 . OULE TTS RESID. EA. 5.00 Tem2orary Service 23.00 Mobile Home Fac7lities 20.001 Misc. Wirinn I PERMIT FEE I $ MECHM41CAL PERMIT Fling Fee 1 20. C: Heating 141 V) ` 1157 Cooling I I S� Hood ( 6.501 ISS 'PERMIT FEE I $ Mobile Home Installation Fee b Energy Inspection Fee S occ coNsr. TYPE TOTAL FEE HAZ- D. FEES I IMP .ELOoy COF PARCEL I PO i HO 55 X i This permit is hereby issued under the applicable provision of the Butte County Code and/or Resolutions to do wor' indicated above for which fees have been paid. By PERMIT EXPIRES ON Date 1 CDF FIRE SAFE REQUIREMENTS AP# x(07 ©2 — 30/D 6/6-(¢-T��L CF PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards aiid'measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. \[.[] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road.' [�} 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [1 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3--. .i f 6-,9 -3k--fo7 o-?o(D /<('ct,�4 J`,� AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but �1 less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall.be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [1Cj 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [x] 1. All parQels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road._ .3 � U [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [` 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi=gal inspection of a building permit. Page 2 of 3 V 3 —(07 D 1 3o r o-��, ,7/dx6 A.P # PERMIT # NAME Other Requirements [�] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 -of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B. -roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0W of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials i4 �3o r-yZ Date Signature Page 3 of 3 4 CDF FIRE SAFE REQUIREMENTS 0--3 to - 02-36/0 4,q-Tf_- fr AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �j 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [). 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [� 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�} 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates -. [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [k] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [x] 1. All parcels 1 acre aid larger shall provide a mini= mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [` 1-:, 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 l9- 36-ro7 D)--3010 A&in�---1:c1 �? � AP # PERMIT # NAME Other Requirements [ If Building Setback is 15 to 30 Feet:. - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1_0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials i0 �3o V2_ Date Signature Page 3 of 3 I� SITE PLAN'REVIEW APPLICATION Date: ) O- I-)— 01Z_ AP# 068 - 3 13 -7 Permit Number (if applicable) 3 2- 30 ) O APPLICANT INFORMATION Parcel Size: 0 y A �- Owners Name: R) t_ H Tey? - 7A I C Owners Address: Q C) 60 x 25 3 j OT2-O V 1 LL.IS 6A 9 S9 (tS- Telephone No.: 33 — S9 b So Situs Address: L Proposed Use: Residential ® New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By LIVID Date 10-21-02 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Ix I • Flood Panel No.: Da?—S C✓ Index Date: 16-14—C (a ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------- -------------- -------------------------------------______— ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: t� Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. It CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side _ r� 3 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. It CDF approval needed for encroachments into SRA setbacks. ,f Applicable Development Fees: Standard Fees Amount Formula ❑ Fire . ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender - ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a"Merger ❑ Obtain a Lot Line Adjustment El Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: 2-2`3—'7 2 Lot: 2 ❑ Use Permit/ivfinor Use Permit Permit Number: Book: q ( - Date of Approval: ❑ Comply with the following Conditions of Approval: O ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes,. NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures. are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 I x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 FROM :F.L.T. ENGINEERING TO :5382140 tv V("g 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 County of Butte Building Division 7 County Ccntcr Drive Oroville, CA 95965 Attn: Keith Long Suliiect: Response to Plan Review Project: Jake Richter Dear Keith: The following is our response to )'oul' Plan rCVICW Comments. Non - Structural: 2003.01-13 03:37PM #260 P.02/02 (530) 872-0254 FAX (530) 872-9331 December 17, 2002 3. Max. girder truss loading at line 4 is - 5.40 x 28/34 4.45 k ( mim capacity of continuous footing per plates is 8.50 k ). 2 - 2x stud at all girder truss hearings wcrc noted on plans. of -•t'1� ,o � Structural: _ 1. Trusses we�eTfiil required to transfe,�./collect any lateral lyad "with exce"ptioli of �` trus,sos'fii line 4, where the wax.'Toad is 330 lbs. ('1 y); and therefore no fire,ments were notod" 2. By truss company. T's• y c" �iy c f/ �sl/. r';e'c�,c►.s c- .c a: G /.cJE' 3. SS'1'1316 A. bolts are shown on foundation plan, note was ridded. 4. Note ridded on floor plan. S. By truss company. If you have any questions or require further clarification I)lcAsc contact this office. aQ FESS/ yq! Co: Jrikc 1Ziclltcr sinccrcly, ��, R,k ` \F Pile en DiveraT Frank L. Tyukos CIS RCL 32434 OE' CAItE�� FROM :F.L.T. ENGINEERING TO :5382140 2003.01-13 03:37PM #260 P.01/02 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 (530) 872-0254 FACSIMILE, COVER SHEET THIS COVER SHEET IS SVN7' IN FRONT OF FACSIMILE MATERIAL. FAX (630) 872-9331 TO: �/`�/!r6' �r��,y� DATF FAX NO: TOTAL PAGES l'NCIUDING COVER SHEET: FROM: c COMMENTS /�E1// S• X73 �E�%P/O� O%c �7orrt c- !-�� of` 3. �U �` /s 77�.c.x>s���-�•� RESPONSE REQUESTED: YI?S NO THANK YOU S) GNH): FROM :F.L.T. ENGINEERING TO :S382140 [FLU 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 FACSIMILF, COVER SHEET' 2003.01-13 03:37PM #260 P.01/02 (530) 872-0254 THIS COVER SHEET ]'S SENT IN FRONT OF FACSIMILE MATERIAL. FAX (530) 872-9331 TO: �//Lb' a�.rJP'- DATF. FAX NO: Fad' -- o l f -a TOTAL PACTS l N(7 11DING COVER SHEET: FROM:�� COMMENTS �7oJrit r.- !_-Cl'�r� of 3,3U RCSPONSY REQUESTED: YRS NO THANK YOU AN OUTDOOIR SWIMMING POOL SHALL BE I + I ' PRdVIDBUTTE WITH PREVENTION I _ s ; ' COUNTY SAFETY FEATURES THAT COMPLY WITH CALIFORNIA HEALTH AND SAFETY CODE I JUL 2 3'2008 SECTION 1 1 5920-1 1 5928. THESE I I DEVELOPMENT FEATURESSHALL BE INSTALLED, SERVICES I 1 INSPECTED AND11APPROVED PRIOR TO I I I SHOP E) PLASTERING OR FILLING WITH WATER. I ._AS BUILT B,H,D IIS POOLE 3000 I� s,e f GENERAL SPECIFICAT��I++ONS 1\10T TO SCALE $;8� 35 SIZE 22. 40 AREA 700 0DEPTH 3��t�TO' , • I a - - -- - I - SHAPE C U S•T0 M` - PERIMETER "s — — - - - - _ , TEMPLATE NO. �. �CUSTOM yr TILE SIZE .,6 ..x ...6 .... TILE COLOR 0 T S COPING - NO COPING COLOR N 0 DECK DRAIN POOL CAPACITY 29 O.O.O.• GALS. R - - - - I ,1 • 6 ._.. - PUMP CAPACITY - - -- - �5 - - - -r LOUNGE — I I 0 G.P.M. r 1 I ry i MOTOR H.P. I I Z H.P. A R -EA.. FILTER 48 SO. FT. `1 -- - - - - -'S - - - BENCHES- DECK ROCK L/.\�%/` 1 I I '' SALT FILTER RATE Ito G.D.M. F \80\ IFI _ .. - - - II lV TO - TURNOVER 4 23 . HRS. I 3g' �/D I . N _ N VACUUM LINE & SKIMMER 2 i ..40 - RETURN LINE 2 - - ---- - - MAIN DRAIN _ I . m JDi . I LIGHT" .I SKIMMER -MODEL 2 U-3 + BncKwaSH To DIS LINE 4.O O L AN_HOF VALVE LINE O FILL (All I I J _ .. _ ... -. . I — - -- -� SW I M OU T STEAM HEATER N O SIZE N O BTU GASLI Y: N O VENTED BY: N D, . DECK f - -- WALL NE B -"'^ LIGHT 600 4V CE �3 + c'�`, Q CEJ `!Cs' O 0 ) I � CLOCK 2 2 �V DECK ELECTRIC BY: C • F P , S T EPS • B EIVC ES ELECTRICAL BONDING BY:. C F P SUPPORT L=VAC CBu d8n�26 I RESIDENCE I i RESIDENCE aooicLIANER " Shall Be Installed As Described By This Code- I ' CHLORINATOR NO Fixed Metal Parts Within 5 Feet Of The Inside Wall I I BOARD -SIZE NO , COLOR N 0 Of Pool Shall Be Bonded To Common Pool Bonding I 1 1 I I BOARD SUPPORTS- N Q Tile: N O Grid 1 LADDER -Model N 0 Tile: I I SLIDE -b SS.R_ S ccle.y�=cA. Y F S Neewo 1 I I ROPE RINGS . N.O. W�ROPE & FLOATS N 0 'COMPLY WITH 2004 I I I GRADING N 0 DIRT WALK CALIFORNIA ELECTRICAL I STUB PLUMB o YES�D TRACTOR SIZE -- ^. ,_ + TILE & COPING' ✓AS4a o W4 ` _- •. - � ARTICLE 680 _ � _ _ _ . _ , 1 t ; . -- - •- _ _ . * DECK BY: C F P ' CODE � _ (----- OWNER: ' TREES, ETC. N O f NOTE ' PERMIT OFFICE- CONCRETE, REMOVAL BY: NO TO DETERMINE APPROXIMATE ELEVATION SCALE 1/B" = 1'D. RAISED BOND BEAM " �, L E D R SALES OFFICE -/ APPROVED PLANS AND _ HILL DA OF POOL ON DAY OF EXCAVATION. res a ND V HEIGHT wIDTN PERMIT SHALL BE ON SITE � PI+1.ASTER ;� G EY �- PHONE No. • MGR. - FOR ALL INSPECTIONS OWNER: POSSIBLE PEBBLE -TEC �B sALEstu.N POOL AREA TO BE FENCED, PER COUNTY MAP BOOK NO. SWIMMING POOL OR CITY ORDINANCE. GATES TO BE SELF I CLOSING AND SELF LATCHING. BY OWNER LEGAL DESCRIPTION NAME DE I S A B C RY • AP 068-360-107 N. e. ADDRESS 4 3• Hi L'f�F1 .- :Lir PLANNI DIVISION -BUILDING P�,�th` :a`"'F'f'OVAL OWNER: OQ WET DOWN CONCRETE SHELL AT LEAST O R O V I LLE . CA USe: Date: _^ r TWICE DAILY FOR 7 DAYS. LOT CROSS STREETS'. DO NOT TURN ON POOL LIGHT WHEN POOL t. _ IS EMPTY. TRACT NO - Parking: Landscaping: ,��_ ., DO NOT USE RUBBER NOSE WHEN FILLING RES. PHONE ' BUS. PHONE ii POOL AS IT WILL MARK PLASTER. ; j BOOK _ PAGE BLOCK = + " • • " _ OtheC —� MAILING ADDRESS ip CARE-FREE POOLS. Signature: �. #9 Alyssum Way �!y u�1i�Si+ B�Si C_ em Elea Chico, California 95928 Contr. LiC. #380826 Phone 342-4639 .pool CS 7HALL BE i4r t -.i LV v- i NI G P R E V F. N i` i 01'-J I I " I E -r I-i.AT 0 0 1A P I. -Y WIT ? $-9 ' `iF! ANOSAFE` Y CODE I Q� 1 1 592B.. THESE 1 SHAi_I_ BE INSTA..t_L.E'tU, us I ;. D AND APP IR0\IFE C' pR10R TO I I /RING ( F11 ;:?i T } 3 WATER' B H D AS BUIL I TO SCAL, D -- I it COMPLY WITH 2O0 CALIFORNIA ELECTRICAL CODE ARTICLE 680 ■ APPROVED FLANS AND PERMIT SHALL BE ON S@TE FOR ALL �11NSPEq`0'T1ONS C HILLDALE DR wV C VISION - BUILDING PLAN APPROVAL Date: ' _ Landscaping: ring: POOL EQ STEP OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION. OWNER: POOL AREA TO BE FENCED, PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. ,BY OWNER OWNER: WET DOWN CONCRETE SMELL AT LEAST TWICE DAILY FOR 7 DAYS. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY. DO NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL MARK PLASTER. R ESID=NCE GENERAL SPECIFICATIONS SIZE 22. O AREA 700 0DEPTH.,tS.2—TOZS2 SHAPE r I,j S T O M PERIMETER TEMPLATE NO. ___o_ --_CUSTOM lire TILE SIZE " + TILE COLOR 0 T S COPING N O COPING COLOR 1,1 0 POOL CAPACITY 2C,000 CAL$. PUMP CAPACITY G.P.m., MOTOR H.P. Ips •' 4 H.P.I FILTER 48 SO. FT. FILTER RATE 110 G.P.M. TURNOVER 4 2/3--- MRS. VACUL11M LINE 8, SKIMMER 2 RETURN LINE 2 MAIN ORAIN I I SKIMMER -MODEL BACKWASH TO D S L I i•1 E ACL' OF FILL LINE ANTI -SYPHON VALVE HEATER N O SIZE N O BTU GASLINE BY:. N 0 VENTED BY: N D LIGHT GOO w CLOCK 220 CV ELECTRIC BY: C F P ELECTRICAL BONDING BY: C F P I LEANER L -fir A C INATOR N O •SIZE tJ G COLOR SUPPORTS• N Q Tile: NO R•Model TI0 Tile:S R. S p cBrP.2INGS N W�ROPE & FLOATS N 0 NG N 0 DIRT WALKO YESPLUMB D✓n0 TRACTOR SIZE COPING ✓ASAP O OTNBY: C F P. ETC. N 0 CONCRETE REMOVAL BY: N 0 ®^m TE SCALE VII" = 1'0• SALES OFFICE PHONE NO. JOB NO MAP BOOK NO. DESCRIPTIONNAME AP 068 -360-107 LOT NO: TRACT NO. BOOK_ PAGE BLOCK__pMAILING ADDRESS PERMIT OFFICE MGR. SALESMAN He _ RAISED BOND BEAN/ YES 0 NO D' NErGHT WIOTH g SWIMMING POOLLEGAL UENNIS AND BECKEI RY N- ADDRESS 43 HIL'fSF? OROOLLE CA CROSS STREETS RES. PHONE BUS. PHONE CARE�I"REE®LS #9 Alyssum Way Chico, California 95928 Bill Bell Contr. Lic. #380826 Phone 342-4639 CASTER ;�GREY� — �SSIBLE PESEILE-TEC —. C POLI_ SI–IAL_l BE I :"_:iwy, il�lt3 PREWE"NTICI'A 1 I Err, TH.AT E:0MPL_Y WITH I HEA'-__-iH AND SAFETY 0010E I 5(32B. THESE- l I SHALL BE INSTA:kL.L..ED, L'7 AND APPROVED PFRIOR TO R'ING C -3P l-lt_L.ING `•:,i 17 f7 WATEr I AS RJILI B,H,D Is POOL EQ s.e N r'_ TO SCAL- (1 ij,• - \i iYilj 11 7 {�L'L'� (.% ! j1L _.. jt1,' ;.ii O I QI I -''-5 - - - LOUNGE AREA ya I (4 40+ POOL66 - I .r V C 1 r I STEP L y / 1 Rc=SiQENCE I I I I � 1 I 1 1 1 COMPLY WITH 2004 I I CALIFORNIA ELECTRICAL CODE ARTICLE 660 ' s OWNER. TO DETERMINE APPROXIMATE OF POOL ON DAY OF EXCA AT ON.YATION HILL DALE DR �• _` APPROVED PLANS ANDPERN11T SHALL BE ON MTE —� OWNER: � k� p r t�pa POOL AREA TO BE FENCED, PER COUNTY FOR ALL WISPEC ryN I�,. NS OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. BY OWNER OWNER: J -DIVISION - BUILDING PLAN APPROVAL<WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR 7 DAYS. DO NOT TURN ON POOL LIGHT WHEN POOL Date: IS EMPTY. DO NOT USE RUBBER HOSE WHEN FILLING _ _—Landscaping: POOL AS IT WILL MARK PLASTER. y ;`� �siyr�atura Y `Ir P.ESID7-NCE GENERAL SPECIFICATIONS SIZE 2! � O AREA 700 eDEPTH..,rS2_TO.LG SHAPE CljSTOM PERIMETER TEMPLATE NO. CUSTOM v� TILE SIZE " ■ TILE COLOR 0 T S COPING N O COPING COLOR 14 0 POOL CAPACITY 21�-,CGO GALS. PUMP CAPACITY j 0 G.P. M. MOTOR H.P. 1/2 H.P. FILTER L18 SO. FT. FILTER RATE I I O G.P.M. TURNOVER 4 2 HRS. VACUUM LINE & SKIMMER 2 P.E?LinN LINE 2 MAIN DF.AIN 1 SKIMMER -MODEL 7 U -J BACKWASH TO Q i ` L I i'j E —' OF ':i FILL LIVE ANTI -SYPHON VALVE HSI I I t_= HEATER N 0 SIZE N O BTL GASLINE BY:. N 0 VENTED BY: N D CLOCK 220 CV ELECTRIC BY: C F P ELECTRICAL BONDING BY: C F P POOL CLEANER L -VAC CHLORINATOR N O BOARD -SIZE H G . COLOR �) O BOARD SUPPORTS- 1\1 0- Tile: N O Annca.T.IDdn1 NI 0 - Tile: NJ O C, ROPE RINGS N 0 W/ROPE & FLOATS N V GRADING N 0 DIRT WALK STUB PLUMB resm/D TRACTOR SIZE TILE & COVING o 07H DECK BY: C F P TREES. ETC. N O CONCRETE REMOVAL BY: N O Op1 SCALE IIB" = 110" SALES OFFICE PERMIT OFFICE n xO eEnM/ vES rE9 a 0 NO G' NEIGNT WIDTH CASTER G R Ey -t PHONE NO. MCR. ' JOB NO. SALESMAN I--- )SSIBLE pEBEILE.TEC D!rH SWIMMING POOL MAP BOOK NO. NAME OeMNIS.ANDBECKEY RY LL — LEGAL DESCRIPTION AP 0 68 -360-107 D�w.e• ADD 430 HI LfjFt ur _ OROVILLE CA LOT 140: • CROSS STREETS _ — — TRACT NO.�I RES. PHONE BUS. PHONE - __ BOOK_PAGE BLOCK__ CARE—FREE ®LS CP1 11'' E MAILING ADDRESS �" S _ #9 Alyssum Way C_ Chico, California 95926 —, &II Bell I r Contr. Lic. #380826 Phone 342-4639 C, k. ,, '� --r-- � `. �, -- q __ _._._ � .� � �. �... '.i I t I [t�[` .. � '.. .. __ i. . , I .. i. i � i .. T .. .. is i -h,!� llt�cl LIL ', ,f � ----- --- ---- - -- - - - - 11 I I- -, , -- , I 1. " - I . I I I . 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