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025-200-026
25-20-26 ONSTOTT ORCHARDS W/S Larkin Rd, 1st. house N of"Canal, Gridley Contr: Watson Hardware Ele Gridle Permit �k4961-78E(AC) SF f 1 025-200-026 05-1583 BOEGER,STEVE PRATHER RD, GRIDLEY CONT: OWNER ELE FOR WELL & LOT DEV , t S,9 7 025-200-026 05-2056 BORGER, STEVE SJ� PRATHER RD, GRIDLEY Cont: OWNER NSF/GAR/COV 025-200-026 BOEGER, STEVE GRIDLEY Cont: OWNER AG BUILDING B07-0075 025-200-026 MISCELLANEOUS Ag Exempt AG BUILDING 558 PRATHER RD BOEGER, STEPHEN A & RUTH A z � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 558 PRATHER RD Owner: Permit N0: B07-0075 APN: 025-200-026 BOEGER, STEPHEN A & RUTH Issued Date: 02/22/2007 By GLB Permit type: MISCELLANEOUS 779 PETERSON AVE Subtype: Ag Exempt GRIDLEY, CA 95948 Expiration Date: 02/22/2008 Description: AG BUILDING Occupancy: U-3 Zoning: A40 Contractor Applicant: Square Footage: BOEGER, STEPHEN A & RUT Building Garage RemdUAddn 779 PETERSON AVE GRIDLEY, CA 95948 Other Porch/Patio Total (530)682-9274 FEE INFORMATION DBOMSCF Ag Exemption Permit $109.98 EH Building Review Fee $70.00 Total Charged: $179.98 Fees Paid: $179.98 Balance Due: $0.00 Receipt No: B1491 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil five hundred 02/22/2007 penalty of not more than dollars [$500]; Please check one of the following: Contractor's Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR FFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATIONCOMPENSATION, I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 the Labor Code, for ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessi ons Code: of the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit rs or one hundred ollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LIED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' ' 02/22/200 compensation pro ions of Sect' he Labor Code, I shall forthwith comply with those Owner's Signature Date provisions X 02/22/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter ve mentioned roe r inspection purposes. I hereby certify that I am the r au or the property ow CONSTRUCTION LENDING AGENCY 02/22/2007 ;Zeof 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Permittee Print Date the performance of the work for which this permit is issued. (3097 civ. code) NJ�Owner 1:1Contractor OR. E]Agent for Owner ❑Agent for Contractor � FILE COPY Lenders Address city State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agriculrural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies Initials '5-6 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials ,%�-(Q AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials Sid AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 558 PRATHER RD Permit No: B07-0075 APN: 025-200-026 Square Footage: Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A40 Description: AG BUILDING Required Setbacks: Applicant: BOEGER, STEPHEN A & RUTH A Front: 20' Side: 25' Rear: 25' 779 PETERSON AVE GRIDLEYCA95948 Type of Construction: (530) 682-9274' Type of Siding: Metal Owner: BOEGER, STEPHEN A & RUTH A Est. Const. Cost: $ 0.00 779 PETERSON AVE GRIDLEY, CA 95948 Roof Covering: Metal Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Divison and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that im"nd prior to occupancy. Signature of owner:.\( — Date: 01/12/2007 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name irst Name .C' Mailing Address Cityi %G� StateC L,4-Lp 99 Phone Cer6Z_ c4z 7Li rax E-mail APPLICANT INFORMATION CONTRACTOR Name SC) �- Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail AP /CANT/SIGN URE X / For office use only: AP# a Z � - 200 - U �6 Zoning Cit Flood Zone SRA I Yes No Occ. Policy Number Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: PERMIT NO. i V BIN # PROJECT LOCATION AP# a Z � - 200 - U �6 Address P72 Cit Cross Street ..Sheriff WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ap Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiv%� Amount: ` ` Idg SRA Receipt #: ..Sheriff SMIP Date: / 1 _I Other r7 L Jotal Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program '7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds i O O O 0 �r National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0075 Date: 01/12/2007 Location: 558 PRATHER RD By: GLB Parcel Number: 025-200-026 Sub Type: AE Exempt Owner Name:. BOEGER, STEPHEN A & RUTH A Phone: Description: AG BUILDING By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 01/12/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0075 Job Address: 558 PRATHER RD Contractor: Printed: 01/12/2007 11:57 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBOMSCF Ag Exemption Permit 0010-440001-4210500-1010 $109.98 01/12/2007 $109.98 EH Building Review Fee 0021-540013-4614901-1010 $70.00 01/12/2007 $70.00 179.98 $179.98 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: - '` Date: 01/12/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services •$V ATF• TIM SNEL•LINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR • • 7 County Center Drive • • Oroville, CA 75965 • • (530) 538-7601 Telephone (530) 538-7785 Fax 0U141 www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0075 te: 01/12/2007 Location: 558 PRATHER RD By: GLB Parcel Number: 025-200-026 Sub Type: Alz Exempt Owner Name: BOEGER, STEPHEN A & RUTH A Phone: Description: AG BUILDING The above permit application has the following Cleara/ATIONDISTRICTS ed prio o permit issuance. Please contact each department indicated below regarding specific requirements pertainiperm' application. Yes No DRAINATS Thermalito Irrigation District, 410 Grand Av' e CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95933-2000 City of Chico, 545 Vallombrosa, Chico CA 95 895-4711 PARKS & REC DISTRICTS Chico Area Recreation District, 545 Vallom osa, Chico CA 95926 - (530) 895-4711 ❑ Durham Park & Recreation District, 9447 idway, Durham CA 95938 - (530) 345-1921 ❑ 11 Feather River Recreaction & Park Dist ict, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 S ay, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS E Biggs Unified School District, 30 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School Dis ict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 4 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary chool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union Hi , 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified chool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded co of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 01/12/2007 APPLICANT Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled, inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hgp:Hmunicipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0075 Location: 558 PRATHER RD Parcel Number: 025-200-026 Date: 01/12/2007 Owner Name: BOEGER, STEPHEN A & RUTH A Phone: Description: AG BUILDING Signature of Property Owner: Date: 01/12/2007 APPLICANT Butte County Department of Development Services TIM SNEL• LINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive -Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION 1S RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. V OR NO) (HAV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS PHONE CONTRACTORS LICENSE 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 Description: AG BUILDING Reference Number: B07-0075 Applicant Name: BOEGER, STEPHE_NA & RUTH A f I Z Signature of Property Owner: _ Date: O-7 Z 4 0 SITE PLA S ..................... ...... ...... 7 ............ .............. 7-* ............. .......... ........ ............ ....... ............. ...... 7 ...... .................... ..................... .......... .................. ...... .......................... ...... ............ ................... ...... 7 ............ .................... ...... ..... ...... ..... .... ..... ..... ... ..... / ... ............. ...... ...... ...... ...... ...... ............. ..................... ..................... .............. ...... ..................... ..................... ...... ...... ............. ........ ..................... ...... ......... ......... ...... .. ...... ..... ..... ....... ...... ..... .... . .. ...... ............. 7 ...... ............ ...... ............. ............ ............ ............ ...... ............ ef-- Pa ue- �Z I ........................ ....... ........ ... 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S-Zov-loy IA, A40 pPG 1.34. � Assessor's Parcel Number. ©®0 — 0 0 — 0 Sole: 1" = go gU T TF o A40 � Owner Name Steve R u'T °) (2�oege ro 0 sSgg0 Address/Phone No. -7-7g �`ersc, Ate. &,I -d Ick , Cry, �(53a �s G-c:�G� o 0 Site Location �w Gov -22f of ��f k,,,, * ' Pv-�' Q� r f -,Js. G�,c�lc/ , A `iSg4� oC�UNo Contact: Name S-re�e 'Phone C53o ) G5, --Z - G -,-7L} -;M ---, a00 - 103 or -c SAC- FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.00' USES: J1 s LAUGHLIN and SPENCE CIVIL ENGINEERS and SURVEYORS 1008 LIVE OAK BOULEVARD (530) 671-1008 ae@�s YUBA CITY, CA 95991 fax(530)671-0822 PROJECT— BY S DATE % .l¢ °n%o JOB NO. SHEET OF af-4-ea Cc4.&ec-ri,� {danc.-.7eArK, 17- -0 05 - 205�-e *-�Trr� 7/7/06--, 1 � , 1 Y. { I ; T 1 , 3 � s I i i fin " PC, ; r , c BUTTE COUNTY BUILDING DIVISION BUILDING DEM. COPY 0��'�°° s LAUGHLIN and SPENCE P0 CIVIL ENGINEERS and SURVEYORS U 2 `0 1008 LIVE OAK BOULEVARD (530)671-1008 ae a o YUBA CITY. CA 95991 fax (530) 671.0822 3. D$L PROJECT O -e/2. BY t,/e15, DATE JOB NO. ZO GI SHEET _0F # . I ; ' IVA dire; .0.)3pi 4�96 X;� Teoi 1 a BUTTE COUNTY BUILDING DIVISION APPROVED .� LAUGHLIN and SPENCE CIVIL ENGINEERS and SURVEYORS 1008 LIVE OAK BOULEVARD (530)671-1008 ped �5 YUBA CITY. CA 95991 fax (530) 671-0822 PROJECT BY_ i ✓+ DATE u� . JOB NO. 051 Z 4U SHEET OF 10 1Z S IX W�- � /} ►' Ali t��-� ;\\� I ' 1 ._ NtY Bull �f� � ®1VISd®N t APPROVE®. , lox feov) c /off x5o7, ki 4 (31� L,AUGHLIN and SPENCE CIVIL ENGINEERS and SURVEYORS )OR LIVE OAK BOULI?YARD 15301 X71 -IOUs YUBACffY.CA95991 fax 15301671-0¢22 PROJECT 6-0 BY �, f) , DATE JOB NO. 0 51 ?, I SHEET 4 OF 1. 4 '54 — . �r� * , ,7 L� luTo L4e4 o .l. To BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 14 i Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. WO — ®7,G ZONING 4o OWNERPHONE `- � NO. SZo—Ggz-9z-7c4 OWNER'S ADD ESS 7- Wf C"SCA' Avc' G -;d Ci- gsC14 F LOCATION OF BUILDING C�U/ _ S �✓ crinC'- OF c�.C�v��; �, d- �✓ct f:`- ack , fc� C^ USE OF BUILDINGr- C v� �Lw� SfU°� e SIZE OF STRUCTURE 7 �ra , � X = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING E�,CC RO COVERING cc I FLOOR ,YPE ; ��.c�c e ESTIMATED COST OF CONSTRUCTION �g tug $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ✓ ... I)1il � �V Yn �i dw� Jr) � FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with t ements in effect at that time and before occupancy. Date I 2 3 ©s Signature of Owner Permit Fee - $68-90 I oq.'70 The above described AG Building is exempt from a building permit. Receipt No. �4 07 r 2 Manager Buioing Division , By White — DPW, Yellow — Assessor, Pink — B. l., Goldenrod — Applicant Date ly ✓ Q 15M I Ir BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buUecounty.net/dds Permit No: 05-2056 Issued: 3/30/2006 Address: 558 PRATHER RD Area: GRIDLEY Owner: STEVE BOEGER APN: 025-200-026 Applicant: STEVE BOEGER Map Page: Permit Type: NSF/GAR/COV n Description: NSF/GAR/COV 216 F: AREA Flood Zone: SRA Area: SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING 1 Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 ID Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing*' 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or.Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection T pe 1 IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Ceher Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath il 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Publis Wor s Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 5 =7281 Sewer District Final 01 "PROJECT FINAL 801 �— rolect Final is a Certificate of Occupancy lor (Residential Univ) PERNIFI S BECOMI: NULL: AND VOID 1 YEAR FROM THE DATE, OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEW:%L 311 DAYS PRIOR TO E\P1RA'I'ION Inspector Copy WE T COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. 4 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining tothis m 4ter, or need additional explanatior�ase contact the Building Inspector as indicated belo7 OFAIIIIIIIIIE6 �^ Date - / Inspector �.►+�.rl J oa tN Aw*A C� REV 4/05 Phone # .. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSULATION CERTIFICATE Contractor/Owner Name 'Job Number: 8175 .5.58 PRATHER, GRIDLEY CA Job Address (street, city, state) BUTTE County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: F^ Brand Name: Thickness (inches): I 1 Thermal Resistance (R -Value): [ 1 2. CEILING Batt or Blanket Type: 1 Fiberglass Brand Name: Knauf Thickness (inches): [ 12 I Thermal Resistance (R -Value): I 38 1 Loose Fill Type: I Fiberglass I Brand Name: I Knauf J Minimum Installed Weight/ft1 .569 1 l Minimum Thickness: I 13 !inches Manufacturer's installed weight per square foot to achieve .Thermal Resistance (R -Value): l 38 1 3. EXTERIOR WALL Frame Type: I A. Cavitv Insulation Material: I Fiberglass Thickness (inches): I 61/4 1 Brand Name: I Knauf Thermal Resistance (R -Value): I 19 1 B. Exterior Foam Sheathing Material: 3' - Brand Name: I_ Thickness (inches): I 1 Thermal Resistince (R -Value): I 1 4. RAISED FLOOR Material: Thickness (inches): I 1 5. SLAB FLOOR/PERIMETER Material: I Thickness (inches): I I + Perimeter Insulation Depth Inches: I i 6. FOUNDATION WALL Material: I Thickness (inches): I 4 Brand Name: I 1 Thermal Resistance (R -Value): I I Brand Name: l Thermal Resistance (R -Value): I Brand Name: I I Thermal Resistance (R -Value): I 1 DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current ``Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, :whh�re applicable. 2 & 3 (r � "t2p Chico Insulation & Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the iness andmWessions Code Date: 3/3CI) OC Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP052056 Issued Date: 03/30/2006 APN: 025-200-026-000 Site Address: 558 PRATHER RD GRI Map Index: Description: NSF (3725) GAR (820) COV (1058) Owner: BOEGER, STEPHEN A AND RUTH 779 PETERSON AVE GRIDLEY, CA 95948 530-682-9274 Applicant: BOEGER, STEPHEN AN AND RUTH 779 PETERSON AVE GRIDLEY, CA 95948 530-682-9274 Contractor: JOHNSON, RONNIE 492 JOHNSON CLAN AVE GRIDLEY, CA 95948 530-370-5586 License #: 828041 Architect: Engineer: )tal Square Ft: 5603 S.F. Valuation: $278,733.00 Census Code: 6 I6 J •%G � 34 q21 S-2- b5 G522-C� 3 -30 -OG 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: -9ti� IIM i, �i !� W] Date: 3J -0 �0 PERMIT EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County tormenter upon the above mentioned property for inspection purposes. Print Name: /eX "` « �Y— Signature: Date: 3d Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor D.I— DuiwuiyruInuIvi -iu- Py A 4o�-�� B TTE 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 `i „� F} -,j - Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY**\ 1 D OWNER Last Name First Namec'�� t Address —7-79-L., 4ve, City / .�1� l State Zip `," Phone G�_ C72 7y ° 'l� Fax Vii• ^ -3/)�� G b E-mail ARCHITECT/ENGINEER CONTRACTOR Address IoU8 L.tiS Cbk` IS%V Name StateCA4 I ZipgSq91 Phone 6.71 _ J d O?- Fax E-mail Address Phone Type Const. Fax y Map Book City C Lot # State Zip(9 LENDING AGENCY Name Address Phone Fax E-mail Lic. # al ` Tclassr-5 ARCHITECT/ENGINEER Name e- � � �,� Address IoU8 L.tiS Cbk` IS%V City YE/La Cit StateCA4 I ZipgSq91 Phone 6.71 _ J d O?- Fax E-mail State License Number Z LICANT SIGW TORE X r For office us only: - APPLICANT NAME Name STC�C 10C c"- .7 Address `( P; City ves State Zip Phone Type Const. Fax E-mail Map Book LICANT SIGW TORE X r For office us only: - LOCATION Zoning 02,G Flood Zone `( P; SRA ves o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT. NO. or., a6.1 BIN # Description or Scope of Work: LOCATION AP# O Z 57 ` 02,G Property Add a `( P; City ` oss Street (Note previous use): WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage '3%Z ❑ Structure Built without Permits ❑ Proposed Change of Occupant (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other rtsts are not refundable. cv\ It& / IV I Xi L_Vl OIL , I * X03 8� Received by: Amount: Bldg 103 SRA Receipt #: Sheriff ,/-5(4. / D___) SMIP I� V5 Other Date: 63. Total REV 2-24-05 Cl 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 /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services 3NNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 - (530) 538.7601 Telephone 1(530) 538-7785 Facsimile TO: FROM I 1 SUBJECT: M DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford (a)buttecountv.net Plans Transmittal For Review Per Contract 08/03/2005 Applicant: Boe er, Steve Permit No: 05-2056 Project Type: NSF/Gar/Cov 025-200-026 100% 70% Plan Check Fees $ 1,603.86 $ 1,122.70 $ 1,603.86 $ 1,122.70 WILLDAN Fee $ 1,122.70 Copies Attached: Qty Chk 0 Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: JT ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Q� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orderV 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. 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. - ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other lnin items needed to issue the permit. (May require additional plan review upon receipt of the following items.) I a� lJl sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ Fire Sprinklers............................................................................................ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 4Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet ...................... 19........ .City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 0 23. California Department of Forestry plan approval ❑ paid. Sent by: ........ 24. Planning approval for (A) Use: OJL413)Parking: (C) Parcel Check: ...> ... 0 j ❑ 25. Contact•Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. <� 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0�14 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 3/ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone b -) and hold for pickup. I have been informed of-the-36ove items and requirements for obtaining a building permit. Applicant: 1 Date: G 1. Index permit application for the abov ems numbered: Plan Check Letter 2. Additional items required Contractor, designe caner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: f/^2 g /i S Contractor, designer, o er, 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: VJ t Date: Note transfer by: --A21220 Date: c2 Yellow: Building Division E.W. USE ONLY 'Slot Plan Attachad Float Plan Attached Senna G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal"ter Su ply: Public �Private W II Clearance for dwelling. Other /U 3 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 �7A Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER \ r PROPROSED BUILDING USE VA UILDING PERMIT FEES a �. -BUILDING --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ SCHOOL DISTRICT FEES ( I&Q,�n (paid at School District Office) (form available afte Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. (� 4. RECREATION DISTRICT FEES I �► (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ _ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. # .DATE d J RECEIPT # DATE REC. 4-L�91�6c S 3 � 5V310 7. WATER TENDER FEES BATTALION # 0 $200.00 (paid at Building Division) '1� SMIP p-� /� `Tq9 � 1 V 9. DRAINAGE FEE 10. OTHER I 11. OTHER f:rdAoi W 1 At time of permit application, I w dvised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the ecking process_ APPLICANT DATE � 2 O Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) s t - y AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 0 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0049988 Recorded i REC t•EE 1+�, Official Records 1 County of 1 COPIES Butte i OVERAGE MACE J. GRUBBS 1 County Clerk -Recorders f i SA 03:54pm 23 -Pug -20M. i Page 1 of 2 illi III Ill I (III I ILII II II II II III I#I 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 F112— -s / `� �� PRO TC Q V► -'�l 0u 11 (n ' C, State of California ) County of wk\'- ) On V vSA Al S Af5tS before personally appeared 1 Q. Y V� �. personally known to me (or proved to me on the bans of satisfactory evidence) to be the erson(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WIT my hand and official s l . Signature - Seal: LYNETTE GARTON A.P. # �'4� - ZGo �'4 Comm. # 1351379 ® NOTARY PUBLIC•CALIFORNIA Q County of Butte Comm. Expires April 17, 2006 C CV - 7A CHI/C +�F RECORDING REQUESTED BY MID VALLEY TITLE CO. RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Stephen A. Boeger and Ruth A. Boeger 779 PETERSON AVE. GRIDLEY, CA. 95948 A. P. N .: 025-200-026-0 flff llfffllffflfifllliilf ffllllllf 204---Q_JpJ6.3657 Recorded Official Records County Of ourTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:05W 15 -Oct -2004 Space Above This Line for Recorder's Use Only GRANT DEED 1 REC FEE 16.00 1 TAX 203.50 1 MONUMEN 10.00 I I I 1 I Cheryl I Page 1 of 4 File No.: 0401-1536890 (TB) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $203.50; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ x computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, x unincorporated area; [ ] City of unincorporated area, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Onstott Orchards, A Corporation hereby GRANTS to Stephen A. Boeger and Ruth A. Boeger, husband and wife AS JOINT TENANTS the following described property in the unincorporated -area of, County of Butte, State of California: PARCEL I: COMMENCING AT A STAKE IN THE HALF SECTION LINE SOUTH 890 59' EAST 1963 FEET FROM THE QUARTER SECTION CORNER IN THE WEST BOUNDARY OF SECTION 32, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., SAID STAKE BEING IN THE EASTERLY LINE OF THE RIGHT OF WAY OF THE SACRAMENTO NORTHERN RAILROAD; THENCE ALONG SAID RIGHT OF WAY LINE NORTH 000 03' WEST 775 FEET; THENCE SOUTH 890 59' EAST PARALLEL TO THE AFORESAID HALF SECTION LINE, 669.50 FEET TO A STAKE IN THE NORTH AND SOUTH HALF SECTION LINE OF SAID SECTION 32; THENCE ALONG HALF SECTION LINE, SOUTH 000 07' EAST 775 FEET TO A STAKE AT THE CENTER CORNER OF SAID SECTION 32; THENCE ALONG THE EAST AND WEST HALF SECTION LINE OF SAID SECTION 32, NORTH 89° 59' WEST 670.40 FEET TO THE PLACE OF BEGINNING, AND CONTAINING ELEVEN AND 919/1000 ACRES, MORE OR LESS, AS SURVEYED BY B. L. McCOY, JANUARY 1921. Dated: 10/13/2004 Mail Tax Statements To: SAME AS ABOVE �. Li'kt E CBUTTE COUNTYAGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name:v- Phone: Mailing Address: % 79f c "' AyC , E -Mail address Assessor's Parcel Number: 02—S - 2-00 02C, Permit No. Reason you believe you qualify for the unusual circumstances exception: 0�S«/ PC 5, r c i S Cc.,.. I �--c ci C, %4 ,,,,+ i ✓,"'�'�('��' �/ 1 5 O -V, a/1 S,cks.• I i1%c UA s i ;S Acc-6t cc /Ctcj;c),r CC , Ib 71%-r A✓1 � v (:--,o S f T -in Cf Cpu�„; Owner or Authorized Agent's signature Date Mo A d, UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement �b_�O (well, septic systems, structures a c,-daes�ioralt or the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREM T: su it 4 copi s this form Z 9 �f) Refer to the Site Plan Submia ano or specific requirements ...................................................................................................... Internal Dept. Contact Info: �� ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS(Building) ❑ Exception Recommended Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbdcks from adjacent agricultural operations: 4?art.&L Si w LI 0v 4p" Department Signature: Date: I.L e J YMC 7/1/03 Butte CountyDepartment of Development Servlces ��YrE 7 County Center Drive ° ` l� o Oroville, CA 95965 0-" ° '� ° (530) 538-7601 Telephone c0U141 (530) 538.7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic andlor well to Butte County Environmental Health immediately. O I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: IEC A ✓ APN- OZ S —2U(J - o2G Building site address: Go�,,_,cx- d l= t-ctk-,N tQjc, Permit No.: I have+read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: /Z /S SIGNATURE OF A41KICANT DATE [�Yilfii;!•••i• CPUC woF� Department C o u n t v j. -Michael Crump, Director of Public o f B Q t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction'Storm Water Permit and Storm Water Pollution Prevention Plan (sWPPP) Acknowledgement BLESS TH�111d 9 ACRE Project Description: /X -V 4e. Project Location and/or Parcel Number: 02�3— 2W — D 2(:;; By signing below, I, the project ownerlowner'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 ani aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: ot, / v. c L. - Date: Date: - W Z 1 0 ENCROACHMENT PERMIT ��TrF o ° 0 0 o 0 County of Butte Department of Public Works oyo c 7 County Center Drive Oroville, CA 95965 tic s w� Phone: (530) 538-7681 Fax: (530) 538-4356 . All information except signature must be typed or legibly rinted Permit #: QS"/ NOTIFY COUNTY 24 HOURS BEFORE WORK IS•TO BE STARTED Assessor's Parcel ��`` Number (Required): 025 '� 2tc - � 2G Property Owner's Name: ez x c- R01-11 PROPERTY Phone: tom' a • CS-2 q2 y T / -7q Property Address: , P' �'r� OWNER �'T acv cl✓��� Mailing Address If Different): X2`5"� -77-Y '�`"� Vis. G-:�l(�. Cit 91G y Work will be performed by: ❑ Contractor A-2roperty Owner Contractor's Name: Phone: Address: Fax: CST G 3 i c WORK PERFORMED BY Contractor's License Number: Certificate of Insurance currently on.file with DepartmentYes ❑ No -711 Applicant is: Property Owner ❑ Property Owner's Agent ❑ Contractor ❑ Other: I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the Coun s and highwa I in accordance with County ordinances and general laws. Signature: Date Signed: J Road affected: Time and Duration of Encroachment: Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment: ;EL Driveway ❑ Roadway ❑ Culvert ❑ Fence ❑ Pipe/Pipeline ❑ Sign/Billboard ❑ Other Site Plans Attached: Yes ❑ No -PERMIT IS: A GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3.,K Other Conditions: V���.^t PERMIT CONDITIONS `^fit' �•' 2 V Z i/ AC_. IrG•—c� i 1�c s�„ ++ ATG^�d 5'31 �r.JtG,• (To be filled in by County) Date Issued: % 6S— Expiration /� Date: Surety: Date Paid: Z d Amount G 00 Paid: 6 �- Paid By: , �CaP Check 7 No: J Receipt: No.: ��� Z2-� Mike Crump, Director of Public Works BY Road District Inspected By: Inspection ❑ Completed - OK ❑ Completed - Not OK. Results: For 'County ❑Additional Comments Attached Use Only Comments: Note: If permits are faxed to any number besides 530) 538-4356, they can be delayed up to one week. Form: 200506EP Page 1 of l W I LLDAN Serving Public Agencies November 22, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2056 Assessor's Parcel No: 025-200-026 Description: Boeger-NSF/Gar/Cov Willdan Project No: 14353-1814-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets 2 through 8 dated 4/29/05, 9 through 12 dated 8/1/05, all revisions dated 09/09/05 and 11/07/05 by Jeff Spence. * Structural Calculations: Two (2) copies dated 7/1/05 by Laughlin and Spence. * Truss Calculations: Two (2) copies dated 6/9/05, revisions dated 10/06/05 and 11/03/05 by Homewood Truss. * Energy Calculations: Two (2) copies dated 8/1/05, revisions dated 10/04/05 by R. Hutton. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. , On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). N;�UServing WI LLDA�N Public CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the *permit. Specific Use Type of Occupancy Type of Construction Stories 15` Floor Sq Ft 2" Floor Sq Ft Total Sq Ft T NSF R -3 V -N 1' 3725 N/A 3725 *COV PORCH R-3 V -N 1 *938 N/A *938 GARAGE U-1 V -N 1; *1488 N/A *1488 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer; or person responsible for the plans as required by California Health & Safety Code Section 5536:1. 4. *Permit application building areas specified in'�the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 5. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to bedrooms (may be either battery operated or 110 volt with battery backup) as required when the valuation of any addition made to a Group R -occupancy exceeds $1000 per CBC 310.9.1.2 through CBC 310.9.1.5 6. Gable -End Truss calculation submittal is deferred to Butte Co.'s review at their discretion. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals.. Sincerely, Tom Trueb Gustavo Franco, P.E. Plans Examiner Structural Plans Examiner Cc: Alice Mefford amefford@buttecounty.net Spence, Jeff, 1008 Live Oak Blvd., Yuba City; CA 95991 Page'' of'2 Bente County 05-2056 W.ilklaa 14353-1811-M..PC4.1", 1 '" FF BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District A.P. Number Property Owner Property Location/Address Subdivision Building Department No. G % Jurisdiction: -city lCounty ....................................................................................... Residential Development ® Q Q Q :Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection) :........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial New Addition District Identification No. Sq. Footage (Including Exterior Roofed Areas) Date r 0, r (A I B� U 11l �tpd School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) has complied with the requirements of Resolution No. representing 3 71� 5' School District Reo sentativ (Zip Code) by payment of $ g3 square feet. JFB 2926 $ PULL MITIGATION $ Paid by Check # Remarks: Date 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 66020(a), within 90 days from tha 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. H, 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 hes to fully midgete Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeformids (3f05)dMm SITE PLAN REVIEW APPLICATION Permit Number (if applicable) 6/110 rz" /3 os-'°205ze APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: r�-►r�� A • Residential ( New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ 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 0 Septic ❑ Agricultural Exempt Building ❑ Other. Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Apprdved ❑ Resolve Problems Prior to Approval ® Ci4n plop Cfnynr PA A my%rnvAA �Y n / 4" VA- g10I� 2 ALL FTEMS CRECKED 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)OG�� ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See shed) • Flood Zone: • Flood Panel No.: (040�71C-//Q C Index Dale: (o 1 ❑ 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 Boazd) ❑ 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 handont) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Minor Variance El Variance El Administrative Permit ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultu a.1 Aclmowledgement Statement Zoning: (9 -aFP Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Frani 020, Side Side Street Rear- Height Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan., ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: : Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A f mal determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: /%.z�" Legal Access Provided: ❑ No Yes Deed of Reference: Legal Access Required ❑ N Parcel Frontage on Publicly Maintained Road: ❑ No Yes, Road Name: Complies with Co ty Standards for Deed C ea ' W. No Ye Comments: 'a d Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ , Obtain a Merger E] Obtain a Lot Line Adjustment El 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 JU Subdivision Ma VP ar LI Map: Map Date of Recording: Lot: l� ❑ Use Permit/Minor Use Permit Book: Y Page a / 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. ElProvide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development . Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management:. District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 701 0 .i ff 0 Summary of Specific Requirements: This information provided in this summary is based on the application of review. information and on the best available data at the time C.*U.WrA\Building Permit Site Plan RWwwl.dDC z N .......... ....- .......... _... .. .. ....- . .............. ..... . ..... ........ ... _ ...... ... .. .. .. .. ............................. .. ... .. .. ... .. .. ............. ............. r / :f :� F ..._.:......L: : 001. _ _ .. _ .. _ .. ........ U. ...:.. ...<...._.... ... .. .. . .................................. . -• _ .. ...........................................-- - -. ....:.: _.:. :....:.... .. ... .. .. ... .. .. .. .. .- -- .. .. . ........ ,y: I �Ctd. 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J 77 �t sii. k S .. •f b n' S uq- LCoc ... .. .. .. .. ... .. .. .. .. .. .. ... .. .. .. .. .. a 1 �; I' :x :- � t t_ _ ... ......... .. ............ ............ ............. .. .. .. U1�::�. .................. .. ... .. ............. .. .. ... .. ................ ... ._ ................ .. .. .. .. .. .. ... X................ .. .. ..... ... ..�................... ................ .... ... .. .. ........ .. .. .. .. .. .. ........}. .. .. .. ... ................................... .. .. ... .. .. .. .. .. 776 .. .. .. .. ... .g- z4 �v -sr- rr .�. ........... ............. ........... ....................... ............ ................... .. ............. .. .. gib.: ^:so, ......... ..... . ...... ...................................... .. .. .. :. ... .. .: ............. .. .. -. .. .. . . . . . . . . . . . . . . . . . . . . : : : : .._... .. .. .. ...._.......... .. ... ............._..... .. ..e. _ ..C. ... ........_..... ..... .... .... ..... .._.. _........... ..._ .. ._ . 1 - SITE PLAN Assessor's Parcel Number: DO ©0 2l © 0 - 0 E FG --1 Scale: 1"' e 40 Owner Name 5���`i"`^�e✓' K(U � Address / Phone No. L: Site Location �:✓ fl c o(^ Lai �' i �-, r -J YsC �/ c2r}.5 . G� �� ie�/ L A �! S u oar --A MM i FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ' 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: i T- - LA.N_ _t- fIL L c)r k6lV, Rd 77S) ' i. . . . . : ... .---. ... ... . : : .. .... .............. .. ............. .. .. ............ .. .. .. .. ... .. ............ .. ... .. .. P s s (` <.Q:.. ....... .��• t..:........ ..:.. .:......: :...__ ...... .. is l� �. -:....:.. : x i r , �ti 'v✓cr a J. A /nor - �.:.. : /• r: ....... r ..... .. ..... ..._... r.. _. _. ... ..: .... .. ...:. ................... ..._: ._ .. .. _. .. .. ..............._.:......:..... _.: .. .. .. t.. ..c. .............................................. _ •0- .............V .F Uv'R . . . . . . . . . . . . . . Zg6 ..:.. - - - - _. _... .. ..7... .. .. ............ .. .. ............. .. .. ... :O 4 _ -- .... ..... .. .Q .r ..... : .. .. .. .. .. .. .. .. c � i . . 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(( t. .. ... ... .. .. .. .. .. ! f. •�e7 O• •Z' ff+ 4 /' 0 a. • E ! e I � 3 /•� O 6- a 9 si. _ f ... •tt -. • �d' i c c c i i t e •.: .. _... • Fti to •iS.•r�}e•: vj:t:- :,..:.z.�•��:w'._ ...���t�-tea,: •{�.a:,i�.'•�- . : 10 '( ; �. i. ye 1'. — _ •'fin-� : - .............. .. {1 : • : : : : : . 1 .II�. .. ... ............. .../................... .. .. ............................... ............ .................................. .. .. ....................... ............ .. .. _. .. .. .. .. .. .. ........... .. .. ... .. .. ... .. ... .. .. ... .. ................ .. .. .. .. .. .. _ .. .. .. .. .... .. o . r ,:. .. .• ..........:: .. 1..4.E 111 :.....: ......:..... ................................ ....._... _... _ .. ..:........ .... _................ G5-zoo-io4 w -....... Assessor's Parcel Number. � ®0 _ A4 -o U=G i.3Ac. a o a — 0 PL 0?S El ® Scale: 1" = g� T T�o Owner Name e v� �- (� u`Th �o��e �- o 0Address/Phone No.g (-��eY ,,, G, . d Icz (M2v C A 9S91-te (53v) E5gG-U�-G� 0Site Location Sw Gct-�e�- of �,.k�� {,���,�,�;�c G�;u(cj , �? 9S94� Contact: flame 5'�"e 'Phone cs30 > Ge? - 9 2 7Lf NOTES RESIDENTIAL PERMIT NO. 025-200-026 BOEGER, STEVE � PRATHER RD, GRIDLEY CONT: OWNER �ELE FOR WELL & 1,01'DEV OFFICE COPY Address—P4,4 TT h t �/ /1 i c/A GAS Meter By Date_ ELECTRIC Meter By Date? 05-1583 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature A • -f I , 4' r i s RESIDENTIAL PERMIT NO. 025-200-026 BOEGER, STEVE � PRATHER RD, GRIDLEY CONT: OWNER �ELE FOR WELL & 1,01'DEV OFFICE COPY Address—P4,4 TT h t �/ /1 i c/A GAS Meter By Date_ ELECTRIC Meter By Date? 05-1583 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 5384541 FAX#:(530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP051583 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/28/2005 APN: 025-200-026-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: —S0t-'tVaaf oc)foer of t�rnhCr�La��Sr Gt��lleCA. Dace: Contractor: Map Index: Description: ELECTRICAL FOR FUTURE LOT DEVEL TO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SERVICE WELL Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior BOEGER, STEVEN AND RUTH. to its issuance;: -also requires the applicant for such permit to file a ..owner: signed'statement_tti i'he or she is licensed' pursuant to1he'•provisions of the Contractor's State;License Law (Chapters commencing with Section 7000) of 'Division 3 of the Business and Professions Code) or that he or' .. :, . , .,. 779 PTERSON AVE she is" exempt therefrom and the basis for the alleged exemption. Any. , GR.IDLEY, .CA.:,, violation- or'Section703.1.5 by any applioani for a permit subjects the . ..::: .95948 applicantao,a civil,penalty of not more than five hundred dollars:($500).):. .... 530-682-9274 �..... O 1, as•owrier•of'the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended,pr,offered.fpr.sale (Sec. 7044., Business and Professions �,.,, .. _.. ... ..................... ............._.. ,....,..._......._,. .... ,,., Code: The Contractors' State License Law does not apply to an . _, „ ;.. ; owner. of property who: builds or improves thereon, and who does such work himself or herself.orthrough his or her,own employees, Applicant: BOEGER, STEVEN AND RUTH provided that such. improvements are not intended or offered for however, the buildirig or improvements are sold within one year of completion, the owner -builder will have the burden of 779 PTERSON AVE proving that he or she did not -build or improve for the purpose of GRIDLEY, CA sale.). + 95948 L the.,. property. -am...exclusively:..contracting with . 530-682-9274 licensed contractors to construct the project. (Sec. 7044, Business -:and Professions Code..: The Contractors' State License Law does notapply 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.). ❑• ...Tam,Exempt under Article 3 of the Business.and:Professions Code COrltraCtOr: bate: �-0 Owner: COMPENSATION DECLARATION I hereby.:affrm under penalty of perjury one of the following declarations: (3' .1 .have and will.. maintain a certificate of consent to self -insure for :., ..... ...,....:...:.. ...:...:.,......: ,:: workers'.;compensation, as provided for by Section of the .3700 Labor Code, for. the performance of the work for which this permit License #: is:issued.:.: ,- —1, have and will maintain .workers' compensation insurance, as (]' require d.by:.Seclion.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: Carrier: ` Policy M. I certify that in the performance of the work for which this permit is 'not.:.em /•an Total Square Ft: 0 S. F. issued.—I., shall to p y y person>in any manner so as to Valuation: $0.00 become subject- to the workers' compensation laws of.California. and ..agree-: that -: if: l • 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: WARNING:-:*': Failure"to secure Workers' compensation coverage is unlawful, and'shall 'subject an employer to criminal penalties and one hundred 'thousand'"dollars ($10(1,000), in addition to the cost of compensation;` damages as provided for in Section 3706 of the Labor code, interest,;and attorney's fees.. w . n O s -/ CONSTRUCTION LENDING AGENCY - _ _ This permit is her by issued under th licable provisions of the Butte County Cody ?nr or I hereby affirm that there is a construction lending agency for the Resolutions to dwork indica1,6dp9i&e J6r which fees have been paid, performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: Date: PERMIT EXPIRES ON: Address: Date hereby certify,that: the use of this facility shall complywith Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and.use:of hazardous materials. ❑• Notification in accordance With Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O "Attached are copies of the ' require d E.P.A. notification forms. I herebycertify that.l have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner; I agree to comply with all county:and.statefaws relating.io building construction. l acknowledge itis unlawful to alter the substance of any off iaVorm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu l C� 77 Print Name: aC Signature: Z, es- a:'r:Owner' ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor = OK =Not OK = Not Applicable = 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/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L W P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Sec.; 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 i 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 24. Fixture & Transformer Clearance -Ins. Protection Date 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size! /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat prool) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsUd/Drive 0 Yes O No/Walks O Yes O No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP051583 LICENSED CONTRACTORS 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 Issued Date: 06/28/2005 APN: 025-200-026-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: -SO ufVWat C°G`✓)e rOF PrQ her�LOfK Grt� 17 C14 Date: Contractor: Ma Index: . p Description: ELECTRICAL FOR FUTURE LOT DEVEL TO OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SERVICE WELL Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a _, • , _,, ,,.,,,,,_, _ permit to construct, alter, improve, demolish, or repair any structure, prior gOEGER, STEVEN AND RUTH'-'-. to its issuance: also requires the applicant for such permit to file a -Owner: signed'§tatement ttiathe or she is licensed' pursuant to the provisions of the'Contractor's State'License Law (Chapter 9 commericing wifh Section 7000) ofUivision 3 of the Business and Professions Code) or that he or _ , 779 PTERSON AVE she is exempt therefrom and the basis for the alleged exemption. Any. GRIDLEY,.CA;:.: violation-ofgectiori 7031.5 by any applicant for a permit subjects the " . .. :Q5948 '' applicagt to,a.civil_penalty of not more than five hundred dollars ($500).): z 530-682-9274 _.... _� _ �..,..,_ ._ ....._. O 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 pr oijere,Q, for sale (Sec.,7044�,Business,and Professions Code: The Contractors' State License Law does not apply to an ,,_, gwner•of property who builds or. improves thereon, and who does ,such work himself or herself or through his or her.own employees, Applicant: BOEGER, STEVEN AND RUTH ,,provided thatsuchimprovements are not intended or offered for "sale. If however', the building or improvements are sold within one "dC year of completion, the owner -builder will have the burden of 779 PTERSON AVE '-proving that he or she did not build or improve for the purpose of GRIDLEY, CA sale.). A,„ I,,.,as.,,pwner.,.oL,,the., property,,,am exclusively,. contracting with 95948 . 530-682-9274 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.). 0, -A am Exempt under Article 3 off^the and; Professions Code Contractor: eBBusiness Date.q v OwnerM WORKERS' -COMPENSATION DECLARATION I hereby affirm.under penalty of perjury one of the following declarations: O I `have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. b f 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: Carrier - arrier:Policy#: Policy #: 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. D. Date: � , AppIicant,.y. ..4 WARNING:.Failure to 'secure workers' compensation coverage is unlawfut,'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,snd attorney's fees. _ _ /J C) Sg HD�J �S ca CONSTRUCTION LENDING AGENCY This permit is her by issued under th licable provisions of the Butte County Codw anrt/or I hereby affirm that there is a construction lending agency for the Resolutions to d work indicated a ve r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By i' Date: PERMIT EXPIRES ON: �0 [/h Date Address: O " I hereby certify that, the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and. use of hazardous materials. O� Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I heresy certify that l have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner, I agree to comply with all county and state laws relating io building construction. I acknowledge it -is unlawful to alter the substance of any offi 'a form or document of Butte County. I hereby authorize represeen`taaii-ves of Butte County to enter upon the above mentioned property for inspection pu J �a C✓- Print Na(m�e: - ICV Signature: Date: �, r,Owner O Contractor 13 Agent for Owner O Agent for Contractor �� ������ L '�inry`� ���� �s� �� .� . ;; ,,f ,t. �._ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE`. (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name Firs me Address I Ci y� Stai Zip S Phone _ (� t Fax E-mail a LICANT SIGNATURE X For office use only: CONTRACTOR Name Address ��5 U� �L✓C City I No State Zip Phone Map Book Fax E-mail Planner Lic. # Class LICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name JOS C�- Address ��5 U� �L✓C City I No State Zip Phone Map Book Fax E-mail Planner State License Number LICANT SIGNATURE X For office use only: APPLICANT NAME Name 55—C�/c JOS C�- Address _7.7 ell ��5 U� �L✓C City /b y „_C J� I No StatEC� Zipn-q,y" Phon $2. -9Z -7L4 - Map Book Fax E-mail Planner LICANT SIGNATURE X For office use only: Zoning AP16a5, Flood Zone Property Addres SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. -� 3 BIN # Page 1 of 2 Descriptiop or cope of Work: -i `LA, Sq. Footage 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receipt #: L/--5)6S`� Date:(, Amount: Bldg Sheriff SMTP Other J Total REV 2-24-05 LOCATION AP16a5, a6-6. V Property Addres � 1 l � /J _;j Cit Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Descriptiop or cope of Work: -i `LA, Sq. Footage 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receipt #: L/--5)6S`� Date:(, Amount: Bldg Sheriff SMTP Other J Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS d The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required): ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval to occupancy). ❑ 6. prior Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' e. , 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �`- ASSESSOR PARCEL NUMBER Proposed Building Use: ermit Technician: Date: t1 b-5 Items required in order to ap ly fora permit. All boxes MUST be checked OR marked NA in order to ply. ❑ 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 faxesl ❑ 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) 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. Letter of intent fog non-residential` buildi6gs- 0 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 4. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .................../.. ❑ 23. California Department of Forestry plen approval ❑ paid. Sent by: .24. Planning approval for (A) Use: )Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form......................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits....................:.................................... ❑ 34. Deed Restriction..........................................................::.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: n When issued Telephone �`' and hold for pickup. I have been info�rrted o = hf a above item�and equirements for obtaining a building permit. GApplicant: - Date: 1. Index permit application for the above item a ed: Plan Check Letter 2. Additional items required A Contractor, desig owne as advised of the above data by phone, ❑ mail, ❑ counter, by Date: l�-��� 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 s.< 1 COUNTY OF BUTTE. — D:PARTMENTr OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 , f 1� TelephCn`,,: 53.11.4541 APPLICATKIN AND PERMIT aurnorize representatives or ine uounry or tsutte to enter upon the above-mentioned property for inspection purposes. X \) ie ?�, �• ✓�a,tr �1 Date ) ,/,1 tc. 7'r Signature of Pormitee or Agent Receipt No. I R l /r,? White-D.P.W. - Yellow-t:ssessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR OF PUB�L'IC WORKS By < `Date � n :) �) k Building .permit expires Date/2 �! 9 v BUILDING " Owner 1 • n�' f4 ,�? r ,i, n r ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address Dr r / ^ -9 r Telephone No. Contractor wn . n , 44 ,,�f,u, r �Ji e rn Mailing Address Fireplace Total Valuation /i Telephone No. git, q,16 ; Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee f } (N u S Q- /i/ -PLUMBING No. @, FEE h1'T PERMIT FILING FEE a $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. !1 _ Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees' W.C_' Sani tation' 'Fi re Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg—Plans Rec'.d. Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [5 Permit Fee $ $ ELECTRICAL No. @ FEE • PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS.r 5.00 1- Single Family ❑✓ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS.CCup- B� 20sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name stylerof:l / 1 f',r .44,4 �1,01i1 r 04 rE' F J� �T r i C_ rn . NEW , MULTI -OUTLET NON-RESIESIDBRANCH CIRCUITS)2.b0ea NEW CONSTR. (POWER APPARATUS.4 NON-RESID, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTURES Ig L ,@ FIXED APPLNS, OR EX. OCCup. ( OUTLETS (RESID.) EA) 2.00 •�Q Temporary service 10.00 Mobile Home Facilities 15.00 License No. T JClassification y Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 0 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. n MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ _,57- �! aurnorize representatives or ine uounry or tsutte to enter upon the above-mentioned property for inspection purposes. X \) ie ?�, �• ✓�a,tr �1 Date ) ,/,1 tc. 7'r Signature of Pormitee or Agent Receipt No. I R l /r,? White-D.P.W. - Yellow-t:ssessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR OF PUB�L'IC WORKS By < `Date � n :) �) k Building .permit expires Date/2 �! 9 v V COUNTY — UNT OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone. 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X LZ 9Date 15,19 nature offPerrmiteee or Agent / Receipt No. ��oas, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Go#denrod-Applicant 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. 07 WROF PUBLIC WORKS BY _nale ,..irtg permit expi/es Date BUILDING OwnerSQ. n o a FT. OCC. BUILDING VALUATION Mailing Address C6- 0,XI Telephone No. Contractor u �. Mailing Address Fireplace Total Valuation (A 3. Telephone No. y> _ • d b Permit Fee -1 Building Address Plan Checking Fee&/or Penalty Permit Fee UJ — S+ rJgv2. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 ,... A. P. N0. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F re Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration. Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ans Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ f>^ t + r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 v ' Main service 600v OR LESS., 100 AMP LS 5.00 Single Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. ACCLBLDGS.CCUP. N) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 1' /� �l /tCc' �4V � �E 6c1r-t,C, CO. LET NEW RESID,CONSTMBRAN .OU CIRCUITS) NON.RESID � BRANCH CIRCUITS) 2.50ea NEWCONSTR POWER APPARATUS e NON .RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L2 ,1,6 Ex. QCCU // FIXED APPLNS. OR //�� P•\OUTLETS (RESID.) EA) 2.00 ,QV Temporary service 10.00 Mobile Home Facilities 15.00 License No. J -5, r10 %3 Classification e_� �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. FUI I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X LZ 9Date 15,19 nature offPerrmiteee or Agent / Receipt No. ��oas, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Go#denrod-Applicant 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. 07 WROF PUBLIC WORKS BY _nale ,..irtg permit expi/es Date