Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
073-270-012
073-270-012 04-0765 FOWLER, RAY 11262 WINDING WAY, CLIPPER MILLS CONT: DOWNS CONST - ADD TO EX DECK v G I MOYER, Ernest 667-71B 7 3 - a7-�� 639-71P - { 61-1E Lot 102, Merry Mtn. Village, Clipper lls 1 CONTR: Mtn. Development, Berry Creek (new single family) / 7y i I I { f �I ,I I I i J t o , I Y r 073-270-012 04-0765 FOWLER, RAY 11262 WINDING WAY, CLIPPER MILLS CONT: DOWNS CONST - ADD TO EX DECK v G I MOYER, Ernest 667-71B 7 3 - a7-�� 639-71P - { 61-1E Lot 102, Merry Mtn. Village, Clipper lls 1 CONTR: Mtn. Development, Berry Creek (new single family) / 7y i I I { f NOTES RESIDENTIAL 073 270-012 04-0765 PERMIT Nf. FOWLER, RAY - —-- — -- i--` 11262 WINDING WAY, CLIPPER MILLS CONT: DOWNS CONST + f ADD TO EX DECK o r 4 t r 7 .1 i r r �r �1 4 i� i SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r JOB FINALEDa I Signature CHECKED BY J=OK 0 = Not OK . = Not Ready MOBILE HOMES Date RrOBILE 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) OVERS, CARPORTS, GARAGES (Plans).OK except #'s 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Ddars, Gi rs and/or J' s -D ing-Br g -S s -R s 7. Well Clearance & Disconnect 5. 8. Utility Clearance Carports; Windows -Doors 7. 4 is Health Department Approval g.; Sills -An ors-Studs-Rftrs-Trusses 9. Date 10. Card B-1 Date Card B-1 Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B- to Card B-1 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date POOLS (Plans) OK except #'s ISCELLANEOUS Dae D OVERS, CARPORTS, GARAGES (Plans).OK except #'s Soils; Compaction -Structure Stability Zoq equirements-Setbacks-Easements Pool Structure; Steel -Connections -Thickness Dead Men -Lining otin , Soils- ze-Depth-S cin - onnec rs-St Elec.; Receptacles and Lighting, Distance-GFI Ddars, Gi rs and/or J' s -D ing-Br g -S s -R s 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. 4 is Health Department Approval g.; Sills -An ors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced all an Is Date b Card B- to Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotOK Applicable =Not Applicable RESIDENTIAL (Single & Duplex) • i f . = Not Ready Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Siding -Nailing Veneer 7. Slab, Steel -Wrapped Ext. Steps -Door & Sidelight Protection -Landings 8. Piers -Fireplace Ftg.-Steel Smoke Detector 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Bedroom Exiting 11. Water Pipe; Test -Anchors -Regulator -Service Test G.F.I. & Bath Fixtures & Tub Access -Spa 12. Electric Underground Elec. Trim & Subpanel, Breaker Sizes & Labels 13. Plenums & Ducts; Clearance -Material -Support -Ins. Stairs & Rails 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Fireplace or Stove, Clearance -Hearth 15. Access & Ventilation Elec. Outlets at Wood Panel, Int. & Ext. 16. Insulation Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 77. 17. Water Htr.; Vent -Access -Combustion Air Baffle 78. 18. Water Pipe; Test & Anchor -Nail Protection 79. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 80. 20. Shower Pan; Test, First Floor -Tub Access 81. 21. Test Tub & Shower, Second Floor -Tub Access 82. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No Date Stucco Brown -Finish Card B-1 Date Card B-1 Date A.C. Unit Disconnect, Electrical -Plumbing 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 At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Date Card B-1 Date Card B-1 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- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O 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/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040765 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: 05/03/2004 APN: 073-270-012-000 the Business and Professions Code, and my license is in full force and y License Class: 7 License Number: /.5 Site Address: 11262 WINDING WAY CLP Date: `/ Contractor: �G�f u //� �G'�� Map Index: Description: ADD TO EX DECK (268) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FOWLER ORVAL RAY LIVING TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section FOWLER ORVAL RAY TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or 11262 WINDING WAY she is exempt therefrom and the basis for the alleged exemption. Any CLIPPER MILLS, CA 95930 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: FOWLER ORVAL RAY LIVING TRUST 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: WILLIAM DOWNS CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: P O BOX 582 BROWNSVILLE, CA 95919 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 675_2152 ❑ 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 License #: 450442 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: Itf I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:>>�3 /U Applicant: 5 14ryicun R&eeIVCGl: ,V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe ' is by i ued u er the applicable provisions of the Butte County Co P anrUnr I hereby affirm that there is a construction lending agency for the Resolu ' s wo indi ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PERMIT EXPIRES ON: Address: 6ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:C) �J 5 Signature: Date: ❑ Owner Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040765 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' 05/03/2004 APN: 073-270-012-000 ' the Business and Professions Code, and my license is in full force and effect. f S��y License Class: License Number: / Site Address: 11262 WINDING WAY CLP Date: O `f Contractor IIJILUAf1 d7lXc��s Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADD TO EX DECK (268) 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: FOWLER ORVAL RAY LIVING TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section FOWLER ORVAL RAY TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or 11262 WINDING WAY she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the CLIPPER MILLS, CA 95930 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: FOWLER ORVAL RAY LIVING TRUST 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: WILLIAM DOWNS CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: P O BOX 582 BROWNSVILLE, CA 95919, WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pery'ury one of the following declarations: (530) 675_2152 ❑ 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 License #' 450442 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect'' insurance carrier and policy number are: Engineer: Carrier: Policy #: I{4 I certify that in the of the work for which this is 0 S. F. performance permit Total Square Ft' ' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply those provisions. with Date: 5,23 / D -/ - /Weeelpi-� Zz EIVtCGj:� lSG. //••. Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of - compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe is by i ued u er the applicable provisions of the Butte County Co A anNor I hereby affirm that there is a construction lending agency for the Resolu " s wo indi ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)S�/Oil BY' Date: Name: Address: PERMIT EXPIRES ON: ate ❑ 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 form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: !/1/� �A cl) �� 5 Signature: v % Date: ❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 T;wl-eer PERMIT NO. BP 6IJ DATE: 51147 1/ APN: O / ZONING: 1 OWNER'S LA9T NAME: OWNER'S FIRST NAME: PrNE: STREET ADDRESS: L/ FAX CITY, ZIP: - L `� ►�i�/2 /-r fc c. S CA- 96-930 E-MAIL: SITE ADDRESS: CITY, ZIP: 6� NEAREST CROSS STREET: 2- 1 r_� # f0Sri- ',P W APPLICANT NAME: O[GN..•E: STREET ADDRESS: ,� F CITY, ZIP: sq/ L e-LChi MA CONTRACTOR NAME: PONE: STREET ADDRESS• ,-p8 a' -3a K CITY, ZIP: '5P"o - I tr- LICENSE NUMBER �O LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL' DESCRIPTION OR SCOPE OF WORK: TI O X—J %O / 5 77 .vim' 49W ❑ Structure Built without permits - ❑ Proposed Change of Occupancy (note previous use) SNDW LBra-6`l`3M�D -rte 35CPC>-f-T-- S=L0jX->=X ongc- sPA 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: Application Received by: Date: 1 Receipt number: -ZC n/ Amount Received: �� �7 I E.H. USE !!1 Y Piot Men dttechod Floor Flan Attached Sent to S.D. 164, AA-e—IA-/Y) Z62g:62A%J� 11A(00:2- /N LC/ ®%�_� -02 '%0 r 0 /,;—P Owner Locatioif AP# . Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other .yB EX1.:I7/NG' iJ.t�Cor/i2 ZOO Hold final for: Final clearance O.K. for: NOTE: nmental Health A—�cialist Date 8/96 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE !!1 Y Piot Men dttechod Floor Flan Attached Sent to S.D. 164, AA-e—IA-/Y) Z62g:62A%J� 11A(00:2- /N LC/ ®%�_� -02 '%0 r 0 /,;—P Owner Locatioif AP# . Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other .yB EX1.:I7/NG' iJ.t�Cor/i2 ZOO Hold final for: Final clearance O.K. for: NOTE: nmental Health A—�cialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARCEL NUMBER Proposed Building Use: 5•j t )) L !SC . (�� Counter Technician: Date: Items required in order o apply for a permit. All boxes MUST be checked OR marked NA in o d r 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 AIC 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 9 ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use:(B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements _ Drainage ......................... 7 26. NPDES Form ................................................. .. ;.:............... .. ❑ .27. Encroachment Permit for driveway from the Public Works Dept............. ❑ 28. Pre -Inspection for required)...... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits ............................................. "''........ ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone ` gssn l G, t;, 6-- / .5 Z and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit applicaion for the above items numbered: PI Check Let er 2. Additional items required Cactor, de gner, owner, was advised of the above data by 9-ptr6f�b mail, ❑ counter, by ate: 'C signer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by4 Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: 4OW Date: Note transfer by: Date: Yellow: Building Division National. Pollutant Discharge Elimination System (NPDES) -Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement tLESS THAN 1 ACRE1 Project Title: PA Y ro 2 By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 9 O -- I V, SITE PLAN 7**'**-** ... ........ ...... 7-- 7 7 ..... ....... ........ ................... ..................... .................... ............. ...... ...... ..................... ..................... ...... ............. ...... : ...... : ....................................... ................... ................... .......................... ............ ....................................... ................... ...... ................... ........................... ............ ...... ............ ...... ..................... ...... 7 ............. ................ ...... ...... ...... ............ ...... ..................... ............. ............ ...... ...... 7 ............. ...... 7*** ......... ...... ..... ...... ...... ...... ...... ...... ...... ...... ...... ...... ............. ...... ...... ............. ...... ............. ..... ...... ...... ...... * ...... ...... ...... ...... ...... ...... ...... ...... ...... ..................... ..................... .................... ..................... ...... .............. I .................... I ..... ....... ..................... .................... .............. ............. .......................... ............. ...... ...... ...... ............ ...... ............ ...... Voz� .... ...... .... ............................. ...... ........... ........ .................... ...... ...... .... ...... ...... 7 1 . . . . . . . . . . . ............. ...... ...... ........................................ ............. ..................... ................... ............ ...... ...... ...... ................................... ...... ............. ........ .... ............. ................... ....... .......... ...... ..... .......... y .... (V!..SjD ........ . ... ..... ................... ...... ...... : ............. ............ ............ ...... ...... ..... ...... ................... ...... ............. ............ ...... ............ ...... 0 ............. ...... ...... ...... * ...... ...... ...... ............ ...... ............. ..... ...... ...... ...... ...... ..... ... ..... . ......... ..... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ................... ...... ................... ................... ................... ..... ..................... ...... ............. ............. ...... . . ....... ............ ..................... .............. ...... ..................... ..... ..... ..... ...... ......................... ...... ...... ...... ...... ..... ...... ...... .... ...... .................... ............................ 7 ............. ..................... ............... ............ ...... ...... * ...... ...... ........... ...... ............ ..... . ............ ...... ........... . ...... ...... ..... ......................... ...... ... T!5 ..... ...... ...... ...... I ...... ......................... . ..... ...... ........ ...... ..... ............. ................... ..... ...... ..... ...... ............. ..... . ..... ............. ...... ............. ..................... ...... ...... ...... ...... ...... ...... ...... ................... ....... * ..... ...... .................... ................................... ...... ............ ...... ............. ...... ............. ...... ...... ...... ............ ...... ...... ............ ...... ............. . .... ...... ............. ...... 7 .................... ........ .... ...... ..... ...... ...... .............. .............. ................... ............ ...... .............. ..... . ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... . ..... ............. ....... ..... ...... .................. . .............. ..... ...... ...... ..... ...... ...... ..... ...... * ...... ..... ...... ...... ..... ...... ..... ..... ................... ...... * ............ ...... . ............. ...... ...... ...... ...... .. .... . . . ...... ......AAQ ...... ...... ...... ...... ...... ...... ........... . ...... ...... .............. ............ ...... ...... ...... ...... ....... ...... S -:r7 . . . . . . . . . . ............. ...... ............ ...... ...... ...... ...... ...... ...... I ...... ...... ...... ...... ...... ...... ...... ...... ...... ........ ............ ...... ...... ..... ...... ...... . ..... MPROVE .................... ............. I ..... ....... ...... ...... .................... ...... ...... ...... ...... ...... ...... .... ...... 7 ...... oun 7 -7— Zr ...... .... ................ .. ......... ......... . . . . . ..... Envi . . . . . . . . . . . ...... ....... ...... ................ .. ........................... .......... .... .... 4t ................. ...... ...... ..... ...... ...... ... ......... ...... ...... ...... 7 ........................ ..... .......................... .... ..... ... .............. pate� ............. /Z ..................... * ...... ...... * ............. .................... signature ................. ...... . ...... . ............... .......... ...... ............. . ...... .................... ...... ...... ...... ...... ...... ...... ...... ....... ............ ...... - ----------- .......... ............. ...... ............. ...... ...... ...... ...... ............. ...... ............. ............. ...... ...... J� .......... ...... .............. ..... ................................... ...... .......... ............................................... ...... ...... ...... ...... ...... .............. ........................................ ............. ...... ............ ...... j ...... ...... ...... ...... ............. ............. ...... ..... ............. ... ............ ............ ...... ...... ............. ...... ....... ............. ............ ............ ...... . ....................................... .......................... ............. ...... ...... ............ ...... ............ ...................... ......... .............................. ...... ...... ............. .... ................ ....... .... ...... ............ .................... ...... ...... ............. ................... ...... ..... ...... .................... ............. ............. * ...... ...... * ..... ............. ............ ...... ................... ...... ...... ...... ............ ...... ............. ............. ...... 7 ............. ..................... .............. .... ................... ..................... ...... ......... s. .......... ...... ............ ...... ...... ...... ...... ....... ..... ...... ............. ...... ...... ............ ............ ............ ............ A 1�i ...... ............ ...... ............. ...................... .................... .................... ...... * ................................................................................................................................................. ...... ............ ...... * ............. ...... * ............ ............ ...... ..................... ............ ...... .................... ..................... .................... ...... * ............. : Assessor's Parcel Number E F21 FLI Q Scale: 1" 216 agn Owner Name &/-;/% y r-1DWz'e1yz'- Address / Phone No. 0 3,oX I A4 64)75t-LwR f� 95-930 -3a/675- Z J, 5 Site Location ZZ 0 z &;IAJD A& 6 A. A S CA Contact: Name. 1421LI-114AI rDOwA-"' -S Phone WOW 23,2003 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: f SITE PLAN . . . ........................................................... ...... .. .... ................... ................... 7 ............ .................... ...... 7 ............ ...... 7 ............. ............ ....... — ...... 7 ............ ...... 7 ............. .................... ................... ...... ............. ............. 7 -:7 7 .... ........... .............................................. .......................... ....... ..... ................... ...... ............ ...... ...... .................................. ....... ............ ..................... .................... .................... ..................... ............. ...... ....................................... ................... ...... I ................................ ...... ............. ............ ...... ............ ............ ...... ............ ...... ...... ....... ......... ...... 7-- -7 ............. 4 ...... ...... Z ...... ...... ...... ...... ............. ...... ...... ...... ...... * ...... * ...... ...... ............................ .......... I ................... ..... ...... ...... ...... .............. ...... .................... ................... .............. * ...... ............. ...... ...... ...... ...... ...... ............................ ........................ ...... .................... ...... ............ ................ ...... .................... ..................... ............. : ...... ...... * ..... ...... ...... ................... ...... ...... ..................... ............. .................... ............ ...... ............ ...... .......................... ............ .. ... ---- --- - ---- ...... ................... ............ ...... ..... .................... ............ . 4�1 ..... ............ .................... ...... ....................... ..... ...... ...... ...... I .. ... ...... ...... ...... ...... ....... . . . . . . . ............. ...... ............. ...... ...... ..................... .................... .................... ............. ...... ..... . ..................... ... ...... ............... ...... ...... ...... ...... ...... * ...... ...... ...... ...... ...... ...... ...... ...... ... ..... .... . ...... ............ ...... ................... ............. ................... ...... ............. ...... ............. ...... ...... ............ ............ ...... ............ ............. ...... ...... ....... ....... . . . . .... ...... ...... ...... ...... ............ ...... ...... ...... , ...... ...... ............ ............. ...... ...... ------ ..... ............. ...... ............ ............ ...... ........ ............................... ...... ..... 4 ...... ...... z ...... ...... ............. 1. 4 ...... ...... z ...... ...... .................... ............... ..... ...... ............. * ...... L ..... ............. L ..... ...... ...... ..... ...... ...... ...... ...... ...... ...... ..... ...... ................... ..... ............ ...... ...... ............ .................... ..... ...... ...... ...... ...... ...... ...... ...... ...... ................... ....... ...... .... ...... .................... ................... ...... ............ ...... ........... ............ ...... ...... ...... ...... * ..... ...... ...... ............ .... ............ ...... ..... ...... * ..... . . . . ............. L ..... ...... ...... L ..... .............. L ..... ...... ...... ....... .............................. ................ ... ........ I ..... ...... ...... ...... ...... ..... -j7 ... I ...... ................... ..... .................... ............. ...... ....................... ...... ............. ...... ...... ............. ...... .......................... ...... ...... ...... ...... ..... ................... ...... ...... ..... .................... ..................... i ...... I ..... J ..................... g ...... ..... ...... ...... ..... ................... ...... ...... ................... . ...... ............ ...... ............ ...... ............ .................. . ..... ........... ...... ................... ...... ..... ..................... I ...... ...... ............. ........... ...... ...... .......... ....... ...... ............. ...... ...... i............. ...... ............. ...... * . . .... ...... ...... ..... ...... ...... ..... ...... ...... ...... I ............. I ....... ..... ................... .......................... ...... ...... I ....... .......................... ................... .......................... ...................... ...... ...... ................ . ; 7 ...... ...... .................... ....................................... ...... ...... ............. .............. ............. ............. .......................... ...... ...... ................... . .............. ...... ...... ............ ...... ...... ...... ...... ............ ...... ...... ............ ...... ............ ..... ...... ...... ..... z ...... ............ ;4 ..... z ..... ...... z ...... I ...... Z ...... ...... 4 ...... ...... ..... z ...... ...... z ...... ...... ............. ...... g7. . � .................... ................... ...... ............ ...... ...... ...... ............ x. ............................ ...... ..... ...... .................... ............ ...... .................. .. ............................ ............ ........... .................. 0 V, UNG .......... . .... .................. ........... ............ ...... ...... ...... JU :Z& ...... ...... ........... .. . ............................. ..... ............. ...... ...... ...... ........ .. ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ............. ...... ...... * NNIW--- IV ............. ...... ...... ... Date: .3:7... .4 ...... ....... TV .................... ...... ............. : ..................... ...... .............. ........ -G-( L 1A 23 F3 ......... dw#i ...... Leh ra. ....... ...... ...... ..... ...... ...... ...... ..* ..... ...... ................... G WME, Other. . . . . . . ! ...... .. ......... ................... ...... ...... I ...... I ...... ...... ............. ...... ... ......... ....... ..... ...... : .............. ......................... ...... ...... 1C D ...... .................... . .......... ...... ...... ....... I rp,3* V F N Signatore: .J. ...... ............ % .............. ...... ...... ..... ...... ........:......:...x...... ..... .............. ....... . ......................... ............ ............... ............. ..... ..... ...... ...... ...... ............. ...... ...... .......... ............ ...... ...... ............ ...... .................. ...... ............. ..... .................... ...... ............. ...... ...... ...... ...... ...... ............. ............. ...... ............ .................... ..................................................... ........... ............ i ...... ...... ...... ...... ............. ...... ...... ...... ...... ...... ...... .... .............. ...... ...... ...... LNN ...... ...... ..... ................... ..................... ...................... ............. 7 ..................... ...... ............. ...... ...... ............ ...... ...... ...... ...... .................... ....... ................... ............. ...... ...... ............. .................... ...... ............ ...... ............ ...... 7 ...... ...... I ...... I ............. ............ ............ ...... ...... ...... ...... ............ ...... ...... * ...... ...... ............. ............. i. .... ...... ...... ...... .............. ------ ----- --------- --- ------ ------ ------ ............ ....... I ............. ..................... .......................... ...... ............ ...... ............ ...... ............ ............. .......................... ................... ...... I ..... ...... ............. ................... ................... ...... * ..................... .................. .............. * ...... ............................................................ ........................................... Assessoes Parcel Number F1 12 F3-1 — © F;-71 PE 01171 Scale: 1 0 T 0 0 Owner Name f\19.cy 0 :;4 Address/ Phone No. 3,9K 144 64)22�& 3"9' 30 631F 7� — Site Location ZZ 0 c4l?z�,r -p, xo/Zz S G1a U I JContact. Na me. Phone "3 Z) 0dobw =3