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027-090-014
t v SITE PLAN REVIEW APPLICATION 2L�� L/ a Date: �" AP# Permit Number (if applicable) N APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential New Commercial ❑ Commercial Addition ❑ New Industrial. ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other [� Septic ❑ Well ❑ Agricultural Exempt Building F-1 Other: Yr DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Approved W Site Plan Stamped Approved* By a l_& Date �4 ❑ Resolve Problems Prior to Approval ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) / J Expansive Soils (Test for expansive soils and if verified proper foundation design required) 1 1 SRA - (CDF to determine specific requirements) J ❑ 100 -Year Flood Plain: ;(Seefa ched) Flood Zone:Flood Panel No.: Index Date: (Q g b ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning; A-5 P h'I D (LL L'©e— Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front i Side Side Street Rear s Height 3 D Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. fl Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula --------------------------------------------------------------------------------------------------------------- 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 Fj Deeds: Date of Creation: fb IfZ Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ NoYes, Road Name: Complies with County Standards for DeeojCreation:❑ No I Yes Comments: / o fa,,( tCW<' _441 om /`? 7,2-- 73 I, Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements 10 Subdivision Map/Parcel Map: Map Date of Recording: Lot--I--&c,-t70 ❑ Use Permit/Minor Use Permit Permit Number: Book: page; Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land .disturbance.. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required.. ❑ Property owners responsible for roa 0 W 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. C. -Ea rys�3uilding Permit Site Plan Reviewl.doc Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING February 11, 2005 Tangeman Family Trust c/o Kirk Sundahl 7624 Citrus Ave. Palermo, CA 95966 Subject: APN - 027-090-014 Dear Mr. Sundahl, The Butte County Department of Development Services, Planning Department, has reviewed the Environmental Health application for the proposed septic permit. Since your property is located in an active agricultural area, 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 your proposed site plan, since it does not reflect this 300' buffer. In order to do so, this 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 for the proposed site plan, 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. Sin c ely, Stephen Streeter Planning Manager Cc:dto. Environmental Health Butte County Department of Agriculture Request for Services: PLANNING / BUILDING PROJECT REVIEW Effective August 24, 2004, Butte County Ordinance No. 3880 section 3-61, k, 4, address the fee schedule for agricultural related planning project review: "All planning applications that are referred to the Agricultural Commissioner for review or when an individual or business requests review by the Agricultural Commissioner will be charged at an hourly rate of sixty five dollars ($65.00) per hour with a minimum of thirty-two dollars and fifty cents ($32.50) for one-half hour. Any additional or subsequent review of planning matters by the Agricultural Commissioner shall also be charged at this same rate." Name: —C'A O C4 L-, IM A -to YKaL 4r.���- _ Phone No.: .5 3V ' S 3`3- td `f3 C's— Business name (if applicable); Address: '1(aZ4 0_'.4ruS atu City & St.: 1?2Lpiwl a Zip: ltSoa Name or Scope of planning project (include any documents or maps to facilitate review): APN number. OZ -1- og$— OL4 Consultation regarding the results of the review and . any related documents will be provided by prior arrangement or appointment. The charge(s) for project review and mileage will be due at time of service or may be billed if approved by the Agricultural Department. The totals are as follows: Hr's labor @ $65.00/hr $ 61g co —650Mileage @ .30/mi $ -$-- Total Charges $ I agree to pay the B e County Department of Agriculture for Planning/Building services provided in accordance with the Butte C u y o ance No. 3880. � y �l Signature: Date: D � 7 Ci�l)b BUTTE COUNTY AGRICULTURAL 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: I ANG F_ M441 64m:lX _rr057*"_ Phone: S 3a -g33 -G5'35— r� .53o - 3 �o - 13 11z. Mailing Address: / G y r %t -R•05 E -Mail address Assessor's Parcel Number: CQ 7 - agd -0//-/ Reason you believe you qualify for the unusual circumstances exception: /—o/- Size— Agd %R 2,4 r( Do AAC* :4A6w 4'R 300 4e11.. 50"A' 5104L_ u cam/ uwner or Autnorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements Z=.4., LCA -z- ................................................................................................................................................... Internal Dept. Contact Info: nv. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: .................................................................................................................................:....................................................... 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 setbacks from adjacent agricultural operations: -t'z�rcal �t� ¢ 'U"Ll u�.04 r Agricultural Department Signature: Date: 2Ze S /05 YMC 7/1/03 4 P: Mbit 04-qr 7, 9 u 4P= L OIL A -S i ;5"ema 4�914PP- 41 or to: wt4 I laic' oil" ' 0-0, UO a AL 'go Own OvJW%'% 4 IP 06 - pip • v 0- .0 "If-, . - # �rjp,pp W -C� ,,aaP26,,T* 0140, 0. fl"Lf. oa'.-g to • �• ;7 *; 0.0. 1 .0 wo IA 00 J6. ;";_.Ir I - -•. .. I - - Sta ve I WIN 41f i ;5"ema 4�914PP- 41 or to: wt4 I laic' oil" ' 0-0, UO a AL 'go Own OvJW%'% 4 IP 06 - pip • v 0- .0 "If-, . - # �rjp,pp W -C� ,,aaP26,,T* 0140, 0. fl"Lf. oa'.-g to • �• ;7 *; 0.0. 1 .0 wo IA 00 J6. ;";_.Ir I - -•. .. I - - Sta ve I r ,.q — 1 F i L wJ 01,� 4 I / ` •� o �1'' sot +. - _ _ �� � - 4y _ � _e - '� � �,... ;:.:L. '• r4^� ✓ �`. ' i mak. r _ -. � �1 �. r �,."'i N, �•� � f °a� • r 7 M r [Va=�`�. G •r'."`'"`..,..,,,. , .��, t""' r `, - `:�+�. .tip co ��.00 - . �• - qac � ��`$ � �-� -�:'t- • r.- .. as ' Y y .E NOTES' '. r RESIDENTIAL c1l) PERMIT NO. 02'3-0910-014 _- - - 05-0574 I4 \ •ES - TANGEMA N , .F, _ ,i e r , '�--jL •�zG� CT['RUS AVE, PAI,ERMO Cont. OWN R y�� ��� �e.S r+�-C V�/► ��` NEW SINGLE FAMILY , 5,-0S7S OFFICE COPY Address GASDate Meter BY—`24—r--�� ELECTRIC Date" et — Meter By e SPECIAL CONDITIONS ?CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS. VERIFY ` USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �f Q� 1 ', Address OFFICE COPY GAS Meter By Datey—A-0--k ELECTRIC Meter By Date Signature C _I . a = OK '�► = Not OK = Not Applicable Read = Not Ready MOBILE HOMES MISCELLANEOUS 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-G rnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity •Tagged, 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDEIjFLOOR (Plans) OK except #'s 1. oning-Setbacks-Easement -Flood-Slope 2e,litg., Main; Soils-Elec. Grad.-/ L/" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5 temwalls, Main; Steel-Blockouts-Wrapped 6 temwalls, Garage; Steel-Blockouts-Wrapped 6a. H Downs and Special Anchors 'y 7 lab, Steel -Wrapped §524s -Fireplace Ft .-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test ater 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 = 5 Z� Card B-1 ' Date Card B-1 Date Card B-1 Date VPLUMB ermit) OK except #'s at Htr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Sho er Pan; Test, First Floor -Tub Access 21. t Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC AL (Permit) OK except #'s is. Protection & Switches at X _WBoxes & No. of Conductors Stapled RQR1e_6 Installed Close to Edge of Studs & C.J. . E ' . Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No S ice -Riser Conductors & Ground Main Disconnect E I . Clearances Panels-Motors-Mech. Equip. CI es Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH fCAL (Permit) OK except #'s _ . A. . ucts Insulation & Support Ve an, Exhaust above insulation 3 o ensate Drain & Overflow, Size & Grade Furn a -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4 ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMJNG (Permit) OK except #'s 41. Sill roper Materials & Anchors 046,0*. 4 uds-Nailing Spacing & Braces -Plates -Sound B ing Walls over Girders & Floor Nailing Draf op in Walls (rat proof) 4 . IrgeStops, Furred Ceilings -Stairs -Chasers -Tubs 45,49eaders & Beams -Size & Bearing ' Date FRA (Continued) 4 ers-Post Caps -Anchors -Connectors 4 Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. F' ace Ties or Type A Flue -Fireplace Throat Clearance 50- ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Pr Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. S co Mesh -Drip Screed -Fd. Vents-Underflr. Access Glai Area -Glass Protection -Skylights -Plastic 60. ear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls- dows Date s Card B Date Card B-1 Date,;Z. Card B-1 Date Card B-1 Date FINAVPlans O dxcept #'s Fitt. Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection B room Exiting GSI: & Bath Fixtures & Tub Access -Spa 090'Elec. Trim & Subpanel, Breaker Sizes & Labels 70. tairs & Rails 1 Fireplace or Stove, Clearance -Hearth 72._51svc-. Outlets at Wood Panel, Int. & Ext. . JW. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter -75-, Garage Fire Door; Swing -Landing -Closure 76. ASC. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i ara e; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location .AL Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic Comments at Final 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes. - _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 5 C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-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 Pr tection 91. gpmfctions from Previous Inspections 046,0*. 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. Fire 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 Insulation Certificate ' BUILDING OWNER: mm.nING LOCATION: Description of Installation Ci -79U .5 ROOF Material Thickness (inches) BUILDING PERMIT S 6- i;N` - Brand Name Thermal Resistance (R -Value) CEILINGBrand Name Batt or Blanket Type Thickness (inches) Thermal Resistance. (R -Value) 3 S Brand Name Loose Fill Type lb Minimum thickness inches Contractor's minimum installed weighilft . Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL�o s A4 Material BrandName, Thickness (inches) Thermal Resistance (R -Value) 21 RAISED FLOOR_ Brand Name MammoValue) Thickness (inches) Thermal Resistance (R - SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL Material Brand Name Value ermal Resistance (R -Value) Thickness (inches) Declaration I he certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. icense Number General C tr to Builder) - Q a Signature and Title Date Sub -Contractor (Insulation Installer) Signature and "1 ule License Number THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT APPROVAL AND A COPY SHALL BE POSTEDD WITHIN 1993 THE BUILDING. JAR Date y PRIOR TO FINAL INSPECTION BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5057.4 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. ' LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/25/2005 APN: 027-090-014-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 7605 CITRUS AVE PAL License Class : License Number: Map Index: Date: Contractor: Description: NSF 1120 SQ.FT. 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 Owner: TANGEMAN FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior TANGEMAN JAMES W. & MARIAN P. to its issuance, also requires the applicant for such permit to file a TRUSTEE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State- License Law (Chapter 9 commencing with Section 6960 COUNTY ROAD 12 7000) of Division 3 of the Business and Professions Code) or that he or ORLAND CA 95963 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 (530) 865-2523 applicant to a civil penalty of not more than five hundred dollars ($500).): AI, as owner of the property, or my employees.with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: KIRK SUNDAHL owner of property who builds or improves thereon, and who does 7624 CITRUS AVE such work himself or herself or through his or her own employees, OROVILLE CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95966 year of completion, the owner -builder will have the burden of (530) 533-6435 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors'.State License Law.). ❑ 1 am Exempt under Article 3 of "B mess and Pr s - Code e Date: S 50wner: 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 is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1120 S.F. Policy#: Valuation: $72,800.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: / J. 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 This permi s hereby�i ed and r the plicable provisions of the Butte County Code and/or Resotuti hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) s to d •wvo indicated bov for which fees have been paid. C/ Name: Gi BY: (� `� Date: S PER T XPIR ON: - i� �aS7 Date Address: ❑ 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 duI� auth rued 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 f,y official m or document of utte Ln . I hereby authorize representati/e�s of Butte County to enter uponthe above mentioned property for inspection purposes. Print Name: V C�.V /✓�lT/� Signature: Ci%�tt Date: 0 Owner ❑ Contractor Agent for.Owner ❑ Agent for Contractor �je i- 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_1 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION 4;. Website: www.buttecounty.net/dds ' 1 "PLEASE PRINT CLEARLY" 91 ��0 . APPLICANT NAME OWNER Last City ��L Stated first We r J4.. F3 Address to 9G?4c; AW /.z City Or 1 State State Phone Phone 3 a Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name City ��L Stated Address Phone0-5`33-C8Fax _ City Occ. State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City ��L Stated Address Phone0-5`33-C8Fax _ City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME NameKir /� SvNI),*1 j` Address t/ e'7R_0 S 14-u ,- City ��L Stated Zip/•JJ ��ff�� .G 45 Phone0-5`33-C8Fax _ E-mail ._ 11,4PPLICAAITSI ATURE X For office use only: Zoning —��j Flood Zone SRA es No Occ. Type Const. Wl Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO 6S- 6 BP BIN # LOCATION AP# 00-070— O/ y Property Address ,— Q C i -O u,5 Auc C I , 1V'4M v Cross Stree �DufS 4 Cr_fR&) 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 Page 1 of 2 Description or Scope of Wirk: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by. y Amount: ' Y � Bldg �iL?U SRA Receipt #: 9 2S_SSZ Sheriff N# SMIP Other Date:�5 / ] �l/� 'S '.�'(�� 1. V i Total REV 7-27-04 SUBMITTAL & PI'RMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations -in triplicate..(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a.Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 0 I Ln O Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (5301538.7785 Facsimile TO: FROM: Cn 1 SUBJECT: DATE: LU JBI1114DI_1.: oguTrFo O o o OUR Scott Rutherford (530) 538-7160 srutherford(cDbuttecou nty. net Plans Transmittal For Review Per Contract 3/4/2005 Applicant: Tan eman, James Permit No: 05-0574 Project Type: INSF APN: 027-090-014 100% 70% Plan Check Fees $ 915.42 $ 640.79 $ 915.42 $ 640.79 WILLDAN Fee $ 640.79 Copies Attached:. Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 -Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER d ASSESSOR PARCEL NUMBER ! JQf�'�� Proposed Building Use: J Counter Technician: - Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. a 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. El- 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. - 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 1 Hazardous Material Forme/�, 04t . Sanitation and site plan approval from the Environmental Health Department in ❑ Chico dOroville, as applicable. 16' Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ :P. 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ `� 21 Fees as shown on the attached Schedule of Fees Due Sheet .............................. 0 22. City of Chico Plumbing permit........................................................................ 0AN 23 alifornia Department of Fore try plan approval paid. Sent by: 4 -ZS Gr tanning approval (A) Use: (B)Parking:_277(C) Parcel Check: ✓ 11 ,hS Contact Land Developmen about _Improvements, _Drainage ......................... 26. NPDES Form........................................................................ ,�................ 27. Encroachment Permit for driveway from the Public Works Dept ................ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) .................. ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ...................... � ❑ , 2. Letter of Signature authorization................................................................... 3. Recorded copy of Agricultural Acknowledgment Statement ................................. All IQ37 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and re( - is or obtaining a building permit. / Applicant: //,��,. / , .;, y t Date: ? A/ �)� 1. Index permil'application for the above items numbered:Plan Check Letter f2. Apditional items required actor, designer, owner, was advised of the above data by 0 -phone, ❑ mail, ❑ counter, by = Date: 'V Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date.- Plans ate:Plans reviewed by: Date: Plans approved by: Date : Structural reviewed b : Date: Structural approved by: I t I Date: Note transfer by. Date: a (1 Yellow: Building Division c J TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Flat Plan Attached Floor Flan Attached Som to B.D. 64, WA0 Owner Location AP# Plan Approved for: Sewage Disposer Vater Supply: Public Pfivat e Wej Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 II COUNTY OF BUTTE ; /w 05 _66-Ith. DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE J0 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ t 73,/2— --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ A.P. # DATE�� w RECEIPT # DATE REC. --Revised Plan Checking Fee ...................' Ua k� �7�2; IIV 192. SCHOOL DISTRICT FEES (paid at District Office) �3. SHERIFF FEES (paid at Building Division) Residential .................................... J . Units Commercial (sq. ft.) ...................... x $0.03 = $ _ Sq. ft. 4. tR�N- AR FEES 7 Residential ............................ x = $ y .Z # Units Amt. Commercial (Sq. ft.) ............. x f0 $ C'1✓✓n a' Sq. ftfJ��o/gab _ 5. RECREATION DISTRICT FEES P 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK X80 (paid at Building Division)�;4 qK 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9, CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) �J 10. .OTHER (�, M /, avo gzb-19—7 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 3 Z03 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) x January 26, 2005 To whom it may. concern, Kirk Sundahl or Samuel Sundahl have our permission 'to acquire building and septic permits for -the Tangeman Family Trust property '[Ap # 027-090-014] located on the south east corner. of Louis and Citrus, Oroville CA. •Trustees of the Tangeman Family Trust James W. Tangeman Marian P. Tangeman , 4 • Butte County Department of Development Services O�VTrFO 7 County Center Drive o o 0 1.� o Oroville, CA 95965 '�y .. 0 `,. 0 (530) 538-7601 Telephone 0 "' 0 n J (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: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • 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 glans 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: � e-5 //f!�9 e mt� APN: Building site address: i.00;_5 C � 7ti?�S Permit No.: 0 - 65� 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: V 3-3 - 05- SKNATURE OF APPLWKNT DATE Copy to Applicant/EH/File K:Fonns/BldgPennitwithoutClearances 020705 Department .0 ® iJ n t J. Michael Crump, Director ®f Public f B u t V%®rks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (5,30) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Stora Water Pollution Prevention Plan (SWPPP) Acknowledgement fLESS THAN 1 ACRE) - Project Description: 5L Project Location and/or Parcel Number: APW ON / �'� LCJ -ZA. By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTUR-B 1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that. submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program r Revised 5/24/04 u.:y.':. '..�i.: WNE ` £ TJI)1Z�E']E�IFI�GI, a:a..r�s�-�.S.a.u:.ati"IN :t... *:. 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 [ ] 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: PHONE: 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: 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: - I 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. X Mic el C. Vieir4 C.B.O. Ma ager, 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 COPY of Document Recorded 11 -Mar. -2005 2005-0013776 Has not been compared with original BUTTE COUNTY RECORDER 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: Lo7' , a5 �/d c k 70, acZo %d`j COic�7y s�ccorcer 04e- Fr�ov,r of 130Sri7`e, of CGfifc�c-h/c�. Solo 1`d:,*6&, /7 /,R Y o f subd,111S'4x No.! of 7)�e Palctw T fids li-gcT C/&tcia/ Map i` OA-ecPf, fi/crl i'A off -te cj- VQ- Date e Date��`+f���� j ' PROPERTY OWNERS: s W , TanaLn Ma.rlaLh PITnv sev \cav) , State of California ) County of ) On i 11 17tC' `i : d-UU� before me, personally appeared U t l 1cd\.k ,-� ' r 1411�sl personally known to me (or proved to me on the basis of satisfactory vidence) to be the person( hose name(s) is/are subscribed to the within instrument and acknowledged to.me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS niv hand and official seal. Signature 0 IZ-1 Y-\U��-UYA Seal: A.P.# oaf oda . o i2� DAWN MASON COMM. # 1487682 NOTARY PUBLIC -CALIFORNIA ® .. COUNTY OF GLENN Comm. C: ,piss s h4ay 4, 2008 A W i LLDAN {' Ma s Street � Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 r; www.willdan.com April 4, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1459 Jurisdiction Job No: 05-0574 Assessor's Parcel No: 027-090-014 Applicant: Kirk Sundahl Description: Tangeman NSF 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 1,2 and S1 dated 02/14/05, by Dick Miller. • Eneray Calculations: Two (2) copies dated 02/23/05, by Donna Wallace. • Truss Calculations: Two (2) copies dated 02/22/05, by Longfellow Lumber Co., Inc. • Miscellaneous Documents: Two (2) copies Plot Plan. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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. F1 W_ IN DK:3 4 DrKl)11 am Unless noted otherwise, all comments are 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 and abbreviated herein as "CBC." • Part 3, known as the California Electrical Code and abbreviated herein as "CEC." • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC." • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC." • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS." CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Specific Type of Type of 1St Floor 2" Floor Total Use Occupancy Construction Stories Sq Ft, Sq Ft Sq Ft Dwelling R-3 V -N 1 1120 NA 1120 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. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. 'i e� Michael LeBeau Plans Examiner Cc: E-mail Alice Mefford at: amefford@buttecounty.net James Tangeman, 6960 Co. Rd.12, Orland, CA 95963 Page 2 of 2 WdIdan :(4353-1.449.PCIT Butte County 05-0574 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 9- EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home Demo Permit (dates *ss Comments: /)P/1) X li , _,�) F Q-eou Building Permit Number OS--- S -, X74 Assessable Sq. Ftge (1) Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department verified by Building Department i ❑ FRRPD 0 CARD 0 PRPD 0 DRPD certifies that: Applicant Name Phone Number ( �✓ q / y- �7 /� L (� ! [9 6, Mailing Address City State Zip i .. Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: on and Park District Representative K:\FORMSWILDMG FORMS\park-rec standard form rev Ldoc per unit for a total of $ /4066 . Cro per sq foot for a total of $ Receipt No: /&t 50 S? Y lay BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM OQ (One form per Building) School District t F(�, l�/i%% Tr�C� A�v� Building Department No. A.P. Number —to %(J -/////Jurisdiction: City ®County Property Owner Property Location/Address Subdivision Residential Development Commercial/Industrial Lot No. �y Sq. Footage A;?6 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) Representative O Sq. Footage Addition (Including Exterior Roofed Areas) Date District IdenttiLe,ification No. 09,0 2 •8' g up-�Jv i I U- Ili. /yiv�chool District certifies that v L (/ (Applicant) (Strest.Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing (� �U square feet. School District Paid by Check # Remarks: (State) los-10 (Zip Code) by payment of $ 2926 $ FULL MITIGATION $ Date Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance with GovemmaM Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll'pmMbtt you from challenging the I ipositlen of the fees In any court action. N, subsequent to the School Dletrtet Representadw signing this Butte County Schools Impact Fee Certllleatlon Fonnn, the School District is no" by the applicable Local Planning Agency that this project Is being reviewed under tit California Emdronmanfal Quality Act (CEQA), lt&sog. R, this project may be subject to additional school fees to fully nitigate.ks impact on the school dleblct's schools. White (applicant), Yellow (building department), Pink (school district) feeform-As 00/03)dmm ' SITE PLAN REVIEW APPLICATION Date: %Y,lj-05— AP# 0-27—M-014 Permit Number (if applicable) 0,5_-0S_7L1 40575- APPLICANT OS75- APPLICANT INFORMATION Parcel Size: �� 7 GLC/LZ5 Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: � 9 goo -3 760f e� o Residential U New Single Family Residential OS lq ❑ Single Family Addition El Single Family Remodel Mobile Home �G,Q� Residential Accessory 2�,~ ✓ �57 S Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Commercial Remodel ❑ Industrial Remodel ❑ Septic ❑ Well ❑ Agricultural Exempt Bu_ ilding ❑ Other: Brief Explanation (if necessary): -dc Syr a� DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) J1 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval If Site Plan Stamped Approved By Date`� .24 /05 - Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required)Yt SRA - (CDF, to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) " • Flood Zone: • Flood Panel No.: 6' %CQ q95C_., Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali ornia 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: P - Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front , Side S 36, Side Street Rear S Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable -Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage . ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By IS Deeds: Date of Creation: 12 Legal Access Provided: [_1 No '0 Yes Deed of Reference: —A tt - Legal Access Required ❑ No es Parcel Frontage on Publicly Maintained Road: ❑ No 11 Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comment % cP� a6e2n„ I Ska,4 d VVI P? RY) '01% Uy w, Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 n Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for. building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional * and be submitted to and approved by the Department of Public Works. r ❑ 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 associatedrwith "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 70 LE Page 4 of 5 f n 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. C:1Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 N Butte County Department of Agriculture Request for Services: PLANNING / BUILDING PROJECT REVIEW Effective August 24, 2004, Butte County Ordinance No. 3880 section 3-61, k, 4, address the fee schedule for agricultural related planning project review: "All planning applications that are referred to the Agricultural Commissioner for review or when an individual or business requests review by the Agricultural Commissioner will be charged at an hourly rate of sixty five dollars ($65.00) per hour with a minimum of thirty-two dollars and fifty cents ($32.50) for one-half hour. Any additional or subsequent review of planning matters by the Agricultural Commissioner shall also be charged at this same rate." Name: �T"A lel G IM A-tj T:aaw,, , 4r ss _ Phone No.: $ 3U -X3`3- (a `t3 s - Business name (if applicable); Address: '1(a 2-4 C'4fuS City & St.: l2 21 e2CVA o Zip: Ts Name or Scope of planning project (include any documents or maps to facilitate review): APN number: OZ -1- Dpi,$— d L`4 Consultation regarding the results of the review and any related documents will be provided by prior arrangement or appointment. The charge(s) for project review and mileage will be due at time of service or may be billed if approved by the Agricultural Department. The totals are as follows: Hr's labor @ $65.00/hr -&- Mileage @ .30/mi $ Total Charges $ I agree to pay the B e County Department of Agriculture for Planning/Building services provided in accordance with the Butte C u y o ance No. 3880. 10 Signature: Date: �� BUTTE COUNTY AGRICULTURAL 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: ANG _ /M,4 Al rn4 m%li 7TV5,/-- Phone: 5-3o-.'5!_33 'GS'3S— r7 530-3-20- Mailing ia-3-20-Mailing Address: E -Mail address Assessor's Parcel Number: 0.27 - aclC) - 0141 Reason you believe you qualify for the unusual circumstances exception: o7' 5, Zv-- 300 w elt., so�7�[ 51000�_ Me-,- �t 11w:5 ,�a-,ya�ox-e� ,eco: px. /o ,�c s • P - 0 -be- 1q - Owner or Authorized Agent's signature LJa.W UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements Zr nal Dept. Contact Info: . Health ❑ Planning ❑ Building ❑ Other Contact Person: _ __Phone: ................................................................................................................................................................. 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 setbacks from adjacent agricultural operations: -t'2VI-0-1 ` LI'a ,;�, 44. �,O a AV �V U� Agricultural Department Signature: l- Lo -k Vae a f LoczL Date: Z/I $ /o YMC 7/1/03 Z. -,4f L44 /_*�f BUTTE COUNTY AGRICULTURAL 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 enter Drive, Oroville, CA (530) 538-7601 Name: �A.uG F_ M,4AI 64mily 7105/lPhone: 5_30 -Y_33 'G�'35 7 -IC -2,11e ; fi1Z vs .536 - 3 7o - / 3 y Z,. C®.f/ Mailing Address: C7' E -Mail address Assessor's Parcel Number: 02 7 - acld e Reason you believe you qualify for the unusual circumstances exception: 07' S►-z� �e TeARA/71 Do NtW Xj6w) -r"c^R 300 %3u eR•. so�T�t S�o�� peR Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ............................................. nernal Dept. Contact Info: nv. Health ❑ Planning Contact Person: ❑ Building Phone: ❑ Other Z! ,A s' "A-= ......................................................................................................................................................................................... For Agricuitural Corn missioner 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 setbacks from adjacent agricultural operations: P-zrc-e t 5UAW41 ULU � s Agricultural Department Signature: l. - Date: Z/e S /o YMC 7/1/03 c, eves s{v z 04 ...YDS » • 71� +a �i -a^ w%s.' f ` r'.T l.r� WSW v -i'w. .r "«iii ), . ♦ * r< .r _,: `�°, i �� t�rt (y J trr � � t .r . �e �Fa, ^6 �� ,y +,f''i .a'' 4. }/� i r,I 4 » k . w e -- • ;_ yyw• �.,,. 4 . Lrs qui, •. rt 3 7o. ZZ op 1-4 ,*'rte; e-� 'r..d i `' 'er-5.°#'Sst�+,1 •�`lE r_A ",�"� 1��4 �, L!''� ♦ �t �i�,-� } .u��`�. r i""'yy'•�-= . � a � - i• Y'<' �; :%!� i � � its ��Q' ``'. 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F/ _.-!i '� .-'� r,7 � a4 •—mss._.,« •. ,n y � - , fit•, T ! / 1 -___ �y. tr � ��.Aj�:....r-�.� t.3� .i. i a ,,d, r //I�x' ( �, i 1 i �. - dr � j'. .—ter•_,__,,. Zv I TL'll \t, t r' -� y^., \ \ r _!..�•,. !• ..•�.�.-I Z�� �; �"' m - ,t ttl•4 'a•. '�' ^ �'li�r : t� V�; �-_.:..?(.t<, r. i:,, a '� • u y � '� .....,. �1.�' �, I c!� a,, _ ir ...�-`• .y '+-:--�•t-�"i-:�-v-+--_+•'. 'erT'_",'. : NN3H�NDN 1 `V'.\(y�. 'M 'a'� <r 17Y -ya.� �� �r L='',j"+I IJJ4Y11 J77.7�,•J \ u _. •'r � yVl,. l ��'YH7Y 5. -1•r � ' J _ �( R . C • 1 r � . �. C t � _.- 1 ` ! 1 y ' � rs/jr'�_ _ �. �— (">.l y r 1 ¢ ,� ��I,��Mal 1�- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5057,5 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. . LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/25/2005 APN: 027-090-014-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 7605 CITRUS AVE PAL License 'Class: License Number: Map Index: Date: Contractor: Description: NEW DETACHED GARAGE(704) 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 Owner: TANGEMAN, JAMES permit to construct, alter, improve, demolish, or repair any structure, prior 6960 COUNTY ROAD 12 to its'issuance, also requires the applicant for such permit to file a ORLAND CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95963 7000) of Division 3 of the Business'and Professions Code) or that he or (530) 865-2523 she is exempt therefrom and.the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees.with wages as their sole compensation, will do the work, and the structure is not Applicant: KIRK SUNDAHL intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 7624 CITRUS AVE owner of property who builds or improves thereon, and who does OROVILLE CA such work himself or herself or through his or her own employees, 95966 provided that such improvements are not intended or offered for sale. If -however, the building or improvements are sold within one (530) 533-6435 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: 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 Exmpt u der Article 3 e B mess an Pro e ons Code Date: '✓Owner: ` 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 704 S. F. Valuation: $16,896.00 Policy #: I certify that in the performance of the work for which this permit is Census Code: qO 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' v �J compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp) with those pr vvii�sions. I Date: G � C/S � V (/ Applicant: l V "1\ WARNING:- Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit hereby issu d under he appl' able provisions of the Butte County Code and/or 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.) Resolutio to do ork in 'cated a fo hich fees have been paid. ^ V/�'j Name: GJ By: Date: ( — Address: PER IT EX IRES ON: r ate 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. gree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ficial rm or document f Bu a nty. I hereby authorize represent wes of utte County to enter upon the above mentioned property for inspection purposes. Print Name: /:/ / /1 / I �V�(J,�IS�� Signature: Date: 0 Owner O Contractor Agent for Owner 0 Agent for Contractor 13 . d-(� V 5#q. (?o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 �� OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION `0' q Website: www.buttecounty.netldds **PLEASE PRINT CLEARLY** OWNER Last Name T' a 1 First Nj*,, Address Cal �, A, �6 C / 2 City �s D Sti Zip 7,.,9,,Q hone 8GS_�3 FE Fax -mail APPLICANT NAME CONTRACTOR Name :. Address Zip9, Arr City Fax _ State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name :. Address Zip9, Arr City Fax _ State Zip" Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name y� R S'vNQg�.0 Address Tom[ City L/�Ol�r��'C Sta�� Zip9, Arr PhoYJ O S3 3 Fax _ E-mail A,9PL1CAN7:S1GNAWRE X - For office use only: Zoning Property Address 60 Ci7�t1$ �vc- Flood Zone Cross Street SRA WORKER'S COMPENSATION No Occ. Type Const. 1,10 Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT No._ it LOCATION AP# 0R —�<O— Q/Y Property Address 60 Ci7�t1$ �vc- Ci g�eAD Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address UVtK I -UK 5Ut3M1IAL. REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 ,Description or Scope of Work: .. Footage ❑ 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 re uired. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:/ g Amount: C Bldg SRA Receipt #W��z Sheriff `' AW SMIP Date 3 6S Other Total REV 7-27-04 �w' o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 �'�'-may OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds *+PLEASE PRINT CLEARLY** OWNER Last Name _ First Name Address City State Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip' Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERA11T , NO. BIN # OVER FOR SUBMITTAL REQUIREMENTS Ll K:\FORMS\BUILDING FORMS\BldQADPISubRamts.doc Paae 1 of 2 LENDING AGENCY Name Address Description or Scope of Work: Sq: Footage - ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date -of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther L Total RFV 7_77_nd LLO LO 1' Lr) 1 C) Im Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile I U: FROM SUBJECT DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(a)buttecountv.net Plans Transmittal For Review Per Contract 3/4/2005 Applicant: Tan eman, James I Permit No: 05-0575 Project Type: Det Garage APN: 027-090-014 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: )/,I s>?�%YfII�� ill ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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. D 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 401 Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. .Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ .+❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by D 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required......................................................................... ........ 21 Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit....................................................................... 2 California Department of Forestry plan approval4praid. .Sent by: ...... --2 2 . Planning approval (A) Use: � B)Parking: (C) Parcel Check: t/ oS ❑ Contact Land Development about _ Improvements, _ Drainage ......................... ❑, 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... O 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... 4D 36. Deed Restriction......................................................................... ................ D i 3 ❑ Grant Deed, ❑ M. . Title/Statement of Facts, ❑ Letter from Legal Owner, El to H.C.D. $ Other. 21-39. ther: When issued Telephone ..• and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:i- 1. Index permit application for the above items numbered: Plan Check Letter 4,Additional items required OIClontractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: l t 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: iI Date: Note transfer by: W Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER Ci 0 PROPOSED BUILDING USE 'r _.V1 BUILDING PERMIT FEES --Balance Due ........................................................ $ - --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Commercial (sq. ft.) ......... :............ x $0.03 = $ Sq. ft. _ 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLANJG HECK '{paid at Building Division)` gftl 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE LV$2500.00 (paid at Building Division) y c 10. OTHER� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT A. P. # DATE ,RECEIPT # DATE REC. q7b "Lq-1 DATE 3-?I� 0S� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: , f, S ��' r � lM9'� Phone: 530 — X S- 2S-2 3 Mailing Address SCO CO- � /.2 Site Address: S 'A' -e_-. Assessor's Parcel Number: 7, i�)Qd Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAI. INFORMATION: 1. Is there a primary dwelling on the property? Yes ❑ No 2. Is the structure already built, under construction, or under notice of code violation? YesNo Cl] 3. Will items produced in this building be offered for sale? Yes [L No 4. Will the public have access to this building? Yes [I No J 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or.10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes No ❑ 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes No 11. Will this building be heated or cooled? Yes : J No 12. Will this building have awater closet/toilet? Yes ❑, No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? " ` ' • Yes ❑ No 15. ' r What type of floor coveiing«ill the building have? 16. What type of «-all covering will the building have? PON -L OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. P Private Garage —'*A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #d, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy Z ❑ Other— Use = 1. Descn'be type orWorlahop :. 1AW be approved by the Brae county Planning Division Explanations: This area is for e.�cplanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. - Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale O«wler's Name: Please Print Ti4-M eS Owner's Signature: Date: 3Z�? I !J 2of2 January 26, 2005 To whom it may concern, Kirk Sundahl or Samuel Sundahl have our permission to acquire building and septic permits for the Tangeman- Family Trust property [Ap # 027-090-014] located on the south east corner of Louis.and Citrus, Oroville CA. Trustees of the Tangeman Family Trust James W. Tang man Marian P. Tangeman Butte CountyDepartment of-DevelopmentSeriices o"TTF° 7 County Center Drive Oroville, CA 95965 �. o �.,:• / - o ° ° (530) 538-7601 Telephone ° ° (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: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, ill 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: J#rKe_S APN: Building site address: �001s ¢ C 71t?�S 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: SKNATURE OF APPL NT 3-3 - os DATE Copy to Applicant/EHRile K:Fonns/B1dgPennitwithoutClearances 020705 PPRTMEfqT \3TT���\ 0 0 O C Ac0 U N�`` e CLIC WO�� ,Department .0 o u n t Michael Crump, Director 4 ®f Public f B U t ®rks 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 (��'���) Phase 11 C®nstruction Storrs Dater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement FLESS THAN I ACRS Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program .. 4.5'r'.: .�f . k� .°wX .�` .�^L�"'�Ysks' j, h "�`,..fi'•'Y '���'.,.: 0 IZ� IIID NOMMER][FIC 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. l . I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ X ] NO [ 'I. 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: 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: PHONE: 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: Fol N 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 Agriculture Request for Services: PLANNING / BUILDING PROJECT REVIEW Effective August 24, 2004, Butte County Ordinance No. 3880 section 3-61, k, 4, address the fee schedule for agricultural related planning project review: "All planning applications that are referred to the Agricultural Commissioner for review or when an individual or business requests review by the Agricultural Commissioner will be charged at an hourly rate of sixty five dollars ($65.00) per hour with a minimum of thirty-two dollars and fifty cents ($32.50) for one-half hour. Any additional or subsequent review of planning matters by the Agricultural Commissioner shall also be charged at this same rate.' Name: '_7AMG t=. MLA--P\j Saaw L 4r-jJ _ Phone No.: 530 - T -33 - Business name (if applicable); Address: -1(a Zit 0-,4 ru5 A -u City & St.: l> 2 l 2ry A o Zip: `Zs (� Name or Scope of planning project (include any documents or maps to facilitate review): APN number: OZ 1- 648- dt4 Consultation regarding the results of the review and any related documents will be provided by prior arrangement or appointment. The charge(s) for project review and mileage will be due at time of service or may be billed if approved by the Agricultural Department. The totals are as follows: Hr's labor @ $65.00/hr $ -60- Mileage @ .30/mi $ -65--- Total Charges $ I agree to pay the B e County Department of Agriculture for Planning/Building services provided in accordance with the Butte C u y o ance No. 3880. Signature: Date: �� �OT ° T 0 0 EUTTE.COUNTY o p = `__ p AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST c0UN'�-1 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 �/JNGFM!64milX 7 Y5f- Phone: 5-30 -Y-3 3 -Gy35 Name: Sia - 370 — / 3 y L c�f� Mailing Address:� E -Mail address U Assessor's Parcel Number: Reason you believe you qualify for the unusual circumstances exception: /-07, 9,4iP pc Nt,4 i4j6o -g°R 3c,' 13u11: tx, So-,( 51ooe.. &AeL Z!�As' Owner or Authorized Agent's signature ��•� UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements .............................................................................................. �Internal Dept. Contact Info: Building ❑ other nv. Health ❑ Planning ❑ Contact Person: _ Phone: ................. ....................................................................................................................................... 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 setbacks from adjacent agricultural operations: -POW -4-1 '5c7A L,1' Ll 0-04 w. "A uM Agricultural Department Signature: l � - -�j � Date: 2-41 � /off YMC 7/l/03 BUTTE COUNTY AGRICULTURAL 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: 1ANGF_ /�'ti��/ !�,$1h:�i V5� Phone: 5"30-,S33 -GY35— ' �' C ,'fi/�.vs -�-y � .53a ' 3 ?o - t 3 Sr z cam/ Mailing Address: E -Mail address Assessor's Parcel Number. 02 7 - agU Reason you believe you qualify for the unusual circumstances exception: 0/- 5-2,e_ 4 -id JeR2At�Gl Do At,� ;4j6ta -rc^R 300 13244ift,. Som 31cko�_�Po�yeA61 Z®45-- Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... In ernal Dept. Contact Info: X -Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: .................................................................................................................................................................I....................... For Agricultural Corn missioner 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 setbacks from adjacent agricultural operations: pZ,rc_e_1 5 7,& W.tl ULU4 II Ir 9 U Agricultural Department Signature: Date: /05 YMC 7/1/03 0 P- FADS ��� A-5 At -4 " 7Ww .4 Ci f -4 LAI '40 ta' moo w Zol-SPIA I V7: -x A f Lw- 40. -7-4 7Ww .4 Ci f -4 LAI '40 ta' moo w Zol-SPIA I V7: 7--1 A f nv k ap IMMSON, or < r �ot -is 4 A,il p I US F -X 1 , - sp T -,o kf. !PIN 7--1 , t•'`y; r-s; J��� 9� •�� r` \�•l�f. ` 7,.��''. �\ A U F � tom.. z•. t � -• l ^ - Al, �: .,. .... - ,,; . • . -..��. _:-=:'•' i..'- � � � i �� it . r i- �:� •may � ay - "�� tom`-`._ ..-h-`-•. _.• •.,,�....., s z�. - � £�— v b >1 � '.H { �.'� `'�`�„'�.- � ; a'_.--^-G.+�"�) "mss: � � , J '�-.,-yT `� • < C \ � ?� � n ,'` � t, c � t9t_, .r'Sy >- � m� • $. (i >y T �, � � 3 .. '1'-.J .-_� tk - . yv ON rz 4117 ,/ �•J 3 � NYyjyg,''�-.r-w,_,� kyr. f�, _ .� —C": !. _ c ,f��,'rl � .' _ - ��!.I L , � , ^ ,�--•. _. f O •' 1 : .I , ljb . A W I LLDAN Serving Public Agencies April 11, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax; (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1471-M Jurisdiction Job No: 05-0575 Assessor's Parcel No: 027-090-014 Description: Tangeman-Det. Gar Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com 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 incompliance with the applicable codes are: # Plans: Two (2) copies sheets 1-2, S-1, dated 2/14/05 # Site Plans: Two (2) copies not dated, by Dick Miller # Truss Calculations: Two (2) copies calc-dated 2/25/05 by,Longfellow Lumber Co. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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. R. W I LLDAN Serving Public Agencies 3 APPLICABLE CODES Unless noted otherwise, all comments are 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 and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of. construction, and other.pertinent features. This information is'with that shown on the permit application. Specific Use Type of Type of Sprinklers Stories Total Sq Ft Occupanc Construction Detached Garage U-1 V -N No 1 704 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. Completed Butte County Special Inspection form if epoxy bolting required per Note 6-3 on Sheet S-1. 4. Designer or person responsible for the plans shall provide name and signature on Sheet S-1 per California Health & Safety Code Section 5536.1. SPECIAL INSPECTION NEEDS Our plan review reveals the following special inspection needs pursuant to CBC 1701: • Epoxy Bolting if required per Note 6-3'on Sheet S=1 DEFERRED' SUBMITTALS Our plan review reveals no deferred submittals at this time. Sincerely, Richard Essenwanger Plans Examiner H Cc: Alice Mefford, amefford@buttecounty.net Kirk Sundahl, 7624 Citrus Avenue, Oroville, CA 95966, Phone (530) 533-6435 ' ' James Tangeman, 6960 County Road 12, Orland, CA 95963, Phone (530) 865-2523 Page 2 of Butte County 05-057.5 Wi.11dan '14353-1.471..PC.I..F BUILDING DIVISION /bq. Fg COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 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. AG ZONING � oz, - oqo- oi! - s OWNER PHONE NO: c OWNER'S ADDRESS 5 4(� LOCATION OF BUILDING _ • USE OF BUILDING 6 SIZE OF STRUCTURE 40 . x (00� _ yoo So. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 1-4-i�r Ooo— AG Buildings shall comply with the minimum front, side, and rear yard setback retirements of the applicable Ordinances as follows: 11 t f� 1'i� . FRONT r �t� SIDES ��l REAR- EAR 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 Ith Pe requirements in eff t that time and before occupancy. / Date zzx OkD Signature of Owner 'Permit Fee -$109.98 The above described AG Building is exempt from a building permit. fd ` ' FLOOD PARC L Pr)--'IROO G ISS Receipt No. � /y X c 141J Manager l3uildin Division - I/ Date J-- 1 ' W► / kd /ellow— Assesso ink — B. I., Goldenrod —Applicant 9 0' 0 0 D 0�� 0 c�" 0 'N APPROVED Butte County 'ronmental Health ate Signature REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY. ❑ approved as submitted -approved with conditions W P r atjgched sheet. N 1y signature Date !C 0 OL1V CS o O o �o d o o OI 0 0 I GIT eVS A"UE'. TM attached Fire Safe requirements must be completed as vecif zA and approved by C.D.F. G DIVISION - BUILDING PLAN APPROVAL Al 5� Use: Date:�.�(d�i Parting-- -- Landscal (Mar. _ 1 Sigrratow PLOT PLAN N APS. 02.7 Ocro Orq 0W k) t P-1, J -I TA rvC,c 11A SCALE: 1" S-0'0" ApeX• APPROVED 0. o O O 0 D O p O. d I GIT eVS A"UE'. TM attached Fire Safe requirements must be completed as vecif zA and approved by C.D.F. G DIVISION - BUILDING PLAN APPROVAL Al 5� Use: Date:�.�(d�i Parting-- -- Landscal (Mar. _ 1 Sigrratow PLOT PLAN N APS. 02.7 Ocro Orq 0W k) t P-1, J -I TA rvC,c 11A SCALE: 1" S-0'0" ApeX• APPROVED . 0 . i SITE PLAN :................. .. ................. .- ......... .. . . . . . . . . . . . . . O L b oR..._ �..A .. 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LU ........_ .. .. _� �......�NU(R�N1�EI�TRtfitTi-... .. .. .. ......................... .. ._ .. ... .. .. ............................................. .. . . . . ..:. .. ... :......:..:......:..........:......:......:.....:......:...... .. .. .. .. ... .. .. ... .. :.. .... ..................>..... •...........>.... .. .. .. ....................... .. .. 7. C .. fi OUN Y CE1'ER IU ......................._.... - _.....• ......._.._.................._......................... ............ _....._... _..... Assessors Parcel Number Q © E OD — © 0 E Scale: 1" = So / Owner Name 1A NGE MAN family *Rust Address / Phone Np. Site Location Contact :.Name . 1 /Z U, li"4 y, DA � J L R Phone FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.oar PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: