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069-240-038
CLAIMANT:. ADDRESS: CITY & STATE: DATE OF CLAIM: DATE' A County of Butte Oroville, California GENERAL CLAIM Michelle Freel 868 W. Onstott "J" Yuba City, CA 95991 08/10/04 BUTTE . COUNTY AUG 16 2004 DEVELOPAIENT SERVICES SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sl APN: 069-240-038 Permit No.: 704-1447 PAID RETAINED REFUND DEVELOPMENT SERVICES $ 150.00 $ - $ 150.00 0 $ - $ - 0 $ - $ - TOTAL $ 150.00 $ - $ 150.00 .................................................................................. ............. ........................................ ............. ........................................ .......................... ........................... ............. ......................................... ............. ............. ............................ ............................ ........................... Bldg Ins ctn. 0010 '440-001 4210500 1011001 $. 150.00 TOTAL $ 150.00 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. 1 Dated this day of 1.,1 G 2004, at VLAm LCL` Calif. I -int 1 u -P \1 u c 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 Appropn . atioQ or Specific Board Approval (Check one a same. Dated this day of 2004, at OrovilleCalif. Department Head or uthorized 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. Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING August 10, 2004 Michelle Freel 868 W. Onstott "J" Yuba City, CA 95991 RE: Permit No. 04-1.447 APN#069-240-038 Owner: Chricosta On 5/20/2004, a deposit was made in the amount of $150.00, of which $0.00 was retained. The remaining fees will be reimbursed to you. 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 $1.50.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen , OA III Administrative Division enclosure 04-1447.Itr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Michelle Freel ADDRESS: 868 W. Onstott "J" CITY & STATE: Yuba City, CA 95991 DATE OF CLAIM: 08/10/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sl APN: 069-240-038 Permit No.: 04-1447 PAID RETAINED REFUND DEVELOPMENT SERVICES $ 150.00 $ - $ 150:00 0 $ - $ - 0 $ - $ - TOTAL $ 150.00 $ - $ 150.00 ::jJJN1?TI ::i•a:::: Bldg Ins ctn 0010 440-001 4210500 1011001 $ 150.00 .....:.:.:. TOTAL $ 150.00 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 , 2004, 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 2004, 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 ,EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. w— -- �-�- — - --�- - - • ........ rTw ..r• "t";0, � ° �• :.....jr S ' , vJ� •.Ucclopment rvZe _�•.t. Tuesday; August 10, 2004 - • - . nnn ry e, 1111 _. 11 I N 0 •_L�I �Si •r-i.n l•n 'r`' ....S..l.' .��. ..'• Tii �:. ., Counter Karen I Fund 10 (Bldg Permits) $150.00 Person ,SRA Fees (Fire) $0.00 Payment Date 5/20/2004 I- SHR Fees (Sheriff) $0.00 As Permit Number 1041447 I SMIP $0.00 Receipt Number 406083 Copies/ Document Sales • _ $0.00 Check Number or Cash I CUA (Chico Urban Area) r - $0.00 Parcel Number 069-240-038 I TUA (Therm. Urban Area) $0.00 Applicant Chiricosta I Water Tender Btln #� $0.00 I ' • Received From FDand A West Chico Fire Station $0.00 , Witness Fees , $0.00 , ` Total Received Recorders Fees (N.O.C) $0.00 � $150.00 I . • , • . •. Thermalito Drainage ' $0.00 Total Fees To Collect - 1 0.60 Oroville Area Traffic $0.00 Notes: NSF (Non Sufficient Funds) . $0.00 • V ' s .~ « } Notice of Violation $0.00 ' • '. NCSP Trails System $0.00 _ NCSP Roads/Bridges $0.00 •" NCSP Storm Drainage i .-$0.00. *NCSP Fire Station 1$0.00 NCSP-.Parks _ Type $0.00 Value $0.00 PERMIT; - - Bin APN • • -240-038 LAST NAME 1:CHIRICOSTA FIRST NAME DOMINICK CONTRACTOR D : ' CONSTRUCTION CITY/CTY STREET NO STREET NAME JACK HILL DR TY • ' • USE, TYPE REMARKS DECK TO GARAGE B P ■ E ■ M 25 char. max VALUATION FLOOD_-] 150.00 APPLIED ISSUED JIFEES 4 _� RECEIPT 4 FINALED PLAN CHECK ACTIVITY Plan Chk-7:'Chkd By -1:- Return -7: Str Chk-9: Plan Chk;2: `Chkd By -2: - Return;2 �® Str Chk-2: Plan Chk-3: _�Chkd By -3: _ Approved: , Str Appr: Comments: 1255"6 max PERMIT-OWNERREFUND THIS •' ' ON 04-0881 04Iii To Diane forprocessing. r CLAIMANT Reason for Refund Name Michelle Freel Pulled duplicate permit - t Address 868 W. Onstott "J"' - City/State/Zip Yuba City, CA 95991 Date of Claim 06/03/04 APN 069-240-038 1 Permit No. -04-1447 ` RECEIPT INFO Receipt No. 406083 Receipt Date 05/20/2004 Issued to (Name) Michelle Freel Check Number 2556 _ r Amount 150 Date of Fiscal Processing 06/16/2004 PAYMENT DETAIL PAID .RETAIN REFUND ' BLDG ,: Time 109.98 150.00 Filing from Plan Check 0.00 0.00 Plan Check/Filing 0.25 0.00 60.001 60.00 Inspection 0.001 90.001 90.00 BLDG FEES - OTHER BLDG SRA - Bldg Inspec Fee (,Overcharge ,REFUND PROCESS FEE 54.99 0.00 0.00 0.00 BUILDING TOTAL • 150.00 0.00 150.00 r • t 150.00 $ - 0.00 0.00 0.00 0.00 $ 150.00 o�vrrFo Butte County Department of Development Services o _ o ;: Building Division _�;��: 7 County Center Drive couN�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees aid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the RECEIPT AMOUNT: REASON FOR REFUND REQUEST: : Too mar,�c��. P;t T Check those fees which you wish to have considered for refund: =Building Permit Fees =Sheriff Fees =Other (specify): =SRA Fees (CDF Fire Planning) 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. A. 0. . --/=-. Signat re Date K:/Forms/Refund Application 082203 .I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name- cr, in i C_L �—RoFy-- m e- Chtr 1(..115 Address X05 4-k't 11 � r'1 v -c_ City �r0 �t2 State Qc Zip qeq w Phone Fax E-mail CONTRACTOR Name -D� f C DU tear and A -n 2I ) Address E3L.g l.J On -'A -In -t- i:k= City YLLbQ_ C-49 State CA- 1 Zip q 5qq Pe FC�x S3o) 011- 5854 E-mail Lic. # 45�� 3coy Class CuI Ic Q na+ F'A c.7 V APPLICANT SIGNATURE rj t� For office use only- nl :Zoning ARCHITECT/ENGINEER Name Address City I Yes Stat Zip Phone Phone Fax E-mail E-mail State License Number F'A c.7 V APPLICANT SIGNATURE rj t� For office use only- nl :Zoning APPLICANT NAME Name Address City I Yes State Zip Phone Type Const. Fax E-mail -]-Ma ook F'A c.7 V APPLICANT SIGNATURE rj t� For office use only- nl :Zoning Zoning Flood Zone SRA I Yes No Occ• Type Const. division ft,, -]-Ma ook Pae 271 of Planner Date Approv d: OVER FOR SUBMITTAL EQUIREMENTS K WORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BP 1� � BIN # LOCATION AP#/GCPC,_ &ufl - X38 PropertyAddress .�� I sack— -1 l I -b C I ve Cross Street r J �O oats WORKER'S COMPENSATION Policy Number Carrier Aa-� F7U rld 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 Add re 7 (\ CL Description or Scope of Work: An I^G 'x [ ` Sq. Fodtdge ❑ 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. Re iv"e?1 y: Amount: Bldg SRA Receipt #: qo,�a_3 Date: [,I Sheriff SMIP Other REV 4-30-04 t. SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. a 2 Engineered truss details and layouts (if required) (NO FAXES!). Letter from Engineer or Architect for truss design review. 2 Energy compliance design and supporting documentation (if required). 2 Flood Elevation Certificate, wet -stamped and signed (if required). Statement of Intent for Non -heated and A/C (if required). Metal Buildings: (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 b the he en 'neer. Letter of intent. 10. Hazardous Material Form. 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541.- OVER 38-7541.OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmt&doc Page 2 of 2 REV 4-30-04 NOTES RESIDENTIAL PERMIT NO. 069-240-038 04-1447 CMRICOSTA, DON41NICK 6581 JACK HILL DR, OROVILLE I Cont: D&A CONSTRUCTION DECK TO GARAGE WALKWAY Q i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J'= OK F. 0 Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch 3. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. 4. Water; Location -Test -Easement Needed (Sketch) 5. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. 6. Gas; Location -Test-Wrap; -/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. 7. Well Clearance & Disconnect 8. 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Ancho,s-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 = NotOK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation N Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 52. 17. Water Htr.; Vent -Access -Combustion Air Baffle Property Line Firewall & Openings 18. Water Pipe; Test & Anchor -Nail Protection 55. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 20. Shower Pan; Test, First Floor -Tub Access 58. 21. Test Tub & Shower, Second Floor -Tub Access Glazing Area -Glass Protection -Skylights -Plastic 22. Gas Pipe; Sixe & Anchors 61. 23. Fire Sprinkler; Test 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 24. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 25. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 26. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 27. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb.; Elec. & Mech. Equip. Listed for Location 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Insulation -Foam -Looked in Attic 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Guard Rails & Deck Construction -Post Caps 32. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 33. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 34. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 35. Smoke Detector Stucco Brown -Finish 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 88. 36. A.C. Ducts Insulation & Support 89. 37. Vent Fan, Exhaust above insulation 90. 38. Condensate Drain & Overflow, Size & Grade 91. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 92. 40. Attic Access & Platform if Furnace in Attic Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Comments at Final: 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing N Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PE IT APPLICATION DATA SHEET OWNER: ,� ( L/�� `� ASSESSOR PARCEL NUMBE • v Proposed Building Use: Counter Technician: Date: ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t LIPply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form (� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestr plan approval ❑ paid. Sent by: ❑ 24. Planning approval (A) Use:-DZ(B)Parking: (C) Parcel Check: -2-oc- ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑. 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: .,When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. a � /B Applicant: ' Date: `�oJD`7 1. Index permit appli ation forte 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: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division t NOTES t .t - r JOB FINALED (Date) Signature RESIDENTIAL PERMIT NO. _ 069-240-038 r04-0881 CHIRICOSTA, DOMINICK M 6581 JACKHILL DRN, OROVILLE ! Cont: D & A CONST F 4'X 12' DECK 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J=OK 0 = No't OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /" L "ft./ P LPG 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 MISCELLANEOUS Date DECW, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector Date T'T o gs; Soils -Size -Depth -Spacing -Connectors -Steel 6. Water; MH Test -Regulator -Connector v4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged Electric 8. 9. Tie Downs -Type -Installation Cert. Siding; ailing -Veneer -Stucco -Mesh 10. 10. Exits; Insp.-Sketch Ext.; Steps -Doors -Landings 12. 11. Cert. of Occupancy 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 Date 10. Card B-1 Date Card B-1 Date Light Niche Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 Date 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 DECW, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Z ,'g Requirements -Setbacks -Easements Date T'T o gs; Soils -Size -Depth -Spacing -Connectors -Steel 4 ecks, Girders and/or Joists -Decking -Bracing -Stairs -Rails v4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; ailing -Veneer -Stucco -Mesh 10. R , Shthg-Roofing 5. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date and B-1 Date Card B-1 Date T'T Card B-1 Date Card B-1 Date POOLS (Plan's) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date 64. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 23. Fire Sprinkler; Test Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 76. 24. Fixture & Transformer Clearance -Ins. Protection 77. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 78. 26. Size Boxes & No. of Conductors Stapled 79. 27. Romex Installed Close to Edge of Studs & C.J. 80. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 93. 38. Condensate Drain & Overflow, Size & Grade 94. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 95. 40. Attic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes rJ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040881 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: 06/03/2004 APN: 069-240-038-000 the Business and Professions Code, and my license is in full force and effect. 1 License Class: C y I License Number: 4S 3 Site Address: 6581 JACK HILL DR ORO 1 Date: L Contractor. �" Ci15fiC^� lC{ l( A Map Index: Description: OPEN DECK (48) ♦- WALA4WA,-,l OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CHIRICOSTA DOMINICK V & ROSANNE 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 State License Law (Chapter 9 commencing with Section 3940 RAND RD 7000) of Division 3 of the Business and Professions Code) or that he or AUBURN, CA she is exempt therefrom and the basis for the alleged exemption. Any 95602-9090 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 owner of property who builds or improves thereon, and who does Applicant: DU PAR & ANGEL INC such work himself or herself or through his or her own employees, MICHELLE FREEL provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 2532 SANTA ROSA AVE year of completion, the owner -builder will have the burden of SANTA ROSH, CA 95404 proving that he or she did not build or improve for the purpose of sale.). • 530-821-5850 530-821-5854 (fax) ❑ I, as owner of the property, am exclusively contracting, with miehellef88@sbcglobal.net 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, and who contracts for such projects with a contractor(s) licensed Contractor: DU PAR & ANGEL INC pursuant to the Contractors' State License Law.). MICHELLE FREEL ❑ I am Exempt under Article 3 of the Business and Professions Code 2532 SANTA ROSA AVE SANTA ROSA, CA 95404 Date: owner: 530-821-5850 530-821-5854 (fax) michellef88@sbcglobal.net WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 457364 ❑ 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. )cL/ I have and will maintain workers' compensation insurance, as Architect: ( required by Section 3700 the Labor Code, for the performance of Engineer- - the work for which this permit is issued. My workers' compensation insurancecarrierand policy number are: Carrier: V-uad Total Square Ft: 0 S. F. Policy #: \ 1—\ � i–i a— D coo Valuation: $0.00 ❑ 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 Census Code: 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: c Ir' 11 l (� u Applicant:��_ bi�,11 _C s4-' 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. �- 39 54-51 4-1V0+ 4; 150. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County C.odA anrUer I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resoluti to qo work in icated ab 'e for hich fees have been paid. B Dmte: o Name: PERMIT EXPIRES ON: V Address: Da e ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 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 purposes. �� ��"� , 0l'S�–�� Print Name: \ llL� \�.tt�''1� Signature:a I Date: T 0 Owner contractor 13 Agent for Owner 0 Agent for Contractor s r _ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP040881 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: 06/03/2004 APN: 069-240-038-000 the Business and Professions Code, and my license is in full force and — effect. t 1 License Class: Cy I License Number: Site Address: 6581 JACK HILL DR ORO Date:— Contractor: —DO 14\ Coystt'uchw Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: OPEN DECK (48) 4- WA t_Ie WAy 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: CHIRICOSTA DOMINICK V & ROSANNE 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 State License Law (Chapter 9 commencing with Section 3940 RAND RD 7000) of Division 3 of the Business and Professions Code) or that he or AUBURN, CA she is exempt therefrom and the basis for the alleged exemption. Any 95602-9090 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 owner of property who builds or improves thereon, and who does Applicant: DU PAR & ANGEL INC such work himself or herself or through his or her own employees, MICHELLE FREEL provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 2532 SANTA ROSA AVE year of completion, the owner -builder will have the burden of SANTA ROSA, CA 95404 proving that he or she did not build or improve for the purpose of sale.). 530-821-5850 530-821-5854 (fax) ❑ 1, as owner of the property, am exclusively contracting with michellef88@sbcglobal.net 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, and who contracts for such projects with a contractor(s) licensed Contractor: DU PAR & ANGEL INC pursuant to the Contractors' State License Law.). MICHELLE FREEL ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2532 SANTA ROSA AVE SANTA ROSA, CA 95404 Date: Owner: 530-821-5850 530-821-5854 (fax) michellef88@sbcglobal.net WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perl'ury one of the following declarations: License #• 457364 ' ❑ 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 Architect: ( required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance] carder and policynumber are: Carrier:—,( Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ 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 Census Code: 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:. II a) 1�,, Applicant-��i 6{�,f•_\ %_U 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. 3Q 54-51 4-1V-0+ 150. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR Bnftr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resoluti to 10 work in icated ab a for hich fees have been paid. Name:B Dmte: PERMIT EXPIRES ON: kaV Address: Da e ❑ 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. 1 hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. pupon , '^• f AC`,\{ JAL P Q Print Name: \" C \ 1 Signature: 1K.t1�1(1 l 0 (—Q � � q Date: 4 0 OwnerContractor 0 Agent for Owner ❑ Agent for Contractor c r . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPa4DflB V DATE: �r /-Oq APN: _ ZOO ZONING: WNER'S LAST NAME: &11\,<-,k co -,to— OWNER'S FIRST NAME: ��rn k� k C� TREET ADDRESS' O ''JL FAX CITY, ZIP: �V r3 � E-MAIL: SITE ADDRESS: �1 (-� `�� ;�, cmr, zIP: NEAREST CROSS STREET: © 1 uRl�CT/LOT #* 5 8 7 APPLICANT NAME: ,$)' � co . L�f� PHONE' HO a, 5 � STREET ADDRESS: UN Q � rk J FAX{ Z,, 5 C3 > / Jn3 `7, CITY. ZIP: i ` E-MAIIL• C "C Fi 6 C I CONTRACTOR NAME: PHONE STREET ADDRESS: FAX. CITY. ZIP: A E-MAIL LICENSE NUMBER � ��, ` LIC LA -1 E ; �' C ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL' DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) FL-c>��7: O8�SC- Ss EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �r For office use only: C� 4-7, Notes: Application Received by: k11 41- Date: 41/04 Receipt number: 3 q54 5 J Amount Received:,— ONE: net' i, N (N Building Permit Number: 0 4,0 g'3 1 Owner Name: Ch't r i Go sts, Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (r (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 'op 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. (�. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. (A Page 2of 2 Building Permit Number: `f — 0 Owner Name: CPI r I co 54—r Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: 4� = All structures and equipment including overhangs shall be clear of all easements. A setback of j� feet from the side and ,f2-_ feet from the rear property lines and 20 feet (25 feet if Federal 'Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may. require the, foundation to be designed by a California registered engineer or licensed architect. 0 ,o to, 0 it a I 6' TYP. C— I._ V G PLYWOOD CC EYT. , FRMU( g Z28 m 12�'eg�,TT ISTRINGER. 48'e.o. MAX. ?DP VIEW H AUDI'RIL : NOT 511OW IJ • FDR CLARITY. 2.KG.DECKING '(ALTA ' .a FRMU( g Z28 m 12�'eg�,TT ISTRINGER. 48'e.o. MAX. ?DP VIEW H AUDI'RIL : NOT 511OW IJ • FDR CLARITY. 2.KG.DECKING '(ALTA ' BOLT Space{ 5o4hn+GIRct. - - 1'1 Sphere-cann0 19s•TAG PLYWOOD CDERSE%T. ,. 2"x4• • . La it MOBILE IIDME �r OR DECK • ' I �c � ., . 4V ' MTL. F1410 �1410EA. MAX. CLIP DE :U 9'Mlrl y TO" POST r— Q'x IZ' dog 0 •z r — GUARDRAIL +02DF - (2) Ste• -oAE' o� ._ �-- rRr�lrrc� v, rRrAT l' - G)_ DECYIUG' • OWER • . e"MIN. BQLTS RFnwooaninr� .' rl J mo c "' PRECAST 4�4' POST 14uMIN.. 10-30-03 AvM4u4rE nwGoNnL mid. ' .. BRACING. TYPICAL RE -SIDE -Am L srxps r BOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 14"�I xMIN. p'OOy IN6 7 County Center Drllva — Orovllle. California 95965 Lo i COUN!"r EPARTMf----`o'6. 0, v --4 I T J� i A S' 2 COUN!"r EPARTMf----`o'6. 0, v --4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 21 -Apr -2004 2004-0023064 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DOMINICK CHIRICOSTA AND ROSANNE CHIRICOSTA REAL PROPERTY OWNERILESSOR MAILING ADDRESS 3940 RAND ROAD OROVILLE BUTTE CA 95965 MAILING ADDRESS ZIP 03-2745 530 AUBURN PLACER CA 95602 CITY COUNTY STATE ZIP 6581 JACK HILL DRIVE DEALER NAME (if not a dealer sale, write "NONE") INSTALLATION MAILING ADDRESS, IF DIFFERENT 91096 OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2745 530 538-7541 BUIL ING PERMIT NO. TELEPHONE NUMBER �NAOICA 4-16-04 AGENCY OF ICIAL DATE D & A CONSTRUCTION DEALER NAME (if not a dealer sale, write "NONE") 91096 DEALER LICENSE NO. HBOS MANUFACTURING 2003 PACIFICA 8224 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B/C H-022509 53'5"X42' ORE -4522 99/00/01 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 069-240-038 SEE ATTACHED ''=T5tiC� :a°.1 r✓rti -il-�?�� CC- �TaINi +-kNOr`triTL.t"rJ+�����- Rt��aE &&QarES l-t.4�11i' �-��?� .'_ t,�� t -I tC,l l Cl•1 t�� Lu � � �-�Z,�CC.2 C.�i:1� t i�.l -t l-iE. �G=- t= t C f �� Tl•-1� — �t_.C�:'' iZi�cl� c` ` t= y C. i7 E.-- L- CA- t f�LiFc i?t\;?� � Q,r k 1 kovC—.1-1uk IL 'i (I 0 c�'' 1`�(fi'NS.� f�'7� ��►•\C1 L-. C°>)IF _ 1 l ��/�N iJ .•�7 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Buildine Dmt. Ont.30- 20031 7:56AM D & A COW rUCtiOn& ESCROW No - 5998 P. 3 .03 Preliminary Rcpcd I Order No. BVJ-214179-3 CB De6cription The lana referred to hezein is situated in the State of Califof-nia, County of Butte, and, is described as fvllows; LOT 140, AS SHOWN ON TgiAT CERTAirI MAP ENT 1 T LED, -KELLY RMGE ESTATES UM 4B", WHICH MAP WAS RECo"RD IN THE OFFICE OF THE RECORDER OF ME COUNTY OF BME, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77, APM 069-2 "38-OUO TOTAL P.03 BUILDING PERMIT NUMBER: 03-2745 Address or location of unit: 6581 JACK HILL DRIVE, OROVILLE CA 95966 Legal Description of Real Property: AP # 069-240-038 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DOMINICK CHIRICOSTA AND ROSANNE CHIRICOSTA Owner's address: 3940 RAND ROAD, AUBURN CA 95602 INSIGNIA OR HUD NUMBER: ORE -4522 99/ 00/ 01 SERIAL NUMBER OR V.I.N.: A/B/C H-022509 MANUFACTURER'S NAME:HBOS MANUFACTURING INC. YEAR:2003 OFFICIAL APPROVING INSTALLATION: DATE: 4-16-04 PHONE: (530) 538-7541 H.C.D. 513C 6 1Z� a� mi �rnu 11:55 N -AA 53034.(:/331 Integrity. Homes " "�� X1001/001 12/18/2003 10:26 15415ori,4t%y 5303433332 MARL,ETTE HOMES PAGE 02 I ` VFJiTOP p� OALRUSINESS, TRANSPORTATION IAND HOUDINO AGENCY NUMBER: DEPARTMENT OF HOUSING AND COMMUNITY OINELOPMGNT 8 7 o DIVISION OF CODES AND STANgt(RDS 8 / 1 t' o MANUFACTURED HOUSING PROGRAM GMTV G- NUFACTURER CERTIFICATE OF ORIGIN Q CHECK IF THIS 19 A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANV,EI�GTLIRED HOME OR RAI 1JI-UNIT MANUFACTURF_D HQUS,L NUMBER OF SFD (SINGLE FAMILY DWELLING) Q MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS -' CQMMERCIAL COACH: OCCUPANOY GROUP (Sheer) 771 ' IVONHOMMP, STE LUG St:CT10N MANt,IFAC R1RER SERIAL NUMBER _11-0 A 1 11-022509 TRANSPORTER NAME �n F U h CI Y i 3 s DESTINATION FOR UNIT DESCRIBED AROSE: NAME INTEGRITY J ST '�rtiiYS N O 631(17 atc HCO INSIGNIA OR MVD LABEL NUMBER ORE • 52299 REDMOND OREGON 97755 (co 1 SUGGESTED RETAIL PRIG C 'j � . i r1 , 82 .; DATE OF MANUFACTURE; 12-10-7003 DATE OF TRANSFER; L2-10-2-003 MANUFACTURER ADDRI•t 5; WIDTm INCHES S1TrCi) "' `� `' i= �' F.!_': ! r,} i .j) f j!�1 r• �• %;:I�: R� �i %'� i 11Y`S' Stab �C ` _ 168i❑ 126166 (yP) MANUFAG1TiRr_R TRADE NAME; MODEL NAME AND/OR NUMBER UUn ,••: ?A( -.I. F 1 CA 8.22 4 NAME OF DEALER OR RANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF- 0-ki P;ly NUM13ER OR I TRANSFEREIU DESIGNATION. 401677. DEALER OR TRANSFEREE ADDRCSS; (Street) , t'% 0 X11 1 .'i r r' �� :�. �: ) r . • ^ O /l 1 ►.L•I;• ICI INVENTORY CREDITOR NAME' (' , IMIG 1JTl•1tlV rn rnre•n... _— (Sheer) 771 ' IVONHOMMP, STE LUG St:CT10N MANt,IFAC R1RER SERIAL NUMBER _11-0 A 1 11-022509 TRANSPORTER NAME �n F U h CI Y i 3 s DESTINATION FOR UNIT DESCRIBED AROSE: NAME INTEGRITY J ST '�rtiiYS N O 631(17 atc HCO INSIGNIA OR MVD LABEL NUMBER ORE • 52299 REDMOND OREGON 97755 (co 1 SUGGESTED RETAIL PRIG C 'j � . i r1 , 82 .; DATE OF MANUFACTURE; 12-10-7003 DATE OF TRANSFER; L2-10-2-003 ?S 1740 FrATHEF E e;•I/D OROVIT,LErslal.!CA �15U6S I mfW under penally of Palwy vndef the Uwq of Iho Stmq of ca fe..in tive IRa BOovA fact ,re true and cenaa. Etoanod on 12-10-2.003 at 1dFi`AtIS'rON UMATIL1, A ORVEGO (Data) Icily ,� • (CtruNy) (Stato) , SIGNATURE OF AUTHORIZED AGENT: IBUT M: ORIGINAL IPrN p ' COPY t ORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NOI,g THEN FORWtgD TO THE I'URd"AgEq (DEER OR TRANSFEREft _ (WITTE FORWARD TO THE DEPARTMENT AT P.O. BOX 1023, SACRAMCN7C, CA 85W.1826 COPT 2 (YBLLOMrI DELVER TO THE TRANSPORTER TO ACCOMPANY THS UNIT TO IT!, DESTTfVATpN,, YVITTIIN FIVE M DAYS OF RELEASQ, COPY 9 (OOLOCHAOD) TO DE FIETAINF-D BY THE MANUFACTURER. ,HCD 483,0 • Sim 1 - (7/97) `, j`I LENGTH HCHES 641in 641 in WIDTm INCHES WEIGHT (POUNDS) 168i❑ 126166 ; UUn 261136 1 ?S 1740 FrATHEF E e;•I/D OROVIT,LErslal.!CA �15U6S I mfW under penally of Palwy vndef the Uwq of Iho Stmq of ca fe..in tive IRa BOovA fact ,re true and cenaa. Etoanod on 12-10-2.003 at 1dFi`AtIS'rON UMATIL1, A ORVEGO (Data) Icily ,� • (CtruNy) (Stato) , SIGNATURE OF AUTHORIZED AGENT: IBUT M: ORIGINAL IPrN p ' COPY t ORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NOI,g THEN FORWtgD TO THE I'URd"AgEq (DEER OR TRANSFEREft _ (WITTE FORWARD TO THE DEPARTMENT AT P.O. BOX 1023, SACRAMCN7C, CA 85W.1826 COPT 2 (YBLLOMrI DELVER TO THE TRANSPORTER TO ACCOMPANY THS UNIT TO IT!, DESTTfVATpN,, YVITTIIN FIVE M DAYS OF RELEASQ, COPY 9 (OOLOCHAOD) TO DE FIETAINF-D BY THE MANUFACTURER. ,HCD 483,0 • Sim 1 - (7/97) `, j`I 'TUU' 111-5 TAX 5103A'1113.2 Integritylanesrc.,--*, cYj C-0 2-0.0in-01 12/1-8/2M3 NVMBF-R 01: isvio (Sim G*Ui'FAMlLY`QWELLING) 5303433332 *NAI;J'-VTE HOMES PAGE 02 rw -TATE Or CALIFMWIiIi tIu,4pd?jTATI0N W;.-t-lr-ACTU �RERNAME. MANUFAMURIER LIc-r.-N-sE-NT1m—(iER- Mo kbV!IWO AGENCY DEPARTMENT OF HOUISINO "m *OWUNIre OU DIVISION MAN U(ACTURE OF CODES AND STAND -MAMPAtIURED "DUUMPROG-RAM -MdNHFAf.�i FR 1, E JAII. (iih 12 9 t; 871170.5 MODEL NAME AND/OR PAC IF 'Cf, es N FOr a .5 4 rJEALER 0 A 'ea (OvmRsillp.- NS -12-10-2003, TRASFERK ray •A NUM ER Ok DATE OF TIRAMMR: TRANS FiAL 011SIGNATIOm. NUFACTURER CERTIFICATE.-OF-OR4GIN DEALER OR zc)0-3 INVENTORY CREOfTQR ADDRESS. STE Gori T INVENTORY H 0 037 50, 5 Ucylom MAIFAC rUHUMBER RER SGRIAL NV0t 41 NT M -------------- (t4l NCD 'FVZ"IA OR MUD LAREL wimBEnllM4TH STH "VaHr r OUNDS) A 2- 0'2309 ORE 452299 -W 16Qi�( 26166 V12Lr 4S' rin C4 lk§jR— IAJ-� 61 TRANSIn3nTER MME; TAANSPORTGA ADDRESS: (Swell j- 0 I-. P' rj tl 0 1\1 Uig G 0 N 97-755 dr-qTINATION FOR UNIT OEscruoco AROVE: N 1'1;'r, R I T y S 1740 FrATHEF .t D -OROVIL-L-E, /siete (LSI2— c"* laldw pwtay of pa +." Vnft? lho Lvwq of _Sfr" of Cegrwrn duo Jr.* Soo,,* has true ,d Emanuel er, 12 - I Dale -0-) -no2 ( at I iT -R'A i I S TO 9 A OREGONt SIGNATURE OF AUTWORIM MEN?: ORIGINALAPMR) - l`rQ'kWAPb TO THE FMM14"y ORF�� TM&)dtOw&qO To n4E - COPY I ("Trr) UKESS ?HeFtE IS NMT FORWARD TO TKE pEpAKwFNrkj p.O. BOX IMS. SACPAMEWrt, CA 9WI2.1 g2a, WTM r DEALER ORTFANSFEFFft COPY 2 mug" DELPAR TO THE TRANSPORTER TO ACCOWANy THS UNIT To Iy!j DE3TJmArOm. = S & RELEASE PV:9 (GOLOCknool TO-" MTAINF"Y T-tfE+AANUFACyUREp, 0 CHECK IF THIS 15 A oUpLICAT& MC.) -ENTER ORIGINAL MCO-No- NVMBF-R 01: isvio (Sim G*Ui'FAMlLY`QWELLING) MWAH (MULMUNIT MANUFACTURE0 H01isING TRAR43PORTA)JLP SEd71bp4S L0bL4ER9j0j-Q9A(;H: W;.-t-lr-ACTU �RERNAME. MANUFAMURIER LIc-r.-N-sE-NT1m—(iER- MAN U(ACTURE -MdNHFAf.�i FR 1, E JAII. (iih 12 9 t; MODEL NAME AND/OR PAC IF 'Cf, es N FOr a .5 4 rJEALER 0 A 'ea (OvmRsillp.- NS -12-10-2003, TRASFERK ray •A NUM ER Ok DATE OF TIRAMMR: TRANS FiAL 011SIGNATIOm. DEALER OR zc)0-3 INVENTORY CA W6 cmsorrwi mmtw' INVENTORY CREOfTQR ADDRESS. STE Gori T INVENTORY H 0 037 50, 5 Ucylom MAIFAC rUHUMBER RER SGRIAL NV0t 41 NT M -------------- (t4l NCD 'FVZ"IA OR MUD LAREL wimBEnllM4TH STH "VaHr r OUNDS) A 2- 0'2309 ORE 452299 -W 16Qi�( 26166 V12Lr 4S' rin C4 lk§jR— IAJ-� 61 TRANSIn3nTER MME; TAANSPORTGA ADDRESS: (Swell j- 0 I-. P' rj tl 0 1\1 Uig G 0 N 97-755 dr-qTINATION FOR UNIT OEscruoco AROVE: N 1'1;'r, R I T y S 1740 FrATHEF .t D -OROVIL-L-E, /siete (LSI2— c"* laldw pwtay of pa +." Vnft? lho Lvwq of _Sfr" of Cegrwrn duo Jr.* Soo,,* has true ,d Emanuel er, 12 - I Dale -0-) -no2 ( at I iT -R'A i I S TO 9 A OREGONt SIGNATURE OF AUTWORIM MEN?: ORIGINALAPMR) - l`rQ'kWAPb TO THE FMM14"y ORF�� TM&)dtOw&qO To n4E - COPY I ("Trr) UKESS ?HeFtE IS NMT FORWARD TO TKE pEpAKwFNrkj p.O. BOX IMS. SACPAMEWrt, CA 9WI2.1 g2a, WTM r DEALER ORTFANSFEFFft COPY 2 mug" DELPAR TO THE TRANSPORTER TO ACCOWANy THS UNIT To Iy!j DE3TJmArOm. = S & RELEASE PV:9 (GOLOCknool TO-" MTAINF"Y T-tfE+AANUFACyUREp, STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) ,,,( Cit c-cL I/ We, the undersigned, hereby state that the unit described above: 13 CLCX- �k t u TD ft VC OCOQ Qr P (ij o wcl - Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on q—s--03 at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Address 1740 Feather River Blvd. City Oroville HCD 476.6 (Rev 11/86) Michelle Freel, Office Manager , State California OOCt__3.0_ 20031, 7 56AM iD -& A COnst rust 10n g ESCROW �J RECORDING MUFMD BY MID VALLBY TITLE- & ESCROW CO. AND wKgN RzCORDED MAIL TO: DOMINICK AND ROSANNB CHIRICOSTA 3940 RAND ROAD AUBURN, CA 95602 ORO -C bi0•h993 Pez Recorded Official Records CoBBUTq CA(dMCE J. BRIIBBS Recorder ROSEMARY DICI(501f Assistant 64:®WM 20 -Rug -2003 Above This Line for Recorder's Use Only TAX, FEE 10. W Shauna Page 1 of 2 A.P.N.: 069.240-036 Order No.: 214179CB Escrow No.: 214179CB GRANT ®EE® �- Tito UNDMICNED GRANTOR(s) DBCLARB(s) THAT DOCUMENTARY TRANSFER TAX IS; COUNTY $44,00 X) computed on Rill value of property conveyed, or ]] computed on full value less va)ue of liens or encumbraaces rczamining at time of sale, X] unincorporated area, I ] City of _, and FOR A VALUABLE CONSIDBRATION, Receipt of which is beTeby acknowledged, GARY BAKER, an UnTnarried Man hereby GRANT(S) to IDOMIMCIC V. CHIRICOSTA and ROSANNE CHIRICOSTA, Husband and Wife as Joint Teua>nts the foliowitS described property in the unincorporated area of the, County of Butte State of California; LOT 140, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 4E-", WWCH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF TM COUNTY OF 9UT41E, STATE OF CALIFORNIA, ON NOVEM16EIR 10, 1977, IN BOOK 58 OF MAPS, AT PAGES 73, 74, 75, 76 AND 77. GARY BAKER Document Date; uaust 14, 2003 STATS OF CALIFORNIA )S$ ro, of ) On befo re me, personally apodrod Q Y V pemoneliy known to me (or proved Oe on the basis of R9tisfaclory ovidenee) to be the peraon(s) whose name(a) Is/are subscribed to the within Women? and acknowledged to me that hefehe/they eaeeured the same In his/her/their authorized capactry(ies) and that by his/her/their signature(s) on the Instrument the pesson(s) or the entity upon behair of which dte person(s) acted, executed the inawmenr. WITNBSS my haAapnd official seal, �----y MARY A. THO '� SOIN Commission 41551470 n t Mary Public-CeNfomte Butte Cou(w fray Comm. Exp, APR. 16, 20oa Mail Tax Statements to: SAME AS ABOVE or Address Noted Below oOct-30. 20031 7:56AM D & A COnStrUCtiOn & ESCROW Preliminary Report Description No -5998 P. 3 .03 Order No. BU -214179-3 CB The land referred to he[ein is situated in the State of California, County of Butte, and is described as Mows. IAT 140, AS SF10WN oN TAAT CERTAIN M" ENTITLED, "KELLY AGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMEER 10, 1977, IN BOOK 5 8 OF MAPS, AT PAGEM 73, 74, 75, 76 AND 77, APS: 469-240-038-000 TOTAL P.03 • NOTES ` RESIDENTIAL x PERMIT NO. _ x 03-2745 -� 069-240-038 fy. CHIRICOSTA, DOMINICK ` 6581 JACK HILT✓ DR, OROVILLE CONT: D & A CONST NEW MH PERM FND ` cis L,2LJ 44, ..._.THE,HCD FORM 433A FOR THIS MH CANNOT-BE _ RECORDED UNTIL, ONE OF THE FOLLOWING HAS -,� BEET TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE., -INSPECTOR MUST RETREIVE)'. ` s(2) STATEMENT OF FACTS (ONLY ON NEW v MH'S)• t: INSPECTOR TO VERIFY SERIAL & LABEL #'S. n _ SPECIAL CONDITIONS t1 / CHECKED • / BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. i SPECIAL INSPECTION ITEMS ' VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER t t OFFICE COPY AddressGZ - ey %XXXI'JA • ELECTRIC 4 Meter By Date rl 4, JOB FINALE D (Date) r Signature », J=OK 0 = Not OK s = No AppliReadyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG +� 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 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 PER NT END SYSTEM (ONLYI Line ' f,pctric�; MH Test (l3e,'GVateraMH Test and 44 --Verify #'s with Office Date CardB-1 Date Card B-1 Dat Card B-1. Date Card B-1 O4 4_<2 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors i 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 1 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing i 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 i 2. Soils; Compaction -Structure Stability 1 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI I 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater j 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 1 10. Plumb.; Cir. Test -Water Supply Test . 11. Light Niche ( 12. Enclosure; FencingrAlarms i Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 89. 17. Water Htr; Vent -Access -Combustion Air Baffle Fireplace Ties or Type A Flue -Fireplace Throat Clearance 18. Water Pipe; Test & Anchor -Nail Protection 50. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 92. Gas Test -Meters Tagged, Gas -Electric 20. Shower Pan; Test, First Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 21. Test Tub & Shower, Second Floor -Tub Access 52. 22. Gas Pipe; Sixe & Anchors Fire Sprinkler 23. Fire Sprinkler; Test Property Line Firewall & Openings Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 24. Fixture & Transformer Clearance -Ins. Protection 57. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 27. Romex Installed Close to Edge of Studs & C.J. 59. Glazing Area -Glass Protection -Skylights -Plastic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 60. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Brace Interior/Exterior Wall Panels 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 62. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Infiltration -Walls -Windows 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 65. Smoke Detector 36. A.C. Ducts Insulation & Support 66. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Bedroom Exiting 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 68. 40. 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 FRAMING (Continued) 86. 47. Hangers -Post Caps -Anchors -Connectors Water Well, Disconnect, Electrical, Plumbing 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 89. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Glass Protection 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 92. Gas Test -Meters Tagged, Gas -Electric 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Energy Compliance Certificate -Other Certificates 52. Garage Fire Protection Framing -RC Channel Fire Sprinkler 53. Property Line Firewall & Openings Date 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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 �j 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 cr, act this office immediately. Date �-� �� AnspGctor REV 1 ' /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 6 CORRECTION NOTICE OWNER A routine inspection indicates that the above address and should be correct completed. It you have any questio s please contact this office imme ' ely. 0�-27`x!: PERMIT NO. ng violations of butte county Ordinances exist at the lease notice this office when correction of work is ining to this matter,, or need additional explanation, 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 T CORRECTION NOTICE OWNER PERMIT NO. s� A routine inspection indicatthat the following violations of butte county Ordinances exist at the above address and shoul(be corrected. Please notice this office when correction of work is completed. I( you hav any questions pertaining to this matter, or need additional explanation, please contact this ice immediately., r r Date /`J ! Inspector _ REV 10/92 ` '�+'r"„'r-"^"-"-'r-'-..."""^+.^,.,.....r.n..v.�..—ti.-,.dv..+,.+sria�-.�-...r%:.__-.'.-.a---•.•�..-.�.^.�•.�v-•�`-�.,..ti-.���"•�i�. COUNTY OFIBUTTE f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico., CA • (530) 891-2751 7 County Center Drive • Ordville, CA • (530) 538-7541 CORRECTION NOTICE RMIT 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. /T ) % / - --- / i7 ---7/ Y C Datel^ t� Inspector _ REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N JRev.12/96) APPLICATION AND PERMIT �'� � ASSESSOR PARCEL NUMBER 069-240-038 ZONING RT -1 BUILDING PERMIT OWNER DOMINICK & ROSANNE CHIRICOST TELEPHONE 888-8613 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 3940 RAND ROAD AUBURN 95602 2132 X 54 115 128.00 CONTRACTOR'S NAME D & A CONSTRUCTION TELEPHONE 821-5850 CONTRACTORS MAILING ADDRESS 8 W. ONSTOTT #J YUBA CITY 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 347.75 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 2-1.00 BUILDING ADDRESS 6581 JACK HILL DRIVE OROVILLE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 390, LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 15. QQ Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL MH ON PERM END NEW SITE 3BD Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.0015.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE S 65.00 ELECTRICAL PERMIT I Fling Feel 20.00 "OVOR LESS Main Service zo.A OR LESS 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 Bus' ne s and Professions Code,p01D and my license isIl �� II force and effect. License Class 4-1 Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 work s�� o�mlia^nsate Insur nce carrier and policy number are: Carrier 1�.J'r'C.4�G �4-(�d�Li➢ Policy Number j ,� --r (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [31 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. X � Date I �'�� Signature o Applic nt - ❑ Owner KContractor ❑ Agent An OSHA permit is required for excavations over '0" deep and dem n or constr of structures over 3 stories in hep ht. Receipt No. .� s .7�, WHITE-D.D.S.-B.D. CANARY -ASSESSOR -INSP COR GOLDENROD -APPLICANT Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5QFT; MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 EX. Occup. OUTLET OR FMRES O 1.00 BAL. p .so Ex. Occup. DFIRL�ETS R=.)OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ /+3, QQ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ specCONST ner TYPE TOTAL FEE $ 498.75 HAZ. -� D FE IMP FLOG CDF� li/ PARC0. VV/ pp H s This permit is hereby Issued under the applicable provisions of the Ile Coun Code and/or Resolutions to do work indi to or h�ch fees have been paid. ue �0 Zf- 3 By Dgite PERMIT EXPIRES ON Z Ve (Dk) COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California •95965 • Telephone (530) 538-75 12/96) ' APPLICATION AND PERMIT ' ER""' ,:SEi:DA-ARCEL MJ 6(� BUILDING PERMIT SO. FT. IOCC. BUILDING VqW--- OwrIER��NO Q14O , % cLnc 'Wo4 Ca�"Dc?A Ccsn-JYUC rLIn CO•IT iGRS MALI ADOAESS CONS TA-CTION LENOER No ADDRESS CNrt ECT OR ENGINEER hW&J ET OR ENG*,EERS MAAJNG AODAESS 1 Com. iU�.,I N—cJ Lh-+Ca. ql�riq 1 LICENSE LOS Ic i�I (jCiLv) A4A II -Del �fC, _ Orp\A Re- 9C�L0 I / 1 C)SUEON6QNS NAME ^ ' I -) Qy ►MCEI MAP �LLy`7i�1�6. _1�=(;USEOFSTRUSCTURE Duplex ❑ Mobilehome K Other • s PEC 1r -v TYPE OF WORK \e• ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X Other ❑ Describe Work: 1 �rrnJQW "PERMIT FEE PAI b SRA • SHERIFF OTxE:R g AAk6VNT Rip " TO N IVT IA1Tp COMpjTER M•4 ReceiptNo. - - WHITE •0.0.3.-9.0. CANARv-A33E330R PINK-I114131"ECTOR OOLOENROO-APPLICwNr Fireplace I I Total Valuation IS n teemit PERMIT FEE 12 tFse �, S Plan Checkin Fee S Energy Plan Checking Fee PERMIT FEE S s S PLUMBING PERMIT Each Trap — Solar or heat pump water heater Water piping Each gas water heater or vent 1 Gas piping system 1 - 5 outlets 1 Building sewer I 46.00. Mobile Home I S I G I W 1 i •_ "Wm m Filing Feed 20.60 7.00; 2J.00i 1 5.001 15.001 15.00 �- t 5.00' r @20.00 • SNOLE OUTLET CIA 1 Ex. Occup. ( --.ET oA nxTUR es Ex. Occup. ( Fli.EO APPV4. OA I OUTLETS fAESi01 EA, � Temporary Service i Mobile Home Facilities ! Misc. Wirinq I PERMIT FEE _ MECHANICAL PERMIT 1 Heatina 7— FT.: I @7.50; I 20 �. w I I 5.-00; — 2] 00! i 20 00� i 23.00. Fling Fee I 20 C) I rlood 6.50: Ventilation 1 PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Foe S Occ I CONST 7- TO AL FEE $ i HA2.vmml turf I ROOD I en This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES 6N Date PERMIT FEE 12 & Y,— ELECTRICAL PERMIT I I Fling Fee: 20.0 Main Service DOOr °R LESS — mw OA LESS I 20.00' Main Service 20" TO 10w -k I I 46.00. NEw CONST. AOONS. 1 / Ow 911N0 OCCVP. 1 I I "SO. • SNOLE OUTLET CIA 1 Ex. Occup. ( --.ET oA nxTUR es Ex. Occup. ( Fli.EO APPV4. OA I OUTLETS fAESi01 EA, � Temporary Service i Mobile Home Facilities ! Misc. Wirinq I PERMIT FEE _ MECHANICAL PERMIT 1 Heatina 7— FT.: I @7.50; I 20 �. w I I 5.-00; — 2] 00! i 20 00� i 23.00. Fling Fee I 20 C) I rlood 6.50: Ventilation 1 PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Foe S Occ I CONST 7- TO AL FEE $ i HA2.vmml turf I ROOD I en This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES 6N Date ' 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 NUMBER Proposed Building Use: /`� `" `m v' counter Technician: Date: + Items required in order to apply for a per it. All bo es MUST be checked OR ma d NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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 desip and supporting documentation in duplicate. ❑ 6. Manufactured homes,;,ata sheets and installation instructions, (B) Marriage line information, door Plan, (D) Tie down or foundation plans, all iffSuplicate. ❑ T. 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. e 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 ............. :...................... Letter of intent for non-residential buildings......................................................... 11. Detached Accessory Building Form filled out by the owner ..................................... l Hazardous Materia rm... ................ ..... Other l q�onmg items needed to issue the permit. (May require additional plan review upon receipt of the followin Y4 --Fees as shown on the attached Schedule of Fees Due Sheet ....................................... JUJI, fUj V — tatement of Intent for Non -heated and A/C Buildings ................................ . . Sanitation and plot plan approval from the Environmental Health Department in / 7 ity of Chico Plumbing permit ............................................... 8. California Department of Forestry plan approval /paid. Sent by: �..........(S.? . 19. Planning approval for (A) Use: O K (B)Parking: (C) P el Check: ❑ 2,0` Contact Land Development about ❑Improvements, ❑Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)`% 0 -03 WL -:15 ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. 25//Owner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement...........................kec ... 28. Manufactured home utility clearance.....................................................❑ 29.aer:;g and/or expired permits..........qq.�❑ 30 .H. Title/Statement of Facts,L7'�,dtter from Legal Owner, C to H.C.D. $ ❑ 31. When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: + ���y Date: Q �� 1. Index permit application for the above items numbered: I Plan Check Letter 2. Additional items required Oans o designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by �.$ Date: q — 6-63 or esigner, owngr, was advised of the above data by �1h mail, ❑ counter, by Date: /D .A 3 —CS iewed by: �C� Date: 9 (—j • O 3 Plans approved by: jlY\-C, Date: �� •Q 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, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER i 1 PROPR SED BUILDING USE 01.BUILDING PERMIT FEES --- Balance Due ................ $ J --- Additional Fees Due........` A.P.# r ._,O-38 DATE O RECEIPT L � DA REC. Z -- Revised Plan Checking Fee.... $ I r 2. SCHOOL DISTRICT FEES 1 YW' `l 0 aid at School District Office) (form available after Plan Check) I p O✓ SHERIFF FEES (paid at Building Division) Residential............ X $360. 0 =$ .. (� OG ✓ Vl Units Commercial (sq. ftg.)..... _X$0. _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 3�SS 3 $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I 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 process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) r Building Permit Number: O C3 ' a 70S Owner Name: (21,, j r i LO61ZT__, Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation, shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood -elevation requirements: ' 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: d -'U Y-; Cos -A&, mg Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and e * ment including ov?rlD vshall'be clear of all easements. GVH W eet A setback of and the side and eet om the rear property lines and 20 feet (25 feet if Federal Aid Route) from, the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. . 11 1 4� `d v m (D Loacv t i " D r mL CL -� CIP €NEVI ED BY ` BUTTE CO. IRE DL:\'T. CALIF. DEBT. o FORESTV approved assu witted / fi approved with I itions I afi'a h d heet. .� / 0 c; o U j Signa'ure / rn 1 m 0� 0®s. \ / © < z 4� Al N -L STRUOTURES AND EQUIpM OVERHANGS EN LUDIG SHALL 13E CLEAR OF .SST BACK 0F. ALL EA � _�`u. a-�g�na► scc le `�^IV FROM IN l o' 20 30 y o zo. LI�� S'9 tt.la I M ?J1d1S 'N1W„�j� rcci Cm.l J w CQcCL + cY L•9 W N FN 1H913H 11tlb!rfvH,' co v7 CC LU ciU 0 O Cl 3 J Q 1 CS x Wit• � " N wl d Q 1 i3L4 . c C®UN 1 cl WALUW�� DEPARTMCo P R w � V 'NIW .90 v .F LL. XdW •_ �� ter$ / "-� �o 1 fT rrh LU ciU 0 O Cl 3 J Q 1 CS x Wit• � " N wl d Q 1 i3L4 . c C®UN 1 cl WALUW�� DEPARTMCo P R w � V 'NIW .90 School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �(()tJ (;o i/Yl1y44i PERMIT NO.: 81-03 Lake .Oroville Area . Public Utility District 1960 Elgin Street OROVELLE, 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: October 16, 200.3 Applicant: Dominick &.Rosanne•Chiricosta (D & A Construction) ns o Applicant Address: (Yuba City,. CA 95991) Applicant Phone No.: 888-8613 (821-5850) Property Locations(s): 6581 Jack Hill Dr. Oroville CA 95966 KRE Unit 4B Lot,- 140 A.P. No.(s): 0697240-038 Fees due: All fees paid. Application for service approved: ' LAKES ORS VILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and. successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date: . By: Date: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ���3—O�IEs8808 Recorded Official yRecords CoBUTrEOf CANDACE J.r GRUBBS Recorder ROSEMARY DICKSON Assistant 09:31AM 01 -Oct -2003 REC FEE 7.00 CONFORM 1.00 Lisa Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 101, as shown on that certain map entitled, "Kelly Ridge Estates Unit No.3", which map was filed in the Office of the Recorder of the County of Butte, State of California, July 26, 1974 in Book 43 of Maps, at pages 44, 45, 46, 47 and 48. Subject to all easements, rights of way and restrictions of record. Date 3 I State of California County of lza- E. On aP4 e_mbP - I63W3 before me, TY OWNERS: 5 personally appeared_"D%A1 KAI CEC C -O %eA(taM S ;nxWn6 (� 1n. r: rx,4ka personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Blare subscribed to the within instrument and acknowledged to me that-fie/they executed the same in hisfher/their authorized capacity(ies), and that by h/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. A.P.#0- (Qq -�y©-©3g MICHELLE LEE FREEL COMM. # 1435881 IIAA NOTARY PUIUC•CALIFORNIA V/ IuHe County MY Comm. Expires August24,2001"e APPLIED TESTING CONSULTANTS -di- T.�c A i i MATERIALS ENGINEERING' TESTING AND INSPECTION November 18, 2003 D & A Construction 868 Onstott Road #J Yuba City, CA 95991 Attn.: Mr.' Donn Dooley Re: 6581 Jackhill Drive Building Pad Certification - Oroville, Ca y We were employed to provide compaction verification on'the new bfiiiding pad iocated at 6581 Jackhiil - Drive in Oroville, CA. Due to the high non-uniform rock content in the building. pad, we could not . proceed with standard nuclear density.testing. Our technicians found that the soil contained in excess of 40% +'/4 inch material. This confirmed that this material was too rocky to perform any conventional testing procedures. The pad was constructed entirely- out of native material and was completed prior to our arrival, in cut with little fill. We verified that excavation was taken down to a cemented cobble hardpan. All finished grade .was moisture 'conditioned and compacted with a vibratory sheepsfoot compactor.. We were . satisfied with the compactive effort throughout the building pad. Based on our experience and witnessing the completed earthwork, we certify per Article 3, Sections 6735.5 and 6735.6a of the Business and Professions Code that the building pad was properly moisture conditioned and.. compacted in accordance with Chapters 18 and 33 of the 1997 Uniform Building Code. Applied Testing Consultants is .not a licensed surveyor. We do ,not ,verify or certify grades or elevations. Test elevations are derived from information provided by the contractor and/or the client.. Applied Testing Consultants is not the foundation design engineer for this project. This letter is a compaction certification only. Designs for consolidation, differential settlement and bearing on fill materials are by others. Additionally, slope stability and slope protection for grades sloping away from the compacted areas are by others. Please contact the Engineer of Record, for this project to discuss any settlement or slope stability issues. Thank you for using ATC to provide this service for regarding our services described above. eharles. Steele Senior Engineering Technician C-038692 Exp. 3/31/05 Staff Engineer'. 3060 Thorntree Drive, Ste. 10 • Chico, CA 95973 • Telephone: (530).891-6625 Facsimile:.(530) 891-4243 )ns Pacific Consulting Engineers 2150 Bell Ave., Suite 145 0 Sacramento, CA 95838 • (916) 564-6028 • Fax: (916) 564-6029 February 27, 2004 D & A Construction 868 W. Onstott, # J Yuba City, CA 95991 - - RE: Manufactured Home Foundation Plan SPA 100-3F Plan Interpetation When horizontal lap siding is used on the manufactured home, the wood pony wall is to be sheathed with minimum 3/8" APA rated sheathing as noted on the plan, and overlaid the horisontal lap siding The requirement for a horizontal Z bar flashing is eliminated. The structural connection from the wood pony wall framing to the home is made with 2-16d each 16" from the 2 x pony wall top plate to the rim joists of the manufactured home. It is noted, the 3/8" APA rated sheathing on the wood pony wall is not required to extend 2" onto the manufactured home rim joist with the use of lap siding. David A. Da men P.E. Q�rm(-k# �rico� JOcZ 9 Pacific Consulting Engineers 2150 Bell Ave., Suite 145 0 Sacramento, CA 95838 • (916) 564-6028 0 Fax: (916) 564-6029 February 27, 2004 D & A Construction 868 W. Onstott, # J Yuba City, CA 95991 RE: Manufactured Home Foundation Plan SPA 100-3F Plan Interpetation When horizontal lap siding is used on the manufactured home, the wood pony wall is to be sheathed with minimum 3/8" APA rated sheathing as noted on the plan, and overlaid the horisontal lapsiding The requirement for a horizontal Z bar flashing is eliminated. The structural connection from the wood pony wall framing to the home is made with 2-16d each 16" from the 2 x pony wall'top plate to the rim joists of the manufactured home. It is noted, the 3/8" APA rated sheathing on the wood pony wall is not required to extend 2" onto the manufactured home rim joist with the use of lap siding. . A. Dahmen P.E. e lot m COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541%!�✓ (Rev.. 2/96) , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-240-018 ZONING BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 3940 RANI) ROAD AUBURN 95602 CONTRACTOR'S NAME D & A CONSTRUCTION TELEPHONE 821-5850 CONTRACTORS MAILING ADDRESS 868 W ONS= J YUBA CITY 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ 1400. ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 33.00 Plan Checkin Fee $ 23.00 BUILDING ADDRESS 6581 JACKRO LLE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 76.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TREX DFCK - 6" TREX SPECIFY Each Trap 7.00 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 ❑ Describe Work: _10 X 20 DECK (OPEN) Gas piping Bystem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service OooV OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is iAn�feu4 force and effect. License Class C)4'1 Lic. No. rn WP4 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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' !S3n—s onIMM carrier and policy number are: Carrier Policy Number t$(� 'A (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �MQP J /7 ^9— r t`hC�l _ Date l� Signature of Ap licant - ❑ Owner JK Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in Peight. Main Service 200A TO 1000A 46.00 NEW CONST. DWa UJNG CSo OR ADDNS. ( ACC. OrS. 3.50FT. NONRESIN MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES BAL 1.50 Ex. Occup. oFUTLE�Ts R6=.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 r� PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST Tv TOTAL FEE $ 76.00 HAZ. D. FEES IMP FLOOD CDF PARCEy V/ PD HD su This permit is hereby issued under of the Butte Coun Code and/or indic b for hich fees have ` By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D 149Z 0 t) li- ag0 7 (Date) Receipt No. / [l/il%l% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE-,6'Ei�ITMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Ex. Occup.( O�E;s Ian °EEA � I 5.00! l'z� t=961 APPLICATION AND PERMIT ""`EL"" �, a�� _ r°'""° BUILDINGPERMIT Q 12 c.� e EJot Y1 (\ l� 7 �o�.Lnnt✓ C��r (J�cTT(,l. T$ c� 0�6�-� SO. FT. o C. BU DATION DON= Owr,EAtANO A06AES _ �O ' Rand -90(24 PA)c%Lra Ca-gaoO*2-- �_ ... COM'De ?A 'W �.+' • va.L- /-� i TEIFYnOwE� _ n i �. .. Corrr RAcrCRS &AA.UP40 ADDRESS _ Cooling Hood C raUCT-0"L.ENOER Ventilation R Si YNUNG AooREss Fireplace I '- 1 Total Valuation S -- rTECT OR ENGNEER UCENSE No --------I Flip Fee S 20 C: IrECr OR ENGINEERS NMUNG AOORESs Permit Fee $ �• Plan Checking Fee S �� ulc AooaEss t JQ–'l 1 Tl 11 Energy Plan Checking Fee S S dl� q�9CQ(� PERMIT FEE i r NO. SUa0NISONS NAME /AROEL ►rAI PLUMBING PERMIT ding Fee 20.Go Now USEOFSTRUCTURE Each Trap 7.00; 1, Solar or heat um water heater 23.001 Water piping w`ff SF O Duplex ❑ Mobilehome ❑ Other �r�� ��--�1— W a M C, s PEC IFv TYPE OF WORK Each gas water heater or vent I 1 5.001 Gas piping system t - 5 outle _--�� 15.001 -New O Addition O Remodel ❑ Utilities ❑ InstallationOther ❑ Buildingsewer I � 15.00' Describe Work: 11 2c� ,V A _ Mobile Home S I C'I W I I 920.00' I PERMIT FEE I s ELECTRICAL PERMIT I I Filing Fee: 2 0. 0 ( OOOV OR LESS Service zaaORLESS ) I 23.001 —Main Main Service 20" TO l000A I I 46.00• --- NEW COST. Ow2L°+O OCCUP. OR AoONS. ( 1 ACC. MMS. I J.5cSO": N N uuITFOUTLET .o.+REs o @7.50; L Sn CIR I *PEPAIT FEE PAIt> .5 PA SHERIFF OTHER AAk6VNT RECMV!Ep S NVAUM TO N !VT 2NT+0 COMMJTER ...a Ex. Occup. ET OR r7 rTURES 2O 'R ' - i eAt !o Ex. Occup.( O�E;s Ian °EEA � I 5.00! Temporary Service i 23.00. Mobile Home Facilities ! i 20.00 Misc. Wiring ! ; 23.00. I I PERMIT FEE S MECHANICAL PERMIT Filing Fee 1 20 C) Heating Cooling Hood I 6.50: Ventilation i 1 PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee I S Occ CO TOTAL FEE $ j �z. I o. rEEs ► n.opo cor .Ae ro as, fY This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES 6N WHITE -n n a .A A C/•M <•Nv_u*ee. nn .............�.....- ___ __.____ _ __. _ _ _ OWNER: rr�r�'s.C+rtV«i.:r.�,.,—y°,�r'�.r ��.•''""'�.:..�„3'w,:.�,-•-+1.;.,'�F,.�!�*�.�'j"�:.-j�°�y'""'"�""J`...'""t"'.+--^,-n'. COUNTY OF BUTTE-DEPARTM O DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center grive, Orovil!e, CA 95965 Phone (530)538-7541 Fax (530)538-2140 I•/*) d � _ _ RERMIT APPLICATION DATA SHEET PARCEL NUMBER tO4. Building Use: L� K----- Counter Technician: _ Date: �� U Hired in order to pply for a permit. All boxes MUST be checked OR marked NA in rder to apply. ns, 3 or 4 sets, signed by the preparer of the plans. mplete plans, 3 or 4 sets, signed by the preparer of the plans. ineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. gineered 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 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. 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. 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........ ❑ 12. Hazardous Material Form ...................................................... ❑ 13. Fire Sprinklers.................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Sent by Date Received By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1& Fees as shown on the attached Schedule of Fees Due Sheet ....................................... tatement of Intent for Non -heated and A/C Buildings ........................................... Sanitation and site plan approval from the Environmental Health Department in lJ 1%3 19. City of Chico Plumbing permit ......................................... I ............ ......... �....... ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone !i5 7-- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Q_ kZk Q 1 Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Co or, designer owner was advised of the above data by4planis ne mail, ❑ counter, by - Date: r, designer, wn as vised of thea a bxx mail, ❑ co nter by Date: I D 8 'Mans reviewed by: Date: Uapproved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 U� COPY of Document Recorded 01 -Oct -2003 2003-0068808 .Has not been compared with original 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, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 101, as shown on that certain map entitled, "Kelly Ridge Estates Unit No.3", which map was filed in the Office of the Recorder of the County of Butte, State of California, July 26, 1974 in Book 43 of Maps, at pages 44, 45, 46, 47 and 48. Subject to all easements, rights of way and restrictions of record. Date 0 State of California County of `SUS CE. On _bLZj}e,MiQ9 (6,23 before me, personally appeared_lt�ne (Un.% rA =69 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Blare subscribed to the within instrument and acknowledged to me that-Wakfie/they executed the same in hia0her/their authorized capacity(ies), and that by h r/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. l�,t' 091> D 0 Signature- �09 ��I�Q- Seal MICHELLE LEE FREEL Comm. # 1435881 A.P. # O(oq —,C --)L40 — © j g NOTARY PUILIC•CALIFORNIA lutle County My Comm. Fxplres Augusl24, 2001 aS7a_ ib National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BN Ts must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. CO Signed: ` y- gL g u L Title: O(1 Sajz_ Date: ©3 By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number Phone (530) 538-7157 Ext. 2016 3 . 77� APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: V� n n la. Company Name: 2. Address: � 4- 3. 3. Phone: Assessor's cell tuber- ��jj c3 5. Location of Work to be DoneC�r ry_vf J lS✓'>c� (,� (� 6. Applicant's Signature 7 ��; CONTRACTOR'S INFORMATION 8. Contractors Name n f 9. Address 10. Phone: 11. Fax: 15 Ll 12. Contractor's License Number. ` 1 . `-i 13. Certificate of Insurance: Yes 0 No: ❑ 14. Contractor's Signature: \ �y 14a. Date Signed: IsIn 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): IS. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ermission is hereby nted. 19. Conditions Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. RAU work shall conform to accompanying: Detail 9 Plans ❑ Speci 1 Conditions � 21. Date Issued 9 Q9 0,3 22. Expiration Date: O Lo 23 Surety `tS Mike Crump, Director of Public Works T-By- "Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one wee Page 1 of 2 General Conditions — See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fin or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such fiabirity is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Pernittee shall notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as detennined by Test Method No. Calif. 216-C of the Materials and Research department, State of Cafifomia, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. c The relative compaction from a plane five feet (51 below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. 'Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in W lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as dose to the right -of --way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road faaTities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. A I surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two Inches (2) of asphalt concrete over eight inches (8') of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting properly owners, such authority must be seamed by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, rights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 r 1-00ATION: DATE: �58I JackN�ll FOREMAN:, Kcs-►ya�: MIN. DISTANCE: DISTRICT: _ PERMIT#: rc SPEED LPAIT OF ROADWAY �� R m DRIVEWAY LOCATION.���" DISTANCE TO NEAREST INTERSECTION: 106 SIGHT DISTANCE GOOD D POOR IF POOR — RECOMMENDATION TO IMPROVE: O CUT BANK O REMOVE VEGETATION (TEMPORARY) ❑ OTHER (EXPLAIN) ADJACENT TOPO O FLAT • CUT SLOPE FT. • FILL SLOPE FT. O CURB AND GUTTER AC DIKE O EXIST. DIST. TO EP FT. DRAINAGE RECOMMENDATIONS NONE • SWALE O CULVERT MIN. DIST. FT. ' EDGE OF EXISTING PAVEMENT (EP) c� z J 12' MIN. 20' MAX. AREA TO BE —,PAVED R /W - T 10' MIN. _ .NOTE: 1F GREATER THAN 109 UP- OR' DOWN REFER TO ENGINEERING. MAX. 1 FOOT VERT. RISE 'OR DROP PER 10 FEET HORIZ. DISTANCE.' MIN. DEPTH TO FT. EP DIAMETER IN. LENGTH FT. EXIST. DIST. I MIN. I OW OTHER (EXPLAIN) I .2% DIST. � ... NOTE: PAVEMENT TO EXTEND AT 29; CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. MIN. DEPTH KT.& R I MAX. l0� PRIVATE DRIVEWAY FIELD REVIEW#05--es- ' SITE PLAN REVIEW APPLICATION Date: - S— AP# O 6 9— 2y O— O 3 g Permit Number (if applicable) 3 - 27 S_ Bin Number APPLICANT INFORMATION Parcel Size: U-4 11Z1 —1A , Owners Name: �d't'^ N L e_ d24 l3 �1 Owners Address: S" l"D QR N f,,> Azit> Ay Liv ew r—A 9S (SO -�_ Telephone No.: A GOA) S i- S D Situs Address: (0S 8 I J Jets -H 1 L -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 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ® N/A ❑ Other: Brief Explanation (if necessary): 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 Date - l 2— Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY .;p 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: X • Flood Panel No.: O B Index Date: 6 ❑ 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: IST— 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 L Side Side Street Rear 30 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 . Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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: 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 ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ . 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 IS Subdivision ME/Parcel Map: *Lj_if }' Map Date of Recording: I 1-1 O- Lot: ) H D ❑ Use Permit/Minor Use Permit Permit Number: Book: 8 Page: ! -S /7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. 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. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ 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. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT ��-0 0.7%, 1 1 Ar ASSESSOR PARCEL NUMBER 069-240-038 ZONING BUILDING P RMIT OWNER DOMINICK & ROSANNE CHIRICOSTA TELEPHONE 888-8613 SO, FT, OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 3940 RAND ROAD AUBURN 95602 616 U 11 088.00 CONTRACTOR'S NAME D & A CONSTRUCTION I TELEPHONE 821-5850 CONTRACTORS MAILING ADDRESS 868 W. ONS= J YUBA CITY 95991 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total valuation $ 11 088.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6581 JACK HILL DRIVE OROVILLE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 178,00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater. 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 22X28 GARAGE 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 PERMITFling Fee 20.00 Main Service 60. 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 full force and effect. License Class (,. Wl Lic. No. �5�3�y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 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 permitis issued. My workers�''co��p�en�sation ' surance arrier and policy number are: Carrier [ 71iJQQ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers'HAZ. 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. 0 X _ q Date - vy • �� Signature of Ap icant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excavat ons over 5'0" eep olitir constru of structures over 3 stories in eight.#I Receipt No. S lid WHITE-D.D.S.-B.D. CAN RV S ES R PI - SPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a acC. S.3.54FT: 21.56 NEW CONST. NON-RESID. MULTLOUTLET C @7.50 POWER APPARATUS 8 SINGLE OIJTIET CIR. DR Ex. OCCLI . OUTLET OR FIXTURES BAS @'; 0 Ex. Occup. OFIx�S A� OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 41.56 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ IJ CONS . r TOTAL FEE $ 219.56 D. FE I V o cOF PARC This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work Indic ed for hich fees have been paid. �0 r ByWZ� Date (�V PERMIT EXPIRES ON ate J"/v -i f `tel °`'Tt-k r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 7�s APPLICATION AND PERMIT L> _ PERMI .:SES:GR OAACEL NU 2� so""° BUILDING PERMIT a�— �E ?� 12 TE ~.• SO Fr. I OCC. BUILDING VgLUATION Dwr.ER VNO ADORES I �O EJL S\V Ax` l�L1 � b `a— q L 0()-2 � CONTM 'D�'A C.o�uC�c'CO(> N corrtaAc_ rca�µA .r. ADDRESS �S (/J� a^�� LQ1� W V!, 6 I —__ C Jt.S rauC T10N LEND EA sS %WUNG ADDRESS Fireplace -- ZECT Total Valuation S -- OR ENGiNEEA UCENSE NO Filing Fee I S 20 C �TECT OR ENGiNEEAS YAtUNG ADDRESS Permit Fee $ Plan Checkin Fee S —% OWL00IG ADOREss ' 'l O ( ad,� A4:1 11 I �� Energy Plan Checking Fee S ®rove d1Le— C& gi59C01/3S PERMIT FEE $ J- tUEON60NS NAlIE PARCEL MAP PLUMBING PERMIT Fling Fee I 20.Co Each Trap 7.00; USEOFSTRUCTURE SF Duplex ❑ Wbilehome ❑ Other Qe- Solar or hea m water heater 23.00i IQ sAEUFv Water piping 15.00 Each as water heater or t 1 5.001 TYPE OF WORK ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Gas piping astern I - 5 outlets 1 5.001 - ^ �X Oe ribe Work: �( Q Building sewer 1 5.00; Mobile Home I SLG IW I I I 00' _ , � I - i PERMIT FEE S ELECTRICAL PERMIT I I Fling Fee: 20.0 Main Service ( 00OV oR T- - moA oR tEss ) I 23 00 Main Service 200A TO IOWA I I ---46.00W— CON6T. ( OwEU.wO occuv. - - OR ADONS. a ACC. mns. 3.5c'. 4ULTI•oUTLET wNaEs.o @7.50; POWER AS A NOLE OvrL.E'r I EX. Occup. OUTEr OR FOMAES — APRT� L� /� FEE PAID $ Ex. OCCU nzEO AFPU4. oR OURETS RE510 EA I I 5.00! Tem orar Service 23.00C1$ SRA- n i y fvlobile Home Facilities i 20.00 Misc. Wiringi 23.00. SHEPIFF 0THER PERMIT FEE s MECHANICAL PE IT Fling Fee 1 20 C7 Heating; Cooling Hood I6.50 Ventilation — AAk6Vt4 T ReCEZYEp s I i PERMIT FES S Mobile Home Installation Fee S Energy Foe S Inspection occ CO T °` TO AL FEE $ " TO NWT INTO COQ �_. n D cD DAA El ,TEES 1 79",_ This y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ..• indicated above for which fees have been Paid. Receipt No. By Date -- WHITE•0.0.s.-8.0. CANARVq PINK•IMPECTOR PERMIT EXPIRES 6N ',+...fir..,..-..y...,ry.a1�..♦,�..,.•-•`^J''.t..s�-4.�,+h;A�e��r•.-F-T. '�r:..�+... _ .•r`•.�•,,. ,. ...-,�''`"'»r..'.-•,h. .,. q.,K,� .r.�y.-�•.�.,.`'-..-_..--.+•.:,.•r+✓��'y'w.-s.,-•'�--..-.f..-..�* 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 NUMBER 0 G Proposed Building Use: Q Counter Technician: • Date: a S Items required in order t&bpply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 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. r, Items required for initial plan review. If checked items have not been received, plan reviewlcannot 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. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other aining items needed to issue the permit. (May require additional plan review upon receipt ol i 1 Fees as shown on the attached Schedule of Fees Due Sheet................................4 ....... Latement of Intent for Non -heated and A/C Buildings ................... . ..................... nitation and site plan approval from the Environmental Health Department in ❑ 19.' .City of Chico Plumbing permit..................................._................................... - ❑ 20. CaliforAiiDepartment of Forestry Phan approval ❑ paid. Sent by: ` ❑ 21. Planning approval for (A) Use: a 1` (B)Parking: (C) Parcel Check:; 2- 0 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... El -30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. ,x I have been informed of the above items and requirements for obtaining ajuiiditg permit. Applicant: t .h K Ir 1. Index permit application for the above items numbered: Plan Check Letter „ 2. ' al items required ontract ,designer, owner, was advised of the above data by one, ❑ mail, ❑ cou ter, by Date: -�_� ontra designer, own as,�dvised of the ve dat p one, ❑ mail, ❑ counter, y Date: D-� nb tans reviewed by: (� Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved,by: Date: Note transfer by: Date: • •R r $ �� .` I 'I }+ .! ,Yellow: Building Division- t ,;. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ��� � 1 l�V . A.P. PROSED BUILDING USE DATE REC IPT # I DAXE RE C, 1. BUILDING PERMIT FEES/ --- Balance Due ..................... $ rl 41. IT --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I 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 process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Gaara,,ges and Carports. Owner �Q`(�_\�1 ��le �' `� � i L�h ��'� ng— �1013 Mailing Address 3qq0 1�kox)d L r 1 CA ®g, Site Address: le�l 6acy .;tll &rVi lip— CA. qE39(p Assessor's Parcel Number: Q-pG — QlA0 r C63 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL LNFORNIATION: I. Is there a primary dwelling on the property? Yes xQ No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No Q 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site. --be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑No 7. Is any portion of the structure keeated closer than 20' to your front property line? Yes ElNo S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes @ No 9. Will the proposed structure encroach within any recorded easement? Yes 0 No ED CONSTRUCTION FEATURES: 10. Will this building have insulated -floor, walls, or ceiling? Yes ❑ No El 11. Will this building be heated or cooled? Yes ❑ No El 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No Q 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? eQM eAa+ , 16. What type of «-all covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) .1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. % Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den C] Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy 2 ❑ Other — Use = 1. Describe type orworbhop I btuu be approved by the Butte C«utty Planning Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. XO,wner's Name: Please Print lep 5.2-4 4 1:!�- r e— o Owner's Signature: jCDate: / D 2of2 � y / ` V 1 `` \ 1 3 4' ELECTRICAL, MECHANICAL, -AMID -Pfd 0 ...... ` CONSTRUCTION ( NOT �'L.9�IV ,HECK= 914ALLCOMPLY WITH OF M 0,, UMC MD ------ .. ............. .. l� o rn k(kr' S n a.hne- oytf� hp�11. NA 24L 6S 2 ` _..........: . ........ .............. .� . ...... . n: ............. ............ .. --_ . ........... .............................. - -- .-- vl ............. .. .. .. t :............................................ r....... ... PROVAL ................ BUILDING PLAN AP LANNTNG DTVSION ••...._......:......>....... .. .. ............ ...... Use: l< Date: Landsc F`i �ng":' ..... Parking: Other . _• ... 5- \ --- \ - ;.....<.................. ... lure. \ Signa • :......:.....:......:..........................:... ...... .................... ........... 1 Assessor's Parcel Number. F210 [51 - ® a a . - a a ® Scale: 1" Owner Name 'Doan-,t►�'ic.t� i�.�r,e. Ch�r�;csos+cam Address/ Phone No. 3��Ip '�c�.rd�'Ro�d Auburn ��to0'2 (530) Bg- �Slo�3 Site Location C '52sl 3cAUC )tA�N\S oc-ov.`\e S6e\uLp Contact: Name KhOieLte. CT31 Phone Quo) 4d1-6 5-0 odubw421M . ............. h � 1@a. o, ��. Z _ .... y ...;.....�......:......;..... i......;......:.....:......: i cvkstrA scab t"= Zo' to, I Zo, 1 so' 1 46, .� .....Y. ................................... ............ BUTTE. . ..0U t. f..:............i..... gUILDINC •• Ei A` A� ........... �R� ...................... _....._.................. _......._... . ....._..................._....._....... ..... P ..._.! "t'... ..._.....-............._....._....... FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS _- ... SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: a.00^ USES: :.....:......:......; ... L ® LOOMIS OFFICE 6/MARYSVILLE PLANT 3243 Rippey Road 5033 Feather River Blvd.. NMILoomis, CA 95650 Marysville, CA 95901 -- ---- Phone: (916) 652-4655 Phone:. (530) 743-8855 TRUSS. Fax: 916 652-3860 Fax: (530) 743-8856 esigon Designed By: Date: Technical Representative: Bryan Wagner May 17, 2004 Bryan Wagner * All enclosed drawings are in alpha -numerical order' Client 'ect Mitchell's Building Supply 122' x 2$' Bi ilding Ke11y Ridge, CA Office Phone: Site Phone: Office Fax: Site Contact: 52 PlanlElevation: Floor System: O Original Submittal --Tly Roof System: O Complete Revision w` 0 Partial Revision: Replaces individual drawings Work Order # 0301203 0 Addition: Add to. Original dal not.wn; GABLE END DETAILS LUMBER SPECIFICATIONS: SHEATHING ON ONE FACE REQ, 2X4 #2 DF—L CHORDS SHEAR" DESIGN BY OTHERS ' 2X4 STD. 'DF—L STUDS 16-14-10 OR 20-10-10 PSF. LOADING 010uT FOR axacuioul Foa zxd ua 70 MPH WIND LOADING OFF S, . �7 �„,.. FOR CABLE ASSEMBLY GREATER THAN 5'-10” IN HEIGHT SEE GE -2, ADD—ON SAME SIZE AND GRADE AS TOP CHORD WITH 16d NAILS AT 12" O.C, ADD ON SPLICE 70 OCCUR VARIES AT PANEL POINTS WITH CLUSTERS 2-16d NAILS A 3-5 OUTLOOKER. DETAILS HORIZ, VENT MEMBERS NOT REQUIRED 1.5-'3 ONE SIDE AND (2) 14 GA n^rE£fi EA * 2" STAPLES ON OTHER SIDE r C:`'v �'S�q F ¢ a' - OR (5) 2" 16 Go, STAPLES M 4_1n - A -li o •..... 12 x . - VARIES ' u' N 458x 3-5 MIN, O S SAME S Z PLATE AS 0 SS A- x . 12, 31 /02 FULL, BEARING WALL OFCAL`F0��\P OPTIONAL. CANTILEVER IJP TO 24" O.C. "UP TO 48' WITH STUD 0 WALL , UP TO 24" NO CHANGE SEE ()UTLDOKER DETAIL BEVEL,.GABLE END FRAME GABIK END FRAME 2X4 DIAGONAL BRACE AT CENTERLINE OR AT 16'-0" O.C. MINIMUM BRACING DETAILS SEE STRUCTURAL DRAWINGS FOR ADDITIONAL REQUIREMENTS 16d AT 24" 0. BEARING CONNECTIONS ARE THE SOLE RESPONSIBILITY OF THE ENGINEER OF "RECORD, DETAILS ON THIS 'PAGE ARE SUGGESTIONS ONLY AND ARE NOT TO BE UTILIZED W17H OUT T>74E BUILDING DESIGNERS APPROVAL. SEE TPI 1-1I8-91 FOR OTHER BRACING RECOMMENDATIONS j I- Optional ventGENERAL GABLE DETAILS FOR WIND LOAD BRACING 3-4 DWG# 0002065035 I opening per design drawing. Max, 12" eave unless noted on drawing. Pitch per design 3-4 3-4 drawing., Solid block between trusses Gable End Truss for nailing of diagonal brace, attached to sheathing and Brace Interval as ¢ truss each end, typ. specified on the approved engnineering i drawing or standard _ detail or chart. Typical 2x_ strongback Truss spacings per designs. (whaler) brace along back face of gable, braced with 2-6 + or- 45 degree diagonal rn - 2x (typ.) braced to roof S=3_4 5=3-4 sheathing as shown. Connector plates shown are for example only. See actual truss design for required plate sizes and orientation.' Structural gable trusses will generally have diagonal and vertical members other Mat those shown above. WAL!/.BEARING SUPPORT a e ru$$ is con nousea p as OW be noted on indiviol4al clesign arawings. + Indicates stud members that require bracingl END (FACE) VIEW SIDE VIEW ADDITIONAL STRUCTURAL GABLE. TRUSS REQUIREMENTS 7) ALL ITEMS 1-6 LISTED UNDER "REGULAR GABLE END TRUSS REQUIREMENTS APPLY TO STRUCTURAL GABLES ALSO, PLUS THOSE LISTED BELOW. 8) WEIGHTS . OF ANY MATERIALS LISTED IN #6 MUST BE ACCOUNTED FOR, EITHER IN STANDARD DEAD LOAD PSF LOADING, OR BY ADDITIONAL LOADS. ADDITIONAL LOAD ARE INDICATED BY "LOAD CASE #11" CHART ON THE DESIGN DRAWING. 9): STRUCTURAL WEBS AND CHORD'S MUST BE BRACED IF INDICATED, AND THIS BRACING IS SEPERATE FROM THE GABLE BRACING INTERVAL. SEE REFERENCED STANDARD DRAWING TX01087001-001: ' 10) TRUSS MAY OR MAY NOT. BE CONTINUOUS BEARING, AND IS APPROVED FOR THE CONDITION(S) INDICATED ON THE INDIVIDUAL DESIGN DRAWING ONLY. 2X NOTCHES CUT INTO TOP CHORDS NOTCHING FOR OUTLOOKERS IS ALLOWED ON REGULAR GABLE END TRUSSES AND ON STRUCTURAL GABLE END TRUSSES IF NOTED ON APPROVED INDIVIDUAL DESIGNS. . OF ESS/0,V R MES Ujm ct J 4 82 i THIS DETAIL IS PROVIDED AS A SUGGESTED SOLUTION TO THE APPLICATION SHOWN ONLY. IT IS NOT INTENDED TO REPLACE OR SUPERCEDE ANY SIMILAR • 12181!02 � � �r► DATE: 3/20/2002 SVML. DETAIL THAT MAY HAVE BEEN PROVIDED BY THE BUILDING DESIGNER. IT IS THE RESPONSIBILITY OF OTHERS TO VERIFY THE ADEQUACY OF THIS DETAIL /t, 1N RELATION TO ANY SPECIFIC PROJECT, AS TO ITS APPLICATION AND INTENT r Y �(�Rr1tQ REF: �' B_� WMACI®i®® MWEMS APPLIED TO THIS OR ANY SIMILAR ISSUE. TRUSWAL SYSTEMS ASSUMES NO RESPONSIBILITY FOR FIELD INSPECTION OR WORKMANSHIP QUALITY. DES: L.M. Jf. 1h I TRUSWAL SYSTEMS 4445 NORTHPARK DRIVE,. SUITE 200 COLORADO SPRINGS, CO 80907 I (800) 3224045 FAX(719) 598-8463 C001003160 . 11/14/02 Users of Truswal engineering:. TX01087007 The TrusPlusTm engineering software will correctly design the location requirements for permanent continuous lateral bracing (CLB) on members for: which it is required to reduce buckling length. Sealed engineering drawings from Truswal will show the required number and approximate locations of braces rfor each member needing bracing. In general, this bracing is done by using .Truswal Systems Brace-It"m or a 1x or 2x member (attached to the top or bottom edge of the member) running perpendicular to the trusses and adequately designed, connected and braced to the building per the building designer (See ANSIITPI current version). The following are other options`(when CLB bracing is not possible or desirable) that will also. satisfy bracing needs for individual j members (not building system bracing): I . i 1. A 1x4 or 2x4 structurally graded uT" brace may be nailed flat to the edge of the member (up to 2x6 web members only) with 10d common . or box nails at 8" o.c, if only one brace is required, or may be�nailed to both edges of the member r tf two braces are required. The: T brace . must extend. a minimum f 90 /0 0 m o f the members len th. 'For 2x8 and g � larger web members, bracing must be done per building designer, or 2. A scab (add-on) of the same size and structural grade as the member may be nailed to one face of the member with 10d common or box nails at 8" o.c. if only one brace is required, or may be nailed to both faces of the member if two braces are required. A minimum of 2x6 scabs are required for any member exceeding 14'-0" in. length. Scab(s) must extend a minimum of 90% of the members length. '3. Any member requiring more than two braces must use perpendicular bracing or a combination of scabs and 7' braces, or any other approved method, as specified and approved by the buildingdesigner. 1. EXAMPLES 2. "T" BRACE SCAB L,F;QFES&C -. V Please contact a Truswal engineer if there are r any questions. `r c ss ' , .12/3110 2 � CNS. SOF CALIFO�P C.W sofficelwinworMbrace-new.let 28-0 f du E COUNPi 28-0 w DEPARTIIE�"`' PN R.00fI±ne 3D Lay <&,A.R..AGES - SALES REP BW - WO# - gar2828 DUE DATE M=TCHELL,S BU=LIQ=NG S / W-! / BW Date : 5/16/2004 7:a9 TC Live 30.00 psf ''DurFac-Lbr -1.15 �' - VAR=ES LOCAT=ON TC Dead 14.00 psf , DurFac-Plt 1.15. 'CY1 pV�000 9J B� � � L L 6 C� e� BC Live 0.00 psf BC Dead 7.00 psf -^ —z Total 51.00 psf 0. C. Spacing 24.0 Desigis Spec : UBC -97 #Tr/#Cfg : 15 / 0 77� Job Name: 22' x 28' Garage T 3 11-13 Truss ID: HGA Qty: 2 CRITICAL MEMBER FORCES: TC 2x4 DFL #1 PlaaiiSng spec ANSI/TPI - 1995 This truss is designed using the BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF UBC -97 Code. GBL BLK 2x4DFL STANDARD MULTIPLE LOAD CASES. Bldg Enclosed = Yes, Importance Factor = 1.00 Loaded for 10 PSF non -concurrent BCLL. PLATE VALUES PER ICBO RESEARCH REPORT #1607. Truss Location = Not End Zone PLATING BASED ON GREEN LUMBER VALUES. May use adequate staples for gable blocks. Hurricane/Ocean Line = No,Exp Category = C 26.00 ft, Bdg Width 24.00 ft BUILDING DESIGNER MUST VERIFY GABLE LOADS! {+l gable bracing retired @ 48" intervals, Bldg Length = = Mean roof height = 21,99 ft, mph 100 If exposed to wind load applied to face. UBC Special Occupancy, Dead Load = 10.0 psf See "General Gable Details', 0002065035. I 1�OCL r 1100 I OQ of E :slp�, q� f 1 2 3 4 5 6 7 8 910 11 12 13 14 15 4.00 CIO 2 3-4 w 2 sg m T 3 11-13 1-2-8 4-544 oc s OM7 NIL .�\P ! SHIP FCAi.�F�P 2.5-6 2.5-6 0-3-135-6 0-3-13 f" —4 22-0-0 t, 16 17 18 19 20 21 22 234 25 26 27 28 2�9 (` TYPICAL PLATE: 1.5-4 OVER CONTINUOUS SUPPORT .22 . t3UTTE COUNI Ex :06130 ? DIUILDLANNIGL! ART MF,,, -` 'lith ' Truswal Systems Plates 20 by"18"(18 "H"(16 "MX"(TWMX 20 J itionper Joi 1 Details Few, are ga. unless shown go.), go.), or ga 5/14/04 Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). i WARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: Mictchell's Building Supply TVs design is for arlipdividual building component not truss system. It has been based on specifications provided by the component manufacturer -WO: DriveT_0301203_L00005_J 00001 ® and done In accordance with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions Dsgn r • bw #LC = -16 WT: 137# are to be verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that the loads ulilizad on this design meet orexcsed the loading Imposed by the local building code and the particular application. The design assumes that the top chord - TC Live 30.00 psf Du r Facs L=1.15 P=1.15 HOMEw00D is laterally braced by the roof or floor sheathing and the bottom chord is laterally braced by a dgid�Sh@aching material dire(oly atta3i tied;. unless'stherwiss TC Dead 14.00 psf Rep Mbr Brill noted. Bracing shown is for lateral support of components members only to reduce buckling length, This component shall not be placed in any Rep Mbr Comp 1.00 ®TRUSS environment that will cause the moisture content of theweadtoexceed19%and/gr cause connector platoreemosion. Fabricate, handle, install BC Live 0.00 psf Rep Mbr Tens 1.00 - 4445 Northpark IOX0907 CO10 Springs, �Q and brace this truss to accordance with the following standards:'Joint and Cutting Detail Reports' available as output from Truswal software. 'ANSIrrPI1',WTCA11- Wood Truss Council ofAmerica Standard Design Responsibilities, 'BUILDING COMPONENT SAFETY INFORMATION'- BC Dead 7.00 psf 0. C.Spacing 2- 0- 0 (BCSI 1-03) and'BCSI SUMMARY SKEETS'by WTCA and TPL The Truss Plate Institute (TPI) is located at 583 DOnofrlo Onve, Madisop, - Design Spec UBC -97 TRU SPLUS 6.0 VER: T6.4.lFaconsin 53719. The American Forest and PaperAssociatlon (AFPA) is located at I 111 1 Sin Street, NW, Ste NO, Washington, DC 2008C TOTAL 51.00 psf DEFL RATIO: L/240 TC: L/24 Job Name: 22' x 28' Gara a Truss ID: H1A Qty: 13 ERG X -LOC REACT SIZE REQ'D TC 2x4 DFL #1 Plating spec : ANSI/TPI - 1995 UPLIFT REACTIONCS) 1 0- 2-12 1335 3.50" .50" BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF Support 1 -212 lb 2 21-10- 4 1335 3.50 50" WEB 2x4 DFL STANDARD MULTIPLE LOAD CASES. Support 2 -212 lb BRG REQUIREMENTS shown are based ONLY Loaded for 10 PSF non -concurrent BCLL. PLATE VALUES PER ICBO RESEARCH REPORT #1607. This truss is designed using the on the truss material at each bearing Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). PLATING BASED ON GREEN LUMBER VALUES. UBC -97 Code. MAX DEFLECTION (span) : Cust: Mi ctchel l's Building Supply This design is for an Individual building component not truss system. It has been based on specifications provided bylbe component-Mnufadurer Bldg Enclosed = Yes, Importance Factor = 1.00 L/999 IN MEM 8-9 and done In accordance with the current versions of TPI and AFPA desigrostandards. No responsibility is assumed for dimensional accuracy. Dimensions Dsgnr: bw #LC = 16 WT: 113# Truss Location a Not End Zone p gg(LIVE) C ITYCAL MEMBEROP8RCEST -0.22 R HOMEw00D Hurricane/Ocean Line = No Exp Categor = C TC COMP. DUR. / TENS,(DUR. CSI Du r Faes L=1,15 P=1,15 noted. Bracing shown is for lateral support of components members onlyto reduce buckling length. This component shall not be in any Bldg Length = 26.00 ft, Bldg Width = 4.00 ft 1-2 -2615((1.15))/ 44511.60j) 0.54 TRUSS placed environment that will cause the moisture content the to 19% Fabricate, handle, installBC Mean roof height = 11.99 ft, mph = 80 2-3 -2244(1.15)! 399(1.60) 0.47 of wood exceed and/or cause connector plate corrosion. Live 0.00 psf Rep UBC Standard Occupancy, Dead Load 12.6 psf 3-4 -2243 1.15 / 399((1,60)) 0.47 BC Dead 7.00 ! Mbr Tens 1.00 -Colo Springs, CO 80907 4-5 -2615 1.15 / 445 1,60 0.54 .0 C spacing 2- 0- 0 (SCSI 1-03) and SCSI SUMMARY SHEETS' by WTCA and TPI. The Truss Plate Institute (TPI) is located at 583 D'Onolno Drive, Madison, - BC COMP.(DUR. / TENS.(DUR.) CSI TRUSPLUS 6.0 VER: T6.4.1 twisconsin 53719. The American Forest and Paper Association (AFPA) is located at 11111 9th Street, NW, Ste 800. Washington, W 2006. TOTAL 51.00 psf DEFL RATIO: L/240 TC: L/24 6-7 -367{1.603/ 2421(1.15) 0.59 7-8 194((1.60))/ 1639(01.15)) 0.38 8-9 -367 1960 ! 2421 1.15 0:59 WB COMP. DUR. / PENS. DUR. CSI 2-7 527 1.15 / 167 1.60 0.09 3-7 -89 1.60 / 642 1 15 0.28 3-8 8 .60 / 642 1.15 0.28 4-8 527 '.15 / 167 1.60 0.09 3-11-13 2 " 0-3-13 IT i �-�-- Q-I(�1 6 0 22-0-0 6 7 B 9 1. 20 qU ILDI DEPART Ex :06/30 CIV A Truswal Systems Plates are 20 ga. unless shown by"18"(18 ga.), "H"(16 gaJ; or "MX'(TWMX 20 ga,), positioned per Joint Details Report. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). 5114/04 WARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: Mi ctchel l's Building Supply This design is for an Individual building component not truss system. It has been based on specifications provided bylbe component-Mnufadurer WO' Dri Ve-.T_0301203...L00005- 300001 - and done In accordance with the current versions of TPI and AFPA desigrostandards. No responsibility is assumed for dimensional accuracy. Dimensions Dsgnr: bw #LC = 16 WT: 113# 1..4�.iG...l...i aredo be verified by the component manufacturer and/or building designer poor to fabrication. The building designer must ascertain that the loads HOMEw00D utillmd on this design meet or exceed the loading imposed by the local building code and the particular application. The design asseroesihat the top ahold is laterally braced by the roof or floorsheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unlessotherwise TC Live 30.00 psf Du r Faes L=1,15 P=1,15 noted. Bracing shown is for lateral support of components members onlyto reduce buckling length. This component shall not be in any - TC Dead 14,00 sf p Rep Mbr Brill TRUSS placed environment that will cause the moisture content the to 19% Fabricate, handle, installBC .Rep Mbr Comp 1.00 - - ® of wood exceed and/or cause connector plate corrosion. Live 0.00 psf Rep 4445 Northpark Or. and brace this truss in ac¢31dance with the following, standards:'Jolm and Cutting DetaifRepons' available as output from Truswal software, 'ANSVTPII',WTCAV-WoodTrussCouncilofAmericaStandardDesignResponsibilities,'BUILDINGCOMPONENTSAFETYINFORMATION'- BC Dead 7.00 ! Mbr Tens 1.00 -Colo Springs, CO 80907 psf .0 C spacing 2- 0- 0 (SCSI 1-03) and SCSI SUMMARY SHEETS' by WTCA and TPI. The Truss Plate Institute (TPI) is located at 583 D'Onolno Drive, Madison, - 1 Design Spec WC -97 TRUSPLUS 6.0 VER: T6.4.1 twisconsin 53719. The American Forest and Paper Association (AFPA) is located at 11111 9th Street, NW, Ste 800. Washington, W 2006. TOTAL 51.00 psf DEFL RATIO: L/240 TC: L/24 IT i -ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION { NOT PLW CHECKED ) �4 SHALLCOMPLY WITH CUFRENT EDITION y on OF NEC, UMC AND URC. 4LDU 5 r Q 141 - Za. 4&, �ra,op x r NOTE: -Seg, the attached R K, I' entg- Pag " �� rte` i o-L(s PIC j" U �0BME CUA r ©� aI I Department ®f Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Constructi®n Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.) • . Provide required room dimensions and ceiling height. (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door.. (Sec. 1003.3.1.3,U.B.C.) • Provide adequate clearance and type A flue for firepla.ce/woodstove. • All stairways to comply with U.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails. • " . Hallways to be minimum 36" wide (U.B.C. 1004.3.3.2): • Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. _ - • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lam,beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide %2"x 10" anchor bolts @ 6' o.c. max. and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, U.B.C.) ® Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) • Slabs -on -ground with turned -down footings shall have amigi um of one number 4 bar at the top and bottom (Section 1806.7.2, U.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: CT'U r, Building Permit Number: Plans Examiner: Martha Christy A 509, U.B.C.) • Veneer per Ch. 14, U.B.C. • Exterior plaster — weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. - - - • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions (NECf the National National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provideplumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). v 2. Garage firewall separation — required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). 3. Install smoke detectors as per the requirements of U.B.C. section 310.9. 1. 4. Sp , ecial roof covering required, class B minimum. 5. Provide 2 separate exits from the third story (U.B.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net clear operable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4). it COLOR CODE USED ON PLANS Blue = Engineering Pink =Firewall panels Green = Braced wall p Yellow =Important COMPLY WITH ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood elevation. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than l foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 7. All building materials below the 100 -year flood elevation must be of fire-resistant material. ❑ Fire sprinklers are required in this structure. This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary.j.4,pQy,,iC 7qS ® All structures and qui ment including overhangs shall be clear of all easements. A setback oitLC1 l the side and G°2`� the rear property lines and 20 feet (25 feet if Federal Aid from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Route) ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 Owners Name: CJX_4 6 Building Permit Number: Plans Examiner: Martha Christy :.BUT coulNii JRUILDING DEPARTMC-:�, 00 Al _� IV y 421 MtA4F ELECL--, MECP$ANICAI, .,D P Ct36I?�T� CT104 ( NST P 9 LUMBI G 'L CPAPLY WITH CUR ENT ECiTICHECKEC, ) QPF i�C' Usi w® UPC. tol Lu Go Lu Lp ��� ��Li X� am LL Eli Lu Lu r - w iz 10 co 0 cr-. 2 Lu o cox Lu cc I �. S� qa m t uit ments m < 63 i i 4 _TNGgC IF 'NAM E6b I L .i-. 7" 1 _A I. h H 5/�,'PlyWqpd-0 Nails- 8&s @ 4" o.c. Edge JA 8d's @12" o.c. Field 771 J J d 2 Nails- 8d's @ 6V2" o.c. Edge zw=pl�7�7400� 8&s @12" o.c. Field f 61 ILL A' SIDING ONITE, CLAOW001) HKA19. Vursogit J L04A'rl00 S Nails- 8d's @ 6" o.c. Edge We. J, 8d's @12" o.c. Field Vow F 0 1A TA Ila^ TIC 11 WEMEWG� per Report No. NER - 405 S. Nails- No. I I ga. 1-1/2" long galv, roofing nail A. a 1�- LU 011pr, -0. wom.V mek��. t .41DINC1 Hki M U Wr- a A @ 4" o.c. Edge Tow AtX..w- 01- 4. VNI & 12" o.c. Field Z 0 -/A 15 5A%�` Eo 1:::rRN E-�`,Lo '10 .14. r V4. 4, a. e. EYISRA4 CAM + 0 )4�;,440 2-� -4 7 Y* A' l6n cm v . r 14PT41H ?Y, VRD ,e7 Coll/ Ore. FVVPU& F uvrH W i 44WO t 10, t COD LUNBER SCBEDULE: Unless otherwise shown P, 7" _J boom, .1W E 4,9 e 4 LA13 2 'Lip! A 2x4 Studs Stud grade D.F. C11 4 W Top Plate: STD D.F. or BTR Y r W Bottom Plate P.T. STI) DF or BTR % --T ZZ i. r -A4 HPK.#r_ r -4 D. Ir. '441 "PK Z' P. r. GENERAL NOTES - 0/11T, To 13. r race RAIED 24/0 SHEATHING ENP. d Wall Panel (Min. 3/9") APA BZ; "MOT IL Design loads: Roof Live Load._� 20 P.S.F. Nailed with Rd's @ 41' c.c. at EDGE & 12" c.c in FIELD. Roof Dead Min. 2! - 8" panels - with Simpson PHD2 screwed (or HDSA bolted ALL VoTSM P.T. ok� FRO V Load: 10 P.S.F. e7 t to wide face of (2) 2x or 4x Place SIMPSON SSTB 16 AB in foundation Wind Load: 80 MPH EXP. C 22.6 P.S.F A and 5/8" x. 10" AB with 2"x2N3116 washer at each end of each panel. *rV l&5_'AAJZA Seismic Zone: 4 gt Mr, KIPT' A4 49::PrH 99\001'5 K "e 2. Footing shall be placed on firm undisturbed soil or compacted engineered fill. Max. soil Braced Wall Panel (Min. 3/8") APA RATED 24/0 SHEATHING M(P. I woirini� A -AAO-AA \&IA L; 44ows /Nailed with 8d's @ 6" c.o. at EDGE & 12" c.c in FIELD. design bearing pressure of 1000 PSF E50AV-V IWA 6$1 Home.. Min.,r-o"partels- with 5/8"x 10"AB with 2"x2"x3/16 washerat 3. Concrete: Concrete to have a minimum of 2000 PSI breaking strength at 28 days. each end of each panel. 4 Reinforcing steel A615-40 .91 TYMAL EW LLPA _J &_ ; * W BRAC NEL. 10-.4 .2 1� 4. IlCo cone. expansion anchors may be used afoccasional plate break instead of A.B. ect to Approval of Local Enforcement Agency) A114 I 14A U (Subj, 5. Ali'construction shall be in accordance with Chapter 23, 1999 C.B.0 "O"Im I's -ATEV AVJAe_ffNM) E LOe A :6. Nailing shall conform to table 2341-B- I of the CBC, unless otherwise shown heron. ALT. PRE FAP> V Mare"', ;�eALL 9AFrffZS- 666 IZAM61M 411AME g, Ifo, krwv, Rama mx.n.% Vr rAIL 7. If horizontal lap siding is used, provide a 4'wide sheet of plywood (min. 3/8" plate to 'S!.TYr9.1 X.14*Tr' . .. '. Q I I , TIM. ALI 215 410 plate at each comer as shown. * The plywood is not required on any walllwalls adjacent to gtf!tAVI�lv 111416- �AVQ VIA _J 7". 6 2VA 0 11 - 5 6HITA 4 the mfg'd. home that are sheathedwith die 518" gypsum board. WALLS.A-r AAIZAAIF 5HSATH AR101;P 4 MAX. 8. A private garage may be'l6cated immediately adjacent to the mafd. home if the interior f -PAP, of the garage wall adjacent to the mfg!d. home is constructed of materials approved or e tar_ wxi.Ul. -resistive c truction. If there are openings in the mfg`d. home wall one hour fire ons adjacent to the garage wall, a minimum of three feet separation shall be maintained. A minimum of six feet separation shall be maintained between the mfg!d. home and a WAr. ad S 0 P L f. 0- private garage which does not meet the requirements for one-hour fire -resistive 14LO MA. -X. WIT14 RAr--M construction. Fir nim. R -Xi D w I 0r" _hgr&Loa44oadway. SEE NOTE 9. XMMArlt !CV.05S.-ne CAXWW'11. At. struction shall be: W' type X 43�0. Bd. applied to the interior 9. One -hour fire -resistive con vas e rwrlmm ow e- sit"M. sx-*49S "ro Bar is ..7-Tww 4 6 face of the wall, nailed with 6d cooler nails at 7" c.c., all edges blocked, all joints taped. SLAS il-00 VV Gyp. sheathing board applied,to the exterior face of the wall, nailed with 6d cooler 70 PT. 6 X 6 - 10 //0 W. W. fle-so VA. 0. 14. Vhe��!- aq 3*5 Q 2.q v 0. C. nails at 7" ,overlaid with min. 3/s" exterior siding nailed as shown hereon. All edges s hall be blocked with 2x lumber. r 10. Wall adjacent to existing building shall not have any openings, except a door. The door HIM. shall be self-closing, tight fitting solid -wood door 1%" in thickness, or a self-closing tight fitting solid core door having a fire -protection rating of not less than 20 minutes when 0 tested in accordance with Part 11 of UBC Standard LU HXX A� -4-0 -1 (Pox 70 MCI ELECTRICAL, MECHANICAL, AND PW N CONSTRUCTION NOT -PLAN CHECKE ROOF CONSTRUCTION: Composition shingle over IS lb, felt with lapped edges over Z =D -e K" APA rated EXP I plywood roof sheathing with staggered joints over pre ngineered IT RENT EDMIOI A roof trusses at 24" o.c, with 9crs @ 6" o.c., on edges and 12" o.c. in field. UMC AND '.'UPC. a 0!�. F411k M -(W R PPIAA. N 't I . ... I l'. -V .. , < ZO'M&K e I -A DF NEd One 12. SLAB CONSTRUCTION: Slab shall be min. of 4" with opt. 6x6 - 10hO W.W. mesh r M. P -A W,I..Ap S161,44 1,44IL' PV1 W17, W1. OA t or #3's @ 24" each way ever 4" of gravel V) 2 K--rkW4*- -E P-rm P.; UJ 16*C 20PSF,L VC DF AW 2. 'A 19 24 00-.- X *r 71 WA' rCk. kZF, M x -# 24 Or 24 - Cie LL 7 2-_X8 C.01 VF� elm DE -rA-- uc;lol V) �27 Inc OF : RUTTS COUN-r-, CL `40LDING DEPA 144 C) PIP wiled's 0 1 r O.C. ID13L 2x4 Top PIM* D I HR WALL P FJ A P P KOVN L Zt4 I(ws 0 r ox: VOL 9 eoHl tKe V) or. Ar O.C. Hortt. 3 Simpson MST W110-10ds, UkL lfwp Each EW 2 -Ase 3 Ir r PL T 70 ovy RAt 60 0001AWk t IA_ t,. 4 AHD r SW 160 A �' 6 - NE Svong-Wd -k or Ell. 1C so" JOB' Over Fywd. Shw*tng SH110: Mbs. 2-518 A.B. W12"I 2"Z X16" washen 2-Sknpsm #Ws -SSTB16. LL V 4V ti INSI E VIEW r) wvvi CML view -7 TY P., 1 t F� rJECT101 F, 't 1; '41,. =I -1 ilawc� Raw. -4, H. 40 ME, F-0 (04 L 0 ME Fr VYTV.R1nR RIDING 4 _TNGgC IF 'NAM E6b I L .i-. 7" 1 _A I. h H 5/�,'PlyWqpd-0 Nails- 8&s @ 4" o.c. Edge JA 8d's @12" o.c. Field 771 J J d 2 Nails- 8d's @ 6V2" o.c. Edge zw=pl�7�7400� 8&s @12" o.c. Field f 61 ILL A' SIDING ONITE, CLAOW001) HKA19. Vursogit J L04A'rl00 S Nails- 8d's @ 6" o.c. Edge We. J, 8d's @12" o.c. Field Vow F 0 1A TA Ila^ TIC 11 WEMEWG� per Report No. NER - 405 S. Nails- No. I I ga. 1-1/2" long galv, roofing nail A. a 1�- LU 011pr, -0. wom.V mek��. t .41DINC1 Hki M U Wr- a A @ 4" o.c. Edge Tow AtX..w- 01- 4. VNI & 12" o.c. Field Z 0 -/A 15 5A%�` Eo 1:::rRN E-�`,Lo '10 .14. r V4. 4, a. e. EYISRA4 CAM + 0 )4�;,440 2-� -4 7 Y* A' l6n cm v . r 14PT41H ?Y, VRD ,e7 Coll/ Ore. FVVPU& F uvrH W i 44WO t 10, t COD LUNBER SCBEDULE: Unless otherwise shown P, 7" _J boom, .1W E 4,9 e 4 LA13 2 'Lip! A 2x4 Studs Stud grade D.F. C11 4 W Top Plate: STD D.F. or BTR Y r W Bottom Plate P.T. STI) DF or BTR % --T ZZ i. r -A4 HPK.#r_ r -4 D. Ir. '441 "PK Z' P. r. GENERAL NOTES - 0/11T, To 13. r race RAIED 24/0 SHEATHING ENP. d Wall Panel (Min. 3/9") APA BZ; "MOT IL Design loads: Roof Live Load._� 20 P.S.F. Nailed with Rd's @ 41' c.c. at EDGE & 12" c.c in FIELD. Roof Dead Min. 2! - 8" panels - with Simpson PHD2 screwed (or HDSA bolted ALL VoTSM P.T. ok� FRO V Load: 10 P.S.F. e7 t to wide face of (2) 2x or 4x Place SIMPSON SSTB 16 AB in foundation Wind Load: 80 MPH EXP. C 22.6 P.S.F A and 5/8" x. 10" AB with 2"x2N3116 washer at each end of each panel. *rV l&5_'AAJZA Seismic Zone: 4 gt Mr, KIPT' A4 49::PrH 99\001'5 K "e 2. Footing shall be placed on firm undisturbed soil or compacted engineered fill. Max. soil Braced Wall Panel (Min. 3/8") APA RATED 24/0 SHEATHING M(P. I woirini� A -AAO-AA \&IA L; 44ows /Nailed with 8d's @ 6" c.o. at EDGE & 12" c.c in FIELD. design bearing pressure of 1000 PSF E50AV-V IWA 6$1 Home.. Min.,r-o"partels- with 5/8"x 10"AB with 2"x2"x3/16 washerat 3. Concrete: Concrete to have a minimum of 2000 PSI breaking strength at 28 days. each end of each panel. 4 Reinforcing steel A615-40 .91 TYMAL EW LLPA _J &_ ; * W BRAC NEL. 10-.4 .2 1� 4. IlCo cone. expansion anchors may be used afoccasional plate break instead of A.B. ect to Approval of Local Enforcement Agency) A114 I 14A U (Subj, 5. Ali'construction shall be in accordance with Chapter 23, 1999 C.B.0 "O"Im I's -ATEV AVJAe_ffNM) E LOe A :6. Nailing shall conform to table 2341-B- I of the CBC, unless otherwise shown heron. ALT. PRE FAP> V Mare"', ;�eALL 9AFrffZS- 666 IZAM61M 411AME g, Ifo, krwv, Rama mx.n.% Vr rAIL 7. If horizontal lap siding is used, provide a 4'wide sheet of plywood (min. 3/8" plate to 'S!.TYr9.1 X.14*Tr' . .. '. Q I I , TIM. ALI 215 410 plate at each comer as shown. * The plywood is not required on any walllwalls adjacent to gtf!tAVI�lv 111416- �AVQ VIA _J 7". 6 2VA 0 11 - 5 6HITA 4 the mfg'd. home that are sheathedwith die 518" gypsum board. WALLS.A-r AAIZAAIF 5HSATH AR101;P 4 MAX. 8. A private garage may be'l6cated immediately adjacent to the mafd. home if the interior f -PAP, of the garage wall adjacent to the mfg!d. home is constructed of materials approved or e tar_ wxi.Ul. -resistive c truction. If there are openings in the mfg`d. home wall one hour fire ons adjacent to the garage wall, a minimum of three feet separation shall be maintained. A minimum of six feet separation shall be maintained between the mfg!d. home and a WAr. ad S 0 P L f. 0- private garage which does not meet the requirements for one-hour fire -resistive 14LO MA. -X. WIT14 RAr--M construction. Fir nim. R -Xi D w I 0r" _hgr&Loa44oadway. SEE NOTE 9. XMMArlt !CV.05S.-ne CAXWW'11. At. struction shall be: W' type X 43�0. Bd. applied to the interior 9. One -hour fire -resistive con vas e rwrlmm ow e- sit"M. sx-*49S "ro Bar is ..7-Tww 4 6 face of the wall, nailed with 6d cooler nails at 7" c.c., all edges blocked, all joints taped. SLAS il-00 VV Gyp. sheathing board applied,to the exterior face of the wall, nailed with 6d cooler 70 PT. 6 X 6 - 10 //0 W. W. fle-so VA. 0. 14. Vhe��!- aq 3*5 Q 2.q v 0. C. nails at 7" ,overlaid with min. 3/s" exterior siding nailed as shown hereon. All edges s hall be blocked with 2x lumber. r 10. Wall adjacent to existing building shall not have any openings, except a door. The door HIM. shall be self-closing, tight fitting solid -wood door 1%" in thickness, or a self-closing tight fitting solid core door having a fire -protection rating of not less than 20 minutes when 0 tested in accordance with Part 11 of UBC Standard LU HXX A� -4-0 -1 (Pox 70 MCI ELECTRICAL, MECHANICAL, AND PW N CONSTRUCTION NOT -PLAN CHECKE ROOF CONSTRUCTION: Composition shingle over IS lb, felt with lapped edges over Z =D -e K" APA rated EXP I plywood roof sheathing with staggered joints over pre ngineered IT RENT EDMIOI A roof trusses at 24" o.c, with 9crs @ 6" o.c., on edges and 12" o.c. in field. UMC AND '.'UPC. a 0!�. F411k M -(W R PPIAA. N 't I . ... I l'. -V .. , < ZO'M&K e I -A DF NEd One 12. SLAB CONSTRUCTION: Slab shall be min. of 4" with opt. 6x6 - 10hO W.W. mesh r M. P -A W,I..Ap S161,44 1,44IL' PV1 W17, W1. OA t or #3's @ 24" each way ever 4" of gravel V) 2 K--rkW4*- -E P-rm P.; UJ 16*C 20PSF,L VC DF AW 2. 'A 19 24 00-.- X *r 71 WA' rCk. kZF, M x -# 24 Or 24 - Cie LL 7 2-_X8 C.01 VF� elm DE -rA-- uc;lol V) �27 Inc OF : RUTTS COUN-r-, CL `40LDING DEPA 144 C) PIP wiled's 0 1 r O.C. ID13L 2x4 Top PIM* D I HR WALL P FJ A P P KOVN L Zt4 I(ws 0 r ox: VOL 9 eoHl tKe V) or. Ar O.C. Hortt. 3 Simpson MST W110-10ds, UkL lfwp Each EW 2 -Ase 3 Ir r PL T 70 ovy RAt 60 0001AWk t IA_ t,. 4 AHD r SW 160 A �' 6 - NE Svong-Wd -k or Ell. 1C so" JOB' Over Fywd. Shw*tng SH110: Mbs. 2-518 A.B. W12"I 2"Z X16" washen 2-Sknpsm #Ws -SSTB16. LL V 4V ti INSI E VIEW r) wvvi CML view -7 TY P., 1 t F� rJECT101 F, 't 1; '41,. =I e-2 a - � v 1 e-2 a � v i . _ 1