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CK �o Wynoka Homes 02Z 5810 Vista Del Cerro, lot 23, Vista Del Cerro Sub�k2, Oroville Permit#3021-80B,P,E,M(new single_ family) ' tLER, 99-1931 BRUCE 5810 VISTA DEL CERRO, OROVILLE CONTR: OWNER NEW SHOP'—v'11v1fL LT -15 -'ID - - 04 - COREY, JAN INALE 5810 VISTA DEL CERRO, ORO Id�rL( Cont: COMM ACTION AGENCY ROOF MOUNT EVAP. COOLER v �j (p . "moo •�Z3 G.B t 1 ' O E NOW NOTES 9 i ,,ff SlDENTlAL PERMIT NO. _ W-74,0-023 99-1931 MILLER, BRUCE 5810 VISTA DEL CERRO, OROVILLE CONTR:,..OWNER NEW SHOP 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Da Signature CHECKED BY V= OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready f Date ' MbBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer: Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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- Enclosure s-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 (: Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel- Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 80. 30. Range Circle / / ga Cu or AI.Oven Circ. / / ga Cu or At Insulated Neutral O Yes Q No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 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 Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 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 Tingle & Duplex) t Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 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 T -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 Instld./Drive Q Yes J NoMalks ] Yes O No/Planters 0 Yes 7 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: (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7, County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERUT NO APPLICATION AND PERMIT q� �� ASSES pAcgyUM R 023 AiHR%U)C /E4M�IJLLER Z°"" —1 BUILDING PERMIT .�.�'' OWNER TETJ E0221 SO. Fr. OCC. BUILDING VALUATION 56n, 11 10,080 OWNERS MAIUNG ADDRESS 5810 VISTA DEL CERROO OROVILLE 95966 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAIUNG ADDRESS , CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ R1 9n BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SHOP SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ]b Addition 13Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: NEW SHOP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A 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 in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: fli 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XE " _ Date �� �� Signature of Applicant - JV Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ures over 3 stories in height. Main Service TO ,000AGCU 46.00 W:o OR ADDNS.NEW CONST. DWEWNG OCCUP. SO . 3.5¢FT: 19 . O NEW CONST. MUAOT°OUTLET NON -REBID. C @7.50 OWERLAPPARATUS 8 E OUTLET CR. 20 ° 1.00 Ex. Occup. ounFT OR FLxruREs BAL @ .50 Ex. Occup. pF'U7)F7g REBID J0ERp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 39.60 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.�np� L FEE $ 267.50 VX T;�l HAZ. p. FEES ID ES CDF ._ P L PD D 5SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES OND.S.-B.D. the applicable provisions Resolutions to do work been paid. DateNo. p e CA SSOR PINK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT t --r9�f MSESSOR°t77 -7 D 2 2omwe BUILDING PERMIT owNERu� i /e Tear"°"e SO. FT. OCC. BUILDING VALUATION LllA OWNERS MAADORESO /D U1, 7�1 SEG Cerro ��ov�z , �r9i� CONTRACTORS NAME �e CONTRACTORS MAUNO ADDRESS C0N8TTM1CnON LENDER LENOER'S MNUNO ADORERS ARCHITECT OR ENWNEER ARCHITECT OR ENONEERS MAILING ADDRESS OUIDMNi ADDRESS rfA LOTNO. 0,tz I SutimsIONSNME USEEOFSTRUCTURRE SF O Duplex O Mobilehome 0' Other _W6e sPEcsv TYPE OF WORK New O Addition O Remodel O Utilities O installation O Other O Describe Work: Total Valuation Is cif; , C -- b 20 00 Permit Fee 6 % ' Plan Checking Fee S , Fling Fee 20.00 Energy Plan Checking Fee $ 7.00 I $ 23.00 PERMIT FEE 6 % ' PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 I Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 i Ex. Occup. OUTER OR FIXTURES 'PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service poA on mss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. ( OR ADONS. OWELLM OCCUR i ACC. OLDS. 35¢So. ./ FT. NEW COM I. NOKRESIO. MULTI -OUTLET wuru rayl * /1 1.:7.50 Ex. Occup. OUTER OR FIXTURES " a I.w .50 Ex. Occup. FU(EDAPPLNS.OR OMTS E91D. EA 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = m ( 0 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCL: C11T. TYPE TOTAL FEE $ HAZ• 10. FEES I IMP I FLD00 I COF I PARCEL I PO I HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION TCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: �!�C ASSESSOR PARCEL NUMBER: iaO Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data m st bes miffed prior to permit rocess' g and/or issuance: L.,A11 items have been submitted. t plan04 sets, signed by the preparer of plans. Complete plans3/ sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. El 8. Hazardous Material Form. ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. 1112. California Department of Forestry plan approval/fees. V41.Flood elevation certificate. . Sanitation and plot plan approval �� Health 1)6t. ❑ IS. City of Chico plumbing permit. 1116. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land,Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ❑20. Pre -inspection for required. 021. Contractor's license information. (Number,.Name Style, Classification). 022. Workers' Compensation carrier and policy number. 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124. Letter of signature authorization. 1125. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. ❑29 ❑30 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone �0 1/ and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant O,��-JJIVTY, OwF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7ACOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-75 ". * PERMIT APPLICATION DATA SHEET ti OWNER: ` ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector:Li Date: At time of permit application, I was advised the following data must be su miffed prior to permit processing and/or issuance: 1 Date Received By ❑ 1. All items have been submitted .------------------------------------------; ------------------------------------------ . P t plans, 3�fA sets, signed by the preparer of plans. ------------------------------------------------------------ . mplete plans, sets, signed by the preparer of plans. ---------------------------------- ---------------- If 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be showdbn plans. -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No fax ss!{ ------------------ ❑6. Energy Design Compliance and supporting documentation. ----------------------- ----------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.-----------------------------------------------------------=------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. '010. Fees of $------------------------------------------------------------------- ❑ 11: Impact fees as shown on the attached schedule. ---------------------------------------------------------t-------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ . Flood elevation certificate. ------- 14 . .Sanitation and plot plan approval ❑ 15. City of Chico plumbing permit. -- Health ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 0 20. 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.----------------------------------------=�'�-x -------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------ k ----------- 028. Existing violations and/or expired permits. -------------------- 6433 A, PGrant Deed, ❑ M.H. Title, s❑ Check to H.C.D $ Other: 1--p>io--C. eA r issue�.p, t, pr� follows ❑ Mail to owner, ne �i �- and hold for pickup at contractor. office. ❑ Deliver with inspector. (Date) ' Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll ion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 0 er: Date: By: 1. Index pemut application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was 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 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, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ivisye counter, byate: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING N: ONE: BUILDING PMT. 9 03&-7qV -oz3 r . R-, I qq- X931 OWNER: 1 I 11J , l j n PHONE: �,2r–?j_/0� I MAIL ADDRESS: �8[O V �S C� \ l >°C CI� �hn' � cC7q b(' v v o SITE ADDRESS: Yyi e C1!7-1, X60 ' PROPOSED USE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION !1) CONSTRUCTION FEATURES: 14. GENERAL INFORMATION: Yes: No: \1�- 1. Is there a primary dwelling on the property? Yes: No: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: No: 3. Will items produced in this building be offered for sale? I Yes: No: No: 4. Will the public have access to this building? Yes: No: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: u•- 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: \1�- 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: No: 19. t What type of floor covering will the building have? 20. What type of wall covering will the building have? I Z 1 ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. 1 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 offered for sale. a a� q OWN R'S SIGNA RE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: ti Y7 t� 911, �7 s� :a 'tV �- •t , X11 r � � I � E 1 I1. ��i. � ��i� f (•E tl A'. l J 1 I I I( }}} t t tt I i v y 1v t�'.b�fl� dYY ;fir � . ♦�. - .� I� V `i'.'.':..a�...t..1�." N t ,�,.iy'u✓ 1 � aAw�..A I' I.'� � � (�, I�4*yam' t �/r1.r? 11 � y e.. .. � �. �J+� \y •fir, -^ i . 1F' I I BUTTE COUNTY DEPARTMENT OF DEV, LOPMENT SERVICES BUILDING PERMIT .. A. 24 HOUR INSPECTION #: (530) 538.7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041708 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 06/14/2004 APN' 036-740-023-000 ' the Business and Professions Code, and my license is in full force and effect. ` License Class : License Number: gy7 Cr 1 Site Address' 5810 VISTA DEL CERRO ORO Date: Contractor. C AA- Map Index: Description: ROOF MOUNT EVAPORATED COOLER - 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 REPLACEMENT Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner' JAN COREY ' signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 5810 VISTA DEL CERRO she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 bi any applicant for a permit subjects the OROVILLE CA 95966 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: JAN COREY 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 Contractor: COMMUNITY ACTION AGENCY OF BUTTE pursuant to the Contractors' State License Law.). COUNTY INC. ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2640 SOUTH 5TH AVENUE Date: Owner: OROVILLE, CA 95965 (530)538-7559 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for License #: 617201 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0� I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer' ' insurance carrier and policy number are: Carrier: 0 1 Policy #: 1 1�6 Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation'' $0.0 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' / compensation provisions of Section 3700 of the Labor Code, I shall _ forthwith comply with those provisions. 4 Date: 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 psr .i is he y issued under a applicable provisions of the Butte County CndP anftr_ __ , I hereby affirm that there is a construction lending agency for the Resol ion to o 1r i o ict fe a been paid performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: &1 061 - PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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: J T' I e.-3� jnv 01_)A� Signature: Date: Z---�iy= ^� ' ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE, COUNTY DEPARTMENTjq DEVELOPMENT SERVICES BUILDING PERMIT - 24 HOUR INSPECTION #:, (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: •(530) 5384541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041708 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date'' 06/14/2004 APN: 036-740-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: ,p License Number: L1�r Site Address' 5810 VISTA DEL CERRO ORO Date: Contractor: C AA Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ROOF MOUNT EVAPORATED COOLER - Contractors' State License Law for the following reason (Sec. 7031.5 REPLACEMENT Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner' JAN COREY signed statement that he or she is licensed pursuant to the provisions of ' the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 5810 VISTA DEL CERRO 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 OROVILLE CA 95966 , 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 isl.; 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: JAN COREY 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 Contractor: COMMUNITY ACTION AGENCY OF BUTTE pursuant to the Contractors' State License Law.). COUNTY INC. ❑ I am Exempt under Article 3 of the Business and Professions Code 2640 SOUTH 5TH AVENUE Date: owner: OROVILLE, CA 95965 (530)538-7559 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 License #: 617201 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer' ' insurance carrier and policy number are: Carrier: / W&CA C Total Square Ft: 0 S. F. Policy #: ©! � ❑ 1 certify that in the performance of the work for which this permit is Valuation' $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code' and agree that if I should become subject to the workers' , compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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.�'— f/drier CONSTRUCTION LENDING AGENCYThis pe i is he y issued uu a applicable provisions of the Butte County Code a. nwor I hereby affirm that there is a construction lending agency for the A /D r /Tl Resol ion to o o is fe a been paid. 4/10 performance of the work for which this permit is issued (Sec 3097 Civ.) _!l1-`/ Name: BY � / Date: Address: PERMIT EXPIRES ON: ` Date ❑ 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. a, ❑ 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, --,,t Signature: Date:Iv= ❑ Owner ` Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION C APPLICANT NAME OWNER Name , Address g Zip City © e Fax State Zip Phone Zi Fax E-mail Fax C APPLICANT NAME ARCHITECT/ENGINEER CONTRACTOR Name Address Zip Address Fax 9 — City©,C State Zi Phone p -�►— Fax E-mail Lic. #�%Q Class C APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number C APPLICANT NAME Name C Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT Of - 00 BP BIN # LOCATION AP# 3 O Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: R-00 o Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Receipt #: I n ,I KU Amount: 00 Bldg 11D I.D1 ��� ��� otal te: K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3,Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed ❑ 3. calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to ❑ 7. mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in ❑ 11. triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. 1 OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 BUILDING PERMIT > SITE PLAN CHECKLIST APN: O �1 Q — 2�j. Building Permit No.: Proposed Use: SFD O MHO Res. AccessoryO . Ag. Bldg. O Commercial O Industrial 0 Other. Zone District: I General Plan: The Proposed Use Is: - Permitted: Not Permitted: Requires a Use Permit: Requires a Minor Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: Parcel Created By Map? No: Yes: Book/Pagi Map Conditions? No: Yes: , See reverse side V:: Use Permit: Variance: Dev. Agreement:. Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front 20 Side Side, street Rear Height Parcel in Land Conservation Agreement? No: Yes: ' , Check Use Panel in North Chico Specific Plan? No: Yes: , Check NCSP Zoning Parcel in Floodplain? No: Yes: , Zone: Panel No.: Parcel in Enterprise Zone? No: Yes: , Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Landscaping Requirements: OK as shown Other. _ Other Comments: P-ALZ�?� h^"� - l f-,) Z , A�� 1 �-- 'rc S S A Pr C- ---p'o D'z 1� l ter, -F (Q r"%', l � ) W 1n' 1r0—' IPL,-sj -s W ©tiJ 5,56- S ROS —&,a EA&KOu i s 1 EG '71-1 R;:viewed Bv:Date: r 1 • • • 1.1 • 'MSI / � / / , / ♦ /// /� —1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or.- vegetation r-vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a } trunk measuring 4 inches in diameter, 4 feet from ground level. Mance trees removed shall be replaced by planting replacement trees of equal number and not less than —'gallon size. _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project, shall be fully protected through the use of root protection zones (RPZ). During conatrtaatoo; RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the frank tai the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed' The . RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at _ least 16" above the ground and the upper strand shall be no higher than 48" above the ground. _4. Pay the required CSA 87 Trac and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambod the ' following enddkmentt angst be obtained. a California Fish and Game 1604 Streambed Alteration permit and an Army Cepa 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. - —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire . Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. —9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.. _ 10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $750 as stated in the Oroville Area Traffic Mldgation Fee Agreement. Payment to be mads to die Planning Division. _ 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. —12. _ 13 —14. K:IB L DGC H4. FR.1 2 I� j r•"a1ERMIT NO. 302180B,P,E,M PERMIT EXPIRES OWNER Wynoka Homes CONTR. owner 1 LOCATION (A.P. 36-74 -:22 ) 5810 Vista DelG?rro, lot 23, Vista Del.Cerrb#2, Oroville i Temp. Power Pol Called PGd&�E Temp. Elec. Sery Called PG&E Temp. ass Serv. Cafled PG&E ct.�-2 iB NALED (Si ature) ntrance Steps, Door & Sidel Smoke Detector 4,Eurnace--Vents. Clearances. F IxAL . Protection, Permit Garage -Height & Mech G.F.I. & Bath Fixtures 7 Electric Trim & Sub Panel -=Labels airs &7 Rails A_!,+ace or Stove --Clearances, Hearth Electric Outlets at Wood Panel --Int. & Ext. ._Fixtures & Appliances in Kitchen--Grounded--Air Gap --Cooking Clearance Electrical Outlets & Receptacles at Kitchen Counter . Garage Fire Door --Swing & Landing, Closer A4. 1r.e. Duct in Garage --Damper — Water Heater --Vents, Clearances, Combustion Air, P.R.V., Connector Garage -Height & 12.e'Steps at Ext. Doors & Landings �9:—Gerrard—Rails and Deck Construction 41, Feuftdat-itm Vents &.Crawl hole Door --Drainage & Wood -Earth Clearances— Looked Under Floor 7_7 Yes 22. Following Insta d: Drive LdYes I_f No; Walks � Yes No; Planters or ing Walls 77T Yes %-% No --- Creating Drainage Problems 7-7 Yes % No C. Unit --Disconnect Clearances Breaker & Conductor Size --115V Outlet 241.' -Vents Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings 11 -Disconnect Electrical Plumbing . Exterior Electrical Trim & G.F.I. Receptacle 2Y. Ventilation Throughout House s Protection Corrections from Previous Inspections Gas Test --Meters Tagged -Gas & Electric 31'.—Water Supply & Sewaee Connected Sign Job Card ALL OF ABOVE COMPLETED / / EXCEPT ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date -4- PLUMBING --Above Floor Permit No. ter Heater--Vent--Access--Combustion-Air T."water )?ipe--Test & Anchors --Nail Protection a Pi a --T --Fitt' s & A ors--Kall Protection 42" Test Shower Pan= -Test First floor --Tub Access 1-1 _ ..... ........ ......_ ALL OF ABOVE COMPLETED L�/ EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. Clearance & Insulation Protection at Flush Light Fixtures Elec. Receptacles Spacing --Lights & Switches at Doors ize Boxes & No. of Conductors --Stapled x Installed Close to Edge of Studs & C.J. ui . Ground made up w/Mech. Fasteners 2 A liance Circuits in Kitchen & Conductor Size Gb Feeders --Wire size ga.Cu , Breaker Size [� Amp.-- sulated Neutral, Yes N Range Circuit22 A�ga. Cu o , Breaker Size = Amp. --Oven Circuit ga. Cu or Al. ALL OF ABOVE COMPLETED EXU PT / Signed: : Date : ABOVE LISTED CORRECT IO �� Date: . .... .. ........................................ MECHANICAL --Above Floor Permit No. .C. Ducts --Insulation & Support Vent Fan --Exhaust, Above Insulation ndensate Dr & Overflow --Size & Grade urnace- - Access-Comb.Air--Return Air Vent --115V Outlet Attic Ac & Platform if Furnace in Attic 6. Sign Job Card ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLET Date: -3- UNDERFLOOR Permit No. Plans •7l Setbacks --Easements A . . 7� R A KLL7 YC(1 - - - 1 ee4c ^ f C Soils --Footings & Stemwall--/ " F�-�. -St H������--E1 " round :- P' rs--F ire lace Footing & Steel / Plumbing--Drain--Fall-Fittings--Wrapped in Concrete 42" test/�.f- -6-.— Gas Pipe --Size & Test `-7'-.— Water Pipe --Test & Anchors --Regulator - Electrical '9-; Plenums & Ducts--Clearance--Material & Support & Insulation 1 x. Si n Job Card ALL OF ABOVE COMPLETED / / EXCEPT signed:_ ' Q Date: IEIze) " �) ORRECTIONS COMPLETED ! ll OSIGN JOB C Signed: Dater -1- FRAMING Permit No. 1. Plans 2 Sills --Proper Material and Anchors 3 Walls--Studs--Nailing & Spacing & Bracing --Plates 4. Bearing Walls.over Girders & Floor Nailing 5. Draft Stop in Walls (rat proof) 6. Fire Stops --Furred Ceilings--Stairs--Chases--Tub 7 Header & Beam --Size & Bearing 8 Hangers --Post Caps--Anchors--Connectors 9. Ceiling Joists, Rafter Ties, Purlins, Roof Bracing, Trusses, Sheathing,'Roofing' 10. Fireplace Ties or Type A Flue --Fireplace Throat 11. Attic Access --Size & Romex Protection 12. Bedroom Windows or Exitin_Doors--Sill Hgt. & Dimensions 13. 'Garage Fire Protection Framing 14. Area Separation Walls --1 hr. Fire --2 hr. Fire 15. Ext. Doors --One 3' - Check Garage 16. Stairs --Width, Headroom, Rise, Run, Landing --Fire Protection 17. Plywood on Roof Overhang --Attic Vents --Rafter Outriggers 18. Siding--Nailing--Veneer 19. Stucco Mesh, Drip Screed & Foundation Vents & Underfloor Access 20. Glass Protection if required 21. Sign Job Card ALL OF ABOVE COMPLETED/ / EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date: -2- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Water Htr. Forms Parapets 1st Floor Subpanels Main Bldg. 1 Restroom Finish 2nd Floor Grd. Fault Prot. Footings WindowsU 3rd FI or Service StemwaII Sidin To out e/r1 �J U Slab Roof Sheathing Water Pi in O Interior Lath Piers Roofing Sewer Door Closer Garage Fdn. Vents Fixtures MOBILEHOME UTILITIES ------------------ Elec. Service Footin s b Stemwa I I Garage Vents Insulation Water Htr. Heaters Sewer Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test U l3 Temp. Gas Water Piping Slab Final Sanitation DATE Patio FIREPLACE Final Footings Footing ELECTRI AL Masonry Walls Throat Rough 2- P1 Y 0 Reinf. Steel Final Fixtures Bond Beam_ / / FIRF SPRINKI FRS Mntnm rraming Test Water Htr. Stucco Final Subpanels Mesh d MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown lily S Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M RB1 ,EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping . DATE -REMARKS OR CORRECTIONS f/Z 101 �- 10, (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTIOP: COMPLIANCE CERTIFICATE THIS IS TO.CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALL D IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT- ,Z 3 (location) BUILDING PERMIT NO. A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: n Slab Edge. A% Fdn. Walls Walls Ceiling/Roof Ducts Circulating Pipes N A APPROVED HEATER APPROVED WTR.HTR. 1/ GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK D.*1PERED FANS �^ INTERMITTENT IGNITION DEVICES CERT. APPLLANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.Insulation Applicator Nar,:e tlaol'-we-0 Signature of (please print) InsuJ.ation applicator State Contractors License No. General Contractor/Owner Name�/l%OKA /`(�MEtF lease print) Signature of General Contractor/owner Date l�- fav State Contractors License No. /9��(__ THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. L North Burbank Public utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533-2000 139-80 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 North Burbank Public Utility District; must be submitted to Butte County. Applicant: WV'NOXA MOMF S TNC - Applicant Address: P. 0. BOX 1600. OROVILLE. CA 95965 Applicant Phone No.: Property Location (s): 5810 VISTA 'DEL CERRO A. P. No. (s): Fees Paid: VISTA'DEL CERRO UNIT II, LOT 23 036-74-0-023-0 1 _ALL FEES TO BE PAID BY MID MAURY TIME & F.S('CO AT CLOSE ESC OW. p OF ANNEXATION -NECESSARY BEFORE FINAL -INSPECTION Application for service approved: JULY 102 1980 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: I ®r ,a..? Date: I 0 North Burbank Public Utility District release to close permit: Date: 2 5-- gD By: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 53Z-4541 APPLICATION AND PERMIT , ,5._oai�o authorize representatives of the County of Butte to enter upon the above -menti d property for inspection purposes. X Date ignoture of Permitee or Agen Receipt No. b?Z) 72 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By C Date 1=12-X-21 Buil tng permit expires Date ?/ BUILDING Owner �/�a�/�VIVES SQ. FT. OCC. BUILDING VALU 01 �►-- Mailing Address P Q. 80X 11600 3/u— A4 2 ZP7. + �A ,5-9� � GdpAeo v Telephone No. Contractor Q �� Mailing Address Fireplace Total Valuation 9/747, tv0 Telephone No. Permit Fee Z r 0 o Building Address Plan Checking Fee&/or Penalty 31,75- Permit Fee /59,75 16XI J ewlr- PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 ,Oa Each Trap S 16- /Q, 00 r� TA �E(, Cee" L '� �?j Repair drainage or vent piping 1.50 /J A. P. No. 3& -74 - (-3 Zoning & Planning Water piping 4-5& 0.00 Each gas water heater or vent 9,0 Pe s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 4-r69 Z00 EQA Parking Parcel Plans arcel Ma pBuilding 60' R/W Improvements Each additional outlet 30 sewer 5.00 nDeclaration f31 4AS � Parcel A roval'�-3 Plans Appro Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Z,—Op $ !;Mod ELECTRICAL No• @ FEE G PERMIT FILING FEE J$3.00 5,,L70 600V OR Main service 100 AMP ORSLESS 5.00 Single Family EK Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPe0ov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING O OR ADDNS. ACC. BLLDGS 20sgft , S' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �Q ,� / NEW CONSTR MULTI.OUTL T NON.RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS B NON-RESID. `SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g 2@51004 FIXED APPLNS, OR EX. Occup. (OUTLETS (RESID•) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ZS Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O,sS $ 30 5� MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code w ich requires every employer to be insured against liability144140` for men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 r HeatingQV Cooling A Ventilation +2.00 Hood tp Permit Fee $ Z.dv $ .� D I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTALPERMIT FEE $LTJ 3 authorize representatives of the County of Butte to enter upon the above -menti d property for inspection purposes. X Date ignoture of Permitee or Agen Receipt No. b?Z) 72 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By C Date 1=12-X-21 Buil tng permit expires Date ?/ ��� C� ,vi �T� f<..o CV Asetback of 5 ft. from the — p operty lines and a. setback ol 50ft. from the road o nterline shall be clear of si,uctures or equipment exce t Fc r a 2 ft. eave overhang. PAD 06q /of �%res * N%(%e OT se , aes • JNSie\ Go 13 voce ,sr, ae. COT V%\�" Go Ok \Y\\ �\O eche No Ci ti 20, P .X5 - L - See Mas er Plan on file Tor buld'in-4 plans. Z/ 7 0 er UIM COURTY 'BUIL[ SIG DIFTAMMMT 'A PROVED This set of plans and specifications MUST/EgA( ILI kept or, the job of all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Publiq Works, County of Buffq% VISTA b. i T 8 SUBDIVISION CITY COUNTY LOT NO. SEWER JOB, NO. 0 MOMEB.INC. `CWA WATER P.O. BOX lea: SCALE P- (0, 1; 1 OROVILLE, GAS P6,e ,YNQK.. I CAL. 98866 ELECTRIC 918-S33-1�271738 'A 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. BP042946 LICENSED CONTRACTORS DECLARATION4A O o ?--'5?--'5I 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: 10/07/2004 APN.0:72-600 24-000f the Business and Professions Code, and my license is in full force and _ 1 effect. License Class: License Number: Site Add Date: Contractor: Map Index: S71 I) vl 5t,0L ! .)P j V �QVJ Description: RE -ROOF (21 SQ) 0 OWNER43UILDERDECLARATION 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 Owner: COREY JAN permit to construct, alter, improve, demolish, or repair any structure, prior , 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 5810 VISTA DEL CERRO the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530) 32-8223 violation of Section 7031.5 by any applicant for a permit subjects the appli 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 Applicant: COREY, JAN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 5810 VISTA DEL CERRO provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 32-8223 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 Contractor: 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.). ❑ 1 am Article 3 of the Busine d Professions Code ,Exeempttur' �under D1�=� Owne Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 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 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Valuation: $0.00 Policy #: Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithcomplywith those provisions. Date: 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 s (� I p/7/D 4— code, interest, and attorney's fees. (3 CONSTRUCTION LENDING AGENCY This permit is he eby issued under the applicable provisions of the Butte County CodR ?ndjor I hereby affirm that there is a construction lending agency for the Resolution to d work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) f — f BY: ` �•-"� Date: Name: PERMIT EXPI ES ON: b / C S Address: Date ❑ 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. Cl 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. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: ❑ 0 for Contractor Owner 13 Contractor Agent for Owner Agent IM Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at 'your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the majorrNO1 r and materials for construction of the proposed pro�rty improvement: YES[ I. .�,-2. I HAVE[-' ] HAVE NOT[ ] signed an application for a building permit for the proposed work. �. I have contracted with the followiniz uerson (firm) to provide the pronosed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4 I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for -the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned �r C. Viei4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 0 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE M (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Na rgt Name Address City State City Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip Citytate Fax E-mail Zip Phone Map Book Fax E-mail Planner I state Ucense Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o4 �94b BIN # LOCATION AP# � 3 � • 7s} -o • 0 7- 3 Property Address ` I �2 City C)� 5t3 t0 V c S'rz�. Cross Street f WORKER'S COMPENSATION Policy Number Carrie If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O Structure Built vrithout Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS va�noeec�oi ni r%II.tr_1 Cn0RAL1I0I -A--I0,.k0-.d...i. Donn 1 ni0 Received by: Amount: 5-0 Bldg SRA Receipt #: 4—ta$--t g Sheriff Date: "c" • 7, cw - SMTP Other 137 50Total DCS/ 7_07 -AA SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) . ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes:.(A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunas can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits .ssued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION ,AFORMSWILDING F0RMS\BIdg4p1SubRgmts.doc Page 2 of 2 REV 7-27-04