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028-210-039
1 ' 028-210-039 02-2577 GONZALES, MIKE _ DARBY RD., BANGOR WELUELECTRIC SERV. FUTURE LOT DEVELOPMENT 028-210.039 04-1401 GONZALES, MICHAEL DARBY RD, BANGOR CONT: OWNER ELECT FOR WELL LOT DEVEL 028-210-039 05-1154 MITCHELL, SEANNY _ DARBY RD, BANGOR ont: CAR"THEN, BRENANI./�„ , NEW SINGLE FAMILY /0-31-040 028-210-039 AG02-135 MIKE GONZALES DARBY & LAPORTE, BANGOR AG. BLDG. (40'X 60) 028-210-039 04-1400 GONZALES, MICHAEL i8 DARBY RD, BANGOR CONT: OWNER AG BUILDING r 12 NOTES m RESIDENTIAL`, 028-2104039 05-1154 PERMIT PCO.: TCHEL�:. SL:AI�'NY. ; Ur\RLiY RU .BAN(OR Cont: CARTHEI,7jREPdAM NEW SINGLE Fsr-.MILY I SPECM CONDITIONS CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS`.REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER _ O F r- CA Po 2.TE G D%4 �u© c, g,pt FFICE COPY � t ' J Address qo l { f rC) GAS Meter By A. CARpcou'TG �atelGti—1 �(o I ELECTRIC Meter By Date3-,) -o fv �.. sVv + / • p / ,JOB FINALED (D��at//e)// s r+: ( r_ Signature l�_ esi� ;f o • r olZ3A6 Je c,,' 5, fA a ;�� f?Liv.✓d— ;! t- -32_s 1) eA-P- V. 2- + �• µ j c-, -0-,j ISI OfL— a 10A m RESIDENTIAL`, 028-2104039 05-1154 PERMIT PCO.: TCHEL�:. SL:AI�'NY. ; Ur\RLiY RU .BAN(OR Cont: CARTHEI,7jREPdAM NEW SINGLE Fsr-.MILY I SPECM CONDITIONS CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS`.REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER _ O F r- CA Po 2.TE G D%4 �u© c, g,pt FFICE COPY � t ' J Address qo l { f rC) GAS Meter By A. CARpcou'TG �atelGti—1 �(o I ELECTRIC Meter By Date3-,) -o fv �.. sVv + / • p / ,JOB FINALED (D��at//e)// s r+: ( r_ Signature l�_ esi� = OK =Not OK = Not ApplicReadyable ®BILE HOMES = Not Ready 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance 8 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-Connectoe 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 Vons-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 ) r = Not Ready I� 1 I\�'/ Date UNDE K 1OYOR (Plans) OK RESIDENTIAL (Single & Duplex) #'s A-�ain; Soils-Elec. Gmd.-/ /" Ftg. Depth ,31".71itg., giarage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. .. Porches & Decks; Soils -Steel-/ /" Ftg. Depth erytwalls, Main; Steel-Blockouts-Wrapped 44.1; i3fd Downs and Special Anchors 8. Piers-Firelace Ftg.-Steel ; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10-1(A-ou_ F, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test S 11. Water Pipe-, Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins - 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s V. W r Htr.; Vent -Access -Combustion Air Baffle r Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection 20. Sho er Pan; Test, First Floor -Tub Access 21. t Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT (Permit) .OK except #'s ure & Transformer Clearance -Ins. Protection EI ptacles Spacing -Lights & Switches at Doors 2 i oxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. 2 . ip. Ground made up w/Meth Fasteners -Bond & er Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or A 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 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- Date Card B-1 Date MEC ICAL (Permit) OK except #'s - C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 8,Condensate Drain & Overflow, Size & Grade 39 -Vent Access -Comb. Alt -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 FROING (Permit) OK except #'s Sill roper Materials & Anchors 4 ails tuds-Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing <U4 Draft Stop in Walls (rat proof) Fire §Jol:5s'. Furred Ceilings -Stairs -Chasers -Tubs 4.9 146a, I- & Beams -Size & Bearing Date FR ntinued) er - ost Caps -Anchors -Connectors Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic ss; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions $2. Garage Fre Protection Framing -RC Channel 53. Property Line Firewall & Openings Doors -One 3' -Check Garage N Story, 2 flits tai - idth-Headroom-Rise-Run-t:anding-Fire`Protection rl�lywood on Roof Overhang -Attic Vents-Raftel utriggers 57. Sidin - ailing Veneer 58. cco Mesh -Drip Screed -Fd. Vents-Underflr. Access ing Area -Glass Protection -Skylights -Plastic VJ§PAhear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal -Windows Dat Card B-1 Date Card B-1 Daty7.22_Card B-1 Date Card B-1 Date FI s OK except #'s Steps -Door & Sidelight Protection -Landings Se -Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garagg;Above Floor -Ducts -Meeh. Protection 63�room Exiting 6 at s & Tub Access -Spa 69 nm & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 7,&_EiecM, utlets at Wood Panel, Int. & Ext. 7.3rk'ICFikt. & Appliance; Ground -Air -Gap -Cooking Clearance 14,-Efec-Outlets & Receptacles at Kit. Counter A<Gara a Door, Swing -Landing -Closure 7 Duct in Garage -Damper Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection -43-'Fib-.; Elec. & Mech. Equip. Listed for Location 79r-Ele1"rtleceptacles in Garage (F.El.)-Romex Protection 80. Insulatio -Foam-Looked in Attic and Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 83. Following InstklJDrive 0 Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stuc can -Finish 8 . Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. WateerWell, Disconnect, Electrical, Plumbing 8A-'E- ?agdopRec. Trim, G.F.I. Receptacle -Underground 8f Venti t 1- rouahout House F � U6 -74 9g/Gas Tela( Meters Tagge6, Gas -Electric ' e- T ater & Sewer Connected -C/O to Grade -HD Approval Certificate -Other Certificates QF -Address Posted 95. Fire Sprinkler Date/s , Zb. ,,,e_1 Card B-1� Date Card B-1 Date o : Card B-1 L� Date Card B-1 Dater' Card B-1 / Date Card B-1 Comments at Final: �r COUNTY OF BUTTE BUILDING DIVISION 'Y DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER qty PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional t explanation, please contact the Building Inspector as indicated below. Date /O •3O Inspector EV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-283 J,45:::6S+ C C i I - If 6 /6 L -j /' e cJ' -h e— F. VISA- 4-k./- <k—s e /TC ,t` ` V i Q 2 .. •/'. � Cor :C: i� C. Date /O •3O Inspector EV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-283 iit�...;..... ') COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ease contact the Buil Inspector as indicated below. �z (IA"r :;-Z`i "CG ?GGA %1° f`'G, -Y72' o Dory /� SAW 1-1-7o72�c 1YGtr,-7& /P V/!l X- �/lr S 7d/ /iT 61- 19i�� -/- i �� I&W '16Z 7 110i,1/s�G' A//4//_ Date v Inspector 9/'/ REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 '+ `«APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING TESTING AND INSPECTION CERTIFICATE OF BOLTING INSPECTION Date: 10/26 &10/28 -06 Project: Seanny Mitchell Residence Client: Seanny Mitchell Inspector: K. Coy P.O. Box 231580 Sacramento, CA 95823 Bolt Size Req'd Tension Test Torque Turn of the Nut Impact Test in dia lbs ft -lbs turn past snug) sec 3/4" 29,000 300 .•N/A N/A DESCRIPTION OF WORK Arrived at the jobsite at 1000 hours to perform special inspection of high strength bolting at the steel truss collar at the bottom chord of the trusses at center of the building. Before tightening the bolts we verified that the materials used in this assembly were in conformance with the requirements of section 2 (Bolts, Nuts, Washers and Paint) and section 3 (Bolted Parts) of the RCSC Specifications. The bolts used in this structure are 3/4 diameter A325 grade high strength bolts with hardened steel washers beneath hardened steel nuts. The Calibrated Wrench Tightening method was used per Section 8(d)(2) of the RCSC Specifications. A representative sample of 3 bolts from'each diameter, length, and grade used in this structure were tightened in the Skidmore Wilhelm tension -indicating device using a calibrated dial -indicator torque wrench. Three readings were recorded, on the wrench, for each bolt size, in order to establish an average job test torque to provide a tension not less than five percent in excess of the minimum tension specified in Table 4 of the RCSC Specifications. . Each bolt assembly was installed and tightened to a snug -tight condition by the contractor prior to tightening. There were a total of 4 bolts in the structure, all were tightened using the 4bdventiZed procedure. Based on the above mentioned procedure, it is our judgment that all A3.251ikf stren''�g li bol nstalled in the a�_ structure have been properly tensioned in accordance with the RCSC Specif'cations fo "�"'u " ral Joints contained in the AISC Manual for Steel Construction. Coyy Inspector � ^' Charles J:`Roberts, PE C-038692 Exp. 3/31/07 Staff Engineer - 3060 Thorntree Drive, Suite 10 ° Chico, CA 95973 ° Telephone: (530) 891-6625 ° Facsimile: (530) 891-4243 Insulation certificate wm-nTNr, OWM: BUILDING LOCATION: Description of Installation ROOF - 7 Material I Thickness (inches) Brand Name Thermal Resistance (R -Value)' CA 1 4 CEILING Batt or BlanketType BrandName Thickness � je (inches) W" Thermal Resistance_(R-Value) _ Loose Fill Type Brand Name Conuactor's minimum installed weight/ lb Minimum thickness inches Manufacttuer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material L/ l BrandName (2.E?. r Thermal Resistance (R -Value) F2,Thickness ('inches) f RAISED FLOOR Material ~ - Brand Name Thermal Resistance (R -Value) Thickness Cinches) SLAB FLOOR Material Thickness (inches) Width (inches) ` FOUNDATION WALL (tor Material tl► Declaration Brand Name Thermal Resistance (R -Value) Brand Name "�ermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of -the California Administrative Code. / + r- q License Number Genera[ Contras (Builder) Signature and Tide Date Sub.Contractor (Insulation Installer) Signature and Tide License Number Date THIS CERTIFICATE MUS .BE PROVIDED TO BE POSTED WTHEI*I BUILDING THE BUILDIAR fir PRIOR TO FINAL INSPECTION . nvvnv A T . ANTI A Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:' (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051154 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUAN,-E, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/30/2005 APN: 028-210-039-000 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' - Site Address: 390 DARBY RD. BAN License Class : License Number: 'Map Index: Date: Contractor: OWNER -BUILDER DECLARATION Vescription: NSF(2091)GAR(864)COV(480)OPEN(480) I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MITCHELL, SEANNY permit to construct, alter, improve, demolish, or repair any structure, prior PO BOX 231580 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of SACRAMENTO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95823-1580 7000) of Division 3 of the Business and Professions Code) or that he or (916)519-2987 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 7 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: CARTHEN CONSTRUCTION intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 3003 NANCY LANE owner of property who builds or improves thereon, and who does WEST SACRAMENTO, CA.. such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95691 sale. If however, the building or improvements are sold within one 916-708-5879 year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors construct the project (Sec. Business Contractor: CARTHEN CONSTRUCTION3002 NANCY and Professions Code.e. The Contractors' State Licenseense Law does not apply to an owner of property who builds or improves thereon, LANE and who contracts for such projects with a contractor(s) licensed WEST SACRAMENTO, CA. pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of h Business and P essions Code 95691 Date:��10--&wner: 916-708-5879 WORKERS' COMPENs ION DECLARATION -License #: 689591 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: Policy #: Total Square Ft: 3915 S.F. Valuation: $169,131.00 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 forthwithcomplywith those provisions. Dale: Applicant:_ WARNING: Fail re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. -' `CONSTRUCTION LENDINGAGENCY'" 'This permit isii6 euy issued unde a appllc4- I pr visions of the Butte County Cudc al,uio ..-.. •_ I hereby affirm that there is a construction lending agency'for the Resolutions t do work indi a atio_ve..fo hich es have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: J . Address: PERMIT EXPIRES ON: �— (Date) Fhereby reby 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, dling and use of hazardous materials. ification In accordance with Section 19827.5 of California Health & Safety Code isnot applicable to the scheduled construction of this project. ched are copies of the required E.P.A. notification forms. F ertify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or do cu ot-91-Butte-Go u I hereby authorize representatives of Butte County to enter pon th above mentioned property for inspection purposes. G �. Print Name: °� ' Signature: Date:�'� Y' Owner ❑ Contractor t ❑ Agent for Owner 0 Agent for Contractor r - ■R APPLIED TESTING CONSULTANTS MATERIALS TESTING, ENGINEERING AND INSPECTION August 30, 2005 Butte County Building Department 7 County Center Drive Oroville, CA 95965 Attn: Michael Vieira Gentlemen: In accordance with your request, we have agreed to provide special inspection services for the A325 high strength bolting installation for the Mitchell's Residence located at 9999 Darby Road in Bangor, CA. The AP number for this project is 028-210-039. We propose to verify proper tensioning of the A325 bolted connections using a calibrated dial indicator torque wrench or the AISC "Turn of the Nut" method. We will use the proper method that is applicable. The proper tension will be established by a representative sample of bolts tensioned in a Skidmore -Wilhelm load cell device. This procedure will be executed per the specifications noted in the AISC manual. Please call if further information is required. Very truly yours, APPLIED, TESTING CONSULTANTS Brad Forsythe Vice -President & Director of Operations 3060 Thorntree Drive, Suite 10 • Chico, CA 95973 o Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 1600 Starr Drive, Suite C * Yuba City, CA 95993 * Telephone: (530) 671-4473 * Facsimile: (530) 671-6770 � _ ti �- .. .---ti. ..-. '_v TJ`�-..�.F.r•r�. .. � ��,r•....�_ .ti r.,.,--�..�r. �._.--•.��.�..y.�..... �...-.-.+-,-^-.-..+.--.tip•..... ti...........✓tiry :.>'v�T ��^.�.-. -.., -..-� ..� ...r_... ,_,.r.,� f - � BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. --.W 74Ajp-lob Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Qasj , � //-� _T UU I v v ZONING OWNER PHONE NO. / Gt7NZL1L.clfL OWNER'S ADDRESS 315 _� sk Rr.; S -e -'i d U.e C q 1Vc_18 LOCATION OF BUILDING (!Sol S'�S 'USE OF BUILDING go SIZE OF STRUCTURE V yU �J�j� x =�=SO. FT. TYPE OF CONSTRUCTION: �/ \/s 1 a� WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF IDING �ROOFCOVERING — 1 FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT ' SIDES ®""� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date i h o I Zo-o I Signature of Owner r I Frri e - $!2�91 The above described AG Building is exempt from ' ding per it. �I/O D L P.O. RO IN ISSUE Receipt No. l �p Manager Building Division By Date 9 s o 2 White —DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant r"+ BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. � QtJ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D�Z� Bo1ao 039 ZONING .4--5 OWNER Lit PHONE NO. �'[ I� s 3Z -ISIS. 'OWNER'S ADDRESS %C1 i1 0 G5-4 tO LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE �Z- 'X'= O. FT. TYPE OF CONSTRUCTION: WOOD FRAME—!VUSTEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE A ESTWATED COST OF CONSTRUCTION -P cm .w $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: '' `�:5 7 1�� � VIREAR / � Al FRONT SIDES AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date s1 �'7,�`, Signature of Owner ` Permit Fee - $69:90 io �. R T The above described AG Building is exempt from a bung perot. % FLOOD p /-A0 b005 � I I y ,I/ PARC Receipt No. �f y17/ Manager Building Divisio By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant Date ��g Z LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1 a) (9/99) VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted Date Expires The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name Seanny Mitrhell Address City SIGNA Zip Date ,?-2- '6 �. TIMBER TAX EXEMPTION: Tiffiber owners owe—UimEe—r yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116). -Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tai information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, Cal'ifomia 94279-0060; or contact the BOE Web Page on the Internet at http://www.boe.ca.gov. A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log): Under 8 mbf 8-15 mb 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood %; Ponderosa pine/Sugar /010 %; Douglas -fir %; Fir %; . Port -Orford Cedar %; Cedar (IC, WRC) %; Other, conifer %; .Other, hardwood—%. 2. TIMBERLAND OWNER(S) OF RECORD: Name Same ac *1 Address City — State Zip Phone I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona ride inter,t"[14CCR1100(b)]toconvert toanSingla F� Dwelling and landscanina _ and that 1 have mailed a letter of nota v to harvest Nm , prepared by the Regis tere fessional Forester, to all adjacent landowners within 300 feet of boundaries of th exemol' SIGNA 3. LICENSED TIMBER OPERATOR( -S): Name Mike Gariicc I ic. No. A_1 07 Address P n Bay 191 City SIGNATURE 000Yl I U ^ S — Date 4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of the conversion, location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number 24 _,$I)L__ _5E_ –4 n R R M Ruttp _ --2_q5_ 028-910-039 Page 1. NOTE: This form has two pages. Continue on and complete Page 2. Read the instructions before attemptingo cot mplete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's Web Page on the Internet at http://www.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1(a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgement. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit (e.g. county, city). G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and the Director's acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. I. No timber operations are allowed on significant historical or archeological sites. . J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion Report to the Director. 4 r, " , declare as the authorized designee of the County Board of Supervisors that this conversion exem tion is in conformance with all county regulatory requirements, including public notice. (If the county has authp ed a designee thAitem MUST be completed. If it has not, see item 7.)Ij 7. Registered Professional Forester preparing Notice: Address P 0 Rnx 5341 Date Number2643 City OmvillP State CA Zip 959RR Phone 530-589-1479 I certify that 1, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in item 6., that 1, or my supervised designee, contacted the county and the Notice is in conformance with county regul#tions. SIGNATURE of RPF nate 8. NOTICE SUBMITTER(S): Name SP- nny Mitr hpl] Address PO Rax 731580 City Sarramentn State CA 7i 9503 Submitter must be either 1, 2, or 3 above, and must sign. SIGNATOR ate �xr FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY INCH THE OPE L OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, => 135 Ridgway Avenue San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou, Modoc, Shasta, easter Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumes, => 6105 Airport Road Yuba, Siena, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kem, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Ventura, Los Angeles, San Bemadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 Mitchell Conversion Exemption Rackerby 7.5' quad Section 24, T18N, R5E, MDB&M Scale 1 in. = 660 ft. T North Contour interval 20ft. Property Boundary.......... Exemption Boundary...... �}� Permanent seasonal road Paved road ................. Landing Location ........ Location Map Mitchell Conversion Exemption Rackerby 7.5' quad Section 24, T18N; R5E, MDB&M Scale lin. = 1350 ft. Parcel Boundary......... �--� Exemption Boundary.: �}-� David Whittier Consulting Forester Lie. #2643 P.O. Box 5331 Oroville, CA 95966 (530)589-1479 Fax #(530)589-0950 e-mail:whittiers@jps.net October 3, 2005 CA Dept. of Forestry and Fire Protection 6105 Airport Road Redding, CA 96002 Dear Sirs & Madams; Enclosed is a one-time conversion request for one parcel owned by Seanny Mitchell. He is the timberland owner for parcel 028-210-039. The intent is to make room for a single family dwelling and landscaping on the parcel. A take tree mark was done with blue paint marks including butt mark: The marking was done with the owner and is intended'to clear the area for the above mentioned use. The LTO will remove the trees. The LTO will also be responsible for treating the slash generated by the operation to the standards of Section 1104.1(2)(d) of the Forest Practice Rules. The exemption area boundaries are flagged in solid pink flagging. Access to the parcel will be by the existing road off Darby road. No watercourse is present in the exemption boundaries. No endangered or threatened plant or animal species were observed. Habitat for such species was not noted. This project is in accordance with Butte County regulations and an assistant planner has signed off on its compatible use. A copy of the notice posted on the parcel at least 5. days before submission (copy of notice attached, posted (August 15, 2005). A copy of the notice was sent to owners of record within 300 feet and the archeological contacts for Butte County (September 16, 2005). A list of the adjacent property owners are enclosed. Sincerely David Whittier Registered Professional Forester #2643 David Whittier Consulting Forester Lic. #2643 P.O. Box 5331 Oroville, CA 95966 Office: (530)589-1479 Fax(530)589-0950 September 20, 2005 To Whom It May Concern: An Exemption for a less than three acre conversion will be mailed to the California Department of Forestry and Fire Protection, 6105 Airport Road, Redding, CA 96002, (530) 224-2445, on or after September 26, 2005 for the Timber/Timberland owner listed below: The conversion is a one-time change of use from Timberland to a single family dwelling and landscaping. All trees were marked on the parcel with blue paint including butt mark to make room for the above mentioned use. A copy of this notice will be posted on the parcel at least five days prior to mailing of the exemption to CDF. Each property owner of record within 300 feet will be mailed a copy of this notice immediately prior to the exemption being mailed to CDF. No watercourses are present on the exemption boundaries. No archeological sites have been identified: Parcel #028-210-039, located in Section 24, T18N, R5E, M.D.B. & M., in Butte County. Seanny Mitchell, Timber & Timberland owner, P.O. Box 231580, Sacramento, CA 95923, (916)392-3150 The Licensed Timber Operator is: Mike Corliss, P.O. Box 121, Forbestown, CA, 95941, (530)589-4029, LTO #A-107. Sincerely, r David Whittier Registered Professional Forester 42643 Mitchell Conversion Exemption Adjacent land owners list Landowners BIVENS THOMAS AND JANET 028-210-030 Mailing Addr: P O BOX 386 BANGOR CA 95914 COFFMAN RALPH E. 028-210-031 Mailing Addr: 8125 AHEY RD LAS VEGAS NV 89129 FLAMMINI NANCY BOLTON 028-210-040 Mailing Addr: P O BOX 267 BANGOR CA 95914 AULT LAWRENCE G AND RONDA K 028-210-058 & 060 Mailing Addr: PO BOX 1505 CHESTER CA 96029 RUNGE TIFFANY RHEANNON-MONIQUE 028-210-044 Mailing Addr: P O BOX 2042 OROVILLE CA 95965 GLABICKI FAMILY LIVING TRUST 028-220-047 Mailing Addr: 2476 ARAGON WAY SAN JOSE CA 95125 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:'(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51154 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/30/2005 APN: 028-210-039-000 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. - Site Address: 390 DARBY RD. BAN License Class : License Number: Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: NSF(2091)GAR(864)COV(480)OPEN(480) 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MITCHELL, SEANNY permit to construct, alter, improve, demolish, or repair any structure, prior PO BOX 231580 to its issuance, also requires the applicant for such permit to file a SACRAMENTO, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95823-1580 7000) of Division 3 of the Business and Professions Code) or that he or (916)519-2987 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: CARTHEN CONSTRUCTION intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 3003 NANCY LANE owner of property who builds or improves thereon, and who does WEST SACRAMENTO, CA.. such work himself or herself or through his or her own employees, 95691 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 916-708-5879 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors construct the project (Sec. 7044, Business Contractor: CARTHEN CONSTRUCTION 3002 NANCY and Professions Code.e. The Contractors' State License Law does not apply to an owner of property who builds or, improves thereon, LANE and who contracts for such projects with a contractor(s) licensed WEST SACRAMENTO, CA. pursuant to the Contractors' State License Law.).. ❑ 1 am Exempt under Article 3 of Business and P essions Code 95691 Date: � % Owner: 916-708-5879 WORKERS' COMPENSAMNON DECLARATION License #: 689591 1 hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 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:—I Carrier: Policy #: Total Square Ft: 3915 S.F. Valuation: $169,131.00 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: ��3D Applicant: WARNING: Failre to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is he y issued unde a applic I pr visions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions t to work indi a above_fo hic es have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: j Address: PERMIT EXPIRES ON: e (Date) --� O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0- Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu t-ef-Batte-G I hereby authorize representatives of Butte County to enter pon t9hp above mentioned property for inspection purposes. Print Name: v G" Signature: Date: e7'� f� Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor O0(CL O� Ty' fUBUTTE$C0'rUNTY � Fo DEPARTMENT OF DEVELOPMENT SERVICES O O BUILDING PERMIT APPLICATION O O AND SUBMITTAL REQUIREMENTS O ""v.r. '• = O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 n O�.=_e.� O OFFICE #: (530) 538-7541 ^ I C y A FEE WILL BE REQUIRED AT TIME OF APPLICATION 1 �4 �UN 6 '� Website: www.buttecounty.net/dds `1 "PLEASE PRINT CLEARLY" d 1 M 6 • Name r— Address r Stat WWI City l 2�y y3 v Stag Phon,,`6.7&'9 Fr �I d�► + m M 6 For office ufi only: CONTRACTORIj Name r— Address r Stat �S City l 2�y y3 v Stag Phon,,`6.7&'9 Fr Fax ' E-mail EZ Lic. #6g . Class For office ufi only: ARCHITECT/ENGINEER Name Addres -� C4!11 City SRA Stat �S P e l 2�y y3 v Fax E-mail Fr State License Number For office ufi only: ----APPLICANT NAME Flood Zone ross Street SRA YesAl No / 1 w�%.Ii11=w._. it Type Const. Subdivision Name j Fr Lot # •� s EZ r� - - 0 r For office ufi only: Zoning Pr y AAdress � n Flood Zone ross Street SRA YesAl No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP®_5--//S BIN #� LOCATION A 0 -0 Qj Pr y AAdress � n City, 1 ross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: -3�_) 604 z56 't Sq. Footage ❑ Structure BLfllt withoutPermits ❑ 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: / '7''?— Bldg SRA Receipt #: 2;7 Sheriff SMIP DatOther Date, /� � Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 AIC 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 bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 oeOTTF, 1 0 0 o o o o UN srutherford()buttecountv.net Plans Transmittal For Review Per Contract 5/3/2005 Applicant: Mitchell, Seanny Permit No: 05-1154 Project Type: NSF/Gar APN: 028-210-039 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN Fee $ 817.40 Copies Attached: Qty . Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 LO < (530) 538.7601 Telephone (530) 538.7785 Facsimile O z DATE: WILLDAN Scott Rutherford (530) 538-7160 oeOTTF, 1 0 0 o o o o UN srutherford()buttecountv.net Plans Transmittal For Review Per Contract 5/3/2005 Applicant: Mitchell, Seanny Permit No: 05-1154 Project Type: NSF/Gar APN: 028-210-039 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN Fee $ 817.40 Copies Attached: Qty . Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other TO: FROM: ' LO < SUBJECT: O z DATE: WILLDAN Scott Rutherford (530) 538-7160 oeOTTF, 1 0 0 o o o o UN srutherford()buttecountv.net Plans Transmittal For Review Per Contract 5/3/2005 Applicant: Mitchell, Seanny Permit No: 05-1154 Project Type: NSF/Gar APN: 028-210-039 100% 70% Plan Check Fees $ 1,167.72 $ 817.40 $ 1,167.72 $ 817.40 WILLDAN Fee $ 817.40 Copies Attached: Qty . Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /"' C �=y�-• n ASSESSOR PARCEL NUMBER �2C� 2A Proposed Building Use: /" �r Permit Technician: 6&_5 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. /0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. N 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. U /N 4. Engineered truss details and layouts in duplicate. No faxes! N 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings \❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Re!paining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)�� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable i5 /a- UJ ❑ 16. Fire Sprinklers...................•........................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ j 19. Erosion Control Plan Required........................................................................ �pX-jo Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ I 21. City of Chico Plumbing permit.................................................................:.. ❑ 22. Site plan and business license approval from the City of Biggs ............... \�E1t(� 23. California Department of Forestry plan approval ald. Sent �l �Aj 24. Planning approval for (A) Use: B)Parking: (C) Parcel Check:..tl.....� 0 25. Contact Land Development about _ Improvements, _ Drainage ........................ /26. NPDES Form.......................................................................................... 27 ncroachment Permit for driveway from the Public Works Dept ...................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's, Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowled ment taternent- ...........s.l ............ 33. Existing violations and/or expired permits ........................................... r" `..... �. ❑ 34. Deed Restriction .......................................... !............................................... ❑ 35. ❑ Legal description, 51 M.H. Title, title search, regi tration or MCO ......................... '} Other: j(Other: / I When issued Telephone 15FA- N N� and hold for pickup. x'/9-2- � £S'7 1 have been inform d- - above items and requirements for obtaining a building permit. Applicant: Date 1. Index permit applicati for the above items n mer'"" ae : Plan Check Letter 2. Additional items re Contractor, designe ow was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer,`o4vner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I Date: Structural reviewed by: Date: Structural approved by: W Date: Note transfer by: %YYl Date: ieQip Oft' Yellow: Building Division 1 a t�1�a165� E.N. USE ONLY Plot Ilan Attached 1% Rear Plan Attached Sent to S.D. I I'll 0 00 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /0 —oz? Owner ctocation AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other �7k Hold final for: Final clearance O.K. for: Water Supply: Public Private A-« 9,oq:7e-e x ? o u Environmental Hea 8/96 S -i/ Ste/ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER _,AR l / :Fe PROPROSED BUILDING USE / " 5P-- �IBUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ---dAitional plan checking Fee .... $ 2= SCHOOL DISTRICT FEES /+ (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360:00 =$ Units o ercial (sq. ftg.)..... X $0.03 = $ I Sq.Ftg. _ 4. RECREATION DISTRICT FEES19Wb/17— ( Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPAC:TStES COUNTY WIDE (per dwelling) $ -"% CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ RTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. # DATE RECEIPT # DATE REC. �2 � 43 7. WATER TENDER FEES BATTALION # $ 0 (paid at Building Division) p� 8. SMIP G r Cd 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advi the above fees are r quired to be paid prior to'issuance of the permit. These fees may be changed dur' g the It check' g proce APPLICANT DATE 0 Z> 2—O—C Pursuant to Government Cycle Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Off,, WTMENEN , Cc �vTrF o �i, o ° l 11�L1C WCR�p Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: N -� Project Location and/or Parcel Number: i� 2� - 2 to '—(0 3 l By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. . , Signed: Title: to In er Date: ,-tom z- s Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelop hent Services 7 County Center Drive ° d �. -: ° Oroville, CA 95965 ° (530) 538-7601 Telephone (530) 538.7785 FacsimilecoUIN BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained o I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: —6-937 Building site address: � Permit No.: I have read, understood and accept the terms and conditions as expressed herein submission of the above -re d- iu. ding permit application and my signature below �dQ2 SI NATU E OFA DATE Copy to Applicant/EH/File K:Fomis/BldgPermitwithoutClearances 020705 as indicated by my r 2005-0026441 Recorded I REC FEE 10.00 AND WHEN RECORDED MAIL TO: Official County Records 1 COPIES 5.00 BUTTE COUNTY BUILDING DIVISION Butte I _ I 7 COUNTY CENTER DRIVE CMCE J. 6RI BBS I OROVILLE, CA 95965 County Clerk -Recorders I I ISS j{ 012:07PN 10 -May -2605 I Page 1 of 2 - _ _-- - �_iIIIIiIIIiIIIIiIiIillNlllll{illlll _ � . _� 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: Date US - 7—OS State of California County of On 7Tti MA-/ 2005 before me, personally appeared S6A 1,AN`1 RA q MILH&LL SR- personally known to me (or proved to me on the basis of satisfactory evidence) tobe the person whose name() is/arae subscribed to the within instrument and acknowledged to me that he/oheAbep executed the same in hisAteFAheir authorized capacityoes) and that by his/herAheir signaturexon the instrument, the personXor the entity upon behalf of which the person(J6 acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: r, A. PRASAD COMM 81551182 �� O Notary Public-Calitornlto A.P. # i i 9 m SACRAMENTO COUNTY N My Commission Expires Feb. 7, 2009 N GAE"10 A � N, , 1, 4 - - ORDER NO.: 00218176-005 - DRK SCHEDULE C 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: COMMENCING AT THE WEST 1/4 CORNER OF SECTION 24, TOWNSHIP 18 NORTH, RANGE 5 EAST, M. D. B. & M., AS SHOWN ON THAT CERTAIN RECORD OF SURVEY, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 12,1977, IN BOOK 61 OF MAPS, AT PAGE(S) 42; THENCE NORTH 000 24' 12" WEST ALONG THE WEST LINE OF THE NORTHWEST 1A OF SAID SECTION 24,1315.93 FEET TO THE NORTHWEST CORNER -OF. THE SOUTH 1/: OF SAID NORTHWEST 1/4; THENCE NORTH 890 28'37" EAST, ALONG THE NORTH LINE OF SAID SOUTH 1/x,1668.66 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE FROM SAID POINT OF BEGINNING, LEAVING SAID NORTH LINE SOUTH 01° 08'08" EAST, 650.51 FEET; THENCE NORTH 89° 13'16" EAST, 460.60 FEET TO THE WEST'LINE OF DARBY ROAD; THENCE NORTH 160 04'44" EAST ALONG SAID EAST LINE 12.52 T+EET TO THE BEGINNING OF A CURVE TO THE LEFT HAVING A RADIUS OF 470.00 FEET AND A CENTRAL ANGLE OF 49° 32'; THENCE ALONG THE ARC OF SAID CURVE 406.32 FEET TO THE END OF CURVE; THENCE NORTH 330 27' 16" WEST, 120.18 FEET TO THE BEGINNING OF A CURVE TO THE RIGHT HAVING A RADIUS OF 780.00 FEET AND A CENTRAL ANGLE OF 12' 01144"; THENCE ALONG THE ARC OF SAID CURVE 163.76 FEET TO A POINT ON SAID NORTH LINE OF SAID SOUTH 1/2 OF SAID SECTION 24; THENCE LEAVING SAID WEST LINE OF SAID DARBY ROAD, SOUTH 89° 28'37" WEST ALONG SAID NORTH LINE 275.87 FEET TO THE POINT OF BEGINNING AND THE END OF THIS DESCRIPTION. THE BASIS OF BEARINGS FOR THIS DESCRIPTION IS THE SAME AS SHOWN ON THAT CERTAIN RECORD OF SURVEY, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 12,1977, IN BOOK 61 OF MAPS, AT PAGE(S) 42. AP NO. 028-210-039 PRELIM RECORDING REQUESTED BY Financial Title Company AND WHEN RECORDED MAIL TO Nme Seanny Ray Mitchell street 1\ 5tiertJ%1l 04. Address city,State ba. elry.- r. *O� 0001 q515 Zip order No. 42448915-853-CC2 GRANT DEED Illi lIIIIlIIIIlIIIIIllllfllflllflf E?GDP 10M GD 1 1 1 9S Recorded Official f ictalYReecords I REC FEE 10.00 i TAX 99," CountEO City Conveyance Tax is $-0- CANDACEUJ. sRUBBS I the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROSEMArder RY DICKSON I Assistant I Lisa 02:08PM 28 -Feb -2005 i Page 1 of 2 ABOVE THE UNDERSIGNED GRANTOR(s) DECLARE(s) Doc mentaryTransferTax Is $99.00 City of or ® Unincorporated Area Kc mputed on full value of interest or property conveyed, or City Conveyance Tax is $-0- ❑ full value less value of liens or encumbrances remaining at Parcel No. 028-210.039 the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michael Gonzales, an unmarried man hereby GRANT(s) to Seanny Mitchell, an unmarried man the following real property: See Legal Description shown as Schedule "C° attached hereto Dated:, October 18, 2004 STATE OF CAL ORNIA COUNTY OF E F ix P Rr S.S. On C'-hi' 7)of � before me; 0-3rNX6-"— a Notary Public in and forsaidCounty and State, personally appeared c" i lv Za p S personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(les) and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf which person {s), acted, executed the instrument. WITNESS y h d nd f>tcial seal. Signature Michael Gonzales C. CROWDEN M� Comm. # 141,8938 to W NOTARY PURIC•CAUFORNIA N Pioeet County My COM FzpYes May 19, 2007 (This area for official notarial seal) MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE v.) ORDER NO.: 00218176-005 - DRK SCHEDULE C 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: COMMENCING AT THE WEST'/4 CORNER OF SECTION 24, TOWNSHIP 18 NORTH, RANGE 5 EAST, M. D. B. & M., AS SHOWN ON THAT CERTAIN RECORD OF SURVEY, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 12,1977, IN BOOK 61 OF MAPS, AT PAGE(S) 42; THENCE. NORTH 000 24'12" WEST ALONG TkE WEST LINE OF THE NORTHWEST 1/a OF SAID SECTION 24,1315.93 FEET TO THE NORTHWEST CORNER -OF. THE SOUTH %: OF SAID NORTHWEST 1/4; THENCE NORTH 89° 28137" EAST, ALONG THE NORTH LINE OF SAID SOUTH 1/x,1668.66 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE FROM SAID POINT OF BEGINNING, LEAVING SAID NORTH LINE SOUTH 010 08108" EAST, 650.51 FEET; THENCE NORTH 890 13'1611 EAST, 460.60 FEET TO THE WEST -LINE OF DARBY ROAD; THENCE NORTH 160 04'44" EAST ALONG SAID EAST LINE 12.52 PEET TO THE BEGINNING OF A CURVE TO THE LEFT HAVING A RADIUS OF 470.00 FEET AND A CENTRAL ANGLE OF 490 32'; THENCE ALONG THE ARC OF SAID CURVE 406.32 FEET TO THE END OF CURVE; THENCE NORTH 330 27' 16" WEST, 120.18 FEET TO THE BEGINNING OF A CURVE TO THE RIGHT HAVING A RADIUS OF 780.00 FEET AND A CENTRAL ANGLE OF 120 01144"; THENCE ALONG THE ARC OF SAID CURVE 163.76 FEET TO A POINT ON SAID NORTH LINE OF SAID SOUTH 1/: OF SAID SECTION 24; THENCE LEAVING SAID WEST LINE OF SAID DARBY ROAD, SOUTH 890 28'37" WEST ALONG SAID NORTH LINE 275.87 FEET TO THE POINT OF BEGINNING AND THE END OF THIS DESCRIPTION. THE BASIS OF BEARINGS FOR THIS DESCRIPTION IS THE SAME AS SHOWN ON THAT CERTAIN RECORD OF SURVEY, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 12,1977, IN BOOK 61 OF MAPS, AT PAGE(S) 42. AP NO. 028-210-039 cap"'. PREWM ,t' �WILLies Serving Publ,DA�N August 23, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1154 Assessor's Parcel No: 028-210-039 Description: Mitchell NSF/Gar Willdan Project No: 14353-1603 Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies revised sheets T1, T1.2, T2.3, Al through A5 and SO through S5 dated 03/30/05, S7 through S10 and El through E2 revisions dated 8/01/05, by Excelline Technology, Inc., and two (2) sets of Eagle's Nest Homes plans (7 sheets) dated 9/10/90 by Eagle's Nest Homes, Canton, GA * Structural Calculations: Two (2) copies dated 02/03/04, revisions dated 08/01/05, by M. Kisabuli, S.E.,;Excelline Technology, Inc. # Truss Calculations: Two (2) copies dated 03/25/2005, revisions dated August 2005 by Cal - Asia Truss # Energy Calculations: Two (2) revised copies dated 07/26/05 by Dee Anne Ross, DAREnergy Consulting. # Miscellaneous: Two (2) copies EOR's Truss Review letter dated 3/31/05 by M. Kisabuli, S.E., Excelline Technology, Inc. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Page 1 of 3 Butte County 05-1154 Willdan 1.4353-I603.1PUF . A W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the permit application*. Specific Use Type of Occupancy Type of Construction Stories 0 Floor Sq Ft 2" Floor Sq Ft Total Sq Ft Dwelling R-3 V -N 2 1074 1017 *2091 Garage U-1 V -N 1 864 0 864 Raised Decks R-3 V -N 2 F 0 480 *480 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan. sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 5. Applicant shall provide completed Butte County Special Inspection form to Butte County Building Department. CBC 1701 Page 2 of 3 Butte County 05-1154 Willdan 14353-1503.PC2.F 1 SPECIAL INSPECTION NEEDS Special Inspection pursuant to CBC 1701 is required for the following items: • Shop and field welding • High strength bolting DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Richard Essenwanger Plans Examiner II Gustavo Franco, P.E. Plan Check Engineer Cc: Alice Mefford amefford@buttecounty.net Excelline Technology, Inc., 55 Quinta Court, Suite C, Sacramento, CA 95823, fax (916) 244-0327 Brenam Carthen, 8548 Elaine Dr., Sacramento, CA 95828 Seanny Mitchell, 11 Sherwill Court, Sacramento, CA 95823, Email: seannym@nextel.blackberry.net Page 3 of 3 n C Butte County 05-1154 Willdan 14353-1603YCH COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) RER71. (Rev. 12/96) , APPLICATION AND PERMIT ��� ASSESSOR PARCEL NUMBER 02,9-210-019 ZONING A -q BUILDING PERMIT OWNER GO 'rEHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRES 119 MAIN ST ]ROSEVILLE, CA 95978 , CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: WELLIFTEC"TRTC' SERVICE Fi1R_EIMIRE LOT DEVET.OPMENT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.oA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Low 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 TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( d ACC. BLDS. 3.5¢FT. N"ONRESD. _OUTLETCIR97.50 POWER APPARATUS & SINGLE OUTLET CSI R. EX. OCCU OUTLET OR FDCTUREs 204 .00 SAL @ '. 0 Ex. Occup.OFlx�e aES o) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre -inspection PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' ' \ compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ IY\.1 1 Date 1`l,--Lay-11- _ Signature of`Rpp'plicant - ❑ Owner O Contractor O Agent An OSHA 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 Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $;._01.00 HAZ. I In FF IMP FJQQQ D ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions -to do work indicated above for which fees have been paid. y `� 102- By to PERMIT EXPIRES ON Z d•� a ReceiptNo. 361282 $101.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT --U2 -2s 7 j7 ASSESSORPARCELNUMeeI mNua _ r BUILDING PERMIT OWNER TELVINONE SO. FT. OCC. BUILDING VALUATION OWNER ADDRESS . COMM NAME CONTRACTOR'S WQ_U ADDRESS CONSTRUCTION LENDER LENOER'S NNLNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20. 0 ARCHITECT OR ENGINEERS WAILING ADDRESS Permit Fee E Plan Checking Fee S euILONo ADDRESS Energy Plan Checking Fee S S PERMIT FEE $ IDT No. 9UBDN6pN'Smum PARCEL MM PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other -PECsr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15 - 0 0 ,(j o0 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities C3 Installation ❑ Describe Work: ((�1( U(� er ❑ Ud Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE ELECTRICAL PERMIT Filing Feel 20.00 Main Service z� i OOR L ss 23.00 ' ..LL PERMIT FEE PAID SRA SHERIFF OTHERMoble .. ^^ MYUV $ $ $ $ Main Service xw To I.A 46.00 NEW CONST. DWELL -A OCCUP. 3.S¢SO OR ADDNS. a ACC. OccsT. NORESID. NEW cum T. MUL N I TLErN•RCLIr (LO 7.50 POWER APPARATUS A SINGLE OUTLET CIR. 20 Ex. Occup. ouTLiT OR FDRURES 0 t. 00 SAL 40 .!050 LNS 6c. OCCU UTLE' APR S O.OPR.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 sc: .Wiring--�—� 23.00 PERMIT FEE _ c, MECHANICAL PERMIT Fling Fee 20.00 ' Heating CoolingI Hood 6.50 Ventilation i PERMIT FEE t Home Installation Fee is Energy Inspection Fee is occ CONST. TYPE TOTAL FEES _Z- D. FEES I IMP I FLOOD I COF PARCEL I PO ND SSUE This permit Is hereby lamed under the applicable provisions of the Butte County Code and/or Resolutions to do work AMOUNT, RECEIVED.. $ RECEIPT # (n/� Gv I Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date M �� �e a C9-s�-ol.� �' �2�-ado—O3S RECORDING REQUESTED BY RECORDED IN OFFICIAL RECORDS OF BUTTE COUNTY.CALIF011MM AT TNF REOUEST OF k. 1986 OCT 17 AIS 11= 3.3 � AND NMEN RECORDED MA0. TO ELEANOR K BECKER (— tURK-RECORDER FE:. city a. SPACE'ABOVE THIS LINE FOR RECORDER'S USE --- s � r JII y i Deed of Gift ' This Deed, made th... ... Eleventh• • .. .......... . dune. one .• ... ............... day of ... .................... . thousand nine hundred and . .Iri ghty.. sIx . Between ... �e7.ia..M... Cummings.. and. k�axi.s .15....�astmay.. a7.so.. kna�n..as..........`. Maxi A. ....Fx�ar i i. ............................... ................................ . Grantor '�. ......................... .... :;............................................ Witnesseth: That .................:...:....................... ......................... I Grantee for and the Grantor, in consideration of the love and affection which . the y...... have... for the Grantee, do ....... by these presents gift, give, and grant unto the Grantee, and to . he x ....... heirs and assigns forever, all .'...........................................'. yth.:aX .. .. ..............................:!............................. .. .. .. .. . certain #tit#E ....... ptdbl6 ....... parcel ....... of land situate in the ..... No r we,* z .... . .1A.Pt..Sect;ipn..2.4:�..�a�►nship...t�..�?ozzr:,..Ran9"e..5..ZuJ;,.. M..R.M.,n1P.oX ox•at;ed..area..... Crnirty of..... Butte. State of....QA3J £Qzaia. ! and bounded and described as follows: j! See Exhibit "A" attached hereto ai►d made a part hereof. ;L r I� i it R �! r.. Together with the tenements, hereditaments, and !appurtenances thereunto belongingk or appertaining, and the reversion and reversion.,, remainder and remainders, rents, issues and: profits thereof. r To have and to hold the saidremises, p together with the appurtenances, unto the Grantee, and to .... �.e;r..... heirs and assigns forever., fi Tftdew~ b q a Ab bw /"w I& ws WwM row"" &W WA&00~VW to w, tlwr pl ll,twb,. We ON •br r I IV State of Califomia ACKNOWLEDGEMENT—General— ' unty of ziutter SS. r On this 16th day of June in the a Notary Public in and for the said State, residing therein, auiy :z .;f%' personally known to Ine (proved to me on the basis of satisfactory evideA( scribed to the within instrument, and acknowledged to me that 6h"e/tti� unto set my hand and affixed my official seal, in and for said County and Sts (. written. if ,• r � !4 -= :MIATY CrAL scAI A SMITH----�.� Uk1CNOTARER COUM"r .pres hnt 27, 1 p• �4" ommission Expires —June 27. II' i� I sa 002 (ioAsl sopAD 8I X* .I i i II .j me, Joy A. Smith issioned and sworn, personally appeared t to be the person(s) whose name(s) Ware) sub• executed it. In Witness Whereof, I halve here - the day and year in this Certificate first above i i t� C. C IN ANO SAID STATE OF CALIFOkNIA 2 In Witness SS Whereof the Grantor, ha ' ... we .''` ...hereunto set .. the i.>: ....... ............... hand .... the 'day and year first j ` above written. Signed and,Delivered'in Presence of01 . ..e is mmings a aS man -ANA MdVIS . ; • r er •i IV State of Califomia ACKNOWLEDGEMENT—General— ' unty of ziutter SS. r On this 16th day of June in the a Notary Public in and for the said State, residing therein, auiy :z .;f%' personally known to Ine (proved to me on the basis of satisfactory evideA( scribed to the within instrument, and acknowledged to me that 6h"e/tti� unto set my hand and affixed my official seal, in and for said County and Sts (. written. if ,• r � !4 -= :MIATY CrAL scAI A SMITH----�.� Uk1CNOTARER COUM"r .pres hnt 27, 1 p• �4" ommission Expires —June 27. II' i� I sa 002 (ioAsl sopAD 8I X* .I i i II .j me, Joy A. Smith issioned and sworn, personally appeared t to be the person(s) whose name(s) Ware) sub• executed it. In Witness Whereof, I halve here - the day and year in this Certificate first above i i t� C. C IN ANO SAID STATE OF CALIFOkNIA 2 I END Or L; LM., I I .1 !1 6 8 36871 EXHIBIT "A" Commencing at the West 1/4 Corner of said Section 24 as shown on that certain Record of Survey recorded in the office of the County R666ider, July 12, 1977, in''Zook 61 of Maps at Page 42; thence North 000 .241 12" West along the West line of the'Northwe&t-f/4 of said Section 24, 1315.93 feet to the North- west corner of the South 1/2 of said Northwest 1/4; thence North 89* 281 37" East, along the Northlne of said South 1/2j 1668.66 feet to the True Point of Beginning for the herein 'described parcel of land; thence from said point of beginning, leaving said North line South 010 081 08" East, 650.51 feet; the* 'IN thence North 890 131 16n East, 460.60 feet t to the West line of -Darby Road; thence North 160 041 44" East along said East. line 12.52 feet to the beginning of a curve to the left having a radius of 470.00 feet and a certral angle of 490 321 thence along the arc of said curve 406.32 feet to the.end of curve; thence North 330 271 16" West, 120.18 feet to the beginning of a curve to the right having a radius of 780.00 feet and a central angle of 12* oil 44"; thence along the arc of said curve 163.76 feet to a point on said North line of said South 1/2 of said Section 24; thence leaving said West line of said Darby Road, South 890 28' 37" West along'°said North line 275.87 feet to the point of be and the end of this description. K. Containing 6.22 acres more or less. The Basis of Bearings for this description is the same as that as shown on said Record of Survey 61''M 42. I END Or L; LM., I I OWNER LOCATION: PRE -INSPECTION REPORT CONTRACTOR: PRE-iNsPETION DATE: A.P. #•O Qy- P ZONING: v DATE TO INSPECTOR: PERMIT HISTORY:(JONE (FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Cemmercial/Usage: ResidendaW of Units: Currently Occupied Abandoned/Vacant Electric: Yes o No Electric currently On Off Condition of Electric—. Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Well Wor Obvious SewageProblerns Comments: Potable Water �L. t/ 5, ACTION RECOMMENDED: ISSUE: Inspector. HOLD Date T Sketch buildings on reverse and indicate location on proper" n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965' • Telephone (530) 538-7541 PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPAACa.NUMMnD"M01 BUILDING PERMIT OWWA SO. FT. OCC. BUILDING VALUATION IKA CONSTRUCTION LENDER LENOEAS ►wv+D ADDRESS ARCNRECr OR ENOINEER AACNRECT OR EMONEERS WWND ADDRESS SULONO ADDRESS LOTND. I SUSDIMON'S NAMF USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑Gties ❑ InsOsOet / Describe Work: 1 oar I / (' I PNl', (, if Ens P PERMIT FEE PAID $ SRA SHERIFF $ (�J / St Total Valuation = S cJ ELECTRICAL PERMIT LICENSE NO. —Filing Fee $ zoo OOR LESS 20.OC RECEIPT- # Permit Fee E 46.00 Plan Checking Fee 6 DwsLND OOCUP. Energy Plan Checking Fee S A ACC. "S. 3.5¢so NOWRESIO. YULTI.OUTLEr BRAWN MRMSM S PERMIT FEE S PARCEL LEAP PLUMBING PERMIT Fling Fee •20.00 Each Trap 7.00 Soler or heat pump water heater 23.00 Water piping j 15.00 151.6 ePEc� Each ass water heater or vent 15.00 ❑ner ❑ L, . , ., .p Gas piping system 1 - 5 outlets 15.00 Buildin sewer 1.00 Mobile Home S J G W Cy?20.00 (�J / St PERMIT FEE S cJ ELECTRICAL PERMIT Filing Feel 20.00 Main Service zoo OOR LESS '23.00 ' RECEIPT- # Main Service 200A TO IOWA 46.00 NEW CONST. DwsLND OOCUP. OR ADONS. A ACC. "S. 3.5¢so NOWRESIO. YULTI.OUTLEr BRAWN MRMSM @7.50 (�J / St i S ..—. OUREr Ct0. Ex. Occup. OUTLET OR FIXTURES 20 p I.00 SAL SO iDfEO �S APRLNS.1D. DA EX. OCCU OLITIE6EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 OTHER $ AMOUNT., RECEIVED .. $ RECEIPT- # OWN PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 ' in in I I I 1 6.50 i Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee S D" CONST. T11PE TOTAL FEES ff Ems Iry I AMD coP MRcm I PC ND ssuE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions m do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON A-5 0 028-210-039 a BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM A FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s)'i�� 11 Project Location /Address Subdivision Name Building Permit Number b 5 • I ro4 r Type of Residential Development (check one) Sq. Ftge New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued. ) verified by Building Department Comments: K) Building Department Date 0 FRRPD ❑ CARD ❑ PRPD D DRPD certifies that: kAu M, Appl• antN e Phone Number 1 ailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ 40S per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No; Paid by Cash: Recreation and Park District Representative Ti .1 T'IYn� RC1n T TTT 11 I _ Cl Dl 40%-.. A, -_....♦.....4n 4 f- -r I ll Mr. Receipt No: Date .� it - (56q BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) M moi_ J School District V 1 tx� , ,m- 4"" Building Department No. A.P. Number 6a�' Jurisdiction: Q City lCounty Property Owner Property Location/Address Subdivision Lot No. ......................................... .......... ............. .......... .... Residential Development Q Q Sq. Footage aCPA No of Livin Mobile Home Addition/ *Supplemental to g pp (Group. R) Units Insfallation Conversion Permit # •(No foundation inspection) ................................................................ .................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial 0 0 New Addition Sq. Footage (Including Exterior Roofed Areas) Date District Identification No, 04 -CLO 4 Or ov + hl b>, �'0` School District certifies that � (Applicant) 0 r �ou (Street Address) (Phone Number), (City) (State) (Zip Code) has compliecJ with the requirements of Resolution No. by payment of $ representing square feet. � B 2926 E [FULL MITIGATION $ School District Repres nt tive Date Paid by Check # Remarks: t Notice: You may protest the Imposition of the tees Identified show by submitting a written protest.to the District, in compliance with Government Code Section 66020(a), within 90 days from the date hes aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Envlronmsntai Quality Act (CEQA), this project may be subject to additional school face to fully mitigate Its Impact on the school ftMcrs schools. White (school district), Yellow (building department), Pink (applicant). feeform.As (3/05)drrm ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.htmi NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone (530) 538-7157 Ext. 2016 Q7 G 9-5 APPLICATION + WE, the undersigned, hereby apply to the County of Butte for an er over the County roads td highways, all in accordance with County ordinances and general l SEANNY RAY MITCHELL SR or legibly rinted. Applicant's Name: Q PO BOX 231580 2 \ SACRAMENTO, CA 95823 Address: Phone: i 4. Assessor's Parcel Number. `r ®Z5'•- Zoo --pi Location of ork to be Done z -Z — •� • Z��b � Applicant's Signature 7. Date: 5; — Z � CONTRACTOR'S INFORMATION Contractor's N e Address01 ). Phone G,�� Y�'72 �7 11. Fax: 1. Contractor's License Number. 4' C' 13. Certificate of Insurance: Yes No: ❑ t.or's Si ater -. 14a. Date Signed: J 0 5 5. Authorized Agent: TYPE OF WORK TO BE DONE 5. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Driveway List Type: S. Other Work - Describe: 19. Plans Attached: ❑ Yes D No PERMIT GRANTED i compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ,rmission is herebgranted:. - �. Conditions .� .I�iti�lc �, -• S� nderground Service Alert .S.A must be notified two working days prior to any excavation. 800-227-2600 I. ll work shall conform to accompanying: Detail Plans ❑ Special Conditions D 2. Date Issued I-Expirat on Date: 7 — 24. Surety: .7-9-05- 5. Date Paid: S�� D 26. Amount Paid: 27. Paid By: 191-4 28. Receipt No.:4 " 52/y ile// S Mike Crump, Director of Public Works By: ❑Completed - O - 11 Completed — 29. Final Inspection Date: 30. Inspected By: )rcounty D Additional ments Attached 31. Comments: .I yuuuu are iaxcu io any numoer Mines (3su).)SS-43Sb, they can be delayed up to one week. !r#4 SITE PLAN REVIEW APPLICATION Date: `,Z(e Lq� AP# Oa -P- .2- 0--0,39 Permit Number (if applicable) 05 — 1151-1 APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: �� �x �3 9,-��3 Telephone No.: Situs Address: �17/ �/�_ /'7a� GrI Proposed Use: Residential . to New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ 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 ' ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date 0� 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: 4&I qy • Flood Panel No.: logo& Index Date: (� ❑ Sacramento River Reclamation District (Approval must be obtained from the C 'forma Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit — ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: /+ —5— Applicable Building Setbacks: ❑ 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 � � Side J Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 �1 Applicable Development Fees: Standard Fees Amount Formula ❑ 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) * 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: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: /lam A 190 /24, Legal Access Provided: ❑ No ❑ Yes . Legal Access Required ❑ 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 F1 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ON Page 4 of 5 r Summary of Specific Requirements: 0 This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 �l r Summary of Specific Requirements: 0 This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041401 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/17/2004 APN' 028-210-039-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address' Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELECT. FOR FUTURE LOT DEV. FOR WELL Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GONZALES MICHAEL to its issuance, also requires the applicant for such permit to file a 315 MAIN ST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section ROSEVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95678-2201 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GONZALES MICHAEL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the siness and Professions Code Date: Owner: 52— License #: WORKERS'COMPENSATION DEWARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect'' is issued. ❑ 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 a: Valuation: $0.00 �G I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 v `C� 0 C� Date:—!511-7 hp-iEmmet Applicant: /��I' YY�� eget, ' l WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, -interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h eby issued under ea livable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ions to o work indicated bove f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / Name: By: Date: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of anAofffi'al rmor document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: oll Vy �� Signature: �e Date: < —(—O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name c AddresslClik City State Zip Q S i Phon °r 1(a 53L-1 ` Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X �. For office use only: v Bldg Zoning SRA Flood Zone ��, SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AN o zg�-zl�-®35 Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 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 - le- Amount: S.f• v Bldg SRA //,/-�` Receipt #: 14 Vt( 6 32 Sheriff �_ l :� 3/v/ SMIP I I Date:Other I I S-11-0,4 ('5S.`� Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed ❑ 3. calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to ❑ 7. mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in ❑ 11. triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed tengineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 0 , Ii.., COUNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965, - Telephone (530) 5.38-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 098-9110-019 ZONING A — r, BUILDING PERMIT OWNERTELEPHONE (MZATJNS� MTK'F SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG AD _315 MAIN M RMPUTIEii; CA 95978 CONTRACTORS NAME owm TELEPHONE• CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplac� .'UENDERS MAILING ADDRESS (Total Valuatloiij�-- ARCHITECT OR ENGINEER CENSE NO. to Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAIUNG ADDRFSS'4�. Plan Checking Fee BUILDING ADDRESS DRBY RD., BAN" Energy Plan Checking Fee PERMIT FEE $ LOT NO. SUBDIVISIONS NAME i PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE i SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat 'Pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0,, -Installation 0 Other 0 'Describe Work: wu/Eumic mVirm W1 DEVEWPMM Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 PERMIT FEE 3-5.00 ELECTRICAL PERMIT Filing Fee 20.00 500V0 UE Main Service .A DR. LE:: 23.00 2T OU 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lay Law will do the work, and the structure is not intended or offered for sale. . . 1, as owner of the property, or my employees with wages as their sole compensation, 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Cocld.;.for this reason, WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR . .ADDNS. _ C . so 3.50FT. NE' CONST. MULTI-OUTLET _O LE NOWN-R.ID @7.50 I POWER APPARATUS k SINGLE OUTLET IR. Ex. Occup. OR FDMRESED SAL @ .50 ..OUTLET A FIXUNIS OR Ex. Occup. RES,6.) E. 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre -Inspection 23.00 FEE PERMIT $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I spall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X M��aAAJ Jk_Date oi-17-lau-7- Signature of Api5licant -10 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee Occ CONST. TYPE , TOTAL FEE $101.()0 — !!,Lzj- D. I -Jrme- -U.O �t�r7N.� I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By /4,01 rx �411_111 Date _5� 2__ PERMIT EXPIRESON .2 (DaW ReceiptNo. 361282 U01.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR - GOLDENROD -APPLICANT 028-210-039' '� 02-2577 GONZALES, MIKE 028-210-039F RD., BANGOR WELUELECTRIC SERV: FUTURE LOT DEVELOPMENT 4..