HomeMy WebLinkAbout069-530-035(C
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RESIDENTIAL
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069-530-635
PERMIT N0. SILVA, DAN'& DIANE ' " ' 04-0240
'48 OMAN DR, OROVILLE
Cont: BETTER BUILDERS
NSF MSTR#01-01 , r
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
-OFFICE COPY
Address
Mejr�/
ELECTRIC /
Meter By Dat.
1,
JOB FINALED (Date) ° w
Signature ��S
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
Card B-1 Date Card B-1
ing-Setbacks-Easements-Flood-Slope
Card B-1 Date Card B-1
Ft Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
t , Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth
Ft ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
LE TRICAL (Permit) OK except #'s
Stemwalls, Main; Steel -B lockouts -Wrapped
6.
Stemwalls, Garage; Steel- Blockouts-Wra ed
t 6 .
old Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
iers-Fire lace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
.10
; ize Anchors -Yard Gas Piping; Size Test
jkWiter
Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13
enums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies "
Access & Ventilation
16.
Insulation
Date , "q Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
Water Htr.; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
Te Tub & Shower, Second Floor -Tub Access
AZe'Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
LE TRICAL (Permit) OK except #'s
_Fixture & Transformer Clearance -Ins. Protection
Alec. Receptacles Spacing -Lights & Switches at Doors
Date
Size Boxes & No. of Conductors Stapled
Date `
_Romex Installed Close to Edge of Studs & C.J.
Date
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
&Zg--l-Appliance Circuits in Kitchen & Conductor Size GFI
30. Spbfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
Service -Riser Conductors & Ground Main Disconnect
3 i . Clearances Panels-Motors-Mech. Equip.
�thes Closet Light -Shower Light -Spa Light
Smoke Detector
Date
Card B- Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECH NICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
ent Fan, Exhaust above insulation
ondensate Drain & Overflow, Size & Grade
3 r ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date r Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
1: Sills Proper Materials Anchors
all_ Studs -Nailing Spacing & Braces -Plates -Sound
e ing Walls over Girders & Floor Nailing
Draft op in Walls (rat proof)
ire ps, Furred Ceilings -Stairs -Chasers -Tubs
,4 eaders & Beams -Size & Bearing
Date FRA G (Continued)
an ers-Post Caps -Anchors -Connectors
ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49rFtreplaL2Trbs or Type A Flue -Fireplace Throat Clearance
ea—Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions
A62- Garage Fire Protection Framing -RC Channel
M-lPeoperty Line Firewall & Openings
Ue-Ex-t. Doors -One 3' -Check Garage 3rd Story, 2 Exits
,gi!%, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
J6�Blgwood on Roof Overhang -Attic Vents -Rafter Outriggers
57_.S_ idiag-AlaiGag Veneer
Ze-ST666o Mesh -Drip Screed -Fd. Vents-Underflr. Access
&9�Iazing Area -Glass Protection -Skylights -Plastic'
60. Shear Walls;
61!Brace Int en a I Pane
62. Insulatio -Wa. Ings
P. Infiltration -Walls -Windows
Date p.aard B-1 " Date Card B-1
Date. and B-1 VA4 Date Card B-1
Date I " FINAWPIans10Wexcept #'s
Smoke Detector
urnace Vents -clearance -Comb, Air -Connector -
I rage; Above Floor-Ducts-Mech. Protection
Bed m Exiting
ath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
air & Rails
fireplace or Stove, Clearance -Hearth
ec. Outlets at Wood Panel, Int. & Ext.
RT Kit.' t. & Appliance; Ground -Air -Gap -Cooking Clearance
Outlets & Receptacles at Kit. Counter
rage Fire Door; Swing -Landing -Closure
age -Damper
7 tr. Htr.; Vents -Clearance -Comb. Air Connector -P. . .
in Garage; Above Floor-Mech. Protection
Ib. lec. & Mech. Equip. Listed for Location
,&-<Ieq,ReCeptacles in Garage (F.F.I.)-Romex Protection
8 sul - oam-Looked in Attic
uard Rails & Deck Construction -Post Caps
n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes _.
83. Followiaalnstld./Drive @rTe-s 0 No/Walks 13ti rD No/Planters 0 Yes G -No
49`Vve Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Wat ll,Disconnect, Electrical, Plumbing
Exter"orElec. Trim, G.F.I. Receptacle -Underground
89 -Throughout House
from Previous Inspections
Comments at Final:
,92. rs Tagged, Gas -Electric
W & Sewer Connected -C/O to Grade -HD Approval
Ene y Compliance Certificate -Other Certificates
ddress Posted
�9r .Fi in<er
Date
and B- Date Card B-1
Date `
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
= OK
= Not 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/0 -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/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 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 -Panel boards- 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 Caird B-1
LOERKE INSULATION CO., INC. INSULATION CERTIFICATE
DESCRIPTION OF INSTALLATION
1. ROOF
Material
Thickness (Ir dies)
2. CEILING
Brand Name '
Thenvai Resistance (R -Value) -
2.
R Value)
Bait or Blanket Type f'i> =Was _ Brand Name Johns Manville
Thh*ness ("inches) 3 Thernnat Resistance (R -Value) i2
Loose Fill Type Fibglass Brand Name Johns Manville
Cont+racbds min. installed wa ghW sq. Minknum Thickness S . S
indws.
Mwwkchme"s kawdled weW per square W to adhleve Thwv tet Resistance (R Value) 23S
3. EXTERIOR WALL
Iri
Thickness (irrdresl 6 ' S {
4. RAISED FLOOR
Msterfal omku am
Thickness Onc hes)
6. SLAB FLOOR /PERIMETER
Material
i'hickness
Pwimdw Insulation Depth
6. FOUNDATION WALL
Material
Thickness Onahes)
DECLARATION
Brand Name Joule Manville
Thermal Resistance (R Valued
Brand Name Johns Manville
Thermal ResWW= (R Value) �q
Brand Name
Thermal Resistance (R-Vakse)
Thermal Resistance (R -Value)
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717 -ij .....,ll�t%1'1a ��-�''•J�► s__SI 11
CERT OF
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3? oA I TIC _
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CONFORMANCE
/HE UNDERSIGNED MANUFA C TUBER HEREB Y CER TIFIES
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSUAITC A190.1-1983, It ucturaI Glmd Laminated Timber, and that such manufacture has
been at our plant in Jwlss ome, , which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
JOB NAME: Keller Lumber Sales for Stock
JOB LOCATION: _ Redding, CA
CUSTOMER'S ORDER NO. PO*16748 DATE 12-14-87 MFGR'S ORDER NO
SIGNATURE
24F -V4. WP Glue. Ind. Am.. Load
3264-A
COMPANY American Laminators, Inc.
TITLE Quality Control ADDRESS P05 99, Swisshome, OR DATE
12-22-87
A/TC HEREB Y CERT/F/ES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
said company is capable of complying with applicable manufacturing and testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA
AITC Certificate No.
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
RECE�V ED
r.� � Fa 18R. SAIF`
(L1 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
JIM PURSELL, P.E.
CALIFORNIA Llc. 60924
WASHINGTON LIC. 381 21
JPURSELL@SBCGLOBAL.NET
August 24, 2004
Butte County
Development Services Dept.
Building Division
7 County Center Drive
Oroville, CA 95965
5 MADRONE AVE. STE. B
OROVILLE, CA 95966
PH. (530) 533-2131
FAX (530) 534-0902
RE: Silva Residence, APN 069-530-035, Permit No. 04-0969
Dear Sirs:
Please let this letter serve as authorization for the contractor to change the standard brace
pan6at the corner of the garage to an alternate brace panel with holdowns, at the above
referenced project.
Thank you for your consideration.
Sin erely
r
im rsell, P:E.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT gn+- oaf
Vt�$pRNy7
lUJ3s
"ZONING R1
1fTELEPHONE
BUILDING PERMIT
OWNER??
SILVA DAN & DIANE 510-2787f 555
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
76 PASSED GRANDE -SAN LORENZO CA 94580
1520 R 82,080.00
484 U 8712.0
CONTRACTORS
G BEII'ER MBUILDERS CONSTRUCTION.
TELEPHONE
574
200 C2600.00
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
612..50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
$ 0 MAN DRIVE OROVTTJR CA 95966
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 70.00
Solar or heat pump water heater
23.00
Water piping
15.00 15-00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW TH� 91 01
Gas piping syEtem 1 - 5 outlets
15.00
15 clo
Building sewer
15.00 15 QQ
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
600VMain Service 2o0A OR tESS
23.00
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class G'�.��.,.I Lic. No. 31 3 `� Sc>t
DECLARATION ER -B
OWN
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.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurp$nce carrier and policy number are:
Carrier 9�,oig FA-
Policy Number I6,e8 ?Y_5
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �_ Date / -.?8-Ate
Signature A licant - ❑ Owner ® Contractor ❑ Agent
p mit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in hei ht.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR s0
OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT. 7Q 15
NEW T.
ROESIU MULTI -OUTLET
@7,50
8PSINOWGERLE APPARATUS
OUTLET CIR.
Ex. OCCU OUTLET FIXTURES SAL p': o
UILDER
Ex. Occup. DFlx�L"A A DORS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee20.00
Heating
Cooling
Hood 6.50
Ventilation 4 50 4 50
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
occ CONST. TYPE
TOTAL FEE $ 1025.65
HAz. D PEES IMP FLOOD CDF PARCEL PD HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat bove f*fe been paid.
^AnOSHA
BDate
PERMIT EXPIRE
I V D fe
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY- S SSOR - PIN NSPECTOR GOLDENROD -APPLICANT
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: LtJ/1
ASSESSOR PARCEL NUMBER
lvs
Proposed Building Use: Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
0 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- L-O�L-t 'ice
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers
❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office
❑ 19. Soils Report and/or Engineered Foundation required.
E1'-_" 20. Erosion Control Plan Required.
C7 21. Fees as shown on the attached Schedule of Fees Due Sheet.
❑ 22. City of Chico Plumbing permit.
23. California Department of Forestry plan approval ❑ paid. /W� Z_ -', -6
24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _Drainage.
❑ 26. NPDES Form
❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 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 2 574 and hold for pickup.
I have bee 'nformed of the above items and requirements for obtaining a building permit.
Applicant: Date: Z -
0 EXPIRATION OF APPLICATION
Applications for w0h a permit has not been issued will expire one r after date of application. In orde to renew acRearsrom
pplication after
expiration, a new application, plans and fees will be required. r
REQUE T FEE FUNDS
Refunds can only be made upon written request by the person who paid the fee. The reques ust a made within twothe date of fee
payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be
made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable.
Original -Applicant
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
i'
SCHEDULE OF RECEIPT OF FEES
OWNER X71 LVA
PROPROSED BUILDING USE q5 F I4"TEP e>1-451
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... 1 $
2. SCHOOL DISTRICT FEES CaO �
(paid at School District Office) (form available after Plan heck)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$ 3� .
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg
4. URBAN AREA FEES
A.P. # �� ' 5 30. 03S
DATE ��Z&%O4—
RECEIPT # DATE REC.
3q 4531 1/2-9/0+-
__ F-7-
(paid
2-90+-
(paid at Building Division)
Residential (per unit)..... X = $
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
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 d' g the plan checking process.
APPLICANT 44DATE
Pursuant to Government Codetion 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 a royal 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)
I � ,
kOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
PERMIT NO.
07 County Center Drive Oroville, California 95965 •Telephone (530) 538-70541.040
rIARMIWI'MBER
APPLICATION AND PERMIT
oroq, 530
ZDMNG 9-1
BUILDINGPERMIT
TEUTHONE SQ. Fr. OCC. BUILDING VALUATION
2-748
P,&AE n S i OGi45f� 1526
ADDRESS
-7
eem CTORS NAME.
41LAIG ADDRESS
ARCHMOT OR ENGMMFER
ARCMrECT OR ENGQJEERRS W1p, NG ADDRESS
SUL=GADDRESS 4.6
LOT NO.•� 15 SUBDMSIDN'S NNAE f g 7S1 B
�7 USEOF STRUbTUF
SF C Duplex ❑ Mobllehome ❑ Other
_ / TYPE OF WORK
New 17' Addition :[3 Remod�U:dNesDescribe Work►� S
>Ari Loxz IJ2 48 4
TELEPHONE 2Cd
.r .5e i 574
(620O LLt • Q50 (.%
Total Valuation $ �-
Firing Fee $ 20.00
Permit Fee' $ �f 2 •'�
Plan Checking Fee
Enerqv Plan Checking Fee $
BING
331 A� a Trap
Solar or heat
Water piping
Each gas wa
Gas oioinq s)
F1_f�v� � X . 8825 G � �►2A
PERMIT FEE PAID
SRA
SHERIFF
OTHER
$ 1c»5•�S
$
AMOUNT RECEIVED $ 1,474-. �s
DATE RECEIVED
3R4S3 1
Building sewer
Mobile Home
$
Filing Feel20.00
PERMIT FEE $ (055.550
)ERMIT Filing Fee
20.00
7.00
76--
;-
water heater 23.00
wate
t
Hood
15.00
5. -
t5.—
4.
15 00
15
heater or vent
:m 1 - 5 outlets
15.00 I5.
S G W 4d@20.00
wrmtarr ecc 14 1=;^ — W
. �........ __
ICAL PERMITrvice
Filing Feel20.00
MECHANICAL PERMIT
�oAon uss
23.00
ZS-'ervice
tow TO tDNA
46.00
Hood
T. // DWEU34 OCDUP.7D.
l a ADC. EMS.
r
.,__.,_.....
16
. MULTI-0UnEr
Lpow61
@7.50
APa SINGLE OUrIfT dRzo
cu . DumET OR FDRUREB
®t.•c
BAL @ .50
FD" A Wp .OR
.cu . OM" E51D. EA
5.00
ervice
23.00
Facilities
20.00
KMoblie
23.00
PERMIT FEE
' ' .0•
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15
Cooling
Hood
6.50 4.5a
.,__.,_.....
I 4. Z 4.5-b
PERMIT FEE $ G1
Mobile Home Installation Fee $ _
Energy Inspection Fee $
TO AL FEE $ 1 . 4,
HAL D. FEES IV FDca- ISM
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
Date
District Identification No.
School District certifies that
(Applicant)
(Street Address) `�YYI (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. U/ 0 .7� ' �� by payment of $
representing square feet. JAB 2926 $
FULL MRIGATION $
School District Representative Date
Paid by Check #r ,� / (
Remarks:
9a •3sa�/i�l /
Notlos: You may protest the Imposition of the fess khenttBed above by submitting a written protest to the District, In compliance with
Goverment Cods Section 66020(a), wWdn 90 days from the date fess are paid. Failure to submit a timely wften protest wlii'prohibit
you from clalk"I g the Imposition of the fees In any court action.
K, subsequent to the School District Representative signing this Butts County Schools Impact Fee GM1i6atlon Form, the School District is
not! by the applkxbM Local Planning Agency that thio proJset Is being ravbwsd under the California Environmental Quality Act (CEQA),
this project may be sub)ect to additlonal school fess to fully mitigate.Its impact on the school dlstrict`a schools.
White (applicant), Yellow (building department), Pink (school district) feeform.* (10/03)dmm
.-aND WHEN, RECORDED MAIL TO
IJULTE COUK7Y BUILDUNG DIVISION
CO"MY CEN ---ER DRIVE
OROVILLE, CA 95965
0� 04" ?AD
'I,
COPY of Document Recorded
02 -Feb -2004 2004-0005867
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
&eCU'on 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
h-.rbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, .
plo\king, sprmRng, 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:
The land referred to herein is situated in the State of.California
County of Butte, and is described as follows:
LOT 35, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 71I,
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1981, IN BOOK 80 OF MAPS, AT PAGE(S)
80, 81 AND 82,
APN 069-530-035-000
Date // ' Zq _ o
State of California
County of III ,tom
PROPERTY OWNERS:
10a�'Zitc�l V1
Valv
On Iiia/V1,4iZI -Z9, ?GY/� efore 12
personally appeared V,4t-! eL S//!/A/ personally
Iv,o"m to me (or proved to me on the basis of satisfactory evidence) to De the person(s) whose name(s) is/are subscribed to the within
i::strument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacity(ics), and that by
hk/her/thcir signatures) on the instrument, the person(s) or the entity upon behalf of vIIII the person(s) acted, executed the
.uistrument.
1Xl-r-NT,SS my h and official scal.
Signature —
Scxl: U
RENEE PANCBORN Z
COMM. 0 1380086
% HNOTARY PUBUC - CAUFORNIA
Z ALAMEDA COUNTY
A ` MY Comm Expires DEC 14, 2008 'VA
AP#
CDF FIRE SAFE REQUIREMENTS
PERMIT #
NAME
Under authority of PRC 4290, the following checked items are required by the
Butte County Fire Department and are made a part of this permit. These
requirements are minimums and will be superseded by Butte County local
regulations which equal or exceed these standards. Field inspections will be
made by the Butte County Building Department for compliance.
[X] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these standards
and measures and to assure continued availability, access and
utilization of the defensible space provide for in these standards,
annual maintenance must be provided for by the land owner.
Driveway Standards
[X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and
other appurtenant structures which supplement the roadway bed, or
shoulders) shall provide unobstructed access to conventional drive
vehicles. Including sedans and fire apparatus weighing up to
40,000 pounds.
[X] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
IN 1. No roadway shall have a horizontal inside radius of curvature of
less than 50 feet and additional surface width of feet shall be
added to curves of 50-100 feet radius; 2 feet to those from 100-
200 feet.
IN 2. The length of vertical curves in roadways exclusive of gutters,
ditches and drainage structures designed to hold or divert water
shall be not less than 100 feet.
[X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40
feet from the center of the road.
[X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long
with a minimum 25 foot taper on each end.
[X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane
and unobstructed vertical clearance of 15 fleet along its entire
length.
Page 1 of 3 BUTTE COUNTY
BUILDING DIVISION
APPROVED
� P �
�ei , E-1 0'- 3 f
AN
1.3PERMIT# NAME
[X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than
800 feet in length, shall provide a turnout near the midpoint of the
driveway. Where a driveway exceeds 800 feet, turnouts shall be
provided no more than 400 feet apart.
[X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on
driveways over 300 feet in length and shall be within 50 feet of the
building.
1273.11 Gates
[X] 1.Gate entrances shall be at least two feet wider than the roadway
it serves.
IN 2. The gates must be located at least 30 feet from the roadway
and shall open to allow a vehicle to stop without obstructing traffic
on that roadway.
[X] 3. Where a one-way road with a single traffic lane provides
entrance, a 50 foot turning radius shall be used.
Fuel Modification
1276.01 Setback for Structure Defensible Space
[ ] 1. All parcels 1 acre and larger shall provide a minimum 30 foot
setback for buildings and accessory buildings from all property
lines and/or the center of the road.
2. For parcels less than 1 acre, local jurisdiction shall provide for
the same practical effect. See other requirements on page 3.
.1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping,
I burying, burning or removal -to a landfill site approved by the local
jurisdiction, of flammable vegetation and fuels caused by site
development and construction, road and driveway construction
and fuel modification -shall be completed prior to completion of
road construction or final inspection of a building permit.
Page 2 of 3
� YiT
.t
AP# PERMIT # NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof and Enclosed Eaves
[ �{j If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed
Eaves and:
Choose any 2 of the following:
- Metal or no doors on the side toward property line with insufficient
setback
- Interior automatic fire sprinkler system per NFPA 13D
- Glass area not to exceed 10 % of wall area toward property line with
insufficient setback
- Siding from the following list:
Stucco — 3 coat
Hardi- Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
PERMIT NO.:
1j-04
Labe Oroville Area Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of Public Works Building
Department prior to issuance of a building or occupancy permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification
form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County.
Date: January 27, 2004
Applicant: Dan &, Diane Silva (Better Builders Const)
-76 asseo Grande (5263 Royat Oaks. Dr.)
Applicant Address: San Lorenzo, CA 94580 (:Oroville CA 95966)
('
Applicant Phone No.: .(530) 589-2574)
48 Oman Drive Oroville CA 95966
Property Locations(s):
KRE Unit 7 Lot 35
069-530-035
A. P. No.(s):
Fees due: All fees paid.
Application for service approved:
ROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
Date:
sj
!/ SITE PLAN REVIEW APPLICATION
Date: 1— ` - ® 4_1 AP# O L 9 -534 -0-S5
Permit Number (if applicable) H - 02-H 0 Bin Number
APPLICANT INFORMATION Parcel Size: j 31 AL
Owners Name:
Owners Address
Telephone No.
Situs Address:
Proposed Use:
510 - aS55
1-18 Dry A r,3 -b t2
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
Sg9-2S-)9
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
R Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
® Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY e
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: —E] 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.: X825 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)
❑ Oroville Enterprise Zone
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: cl?, 1
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
Side
3�
Side Street
1� O LL
Rear
5
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
in
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
0 Subdivision Map/Parcel Map: CG L, LY
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book:. 8 C)
Date of Approval:
Page: D �2—
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.
Page 4 of 5
14.
rr • ,
.l 14 00 o
00000,
3a 39'
55°47�70'�
R=2oc-19-47
. 298 AC. R.
R— ?252 = 20
a � �
of
NO
90m 0> Q m
. 34, A C GR. tea ' �, 4 O
,o
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IMP" -ft 10-ww-
700 O
D\1----�-
NOTES
i
RESIDENTIAL
PERMIT NO. 069-530-035
SILVA, DAN
48 OMAN DR, OROVILLE
Cont: JOHN STARR
ADD TO GARAGE t
E
II SPECIAL CONDITIONS, II
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) 4/0-r—
Signature
Y)�
J=OK
0 = NotOKRESIDENTIAL
- =Not AAppplicable
. = Not Ready
Following Instld./Drive O Yes 0 NoMalks 0 Yes O No/Planters 0 Yes O No
Date
UNDERFLOOR (Plans) OK except #'s
85.
1. Zoning -Setbacks -Easements -Flood -Slope
Date
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Card B-1 Date Card B-1
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
PLUMBING (Permit) OK except #'s
4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
17.
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Glass Protection
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Water Pipe; Test & Anchor -Nail Protection
6a. Hold Downs and Special Anchors
19.
7. Slab, Steel -Wrapped
Water & Sewer Connected -C/0 to Grade -HD Approval
8. Piers -Fireplace Ftg.-Steel
95.
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Test Tub & Shower, Second Floor -Tub Access
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
22.
11. Water Pipe; Test -Anchors -Regulator -Service Test
Card B-1 Date Card B-1
12. Electric Underground
Fire Sprinkler; Test
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Date
15. Access & Ventilation
Card B-1 Date Card B-1
16. Insulation
(Single & Duplex)
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 O Yes
83.
Following Instld./Drive O Yes 0 NoMalks 0 Yes O No/Planters 0 Yes O No
84.
Date
85.
Card B-1 Date Card B-1
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
89.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Glass Protection
18.
Water Pipe; Test & Anchor -Nail Protection
92.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Water & Sewer Connected -C/0 to Grade -HD Approval
20. Shower Pan; Test, First Floor -Tub Access
95.
21.
Test Tub & Shower, Second Floor -Tub Access
Date
22.
Gas Pipe; Sixe & Anchors
Card B-1 Date Card B-1
23.
Fire Sprinkler; Test
Comments at Final:
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
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
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
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)
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 O Yes
83.
Following Instld./Drive O Yes 0 NoMalks 0 Yes O No/Planters 0 Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/0 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:
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
-
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
4.
6.
Water; MH Test -Regulator -Connector
5.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
6.
8.
Gas and Electricity Tagged
7.
9.
Tie Downs -Type -Installation Cert.
8.
10.
Exits; Insp.-Sketch
9.
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Panel boards- 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
LOERKE INSULATION CO., INC. INSULATION CERTIFICATE
U8 Dm -�:)Q CjeC�.ri��t
um
DESCRIPTION OF INSTALLATION
1. ROOF
Material
Thlc�cnm (riches)
2. CEILING
Beit or Blanket Type Fi xwgWu tis
Thidmess ("inches) 3
Brand Name
Therrriai Resistance (R-Vakw)
Brand Name Johns Manville
Themnat Resistance (R -Value) 235
Loose Fill Type FiberBfass Brand Name Johns Manville
Contractors min. InsWW w&Wd& sq. , bl 5 i,, Minkmon Thlaknmm I S • --4S indwa.
tiMlwtufadww's installed wftM per square fed to editw T myM d Re*tanoe (R Value) 2 3S
3. EXTERIOR WALL
Mate" Elmdew.NU
Tfric�aresa (Inches) 6 ' S
4. RAISED FLOOR
Material Ebffawss Betts
Thid=w (Males) E'
5. SLAB FLOOR / PERIMETER
• Material
Thickness
Perimeter Insulation Depth (Mares
6. FOUNDATION WALL
Material
Thf tress Onches)
DECLARATION
Brand Name Johns Manville
Thermal Resistance (R Value) 2 tS
Brand Nems Johns M_amdHe
Thermal ResMWm (R -Value) ► �G
Brand Name
Thcurr>a1 ReShUnc a (R Value)
Brand Name
Them al Resistance (R -Value)
liawGenera rMari�907s r r
Dec 15 04 09:24a LUHPUll
PERMIT NO.:
Lake.. Oroville Area Public .Utility District
1960 Elgin Street
OROVII,LE. CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification forth must be submitted to the Butte County Department of Public Works Building
Department prior fd issuance of a building or occupancy permit, whichever is applicable.
Prior to final approval by Butte CountVof 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: January 27, 2004
Dan &.-Diane Silva (better Builders coast)
Applicant: 7s Passeo 52
San Iprenzo, CA 94580 (oroville CA 05966)
Applicant Address:
((530)589-2574)
Applicant Phone No.:
48 Oman Drive Oroville CA 95966
Property Locations(s):
KRE Unit 7 Lot 35
069-530-•035
A.P. No.(s):
-All fees paid. 0 (. v
Fees due: ,
'f
d^i
Application for service approved:
iA4FkRoviLLE AREA
PUBLIC UTILITY DISTRICT.
Inspection(s) made and successful test(s) observed:
Location:
By:
Lake Oroville Area Public Utility District rel ase to close permit -
Date: L/ By:
Date: G"
CERYOF
`Of OF rIA4a4
? o_
A
C n
i O
A iT-c
0
t". CONFORMANCE
/HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark of the AMERICAN. INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A190.1-1983 ,$t ucturaI GI d Laminated Timber, and that such manufacture has
been at our plant in J Sshome, , which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies. with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
JOB NAME: Keller Lumber Sales for Stock
JOB LOCATION: Redding, CA
CUSTOMER'S ORDER NO
PO#16748
DATE 12-14-87 MFGR'S ORDER NO
24F -V4. WP Glue. Ind. ADD.. Load
3264-A
SIGNATURE COMPANY American Laminators, Inc.
TITLE Quality Control ADDRESS P05 99, Swi.sshome, OR DATE 12_22-87
AI TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUC"TION, and that, in the judgment of AITC,
said company is capable of complying with applicable manufacturing and testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA
AITC Certificate No. '' I'\
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
(e) 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
,BUILDING PERMIT
24 HOUR INSPECTION #':"(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538.7541 FAM (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP040969
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/29/2004 APN• 069-530-035-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : ee.rewa l License Number:
Site Address: 48 OMAN DR ORO
Date: Y -A 9-0y Contractor.
Map Index:
OWNER -BUILDER DE ARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: ADD(244) TO GAR ON MASTER 01-01
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: SILVA DANIEL A 8r DIANE M
to its issuance, also requires the applicant for such permit to file a
76 PASEO GRANDE
signed statement that he or she is licensed pursuant to the provisions of
the
Contractor's State License Law (Chapter 9 commencing with Section
SAN LORENZO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
94580-2552
she is exempt therefrom and the basis for the alleged exemption.f Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply.'(o an
Applicant: SILVA DANIEL A & DIANE M
owner of property who builds or improves thereon, and whodoes
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:. BETTER BUILDERS CONSTRUCTION INC
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O lam Exempt under Article 3 of the Business and Professions Code
5263 ROYAL OAKS DRIVE
OROVILLE, CA 95966
Date: Owner:
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
License #' 323225
'
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 -the
Labor Code, for the performance of the work for which this permit
is issued.
JA 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 carrier and policy number are:
Carrier: S�,a,e
Total Square Ft: 0 S. F.
Policy #: /Sea 2 ,x_s
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: ljl -
• 3953
(/n
Applicant: Ak
WARNING: Failu to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
-
compensation, damages as provided -for in.Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code anrver
I hereby affirm that there is a construction lending agency for the
Resolu 'ons to do work indicate abo a for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)Q
_
B Date:
Name:
PERMIT EXPIRES ON:
Address:
Dat
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection puoses.
Print Name: �� w J ��A n w Signature:
Date: `/'oZs'' CY
0 Owner Contractor O Agent for Owner ❑ Agent for Contractor
a
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES `
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
/. 2
PERMIT NO.
SBP �.
On
GATE: L �/
0
APN. �0 9- 5-30-035'"
0- 0 3S
ZZONING:!
OWNER'S LAST NAME:
OWNER'S FIRST NAME:
PHONE
TREET ADDRESS:
Ll Dma-� r -
FAX
CITY. ZIP:
E-MAIL:
SITE ADDRESS:
crnr, ZIP iy yr l e S G
NEAREST CROSS STREET:
TRACTlLOT
APPLICANT NAME:
PHONE
STREET ADDRESS:
FAX.
CITY, ZIP:
E-MAIL
CONTRACTOR NAME:
PHONE L
STREET ADDRESS:
FAX.
CITY, ZIP:
E-MAIL
LICENSE NUMBER -
LICENSE TYPE
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY'ZIP
LICENSE NUMBER
E-MAIL
DESCRIPTION OR SCOPE OF WORK:
14 4i
r,
❑ Structure Built without permitf
❑ 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 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 workplan
checked and other department costs are not refu�nd/a�ble.
For office use only: ��� 1 J 5a
Notes:
Application Received by.
.�
Receipt number: ty q�>:3
Date: I
Amount Received:
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 (�'7 •D' C��
Proposed Building Use: ` G
%��, � � � !�� p%\ Counter Technician: i Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orddto apply.
251 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
S. 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.
r� 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
❑/,�j, 14. Hazardous Material Form
v 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........................................................................ ........
NO 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................
❑ 22. City of Chico Plumbing permit .............................................
23. California Department of Forestry plan appro....
va� paid. Sent
24. Planningapproval A Use:-(B)Parking: C Parcell C
❑ 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.........................................................................................
ID 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.
J�
Applicant: :�i� _ '� wi Dates
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑counter, y Date:
Plans reviewed by: Date: Plans approved by: Date :
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER
PROPROD BUILDING USE
1. BUILDING PERMIT FEES
--- Balance Due .....................
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
A.P. a 9�
DATE
RECEIPT # D TE REC.
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 trait)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
17. 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. Fig. 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_rocess.
APPLICANT
DATE O-�
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)
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
ti BUILDING PERMIT APPLICATION
' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 1 1
PERMIT NO.
BP
12 2004
LICENSE NUWUtC J 2- !;!
PHONE
ARCHITECT/ENGINEER NAME:
STREET ADDRESS: FAX'
CITY ZIP
LICENSE NUMBER: E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
❑ Structure Built without permit
❑ 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 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:
For office use only:(>
Notes:
1�19
�)
Date: '-["
Application Received by:
Receipt number: �1.� Amount Received:I 239 ,C�a
9
0
ALL STRUCTURES AND EQUIPMENT INCLUDI
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF qU'Z---- Mum Inc: SIDE ANf'
�. FROM THE REAR PROPERTY LINES AN
FROM THE ROAD CENTERLINE SHALL
CLEW OF STRUCTURES AND EQUIPMENT EXCEP
AOR A 2 FT. EAVE OVERHANG.
61
q
0
. ?__377
...
d 3i G �4c
J
0
0
rol
REVIEtpiED [3y
BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
❑ approved as submitted i
approved with conditions
oer attad J.ieet: � J
signature
0
•
i
0 o
tal
0
4i5W_0z,q0
BUTTE COUNTY
BUILDING DIVISION
APPROVED
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REVIEtpiED [3y
BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
❑ approved as submitted i
approved with conditions
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BUTTE COUNTY
BUILDING DIVISION
APPROVED
Al 11 Z/,Z/o
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57 0.-3�.