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HomeMy WebLinkAbout078-320-042� " � �'� ie � q t{�xa� ,_:t f iyt, ! ,�, _,t r� tJ. ff 1• >,et N6 2733 BURMATOROVILLE s 4y t 1e' OWNERGAS P ; IPE TEST FOR NEW M s r TR ! rTt ... . t ':t{ if I 1 ' � � ,[r. I I;l i 7tt t�..y ! .�'• ! f t{t �!' f i jjar' 'I s ESo PERMIT IVO. _ 036-440-042 __,___ a _.05-1063"` KING, GLEN ^/?/ �✓ 2733 BURMAT DR, OROVILLE Cont: OWNER GAS PIPE TEST FOR NEW MTR ' r ti OFFICE COPY Address Z GAS Dat`(3 3 Meter By l� ELECTRIC Date M er By JOB FIMALED (Date)'_? �sK Signature 1 • � i ti OFFICE COPY Address Z GAS Dat`(3 3 Meter By l� ELECTRIC Date M er By JOB FIMALED (Date)'_? �sK Signature J=OK 0 = Not OK Not Applic e = Not Ready able 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. / /' Nat. or / /" L "ft✓ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 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 i 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6.. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged . 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L 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 1.1. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date' Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL, (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 36. A.C. Ducts Insulation & Support 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 38. Condensate Drain & Overflow, Size & Grade 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Card B-1 Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Card B-1 13. Plenums & Ducts; Clearance-Ma'erial-Support-Ins. FRAMING (Permit) OK except #'s 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb, Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection _ 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date FINAL (Plans) OK except #'s 36. A.C. Ducts Insulation & Support 64. Ext. Steps -Door & Sidelight Protection -Landings 37. Vent Fan, Exhaust above insulation 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 38. Condensate Drain & Overflow, Size & Grade 67. Bedroom Exiting 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 74. Elec. Outlets & Receptacles at Kit. Counter 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb, Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks D Yes 0 NoAanters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fin;place-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO51063 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 . a. V. ounuuim rum111 U1 -to -u•1 vu 1 LICENSED CONTRACTORS DECLARATION , I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/25/2005 APN: 036-440-042-000 the Business and Professions Code, and my license is in full force and Lincs License Class : License Number: Site Address: 2733 BURMAT DR ORO Map Index: Date: Contractor: Description: NATURAL GAS PIPING TEST FOR NEW 'OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SERVICE METER 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: GLEN•& SHELLY KING signed statement that he or she Is licensed pursuant to the provisions of 7553 OCCIDENTAL AVE., the Contractor's Slate License Law (Chapter 9 -commencing with Section PALERMO CA 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 95968 violation of Section 7031.5 by any applicant for a permit subjects the 530 533-7687 applicant to a civil penally of not more than five hundred dollars ($500).): D' I, as owner of the properly, 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' Slate License Law does not apply to an Applicant: GLEN &SHELLY KING pp owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 7553 OCCIDENTAL AVE., provided that such Improvements are not Intended or offered for PALERMO CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95968. proving that he or she did not build or Improve for the purpose of (530) 533-7687 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' Slate 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' Stale License Law.). ❑ 1 am Exempt under Article 3 of the . siness and Professions Code Dale: —Z5 (715 r: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: ❑ 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. Architect: O I have and will maintain workers' compensation Insurance, as Engineer: 9 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 It: Valuation: $0.00 orl 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. Dale: Applicant: WARNING: Fallure 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 GU code, Interest, and attorney's fees. C[ CONSTRUCTION LENDING AGENCY This permit IsAiereby Issued un a applicable provisions of the Butte County Code and/or Resolution do work Indica d s ve for Which fees have been paid. I hereby affirm that there Is a construction lending agency for the the for which this Is Issued (Sec 3097 Clv.) performance of work permit By:/6� Dale: y Name: PERMIT EXPIRES ON: 'Y viv Address: ( ate) ❑ 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 Secllon 19627.5 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 have this application, that the above Information Is correct, and that I am the owner or lh duly authorized agent of the owner. I agree to comply with I hereby certify that read all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance o fficial,f m or document of Butte County. I hereby authorize represent ves of Butte County to enter upon the above mentioned property for inspection purpose . Print Name: Signature: Dale: ,Owner C1Contractor C3Agent for Owner ❑ Agent for Contractor a. V. ounuuim rum111 U1 -to -u•1 vu 1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF,DEVELOP.MENTtSERVICES BUILDING PERMIT' BPO51063 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M. (530) 538-7541 u. G. Buiiamp vermn ui-io-04 un LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/25/2005 APN: 036-440-042-000 the Business and Professions Code, and my license is in full force and effect. cense Class : License Number. License Address 2733 BURMAT DR ORO . Map Index: Date: Contractor. Description: NATURAL GAS PIPING TEST FOR NEW 'OWNER-BUILDER.DECLARATION I hereby affirm under penally of prjury that I am exempt From the "" SERVICE METER '= 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: GLEN & SHELLY KING signed statement that he or she Is licensed pursuant to the provisions of 7553 OCCIDENTAL AVE., the Contractors Slate License Law (Chapter 9 commencing with Section PALERMO CA 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 95968 violation of Section 7031.5 by any applicant for a. permit subjects the 530 533-7687 ( ) applicant to a civil penally of not more than five hundred dollars ($500).): . ©� 1, 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' Stale License Law does not apply to an Applicant: GLEN & SHELLY KING pp owner of properly who builds or improves thereon, and .who does such work himself or herself or through his or her own employees, 7553 OCCIDENTAL AVE., provided that such Improvements are not Intended or offered for PALERMO CA sale. If however, the building or improvements are sold within one 95968. 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 (530) 533-7687 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 Contracldrs' State License Law.). ❑ lam!! Exempt under Article 3 of the' siness and Professions Code i� `�'QSOwner: Dale: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ I 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: 0 S. F. Policy It: Valuation: $0.00 lar—I 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: Applicant: WARNING: Fallure to secure workers' compensation coverage Is unlawful• and shall subject an employer to crimirial 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 GU code, Interest, and attorney's fees. / CONSTRUCTION LENDING AGENCY This permit Is ereby Issued un a app"icable p�ovlslons of the Butte County Code and/or Resolution do work lndlcal d a ve for tyMchIfees. have been paid.' I hereby affirm that there Is a construction lending agency for the of the work for which this permit Is Issued (Sec 3097 Civ.) performance By: Date: Name: PERMIT EXPIRES ON: Address: (afe ❑ 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 owneror th duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance o ffic j m or document of Butte County. 1 hereby authorize represent ves of Butte County to enter upon the above mentioned property for inspection purpose . Print Name: t Signature: Dale: downer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor u. G. Buiiamp vermn ui-io-04 un 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name�C irst Nam Address x%"33 FwOY114- 2:�>/2 City02avZGL'e- State Zip9c5796 Phone X33_768% Fax E-mail APPLICANT NAME CONTRACTOR Name z JA ✓ _ Cita wet 70 Address Zip9s k, City Fax 3 State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Cita wet 70 Address Zip9s k, City Fax 3 State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address Cita wet 70 State�J� Zip9s k, Phone — , Fax 3 E-mail AP ICA SIGNATURE i X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT !n5. A BIN # LOCATION AP# 0 PrgQeerty Addres :�C733 /�Gti2r�� �2 City �.�Od/��,� Cross Street Sc� EsT 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 Page 1 of 2 Description or Scope of Work: aqz 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. Received by: Amount: S Bldg SRA Receipt #: Sheriff SMIP Date: Other II �`� S GC5 �S.S La Total REV 2-24-05 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 paper! ❑ 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (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). 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05