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MPLAINT GIVEN TO CODE FORCEMENT : HAZARDOUS EL CT ti CONDITIONS ✓ _L 1 ��rrnn �a Y�-C 1 CArl2C�'i � COMkAINT TO CODE ENFORCEMENT am, 013 . . 11 i 28-38-02 CULET, Ben 6246 Oro Bangor HWy, Oroville (util, MH) PERMIT, PERMIT'c..�.,�., - — — ----- OWNER. CONTR. ASSESSOR PARCEL LOCA ION Temp. Power Pole Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E op JOB FINALED (Date) Signature = 4DK, • , 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s q:�E6ning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch O -Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 4.5 -Electricity; Location-Clearances-Grn Amp -Concrete W-Oas; Location -Test -Wrap. /%/"L"ft. / /"Nat. oM /"L"ft.//"LPG Utility Clearance 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.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 &D DateaQV Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date r Card -61 Date 11. Ext.; Steps -Doors -Landings Date 'MOOKEHOME INSTALLATION (Plans) OK except #'s Zing Requirements -Setbacks -Easements Card -81 Date Card -B1 Date ootings; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector Card -B1 Date Card -B1 Date . Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 16.plater; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Il�Afater and Sewer nected-C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. licit 19�. Exi s; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Oa -Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI i 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed I 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater I 8. Elec.;Grounding' Equip. w/5' -circulating Equip. -Pool L ht g Boxes- Enclosures-Panel boards -Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date- / Card -B1 Date 44 9. Health Department Approval s 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = VK 0= Not ANot O plicable RESIDENTIAL (Single and Duplex) ' Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.;-Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -B1 Date 67. Stairs &Rails Card -131 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE h COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. X3418 ,q9 Address or location of mobilehome h.� yG Iry;.,-.,, V� t, r„_ Owner's name Pyt o, ��► - Owner's address /V Rvim 0,3 ". I!, C? 5-,p4 T Insignia or hud number Manufacturer's name Serial number of V.I.N. 2 a C2t� / 7 2 % 7 Year of manufacture `tr (Cfficiol'Approving Installation) / (Date) IF TH j MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. t. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. _; „yh•� ? .:i�bc"'"L-a'Ti14..-r"- o's-�i5� 4-S" r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7_ County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE- OWNER OTICEOWNER PERMIT NO. G A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this =. matter, or need additional explanation, please contact this office immediately. as r % r xa t� ::1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 4 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date -Z/ �a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California A5 65 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RM -1 T, N . ASSES O PARCELS ZONING. BUILDING PERMIT oW(761 40 T LEPHONE SQ. FT. OCC. BUILDING VALU TION ER')AILING ADDRESS T7 n O�J - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ � ---� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ •✓ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeki Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W 3'. TYPE OF WORK New ❑ Addition [:1 Re/m�o'd�eI ❑ Utilities ❑ Installations] Other ❑ '�a yr Describe work: _ —AM Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. Icense No. Classification OKI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoC1UP.a! I OR ADDNS. ( ACC. BLOGS. , /20sq it TLET NEW RESID, RANCH CIRCUITS) NON.R ESID BRANCH CIRC ITS 2.50 ea APPARATUS &) / (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050C eALoso LINIS \\ Ex. Occup. OUTLETS ED APP(RESID )KEA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department f Consent to Self -Insure. VICertificate of Workmen's Compensation Insurance or a Certificate shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upo h2 a ve-mentioned property for inspection purposes. I also agre save, ' emnify and keep harmless the County of Butte against all liabi ' ies, ants, cos and expenses which may in a y way accrue agains my in copse u nce of the granting of this per?n' . X — Date /� Signature of Ap .cant6-1 Owner ❑ Co tactor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL F HAz –" CUA "-' PARK Z:L PAR '--• Po '�' HD Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees IR T F PUBLIC BY PERMIT EXPIRES Date_ the applicable provi- resolutions to do have been paid. / WORKS Date D 3 ` �10�If aZ Receipt No. � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number��i _ _) OR Is the site an existing site? Yes F-1 No (If yes, furnish two plot plans.) ol 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify I 5. What is the mobilehome electrical rating? --------------- ,— Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes I —1 No (If yes, identify the load and size: (.Load) (Amps) /9. What is the mobilehome site gas pipe size? -------------- (in.) Ft7r --- r 10. What is the type of gas service? --------------- - Natural LPG 11. What is the gas pipe length from meter or tank to the / mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on rti - 1 gas or less than 50 ft. on LPG.) , f•``�T 'i t (BTU) MOBILEROME SUPPORT DATA &4 of � It other than single wide �j / Mobilehome Mfr. o furnish Setup Model No. 6Ay � Year 4 Z Width(ft.) Box Length_(ft.) Tagalong or Expando Size ft. x --- Z2=—ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacture' install do manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) a 1. SUPPORTS (check one)1. Line 1 Piers: Wood -pressure treated or foundation grade. 2. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI-WIDB We 1 0 ' Line 1 Llne 2 .- iN VIV 'VIN .-.Line -2 Main Beams ri � .ine 2 �ain Beams ��Line g or Triple r —• — — — — — — — — — — —'� � Line 1 Size -Min. ------------ 'k " Spacing -Max. --------- 5.6 „ From Endo -Max. ------- ' " Line 2 Piers: Size -Min. ------------ Z"x Spacing -Max .--------- From Ends -Max .------- [.ine 3 Roof Loads: Size -Min ------------- Location (From Front) Line 4 Piero: Other (specify) Line 1 Openings: Size -Min. ----'_-_---'_-_-_- n n x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x n Spacing -Max.--------------- From Ends -Max .------------- Size -Min.------------ 1k 1. Spacing -Max .--------- From Ends -Max -------- ------- Size-Min ------------- Size-Min.------------ Location Location (From Front) Size -Min.-=---------------- IX 11 Spacing -Max.--------------- " From Ends -Max .------------- '- SU � euro couNrY B��U�I�LD NG DEPARTMENT' /� 3D ���4�1'PROVED /J�/ r r� CEO "---An Materials A Workmanship Shall Be i jj of a ItVI.- l��t,•�i racfces aUnifo J . .ail,➢fIc"i�apJ - (.!so in ¢ ethe Chanicul des d. t, o rll tEf gas c.md i¢ is unldwful to a. ., AP �s+ i�r+s an same without ,Pte an, ej anq'.s or p M;^ifteh perrni5sian from f��o Uep+�rfmQ3fi Cts Cd Wh2b . 5i FO Mpgli_ES �. 9 g {t. from the lot. p, S,,gback of ,t recjurr.e -IP o►'ne° lb property lines and a setback perm will be a { ft. from the roa o:�d r of ins�tollatioa� off. the m b centerline shall be clear eycCali structures or eQu%pm y fora 2 ft. eve overbana. N j C��LtJ N'i'Y OF BUTTE_- Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit, No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and ytterials for construction of the proposed propert i rovement (yes or no) 2. I (have/have not-) signed an application ,for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address i City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social S ti umber Date J G NOTE: This Owner -Builder. Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'fir- •- •��..� - .. v, :. v: �ti.. ��rvo-.^n•nag+pr�r'Yf'R�, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per BLIlding) A:P. Number Gam- U Building Department No. School District eh`Q County ©Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage ,� Q # of Living MHI Addition (Group R) Units Commercial/Industrial: aSq. Footage 1New Addition (Including Exterior Roofed Areas) Building Department'Rep4tesentative Date ******************************************************************* District Id No. School District certifies that A (Applicant Name) (Phone Number) L16 4-W (Street Addres S4_4� (City) (State) (Zip Code) has complied with the requirements of Resolution No. e(o 00 by the pwment of $ �('��) representing 7�-e) s uare feet chool Di.ict Representative PAID BY CHECK N0. BANK NO go - 7,1)j,?, PAID BY CASH REMARKS-. q i�, zz at white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) [V 49 W. A. ?s. I . .-Yy=:y-f-'vr .,rte; 'i�.AT�•_. �1~ �_y},:'.--t,.i ti••�(`.., "•_.. •.'y` COUNTY OF BUTTE-= DEPARTMENT 0 PUB AORKS - BUILDING .. UIL ING DIVISION g . rA 7 COUNTY CENTER DRIVE - OROVILLE, CALIFO;iNPA 56!65 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER A.P .No. Proposed Building use—..,&k Building Inspector44Z Date At tirn of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. I. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions............:.......................................... 10. Fees of $ ........................ 11. Chico Urban Area fees.•paid ....... .......................... 12. Park fees paid ......:.............:...:............................ 13. School District fees paid .............. 14. Sanitation approval from Health Department: • 15. City of Chico plumbing permit . :............ ................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Budding Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ... :..... 25. Letter of signature authorization . ..../D�a vow -nom ............. 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offl e. Deliver w/inspector. Other + Applic nt Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ri Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by ..dale Contractor, designer, owner, was advised of above required data by—phone—mall Mco nter b date°`-" Plans checked by Date Plans approved by. } Date/02 31' Sets of plans on hold in . File cabinet AP folder Copy—Di �1, _ l s COUNTY OF BUTTE - D&A01VIENT OF PUBLIC WORKS P RMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAs EL UMBER !!` ZONING BUILDING PERMIT Lol OWNER ' TELEPHO E Z SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS Zin rOut[ Le CO TRA TOR'S NAM TELEPHONE CONTRACTOR'S MAI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 46 Z 17'6 _�w Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 P Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer Mobile Home S G W Oea ? O ]EJ�5.00 TYPE OF WORK New❑ Addition[] Remodel[] Utilities Installation❑ Other ❑ Describe work: Z- b 'c— I Permit Fee $ rrj� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR LES 10.00 �00 Main service EA. ADO'L 100 AMP 2.50 -Zt S CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification Licensep I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.01 , New DCONSTR� ACC, BDh�sgft MULTI -OUTLET NON.RESIO BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( 10200509 OUTLETS OR FIXTURES 0200030 Ex. OCCUp. OUTLETS FIXEDP(RESID )NS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 C Misc. �yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I� I shall not employ any person in any manner so as to become subject ���tttuuu to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to ent n t e a ove-mentioned property for inspection purposes. I also 0202 to save, ' emnify a keep harmless the County of Butte gainst I' iliee ments, cos and expenses which may in y wa a crue ag 'nst my in cons nce of the nting of this n J X Date Signature of Aican, Owner ElContraetor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ G� OCCUP. CON3T.TYPC ISCHOOLIFLOOall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3 T n/ 1 : Ll Receipt No. WHITE-D.P.W., YELLOW -ASSESS R, PINK-INsPECTOR, GOLDENROD -APPLICANT Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_Jnail—counter by date Contractor, designer, owner, was advised of above required data by_ptone=mall_counter by date Plans checked by Date Plans approved by 1�� Date �� �✓ Sets of plans on hold in File cabinet AP folder Copy—DPW COUNT1fOF Bt'JTTE - DEPARTMENT OF PUBLICWORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, G`AL-I =C RNIA 95965 - TELEPHONE: 916/538-7541 f„e' PERMIT APPLICATION DATA SHEET r' Permit No. OWNER -A r.�c,P c s A. P. No. 7 ����— 07 Proposed Building Use �� -�if Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: +DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings ... .......... 7. Engineered truss details -and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ ............................ 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ...................................................... d3. 1 School District fees paid ................. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ....................................... 15. Plot plan and business license approval from City of ' t' (see City for other requirements) • 16. Planning approval for (A) Use: (B) Parking: ......... 1y. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) .. 19. Pre -Ins ection for re ulred . , , Pre-Insperequest to p q • •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............. 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephones33 and hold for at -office. Deliver pickup w/inspector. Other "g` Appl /'� S-f�O cam. ic�nt r ., �� - Date 17 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_Jnail—counter by date Contractor, designer, owner, was advised of above required data by_ptone=mall_counter by date Plans checked by Date Plans approved by 1�� Date �� �✓ Sets of plans on hold in File cabinet AP folder Copy—DPW _ 1. .:. �f•. �:- :ua: �r �-....,. ..��...._.......��,�...,......: .�...... ,... .._..,, ......._.�>...r ...,.ten.. r- .. . _ ... ....�........ -.. a..,.... .w ... �._... ._ ,.....a�+...w... . �..... ... .. ... _ .. TO FROM: SUBJECT: Huildina Department Environmental Health Sanitation Clearance _.._ C_ c .. ZI X11. �.4l4owne Locat' n. APO Plan Approved for: Sewage Disposal, Water Supply hold final for. Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom ffiobile home. Other _ Sanitarian -"late Ref urn I.o DPW AG'RT fOl'URAL S'TATEAEN1't�OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVE1,0PMENT ,Sect i.on 'lG-ti. 1 of the Butte County Code - requires this acknowledgement be recorded prior to .issuance of a building permit. --" _-- - --- --- I The property described herein is adjacent H9-030102 Rec . Fee 5.00 to land or :included within an area zoned Cash 5.00 I or agr:i.c.0 l.tural purposes, and residents Recorded I of this property may be subject to :incon- Official Records veni.ences or discomfort arising from the County of I use of agricultural chemicals, including, Butte � PARTY SHOWN but not limited to herbicides,, pesticides, Candace J. Grubbs . acid fert.J.1A zer. s; and . from the pursuit Recorder of agricultural. operations including, 1:52pm 10 -Aug -89 BG 1 but not li.nri.ted to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agrirul tura.l zones which have as a priority use for productive agricultural purposes, and residcnl:; w i.th i.n sa i.d zones and on adjacent. property should be prepared to accept such i nuonven i c m-(- or disconform from normal, necessary .farm operations. A.L.J. thal. real property situate in the County of Butte, State of California, descrihed m, follows: The South half of the North half of the following describedarca parcel of land, The East 360 feet of'the Northwest quarter and the West 300 feet of the Northeast quarter of Section 8, Township 18 North, Range 5 East, M.D.B. & M. TOGETHER WITH AND RESERVING THEREFROM a right-of-way for road purposes over the North 60 feet of the Northeast quarter of said Section 8, lying Westerly of the Oroville-Bangor Road. TOGETHER with rights-of-way of record recorded in Book 2876 of Butte County Official Records at Page 627. Date: l PROPER ;rS: Slate of ) On this the day of , 19 % , before me, SS. the under si ned Notary Public, per ally appeared County of'43 ) i Personally known to me. o Proved to me on the basis °' �•, 7RUBYJ.BOAZE AL SEAL of satisfactory ev:i cicrrce. I to be the person(§) whose name(s)Nltc-CalifomlaCouNTY subscribed to the within instrument and acknowledged that.__executed the same for the purposes th�re.i-n-1gltainecl. IN ,WIINIMy • Aug• 21, 1902 WHEREOF, T hereunto set my hand atcd 6f fici v __se'a.t . .�.� 1'resent A.P. No. �0,2 ary.'Public AP# 21- PERMIT # MH UTIL.CLEARANCE DATE_ O —� 7 INSPECTOR G i ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Lensxth YESI NO -ES NO L W I 028-380-002" 021-068'0 KOPP, KELLEY 6246 ORO BANGOR HWY., BANGOR ELEC..FQR WELL. & LOT DEV. YY -44. OFFICE COPY Address ,GAS Meter By Date - ELECTR Meter By COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PE it'll o. � MI �� ,E✓ fd4' �l �/ (Rev 12/96) APPLICATION AND PERMIT j k AjS :81RB.tAyR�CPQMBE�rR ZONING BUILDING" PERMIT Dr9ENC0PP, KELLY T 534=5639 SD. FT. OCC. ; r BUILDING VALUATION + I �p W�IVLW OT D R MY ORMUZ, CA 95966 NT�AC„�QQ'S NAME CW TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6246 ORO BMR HWY. OROVW CA 95%6 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome If Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ I Describe Work: E LBMICAL SERVICE MR WQ.L 1 ANI} RMME LOT DEVELP I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 2a.A OR LESS q /�/� 23.00 23.00 i 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.I License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 119 I,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers'. compensation insurance, as required by Section 3700 of the tabor 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.) ;2.011I 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 '��, .1.� — Date 3 `Signature- Or Applicyyant -'�❑ Owner ❑-Con4actor ❑ Agent An OSHA permit is=fequired,4for excavations over 60" deep and demolition or construction ctures over 3 stories In height. Main Service 0 TO IOOOA 46.00 NEW CONST. oW:lLING Occup. 3 5¢sG. ( FT NEW CONST. MULTCOUTLS. NON RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. OCCu OUTLET OR FIXTURES BAL p �. 0 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PR E INSPETION 1 23. 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE QB TOTAL FEE $ LDFEES IMP I FLOOD [777 1 PD I HD E 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 Date 11� PERMIT EXPIRES ON-D.D.S.-B.D. (Date) ptNo. 34363366.00 tReCANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT it COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 > 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 71, 401,21� OWNER ' PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date iJ v Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Yo, 1D_ OWNEPERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Z_ Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/% A D PE 0. (Rev. 12/96) APPLICATION AND PERMIT `0�y7f.129'C _r51 Nyf ZONING BUILDING PERMIT OL XbENKvO-PPP,, K=Y •Y TEJ4—"639 SO. FT. OCC. BUILDING VALUATION 0rRCMICINAGOR HWY OROVILLE, CA 95966 C T�'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6246 ORO BANGOR HWY. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1[X Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Add -tion ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describe Work: ELECTRICAL SERVICE FOR WELL AND FUTURE LOT DEVELP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23-0023.00 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 Law for the following reason: 190 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis 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.) 7f 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply - those provisions. _ Date ign tur of Ap ant - ❑ ner ❑ C actor ❑ Agent An OSHA permit is squire fore cavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. DY;"NG BLOB. 3.5¢FT: REOSINEW D MULTI-OUTLETCIRCUITS @7.50 p0wER APPARATUS 8 SINGLE OLlrLET CIR. EX. Occup. OUTLET OR FIXTURES BAL Q I. 0 FIXED APPWS. OR Ex. Occup. ouTLETs .a. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 1 23.0$3.00 PERMIT FEE S 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE O TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD L This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By Ao PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate �� ' Z 2 % 0 Det, ReceiptNo. 343633/66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sib. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to pro*d,ajor property im rovement :NO I HA HAVE Ndean 3. I have contracted with thg per NAME: ADDRESS: PHONE: labor and materials for construction of the proposed 13 application for a building permit for the proposed wo& on (firm) to provide the proposed construction: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHOiV-E: CITY: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYOWNER: RN't 1, 5�1 < all NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OWNER BUILDER INFORIN ATION Dear Property Ower: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 1 rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: Tris Owner -Builder Information is required by Section 198.10 of the Californla Health and Safety Coda OVER T PRE -INSPECTION REPORT PRE-INSPETION DATE TO Building Description: Electric: Gas: Commercial/Usage: ResidendaU# of Units: Currently Occupied Abandoned/Vacant :( ) NONE (�AS BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric DAA: ZONING: A , Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: i ACTION RECOMMENDED: ISSUE: / HOLD FOR Inspector Date Sketch buildings on reverse and indicate location on property ❑ B.I.N. Location: \� Owner. REQUEST FOR INS .TION Permit. No. Contractor or Tenant: BLDG. PLUMB/MEC ELECTRIC M.H.I./M.H.U. RE - Form Rough Rough �INSPECTIO Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Pipinglrest Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Sewer Piping Well Circuit Verify Utilities Bond Beam Water Piping Light Niche OTHER Insulation Shower Pan Nailing -7htt!��, Corrections Corrections Corrections Final Final Final READY FOR ? /LM. INSPEC.ON 19_ P.M. Date: Time: Note: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT t. APPLICATION AND PERMIT A; SE -,,,On PARCEL NUMBEA0/1IQ 7(i ^ O O� ZONING BUILDINGPERMIT Owr,Eq y^ L TELEPHONE SO. FT. OCC. BUILDING VALUATION pwN(AORES 1 -e —._... CO,r1f%AI�fOR4 E TELEPHONE — -- -1 ! -��� _ • ._ F0_1,T PACfogS MAILING ADORES COrr;fnucv.o"LENDER LL.D0 s MA:uNG ADOAEss •— 1 '-'---• — Fireplace Total Valuation I b __ ARC�rT ECf OR ENGINEER LICENSE NO Fling Fee b b b _ ' 2 . Permit Fee A;C_ �fECT OR ENGINEERS MAIUNG ADORESS Plan Checking Fee Bu�LC i c ADDRESS (00 , 1 , Drbrn (�(o AIN Lr'r' ^ ry _ _ , `ii ff �. �ii Energy Plan Checking Fee S b PERMIT FEE _ LOT-SUBDNrS10NS NAME I PJI9tEL MAP PLUMBING PERMIT I Filing Feer20 C Each Trap I 7.00; USEOFSTRUCTURE SFO Duplex ❑ Mobilehome ❑ Other 4t i/ S IFY Solar or heat pump water heater I I 23.00 Water piping 15.00' Each gas water heater or vent 1 5.00 TYPE OF WORK Keit. O Addition ❑ Remodel ❑ Utilities ❑ Iniiialilation O Other Describe Work: Gas piping system 1. 5 outlets I 15.00 Building sewer I 15.00, _ Mobile Home I S I G; W @20.00; PERMIT FEE I = ELECTRICAL PERMIT I I Filing Fee' 20.1 ea.VA OR LESS I Main Service zoOA OR LESS 23.00; 3• *PERMIT FEE PAID SRAn SHERIFF OTM. � • Main Service tooA TO I000A I 46.00; NEW CONST. Ow_WNG Occu3.5CS0 P. OR ADONS. 6 ACC BLDS I FT NEW ONS T. MULTI.OLITLET ' NON -RES 10. I @7.50; POWER APPARATUS 6 SINGLE OL LET CIA OUTLET OR FOCTUAES 9 Ex. Occup.SAL w Ex. Occup. OUTLEEOTS AEs 0I EA I ( 5.001 Temporary Service I i 23.00; Mobile Home Facilities I 20.00; Misc. WirirA 23.00: - I PERMIT FEE _ MECHANICAL PERMIT Filing Fee 1 20 Heating i CoolingI _ Hood 6.50 I I Ventilation AMOUNT RECEMb III TO N !V1' MgTO COWVM Receipt No. WHITE •0.0.9.•8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO•APPLICANT PERMIT FEE I S Mobile Home Installation Fee b Energy Inspection Fee b GGG CONST.TYPE TOTAL FEE $ HA2. 10. FEES I IMP I FL000 I COF PARCEL This permit is hereby issued under the applicable provisl of the Butte County Code and/or Resolutions to do o, indicated above for which fees have been paid. By Date PERMIT EXPIRES ON { 3 , 28-38-02 4 EN TO CODE F ti BEN 028-38-0-002o9-- d 6246 Or=�K or Hwy, Oroville ; t#2654-8 Permi(util, MH) �� BEN CULET I"A 6246 ORO BANGOR HWY, OROVILLE GASC. SUBSTANDARD HOUSING SUPPORT STRUCTURE REQ 4/21/98 301 ,z COMPACTION TEST REQ. q. /CEMS q h yK� 28-38-02 r ` . Permit 6�8=89MHI L Is Is '71 .t ?' Y Z.^' `r ' _ ''i`k• $ - S$ t, .i� :.� S 1 r +` T - Y a7 ""-. '3 �.+ �� #F`p � � ��'f wi �..,x �+'+a�+"` a{l�F�yh ti't $ Y., q. �. . b { � t'.'M •�" . ��i" �. �- r 2 4 S r f y..�i?. ,.laic aNv v Y; ek :)RCEMENT ; � �" �. y _•t r .s �.c k't, o+t�j �. ; .��� + -.S ice' nib' �i•'17^"^.,..i :F�c,y- _ .r J:y.; <-+� z�.. ,x, w �• a ,���7a�yprF .i r. yt.'.Y -:a'<,-t1''t5o'r�tii'C .�!�+,. ..� ,.. i•a j�. - 4.2 tom, JJ'''gq a Mpt"-, !"� �•�- u l � -i+ t i�x �.0 Nit t r .. .. _ '-'yam• A ,S . 1 49 NOTES RESIDENTIAL 028-380-002 4-11,47 PERMIT NO. PAGENKOP, RON 6246 ORO BANGOR, OROVILLE NEW SINGLE FAMILY a. A 3 i �t k i OFFICE COPY Address t GAS } Meter By Dat 1 t CRIC j JOB FINALED (Date) Signature - r SPECIAL CONDITIONS ' CHECKED_ BY SRA q. . ,a A 3 i �t k i OFFICE COPY Address t GAS } Meter By Dat 1 t CRIC j JOB FINALED (Date) Signature - r SPECIAL CONDITIONS ' CHECKED_ BY SRA q. . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS , '3 VERIFY ti USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER -OK 0 =' Not.OK = Not Applicabld . Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / ./' Nat. or / . /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure;. Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip: -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotRESIDENTIAL - =Not AAppplicable . = Not Ready Date UND LOOR (Plans) OK except #'s ing-Setbacks-Easements-Flood-Slope Main; Soils-Elec. Grnd.-/ /" Ftg. Depth e.—Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth A A 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth AV J ,; Sterpwalls, Main; Steel-Blockouts-Wrapped 1 T/ Bao*%Id Downs and Special Anchors '%S 7. 8. 90'-D34W.; Fall-Fittinq-Test-2 Way C/0 -Sewer Test Size 12. Electric Underground PI , ums & Ducts; Clearance -Material -Support -Ins. ders-Sills-Anchor Bolts-Joists-Vents-Crippies 1f Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM (Permit) OK except #'s Htr.; Vent -Access -Combustion Air Baffle i e; Test & Anchor -Nail Protection /t .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test ,ub & Shower, Second Floor -Tub Access a2 as 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 teAL (Permit) OK except #'s Fi re & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors 46S�oxes & No. of Conductors Stapled Ro Installed Close to Edge of Studs & C.J. ZDe*equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. . Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light jE oke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC MCCAL (Permit) OK except #'s A. ucts Insulation & Support Wl�ypran, Exhaust above insulation 36'." Condensate Drain & Overflow, Size & Grade u e -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (,Permit) OK except #'s t�,,Sills P roper Materials &Anchors ,,41s -Studs -Nailing Spacing & Braces -Plates -Sound Be Ong Walls over Girders & Floor Nailing . Dr St9P in Walls (rat proof) Fi tops, Furred Ceilings -Stairs -Chasers -Tubs AB"Headers & Beams -Size & Bearing (Single & Duplex) Date FRA"G (Continued) Hers -Post Caps -Anchors -Connectors 46$!Cli . oist-Rftr Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. &'Tirvoce Ties or Type A Flue -Fireplace Throat Clearance Atti cess; Size & Romex Protection -Draft Stop -Ins. Baffles dr indows or Exiting Doors -Sill Ht. & Dimensions ar Fire Protection Framing -RC Channel ray Line Firewall & Openings xyDoors-One 3' -Check Garage 3rd Story, 2 Exits 551St!' , i th-Headroom- Rise- Run -Landing -Fire Protection 52 od on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer esh-Drip Screed -Fd. Vents-Underflr. Access 691ing Area -Glass Protection -Skylights -P stic 6 Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Pan Ism 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -W indows Date Card B- Date Card B-1 Date Card Date Card B-1 Date FIN tans OK except #'s xt. Steps -Door & Sidelight Protection -Landings . Smoke Detector 6. F mace Vents -clearance -Comb, Air -Connector - n arage; Above Floor-Ducts-Mech. Protection edroom Exiting . G.F.I. & Bath Fixtures & Tub Access -Spa 69. . Trim & Subpanel, Breaker Sizes & Labels t irs & Rails ireplace or Stove, Clearance -Hearth Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance M. Elec. Outlets & Receptacles at Kit. Counter 75. rage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i ara e; Above Floor-Mech. Protection 7 ; EI c. & Mech. Equip. Listed for Location ge"Receptacles in Garage (F.F.I.)-Romex Protection Of r,. -Foam -Looked in Attic 1. and Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Cle ance Looked under Floor 0 Yes 81.'F_0dV'ing Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No . St cco Brown -Finish 85. AkUnit Disconnect, Electrical -Plumbing nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing §$/Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Yqptilation Throughout House . (glass Protection Corrections from Previous Inspections ,paas Test -Meters Tagged, Gas -Electric Vater & Sewer Connected -C/O to Grade -HD Approval En Compliance Certificate -Other Certificates Address Posted Fire Sprinkle fz Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r' t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530):538-7541 m CORRECTION NOTICE PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / �y AC�c, s �-/ fes. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER ° — PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont this office immediately. -fir f �'— MAO . _ ham.. L ,�_� >l n ?� �. .. _�C Y r 4 Date �' �� Inspector x 19= F` : REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. vv� FA COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE WNER PERMIT NO. J. 4� !I A routine inspection indicates that the following violations of butte county Ordinances exist at the f above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contacl this office immediately. x s , l /4G3avC' eR I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES rr 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville,CA • (530) 538-7541 OT ri D�? -// OWNER% %/ PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive •' Oroville, California 95965 • Telephone (530) 538-7541 V:WAI1 Re�.12/ss) ' APPLICATION AND PERMIT - o3 � ASSESSOR PARCEL NUMBER 028-280-002 ZONING BUILDING PERMIT OWNER - 4 ' 9 0 TEL84ONE SO. FT, OCC. BUILDING VALUATION . OWNER'S MAILINd ADDRESS 3366 QrQ 2696 'R 141,804-00 CONTRACTOR'S NAME nwLNTR TELEPHONE 969 n 3406-00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 547 62 BUILDING ADDRESS 6246 ORO BANGOR HW OR OV I I I E Energy Plan Checking Fee $ 91 n PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 84 00 - Solar or heat um 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 -0 Describe Work: NEW SINGLE FAMTLY W/ ATT GARA ,F Gas piping system 1 - 5 outlets 15.00 00 Building sewer .15 15.00 15 oo Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT f Fling Fee 20.00 500V OR LE Main Service 2o0A OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCS. OR ADDNS. a Acc. eLDS. SO 3.5¢FT: 10.36 R SID. BRANCH CIRCUITS MULTI -OUTLET @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FD(TUREs SAL @';005050 Ex. Occup. oFu'ED Aa oD °E,.. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 153.36 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.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthw' h copaply wit those pr isions. X Date �_�a _ Signature of A lic Int O er�Contractor ❑ Agent An OSHA permit is req ired for excav tions over 5'0" deep and demolition or construction of structures over 3 stories in hei ht. ReceiptNo. E WHITE-D.D.S.-B.D. CANA Y -ASSES PINK -INSPECTOR GOLD ROD-APPLICAN MECHANICAL PERMIT Fling Fee 20.00 Heating 2 20.00 40.00 Cooling Hood 6.50 Ventilation /�1-90 PERMIT FEE S1 Z Mobile Home Installation Fee $ Energy Inspection Fee $ /, Occ CONST. TYPE ' T TA FEE $ HAZ. . PE IMP 40 1 CDF ASCE IS icable provisions of the e ty Cc a aions to do work . indic ed f r whi feepaid. This permit is hereby issu d uZ0,41-0-3 By ER IT IRES ON efe �.N"'�•-.y.r...,,,.:•r,w�•�.�.,.ii•..-7�-,.w---- -�` r....Y..7 r�.1'-v�i .}'-.s1H,l ..... .r -:ti'.. ...:.!_.-.:.v .-.'"',�.lY .�.-.�-.._.,.,r• . ..< .....-.. .,..+-.. COUNTY OF�BUTTE-DE ARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Couny Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 i4 PERMIT APPLICATION DATA SHEET OWNER: O n I ASSESSOR PARCEL NUMBER /9�_ vy D -w -TP Proposed Building Use: S M_(9#4 � Counter Technician: Date: J� ��"y Items required in order to a ply for a per it. All boxes MUST be checked OR marked NA in order to apply. t52. .. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. . Engineered trussrdetails and layouts in duplicate. No faxes! . Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.. .: .................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 12. Hazardous Material Fo m............................................................................... 13. Other p Remai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ........................................ \ 1 . Sanitation and plot plan approval from the Environmental Health De art nt in� tQ41 - �i ! 7. City of Chico Plumbing permit ......................................... .............. 18. California Department of Forestry plan approval paid. Sent by: ..................... ❑ 19. Planning approval for (A) Use: o (B)Parking: (C) Parcel Check: 0. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ` 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre-Inspection.for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier Policy;Number..............:.............................. 25. Owner -Bolder Verification (EWjiven to owner, ❑ Mailed to owner) ..................... t}1,Letter of Signature authorization............................................:....................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... - ❑ 28. Manufactured home utility clearance............................................................... i ❑ 29. Existing violations and/or expired permits......................................................... ' ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone S Cn�/ and hold for pickup. I have been informed of the -above items and equirements for obtaining a building permit. �a�Applicant: ' Date: 1. Index permit applicationQthe above items numbered: �- 1 �l, Wit' Plan Check Letter 2. Additional items required Contractor, designer, owner, 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: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division �~ V Remai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ........................................ \ 1 . Sanitation and plot plan approval from the Environmental Health De art nt in� tQ41 - �i ! 7. City of Chico Plumbing permit ......................................... .............. 18. California Department of Forestry plan approval paid. Sent by: ..................... ❑ 19. Planning approval for (A) Use: o (B)Parking: (C) Parcel Check: 0. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ` 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre-Inspection.for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier Policy;Number..............:.............................. 25. Owner -Bolder Verification (EWjiven to owner, ❑ Mailed to owner) ..................... t}1,Letter of Signature authorization............................................:....................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... - ❑ 28. Manufactured home utility clearance............................................................... i ❑ 29. Existing violations and/or expired permits......................................................... ' ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone S Cn�/ and hold for pickup. I have been informed of the -above items and equirements for obtaining a building permit. �a�Applicant: ' Date: 1. Index permit applicationQthe above items numbered: �- 1 �l, Wit' Plan Check Letter 2. Additional items required Contractor, designer, owner, 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: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: S ion Clearance !/uVo—&L(W21 A/V Owne Location EA. USE ONLY Slot Plan AttecMd Flow, Ran Attachad Santo B.D. / FAM W-�-0 Plan Approved for: Sewage Disposal ✓ Vater Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: I -S S Environmental Health Specialist _AS- /-C>3 Date 8/96 OWNER PROPOSI 1. BUILDING PERMIT FEES Balance Due ....................... $ U I Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ..... .. .$ ^ 2. SCHOOL DISTRICT FEES - (paid at District Office) (Available after Plan Check) ()j JrVA- 'tO 3. SHERIFF FEES (paid at Building Division)�(n fC Residential ...................... 360.00 - w Units ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x-=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES . (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 6 A 7 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER h A.P. # d�W—ff (J� DATE RECEIPT # DATE REC. ��� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANTFJ�22 DATE -- d-5 Pursuant to Government Code S&AWn 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) { _1 School District BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. 09/ � 061 03— 11Y"7 A. P. NumberZQ a }�0 Jurisdiction: city ®County Property Owner IPA (a!-� ! y K A 14 )� Property Location/Address° �"° �/� G /i. /r► �N y ;r Subdivision Lot No. ................................................................................................................... Residential Development D Sq. Footage, No of Living Mobile Home i Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... Commercial/Industrial New Addition lent Representative District Identification No. (Street Address) �= moor rians revieweo oy acnooi uisinci rersonneq -u kC4 School District certifies that —"Sq. Footage (Including Exterior Roofed Areas) q 30 O� Date If F ert.�aa (Ap licant) -1�-V-5t- (Phone Number) Ov O J . LLe ' (City) -' � , (State) (Zip Code) has complied with the requirements of Resolution No. j d !, �c %.. (� by payment of $ �o representing. 0% K'kO square feet. AB 2926 $ FULL MITIGATION $ School District Representative Paid by Check # .04 Remarks: .4 R0_0 (k - 3,D_ -o,3 - Date to to Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are 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 Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm COl1Ed TY OF BUTTS TE - DEPARTMENT OF DCYE!_OPMEEdT SERVICES - BUELG G DfV'�SI OFI 1� 4 7 County Center Drive Oroville, California 85?a'S Tel-- hone (b.30) 38-f54i - PiA7 too. 'v.'12Js6) APPI_lCATIONAHDPERMIT �S xpneee nnnK. x _/Yj^ 'm A— BUILDINGPERMIT aroma / `�"1NP SQ. T OCC. 5UiLDWG VALPMON ,,. „r, -,►� tee.. ,v , ,a � �C"�lr_ �/ 1 - 1 �z sir ei wmg= mum go ;= LGEOPMUCT RF. 3F 0 D*= D Lb5aebame D Ober . �Ilr�l � - � _ ■ Nob �(2-I nN ate Lam *?SWIT FEE PUD SPA 8 TO H Km XWO COMM e ►�ahtation i d `' Fina s Yy:2.� Pilin Che-keng Fee I s P�diT Fi='c S WMT F- s %1111iz� Ms�m Satvi.-� ( 2DA 79 uow r hed pump wdar hedw 23.DD owmg 15.DD uv es wdw hedes w vent 15.0D Wsbm1 -5 rnt'B t 15.DD s�uvst I 15.DD j{e S G YY &2D.DD WMT F- s %1111iz� Ms�m Satvi.-� ( 2DA 79 uow Eva= conE7 cm . �m1woat mmm Tem Salvers MDD Ebb% Home Fames ZMDD . h%-- wubg 29.DD Pi:P. w FEE h, ABORAMICAL PERNiT Ffi mg Fee /2_ DOD- Hesf'mg cu �� o C b , cJ, `� Hmd III s.5a - O ���►iT FI s Wbbb. Home Indw s5on Fes 5 �argy hxspmftn Fee s, ==-t 7MTEST FEE $ I wz t. Fm I W/1 pm;0z, --DF I a 191, 1 rm,l e I I V i' ! 1, 1 Tiis parrna is bere5y tv.-usd undw the 8pp5=!;le pro�ra Of fhe Bunn County 076e snWar FRe=tufons b d:, enrk b6mai°d &m a bt WHrfi lies h eve been, paid. r��FLRI 1 L Lr7.�a lei Fd .: %, i` - 7tr+• ...{: _ .; : , ivi•3.. dt . tl •rl 4. . PLAN f4G D BUILDING PL/[A�yN7 'APPROVAL :( 'Ca rihli �[ ij , '� D M•i.a : F.4: dy :g, ;.�� Use: ' Dater^ - i�;,r; APPROVED ty - • r � `�, �� .� v ron _ I FtealihOther eg .. _ Parwng: Landscaping:-___. Signature: ,,•; �F r +' :, i rpt 4 }6 �, ..,� .a: c•. �I:.... V. i 1 l .ih'YC ,' �, 4i� •'� 'd KCC i � t+. •: t-r`.:. � .- �.:<. vY•+' w; ��} ' +� d yK �' el/ fo .' *•-' 109 iY .std" ^'.f • 1::.. .�+`Tti�, - U S � fJL 101 'R• e �Px Leona �d Pavy ehti4Q�P . X `c,, `:T CA ;s rr I Iry o CID 900 g -41 ....... ....... fi LIV CID 900 g -41 ....... ....... fi Owner's Name 19 e- C,t MOBILEHOME.BUILDING RECORD I PARCEL NO. Mail Address . Ude 9743 SITUS TYPE QUALITY YEAR ROOMS KITCHEN FEATURES MODEL (�Nr��' �T4 eS [ Single Wide ❑ Expando k CLASS BUILT FLOOR N0. OF Cabinets L. F. ❑_Double Wide ❑ Tog Descrip- MAT'L PLB. DESCRIPTION MANUF. ale ❑ Triple Wide ❑ Other ��� tion No. FIXT'S Counters L. F. rG�rj •O — Remarks EXTERIOR ROOF STYLE SKIRTING Entry Garb. Disp. Dishwasher Hood -Fan Alum. Panels Arched Alum. Panels Range -Oven Compactor Microwave Masonite Panels Flat Alum. Shiplop Living Alum. Shiplop Siding Gable- Masonite Dining Decorative Stone Cut Up Fiberglass Family SPECIAL INTERIOR FEATURES Other Pitch: L M H Brick or Stone Great Rm. +— Bar—Wet Dr Hutch Book Case Exp. Fasteners O'Hong Ft. Other Den ( Fireplace Cath. Ceiling -Extra Bath , WINDOWS ROOF COVEX,. HEATING /,.W ji— Minimum Goly. Iron Forced Air Bedroom SPECIAL EXTERIOR FEATURES Tract Size Enameled Steel Downflow Dress Rm. • Window Picture Asphalt Shgl, flow Awnings Shutters Shake Roof Boy Compo. Wall o . loor Both Slid Doors Gravel, Rock Other Both t/ Lin. Ft. Other Set-up for A/C Both Y2 MOBILE HOME RATING (E.G.A.F.P.) INSULATION FOUNDATION COOLING o Quality I Condition Appearance Conform Location Floor R- Permanent Refrig. H.P. Kitchen Walls R-. Piers Heat Pump us Rm. Ceiling R. Tie Downs/1 Thru Wall Utillt" PARK RATING (E.G.A.F.P.) Evap. Cool Overall General . Recreation Overall Location Appearance Facilities Quality TOTAL DESIGN YEAR CLASS EFF. DEPR. SQ. FEET R.C.N. R.C.N. % R.C. L.N.D. A R.C. L.D. APPRAISER DATE REVIEWED DATE CO. TYPE YR. TABLE MAIN IMP. MAIN IMP. T.OTAL GOOD ,pe G od CK. = ZA h 6— 19 19 19 19 19 UNIT UNIT UNIT UNIT UNIT UNIT AREA COST COST AREA COST COST AREA COST COST AREA COST COST AREA COST COST Mobile Home Q O Air Conditioning Evap. Cooler Dishwasher Bar - Skirting Other TOTAL R.C.N. MAIN Carport/Poreh Roof Porch Z$ 217 Storage Shed f.— — Z" SUB -TOTAL R.C.N. t-2 • Deduct (Singlewidcs) `TOTAL R.C.N. -5 AV 4, opo SHEET of NAME C �%t T w�coh NAME PROPERTYLOCATION ZONING B:UT.TE 2 .. tro. Assessment Year. COUNTY p orJ 19 go PROPERTY RECORD 19.1�^Zp0 Book f,.., . iY9'Zpp3 PARCEL NUMBER Page Block Parcel Code g 0 (JD Z_ 19 19 UTILITIES—SITE IMPS. Date :3 _ (� _.oF1662 Q — —02. Electricity: Yes Telephone K' Appraiser 162 Z� 162 a4. 162•• S �,D SXk 162 162 Gas: Public ❑ LPG None ❑ Supp.. Assessment Yes 12T No ❑ Yes ❑ No 09 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑. Yqs ❑ No ❑. Sanitary Swr.: Public ❑ Indiv.= Use Code 160 R Ef 160 P, M N M 160 160 Z 160 160 Storm Swr.: Public ❑ Natural Transfer Code 124 % 124 % 124®` \pp % 124 © p% 124 % .124 % Street: Conc.❑Asph. (7 Dirt Gravel ❑ Acreage 178 raj 178 (O, 3 178 178 178 178 Street Lights: Yes ❑ No;E9, Incomplete 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes ❑ No� . Building Class 167 MLS G 167 JIN C. 167 167 167 167 Sidewalks: Yes ❑ No—X.Bedrooms 168 168 '2- 168 168 168 168 SITE TOPOGRAPHY Baths 169 T69 ' 169 169 .169 169 .Level❑ Rolling ❑ Other CI Effective Year 170 170 I -It 170 170 170 170 Slopes Up❑ Down S -S ❑ Area of Residence 171 171 6 171 171 171 171 At El Above ❑.Below ❑;Grade Land Type 172 Lot❑HomesitePf 172 Lot❑Homesiteig 172 Lot❑Homesiteg 172 Lot❑Homesite[N..172 Lot❑hlomesite❑ 172 Lot❑Homesite❑ View ❑ Of:. Car Shelter 173 Yes ❑ No VZ 173 Yes ❑ No 173 Yes ❑ NoJ4 173 Yes ❑ No [9 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ WATER Pool 174 Yes ❑ No K 174 Yes ❑ No 174 Yes ❑ Nop 174 Yes ❑ No ® 174 Yes [-] No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public ❑ Well ❑ Ditch. ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes. ❑ No ❑ Supplier Aerial Photo Year Topo Map Year MARKET DATA Soil Name Index Acres Comparable 1 /` JA Ll-St�� / cQ A4 14 — Comparable 2 �� � Vol, CovIV, f c• Comparable 3 �PT Sale Date/Price 7pZ %C1C?0 o Q+� J 0O PRIMARY BASE SECTION Base Year 140 140 '75 140 140 02— 140, 140 Event Date 186 02—Z.8 —75 186 0 Z: U. _ 7 5 186 ? OS -02 186 03 Z7 -OZ_ 186 186 Land 109 6460 10'9 109 4 Z 5#n 109 4 Z �Spzy 109 109 Avg. Soi I Rating Improvements 110 110 110 A a 110 > C— 110 110 LAND -REMARKS: Trees and Vines 111 1.111 111' 111 111 111 Personal Property 11'2 112 T12 1121 112 112 Keyed By: SECONDARY BASE SECTION Base Year 240 240 q— 240 240 240 240 Event Date 286 _ $ 286 2 V9 _. `. 286 286 286 286 Land' 209 209 269 209 209 209. Improvements 210 Z rjpo 210 F�po 210 210 210 210 Trees and Vines 211 211 211 211 211 211 Keved Bv: ADDRESS MISCELLANEOUS BUILDING RECORD njrCrQ1PT1ntu nF Pull n/Nr,.s PA RCEL D z -Y -1;,So - G G Z SHEET 3 OF "'. SHEET. Bldg. B ld Structure Size Found. Wall 9 Exterior Roof Type Cover Floor 8 Interi-or Detail Second Story Year or Loft BQoilt Est. Tol Life'Yn 'J 2.✓�. ). o. �� CG a' ?V -- Lv�T v eec Ga.. p�i1 aQC %"278- I. . VIA 14 -- CX d Total Z (7p0 4.v?�1 c -L, Appraiser- Date Bldg. CosJ . Areo COMPUTATION Appraiser -Dote Nog. Areo maS'�.� Z.`f �G,- Co�� Cost '�c1 19 go Good R. L. N. N. Cost -�-.0 Z_ Cost Good 19 R. N D. 19 Cos/ Cos/ Good R. C. D Cost 19 Cost Good R. N. D. VIA 14 -- CX d Total Z (7p0 4.v?�1 c -L, Appraiser- Date Bldg. CosJ . Areo U^�/ 1 ° C. o° Un t % CostGood 19 L, N. D. 19 nit Cost R. C. N. Unit Cost Good L. N. D. Cos? 19 Cost % R. C. N. 1 SITE PLAN REVIEW APPLICATION Date: 22= AP# D 2-8-3 80- 0 2 Permit Number (if applicable) 03— ) )H-7 APPLICANT INFORMATION Parcel Size: 10 A Owners Name: � � 10 Q A K(S Owners Address: `33 � DTZ a 6 -la .N6 -01Z "1 U Telephone No.: S ; !S 1036 Situs Address:`'�`�� Proposed Use: Residential 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) _ a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date 'y-'Z-�-)— Page, l of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 1 0 2S Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------- —-------------------- -------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: h — 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 �r O Side S p Side Street Rear S 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 Applicable Development Fees: iY Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Date of Creation: q —7Z -_L-8 �9 Legal Access Provided: ❑ No Yes Deed of Reference: 86 r i`Li 9 S Legal Access Required ❑ No [� Yes Parcel Frontage on Publicly Maintained Road: ® No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: 0. O (`' ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 [] Subdivision Map/Parcel Man: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of ApprovaL- ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ in lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 41 1 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 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 -Ra'14�A *E:• e?a5e&V-&V 'Ke�te� r4-. �a5�n1'oe� State of California County of-rT� L � � �� ia-�sc..�� P ►� iJ � On A2� 1 �-- �(, Z� ore me,(:!, personally appeared (ACL �f<� e�(�1cN�O� VCL`( Pa(7lGp P Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) ted, executg,o� the instrument. WITNESS m 71and and filcialell. Sigi A.P. # •� •' CYNTMA A. COSTA Seal: M # 1279287 RUWT?AR'Y�06BLIC-CALIFORNIA NTY OF BUTTE Expires Oct. 30, 2004 AND WHEN RECORDED MAIL TO: i 1 6 3 BUTTE COUNTY BUILDING DIVISION �1 Recorded I REC FEE 10.00 7 COUNTY CENTER DRIVE Official Records I COPIES 2.50 OROVILLE, CA 95965 CountyBUTTE f I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON 1 Assistant 1 Karen 09:55AM 29 -Apr -2003 I Page 1 of 2 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 -Ra'14�A *E:• e?a5e&V-&V 'Ke�te� r4-. �a5�n1'oe� State of California County of-rT� L � � �� ia-�sc..�� P ►� iJ � On A2� 1 �-- �(, Z� ore me,(:!, personally appeared (ACL �f<� e�(�1cN�O� VCL`( Pa(7lGp P Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) ted, executg,o� the instrument. WITNESS m 71and and filcialell. Sigi A.P. # •� •' CYNTMA A. COSTA Seal: M # 1279287 RUWT?AR'Y�06BLIC-CALIFORNIA NTY OF BUTTE Expires Oct. 30, 2004 Preliminary Report Description Order No. BU -195802-3 MAM The land referred to herein is situated in the State of California, County, of Butte, and is described as follows: PARCEL I: THE SOUTH HALF OF THE NORTH HALF OF THE FOLLOWING DESCRIBED PARCEL OF LAND: THE EAST 360 FEET OF THE NORTHWEST QUARTER AND THE WEST 300 FEET OF THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M. A CERTIFICATE OF COMPLIANCE ISSUED BY BUTTE COUNTY RECORDED APRIL 22; 1986; UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12493. RESERVING THEREFROM A RIGHT OF WAY FOR ROAD PURPOSES OVER THE EASTERLY 60 FEET OF SAID LAND. APN 028-380-002-000 PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES OVER THE EAST 60 FEET OF THE WEST 300 FEET OF THE NORTHEAST QUARTER OF SECTION 8,'TOWNSHIP 18 NORTH, RANGE 5 EAST; M.D.B. & M. EXCEPTING THEREFROM ALL THAT PORTION OF SAID RIGHT OF WAY LYING IN THE NORTH HALF OF THE NORTH HALF OF THE NORTHEAST QUARTER OF SAID SECTION 8. PARCEL III: A RIGHT OF WAY FOR ROAD PURPOSES OVER THE SOUTH 60 FEET OF THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M., LYING WESTERLY OF THE OROVILLE-BANGOR ROAD. Butte County Deparanent ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: LP2A FROM: Michael Vieira (530) 538-7159 mvieira((-buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract DATE: 7/10/2003 Applicant: Pagenkop, Ron & Kelle Project Type: NSF 100% Plan Check Fees $ 547.63 Energy Calc Fees $ 23.00 $ 570.63 Permit No: 03-1147 APN: 028-380-002 70% $ 383.34 $ 16.10 $ 399.44 LP2A Fee $ 399.44 Copies Attached: Qty Chk Application Site Plan Review NA FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential.Construction Requirements Other Other August 4, 2003 County of Butte- FIRST CHECK w Jurisdiction Appl. Nol.03-1147] ! LP2A Job..No. 203015.007 Ron & Kelly Pagenkopp 3366- Oro 'Bangor- Highway- - Oroville, CA 95966 Re; Plan Review; Pagenkopp SFD Address; 3366 Oro Bangor Highway Dear Mr. Pag n p; - Linhart Petersen P ers Associates (LP2A) has completed an initiarl review ;of 'the following documents: 1. Plans One (1)copy plan sheets. Cover through_S3..(1.1.-s'heets.).-title-sheet dated JanuaN-- 03, 2003 by Endeavor Homes. . 2. Strucfural.Calculations One (1) copy dated April 16, 2003 by Frank M. Glazewski: 3. Title 24 Ener Com ifance' Documentation: One (1) copy dated December 31*, 2002 -by Endeavor Homes._- --- 4. Truss_.Calculations.- One' --(1-)- copy each -dated January- 1:5- 2003 --by` Endeavor Home'sl . . MiTek.. Note: Floodplain Mitigation Measures and/or comments will be reviewed by Butte County. These documents were reviewed only, for their conformance to tfie. 2001 California Building, Plumbing; Mechanical, -and Electrical-C6des. Ourcomments-follow-on-the-attached"list. . Please_submit-.an.itemized-response-lettef-and-two (2) sets of complete and revised documents with all revisions clouded. Sincerely, j TERS N PO ERS ASSOCIATES Peterso - :Eral Engineer nc elo sures i:\pendingplanreviewlbutte1203-0.1:5-0.07_.doc� enclosures �h,Mr. Michael Vieira, County. of Butte, Fax- (530)_ 538=21.4.0... _-LINU-ART PETERSEN POWERS-ASSOCIATES- 7610.Auburn Boulevard * Citrus Heights, CA 95610- (91-6) 5610- (91-6) 72:S-4200--• FAX (9-16-)-7.25-8242-•- 7611-Frec (8-77)-235=0653 Pagenkopp SFD 3366 Oro Bangor Highway August a, 2003 - Re, Occupancy Group(s): R3/U1 Type of -Construction:- VN Stories: 2 Building Area (sq. ft.): 2626 County of Butte First Check LP2A.Job..No..'- 2030015.007 Page 2 A. The- following -plan review documents are based on the County of Butte Building Regulations. For your convenience, the follow.ing_cornments. are_ referred- to-the_2901 California Building Code unless otherwise noted. B: Please -respond in writing-, to each comment by marking the attached comment list or creating a response letter. Indicate which detail, specification,. or calculation shows the requested -information.- Your complete and clear responses will expedite the re -check and' hopefully, approval of this project. Thank you for -your assistance,. C., Please be sure to include on the resubmittal the architect's/engineer's "wet" stamp, signature; registration--number-and expiration date on all sheets of plans fall sheets of plans depicting structural designed elements] and cover sheets of specifications end calculations. UBC 1'06:3:2 D; The Jollowing- code- comments- refiecra review of building plans only. If site -related comments are applicable to this project, they will be generated by others (e.g, .-.City Engineering, Public -Works, Health; etc.). ARCHITECTURAL -COMMENTS, 1: For clarity; revise the- coveF s heets-t-o- t he 2001-- California--Buirding ' Code (based on 1997 UBC), 2001 California Mechanical Code (based on 2000 UMC), 2001 California Plumbing Code -(based -on -2000 UPC), the-2001--California-Electrical Code (based on 1999 NEC) and`` 2001 California Energy Standards are applicable to this-prp*q. 2. Provide. smoke..detectors on the. first_floor as per -CBC. section 310.9- 3. On plans please show the minimum hearth requirements for the fireplace per.manufpcturers specifications -or -per -CBC ch. 31-,-Also-specify the type, make and manufacturer of fireplace on plans. 4. Maintain- 6 --feet ,8- inches. -of -headroom -clearance -for' all stairways as per CBC, Section 1003.3.3.3. See detail #20 sheet#4. 5: . Remove/correlate all conflicting -structural details 'on sheet #4. Various details conflict with the architect's structural sheets. Include the architects, stamp,_wet signature--and_a.ppr_ovai on sheet #4. MECHANICAL PLUMBING AND ELECTRICAL COMMEMTS 6. Amend plans to specify shower and tub -shower combinations shall be provided_ with individual-control-vaives-of the-pressure-bafance-or-the--thermostatic mixing valve type as ' Page»kopp SFD County of Butte -First Check 3366 Oro Bangor Highway -August 4, 2003 LP2A-Job_No.:.2030015.on, Page 3 per CPC -section 420:0-:, 7. Specify minimum/required service- lighting- means for FAU units on plans -per CMC.3.06 and CEC 1..1.0-16 and -4401-, 8. Provide a grounding electrode as per CEC Article 250-81. 9. Provide two small appliance circuits for the kitchen, dinning room, and breakfast nook as Per CEC article -210-52 (b). -Note The -required -small -appliance circuits shall not supply disposal, dishwasher, or other, large appliances as per CEC article.. 210-52 (b); 10. Provide 4 -wire receptacles for all ranges, ovens, and dryers as per CEC article 250- 60. 11. Receptacle outlets installed in dwelling unit bedrooms shall be protected by an arc -fault circuit interrupter -as -per --2001- CEC-Article-210=:12(b), 12. Water -heaters- shall- be -anchored- or- strapped to, resist,horizontaFdispla'cement- due to earthquake motion. Strapping shall be at points within the upper one-third and lower one- third of -its -vertical- dimensions, At-the-lowef point, a minimum distance of 4 inches (101.6 mm) shall be maintained above the controls with the strapping. CPC, Section 510.5. 13. Specify non -removable backflow prevention devices on all exterior hose bibs as per CPC 603 T-24 ENERGY_COMPUANCE-COMMEATS: 14. Provide the owners or designers signature on the CF -1R, STRUCTURAL COMMENTS: 15. Remove/correlate all -conflicting structural- details..on-sheet-#4.-Various-details--conflict wiih' the architect's structural sheets. Include the architects stamp, wet signature and approval on sheet -#4.- 16. Provide the roof S floor sheathing nailing and spacing requirements on the plans. 17. Provide a top late (diaphragm chord) splice detail. 18. For designed shear walls where the allowable shear value must exceed 350 plf, amend plans -to specify -minimum single -3x (nominal}framing members at fotmdatiorrsill plates and at framing members receiving edge nailing from abutting panels. UBC TABLE 23-11.1-1, Footnote #4: Shearwall sched6le-states-''where-noted--on-foundation--plan". The foundation plan does not specify the required 3x framing or sill requirements. Please clarify. 19. Provide specific details to clarify the installation of all holdowns on a raised floor application. Clarify -the -location of the- holdown- whether- on- the- mudsitt-or-orrthe-shearwall bottom plate, any all -thread requirements, and how the 3x plate requirements will be.. provided, .SSTBL Paaenkopp SFD County of Butte -First Check 3366 Oro Bangor Highway . August 4, 2003 LP2A-Job-No.: 203oo15.W7_, Page 4 bolts may be required to accommodate 3x sills as per Simpson. Please clarify. ,(Detail.#1 & #4 sheet S-2 does -not- specify). 20. Provide- clarification -from -the -architect -that -he -has reviewed the truss calculations and has found them to be in conformance with his design requirements. 21. Provide clarification for the "01" callouts on the foundation plan. The call out appears to be in the same -location -as- the-requirea-holdown- bolts; but there is no keynote or otherwise stating what "01" is. 22. Provide_ 1.75- x 11:8&-1.9E- LVL's--@ '16" o/c- for --the master bedroom. The plans do not . specify the requirements for- calculation FJ -2 sheet #13 of the -architect's calculations. 23. The footings for beam FB -5 appear to be inadequate. Provide clarification form the architect. - 24- Provide calculations form the architect foe the first floor floor joists, girders and footings. The- 9.5-TJI joist at. 2*' o/c are -over -spanned. (TJI PRO 100TS). 25. Revise --entire lateral -analysis -for. to' plate -heights: The-calculations-were--calculated-using, an 8' plate height.. Sheet #1 general.not6#3 calls for -10' plate/ please clarify. 26. Provide "CS16/2-2x6" at the left side of the 6' shearwall 6 line C upper floor as per sheet#37 of-thearchitect's'calculations. 27. Provide '/z" anchor bolting @ 30" o/c for lower wall line B as per sheet #38 of the architect's calculations— - 28. Provide Y2" anchor bolting @ 12" o/c for lower wall line C+C.1 as per sheet #41 of the architect's- calculations: 29. Provide A35 @ 13" o/c for mudsill/cripple wall @ lower wall line C+C.1 as per sheet #41 of the -architect's -calculations- ' 30.,The propos.ed..uplift-at-wall lin_ C.+C.1 appears-to-exceed.the..manufactures-specificatiansfor a HTT16. Please clarify. (HTT16 good for 3480#'s).' 3-1.. Provide %" anchor- bolting @ 12" o/c - for lower wait -line D-at-persheet #44 of -the architect's calculations. 32. Provide %' anchor bolting @ 30" o/c for lower wall line 2 as per sheet #47 of the architect's calculations. 33:- Provide- %"anchor bolting -@-10- o/c for -lower wall -line -4- as per sheet #50 of the architect's calculations. 34 Provide A35.@-12`o/c-for+ mud sill/cripple--wall-@-lower-watlAine-4-as-per-sheet-#50 of -the architect's calculations. 36. Provide.-%' anchor bolting- @ 26" ole for lower -wall line -5 -as -per -sheet -#55 --of the architect's calculations. Pagenkopp SFD County of Butte - First Check 3366 Oro Bangor Highway August 4, 2003 LP2A Ja@_No. 203001-UQZ Page 5 36. Clarify how the upper floor braced wall panels comply with sections 2320.5.4.1 & 2320.5:4:3 -See -braced -wall. panels- circled- in red." If you --have any -questions- regarding -the -above comments, please contact Roger Peterson at (916) 725-4200 between 8;00 A.M. to 5:00 P.M., M -F. [END)- 1. September 17, 2003 Clor.uMichael'Vieiranty of Butte County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 1ax: (530) 538-2140 Re: PlarilGRevie Address_ <A Dear M( Viei Linhart Pete documents: 1. Plans I 03, 2j 2. Strud origin - Fe EIVISO SEP 1 8 2003 NAPA CO. CONSERVATION DEVELOPMENT & PLANNING DEPT. Pagenkopp SFD 3366 Oro .Bangor Highway 6ZLi6£66S 6iv a is i 6i ss:ii c ii�66 iiia 99 i@ 11111111111■II MINE 1111 mill �I� �I�I�I"'ll IIII" IIII III Ili I II I II lilll I (IIII IIII i l 11 3. Title . Ende 4. Trus; MiTe a Note: Flood r These docu Plumbing, M this submittai PacKage.— I County of Butte- Final CHECK Jurisdiction Appl. No.: 03-1147 LP2A Job No. 203015-007 E LE )leted a final review of the following A_ F M 33 (11 sheets) title sheet dated JanuaryAll A a 16, 2003 and two (2) amendments to wski. (1) copy dated December 31, 2002 by dF O t O , r- anuary 15, 2003 by Endeavor Homes/ r, M CN 1 is will be reviewed by Butte County. C—= nance to the 2001 California Building, +` have any further comments regarding nw pian iiuviiuvv for approval as submitted. The above documents now bearing the "LP2A Plan Review Approval" stamp on all appropriate sheets are enclosed. Please let us know if you have any questions. Thank you. 1`14' -,Sin rely, LINHART P RSEN POWERS ASSOCIATES Curtis,5[. Johnson I.C.B.O. Plans Examiner enclosures a LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX(916)725-8242 9 Toll Free (877) 235-0653 National Pollutant Discharge Elimination System SWPPP Non -Certification for Project # County Storm Water Permit Compliance (NPDES) Phase II & for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality -Task Sacramento, CA. I certify that appropriate BNTs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. K at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNIPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the B1V1Ps necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. - Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project - — disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: QQ Q Title: Date: U NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES% NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have co ted with the fo Q g erson (firm) to provide the proposed construction: NAME: C 19-x- ADDRESS PHONE: — CONTRACTOR' ICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and vi e e major work: NAME:_ 1 , r CITY: �) % `d LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SEC77NL � DATE: NOTE: This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit 190 OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your. immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 9 WR SITE PLAN REVIEW APPLICATION Date: AP# - _ 3 BO — 0-c,'2— Permit -c2Permit Number (if applicable) G —)) i—) APPLICANT INFORMATION Owners Name: (A Owners. Address: 33 Lo Telephone No.: Situs Address: Proposed Use: Parcel Size: 10 AL iP P, F2.OjJ 4 K6LI Y on a &R N&MZ Residential ® 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 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other IN Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By �� Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 1 o 2S A Index Date: Li --LD-- QEI� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form _ ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A — S" Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Rona I of G Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side S p Side Street Rear S iJ Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Rona I of G Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify fy actual fee ifpre-application' review. A the building permit. final determination will be made at the time of Parcel Created By Date of Creation: 14 Legal Access Provided: ❑ NoYes Deed of Reference: C4�, — i2'-1 Legal Access Required ❑ No Yes Parcel Frontage on Publicly Maintained Road: ® No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: C> L, ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot'Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: , Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval• ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. F0 Page 4 of 5 �r V Ix 0 I Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 . ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BPO50523 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: 03/07/2005 APN: 028-380-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: G- 55 License Number: 5-,6654 Site Address: 6246 ORO BANGOR HWY BAN Date: 6"bS- Contractor. ? LC-tOIA IfftLS Map Index: Description: NEW POOL MASTER 500-01 OWNER -BUILDER DECLARATION 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: PAGENKOPP RONALD E & KELLEY A permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 3366 ORO BANGOR HWY the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95966-7112 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: PERFECTION POOL AND SPAS owner of property who builds or improves thereon, and who does such woex 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 172 E 20TH ST 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 CHICO, CA 95928 sale.). 530-895-0437 O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: PERFECTION POOL AND SPAS ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 172 E 20TH ST CHICO, CA 95928 ORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-895-0437 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 566654 Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: 6T4TF— Carder: 17-70(40 —C> -?-- C>Z❑ Policy #: `-W Q I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: L -TV C� Applicant:L WARNING: Failure to secure workers' compensation coverage is o 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 I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Cnunt CodR snNor io to do work indicated a e for hich fees have been paidperformance of the work for which this permit is issued (Sec 3097 Civ.) Resoll Name: Date: Address: PERMIT EXPIRES ON: U ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the y authorized agent of the o ne I agree to comply with d all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any dal form or document of B t ounty. I hereby authorize represen tives of Butte County to enter upon the above mentioned property for inspection purposes. J, rint Name: /Signature: C ate: ❑ Owner IKContractor ❑ Agent for Owner 0 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 OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER Last Nam BA EIJK0Q first Nam Address �o /' 2 City f State � Zip Phone Fax E-mail CONTRACTOR Name ri "'D Address -z67-14 's T - City I CO StatecA Zip Phone Fax E-mail ggs,Lic. # lass APPLICANT NAME ARCHITECT/ENGINEER Name L Address Zip City Fax State Zip Phone Type Const. Fax E-mail Page State License Number APPLICANT NAME Name Address 72 City � ICD State Zip Phone Fax E-mail For office use only- nl :Zoning API Zoning City C9 (L6V i L Flood Zone SRA I es No Occ. Type Const. Suubb/division Name TL Kf' Map Book Page Lot # Planner Dg Approved Z PERMIT NO. BIN # LOCATION. API Proper,ty�! Address & (. O M CI City C9 (L6V i L Cross Street WORKER'S COMPENSATION Policy Number -2-7Z-02- 2-7Z-O2Carrier Carrier 5 (�'—1--V7. 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 OVtg FOR SUBMITTAL REQUIREMENTS II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: MAsM D4-0 i 1 N -(:�t1-®kjN0 GO WIF- moa L - Sq. Footage 572 *- 0 ❑ 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 required. 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 byq$A Amount: Bldg SRA Receipt #:� Sheriff SMIP C6-- Other Date: W Total REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS 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 7-27-04 o�osa� 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: ASSESSOR PARCEL NUMBER 0 U O Proposed Building Use: Counter Technician: Date: ©� Items required in order to bpply for a permit. All boxes MUST be checked OR marked NA in order to apply. -TIC 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of Biggs: ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. ❑ 14. Hazardous Material Form. 'f fv'I'S�. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. a�2/res 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ 20. Erosion Control Plan Required. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ / 23. California Department of Forestry plan approval ❑ paid. [ planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. .::Ur 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Pre -Inspection for required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 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. Original -Applicant }� 'r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT'SERVICES-BUILDING DIVISION ;010 -7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER O ��' 3 0 MJ O 0 0_\�, Proposed Building Use: t9A Counter Technician: Date: �lo Items required in order to bpply fora permit. All boxes MUST be checked OR marked NA in Wei to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 0 11. Site plan and business license approval from the City of Biggs 0 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form '�� anitation and site plan approval from the Environmental Health Department in 0 Chico ❑ Oroville, as applicable. /a 5 ` - �ther Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) . ❑ 17. Fire Sprinklers............................................................................................ 0 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City,of Chico Plumbing permit........................................................................ r ❑05. alifornia Department of Fore ry plan approval 0 paid. Sent by: `• } �ytanning approval (A) Use: (B)Parking: (C) Parcel Check.__ -k - g- ZevZ " _ ❑ ontact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. O 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Pre -Inspection for required......, ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................... ..:.....................--- 0 .... `.. 0 .33. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... - ❑ 36. Deed Restriction...................................................................................:..... 0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, 0 Check to H.C.D. $ m 0 38. Other: ❑ 39. Other: F+ When issued Telephone and hold for pickup. v I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permitip-plica6orf for the above items numbered: If >Zf --Plan Check Leter 2. Additional items required, ;j. ik,) %Contractor, des"igner6iw er, was advised of ithesa6yve data by ❑ phone, ❑ mail, ❑ counter, by Date: l'lr lYe� lead nA t r "'�� Cbntracto�r, designer, owner,/was advised o the a ove data by ❑ phone, ❑ mail, ❑ co ter by Date: Plans reviewed by -t 1 /I Date; .1 ^ r 7 i , Jans approved by: Date StructulralfrAiewedrby:! e SAI%/ Dafe": (r ' `ter Structural approved by: Date: Note transfer by: f Date: Yellow: Building Division E.H. USE 0NL Flat Plan Attach Roos Nan Attachad a „ soft to B.D. l= TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance o - /20 A&Ale O �8 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other /.C-.) V/ vim/ 7tf A70 L Hold final for: Final clearance O.K. for: Environmental Heal 8/96 A VC WOPp AU'� Department of Public Works Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: J(�J0 K lT Project Location and/or Parcel Number: . �Z 46 6 (�'C Q {� L�y � I L_t 14--P --w 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: -%/ I ( p ) Title: 6A L -E SNS Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,*CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building' permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or. no) 2. I (have/have not) _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work,. but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed g Property Owner �. Social\ Sed r y N ber Date �� ��0 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of.the California Health and Safety Code. This verification must be completed and returned to our office before,we are per- mitted to issue the permit. �4 LAND OF NATURAL WEALTH AND BEAUTY November 6, 2003 Mr. Ronald E. Pagenkopp Ms. Kelley A. Pagenkopp 3366 Oro Bangor Hwy. Oroville CA 95966 RE: Formal Warning Notice Butte County Code Violation 6246 Oro Bangor Hwy., Oroville CA 95966 AP# 028-380-002 Dear Mr. and Mrs. Pagenkopp: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Through our courtesy notice on February 28, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the unauthorized camping activities. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On November 6, 2003, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Ronald E. Pagenkopp Kelley A. Pagenkopp 3366 Oro Bangor Hwy. Oroville, CA 95966 I declare under penalty of perjury under the laws of the State of. California that the foregoing is true and correct and that this declaration was executed on November 6, 2003 at Oroville, California. Paula Atterberry Plan Application Assistant 11 , January 16, 2002 Gil Smith Pacific Gas and Electric 460 Rio Lindo. Chico, Ca. 95926 BEAUTY v�r.+n. m...•. v. v�•�rv. n...n. v�n.wGa 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Re: HAZARDOUS ELECTRICAL CONDITIONS 6246 Oro Bangor, Bangor AP# 028-380-002 Meter # K39287 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On January 8, 2002 an inspection was conducted by this department. The owner (Ben Culet) and tenants are not currently occupying the structure. The structure at this site has numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. As the Chief Building Inspector for Butte County, I am requesting that the electrical to the structure referenced above be disconnected until appropriate actions are taken to resolve the hazards. Further, I request that the electrical and gas service not be reconnected until an authorization from this Department is granted to do so. This letter shall also serve as notice to the property owner and tenants that the electrical and gas service is to be disconnected on or about Friday January 18, 2002. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Alo� Scott Rutherfor el Chief Building Inspector I. - .yam :• �;,. w..,� ,rr� .� i i --,p l 21;h1998 Ben Culet P.O. Box 1082 Oroville, CA 95965 .mac..:• eutte (0, LAND OF NATURAL WEALTH AND BEAUTY DIRECTOR'S OFFICE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538.7601 FAX: (530) 538-7785 I RE: Substandard Housing 6246 Oro Bangor Highway, Oroville, CA AP4028-380-002 Dear Mr. Culet: This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On April 20, 1998, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 12; (b) 7; (d); (f); (g); which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violations: 1. Mouse infestation. 2. Ceiling panals are loose and hanging. 3. Light fixture in front room not installed properly. 4. Light fixture in master bedroom not installed properly. 5. Electrical service panal in master bedroom closet exposed -- no dead front. 6. Force air heater installed without permits or inspections from the State of California, Department of Housing. 7. Broken or defective windows. 8. Lack of weather stripping on front door. Ben Culet April 21, 1998 Page 2 It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be. advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. To comply with the California Health and Safety Code, Section 17920.3 (a) 12; (b) 7; (d); (f); (g); you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Thursday, 8:00 a.m. to 4:00 p.m. Sincerely, / " Scot Johnson Code Enforcement Officer SJ:jb cc: Leslie Smith, 6246 Oro Bangor Highway, Oroville, CA State of California, Department of Housing, Attn: Ken Shryrock Department of Development Services, Building Division Code Enforcement d LAND OF NATURAL WEALTH AND BEAUTY Y ii 9 DIRECTOR'S OFFICE DEPARTMENT OF DEVELOPMENT SERVICES �r ''''°'w"'"``• 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 lAprll. 21 ;;'1998 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Leslie Smith 6246 Oro Bangor Highway Oroville, CA 95966 RE: Substandard Housing 6246 Oro Bangor Highway, Oroville, CA AP4028-380-002 Dear Ms. Smith: This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On April 20, 1998, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 12; (b) 7; (d); (f); (g); which pose health and safety hazards to the occupants and render the dwelling substandard. - This letter is your thirty (30) day warning letter to correct or abate the following violations: 1. Mouse infestation. 2. Ceiling panals are loose and hanging. 3. Light fixture in front room not installed properly. 4. Light fixture in master bedroom not installed properly. . 5. Electrical service panal in master bedroom closet exposed -- no dead front. 6. Force air heater installed without permits or inspections from the State of California, Department of Housing. 7. Broken or defective windows. 8. Lack of weather stripping on front door. Leslie Smith April 21, 1998 Page 2 - It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an, effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. To comply with the California Health and Safety Code, Section 17920.3 (a) 12; (b) 7; (d); (f); (g); you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Thursday, 8:00 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:jb cc: Ben Culet State of California, Department of Housing, Attn: Ken Shryrock Department of Development Services, Building Division Code Enforcement