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069-240-020
r 069-240.020 02-1998 RASH,JACE 6035 KANAKA AVE., OROVILLE NEW SINGLE FAMJLY - MASTER #9 r •' t NOTES RESIDENTIAL PERMIT NO. _f �, 069:240-020y__..,_02:1998 _ _ I RASH, JACE --- - ifF 6035 KANAKA AVE., OROVILLE NEW SINGLE FAMILY - MASTER #97-27 t• - t � al SPECIAL CONDITIONS CHECKED i BY —"S A FLOOD CERTIFICATE REQ. , FIRE SPRINKLERS REQ. ' SPECIAL INSPECTION ITEMS V -p- p - Oil OFFICECOPY '7 Address ER GAS Date Meter By e } OFFICE COPY Address C� Ot IGG GAS 7 j Meter By Date ELECTRIC Meter By Dat t J3.' i JOB FINALED (Date ). --P, A U f i ` Signature 011, V= OK 0 = Not OK, = Not Applicable = Not Ready. p C' HOMES MOBILE I"' OMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 10. 7. Well Clearance & Disconnect Cert. of Occupancy 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 'Date• i • Card B-1 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 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t 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- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ~ 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses, 9. Siding; Nailing -Veneer -Stucco -Mesh �1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings l 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 'Date• i • Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 1 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 4 �' 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test - 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t. � ./= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL Date ZUnderfloor (Plans) OK except #'s Date Z ing-Setbacks-Easements-Floo lope Ft Main; Soils-Ele . Gr ,r Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.- ,Lt /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwaffs;-Garage; Steel-Blockouts-Wrapped 6a. Hold owns and Special Anchors Date lab, Steel -Wrapped ; a ` 8. s- Fireplace Ftg.-Steel Date D.W.V.; Fall -Fitting -Test -2 Way C,%C-Sewer Test Date F, Gas Pipe; Size Anchors -/Yard Gas Piping; Size Test afar Pipe; Test -Anchors -Regulator -Service Test 12QIeetrtL^17rt02i ound learance-M ria[ -Support -Ins. irders-Sills-Anchor Bolt i -Vents-Crippies 45. Headers & Beams -Size & Bearing. letV Insulation (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air Baffle ter Pipe; Test & Anchor -Nail Protection / V.; Test Fittings & Anch -Nail Protec 0. S er Pan; Test, First Floor -Tub Access Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors LIS9- Attic Access & Platform if Furnace in Attic Date ;70/,, and B-1 Date Card B-1 Date Card 13-1 c Date Card B-1 Date ELYCTRICAL (Permit) OK except #'s Date Fixture & Transformer Clearance -Ins. Protection W. Elec. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors Stapled . R ex Installed Close to Edge of Studs & C.J. E uip. Ground made up w/Mech Fasteners -Bond Gas & Water 1.2r2 Appliance Circuits in Kitchen & Conductor Size GFI ee Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31.Service-Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 3 Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date_MECHANICAL (Permit) OK except #'s 5. A.C. Ducts Insulation & Support te-Vent Fan, Exhaust above insulation C. 7 Condensate Drain & Overflow, Size & Grade 4'18-. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet LIS9- 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 its Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound . Bearing Walls over Girders & Floor Nailing 3. aft Stop in Walls (rat proof) 4 ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing. Date FRAMING (Continued) rs-Post LfY Ling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. ace Ties A Flue -Fireplace Throat Clearance tjfiT-Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm.. Windows or Exiting Doors -Sill Ht. & Dimensions 4`v' Garage Fire Protection Framing Property Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits el4> Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ae"Plywood on Roof Overhang -Attic Vents -Ratter Outriggers Siding -Nailing Veneer _J�V. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protectio -Skylights-Plastic 59. She Wa , mg -Bolts - jfr3. a s Int Ef/ enor I e s D 2 1. •Insulat_ioneiIings 62` Infiltration -Walls -Windows Date 8 p— Card B-1 ZVI Date Card B-1 Dates ,VA__ Card B-1 Date Card B-1 Dat FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings, Smoke Detector 166--FUrnace Vents -clearance -Comb, Air -Connector - Above Floor -Ducts -Mach. Protection 5p,-zeoroom txning �.F.I. & Bath Fixtures & Tub Access -Spa T$8!Efec. Trim & Subpanel, Breaker Sizes & Labels 1,69r -Stairs & Rails .,;A.-FireptaCE'II►5tove, Clearance -Hearth (Z1-Elec. Outlets at Wood Panel, Int. & Ext. -fJiFftt-Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 4&.--ETec. Outlets & Receptacles at Kit. Counter L�arage Fire Door; Swing -Landing -Closure 7 e -Damper (j,6-1Mr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection t.7'Plb., Elec. & Mech. Equip. Listed for Location Vic. Receptacles in Garage (F.F.I.)-Romex Protection A9! ulation-Foam-Looked in Attic 1,8&.-G-uard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor QVeT1 82. Following Instld./Drive ] Yes 0 No/Walks J Yes 7 No/Planters J Yes 0 No co rown- 'nish C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings �fi-WlefertlVeFF-Bisconnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground Lal?-'V,entilation Throughout House ass Protection orre ions from Previous Inspections Gas -Meters Tagged, Gas -Electric ate & Sewer Connected -C/O to Grade -HD Approval ner Compliance Certificate -Other Certificates ftegd�dress Posted Date Card B-1 Date Card B-1 Da Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: 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 6W—�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. It you have any questions pertaining to this matter, or need additional explanation, please co�ritact this office immediately. AA y' Date//n )-e Inspector REV 10/92'"'` 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 R A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact ltrt os ffice immediately. Date Inspectorp la/ -1/V / 2 REV 10 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive -i- Oroville, CA - (530) 538-7541 CORRECTION NOTICE M 1 / 75 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. • f you have any questions pertaining to this matter, or need additional explanation, please co tact this office immediately. i1 W/ r 11 1 Date Inspector —Z a REV 10192 N r T`•� - Y1V • - - :, Date Inspector REV 10/92 / Al 3 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 }r CORRECTION NOTICE 4A" OWNER PERMIT NO. A inspection indicates routine that the ,following violations of butte county Ordinances exist at the #aG above address and should be corrected. Please notice this office when correction of work is �W completed. If you have any questions. pertaining to this matter, or need additional explanation,. please contact this office immediately. «Ay IN N r T`•� - Y1V • - - :, Date Inspector REV 10/92 / Al 3 OWNER 9 COUNTY OF BUTTE' BUILDING DIVISION , DEPARTMENT O'PDEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 4 jA .CORRECTION NOTICE. o Z - 129a PERMIT NO. s 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, t` please co tact this office immediately. l- /�. �T c� • l.L. � � � � ,��''�� !/J o Gam/ a �1ita i n T. o car J Date /4—)L REV, 1042 Inspector ti r 4 q�1 Date /4—)L REV, 1042 Inspector COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-940-020 ZONING BU I LD I NG P ER M IT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 2198 R 118,692.00E . OWNER'S MAIUNG ADDRESS 694 11 2 00 CONTRACTOR'S NAME SKTTJ.F.D BUILDERS 24 Cnv 200 open 1 40()-00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 13106 6.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 751 ARCHITECT OR ENGINEERS MAILING ADDRESS _50 Plan Checking Fee $ 9.1-00 BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 91.00 Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each as water heater or vent 15.00 TYPE OF WORK New II Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW C1NM R FAM1TY _ ITER #97-27 Gas piping stem 1 - 5 outlets 15-00.15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 vFILE Main Service 200AORLESS 23.0023,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. v� License Class _ /7 Lic. No. e�166� / OWNER -BUILDER D LARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zoOA TO IOooA 46.00 NEW CONST. DW %NG OCCUP. SO OR ADDNS. ( a Acc. BLDS. 3.5,s - 98-15 =R.,. MULTI..RC (_W7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ I.00 Ex. Occu BAL @ .so Ex. Occup. oFIxLI AES ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 141 -15 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. ❑ 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.) r I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sol 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 fo ith comply with thos r Isions. / �j 1 X ` ',Date `.�S J � Sig re of Applicant - Owner ❑ Contractor ❑ Agent A SHA permit is required for excavations over 5'0" deep end demolition or construction o structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating _ r0 ane 1115.00 15. 00 Cooling elect AC 3 ton 1119.00 15.00 Hood 6.50 6.50 Ventilation 3 PERMIT FEE $ 7 00 Mobile Home Installation Fee $ Energy Inspection Fee $ 4(;.0 occ R3ZU CONST. PE TOTAL FEE $ FE IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the tte County Cp de and/or Resolutions to do work indi ed or vi %h fees have been paid. lO /� D B Dat T PERMIT EXPIRES ON / 0 �� u r Date ReceiptNo. 36nh35 $1 Qi _ QQL/ WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' 7.,: -IrTtidrTv-4'T.i w 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 NU40m�arked j-7-91�5 Proposed Building Use: , JS Counter TechniciaDate: Items required in order to apply for a' permit. All boxes MUST be checkeNA in order to apply. 4fqPlot plans, 3 or 4 sets, signedty the preparer of the plans. 2/Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. 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 �R, �emmaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Jam" 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings ............................................ eff 16. Sanitation and plot plan approval from the Environmental Health Department in - co1}fUp ''119. X17. City of Chico Plumbing permit ........................................... ' T8 --California Department of Forestry plan approval paid. Sent. by:�!`'.....' - - - .. . Pla ring approval for (A) Use: DX, (B)Parking: (C) arc I Check: 3pp, 2 ❑ 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) ..................... Et/26. 'Letter of Signature authorization.................................................................... ,36 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 item a d requirements for obtaining a building permit. Applicant: /� Date:567 1. Index pe it application for the above items numbered: ,1_�4,, -2�n Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by: Date: Plans approved by: { Date: ' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 • SCHEDULE OF FEES DUE OWNER A.P. # �/ w PROPOSED BUILDING USE A) k— DATE / RECEIPT # DATE RBC. 1. BUILDING PERMIT FEES � � `.�� r -,j Balance Due ....................... $ ( �' �2 �' t Additional Fees Due .................. $ Additional Fees Due ................. $ Revised Plan Checking Fee $ 2. SCHOOL DISTRICT FEES- /0-0-62, (paid at District Office) (Available after Plan Check) C� a ✓t�9'l " ► •� 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) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) ®� ' 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 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 l` %�� DATE Pursuant to GAernment 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) PERMIT NO.. 77-02 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 . 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: August 19,2002 Applicant: Jace Rash Applicant Address: 155 District Center Dr Oroville CA 95966 Applicant Phone No.: 533-6585 Property LoCatiOns(s): _ 6035 Kanaka Ave Oroville CA 95966 KRE Unit 4B Lot 246, 069-240-020 A.P. No.(s) Fees due: $1,551..00 LOA PUD Capacity Charge. Application for service approved: L ROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date:_ By: , Lake Oroville Area Public Utility District release to close permit: Date: By: r y COPY of Document Recorded 14 -Oct -2002 2002-0053910 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION Has not been compared with,- original7 COUNTY CENTER DRIVE OROVILLE, CA 95965 +' `r BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to `be recorded prior to issuance of a building . permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, arid harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot IV 45 SA.Ccv/J-neo 4> t ?3 7c� -7 '7 /� / i7"l� yuu �.5� l {Jc i %`% a Date /O " / j PROPERTY OWNARS: State of California ) County OF-- 4&e ) personally appeared , �6e..e K `� S-A / ___.- ----- personally known to me (or -proved to me on the basis of satisfactory evidence) to be the person(s) whose —nam --- e(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 official seal.. Signature =� G� Seal: / REBECCA L. BLEOSOE A.P. #4'�L C� �'� CJ Commission #1297451. Notary Public a Butte Coojltyy, Califomia. U My Comm; Exp: APR '13, 2005 4 It School.bistrict A.P. Number D– Property Owner Property Location/Address •- - i,., �` /A. �,..1w-..,. r.-. y,..w. �'•• .-...,r^ii^k.- �r"Tv-., .i>.. -.y i. r..���.-_: �1H►7-•:,:-`... _ .. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. ®County Subdivision Lot No. .................................................................................................................. : Residential Development ©,. 0 € Sq. Footage CV /P 2 No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................ Com rcial/Industrial Sq. Footage New Addition (Including. Exterior Roof Areas) 7/ Buil ing Department Representative - Date (door dans reviewed by 5cnool Uistrict Personnel) District Identification No. OV o o: k\& School District certifies that ZL C 1l0..S VN y (Applicant) r� s !<g, , a AV -f- (Street Address) (Phone Number) Oros; .(City) (State) (Zip Code) ry has complied with the requirements of Resolution No. 0 ,1—t O by payment of $ y b 3 representing ` square feet. AB'2926 $ FULL MITIGATION $ School -District Replesentative Date Paid by Check # Remarks: n CA. \ L} Notice: You may protest the imposition of, the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to. the School District Representative signing this Butte County Schools, Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject_ to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm Insulation Certificate a BUILDING PST BUILDING OWNER: ING IACATION - Description of Installation ROOF Brand Name Material Thermal Thickness (inches) e Thermal Resistance (R- CEILING Batt or Blanket Type Brand Name Thickness (inches) ` Thermal Resistance. (R -Value). Loose Fill Type Brand Name Contractor's minimum installed wghUh mum thickness hes. Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) �S EXTERIOR -WALL Material -7 Thickness (inches) RAISED FLOOR Material Thickness (inches) . SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name C - f ,l,Cea ivy e Thermal Resistance (R -Value) 4—e ' Brand Name itAJ Thermal Resistance (R -Value) • Brand Name Thermal Resistance (R -Value) _ FOUNDATION WALL Material Brand Name Thickness (inches) —. rural Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. C� License Number., Gener Co for Builder) Signature and Title Date Sub-Convactor (Insulation Installer) License Number Signature and Title Dare THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE'BUILDING. JANUARY 1993 0 SITE PLAN REVIEW APPLICATION Date: - ] — 2S " U 2 AP# Q b� 0 2 O Permit Number (if applicable) D APPLICANT INFORMATION Parcel Size: 12 AC_ Owners Name: Owners Address: Telephone No.: 6f) 3 r) 9 3 Situs Address: Proposed Use: MAST Residential It New Single Family Residential E:]- Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ TemporAy Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ` ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Septic ❑ Well ❑ Agricultural Exempt Building - ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) .jl Approved. ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By J Date ?-30— 02, , Page 1 of 5 w. 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) A SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: _ ' / • Flood Panel No.: 9r9?_ (7, Index Date: L—a —18 ❑ 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 Var�ance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: RT_ Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5 C) Side -2)Q Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L r 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 Q -Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required' ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: . ❑ No .❑ Yes - Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance F-1Obtairi a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ord_ inane (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 JR Subdivision Map/Parcel Map: kEt� j v) D&6 gsS;r -,t;- q 5 Map Date of Recording: )]—/0— '7 % Lot: `Z LI (o ❑ Use Permit/Minor Use Permit Permit Number: Book: 58 Page:.? S 7 7 Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ 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 rdquirements 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 0 F-1 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 rev'iew.' CAMy DocumenMEluilding Permit Site Plan Revicwl.doc Page 5 of 5