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HomeMy WebLinkAbout079-330-026• �i -NOTES RESIDENTIAL 600111— 4�q— ' 036 060-142 �V6397--"� PERMIT N( RICHTER; JAKE r_ M''. IDA, OROVILLE Cont: RICH1`ER CONST NEW SINGLE FAMILY 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f OFFICE /CCOOPY Address/ U3� / �4—, GAS Meter By Date ELECTRIC Meter By Date -:5 f �R JOB FINALED (Date) Signature J = '01( 0 = Not OK . = NotReadyabte 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 A. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test=Crossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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 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 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 = NotAApplicable RESIDENTIAL p . = Not Ready Date UND LOOR (Plans) OK except #'s Zoning-Setbacks-Easem nts-Floo -Slope Ft ain; Soils- Elec 2 /" Ftg. Depth tg. arage; Soils-Steel-Elec. Grnd.-/ Z/" Ftg. Depth g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Fta.-Steel Fitting -Test -2 Way C/O -Sewer Test jZ h c/ , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test I L- - 4�i• Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Plenums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM G (Permit) OK except #'s rr— ter Htr.; Vent -Access -Combustion Air Baffle Water Pipe; Test & Anchor -Nail Protection 1 D.W.V.; Test Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date y 6 Cl Card B-1 /t/d,/j Date Card B-1 Date 7 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 e Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 2t p. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 3 . Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Inked Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground Main Disconnect 11) 33. EgLWp. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 35,-8moke Detector (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 31r-A.C. Ducts Insulation & Support i Vent Fan, Exhaust above insulation Co densate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Date Attic Access & Platform if Furnace in Attic Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4-1"Sij!§,Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 43,BIfri g Walls over Girders & Floor Nailing Stop in Walls (rat proof) Stops, Furred Ceilin - hasers-Tubs 46. Headers & Beams -Size N4Wng Date FRAMING (Continued) .f - -r 4Y. Fan ers-Post Caps -Anchors -Connectors 4 in . J ist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. irealase Ties or Type A Flue -Fireplace Throat Clearance ttor inoows or txmng uoors-z5w tit, r- ulme s 01 arage Fire Protection Framin -RC Chann" 2 /jX p 53�e'iine Firewall & Openi 5 oors-One 3' -Check Garage 3rd Story, 2 Exits L5!2, ta�idth-Headroom-Rise-Run-Landing-Fire Protection Ivwood on Roof Overhano-Attic Vents -Rafter Outriaaers 57. Xding-Nailing Veneer ,-7) / Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access / \ 60.—tFear Walls; Nailing -Bolts - 61. B e.lnterior/Exterior Wall Panels Date -,Zj` . Card B-1 Date Card B-1 Date Card B-1 % Date > Card B-1 Date FINA tans OK except #'s Ex Steps -Door & Sidelight Protection -Landings :20moke Detector rnace Vents -clearance -Comb, Air-Connector- In_Garage; Above Floor-Ducts-Mech. Protection ¢��& Bath Fixtures & Tub Access -Spa _ lec. i & Subpanel, Breaker Sizes & Labels d0 airs & Rails 2. tlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 c. Outlets & Receptacles at Kit. Counter (75�ae Eire Door; Swing -Landing -Closure 7&- C . Duct in Garage -Damper 7 r.; Vents -Clearance -Comb. Air Connector-P.R.V. / in G e; Above Floor-Mech. Protection E].W—& Mech. Equip. Listed for Location 7 , c. Re eptacles in Garage (F.F.I.)-Romex Protection u ation,Foam-Looked in Attic 8L—.@ and Rails & Deck Construction -Post Caps $¢,tE! SE VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked underyjoor ❑ Yes 83. Fol Instld./Drive es ❑ No/Walks es ❑ No/Planters ❑ Yes o Stuc rown-Finish " .C. Unit Disconnect, Electrical -Plumbing `ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings r I, Plumbing xterior lec. Trim, G.F.I. Receptacle -Underground nt I tion Throughout House lass Protection W_xgter & wer Connected-C/Oto Grade -HD Approval 4 tnpliance Certificate -Other Certificates dress Posted Date,[./�)/�/JCard B 1 Date Card B-1 Date7 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: • s..v - '-i*'r�•.�� ;C`�`�i 'Zt.�•w._ � ..._n :r.. ,, r r..'v...r-«..�-.•.r.-�-. ��� � , �o-.Arm,,.,,+.. e*r,-��JG.� �,.�c-r-F; �.�,.r� ..... �t• CERTIFICATION OF INSULATION �ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS _ 'J'.. 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 /❑ : �-i Gk 4:-'e 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 1:13881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 _ C.•�• 1:18924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 DATE INSULATION COMPLETED 67 / ! U V Z Z ( square feet) ( r„s_quare feet) ( square feet) TYPt OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS c _ FORM BATTS FORM BATTS&BLOW FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. I MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER CT OCF KN CT OCF KN CT OCF KN 00 BAG/ 70 R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SOUARE FOOT INSTALLED THICKNESS 3'k 38 is �z KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM Fi-VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS SIGNATURE - INSULATION CONTRACTOR TITLE DATE L 11 Y''s SIGNATURE - GENERAL CONTRACTOR TITLE DATE REMARKS 30 • WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy COUNTY OF BUTTE y ti BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. /—/44 O f/ 'L Y -C -B fcll 411 +- 5, �L .S S eO' V / CC. - Date, i o y Inspector 5 REV t 11--l", . . . . . . . . . . . . . . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES • (530) 891-2751 411 Main Street * Chico, CA -73}81-71 County Center Drive * Oroville, CA * (530) 538-7541 IV CORRECTION NOTICE 2 c'_ e'oe— K" OWNER PERMIT Nd A routine insDection indicates that the followina violations of butte countv Ordinances exist at the yd.akm address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 Z * J :oa `t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 - 1 :j 7 County Center Drive • Oroville, CA • (530) 538-7541 �jCORRECTION NOTICE V C 1-�TL OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. I ave any questions pertaining to this matter, or need additional explanation, please c act this office immediately. �<< 1 /tee 9/ v7j-C C /` S -C -` 6 Cj-/lt 6 u- , -12 Date F - <) In REV 10/92 ... r . -i ..-.r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive Oroville, CA - (530) 53877541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasskcontact this office immediately. Date �� `� Inspector REV 10/92 LV F ...- -.:� � rT.w ,.:a�.,lc; �r,,,rf•-r - - . rte:-=• �rs:z.:v.-srv�w: $.M1 i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 r>- -- 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMI NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date S �� Inspector�Z '# REV,10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ». 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 4C� u Date ;< REV u�- Inspector W /I' OWNER T PERMI T 140. s A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ' please contact this office immediately. 11101 C Q� 1 L ' T 6 4C� u Date ;< REV u�- Inspector W /I' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION frz 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �,(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , 036-060-142 ZONING AR1 BUILDING PERMIT DIVE RICHTER 693-0114 TELEPHONE SO. FT. OCC. BUILDING VALUATION 2410 R 130 140.00 'T TRIM OROVILLE CA 95965 791 U 14 238.00 CO TITRHTERECONSTRUCTION 693-0114 TELEPHONE 354 0 2418.00 251 C 3263.00 °° POT BOXILIfEOROVILLE CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 150,119.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ 818.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 531.70 SUILDINGADDRESS Energy Plan Checking Fee $ 23.00 PERMIT FEE $1392.70 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 70.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00.-5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW STNGL•E FAMILY Gas piping system 1 - 5 outlets 15-0015.00 Building sewer 15-0015.00 Mobile Home I S I G I W @20.00 PERMIT FEE $150.00 ELECTRICAL PERMIT Fling Fee 20.00 800 Main Service 200A OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. F__1 License Class 17 Lic. No. 1 to 2 � � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, �will do the work, and the structure is not intended or offered for sale. / I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s° OR ADDNS. ( 8 ACC. BLDS. 3.50FT. 12.04 N"�R.D MULTI.OUTLET @7,50 POWER APPARATUS b SINGLE OLITLET CIR. 20 @ 100 Ex. Occup. OUTLET OR F0(TURES BALD 50 Ex. Occup. . xUT 5pa °Eq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 179-04 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. -6 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' ompensaattiion surance carrier and policy number are: Carrier w lee Policy Number -1 I'S ,- U is (�p t`o (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with those provisions. X Date i___ Signatu of Applicant - li;Owner ❑ Contractor ❑ Agent t L An OSH permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 20.00 Cooling Hood 6.50 6-50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1866.74 HAZ D IMP FLOOD CDF PARCEL i PD "� HD ISSU _ - - This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date Z U PERMIT EXPIRES ON Z Te Receipt No. WHITE-D.D.S.-B.D. CANA Y -ASSESSOR INK -INSPECTOR G01LD N OD -A PLICANT �>�,�i is .COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7rCounty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER -s; 1 ASSESSOR PARCEL NUMBE I � Proposed Building Use: r Counter Technician: Date: Items required in order io'"""apply for a permit. All boxes MUST be checked OR m ed NA in order to apply. i �n r eq; 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. 2i Complete plans, 3 or 4 sets, signed by the preparer of the plans. 7.4. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! <1 5. Energy compliance design and supporting documentation in duplicate. `&"6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By IA 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ........:............................ ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... iW5" Statement of Intent for Non -heated and A/C Buildings......................................� .�...� 16. Sanitation and plot plan approval from the Environmental Health De rtent in . b CabA h% /f- /;-G3j�' ❑. City of Chico Plumbing permit ......................... ...........4((C),Pa .................. 18. California Department of Forestry plan approval 10 paid. Sent_ b ...................... ❑ 19. Planning approval for (A) Use: o)< (B)Parking: cel Check: •y _�j_ o� ❑ 220 Contact Land Development about ❑ Improvements, ❑ Drainage ...................:: .... �® . Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 0/26. Letter of Signature authorization.................................................................... 27. corded copy of Agricultural Acknowledgment Statement .................................... — �63 ❑ 28. anufactured home utility clearance............................................................... ❑ 29. xisting violations and/or expired permits......................................................... 30. Grant Deed, ❑ M.H. itle/Statement of Facts, ❑ etter from Legal Owner, ❑ Check to H.C.D. $ 4 3 . ther: 12YQL� pr 0Y4 YI.yyb i1 issued and hold for pickup. I have been informed of the above items and requirements for obtaining a�tbuilding permit. Applicant: C), Date: / ?1 03 1. Index pe i application for the aboveitems numbeKed F 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed, Date: Structural approved by: Date: Note transfer by: Date: 4— / ?_— Yellow: Building Division Check Letter j ' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER � A.P. # PROPOSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUII.DING PERMIT FEES Balance Due ....................... "! y Additional Fees Due ................. $, Additional Fees Due ................. $ Revised Plan Checking Fee .. ..$ 2. SCHOOL DISTRICT FEES J (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division)-2 � C��� //y2 15 _ � Residential ...................... x $360.00 — $ nits Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) ®r� 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 'Py At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT1/1 /-LJX�� DATE %&&) Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One. form per Building) School District J Building Department No. A.P. Number Jurisdiction: 0city County Property Owner ke �j C' A I r-1 Property Location/Address Subdivision Residential Development No of Living Mobile Home Units Installation Commercial/Industrial 1. Now Addition Building Department Representative Lot No. Oql—boy '?L7 17 ........................................ ..................... a ...................................... Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) ............................................................................................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 6141-3 School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) k\r :17 (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. (Zip —Code) by payment of $ representing + t o square feet. -.—JAB-2926 $ PFULL MITIGATION $ School District Paid by Check Remarks: (a es Date (w Motive: You may pnibist the Imposition of the fen identified above by submitting a written protest to the District, In compliance with Govei t wnt Cod6 Section 66020(a). whNn 90 days from the date fen are 01d. Failure to submit a timely written protest wlll'prohlbtt you from challenging it* Imnpositon of the to" In any court action. 0, subsequmd to the School District Represents&* signing this - Butte County Schools Impact Fee Certification Form the School. District Is rhottilsd by the applicable Local Planning Agency that this project Is being -ol-w under the Calthmda Environmental Quality Act (CEM}, this project may be subject to additional school fen to hdly mitligate. Us Impact on the school distr1cft schools. White (applicant), Yellow (building department), Pink .11school,dilitrict) fteform.xIs,,00/03)dm!r1 PERMIT NO.: 87-03 Lake .Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 ' 533-2000 DISTRICT APPROVAL.AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County.. . Date: November 10, 2003 Applicant: Jake Richter Applicant Address: P. 0. Box 2531, Oroville, CA 95965 Applicant Phone No.: 693-0114 Property Locations(s): Mt. Ida Road Mt Ida Subdvision A.P. No.(s): 36-06-142 Fees due: All fees paid. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date: By: Date: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 9596§ Recorded C ficia.1 Records Countv of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:53AN 12 -Nov -2003 REC ..:._ UPIES Kati:v page'l of AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: -iAAAL r� /� Date PROPERTY OE S: aJ4 I JN vY_ CL; c State of Califor 'a County of //- 4;? -03 personally appeared ' eT6t /(::: e mac: fz'. ,,,..- 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 by 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 seal. SignatureL /✓ Seal: A.P. # CHARITY D. BERRY ,..:., -Commission #1351358 0 Notary Public - California Butte County My Comm. Exp. APFi. 14, 2006 SCHEDULE C Interim Binder No.: 1560 36855 File No.: 00208173 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 18, 1989, IN BOOK 113 OF MAPS, AT PAGE(S) 71 AND 72. AP NO. 036-060-142 PARCEL II: AN EASEMENT FOR THE INSTALLATION AND MAINTENANCE OF SANITARY SEWER LINES ON, OVER AND UNDER A PORTION OF PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 18,1989, IN BOOK 113 OF MAPS, AT PAGE(S) 71 AND 72. PARCEL III: ALL THAT CERTAIN REAL PROPERTY SITUATED IN SECTION 24, TOWNSHIP 19 NORTH, RANGE 4 EAST, M. D. B. & M., UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA BEING AN EASEMENT FOR THE INSTALLATION AND MAINTENANCE OF: SANITARY SEWER.LINES ON, OVER AND UNDER A PORTION OF PARCEL 3,AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 6, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 69 AND BEING TEN (10) FEET IN WIDTH LYING NORTHEASTERLY OF AND CONTIGUOUS WITH THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHEAST CORNER OF SAID PARCEL 3, SAID POINT BEING ON A NON -TANGENT CURVE CONCAVE SOUTHEASTERLY HAVING A RADIUS OF 430.00 FEET; THE RADIAL TO SAID CURVE BEARS SOUTH 15'49'14" EAST, THENCE ALONG SAID CURVE AND SOUTHERLY BOUNDARY THROUGH A CENTRAL ANGLE OF 140 37' 59" FOR AN ARC LENGTH OF 109.82 FEET; THENCE SOUTH 390 32'47" WEST 106.93 FEET TO END OF THE HEREIN DESCRIBED LINE. ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.bu"ecounty.net/publicworks/fomis.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONEPermit Phone (530) 538-7157 Ext. 2016 Number 0 ;.1 District APPLICATION ' I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name:'F2�r M ICHEI IF- 1 a. Co an Name: 2. Address: F1Lt 0 to a-tv> e r 3. Phone: �ajj, (Dy 4. Assessor's Parcel Number: 3� -- O(o — l 5. Location of Work to be Done 2d ' v Ov i tl e e_r� E U goy 6. Applicant's Signature c� i. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name 1�1n:, e Cann 9. Address 10. Phone: a �(r y a, 11. Fax: 12. Contractor's License Number. 49-7 n 14a© 13. Certificate of Insurance: Yes No: ❑ 14. Contractor's Signa 14a. Date Signed: I5. Authorized Agept: / ( TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): C� (:Sc"�,Q rock 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this perrnit form) and special conditions written below, permission is hereby granted. 19. Conditions ost.e l�us7" 6c J�avte±with �ro►"-, C4 a o4 1vemert �r-o rj' 'n aS A ache Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. Ci All work shall conform to accompanying: Detail 10 Plans ❑ Special Conditions ❑ 21. Date Issued %x. 22. Expiration Date: 23 Surety: >rs Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one eek. Page .1 of 2 General Conditions — See Page 2 GENERAL. CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. a The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as dose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. Al pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (7) of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11: If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 LOCATION: DATE 9 /-2 7 loz FOREMAN: lb. butler MIN. DISTANCE: DISTRICT: S PERMIT#: SPEED LIMIT OF ROADWAY a DRIVEWAY LOCATION: -415 - DISTANCE TO NEAREST INTERSECTION. /``' SIGHT- DISTANCE D GOOD Ed POOr, IF POOR - RECOMMENDATION TO IMPROVE: 0 CUT BANK WREMOVE VEGETATIONTEMPORARY) O OTHER (EXPLAIN) �',,t cic n401. k- ADJACENT TOPO O FLAT O CUT SLOPE FT. WFILL SLOPE FT. O CURB AND GUTTER O AC DIKE O EXIST. DIST. I TO EP FT. DRAINAGE RECOMMENDATIONS Ei NONE No O SWALE EDGE OF EXISTING PAVEMENT (EP) c� z w J 12' MIN. AREA 20' MAX. I TO 8E _-L----PAVED R/W 10' MIN. .NOTE: IF GREATER THAN 109 UP OR DOWN REFER TO ENGINEERING. O CULVERT MAX. 1 FOOT VERT. RISE OR DROP MIN. DIST. MIN. DEPTH TO DIAMETER - FT. FT. IN. PER 10 FEET HORIZ. EP DISTANCE LENGTH O OTHER (EXPLAIN) FT EXIST. DIST. I MIN_ I I DIS i. 2% MAX 10% i NOTE: PAVEMENT TO EXTEND AT 29 CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. MIN. DEPTH MT.& PRIVATE DRIVEWAY FIELD REVIEW 0, 1""per C6 OT ur • i SITE PLAN REVIEW APPLICATION Date: C`l - 2"7 - 2 AP# - 6 2 - .Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: ) -, ) H A L _R} CH �'�. 1j A K 23 Owners Name: Q a -,ox S 1 0Q -0Y1 Ltd c A 5c) b� Owners Address: 6, tKi9G Telephone No.: 3 f�� L) Situs Address: A f21� Proposed Use: Residential New Single Family Residential ❑ Single Family Addition 1dah;ti e ❑ Residential Accessory . ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved a Conditionally Approved N Site Plan -Stamped Approved By ❑ Resolve Problems Prior to Approval Date 10-1-0"2- Page 0-1-O'2-- Page 1 of 5 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) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: ` X • Flood Panel No.: 0 2l�; Index Date: y -gyp- ero ❑ 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) ❑ C hapman/Mu I berry (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: A rz Applicable Building Setbacks: 4N Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front C� Side Side Street . Rear I ® ?' C) Height Waterway N/A N/A N/A 4N Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ 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 Subdivision Map/Parcel Map: Map Date of Recording: 1-1 a - 8� Lot: 3 ❑ Use Permit/Minor Use Permit Permit Number: Book: 1 ) 3 Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: -7 7 Z ❑ 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 on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 ' Gcm V P C C - ;V 1 0) P QJ C3 l_i e W A'i' (�, 5 Gko e Ya x U 0 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 4 RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name J & B Richter Street .00 oo)(-.53 Address n City, p .State ©.rou I l le J cp QSC/O. 2003-1010117769 Recorded Official Records CoBBUUTy Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 21—Mar-2003 REC FEE 10.00 TAX 59.40 Kathy Page i of 2 SPACE ABOVE I BIN LINE VUK K k-UttJJzr1 o uO� Parcel No. 036-060-142 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 59.40 ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Shannon R. Zuber and Silvia K. Zuber, Husband and Wife as Joint Tenants hereby GRANT(s) to J & B Richter, A General Partnership the following real property in the ❑ City of ❑ Unincorporated Area County of Butte, State of California: Dated: March 18 2003 Shannon R. Zuber SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Silvia K. Zuber P� STATE OFC ORNIA SS: COUNTY OF -� On before me, the undersigned, a Notary Public in and for said County and State, personally appeared Shannon R. Zuber and Silvia K. Zuber Persona _ (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/,/e subscribed to the within instrument and acknowledged t me that he7l-s3 /they executed the same in itib authorized capacity(ies), and that by hisr signature(s) on the instrument the person(l, or the entity upon behalf of which the person() acted, executed the instrument. WITNESS my d d o ficial se 1 S' nature E. POWELLAZEVEDO COMM. • 1399914 NOTAWPIlBLICBuTrEcoutm � CIWP Comm. Exp• x.10 X007 MAIL TAX STATEMENTS TO: Same as Above BTEC/Grantdee Order No. 00208173-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 18, 1989, IN BOOK 113 OF MAPS, AT PAGE(S) 71 AND 72. AP NO. 036-060-142 PARCEL II: AN EASEMENT FOR THE INSTALLATION AND MAINTENANCE OF SANITARY SEWER LINES ON, OVER AND UNDER A PORTION OF PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 18,1989, IN BOOK 113 OF MAPS, AT PAGE(S) 71 AND 72. PARCEL III: ALL THAT CERTAIN REAL PROPERTY SITUATED IN SECTION 24, TOWNSHIP 19 NORTH, RANGE 4 EAST, M. D. B. & M., UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA BEING AN EASEMENT FOR THE INSTALLATION AND MAINTENANCE OF SANITARY SEWER LINES ON, OVER AND UNDER A PORTION OF PARCEL 3,AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 6,1981, IN BOOK 86 OF MAPS, AT PAGE(S) 69 AND BEING TEN (10) FEET IN WIDTH LYING NORTHEASTERLY OF AND CONTIGUOUS WITH THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHEAST CORNER OF SAID PARCEL 3, SAID POINT BEING ON A NON -TANGENT CURVE CONCAVE SOUTHEASTERLY HAVING A RADIUS OF 430.00 FEET; THE RADIAL TO SAID CURVE BEARS SOUTH 150 49'14" EAST, THENCE ALONG SAID . CURVE AND SOUTHERLY BOUNDARY THROUGH A CENTRAL ANGLE OF 140 37'59" FOR AN ARC LENGTH OF 109.82 FEET; THENCE SOUTH 390 32'47" WEST 106.93 FEET TO END OF THE HEREIN DESCRIBED LINE. r, MiTek Re: ekaj Jake Roof MiTek Industries, Inc. 7777 GREENBACK LANE SUITE 109 CITRUS HEIGHTS CA 95610 USA FAX (916) 676 1909 TELEPHONE (916) 6761900 '. The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision t based on the parameters provided by NorCal Lumber Company Pages or sheets covered by, this seal: R8814547 thru R8814547 My license renewal date for the state of California is June 30, 2005. f r April 1,2003 Anderson, Bob The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSI/TPI-1995 Sec. 2. i e tnr+ April 1, 2003 Butte County Development Services Dept. Building Division 7 County Center Dr. Oroville, CA 95965 RE: Truss Design, Richter Residence, APN 036-060-142 I have reviewed the truss designs for this project. My review includes identifying and locating loads in excess of 3000 pounds. Where inadequate, foundation elements have been revised to reflect a maximum design bearing load of 1500 pounds per square foot. Thank you for your consideration. A House for Jake.Ricter O O `/ 91? 9 9 1 111-71 9 9 9 O c 89 9 /11 N o AH1 J6 0 9d J5 1 11 33 J J6 8 6 Jit J9 33 kr 'a 11 J8 F� � �\i �� /� I ji 3) a a a a a J1B J9 Q J9 J J8 8 J7 7 J6 L: J s 5 EL J55 O J3 O D11 01i D11 S. 511 b7T 511 O O nil (IM7 nwl 'r Lr, JIM PURSELL CIVIL ENGINEER RCE 60924 Date 3-30-03 Job Number 103-02-62 Job Name Jake Richter Assessor Parcel No. 036-060442 Analysis UBC 1997 Dead Loads Live loads Roof Comp 6.0 1/2" plywood 1.5 Framing 5.0 Insulation 1.0 1/2" Gyp 2_5 16.0 psf. 16 psf. Wall Stucco 10.0 Framing 3.5 1/2 gyp .2.5 Insulation 1.0 17.0 psf. Floor Flooring 3.0 3/4" plywood 2.5 Framing 2_5 8.0 psf.. 40 psf. Lateral loads Page 1 Wind: . Exposure B P= Ce Cq q I where Ce = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V = 2.5 Ca I W / 1.4 R Ca = 0. 3.6, I 1, R = 5.5 / 4.5 Soil Bearing: 1500 pounds per square foot Friction = 0.35 Lateral bearing = 250 psf/ft. NA L`�S IS R,= -37-o3 RZ ,Iz7 sa 77 Zg ,' 71 i� LY sTZ = 2-115 fL S S 3 = 257 Dit = X31 Ib RI _ 1731(f 8 + 1)4 ?g� (t3) +2N5()5' zqs /37 < ' .. Use 3 4 h y S �3' 1 _ '13I U3 /yMRx =LJ��I Si- l6 13 `� / -t16r_ -�34? y/i( tq . F'_ B� ► A -G SISI4 /,v S P a �V 3V 3(i-f2� ®j- -�d MLK (2 4A 7-s R, _ �-�i�l�l� f 3'SC�Y�d � s•5(zg2) ��5 16 i le 71 z2 -1s �(�c��r, r� _ lz)s � �•S rr.a.���' 6► s� fV 3U _ 3 V zb�c �(3 5�/!, 7aS - g / ``S P I' • % y�, a' . J Jf� Q 1 h 11 3�i,��G sty Fv lc S� L IJ1.P~� . g�1JG � G�RA�-cL�cZ�ss /4. 6 1`7 th rH 2.' �_ Nyc,vj��G �2,3 J6 = 3s�/ J3=3.3 3a --s 11 3�i,��G sty Fv lc S� L IJ1.P~� . g�1JG � G�RA�-cL�cZ�ss /4. 6 1`7 th rH 2.' �_ Nyc,vj��G '77Q,61s�; M -rikIAN� `lfi 'T7 -7- t"��. VII -52 WESTERN WOODS USE BOOK PAr, M_ 6 DESIGN - BENDING MEMBERS Continuous Beam—Three Equal Spans—Uniformly Distributed load W.; (140,66 I L/ l-' G rI2_ Pwt R, = R, = V, = V = 4u,1 —z 10 Ica - A A A- D ..�n�v�� b �a � • �,r�25� 3 V `Q , ��� F`r'^> G S 7-1 s� 12- P y 6 10 V, = V3 . . . . . . . . . dwl . . . . _ — 10 �v V, = V .. . . . . . . . cul . . . . _ - _ 6? �-�6 _ -2,o / -- 2 M, . . . . . . . . wl . . . . _ _ 10 41\ Mm, a= J . . . mm, 2u1 . . . _— — �6�Z ;L f 10 25 Z S MM. .. . . . . . . . . u,l . . . . _— = G G \ 40 = a75s i ..�n�v�� b �a � • �,r�25� 3 V `Q , ��� F`r'^> G S 7-1 s� 12- P P (Total) = 2316 SEISMIC GOVERNS WallAO (Cripple wall) Wind Seismic Roof Weight: Page % Pitch = Rise:Run Pitch Factor 6: 12 = 1.12 (Pitch factor)x(Area)x(Wt,(psO) _. Wt.(lb) 1.12x 1510x 16= 27012 Wall Weight:' (Area)x(Wt.(pso) _. Wt.(Ib) 540 x 17 = 9180 Ca = 0.36 Total Wt.(Ib) R = 4.5 W = 36192 (Stucco) Base Shear (lb) V = (2.5 x Ca x I x "/(1.4 x R) = 5170 Seismic Roof: Windward Richter q I P Lateral Analysis (Coef.) (Coef.x A + Coef. x.A) (@75) Wall AO Improtance Factor 1 = 1 0.7 0 14.5 Wind Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 37 .Roof: Windward Leeward q I P 0.7 88 (Coef.) (Coef.x A + Coef. x A) (@75) P(15)= (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 P(25)= 0.72 0.3 37 0.7 37 14.5 1 = 386 P(20)= 0.67 0.3 88 0.7 88 14.5 1 = 855 P(15)= 0.62 0.3 0 0.7 0 14.5 1 = 0 Wall: Windward Leeward q I P 0.5 0 (Coef.) (Coef.x A + Coef. x A) (@75) P(20)= (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72. 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 92 .0.5 92 14.5 1 = 1075 P (Total) = 2316 SEISMIC GOVERNS WallAO (Cripple wall) Wind Seismic Roof Weight: Page % Pitch = Rise:Run Pitch Factor 6: 12 = 1.12 (Pitch factor)x(Area)x(Wt,(psO) _. Wt.(lb) 1.12x 1510x 16= 27012 Wall Weight:' (Area)x(Wt.(pso) _. Wt.(Ib) 540 x 17 = 9180 Ca = 0.36 Total Wt.(Ib) R = 4.5 W = 36192 (Stucco) Base Shear (lb) V = (2.5 x Ca x I x "/(1.4 x R) = 5170 Seismic Roof: Windward Leeward q I P Roof Weight: (Coef.) (Coef.x A + Coef. x.A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 37 0.7 37 14.5 1 = 386 6 : 12 = 1.12 P(20)= 0.67 0.3 88 0.7 88 14.5 1 = 855 P(15)= 0.62 6.3 0 0.7 0 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psO) = Wt.(Ib) 1.12x 1510x 16= 27012 Wall: Windward Leeward q I P Wall Weight: (Area)x(Wt.(psO) = Wt.(Ib) (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) 1260 x 17 = 21420 P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 Floor Weight: (Area)x(Wt.(psO) = Wt.(lb) P(20)= 0.67 0.8 0, 0.5 0 14.5 1 = 0 1606 x 8 = 12848 P(15)= 0.62 0.8 260 0.5 260 14.5 1 = 3039 Ca = 0.36 Total Wt.(Ib) P (Total) = 4280 R = 4.5 W = 61280 (Stucco) SEISMIC GOVERNS Base ShearIb V= (2.5 x Ca x I x W)/(1.4 x R) 1 8754 0 Ii Richter Page Lateral Analysis Improtance Factor 1 = 1 , Wall OB Windward. Leeward q I P (Coef.) Wind Coef. x A) (@75) . Seismic (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 Roof Weight: Roof: P(25)= Windward Leeward q I P 1 = 1295. (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Pitch = Rise:Run Pitch Factor P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(25)= 0.72 0.3 103 0.7 103 14.5 1 = 1075 I P(20)= 0.67 0.3 180. 0.7 180 14.5 1 = 1749 (Pitch factor)x(Area)x(Wt.(Rsf)) = Wt.(Ib) P(15)= 0.62 0.3 0 0.7 0 14.5 1 = 0 1.12 x 2030 x 16 = 36314 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 Wall Weight: Wall: P(20)= Windward Leeward q I P (Area)x(Wt.(psf)) = Wt.(Ib) = 0 (Coef.) (Coef.x A + Coef. x A) (@75) .(Ibs) 650 x 17 = 11050 P(30)= 0:76. 0.8 0 0.5 0 14.5 1 . = 0 P(25)= 0.72 0.8 0. 0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(lb) P(20)= 0.67 0.8 0 0.5 0 14.5 V = 0 R = 5.5 W = 47364 P(15)= 0.62 0.8 162 0.5 162 14.5 1 = 1893 (Plywood) Base Shear (lb) P (Total) = 4717 V = (2.5 x Ca x I x W)/(1.4 x R) = 5536 SEISMIC GOVERNS Note: Walls CO , O , O , &4O meet minimum standard bracing requirements. Wall O Wind Roof: Windward. Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) . (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 P(25)= 0.72 0.3 .124 . 0.7 124 14.5 1 = 1295. P(20)= 0.67 0.3 133 0.7 133 14.5 1 = 1292 . P(15)= 0.62 0.3 0 0.7 0 14.5 1 0 Wall: Windward Leeward q I P . (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 177 0.5 177 14.5 1 = 2069 WIND GOVERNS P (Total) = 46 5/ Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 6 : 12 = 1.12 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.12 x 1650 x 16 = 29516 Wall Weight: (Area)x(Wt.(psf)) Wt.(Ib) 420 x 17 = 7140 Ca = 0.36 Total Wt.(Ib) R = 5.5 W = 36656 Base Shear (lb) V= (2.5 x Ca x I x W)/(1.4 x R) = 4284 v ►V f� L=�-- �.-�l Nom. A s_s �� .2<< 1170 �b 2(3-S� = 2`{-1?� 55 �A� V s��e �� � (.5� M ►.,.�1M vr. � �Pl� R�'�,p �-S_ Q. tti� �� .UtttL-S � �--`6-c - .��� L4rM— -7-in P - A c��NoG 8y /�U Sf' ��"r ' ) o AJ %-J-- IV.w C q7- 5 - � � y � z a� r'�C��c=1�, y� N�..1�:- � �`'1� 0 .C,c.�c}Z +��1 Jo�S?/`a� � cc9..N,v.�T/C�1� </�3� = ��0 ��) PA -r --R �0, Ll Z2418LI� ysd A 3 S A Z2 - 4- a CT'SLP-IVI ,� S-�- /;?.q) 7v P P1 -A 1 U7-lz-ITY. kooM /6 = O . S7 l�r� Joi L P4A-7� L! l _-_ A 3 vi"rz- cT"y FZca:�M R I 1 is 1. (�l )k 3 S l� = �zz� 712- /.b 41 wA-L. L a co N , w 41 R = - /moo �oL-D oW,V S ,� �A,� Q � � ►,�� rN G RNi / � iL' � �N i ( .�% ly�.C_•'i l� _ C/� __ � / � _ 3UC7 P Q.� �7'n c31:� �% � �Z� � ZY 1 F>� W /,v z coo V ZFv5 _ i4 N D c z -t Z AT J V t T" I'WS OA - AAJr�, TNZjU 7 -PA N S7 F:7. 7d H ' _ s3 S3 ki .SELL- ANcHo�G� Z 76 s 3 7-/ o ..c.:M A X. w �zpf'�Mk =b COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /j _ 9-01 76(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-060-142 ZONING BUILDING PERMIT OWNER 7.1 TELEPHONE SO. FT. OCC. BUILDING VALUATION 1508 81 4 2.00 OWNER'S MAIUNO DRESS 8211 NMI Q.AK WAYI ELK (;RGVE CA OR'S TELEPHONE CONTRACTNAME 7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS /'folpl Valuatlo6 J$ 81 432.00 ARCHITECT OR ENGINEER LICENSE NO. Fill Fee $ 20.00 rmit F 558.50/2 $ 279.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan C eckin Fee $ 23.00 BUILDINGADDRESS Mr- TDA RD, ORDITTIE Ene y Plan Checking Fee $ $ PERMIT FEE t 22.25 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each cas water heater or vent 15.00 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ er Describe Work: NEW MH PERM M NEW SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15-0015.00 Mobile Home I S I G I W 920.00 PERMIT FEE s65.00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR UE Main Service OAORLESS 23.00 LICENSED CONTRACTOR'S D C ION L I hereby affirm under penalty of perjury that I am ce ed der provisio s of hapter 9 (commencing with Section 7000) of Division f"e Bus' ess and Pro ns Code, and my license ' i fV4 force and effect. ( �v /o ` J License Class Lic. No OWNER -BUILDER A ATIO I hereby affirm under penalty of perjury that I e mpt tr Con actors License Law for the following reason: ❑ I, as owner of the property, or my employees ith wages as their so a compensation, will do the work, and the structure is not tended or offered for sale. ❑ I, as owner of the property, am exclusio ly contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPE SATION DECLARATION I hereby affirm under penalty of perjur one of the following declarations: ficate of consent to self -insure. for workers' compensation, as prby section 3700 of the Labor Code, for the ❑ 1 have and will mainJworrs' performance of the wh this permit is issued. ❑ I have and will maintaiompensation insurance, as required by Section 3700 of the Labor Codrformance of work for which this permit is issued. My workers' p ance Trier and policy number are: Carrier 1� Policy Number 040 (The above sectionsed not be completed if the permit is for work of a valuation of one hundred dol rs ($100) or less.) ❑ 1 certi t in the erformance of the work for which this permit is issued, I shall no mplo any arson in any manner so as to become subject to workers' ompen 'on I f California, and agree that f I should become subject to the w rK rs' com ;7- n pro 'sions of section 3700 of the bor Code, I shall f rthw' co with tho rovisions. ^^�� ate L 'r- gnature of Applicant - ❑ Owner ❑ Contractor ❑ Age t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00 W:L200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ADO. Bin S. 3.5QFT: NEW gE1ID. MULTI OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup. BAL o I o Ex. Occu . OUTLEEDTSA RM.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE s 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 430. 5 HAZ. .„_ D. FEES IMP FL OD cop p1pl, ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 363825 81-00,[/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. �F Y� r . :��-'lard`.. rid, .s ...:, ., _ n-`b�rn�Rvr -7� rn'gP�r�rn.ws..^R""fi7^'^^"^"+vr„I��+c"•�'v^...r�ryp,.....""..�..�,:...pR77 '}I�'i'!w+''a�`T!'Y-'7t 1 CCJJNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 1 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET b �^ 7 OWNER: � ,6��%" /7 ASSESSOR PARCEL NUMBER c Proposed Building Use: k%P//) / / I T / oeL !?"✓1� new S/� Counter Technician: Data Items required in order to apply for a permit. All boxes MUST be checked OR marked NA(in order to apply. 1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. 79 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 ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplic e. 6. Manufactured homes: (A) Data sheets and installation instructions, ( 1V foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and cal (D) Floor plans in triplicate. All of these must be stamped and wet-signe Items required for initial plan review. If checked items have not -Wel indexed and returned to the plan review line-up when requireNtems. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in I ❑ 9. Plot plan and business license approval from the Ci y a, gs. ❑ 10. Letter of intent for non-residential buildings .................. . ❑ 11. Detached Accessory Building Form filled out by a ow .. ❑ 12.. Hazardous Material Form .................................... I ....� ❑ 13. Other Remaining items needed to issue the perm 14. ees as shown on the attached Sched -IT-T5. Statement of Intent for Non -heated an 16. anitation and plot plan approval o` ❑ 7. City of Chico Plumbing perm...... California Department of Fore`s � -pl and si2neff calculations. information, (C) Floor Plan, (D) Tie down or in triplicate, (C) Elevation views in triplicate. plan review cannot proceed. The permit will be ................................... ................................... ................................... Date Received By u l i , (May req 're addition `. Ian review upon receipt of the following items.) o ee ue S) eet. s-, .................................. _ �1/C ildings.................................. .... _ jrreF ivironmenta FNealth Department in �} /.......- .......... _ n p`provAl at . Sent. byq�.X............ ❑ 19. Planning approval for (A) Use: (B)Parl�` (C) Parcel Check: } 0 —) — Us 2 Contact Land Development about mprovements, Drainage ............................... 2 Encroachment Permit for driveway om the Public Works Dept. (construction approval prior to occupancy).//'/g�2 22. Pre -Inspection for required ................ ❑ 23. Contractor's license informatio . (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation;Carri rand Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authori ation.................................................................... 27 Recorded copy of Agricul ural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violatio -V30. 'OGrant Deed, S ❑ '31. Other: When issued Telephone I have been info Applicant: >r expired permits......................................................... Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ and hold for pickup. � the above items, and requirements for obtaining a building permit. Date: q ' W�, C)Z-- 1. Index permit application f ra o, mbere�� Plan Check Letter 2. Additicqal items required a , designer, owner,As ad d bialia4bove a b phone, ❑ mail, ❑ counter, by �,Date: a 18 OZ -- Contractor, designer, owner, was advised of the abovp datA by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: �(Dj. Date: 0 Plans approved by: A46- Date: Qt-- Structural reviewed by: Date: Structural approved by: Date: cs Note transfer by: . Date: Yellow: Building Division A