Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
025-200-105
I AP 25-20- 10!5' CHARLES HARRINGTON s1 s Ord Ranch Rd. 0 1800' E. of 2nd p .,turn; Gridley contr: Sierra Roof & Acoustics, Chico Permit# 2751-7.5B(.r-e_Daim_rnof ) 025-200-105 CC 0S-2 21 MARDESICH, JEFF rJ l't 3 ARD RANCH RD., GRIDLEY Cont: OWNER NSF(GAR & COV) B07-2371 t ° -''" . 025-200-105 MISCELLANEOUS " ' . Ag Exempt AG EXEMPT BUILDING (748)�TRACT , 380 ORD RANCH ROAD r, ;;� ;,'» MARDESICH; JEFFREY ._ 0 WA fids BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION 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: 380 ORD RANCH ROAD Owner: Permit No: B07-2371 APN: 025-200-105 MARDESICH, JEFFREY Issued Date: 12/26/2007 By KCG Permit type: MISCELLANEOUS 380 ORD RANCH RD Subtype: Ag Exempt GRIDLEY, CA 95948 Expiration Date: 12/25/2008 Description: AG EXEMPT BUILDING (748) TRA, (530) 682-6345 Occupancy: U-3 Zoning: A40 0 Contractor Applicant: Square Footage: MARDESICH, JEFFREY Building Garage RemdUAddn 380 ORD RANCH RD GRIDLEY, CA 95948 Other Porch/Patio Total (530)682-6345 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 Total Charged: $191.68 Fees Paid: $191.68 Balance Due: $0.00 Receipt No: B5373 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, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 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 of not more than five hundred dollars 12/26/2007 penalty ($500]; Please check one of the following: Contractor's Signature Date 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E] Section Section I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTP.ACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for 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 a completed if the permit is for one hundreddollars ($100) or less.) ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Jd4J 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' X 12/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O Sig n ature Date X 12/26/2007 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 Signatur Date WARN G: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 ANDS ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am au onzed to t on the operty owner's behalf CONSTRUCTION LENDING AGENCY 12/26/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. E]Agent for Owner ❑Agent for Contractor FILE COPY Lender's 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 agricultural 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 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials 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 /(/fj//f AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a /J�l�� ' " residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 380 ORD RANCH ROAD APN: 025-200-105 Permit Type: MISCELLANEOUS Permit Subtype: Ag Exempt Description: AG EXEMPT BUILDING (748) TRACTOR A Applicant: MARDESICH, JEFFREY 380 ORD RANCH RD GRIDLEYCA95948 (530) 682-6345 Owner: MARDESICH, JEFFREY 380 ORD RANCH RD GRIDLEY, CA 95948 (530) 682-6345 Permit No: B07-2371 Square Footage: Occupancy: U-3 Zoning: A40 00 Required Setbacks: Front: Side: 25' Rear: 25' Type of Construction: Type of Siding: T-111 Est. Const. Cost: $ 10,000.00 Roof Covering: Compostion 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 Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to ocg,6pancy. Signature of owner: &-� Jf /1) Date: 11/20/2007 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 - FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name c� First Name --- J Mailing Address rLa n, City I E-mail Lic. # Zi Phone _ Fax E-mail State License Number CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Sq FT- Living Garage Open Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X '::4 PERMIT NO. BIN # PROJECT LOCATION AP# V o� x5- GC, — ( G L, Property Address sz) r 1 / / ` City Zr C' C,V--- 561 WORKER'S CO NSAT/ON 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: Zoning q I Flood ZoneSRA I Yes No Occ. (J_ Type onst. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy 1 I (Note previous use): For office use only: Zoning q I Flood ZoneSRA I Yes No Occ. (J_ Type onst. M Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 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 under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through 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 IS 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 PL 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. S `R NO) 2. <EVE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS Cl 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 CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG EXEMPT BUILDING (748) Reference Number: B07-2371 Applicant Name: MARDESICH, JEFFREY Owner's Name: MARDESICH, JEFFREY AP h Signature of Property Owner: Jv Date: :025727,:5;,--7 r N O A D Z C D rn --k m m Z d z a mK N .O � m m a Z T1 d o A SITE PLAN FOR: JEFF & BROOKE MARDESICH 380 ORD RANCH ROAD GRIDLEY, CA. A.P.#: 025-200-105 DRAWN BY ; BARRY RUBANOFF PO BOX 1123 BERRY CREEK, CA. 95916 TELEPHONE (530) 589-4102 NOTES I. RESIDENTIAL PERMIT NO. ew -025-200-1t)5_-' MARDESICH, JEFF ORD RANCH RD., GRIDLEY (~ , Cont: OWNER NSF(GAR & COV) f 1 1 i, t. f' t } r i 1 ti' .f r r SPECIAL CONDITIONS v CHECKED BY € SRA FLOOD CERTIFICATE REQ. _ FIRE SPRINKLERS REQ. CJb SPECIAL INSPECTION ITEMS VERIFY - J USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER . . ,1V., OFFICE COPY r 3g)0 Address ` Addre, GAS ////v jt�L Meter Date GAS ELECTRIC Meter Meter By Date ELE( Mete �'by - - -- — - GF(. G ARA4G)E — _, SYtiP \ flla /11 !o /6 lb JOB FINALED (Date) r COUNTY OF BUTTE...— BUILDING UTTE....BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES z 7 County Center Drive • Oroville, CA • (530) 53877541 f CORRECTION NOTICE OWNER PERMIT NO. �ti F 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 co feted. If you have an p y y questions pertaining to this matter, or need additional S explana W n, please contact the Building Inspector as indicated below. 0a�I P� to I ✓AG(,1ZZ f k a -h av, " IXh3ech �/ti�-►%� l ren � Ce�-f► -��c a r� ✓� W. V e vt f -,A ° Goo-( ( \'n�5 W vol J 0A*' It Date 1 I 1211 O Inspector _1 'A REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 i4 COUNTY OF BUTTE BUILDING DIVISION .� DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 0 ) ; OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at _ the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional -`{ explanation, please contact the Building Inspector as indicated below. ,� al f� a. _y is i^ �F tom�. .41.t Date Z7 InspectorV�•, 02, ' REV 4/05 Phone # ... FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ,., ,,.••,`,,,,,.. COUNTY OF BUTTE ..•.....,-. .,..,, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 =` CORRECTION NOTICE /c .y OS 3';/ OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of s work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indi ted below. A In �J Date Inspector /�/l �/,4-�/7 /V/�i/�✓ ; REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 e . COUNTY OF BUTTE ..... . ........ ,.;. 13UILUINU UIV151UN DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE N.!, OWNER PERMIT NO i• A routine inspection indicates that the following violations of Butte County Ordinances exist at ,r the above address and should be corrected. Please call for re -inspection when correction of ` work is completed. If you have any questions pertaining to this matter, or need additional x. explanation, please contact the Building Inspector as indicated below. �r. F: �� r ` 4�r '+ DateInspector ' \' Cr/r '3* REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ;COUNTY OF BUTTE... , . , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7'Gounty Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE <<- I�SICx/ OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. TWO !W45- 4-77-10ye r� ate-, 4 /3 v 772,< Date � v Inspector/ REV 4/05 Phone #_;�� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Date REV 4/05 Inspector Phone # FOR RE -INSPECTION CALL: 538-76 3 6OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERV C f S ' 7 County Center Drive • Oroville, CA • (530) 538.7541 CORRECTION NOTICE. ; a s MA o'er-Z3Z,) fi. r "- OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the atiove address and should be corrected. Please call for re-inspection when correction of work is completed. If you have any' questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ' P O L A po WH-S- P4%r 1 ST.ea L/L 4rD A r Cg� GSC tie�L��� i�iecf' A r'" Date REV 4/05 Inspector Phone # FOR RE -INSPECTION CALL: 538-76 3 6OR 891-2834 s f J'AI Date REV 4/05 Inspector Phone # FOR RE -INSPECTION CALL: 538-76 3 6OR 891-2834 11/13/2006 13:34 5307438993 SAC BLDG PROD PAGE 01/01 t k . CERTIFICATION OF INSULATION ADDRESS OR TRACT MI.NT.0,-81JILD1NC� COCA i1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC4202026 J �✓' ` 8924 AIRPORT ROAD REDDING CA 96002 LIC #202026 ,n ', ❑ 500 SEQUOIA PACIFIC BLVD., SACRAMENTO, CA 95814 LIC#202026 DATE INSULATION COMPLETED { �•. � quare feet) ( square feet) ` square feet) T1fPjF WSULATI .. N •' w OF 1NI5Ub'A�`CG . ; MATERIAL ..•,.'. . • �T'T.JQP1"''::: •;.•. a.: MATERIAL MATERIAL FIBERGLAS FIBERGLASS FIBERGLASS FORM BATTS FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT I,D. MANUFACTURER'S PRODUCT I,D, MANUFACTURER'S PRODUCT I,D. IVlA%VUFIECTU(q]EIRMANiJFY4C"iURER:'. •<:.:':; , :. ; .: CT OCF (DN , CT OCF KN CT OCF 15707 5,1 2i/ AIVA .VE: JWPLIED vrxl rJE::.' APP,L`I 6. ,MIN.'JNSTAUED -INSTALLED I�KNE3S INSTJILLED; r TiifCI�1L,4 1Nl:l®!f1" p® �'� -:L', ,. • "RPt�4iE §GPi1i501r 'r IL r KNEE' L'LS-TF R&VArLUE^TS t7°IBii Tfl4t:Wi41:fS•iFCV.:.. ..; MATERIAL FORM :.:: R -VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN -AlR' PI I. ATTON 3EA.... . MATERIA MANUFACTURER - 1 OAM HILTI • HANDY FOAM T>!':IS•:IS TO;CERi'I:FY rpt -AT f sULATI©N Ar4biail.&;A 'MATt-RI lL 5 416 ill 7�S AT 1 NT H i'S E1dN: ft+1 T7( A .REGULATIONt.''. fG rla iV C�JP 1�1f tvC :�i C `IFS P L A -1111L 7 ATIn ATE VINTUR ENERALCONTRAC R TRLE DATE REMARKS I WHITE - Bdllder Copy, GREEN - Builder Copy YELLOW - Customer Copy, PINK - Anlo Copy. GOLD - Flle Copy „Edward I Moran P.E. Consulting Engineer P.O.Box 796, 9738 Yubd Ranch Way, Oregon House, CA 95962.7el.: (530)'692-2319, Fox: (530) 687-9094, email: ed®morenco.com To Whom It May Concern: In response to the inspection comments. 1. It is satisfactory to use a 6°th stem wall. 2. The 3x members at the shear walls can. be substituted by (4) 2x members nailed with 16d @ 6°oc. The sheathing nailing needs. ,to be doubled at these locations onto the added 2x's. Sincerely, "Qg0FESS1091 D6/30/06 9, EDJ. v No. exp Edward Mo n PE I Z'd 01:90968:01 b606-Z89CO2S) 3d NU80W 08UM03:140Jd 02:2Z 9002-8-83d ;,-i J, 443 . ' f 4i. - - • FAX TO: Building Department FROM Edward Moran ATTN. .DATE February 7, 2006 FAX No.: (530) 846 0610 `” No. of Pages 1 JOB : Mardesich Residence STATUS: Normal () Urgent () Confd. ( ) To Whom It May Concern: In response to the inspection comments. 1. It is satisfactory to use a 6°th stem wall. 2. The 3x members at the shear walls can. be substituted by (4) 2x members nailed with 16d @ 6°oc. The sheathing nailing needs. ,to be doubled at these locations onto the added 2x's. Sincerely, "Qg0FESS1091 D6/30/06 9, EDJ. v No. exp Edward Mo n PE I Z'd 01:90968:01 b606-Z89CO2S) 3d NU80W 08UM03:140Jd 02:2Z 9002-8-83d ;,-i J, 443 . ' f 4i. - - • OK Not OK Not Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1:'Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG . 7. Well Clearance & Disconnect Card B-1 Date Card B-1 Cana B-1 Date Card B-1 MOBILE HOME INSTALLATION (Plans) OK except #'s F 2. Footings; Size -Spacing -Marriage Line IF 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity, MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector' 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 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. Root Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Sec.; Pool Lighting; 15 Volts -GF] 6. Elec.'. Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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. Root Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Sec.; Pool Lighting; 15 Volts -GF] 6. Elec.'. Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) late .,t1NE)ERFLOOR (Plans) OK except #'s 2/f ., Main; Soils-Elec. Gr/d.-/ (6Lr Ftg. Depth FJe Garage; Soils-Steel-Elec. Gmd.-/ r Ftg. Depth RC Porches & Decks; Soils -Steel-/ i Fla. Depth 1 a. Hold Downs and Special Anchors r2 - Z -4 -f-)5 U/S )2- 7 7 rA 8/D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test \ /A 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 Sate 1� �ji OI�Card B-1 If AA ,L.Zate Card B-1 Date Card B-1 Date Card B-1 Date PLUM .ermft) OK except #'s er ; ent-Access-Combustion Air Baffle 1 ter Pipe: Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower _Pan; Test, First Floor -Tub Access 21. Te gst<b & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Dates: Z -t. o (., Card B-1 M Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Pxtre ransformer Clearance -Ins. Protection 267 Elec. Receptacles Spacing -Lights & Switches at Doors xes & No. of Conductors Stapled ZJ!RomegAnstalled Close to Edge of Studs & C.J. 28. Flo. Ground made up w/Mech Fasteners -Bond Gas & Water 2 A liance Circuits in Kitchen §SConductor Size GFl 3 ubfeed Wire Size//N/aa. Cu r A) -KC. Wire Size/ /oa Cu or AI 31. Range Circle/ f Wga CrAlen or ACirc. / /ga Cu or Al Insulited Neutral es 0 No 3 . epL icer Conductors & Ground Main Disconnect . E . Clearances Panels-Motors-Mech. Equip., 3 Clothe oset Light -Shower Light -Spa Light 3&. --Smoke Detector Date Card B-1 �,e f Date Card B 1 Date Card B -1e Date Card B-1 Date MECHANICAL (Permit) OK except #'s Insulation & 37- Ger X-gn, Exhaust above insulation Conde95at rain & Overflow, Size & Grade 3ge-FtlFriacedl7ent Access -Comb. Aft -Return Air Vent 115 Outlet 4a.o K is Access & Platform 'rf Furnace in Attic Date . Z� Bard B-101 Date Card B-1 Date Card B 1 Date Card B-1 Date FRAM W(Permit) OK except #'s . Sills Pr er Materials & Anchors 4 ails tuds-N ailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 44. Dra op in Walls (rat proof) 45 ireps, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing )ate O!'Clinq. Jgist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shtina: Rtno. 49. Firapracjq_Ties or Type A Flue -Fireplace Throat Clearance 5Sy/A�tie'Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdj;n. Windows or Exiting Doors -Sill Ht & Dimensions 110-0(0 Nb5 42!Garage Fire Protection Framing-R>;44-aaol ML �1VE2` 53. Prop rdLine Firewall & Openings 5¢,-15R. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. S idth-Headroom-Rise-Run-Landing-Fire Protection lyw n Roof Overhang Attic Vents Rafter Outriggers 57 rding-N " g Veneer 58. Stuc esh-Drip Screed -Fd. Vents-Underflr. Access 59-WiMng Area -Glass Protection -Skylights -Plastic W Shear 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date 5.2(%,_i,-ard B-1 �h Date Card B-1 Date Card B-1 Date Card B-1 Date F (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings moke Detector urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection @ja--Sedroom Exiting 68. G.F 1. & Bath Fixturek & Tub Access- ec. Trim & Subpanel, Breaker Sizes & Labels ATDStairs & Rails 4,4nlace or Stove, Clearance -Hearth 7 . ec. Outlets at Wood Panel, Int & Ext. 7 . rt. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter Garage Fire Door, Swing ding)Closure 76. A.C. Duct in Garage-Dampe tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. inf3arage; Above Floor -Meth. Protection Plb.; Elec. & Mech. E . ed for Location 79. EIW,.Rteceptacles n G .I.)-Romex Protection 80'InsylOon-Foam-Looked in Attic 8+—'Guard Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 83-flilEy-ving InstldJDrive D Yes O No/Walks D Yes D No/Pl ers O Yes O No a ^" � Brown -Finish A C Unit Disconnect, Electrical -Plumbing a6ele_nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing 8 erior Elec. Trim, G.F.I. Receptacle -Underground 8 entriion Throughout House 9 . lass ction 91 rrections from Previous Inspections 92 as Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates . Address Posted G6�trs Sprinkler Date Card B-1 Date Card B-1 Date L\ 4 Card B-1 Date Card B-1 Date c 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) 538-7,541 PERMIT NO. BP052321 - B. C. Building Permit 01-16-04 pg 1 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 ISSUetl Date: 11/17/2005 APN: 025-200-105-000 the Business and Professions Code, and my license Is in full force and effect. License Class : License Numbe'r: Site Address: 380 ORD RANCH RD GRI Date: Contractor: Map Index: Description: NSF(3071)GAR(954)COV(1336) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MARDESICH JEFF 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 402 ORD RANCH RD the Contractor's State License Law (Chapter 9 commehcing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948 she is exempt lherefrom-and the basis for the alleged exemption. Any (530)846-5383 (530)846-0610 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 Applicant: MARDESICH, JEFF Code: The Contractors' Slate 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, 402 ORD RANCH RD provided :hat such improvements are -not intended or offered for 95948 sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of (530)846-5383 (530)846-0610 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 Contractor: not apply .b 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 Business and Professions Code eY,� Q/ft dp C�l Ca Dater - n-bS Own, License #: 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: MORAN, EDWARD J required by Section 3706 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: - Total Square Ft: 5361 S.F. Policy#: Valuation: $243,887.00 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 11 17 615--„n Date: -M0,iir�f �J Applicant:i,- � 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 / j 06o6� 14rne 4mb”.21 &/� ,✓� / Je� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /*f � l/ % Re���o Am- �5 J CONSTRUCTION LENDING AGENCY This ermit iWiereby issued under applicable provisions of the Butte County Code -and/or --- I hereby affirm that there is a construction lending agency for the dicated ov for which fees have been paid. Re olutiMRi1 performance of the work for which this permit is issued (Sec 3097 Civ.) -/17-657 Name: B Date:// Address: PERMIT EXPIRES ON: (Date) ❑ 1 hereby ce.-tify 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 to enter upon the above mentioned property fo* inspection pur oses�� (�`c Print Name ook� Nl rd e s i c.h Slgnature /1 7- Date: U Owner 8 ❑ Contractor C3Agent for Owner El Agent for Contractor B. C. Building Permit 01-16-04 pg 1 Applicant: Mardesich, Jeff Permit No: 05-2313 Project Type: Nsf 025-200-105 100% 70% Plan Check Fees $ 1,453.06 $ 1,017.14 $ 1,453.06 $ 1,017.14 WILLDAN Fee $ 1,017.14 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other n o�UTr 0 0 0 0 7 County Center Drive o �_� , 0 0 Oroville, CA 95965 c�UN'�y N (530) 538.7601 Telephone (530) 538.7785 Facsimile M N TO:' WILLDAN 1 FROM: Scott Rutherford (530) 538-7160 srutherford (Wbuttecou nty. net LO IM SUBJECT: Plans Transmittal For Review Per Contract O < DATE: - • 08/30/2005 Applicant: Mardesich, Jeff Permit No: 05-2313 Project Type: Nsf 025-200-105 100% 70% Plan Check Fees $ 1,453.06 $ 1,017.14 $ 1,453.06 $ 1,017.14 WILLDAN Fee $ 1,017.14 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other n p5513aCOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV/N 7 County Center Drive, Oroville, CA 05965 Phone (530)538-7541 Fax'(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER l/ ) —ago o Proposed �q. Building Use: I lPAA.) �S 1 Permit Technician: Date: ' US Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. T. 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 thesd� 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__ e ami It ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) 46. : -,'Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable �L/ ❑ Fire Sprinklers............................................................................................ 0 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ &Fees Erosion Contro► Plan Required....as shown on the attached Schedule of Fees Due Sheet .............................. 1/ FE/ ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use:o��_arking: (C) Parcel Check:........... iM,vVl ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ,,. NPDES Form...........,.................................................................................. f'0 18. ncroachment Permit for driveway from the Public Works Dept ........................... 1/ l T 66 TP ❑ 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) ..................... � , Letter of Signature authorization.................................................................... 'C Recorded copy of Agricultural Acknowledgment Statement ................................. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 3 . ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... other: lQ�2s 2n Rpt P,4",QjAAA._ )s ❑ 37. Other: r� When issued Telephone � � and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. ApplicanC� t: c.9. Date: n"l 1. Index peqi plication for t a e ite u bered: Plan Check Letter 2. Additional i ems required Contractor, designer,wne ,was advised o above ata b one, ❑mail, ❑counter, by Date: 1Dbc Contractor, designer, ner, 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 y: Date: Structural approved by: Date: Note transfer b . Date: 0 Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance wner Location AP# \ Plan Approved for: Sewage Disposals \ Water S ly: Ptkblic private VI`ell E.H. USE ONLY Piot Pian Attachod c,00a Plan Attached S®:at to ®.O. / .,Z- Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental 8/96 c alist 4 )\as 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 PROPROSED BUILDING USE�,Q,� 1. BUILDING PERMIT FEES - Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District 0 cavai able after Pla4 Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... : X $0.03 = $_ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) Q0 b5ESIDENTIAL DEVELOPMENT IMPACT F S OUNTY 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) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP OTHER 10. OTHER A.P. # _q?s- - oJ— DATE YJf� RECEIPT # DATE REC. TPI )L /7705 -P At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. 1 APPLICANT DATE Ind Pursuant to Governagnt 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. 3/05) Butte County Department of-Developine17t SelviceS `'T ?�° 7 County Center Drive ° ` ° Oroville, CA 95965 (530) 538-7601 Telephone °�,may° (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: e I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e 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. e 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 unposed 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: J 21--F '� BR O f�- _ RIWDEOC-14 APN: QQ5 Building site address: D -RD RIVJ f 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: SI URE OF APPLICANT DATE '4 Copy to ApplicanVEH/File K:Forms/BidePennitwithoutClearances 020705 1� Department- of Public Works A- 1111 N • :'�' C o u n t y o f B u t t e ® . Michail Crump, Director LAND DEVELOPMENT DIVISION � Storm Water Management Program C�� y 7 County Center Drive U �Jlx 5 / Oroville, CA 95965 1C VW4 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN l ACRE Project Description: Project Location and/or Parcel Number: Q�� By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: �?;r:v'g; ''�i� VVV/ ■■ ..r11�1a'�<� Ya .sem �- Y :L�S£� �= s1.�\' ,. ��. .u,�a;rn� �.r�,.�x-�.n��;��x_..•s.��a�<-a?:rr<.a��?.K,�r,_.._r� .-?zc.�,•.5.+�a�;'1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is,received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [X] NO [ ]. 2. I HAVE [ ] HAVE NOT [x'] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: R( • a—? Vbs NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING ` GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t C. Vieir4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I 01ficial Records I County of I Butte I CP"IM J. 6RUBBS I County Clerk-Recorderl I I 01:29PN 17 -Noy -M I REC FEE 10.00 COPIES 2.50 COlFORMED COPY 1.00 DD Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5EF A i TATCH ED Date // �- lr�- _-'b oS— State of California ) A-n4zn I✓j&rdes) Gh County of _fATTF ) cT W Marc(eS 1 c �l erl�l) rn0_rd e s e. h On W DVQ_m �') ;an�� before me, personally appeared 4rth,)� e&(.t-,te r �_ j���r�e, 1 MaM6_i�L� personally known to me (or proved to me on the basis of satisfactory a dence) to be the person whose name(©4s/ re subscribed to the within instrument and acknowledged to me that thRexecuted the same in ear authorized capacit lies and that by " their signature© on the instrument, the persongor the entity upon behalf of which the perSZ19acted, executed the instrument. WITNESS my hand ��and �_ official seal. Signature��(° TU11Q�4-I�(JLV�-- Seal: ERS Comrri=sipn,^r 13%U715 Nuts v puli:ip - California T� z A.P. #_��S ;'00 O w F:r105 County &p' Comm. E;... ires roup 18, 20L18 Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: COMMENCING AT AN IRON STAKE AT THE NORTHWEST CORNER OF THE BOGA RANCHO, BEING IDENTICAL WITH THE SOUTHWEST CORNER OF THE FERNANDEZ RANCHO, FROM WHICH THE UNITED STATES SURVEY QUARTER SECTION CORNER BETWEEN SECTIONS 30 AND 31, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., BEARS SOUTH 000 26' EAST, 815.28 FEET DISTANT;. THENCE ALONG WEST BOUNDARY LINE OF THE AFORESAID BOGA RANCHO, SOUTH 00° 26" EAST 357.58 FEET TO A STAKE; ' IDENTICAL WITH THE NORTHWEST CORNER OF LANDS OF MRS. MARTHA ROOF; THENCE ALONG NORTH BOUNDARY LINE OF SAID ROOF LANDS, AND BEING PARALLEL TO THE AFORESAID NORTH BOUNDARY OF THE BOGA RANCHO, NORTH 89° 01' EAST, 1336.00 FEET TO A POST IN FENCE CORNER AT NORTHEAST CORNER OF SAID MARTHA ROOF LANDS, AND BEING SITUATED IN THE EAST BOUNDARY OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 30, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., IF THE UNITED STATES SURVEYS WERE EXTENDED OVER SAID LANDS; THIS POINT BEING THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE ALONG SAID BOUNDARY', LINE, AND ALONG THE EAST BOUNDARY OF THE WEST HALF OF THE NORTHEAST QUARTER -OF SECTION 31, SAID TOWNSHIP SOUTH 00° 04' WEST, 1298.30 FEET TO A WHITE - 1,. c POST IN ANGLE. OF DITCH OF RECLAMATION DISTRICT NO. 833; THENCE ;ALONG CENTERLINE'OF SAID DITCH OF SAID RECLAMATION DISTRICT NO. 833, NORTH 89`�Q1',, EAST, 595.00 FEET TO A WHITE POST IN CENTERLINE OF SAIDDTTCH; THENCE NORTH OP*,,. 02' EAST, 828.00 FEET TO A WHITE POST ON NORTH SIDE OF FENCE; THENCE. NORTH,891' <, 01' EAST, 432.90 FEET TO A WHITE POST ON NORTH SIDE OF FENCE; THENCE NORTH 00� 02' EAST, 827.90 FEET TO AN IRON STAKE IN BOUNDARY LINE BETWEEN THE AFORESAID BOGA AND FERNANDEZ RANCHOS; THENCE ALONG SAID COMMON BOUNDARY LINE BETWEEN SAID RANCHOS, SOUTH 890 01' WEST, 1027.90 FEET TO A POINT; THENCE AT RIGHT ANGLE SOUTHERLY AND PARALLEL WITH THE ABOVE MENTIONED WEST BOUNDARY LINE OF THEAFORESAID BOGA RANCHO, 357.58 FEET, MORE OR LESS, TO THE- TRUE HE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM HOWEVER, A.STRIP OF.LAND 30 FEET IN WIDTH ALONG THE NORTH BOUNDARY OF THE ABOVE DESCRIBED TRACT OF LAND, HERETOFORE CONVEYED TO THE COUNTY OF BUTTE FOR COUNTY ROAD PURPOSES. APN 025-200-105-000 c ~' f Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: COMMENCING AT AN IRON STAKE AT THE NORTHWEST CORNER OF THE BOGA RANCHO, BEING IDENTICAL WITH THE SOUTHWEST CORNER OF THE FERNANDEZ RANCHO, FROM WHICH THE UNITED STATES SURVEY QUARTER SECTION CORNER BETWEEN SECTIONS 30 AND 31, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., BEARS SOUTH 000 26' EAST, 815.28 FEET DISTANT;. THENCE ALONG WEST BOUNDARY LINE OF THE AFORESAID BOGA RANCHO, SOUTH 00° 26" EAST 357.58 FEET TO A STAKE; ' IDENTICAL WITH THE NORTHWEST CORNER OF LANDS OF MRS. MARTHA ROOF; THENCE ALONG NORTH BOUNDARY LINE OF SAID ROOF LANDS, AND BEING PARALLEL TO THE AFORESAID NORTH BOUNDARY OF THE BOGA RANCHO, NORTH 89° 01' EAST, 1336.00 FEET TO A POST IN FENCE CORNER AT NORTHEAST CORNER OF SAID MARTHA ROOF LANDS, AND BEING SITUATED IN THE EAST BOUNDARY OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 30, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., IF THE UNITED STATES SURVEYS WERE EXTENDED OVER SAID LANDS; THIS POINT BEING THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE ALONG SAID BOUNDARY', LINE, AND ALONG THE EAST BOUNDARY OF THE WEST HALF OF THE NORTHEAST QUARTER -OF SECTION 31, SAID TOWNSHIP SOUTH 00° 04' WEST, 1298.30 FEET TO A WHITE - 1,. c POST IN ANGLE. OF DITCH OF RECLAMATION DISTRICT NO. 833; THENCE ;ALONG CENTERLINE'OF SAID DITCH OF SAID RECLAMATION DISTRICT NO. 833, NORTH 89`�Q1',, EAST, 595.00 FEET TO A WHITE POST IN CENTERLINE OF SAIDDTTCH; THENCE NORTH OP*,,. 02' EAST, 828.00 FEET TO A WHITE POST ON NORTH SIDE OF FENCE; THENCE. NORTH,891' <, 01' EAST, 432.90 FEET TO A WHITE POST ON NORTH SIDE OF FENCE; THENCE NORTH 00� 02' EAST, 827.90 FEET TO AN IRON STAKE IN BOUNDARY LINE BETWEEN THE AFORESAID BOGA AND FERNANDEZ RANCHOS; THENCE ALONG SAID COMMON BOUNDARY LINE BETWEEN SAID RANCHOS, SOUTH 890 01' WEST, 1027.90 FEET TO A POINT; THENCE AT RIGHT ANGLE SOUTHERLY AND PARALLEL WITH THE ABOVE MENTIONED WEST BOUNDARY LINE OF THEAFORESAID BOGA RANCHO, 357.58 FEET, MORE OR LESS, TO THE- TRUE HE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM HOWEVER, A.STRIP OF.LAND 30 FEET IN WIDTH ALONG THE NORTH BOUNDARY OF THE ABOVE DESCRIBED TRACT OF LAND, HERETOFORE CONVEYED TO THE COUNTY OF BUTTE FOR COUNTY ROAD PURPOSES. APN 025-200-105-000 0 T ° Q. �urF ° 0 o ENCROACHMENT PERMIT County of Butte Department of Public Works ° 7 County Center Drive Oroville, CA c°u y 95965 �trc wog Phone: (530) 538-7681 Fax: (530) 538-4356 All information except signature must be typed or legibly rinted Permit #: DSI /bio NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel ((���q ��� i Number (Required): "Q,5- a{0/ - 1 O� Property r' N m f -� PROPERTY Phone: 'j�- Property Address: OWNER /j ORD t� `W-4 ' R"AD Mailing Address (IfDiffere t): CA gS94-8 Work will be�,� %J Contractor eProperty Owner Contractor's Name: performed by: LIA Phone: -Address: 53v . 3OUTIV 09VF. Sso X82-/ss�s Fax: 530. 8 - eco 1 � WORK PERFORMED BY Contractor's License Number: SZ 4S-0S Certificate of Insurance current on file with Department? ❑ Yes ❑ No Applicant is: 113`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 County roads and highways, all in accordance with County ordinances and general laws. Signature: Ad Date Signed: I r` t — Road affect d: b(�D Time and Duration � of Encroachment: -Z Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment: 0-1briveway ❑ Roadway ❑ Culvert ❑ Fence ❑ Pipe/Pipeline . ❑ Sign/Billboard ❑ Other Site Plans Attached: Yes ❑ No PERMIT IS: 3� 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 t 3. AOther Conditions: PERMIT CONDITIONS Zrt x'ZU Crl; , �'T ani„ 67—A�� 6 � �iF PAV;z.�r�� (To be filled I i 6 FkAj 1- tA(i in by County) "'"'oT C0(.3E6P— 1-, -Ts, 5—3-1 S'T7j S Date _ c, Issued: 2% dJ Expiration Date: L' Sure ty11 06, DaleAmount Paid: T A6 .G ;� ryCr Paid: Paid--�^ By: Jz:. f' p Check / o: Z u 5 Receipt No.: p Mike Crump, Director of Public Works BY: Road District: Inspected By: Inspection ❑ Completed - OK ❑ Completed - Not OK For County Results: El 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: 2oo5o6EP Pagel of 2 �r -oz.)k-6r2a"rcP_e sU�- U "�'rvU SS il�1'tJ �D cS1�. fv o' C�`i GCS �iG.� � O -U bu.� l�n� Per mcyL . 05- 0-3a./ , BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) . School District Building Department No. C �� A.P. Number N 200 ' f bS Jurisdiction: 0 city. County Property Owner Property Location/Address V ► I �: Subdivision Lot No. .................... Residential Development Q Q Sq. Footage. / No Living Mobile Home Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # .(No foundation .........chore) ........rDeed.Restrict_ed Sq Footage ,. (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q New Addition District Identification No. I (Street Address) (City) School District certifies that Sq. Footage (Including Exterior (Roofed Areas) Date i, ( (Applicant) -383 (Phone N (State) (Zip Code) has complied with the requirements of Resolution No. 01 (' --�u It" by payment of $ J representing' squaie feet. B 2926 Ul- MITIGATION $ .0 School District Representative Date Paid by Check # Remarks: Notice: You may protest the Imposition of the fees Identified above by submitling a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely w►Mtsn protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), tibia project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). f eform.xls (3105Wnm Butte County Department of Development Services. PAUL MCINTOSH, INTERIM DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING September 9, 2005 Jeff Mardeschi 402 Ord Ranch Road Gridley, CA 95948 Subject: AP— 025- 00-105' Dear Mr. Mardesc'', The Butte County Department of Development Services, Planning Department, has reviewed the Environmental Health application for the proposed septic, well, and new house. Since your property is surrounding by Orchard and Field Crops, it requires an agricultural buffer of 300' on all sides of the property. At this time, the Agricultural Commissioner needs to review your site plan and consider if you have a usual circumstance request. In order to do so, an unusual circumstances form must be taken to the Agricultural Commissioner's office and they currently charge a $65/hour fee. Unfortunately, the Department of Development Services does not have the capability at this time to accept this fee and therefore, we are asking that applicants make their payment directly to the Agricultural Commissioner, along with your site plan and unusual circumstances request. Their office is located at 316 Nelson Ave. in Oroville, or can be ' contacted at 538-7381. Until I receive the approval from the Agricultural Department, I cannot approve the Environmental Health application. Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerjely, /'� Lana Adler Assistant Planner Cc: Oroville Environmental Health SITE PLAN REVIEW APPLICATION Date: V —'3 AP# 05–`c?) 0 0 –los Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: c� Owners Address: ',0 a i 95 I �i Telephone No.: ��',� " ��-3 Email: Situs Address:l Proposed Use: Residential ❑ .New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential - ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other J@ Septic ❑ Agricultural Exempt Building ❑ Other: Brief 'Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date ` `® AIL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) C ® Expansive Soils (Test for expansive soils and if verified proper foundation design required) �. ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0770C, Index Date: 0 ❑ Sacramento River Reclamation District (Approval must be obtained from the dalitornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout), Use Requires: ❑ Use Permit • ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit _-- — — ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A- _ Q Applicable Building Setbacks: Front Zoning Code Streets & Highways Fire Prevention Subdivision Map Side Side Street ast Rear i Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑' School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other --------------- ---------------------------------------------------------=---------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference:. Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Cou4ty Standards for Deed Creation: El No Yes % Comments: IYGA o) /lit: oAvv d _ h4i PW-i.�i . dI Dir n /'WJ S D(A1 m._A i 5 Irl J 6 ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: . ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized .community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ . Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa PaoadnfC FJ Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALanys\Building Permit Site Plan Reviewl.doc Page 5 of 5 OEFF f 'NC: KE MARDESILA A � , oa5-aoa- ic�S o . �-1 e�-h�c�h d.�•�� ems. ° ERMIT NO. 2751-75YB P E M MH UTIL. PERMIT NO. ! PERMIT EXPIRES i `OWNER Charles Harrington ONTR. iiOCATION (A.P. 25-20-46 ) {t ' s1 s Ord Ranch Rd., 1$001 E. of 2nd turn, Gridley Temp. Power Pole Called PG&E 1 Temp.E C. Serv. C led PG&E Te p. Gas Serv. Called PG&E JOB FINALED 9 (Date) (Signa re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd), PLUMBING Setback Firewall Soil Piping Forms j Parapets 1st Floo Main Bldg. Restroom Finish 2nd Floo ' Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters i Appliances Carport Footings Conformance o!,""Gas structure Piping & Test Temp. Gas Slab Final / Sanitation Patio FIREPLACE Final Footings Footing EL CTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP INK4L.ERS Motors Framing Test V Water Htr. Stucco Final A Subpanels Mesh MEC NI AL Grd. Fault Plot. Scratch Heating Service Brown Cooling Temp. P le Finish Ducts Under and Interior Lath Ventilation Penna ent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC IVORKS 7 County Center Drive — Orovi Ile, California 959 Telephone: X34-4541 APPLICATION AND PERMIT S authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Xi ' � Date 6.19/75 Signature of PermiteeW It gent Receipt No. /3 3,rL:Z,3 White-D.P.W. - Yellow -Assessor - 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 OFABLIC WORKS BY Date t (ding permit expires Date 6; —/ 7, 7 BUILDING Owner Mr. Charles Harrington SQ. FT. OCC. BUILDING VALUATION Mailing Address Rt. 3 Box 3095 Gridley, Ca. 846-2858 Telephone No. $1506.00 Fireplace Contractor Sierra Roof and Acoustics Total Valuation Mailing Address P.O. Box 252 Permit Fee PI an Checki ng Fee &/or Penalty Chico a. Telephone No. 342-1863 Permit Fee 0 Building Address Rt. 3 Box 3095- Turn left at Gridley No. FEE PERMIT FILING FEE $3.. 00 -PLUMBING c turnEach Trap 1.50 .-. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —" Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Patching work,cleaning and coating roof. Main service incl.•1 meter Additional meters, each 1.00 Sub-pariel (12 or less) (niorethan 12) = 9 Y ® P ❑ ❑ ❑� � � Single Family Duplex Mobil Home Others '"��"" Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b2U 125 10 Receps., switches & fix outlets 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: SierraRoof and Acoustics Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 248732 Classification C-39 Misc. wiring ❑ 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. EI 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 1_$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 TOTAL PERMIT FEE.' = $ 16 - - authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Xi ' � Date 6.19/75 Signature of PermiteeW It gent Receipt No. /3 3,rL:Z,3 White-D.P.W. - Yellow -Assessor - 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 OFABLIC WORKS BY Date t (ding permit expires Date 6; —/ 7, 7 Nd SZ61 0 AV171, 00 7c,