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069-570-037
a r IC -- Y} --__ 0b9- 570- a37 CJ m W 2 V , 069-570-037 0 1-027 POTESTIO, JIM INALE 23 CELENA CT., OROVILLE%/o a'- CONTR: POTESTIO CONST. NEW SINGLE FAM. 3BD MA 069-570-037 02-0323 POTESTIO, JIM 23 CELENA CT. OROVILLEOINALCONT: OWNER NEW 22 X 22 GARAGE a37 NOTES RMSIDENTIAL ✓ '� v 069-570-037 02-0323 t. POTESTIO, JIM r'23 CELENA'CT. O.ROVILLE t CONT: OWNER ..NEW 22'X 22 GARAGE 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) ArA Signature r. RMSIDENTIAL ✓ '� v 069-570-037 02-0323 t. POTESTIO, JIM r'23 CELENA'CT. O.ROVILLE t CONT: OWNER ..NEW 22'X 22 GARAGE 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) ArA Signature V = OK 1. 0 = Not OK 2. =Not Applicable MOBILE HOMES = Not Ready 4. 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. / /'Nat. or / /"L"fl./ PLPG 7. Well Clearance & Disconnect 8. Utilitv 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVER , CARPORTS GARAGES (Plans) OK except #'s �/ . Zoni equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carpo rindows-Doors m Sills-Anchors-Studs-Rftrs-Trusses idingLpailing-Veneer-Stucco-Mesh traced Wall Panels Dat Date Date A Card B-1 _ Date Card B-1 O Card B-1 Date Card B-1 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ f' Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -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 -Jo ists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instid./Drive J Yes J NoMalks D Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: a COUNTY OF BUTTE - DEPARTMENT OFDVSLOPMENT SERVICES r31JILDING DIVISION 0a —03.—L;37 County Center Drive • Oroville, + alii °..� 95965 • Telephone (530) 538-75 MT NO. (Rev. 12/96) APPLICATI AND PERMIT ASSESSOR PARCEL NUMBER 069-570-037 ZONING AR 1 BUILDING PERMIT OWNER POTESTIO, JIM TELEPHONE 894-5979 SO, FT, OCC. BUILDING VALUATION 484 U 8,712.00 . OWNERS MAILING ADDRESS 9050 I-ASELL TN- DURTIAM, CA 959-18 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION (ENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 23 CELENA (7- 0RMTJE7 CA 95965 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 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New )0 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: NEW 22 X 22 GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LE Main Service p A 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 irl full force and effect.[�S —� License Class ILic. No. `f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a 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: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00so NEW CONST. DWELLING OCCUP. DWE200ALLING CC OR ADDNS. ( a ACC. BLDS. SO •3•5QFT. =R6SI�DT. MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIA. 209 1.00 Ex. Occup.oun.EroRFocruREs BAL o .50 Ex. Occup. OFIx�LEETS F pOEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of Dfhundred dollars ($100) or less.) 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' laws of California, and agree that if I should become subject to the workers' compen n provisions of section 3700 of the Labor Code, I shall rthwith compl with serovisions. X Date Sign of Applic nt ❑ Ow f Contractor ❑ Ag t An O A permit is required for excavations over 60" deep and demolition or construction of st ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 235.15 HAZ. D, PE IMP FLOOD X CDF PARCEL X X HD X ISSUE X 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 hav been paid. 2 D Z By to a PERMIT EXPIRES ON _S' 1 7 Del ReceiptNo. 343221/235.15 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �� �+.:JHA't_r::is Sl.Yrt.�xri�`-tr�-b,.u..s...^...- •'YErt 'wolf""St+�s""�iy'a<!{,yj:S:c`isfid:I�'='�"`�',''s`T�'� �µ.'' v.�„m,pf^��,�,R.'h�',i{�"C£I��'lv,,,,�.r 3r.7w'`", '7�y{:aY{;w7. w"�:Ci^ rti 11 COUNTY OF BUTTE -DEPARTMENT OFVECOPMENT 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 NUMB R _JJp IE JE Proposed Building Use: Counter TechniciDate: Items required in order — fo apply fora ermit. All boxes MUST be check OR arked NA in order to apply. trPlot plans, 3 or 4 sets, signed by the preparer of the plans. omplete plans, 3 or 4 sets, signed by the preparer of the plans. 3Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 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. 0 Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 10. Letter of intent for non-residential buildings......................................................... Detached Accessory Building Form filled out by the owner ..................................... 12. Hazardous Material Form ....................................... :....................................... ❑ 13. Other .. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... • A J ) 5. Statement of Intent for Non -heated and A/C Buildings ................................. Sanitation and plot plan approval from the Environmental Health Department in �Avvv_ Q.el City of Chico Plumbing permit....................../paid. ............................................ t8. California Department of Forestry plan approval Sent by: ...................... 1 9. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured. home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 9,9 Q and hold for pickup. I have been 'n rmed of the ms a d requirements for obtaining a buil 'ng peflit. Applicant: Date: 1. Index pe ' 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, ❑ cou ty Date: Plans reviewed by: Date: Plans approved by: Date: 2 - Structural Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 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: Garages and Carports. Owner: ��%�"wl� ���Z.y Phone: Mailing Address CJ, Site Address: 23 Cele fit4 Assessor's Parcel Number:. 6S— .�-70 03 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 INFORMATION: 1. Is there a primary dwelling on the property? Yes No ❑ 2. _ Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 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 E3 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 located closer than 20' to your front property line? Yes ❑ No 8. 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 ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No / L� 11. Will this building be heated or cooled? Yes ❑ No (� 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes No 14. Will this building have a water heater? Yes ❑ No CD ------ 15. What type of floor covering will the building have? C©iVCo2�� 16. What type of wall covering will the building have? OVER /, 1 of 2 Y PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not b used for any other purpose (no bathroom and no heating or cooling). 2. not 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 reouired. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely oven. 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 ❑ 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 = Describe type of Workshop 2. Moat be approved by the Butte county Planning Division. , Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. a 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. Owner's Name: Please Print Owner's Signature: 2 of 2 Date: ' NOTES RESIDENTIAL j- t 069-570-037 01-0276 n Q� POTESTIO, JIM r 23 CELENA CT., OROVILLE CONTR: POTESTIO CONST. NEW SINGLE FAM. 3BD MASTER 97-8 t .1 1 t� t 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 41 t t ri OFFICE COPY Address t > S�31 v2 4 , ! ELECTRIC Meter By Da4e*u�k?_ �! JOB FINALED (Date) _L —� {1 i. Signature CHECKED BY V= OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Electricity; Location-Clearances-Grhd-/ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Carports; Windows -Doors 7. Well Clearance & Disconnect Electric 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. 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 1. 5. Drain; MH Test -Fall -Flex Connector 2. 6. Water; MH Test -Regulator -Connector 3. 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. 8. Gas and Electricity Tagged 5. 9. Tie Downs -Type -Installation Cert. 6. 10. Exits; Insp.-Sketch 7. 11. Cert. of Occupancy 8. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V 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 FINAL (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 -GF] 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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable w RESIDENTIAL = Not Ready Date derfloor (Plans) OK except #'s v A Zo g -Setbacks- Ease ments-Flood- Slope Ftg., Main; Soils-Elec. Grnd.-/ ±1-Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth (Single & Duplex) 4. Ftg., Porches & Decks; Soils -Steel-/ P' 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. Pier Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, GLas Pipe; Size Anchors - Yard Gas Piping; Size Test ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground enums ucts; Clearance -Material -Support -Ins. Sills-Anc or Bolts-Joists-Vents-Crippies Acc 7& ventilation 16. Insulation Htr.; Vents -Clearance -Comb. Air Connector -P. FAV. in Garage; Above Floor-Mech. Protection Date Qat / ol Card B-1 Date Card B-1 Card B-1 . Date Card B-1 Date_PLUMBING (Permit) OK except #'s Wa r Htr.; Vent -Access -Combustion Air Baffle ate, Pipe; Test & Anchor -Nail Protection 9 D.W.V.; Test Fittings & Anchor- ail Protection hower Pan; Test, First Floor -Tub Access 1. Test Tub & Shower,oor- u ccess Gas Pipe; Sixe & Anchors C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EL CTRICAL (Permit) OK except #'s xture & Transformer Clearance -Ins. Protection 7 ec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors Stapled 6 Romex Installed Close to Edge of Studs & C.J. En E ui . Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. J�othes Closet Light -Shower Light -Spa Light 'i4 'moke Detector Date Card B-1 Date Card B-1 aD� Card B-1 Date Card B-1 Date HANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet i3 ttic Access & Platfarm i r r n Ali, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4 Sills Proper Materials & Anchors ,(falls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 3. Draft Stop in Walls (rat proof) 44 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 5. Headers & Beams -Size & Bearing Date FRAMING (Continued) r Han s -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. ftp p ace Ties or Type A Flue -Fireplace Throat Clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing roperty Line Firewall & Openings �xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width- He adroo m- Rise - Run- Landing- Fire Protection J�AP od on Roof Overhang -Attic Vents -Rafter Outriggers JOW-Siding-Nailing Veneer a esh-Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailin - 60. Brace r r Wall Pan nsulatio 62. Infiltration- Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s Ext. S -Door & Sidelight Protection -Landings 44`15m- ctor Furnace Vents -clearance -Comb, Air -Connector - In Gar ove Floor-Ducts-Mech. Protection edroom Exiting /e�Bath Fixtures & Tub Access -Spa b68. Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails _ e or tove, Clearance -Hearth lec. Outlets at Wood Panel, Int. & Ext. n. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure 4L--A'L Duct in Garage -Damper Htr.; Vents -Clearance -Comb. Air Connector -P. FAV. in Garage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location ego Receptacles in Garage (F.F.I.)-Romex Protection on -Foam -Looked in Attic an r rA Rn II u noses struction-Post Caps ia�dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under 82. Following Instld./Drive -fes J No/Walks a4e<j No/Planter es J No �4 Clurrn Rrmvn•F in ich C. Unit Disconnect, Electrical -Plumbing encs Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings ^a; a^rPll Di cod trical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground entitation Throughout House w,eirs—F-Protection rections from P ous Inspections s Test -Meters Tagged, Gas -Electric & Sewer Connected -C/O to Grade -HD Approval 417"EnergyCompliance Certificate -Other Certificates ddress Posted DateQla2Card Date B-1 Date Card B-1 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 / CORRECTION NOTICE P7�e t. �I v (5/- C� 2-77 4 OWNER PERMIT NO. `A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is ,completed. If you have any questions pertaining to this matter, or need additional explanation, :please contact this office immediately. '( e—, — 6 l �--OiX J- (� A ZN r f/ Date, � Inspector�� REV 1 /92 COUNTY OF BUTTE - DEPARTMEN�T.,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrovIII6, California 95965 - Telephone (530) 538-7541PER T NO. (Rev. 12/96) APPLICATION AND PERMIT Al- 1,997 -Ka - ASSESSOR ASSESSOR PARCEL NUMBER 069-570-037 AR -1 ZONING BUILDING PERMIT OWNER 9 TIM4"E5579 4 SO. FT. OCC. BUILDING VALUATION 1439 R 77,706.00 .OWNERS MAILINGADDRESS 484 U 8,712.00 CONTRACTORS NAME IO CONST. POTECONTRACTORS TELEPHONE 192 C 2496.00 MAILING ADDRESS SAME CONSTRUCTION LENDER LENDERS MAILING ADDRESS t Fireplace A 1,500.00 Total Valuation $ 90,414.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 599.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2CET ENA (7, GROVITIE CA 95966$ 3 Energy Plan Checking Fee $ PERMIT FEE $ 642.00 LOT NO.SUBDN6IONS 39 NAME PA�'� PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 10 7.00 70.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New 1X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: NEW SINGLE FAMILY RESIDENCE 3 BDRM MASTER 97-8 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I GI W 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 5z0o.AORLEss 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 ' full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f e 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' compensation insurance carrier and policy number are: Carrier Main Service 200A TO I000A 46.00 NEW CONST. DWEWNG OCCUR SO OR ADONS. ( a „�. BLD S. 3.50 SO. 67.30 gESID MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. so p I.00 Ex. Occu OUTLET OR FaruREs BAL @ .50 FIXED APPLNS. OR Ex. Occup. ovrL�s RESID. EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 9.00 Cooling 00 Hood 6.50 6 5o Ventilation PERMIT FEE $ 70.00 Policy Number (The (The above sections need not be completed if the permit is for work of a valuation ,,a -one hundred dollars ($100) or less.) le I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' comp do pro -sions of section 3700 of the Labor Code, I shall hw' comp w' h ose ovisions. X Date z / _ Signat e f Applic t - ❑ OwKer ❑ Contractor ❑ Agent An OSfiAVermit is required for excavations over 60" deep and demolition or construction of stru res over 3 stories in height. Mobile Home Installation Fee FT - Energy Inspection Fee $ occ OcVN CONST. TYPE TOTAL FEE $ 1018.30 HAZ. p, IMP X FLOOD X CDF X P C� Pp HD ISSUE This permit is hereby issued under the applicable provisions of the tte Coun Code and/or Resolutions to do work in ated v fo which fees have been paid. By Q 0 to PERMIT EXPIRES ON (Da to) Receipt No.103.00 `�' f�j WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK-14tPECTOR GOLDENROD -APPLICANT �°"�'`�-'" .. e N''''�s�,f�ssi9�!'�'t'��{+,'�+�`�',.��•;�"'A�Y"�y'�'�• �i 4r��t+�i���,Mt�-.:�•�U COUNTY OF BUTTE - DEPARTMENT;', .DEVELOPMENT SERVICES - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATIONDATA SHEET OWNER: '" ASSESSOR PARC ER: (/ `® 0 3 ` Proposed Building Use: if5Building Inspector: Date: — �Q Ai time of permit applicatiq , 14vas advised the following data must be submitted prior to permit processing and/or issuance: i Date Received By ❑ 1. All iiems have been submitted-------------------------------------------------------------------------------------- i Blot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------- '0 ----------------------------- ----------------------------- 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans.. All engineering must be shown on plans. -------- - El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- Statement of Intent for Non -Heated and A/C Buildings. ❑ 8: Hazardous Material Form. ------------------------------------------------------------------------------------------ ie- � Manufactured Home data and installation ctions including Tie Down Specifications.-------=-- �------ Fees of $ Q--------�-1------------------------------------------------------------------- ✓`, i 63 Im act fees as shown on the attached schedule. ------------- ----------------------------------------- - �— ll ---- 6fZrU alifornia Department of Forestry plan approval/fees; o - — - _ -�- =-� =��- � ---- ❑ 3 lood elevation certificate. -------------------- V - --- -------------------------------------------- fu 4 Sanitation and plot plan approval Heal Department. ------------------------------------ 1115. City of Chico plumbing permit. ---------------------------------------------------------------------------- ❑ 1.6—plot plan and business license approval from the City of Biggs. --------------------------------------- lanning approval for (A) Use: (B) Parking: ------------------- Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. ----------------- 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number.---------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed -to owner 11) - -------------------------------------- ❑ Letter of signature authorization.------------------------------------------------ -- ----- ------ Recorded copy of Agricultural Acknowledgment Statement. - ---- ---------- ----------- 026. ------- --------- 026. Letter of intent on building use. ------------- 027- Manufactured Home utility clearance. ----- 028. ---- ❑28. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: a en issue the /��'�t, process as follows 1-1 Mail to owner, elephone`'[ S_>� 9 and hold for pickup at Applicant: Copy of Haz-Mat form sent ❑ Healtti•Department, ❑ Fire Department, ❑ A Copy of plans sent ❑ Health Department, ❑ Fire Departure Other: 1. Index permit application for the above items numbered/`/0) 71, 2. Additional items required: 016) J 8E � ate) office.iv wi inspector. Date: tion / Date: By: Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, b Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, wqs advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building f s n counter, by D to Plans reviewed by: Date: Plans approved by: nC . Date: 0 0 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (AUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER ®�-� f'7 A.P. It PROPOSED BUILDING USE DATE / —L9t1 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES r- --Balance Due ........................................................ $ Z56 3 3�l� --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ evised Plan Checking Fee ..........................:...... $ SCHOOL DISTRICT FEES �A.paid at District Office) / ' 3. SHERIFF FEES (paid at Building Division) Residential ..................`................. x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ —x—=$ • # Units Amt. Commercial (Sq. ft.) ............. —x—=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES � //$510.00 (paid at Building Division) (/ 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) p� 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checki rocess. APPLICANT DATE4�p_// 'O Pursuant to Governhil6rit Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Diva 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) U r . <wt- z+A.*J,+MH • w . �tirk ; :TPS+k r� .` `�i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per gullding) School District Z -4 i�+��'�"`' ld / �Q /ems% �� Building Department No. A.P. Number y ! Jurisdiction: .:City County Property Owner Property Location/Address 3 (7t Subdivision Lot No. ................................................................................................................: .. l Commercial/Industrial .; ._.. .. a.v....,-.. z+, �„�. r.acti,,;�.+.b:.t;� c..+F-p�-�f.: ,..�.:}�Ls 4tt�.�►,zd)',.�P.tr°,moi :��Y' 'r�*r.!.. 1.fw,.-:.ril..:ti!tdlML.vw�w.��t?i}�..iv,} Sq,:F��age.�".H•ar,...7...... x�t :-., ....,....,. p New; Addition, . (Including Exterior Roofed Areas) Building Department Date (Floor Plans reviewed.by School District Personnel) n q 4 District Identification No.� School District, certifies that ` (Applicant) (Street (City) has complied with the requirements of Resolution No. representing j` square feet. School District Representative Paid by Check # Remarks: (Phone Number) 9J_9 4 to (Zip Code) 9. 99-oz;-� � '291( by payment of $ 9 AB 2926 $ , FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the Califomia Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow' (building department), Pink (school district) feeform.xis 110/98)dmm 0. PERMIT NO: 8-01 Lake Oroville Area Public Utility District 1980 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: MARCH 8, 2001 Applicant: James Potestio Applicant Address: 9050 Lasell Ln, Durham, CA 95938 Applicant Phone No.: 894-5579 Property Location (s): 23 Celena Ct. , Oroville, CA 95966 Lakeridge Village Lot 37 A. P. No. (s): 069-570-037 Fees due: $525 LOAPUD Connection, $1,489.00 LOAPUD Capacity chg $1,000.00 SC -OR Regional Facility CHarge Application for service approved: LAS O OVILLE AREA PUBLIC TILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: xal'Y... .- :: �,y.,..• ti..s .a.yr�� .� �..ws.Vv+rl�'.7e�e.�+'a••..a r+a.. . .-'4�..,.. .N!�.V.r.>�:..p _� _ •w...,... Legal Provided _ U U Ya . .. . ,.Deed . .. .. ..... ... _.......:............ .. .. .. ......... _ .. . Rely: Legal Access Required: ❑ No ❑ Ya. <.. ,..:: Pared Road: No {. :-.. ��Y ❑ ❑Yes, Road'Name: ..C"00" rrfat County ganduft for Deed Cmatlon: ; ❑ No` ; ❑ Ya .. �,; ��= � � . • _ .. CAnvneft - 1a V1 �-C-A 6-9 Map Date of Reoom%V: Lot: Block: 'onditions That Moet be Met Prior to LsRwice of Permit ❑ Verify Legal Parcel p Verify Legal Access ❑ Provide Creation Deed ❑ ComplY with condden no. of condUOM of approval for the ❑ Obtain a Cerii9cate of Comprrarice (See Planning DMslcn for apptkatlon). a ❑ Construction aeoss property lines is not permitted (See Land Development for a Merger Appltcatfon/Lot Line . Adfusbnent). , ❑ ComplY with Old Sutxrvislon Lot Ordnance (Maps Recorded Prior to flock 17 of Maps Page 23). ❑ Constmc; road to ❑ Meet parcel size required by zone ❑ Meet anent EHD requtranents. ❑ Other !neral Comment_ I ❑ APPROVED dOND y.,� y:�;'_dp. .'.5-;:::❑ RESOLVE PRr08IS PRIOR r0 APp�ppiy PERMIT CLEARANCE _ :.i:�:- 3ermit e: �') - ID2� (� )wners Name: `7'i r`� I�C� S i Q Paroel Acreage: ]wners Address: 3uilding Site Address: i_EZ,A--),A 'errnit Time: ❑Agricubre 9.. ❑ Commerdal Q Mobile Horne ,, -,; . w SFD u : Q'Resl wft y ❑ 2nd Dwelling ❑ Muitl-Family >2 units per parcel ❑ Sept ❑ Well ❑ phef : _ .ne District: U ' Date of Zoning Ordinance: :eneral Plan: 1�7 Development Agreement- .'se greement :se Permit: Variance: 'lir n: land Conservation Agreement No ❑ Yes, check use Minimum Acreage: - Nitrate Action Plan No ❑ Yes Violation Area No ❑ Yes Specific Plan -0 No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone ® No ❑ yes, check use l t /� Floodplain ® No C] yes Zone: Ix Panel Ntmtber: lJ 8 2-� C— Watershed Protection 'Zone -0 No ❑ Yes ,ocosed Use Complies With: •® General Plan Zoning 'rocosed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory gudtng Use :ommercial/Industrial/Multl-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ landscaping Requirements are OK as Shown R.,ad and Drairage Improvements Required: ❑ No ❑ Yes coiicable Setbacks: ❑ Other F -I Other Z=rirg Street & ►ii hwa s Fre Prevention Subdivision M Front `Ccde V C Side / D 3 C) Side, street Rear / O V V Ne�Ch( r 4,4,5-r Lo T NOTE: _ :esi n Re a tremen .��,Pages ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL IAF ULEAR OF ALL EASEMENTS. A SET BACK OF ; a FROM THE SIDE AND FROG. �; HE REAR FROPEPTY LINES AND �F- ROAD CENTERLINE SHALE. BE CLEAR OF 'T'RUCTURES AND EQUIPMENT EXCEPT FOR A ' T. �16VE OVEkHANG. REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted [,fjl approved with conditions c nc sYe Gate C� v Ilk afar /Q CDF FIRE SAFE REQUIREMENTS (� 7 ( 0 Z7.. l O r_� r/D AP# PERMIT # N Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building -Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves'in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ( 1273.05. Turnouts. -Shall be a minimum. of 10 feet wide and 30 feet long with a minimum.25 foot taper on each end. [�) 1270.10 Width. -All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3. AP # PERMIT # AME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 8.00 feet in length, shall provide a turnout near the midpoint,of the driveway. Where a driveway exceeds 800 feet, -turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all / building sites on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it'se v es. [�l 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. [ ] 3. Where a one -away 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 parL:els 1 . acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] Property lines and/or the center of the road. [ 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction -,r f_:ial inspection of a building permit. s Page 2 of 3 AP # PERMIT # NAME Other Requirements [itJ if Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback is Less Than 15 Feet. Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not -to exceed 10k 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 Cx Signature Page 3 -of 3 CLIMATE PRO@ FIBER GLASS BLOWING WOOL Your home has been professionally insulated to provide a guaranteed thermal resistance. HomrwwwER's NAmIE �—npN. �L�SL�iJ�,IY ADDRESS CITY �� STATE ZIP RECORD OF INSTALLATION BATTS AND ROLLS RNALUE BLOWING WOOL gyp, 1111 NEW CONSTRUCTION CEILINGS 3g IF RETROFIT: ❑ RETROFIT Installed DEPTH OF PREVIOUS SQ. FT. - WAU-S :3 INSULATION NUMBER OF BAGS USED '• per 1000 sq. f. of INCHES ARFA INSULATED lLi'bd ESTIMATED R -VALUE OF 7 SQ. FT. I S? Z SQ. FT. PREVIOUS INSULATION THICKNESS INSULATION l be less than: OF INCHES TYPE(S) OF PREVIOUS INSULATION IN ATTIC 5X in. 7.0 142 sq. ft. R -VALUE OF INSULATION 19 8Y4 in. BATTS AND ROLLS RNALUE THICKNESS AREA INSULATED CEILINGS 3g 2 =IN. 1 CL - ••SQ. FT, - Installed IN. SQ. FT. - WAU-S :3 3 SYS IN. I ZS� per 1000 sq. f. of this bag should SQ. FT. G� FLOORS 1_` IN. 7 SQ. FT. I S? Z 5% L g IN. insulation should (R) of SQ. FT. be less than: IN. SQ. FT. 11 CIIMOTF PR(1 RAG WFIGNT - 7r, I R Nrimmai R -VALUE MINIMUM THICKNESS BAGS PER 1000 SQ. Fr. MAXIMUM NET COVERAGE MINIMUM WEIGHT PER SQ. FT. To obtain an Installed The number of bags Contents of The weight per insulation insulation per 1000 sq. f. of this bag should sq. ft. of installed resistance should not net area should not not cover insulation should (R) of be less than: be less than: more than: not be less than: 11 5X in. 7.0 142 sq. ft. 0.176 lbs. 19 8Y4 in. 12.5 79.9 sq. ft. 0.313 lbs. 22 10 in. 14.6 68.4 sq. ft. 0.365 lbs. 26 1 I in. 17.2 58.0 sq. ft. 0.431 lbs. 30 13 in. 20.0 50.0 sq. ft. 0.500 lbs. 38 16% in. 26.3 38.0 sq. ft. 0.659 lbs. 44 18/< in. 30.5 32.8 sq. ft. 0.763 lbs. 50 2034 in. 35.5 28.2 sq. ft. 0.886 lbs. 60 23% in. 43.0 23.2 sq. ft. 1.076 lbs. INSULATION CONTRAGTOO`RR SIGNATURE COMPANY �V GL HOME BUILDER SIGNATURE _r r� rY , ff'HONE BIC�194 7/97c 1997.1ohns Manville Corporation �G`✓,G�✓.G�G�✓G\✓GAG`✓.G�✓.G`✓+`✓.G\✓G`✓GAG`✓G\✓G�✓.G�✓.G�✓GAG\�✓.G�G�G\✓G\�G�G\��'✓�.\G\�G�GVe%\6\�✓n/ate �\�G�Gv✓4��G\�G Johns Manville Corporation, P.O. Box 5108, Denver, CO 802117-5�08, Internet: http:/".jrr&m. For �nqre information call 1�8'00-654-31103. t• S/ .. .. _ � i ( ; y^ ; `l`t^ •+i; Thr � � •'T —1 •�.: ' rr• i Z�` - f'. ..t T ---.HIS ,'IS ]FIBERGLASS F"I'C FACT SHEET BLOWING WOOL' INSULATION _.H t f CLIMATE PROTM BLOWING:WOOL ,INSULATION .'Bag Weight 25 lbs. Nominal (Minimum Net Weight of Insulation in this Package is 23 lbs.) 5 j. R -VALUE - MINIMUM BAGS PER MAXIMUM MINIMUM WEIGHT ' THICKNESS .1000 SQ. Fr. NET COVERAGE PER SO. Fr. To obtain an Installed The number of bags Contents of The weight per insulation insulation per 1000 sq. ft:',of -this bag should sq. ft. of installed resistance should not net area should not not cover insulation should (R) of be less than: ., be less than: •j more than: not be less than: 11 5/< in. 7.0 142 sq. ft. 0.176 lbs. 19 8a/< in. 12.5 79.9 sq. ft: 0.313 lbs. 22 10?in. -• 14.6 68.4 sq. ft. 0.365 lbs. y 26 1 I in. 17.2 58.0 sq. ft. 0.431• lbs. 30 f 13 in. 20.01 50.0 sq. ft. 0.500 lbs. 38 16% in. 26.3 ; 38.0 sq. ft. %. A65,9 44 18% in. ' 30.5 32.8 sq. ft.. , .0:763 lbs. 20% in. '.35.5 "' 28.2 sq. ft. - 4.50 -� '4886 1Os. 60 23% in. 43.0 23.2 sq. ft. Y 107616s. _ 4, •. -r �..� .i 4-� : , �, ,�^ ; � Jc-f4. fit. x 'S • Read ThlsBefore You Bu h What You Should Know About R Values. b . �z THe,chart shows the Rvalue of this insulation.i< "R' means' resistancesto,heat.flow. The higher the R value, the•greater the insulation power. Compare insulation 'R -values before you buy. t ii 4 ' ; There are other. factors to consider. The amount of insulation y6u need depends •," 1Y # . mainly on the climate you live in. Also, your fuel savings from' insulation will depend upon the climate; -the type and size of your;house, the,amount ofinsulation already in your house, and your fuel use patterns and family size. If you buy` too miuch'insulation, .it will cost you more than'what you'll save 11 fuel. # To get the marked R value, it is essential that this insulation be installed .pr"operly with pneumatic equipment. t c it BIC -194.7197 ® 1997 Johns Marcille Corporation I • 2/1151 Johns Manville Johns Manville Corporation Insulation Group RO. Box 5108 Denver, CO 80217-5108 Internet: http://www.jm.com ', 5 • SCS -nes Ll g Noc' '--- ,Qoor�P��,✓ , )w ?411 M - 18 2'-8" ANN 2'-8" MIN. (2) 2"X fop ufe KKU I II I L! ---*...-1 1 1 1 I I 1 1 2"yX� 5 v RZ. W417. t fKA11" .J vu`11y�5 (OiaENf Va f0 9EAIWNG) MA m' v W04 J"i'P1.En f0 ONE PACE. WL'M'1M Oil 8d COMMON OK OLV. VOX ' WL5 l i i i i i Q 6" O.C. Xao En6E5, J'YW 12" I i•+ i i O.C. IN FEL12 11 11 17OLVLe 5TLt75 Af CONKS Alp " CaW95K NIK5 & WX5 WK) ` M i/ Z OA.P. MGa Pa,f5 WPM 711 Mw. EM6E17MENf Pa.t?aW W*l 1870# ANN. C4WKV (51MP50N W2A. FV9A, GK EGIA WPM 55113 /NC a PO f 5017 A5 W(JLNt7 FOK Fa.l7owN) FIN. 211X ;iLL PLATc ;77777 I J J I L -1 _ --._----_--_-__..-------- -- ---------.---------------------------------- -• �--t ---.•_-------------------------- --�--------------_-. ---------------------- NOiWs; ❑I FGK U5e IN 69MB W&L WrfM M fO ® 51EMWA1"FOOf1N6 MUSE EX1EW LOCA110N Cf OVE"V POOK5, A 4'- 0" LN17EK Cd+KJ'a 17= OPENING 1A1fM PAWL CAI NOT VE PKWMI7, R22 #4 MOM, COWNIM Af fGP" WffOM OF 51EMW&L. J"t7D111OWL' VFF3, C MAY M )TrA VEt7 DY AMM.W GF Ha pop A.I.. M11o'i`U8 ANt) EaUIPME �- 21 OVER AM03 SHALL BE CLF CF FL'-- . ll . I~ r. F IoM THE REAR PRC)Pr�=� � °� � }���� > ,���z; $��". F3 C3 J1 "I I-lr I1O;Alj 0El�I I'I ; iwII 1_ >a 1 UALL BE _EAR OF , i jgLjo7P`1.InE-S AND EQUIPMENT \ VOR A 2 Fr. SAVE tJ ERHANO• 32/32 INCH LATERAL BRACING PANEL FOR SINGLE STORY BUILDINGS ��r�� 5CNe:1/2"'10-0" !�; �j2 3v . r2 (,am P Roo lwo,kl r ..L �'� q re, Sjj&K- re, ca � I �- gum � C D 'App,W,' S' 1 D C BLEU a .. _. ... _ ........ ._... .. .,. �. .. .�, .._ __� ,... .,, ... ..n. ,....� N.,�.. •,' -- _�. .... � .• _ . 'Tr '�^.. .. f. - '.'_".. il, .. T„ �i..._ "I�..� i .�. .... _ .L' 7 L." T � 11 a � I',,, i ..... 2-'..'._.-i .. .. , .. _�-.__... i T-T=-----TJ'----_— II II il, I L_�--:`� l LT--- 1 1 II II I 11 II L • _3.� 11 1 11 I LS_..:_..1 11 �• II l I; I jM 11 i 1 1 I I ( I EO 1 EO EO _ --._----_--_-__..-------- -- ---------.---------------------------------- -• �--t ---.•_-------------------------- --�--------------_-. ---------------------- NOiWs; ❑I FGK U5e IN 69MB W&L WrfM M fO ® 51EMWA1"FOOf1N6 MUSE EX1EW LOCA110N Cf OVE"V POOK5, A 4'- 0" LN17EK Cd+KJ'a 17= OPENING 1A1fM PAWL CAI NOT VE PKWMI7, R22 #4 MOM, COWNIM Af fGP" WffOM OF 51EMW&L. J"t7D111OWL' VFF3, C MAY M )TrA VEt7 DY AMM.W GF Ha pop A.I.. M11o'i`U8 ANt) EaUIPME �- 21 OVER AM03 SHALL BE CLF CF FL'-- . ll . I~ r. F IoM THE REAR PRC)Pr�=� � °� � }���� > ,���z; $��". F3 C3 J1 "I I-lr I1O;Alj 0El�I I'I ; iwII 1_ >a 1 UALL BE _EAR OF , i jgLjo7P`1.InE-S AND EQUIPMENT \ VOR A 2 Fr. SAVE tJ ERHANO• 32/32 INCH LATERAL BRACING PANEL FOR SINGLE STORY BUILDINGS ��r�� 5CNe:1/2"'10-0" !�; �j2 3v . r2 (,am P Roo lwo,kl r ..L �'� q re, Sjj&K- re, ca � I �- gum � C D 'App,W,' S' 1 D C BLEU a .. _. ... _ ........ ._... .. .,. �. .. .�, .._ __� ,... .,, ... ..n. ,....� N.,�.. •,' -- _�. .... � .• _ . 'Tr '�^.. .. f. - '.'_".. il, .. T„ �i..._ "I�..� i .�. .... _ .L' 7 L." T � 11 a � I',,, i ..... 2-'..'._.-i .. .. , .. _�-.__... i