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078-310-097
! f'i• ., 2 -.. -„ af'Y t. ' .. j yY ., E !� ;s = _'?! # � ►e##tp�}Flr` t7jeY�%.i , . ,:.. ,� � , .`�. Y Fi'A�� i i�L. , ' �, - ' . , i' t �„i�;.� -. fdi` �..:, t ix �• 11��131 it�'I{ s + bl i {F 'l � a } z yFj7 +� •., - . - s f'. , - 7 1• tit ! fff{{{,{���'+(+�, � _ �s j iYl! rel t.jf �iN 1 fly`} ;m'. 1 I � ! •• • 04-2 2675 V-6 PCD. OROVILLE C0111: OWNER writ { • t ! a •• 01, t� #! NOTES - RESIDENTIAL d PERMIT NO. = 04&494-9 04-2325 t FRAZIER; THOMAS 2675 V-6 RD, OROVILLE i Cont: OWNER { I CONVERSION/REMODEL +� • a •` ' •, G, N,. .a `�' ,t^ • � .+ 'IIA...• + Y OFFI,CfE COPY Address-) S V •� r chp 111A AS Meter By Date ELECTRIC Meter By Date SPECIAL CONDITIONS CHECKED BY SRA '- FLOOD CERTIFICATE REQ. _\ t t FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ; ; VERIFY -'r''� USE PERMIT CONDITIONS'. SUB -STANDARD HOUSING• LETTER;-' " C�. �FFI E COP ' Address GAS j� Meter By Date !: r ELECTRIC u'9 �1iI3 Meter By Date ------------ JOB FINALE D in e i. Signature • I OFFI,CfE COPY Address-) S V •� r chp 111A AS Meter By Date ELECTRIC Meter By Date SPECIAL CONDITIONS CHECKED BY SRA '- FLOOD CERTIFICATE REQ. _\ t t FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ; ; VERIFY -'r''� USE PERMIT CONDITIONS'. SUB -STANDARD HOUSING• LETTER;-' " C�. �FFI E COP ' Address GAS j� Meter By Date !: r ELECTRIC u'9 �1iI3 Meter By Date ------------ JOB FINALE D in e i. Signature • J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDFIRFLOOR (Plans) OK except #'s - 1V,Von ing-Setbacks-Easemen' j^od-Slope 2r Main; Soils Flet. Gr : ,.�' Ftg. Depth 3, g., Garage; Soils-Steel-Elec. Grnd.-/ FZ" Ftg. Depth 4.` Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth f/3'femwalls, Main; Steel -Bloc kouts-Wrapped (6* Hold Downs and Special Anchors �7. Slab, Steel -Wrapped V Pigs -Fireplace Ftg.-Steel y ( pq. 6.W.V.; Fall-Fitting-Te6t-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date t V4>'`•- Card B-1 Date Card B 1 Date _ -* Card • -1 r.IA6 Date Card B -1,J Date PLU I G (Permit) OK except #'s r-Htr.; Vent -Access -Combustion Air Baffle 1 4ater Pipe; Test & Anchor -Nail Protection 1 V D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Q3_"F77e Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 _ Date . ' Card B-1 ' Date _ ELE RICAL (Permit) OK except #'s 2 . Fxture & Transformer Clearance -Ins. Protection 25 lec. Receptacles Spacing -Lights & Switches at Doors 2 ize Boxes & No. of Conductors Stapled 2 . Romex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech Fasteners -Bond Gas & Water , 291"2 Appliance Circuits in Kitchen & Conductor Size GFI Meed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ 6 /ga Cu or AI -Oven Circ. / /ga Cu or Al !Psulated Neutral O Yes O No 32."Seice-Riser Conductors & Ground Main Disconnect 33. quip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date W//O-t-Card B-1 Date Card B-1 Date �- Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except #'s 6. A. Ducts Insulation & Support 3 V t Fan, Exhaust above insulation 3 Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & P110- if Furnace in Attic Date Card B-1 - Date Card B-1 DaCard B-1 Date Card B-1 Date FR MING (Permit) OK except #'s .,,Sills Proper Materials & Anchors 4ZWalls Studs -Nailing Spacing & Braces -Plates -Sound 4 . Bearing Walls over Girders & Floor Nailing 4. Draft Stop in Walls (rat proof) 49. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46 Headers & Beams -Size & Bearing Date FRAMING (Continued), Hangers -Post Caps -Anchors -Connectors ® C�rng. Joist-Rftr. Ties Purlin-Roll Brac.- Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Bdrm. Windows or Exiting Doors -St It. & Pitnensions ' X5.2. Garage Fire Protection Framing -RC Ch el 10 ? �3. Property Line Firewall & Openings �R Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer _58 -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5• . . lazing -Area Glass Protection -Skylights -Plastic 6T Xear W IIs; Nailing -Bolts 8 piy �Brac terior/Exterio II Panels Ij2. • Insulation -Walls -Ceilings 63. Infiltration -Walls indows Date p B f Card -1 Date Card B-1 Date 1(- Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings S oke Detector Furnace Vents -clearance -Comb, Air -Connector- garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 6 G.F.I. & Bath Fixtures & Tub Access -Sp 6 Elec. Trim & Subpanel, Breaker Sizes & 70. Snails Fireplace or Stove, Clearance -Hearth 72. E1e3�,Tutlets at Wood Panel, Int. & Ext. 7 It. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74�_W.'Outlets & Receptacles at Kit. Counter 7,'Y -Garage Fire Door; Swing -Landing -Closure. 76. Duct in Garaae-Damoer Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. , in age; Above Floor-Mech. Protection 7 Ib.; Elec. & Mech. Equip. Listed for Location 7 Elec. Receptacles in Garage (F.F.I.)-Romex Protection C8V Insulation -Foam -Looked in Attic Al. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cle rance Looked under Floor O Yes ollowing Instld./Drive es O No/Walks s O No/Planters - es O No 84. Stucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water II, Disconnect, Electrical, Plumbing 88. E ri Elec. Trim, G.F.I. Receptacle -Underground 8�'yelitilation . Throughout House 9! ecti ns from Pre ous Inspections -•L_ 15 -0 IL%Ar 9 " Ga est -Metes Ta ed, Gas -Electric -HC%A 93 Water Sewer Connected -C/O to Grade -HD Approval (QAY F joergy Compliance Certificate -Other Certificates .. Address Posted 96. Fire Sprinkl Date 0�;' Card B-1 Date Card B-1 Date „Z Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK Not . NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater B. 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 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDINGPERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: 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 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 7000) of Division 3 of the Business and Professions Code) or that he or 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 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 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.). ❑ 1 am xempt under Article 3 oofJt!F e Busine s ofesssiions Code Date:' Owner: ' *. I, '';)L— WORKERS' COMPENS#TION DEOI_ARATION I hereby affirm under penalty of pedu one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance,of the work for which this permit is issued. ❑ 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: Policy #: qp 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I i`� 2cr1 c J Applicant: WARNING: Fa re 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. J PERMIT NO. BP041775 d Issued Date: 06/18/2004 APN: 036-101-028-000 Site Address: 2675 V-6 RD ORO . ' �, 3 Zt� Map Index: 1 Description: reroof 10 sq/ siding 1073 ft/ 6 windows retrofit 1 Owner: THOMAS L. FRAZIER II 2675 V6 RD OROVILLE, CA 95966 530-370-1975 Applicant: THOMAS L. FRAZIER II I Contractor: License #: Architect: ) Engineer: i TotalSquare Ft: Valuation: Census Code: t c. CONSTRUCTION LENDING AGENCY - This permit is heret I hereby affirm that there is a construction lending agency for the Resolutions t 00 performance of the work for which this permit is issued (Sec 3097 Civ.) 11 Name: By. PERMIT EXPIRES Address: rr the applicable provisions of the Butte Cnunty CodA and above for which fees have been paid. c` I l%l� _ n�re• �(% � �• CJ ❑ 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 ficial form or do ment of Butte County. I hereby authorize representati(( of Buttee unty to enter upon the above mentioned property for inspection purposes. Print Name: I D ^^ I y"I Signature: —� �-- Date: �O I �%l 'LLU `i✓ ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 02/02/06 14:38 SACRAMENTO INSULP.T-ION 4;7428786 NO.418 D01 CERTIFICATION OF INSULATION ADDRESS OR TRACT .. 'SACAA'MENTp BUILDING CONTRACTORS O Al ni cu= 1 � F-' V �U '� f�rUt� l`2 c"CA, 1.J 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 [� 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 3881 BE:NATAR WAY, SUITE A, CHICO, CA 95928 UC4r202026 ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC -#202026 DATE INSULATION COMPLETED ( square feet) { square feet) i square feet) OF INSULATION TYPE'OF INSULATION TYPE OF INSULATION ,... _.. ..TYPE MATERIAL FIBERGLASS MATERIAL FIBERGLASS MATERIAL FIBERGLASS FORM BATTS FORM BATT$ BLOW FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURRI747VITOOLICT I.D. MANUFACT'URER'S PRODUCT LD. MANUFACTURER �MANUFACTUREti MANUFACTURER CT OCF KN CT OCF KN CT OCF KN SAGS R.VALUE: INSTALLED OR APPLIED THICKNESS R -VALUE INSTALLED APP.:LIED' . THICKNESS • 12 MIN. INSTALLED. WEIGHTpER SQUARE FOOT . AWALUE. INSTALLED APPLIED TMCKNESS KNEE WALLS IF REVALUE•IS pTl1EF1-'THAtJ WAl L3 ABOVE MATERIAL FIBERGLASS FORM BATTS R°VALUE MANUFACTURER CT 0 C KN AIR,INFILTRATION SEALANT` ' MATERIAL FOAM MANUFACTURER HILTI HANDY FOAM THIS IS TO CERTIFY THAT INSULATION -AND/OR SEALANT HAS 8E£N 1nISTkLLED 14N,CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGU4•ATiONS 51 INSUL I =NTqACT TITLE /g /I DATE J SIGNATURE - GENERAL RACTO TITLE DATE REMARKS WHITE • Builder Copy, GREEN • Builder Copy, YELLOW - Customer Copy, PINK - Attie Copy, GOLD - File Copy Aug 16 05 04:43p Western Woo -As ,Ewp 'R i}cckk /J X5303431124 P.1 ti AFA=vrio Cer''fificateofConformance Certificate 054098 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated;Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HE:9EBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verity conformance to industry standards for lumber grade and glueline bond quality. ,'ffV J /Q2CV- J oo' di✓S by --.-- Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 191h Street • P.O. Box 11700 • Tacoma, WA 96411-0700 ti. Telephone: (253) 565.6600 • Fax Numbor: (253) S65-7265 BUTTE,COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042325 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: 11/10/2004 APN: 036-101-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2675 V-6 RD ORO Date: Contractor: Map Index: Description: ADD (232) GAR (567) CONVERSION, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the REMODEL 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 to its issuance, also requires the applicant for such permit to file a Owner: THOMAS L FRAZIER, II signed statement that he or she is licensed pursuant to the provisions of 2675 V6 RD 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. she is exempt therefrom and the basis for the alleged exemption. Any 95966 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 Applicant: THOMAS L FRAZIER, II owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 ofAhe Business and Professions Code Date: Owner: �^ WORKERS'COMPENSATIOK DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 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: 808 S. F. Policy #: Valuation: $28,904.00 1 certify that in the performance of the work for which this permit is Census Code: issued. I 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 forthwith comply with those provisions. Date: I l v I o 'I T 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. 1 /l r 5�o ss t/_Ifl�, 1 CONSTRUCTION LENDING AGENCY This permit is hereby issued u der the applicable provisions of the Butte County Coda 2n'v I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions to do a ' ed above f which fees have been paid. performance permit By: Date: ' Name: ) G PERMIT EXPIRES ON: Address: Dat ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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: ©'`� Signature: �. Date: l f IO `i .Owner O Contractor O Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name Fr�R �i�2 777 irst Name %fo M 4_ 5 Address ramk;yj QO 80X I" City D�eOI/l L L C State C,4- Zip QS%�i1 Phoney - 3 7e — / 9 7 Fax E-mail 61�f -ITe./ ell-" I L4 ARCHITECT/ENGINEER CONTRACTOR Name n AL7 � %04v Address lip 95-96 City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name /d19 at %Q =r TkO~A5 Address3y�L-�N6S "oc C T. City `� State lip 95-96 Phone �j ju -533 -S4 S °( Fax E-mail State License Number APPLICANT NATURE X -1,/_�/ For office use only: APPLICANT NAME Name Flood Zone Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICANT NATURE X -1,/_�/ For office use only: Zoning PropeAdds NO V-(� (0`4D Flood Zone Cros$ Street (� SRA Policy Number No Occ. r U I T pe Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT N LOCATION AP# D 36 PropeAdds NO V-(� (0`4D City p✓Gu��`L� Cros$ Street (� WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 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. _ I- 1 10 OVER FOR SUBMITTAL REQUIREMENTS K:\FORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: - Amount: / '13W t7141Wn Bldg r\ / SRA Receipt #: I Sheriff SMIP r i DaterH I . Other SSTotall REV 6-16-04 lI SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 1❑ 4. ❑ 5. ❑ 6. ❑ 7. ❑ 8. ❑ 9. 2 Engineered truss details and layouts (if required) (1VO FAXES!). Letter from Engineer or Architect for truss design review. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) 2 Flood Elevation Certificate, wet -stamped and signed (if required). Detached Accessory Building Form, filled out by the property owner (if required). Sanitation and site plan approval from the Environmental Health Department. 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 en 'neer. 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 GRAPHPAPER! ❑ 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. OVER FOR BUILDING PERMIT APPLICATION KAFORM BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ,�....,,.....,•��m�.ire..�:'�..-,.1.r�`^""`+s"r;:..=+-X�;..-..�+.-.,...:.''^'G"�.++�p.:.-r.-qui.-.`"`r"r'�s v. -n _..... --t. ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT. SERVICES -BUILDING DQISJ�7, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:E"OR PARCEL NUMBER ��A SESS Proposed Building Use: Counter Technician: Date: 5 • o A - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to appl}i 7. 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 desiga'and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd. plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14: Hazardous Material Form P 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 approvals❑ paid. Sent by: 1A 6.11 • o¢ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: C° T • �� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept .................:......... ❑ 28. Pre -Inspection for required....... . ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 0 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. D ed 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 I and hold for pickup. I have been informed of the above items andlrequirements for obtaining a building permit. Applicant: 1. Index permit application forthe above items tuber d: NUJ 2. Additional items re Contractor, design owner, as advised of the above data by e, ❑ mail, ❑ cc Contractor, design as advised of the ve data by phone, ❑ mail, ❑ cc Plans reviewed by: Date: Plans approved by: _ Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: f/s A�®� _ Plan Check Letter Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ` A.P. # ` / X1. PROP �bSED BUILDING USE C ,��1 DATE RECENT # DAT REC. BUILDING PERMIT FEES 1 tj� % Lf --- Balance Due ..................... $ wzr:� --- Additional Fees Due........... $ -! Revised Plan Checking Fee.�; I ,,�Y—� 2. SCHOOL DISTRICT 1FEES (5 � I13—, (paid at School District Office) -(form available after Plan Check 02>1 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) PC 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.84 (paid at Building Division) I15D � 4"8. WATER TENDER FEES BATTALION # 1 $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) .......... X = $ M Sq. Fig. Amt. �\ �OTHER� ' � At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan ecking proces kl-ZCl APPLICANT 7��.DATE rGP7 C o� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project.' You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) P ;d,w. ... ;w: • r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM a (One form per Building) School District y �U 1 I e Building Department No. i0 L/ p A.P. Number L�✓� ' ✓<n i n 2 0 Jurisdiction: City County Property Owner r l.�' ✓)'L-� -C) T" r� Z f Ci(�� Property Location/Address (P-7 VCccL Subdivision Lot No. Residential Development Q No of `Living Mobile Home Units Installation Commercial/Industrial °4 Q New Building Depar(ment Representative :.................».»......... .......... ....... »............. _ ...... _.... 7 ................ ..: Sq. Footage Add—itio�i/ 'Supplemental to = (Group R) Conversion Permit # r *(No foundation inspection) :............................................................................................... .. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use,Facility document) Sq. Footage Addition (Including Exterior Roofed Areas) i 2 9. ov i Date . : District Identificatioriallo. to9;L3 School District certifies that n S V- a- Z- ( e_ V11 (Applicant) �e11;7 V la 1`d J "(Street Address) "" •. (Phone Numbei) Scl i (City) has complied with the requirements of Resolution No. representing s square feet. School District (State) 6 3 _-0-f --( (Zip Code) by payment of $ µIM 2926 $ FULL MRIGATION $ Paid by Check # Remarks: 03t" —lot S S r7 1 . - 2 - Date Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the Distrl t in compliance with . Government Code Section 66020(a), within 90 days from the date hes ars paidlure to submit a timely written protest wlil'prohdbit you from challenging the Imps (tion of the hes In any court action. - M, subsequent to the School District Representative signing thio Butte County Schools Impact Fee Certification Form,, the School District Is notified by the applicable Local Planning Agency that this profee-Is being revisor under the California Environ enhl Quality Act (CEQA), this project may be subject to additional school hos to fully mitigate. Its Impact on the school distr1cre schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/03)dmm 0 p� p. SI(TTE PLAN REVIEW APPLICATION Date: L !�' C`' �O ( AN Permit Number (if applicable) O l 2 3 2 Bin Number APPLICANT INFORMATION Parcel Size: i/�i ev4cf , Owners Name: -+ Owners Address: ' Tele -phone No.:; Situs Address: Proposed Use: Residential ' ❑ New Single Family Residential Single Family Addition Single Family Remodel , ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary-TravelTrailer ❑ Multi -family f Non-residential ` ❑ New Commercial ❑ Commercial Addition '` ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well? ❑, Agricultural Exempt Building ❑ Agricultural Buffer. Form ❑ Applicable ❑ QUA ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Si Plan St ped Approved r By Date Page 1 of 5 r ft ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) �y ❑ 100 -Year Flood Plain: (See attached) r • Flood Zone: X,, • Flood Panel No.: 671z8So Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=---------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Ano— &F U12 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 M Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side r� f Side Street Rear 3-4-Y Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 M r Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ----------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes. . Comments: S� ,�i,Dr— {� ZZ - 1-1-75 /'te t ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ti ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. u Page4of5 s r , Summary of Specific Requirements: F .. r This information provided in this summary is based on the application information and on the best available data at the time of review. CAUMs\Building Permit Site Plan Reviewl.doc f y Page 5 of 5 Department of Development Services Building Divisi®n 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Constructi®n Requirements a PORTANT . , This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These- items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. - GENERAL REQUEREM ENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.) • Provide required room dimensions and ceiling height. (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment (Sec.306, U.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door_ (Sec. 10033.13,U.B.C.) • Provide adequate clearance and type A flue for fireplace/woodstove. • All stairways to comply with U.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails. • Hallways to be minimum 36" wide (U.B.C. 10043.3.2): • Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from,vehicular damage. o Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide 1/2"x 10" anchor bolts @ 6' o.c. max and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) m Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at the top and bottom (Section 1806.7.2, U.B.C.) ® Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: 15k -a zi e.,r- Building Permit Number. 5' Plans Examiner: Martha Christy ' 509, U.B.C.) • Veneer per Ch. 14, .U.B.C. • Exterior plaster —weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C. 1. 2. 3. 4. 5. 6. SPECIFIC REQUIREMENTS Provide safety glazing in all hazardous locations (U.B.C. section 2406). Garage firewall separation — required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). Install smoke detectors as per the requirements of U.B.C. section 310.9.1. Special roof covering required, class B minimum Provide 2 separate exits from the third story (U.B.C. section 1004.2.32 exception #4). Every bedroom shall have at least one operable window or door. Windows shall have a minimumnet clear operable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net clear openable width of 20". The window sill height shall not be more than 44" above the floor (UB.C. 310.4). COLOR CODE USED ON PLANS Blue = Engineering Pink = Firewall Green =Braced wall panels Yellow = Important COMPLY WITH ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate..4 Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: ., 1. Building is anchored to concrete stemwall system with conventional anchor bolts. ;< 2. Building plate on top of stemwall to beone foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required), 3. Electrical, heating, ventilation, p elevation. hm3bing and air conditioning equipment and facilities located above the 100 -year flood 4. At least 2.openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. S. ' The bottom of the . openings shall be no highei than 1 foot above grade. 6. The openings may be screened or covered with other devices that willpermit automatic entry and exit of floodwater, 7. All building materials below the 100 -year flood elevation must be of fire-resistant material. ❑ Fire sprinklers are required in this structure. This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures and equipment including overhangs shall be clear of all easements. A setback ofQ. ^iom the side andotp 4z0-Pom the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect Page 2 of 2 Owners Name: FrGv7'i Or Building Permit Number: Plans Examiner: Martha Christy Department of Devel®pme, nt Services Building Divisi®n 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Construction Requirements ] PORTANT . This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These- items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUIREMENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.). • Provide required room dimensions and ceiling height (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.) .• Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door_ (Sec. 10033.13,U.B.C.) • Provide adequate clearance and typeA. flue for fireplace/woodstove. • All stairways to comply with U.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails. • "Hallways to be minimum 36" wide (U.B.C. 10043.32):. _... • Underfloor access and ventilation per Sec.2306.3 & 2306.7, URC. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneyshype "N' flues. • Provide 1/2"x 10" anchor bolts @ 6' o.c. max and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) • Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at the top and bottom -(Section 1806.7.2, U.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: Building Permit Number: _© q- 32,5 Plans Examiner: Martha Christy 509, U.B.C.) ' • Veneer per Ch. 14, .U.B.C. • Exterior plaster — weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathr=ooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provideplumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). 2. Garage firewall separation —required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3)• 3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1. 4. Special roof covering required, class B minimum ' S, Provide 2 separate exits from the third story (U.B.C. section 1004232 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area of 5.7 square feet. Additionally, the window shall have a m;n;m„m net clear operable height of 24” and a arin;m„sn net clear openable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4). COLOR CODE USED ON PLANS Blue = Engineering Pink = Firewall Green = Braced wall panels Yellow =Important COMPLYWITH ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100- ear flood lain. Finish floor shall be a min;rrn,m , i Y P of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation regnirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwallto be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, phimbing and air conditioning equipment and facilities located above the 100 -year flood elevation.. 4. At least 2 openings in exterior walls, Iocated on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5.' The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 7. All building materials below the 100 -year flood elevation must be of fire-resistant material ❑ Fire sprinklers are required in this structure. This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures and equr meat including overhangs shall be clear of all easements. A setback of A 5k*'m the side and0,5i� Iom the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 Owners Name: ra-e-! er- Building Permit Number: D Y - 2.3 5" Plans Examiner: Martha Christy RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Thomas L. Frazier, II 2675 V6 Road Oroville, CA 95966 A.P.N.: 036-101-028 GRANT DEED illi ill lil! illi l 11 i lillt� 11 li Ili 11 �GD101Z----0fb3Ea4-92 Recorded I REC FEE 10.00 Official Records I TAX 63.80 County Of l BUTTE I CANDACE J. GRUBBS I Recorder I RUSEMARY DICK9014 Assistant I Barbara 09:00AM 17—Jun-2004 I Page 1 of 2 Above This Line for Recorder's Use Only The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $63.80; CrrY TRANSFER TAX $0.0o; SURVEY MONUMENT FEE $ r X I computed on the consideration or full value of property conveyed, OR File No.: 0403-1491069 (MM) computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sate, X • 1 unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Betty 3. Ball, an unmarried woman and Evelyn K. Marlow, a married woman as her sole and separate property hereby GRANTS to Thomas L. Frazier, II, a single man the following described property in the unincorporated area of , County of Butte, State of California: A PORTION OF LOT 8, IN BLOCK 23, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF VILLA VERONA, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3ANUARY 17, 1889 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 8; THENCE WEST ALONG THE SOUTH LINE OF SAID LOT 8, A DISTANCE OF 230.0 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE CONTINUING WEST ALONG THE SOUTH LINE OF SAID LOT 8, A DISTANCE OF 100.0 FEET TO A POINT AT THE SOUTHWEST CORNER OF SAID LOT 8; THENCE NORTH ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE OF 251.47 FEET TO A POINT; THENCE EAST A DISTANCE OF 310.0 FEET TO A POINT; THENCE SOUTH A DISTANCE OF 100 FEET TO A POINT; THENCE WEST A DISTANCE OF 210 FEET TO A POINT; THENCE SOUTH A DISTANCE OF 151.0 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING PARCEL OF LAND.- COMMENCING AND: COMMENCING AT THE SOUTHWEST CORNER OF SAID LOT 8; THENCE NORTH ALONG THE !NEST "ME OF SAITO LOT 8, A DISTANCE OF 251.47 FEET TO A. POINT; THENCE EAST A DISTANCE OF 100 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST A DISTANCE OF 210 FEET TO A POINT; THENCE SOUTH A DISTANCE OF 100 FEET TO A POINT; THENCE WEST A DISTANCE OF 210 FEET TO A POINT; THENCE NORTH A DISTANCE OF 100 FEET TO THE TRUE POINT OF BEGINNING. Mail Tax Statements To: SAME AS ABOVE M A�'' N.: 036-101-028 Grant Deed - continued File No.:0403-1491069 (MM) Date: 06/10/2004 Dated: 06/10/2004 L62 etty J. PUII Evelyn K. NUrlow. STATE OF CALYFORHIA } )ss. COUNTY OF BUTTE } On JUNE 10, 2004 before Me, - MA ZY.. A ...TH0MPS0N _^NOTARY personally appeared BETTY J. BALL AND EVELYN K. MARLOW personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) .whose name(s) is/are subscribed to the within instrument and, acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their slgnature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal: This area for ocial notarial 5617/ Signature G MyCommiss Expires: Notary Name: Notary Phone: Notary Registration Number: County of Principal Place of Business: O.B. -1 OWNER -BBI L,DER VERIFICATION - 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 anad issuing your .building permit No building permit will be issued until this verification is received. �I personally plan to provide th major labor and materials for construction of the proposed - property improvement: NO 13 I HAVE 13 HAVEN signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME.• F ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ` . I plan to provide portions of this wok, but I have hired the following person to coordinate, supervise, and provide the major work NAMM: " ADDRESS: r CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: - - NAME ADDRESS -PHONE TYPE OF WORK SIGNED: ,. PROPERTYOWNER: DATE: NOTA: This O wnerBuilder Verifim on is required by Section .19831 and 19832 of the California Health and Safety Code. This Va cation must be completed and returned to our office before we are permitted to -issue the permit OWNER BUILDER IlNFOBMATIrON Dear Property Owner. An al?PlicadoR improvements specifiedfor a bnalding permit has been sabmitted in your name listing Yourself as the builder of proPmly For your protection You should be aware that as "owner -builder" you a1e the responsible party ofrecord on such a Pennit Building Pew are not required to be signed by property owners unless theyare ers own work. If your work is being performed p onaIIY pehfoh�g feir by someone other than youhrseh; you may Protect yourself from possible liability if that person applies for the proper pennit in his or her name. Contractors are req*ed by law to be licensed and bonded by the State; of California and to have a business license from the city or comfy. 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 world with the exception of varions trades that you plan to subcontract; you should be aware of the folIowing nformation for your benefit and protection: a Ifyou employ or otherWise engage any Persons other than your immediate: family, and the work (mchiding nsaterials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or actOM then you may be an employer. ♦ If you are an employer, you must register wig $he State and Federal GO vernments as En subject to several obligations including std and Moral B=Me, tax WiMD employer and you are workers federal social s ♦ There compensation ice, disability insurance costs, and unemployment compensation_ contributions.taxes, with ecu to =� fur yon ifyou do not carry cut these ob ' especially serious P compensation fimm— h ° rad these risks are ♦ For more sped& bkMation about your obligations under Federal Law, if yon whish, tine U.S. SmaI1 Business ! �� � Inial Revenue Service (and, 'StatefYo wish, ntact the, D ). For more specific information about your obligations under Department ofBenefit payments and the Division of h dus rW ADdde3tL If 90 stroctUre is intended for sale, prop, owners who are not licensed contactors are allowed to perinhm their work personally or trough their own employee;, Without a licensed conftwtDr or snbcontractor, only under ]united conditions. A frequent practice of unlicensed persons Professing to be yrs is to s " p eaoneouisly, implying $hat &e P vPmIy owner is providing his or her own labor and MIRtmian owner Personabuilderlly. ui'lding permits are not required to be signed by pmp�r owners unless they are perfamhing their own W P� � • Biu7dmg mon about h0eased may be obtained by M&act mg the or at 1020 N Street yrs State Board is y=co»iisr eet Sa�� CA. 95814. Please C`=PJ0-tM the "Owner Build= Venfieaboa" on the reverse side of ties fDIM so did we can conium d2at you are aware of these matters. The big permit will not be issued unto the verification is retuned. VOM YAk 0wn--r-Bur7dkrr;omrro, is raped by Seawn 13830 ofShe Cafe, mils HeaWj and SVf,V Codes Alrra>D ARTM�IIT Department of Public Works C o u n t y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program ' 7 County Center Drive Oroville, CA' 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant • Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: ,4�6 �o F �- CDNV�w�✓ Project Location and/or Parcel Number: A N0 0 -�b " /0 w By signing below; I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions.provided by law. Signed: Title: Date: . 6V A,- � Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 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. BP041775 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: 06/18/2004 APN: 036-101-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2675 V-6 RD ORO Date: Contractor: Map Index: Description: reroof 10 sq/ siding 1073 ft/ 6 windows retrofit 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: THOMAS L. FRAZIER II to its issuance, also requires the applicant for such permit to file a 2675 V6 RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-370-1975 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 Applicant: THOMAS L. FRAZIER II 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, 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 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.). ❑ I am15rempt under Article 3 of t Busine s and Professions Code I` uti Date: Owner: License #: WORKERS'COMPENSfT40N DEdLMATION I hereby affirm under penalty of perjuiV 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: ❑ 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 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: qf� 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: i 19) Z�'-/ Applicant: WARNING, Fare to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 2n C' �1 hundred thousand dollars ($100,000), in addition to the cost of � compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' hereby issu d under the applicable provisions of the Butte County Code anrUpr I hereby affirm that there is a construction lending agency for the Resolutions t o dicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By'e. 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 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 ficial form or d ment of Butte County. I hereby authorize representativ of Butte unty to enter upon the above mentioned property for inspection purposes. Print Name: 0, it AI t �� Signature: ~ Date: 'Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name JOAA ktAOL If - Address jp oy_ j 9 City �� Statet, Zip 51 6 Phone li Fax E-mail (� to A4. APPLICANT AME CONTRACTOR Name City Address I City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT AME ARCHITECT/ENGINEER Name City Address I City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT AME Name V% fr t 1 z Address City State Zip Phone Fax E-mail APPLI ANT SIGNATURE X LA�� g: I For office usd only: Zoning cy Flood Zone Receipt#:��i l 0 SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO ()5 TB BIN # LOCATION AP# 6` ) 1 Q O Property Address 1615 U.(o leo A 9 Cross Street 2 SAN VVT7 E 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:rj _ j6( r Sq. Footage QuS ❑-'Structure.Ruilt without Permits ❑ Proposed Change of 0 ucc pancy -- (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. I Received by: Amount: -,hd" - I Bldg cy SRA Receipt#:��i l 0 Sheriff SMIP I I Date ' Total I I 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 for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO 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 GRAPHPAPER! ❑ 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. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 430-04 RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Thomas L. Frazier, II 2675 V6 Road Oroville, CA 95966 A.P.N.: 036-101-028 2QJ0'4--0rb3Ea492 Recorded Official Records I REC FEE 10.00 I TAX 63,80 CoBUTTE Rf I CANQACE J. GRUBB9 I ROSEMARYrder DICKSUN I Assistant I Barbara 09:00AM 17 -Sun -2004 I Page 1 of 2 Space Above This Line for Recorder's Use Only GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $63.80; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ ( X ] computed on the consideration or full value of property conveyed, OR File No.: 0403-1491069 (MM) I computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X ] unincorporated area; ( j City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Betty J. Ball!, an unmarried woman and Evelyn K. Marlow, a married woman as her sole and separate property hereby GRANTS to Thomas L. Frazier, II, a single man the following described property in the unincorporated area of , County of Butte, State of California: A PORTION OF LOT 8, IN BLOCK 23, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF VILLA VERONA, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 17, 1889 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 8; THENCE WEST ALONG THE SOUTH LINE OF SAID LOT 8, A DISTANCE OF 230.0 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE CONTINUING WEST ALONG THE SOUTH LINE OF SAID LOT 8, A DISTANCE OF 100.0 FEET TO A POINT AT THE SOUTHWEST CORNER OF SAID LOT 8; THENCE NORTH ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE OF 251.47 FEET TO A POINT; THENCE EAST A DISTANCE OF 310.0 FEET TO A POINT; THENCE SOUTH A DISTANCE OF 100 FEET TO A POINT; THENCE WEST A DISTANCE OF 210 FEET TO A POINT; THENCE SOUTH A DISTANCE OF 153.0 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING PARCEL OF LAND: COMMENCING AT THE SOUTHWEST CORNER OF SAID LOT 8; THENCE NORTH ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE OF 251.47 FEET TO A POINT; THENCE EAST A . DISTANCE OF 100 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST A DISTANCE OF 210 FEET TO A POINT; THENCE SOUTH A DISTANCE OF 100 FEET TO A POINT; THENCE WEST A DISTANCE OF 210 FEET TO A POINT, THENCE NORTH A DISTANCE OF 100 FEET TO THE TRUE POINT OF BEGINNING. Mal! Tax Statements To: SAME AS ABOVE FS 1 1 Ai? N.: 036-101-028 Y - Grant Deed - continued File No.:0403-1491069 (MM) Date: 06/10/2004 Dated: 06/10/2004 etty J. PWl Evelyn K. MArlow STATE OF _CALIFORNIA } ' COUNTY OF _BUTTE } ss.} On JUNE 10, 2004 me, _ MARX.. A.. THbMPSON _ NOTARY before _ personally appeared 13ETTY J. BALL AND EVELYN K. MARL04l personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me -that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted,.executed the instrument. WITNESS my hand and official seat. This area for ociai notaria/sea/ Signature_ _ My ZWw"Am% .M Notary Name: Notary Phone: Notary Registration Number: County of Principal Place of Business: Page 2 of 2 O.B.- 1 OWNER -]BUILDER VERIFICA'TION 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. personally plan to provide the major labor and materials for construction -of the proposed C2property improvement YES NO E3 I HAVEHAVE NOT ❑ signed an application for building permit for the proposed world . I have contracted with the following person (firm) to provide the proposed construction: NAME: , ADDRESS: may 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. S. 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 1 SIGNED: DATE:%V /I y 12-o,,, ( NOTE. This Owner -Builder Yenfcation is required by Section 19831 and 19832 of the California Health and Safety Code. This veriftation mast be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner. O.B.-1 An application for a binding permit has been submitted in Your name listing yourself as flee budder of property improvements specified. For your protection, you should be aware drat as "owner builder" you are the responsible party ofrecord on such a permit Building permits are not requited 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 Slate of California and tzo have a business license from the city or c=31y. 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 worm with the exception of various trades that you plan to subcontract; you should be aware of the following information fiar your benefit and protection: 4 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, Bien you may be an employer. ♦ If you are an employer, You must register with the Slate and Federal Govt as an employer and you are subject to several obligations including state and federal income tax withholding, federal social shy, taxes, workers compensation insurance, disability costs, and unemployment compensation contriibuiions. There maybe financial risks for you if you do not carry out these obligations, and these risks are With respect to wotiCer's especia�Iiy► serious compensation insurance. ♦ For more specific inf rmation about your obligations under Federal Law, contra t the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For mare 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 allowedm perform their or or subcoubwtor, work personally or through their own employees, without a licensed contractonly under limbed conditions. A frequent practice of unlicensed persons professing to be contractors is to secm an "owner, builder" building pew' erroneous hnpb&g em the property owner is providing his or her own labor and material B permits are not requh ed to be signed by property owners unless personally. Building Infos about licensed � be obtarmed b � are P�� their own work personally. may Y contracting the Contractors State License Board in your community or at 102014 Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you Bare aware of these matters. The bn+1 g pmmit will not be issued until the veaific afim is retuned. - rr NOT Z- "'a owner-Baffderlsrfomudon is required by Sea on.14830 of the CaFifor h, Health and Safely Code