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Home My WebLink About027-230-030L,�,�r BUTTE COUNTY f AREA DEPARTMENT OF DEVELOPMENT SERVICES I INSPECTION CARD MUST BE ON JOB SITE n 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds g).?O(` —ciLe U Permit No: B06-2750 Issued: 01/10/2007 Address: 251 WAYNE CHARLES AArea: OROVILLE t Owner: FERNANDES, RAYMONIAPN: 027-230-030 Applicant: FERNANDES, RAYMONIMap Page: Permit Type: Room Addn-First Stry Description: ADDITION (816) Flood Zone: SRA Area: Set Backs Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING E,. Ins tion Type IVR INSP PATE Setbacks 132 , Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 jv r _, Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install SidipgiStucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 , a Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / R145 "PROJECT FINAL Stucco Lath 142 Stucco Scratch 143 - Stucco Brown 144 Swimming Pools-,,., R Setbacks 132 Pool Plumbing Test . • 504 Gas Test 404' ; Pre-Gunute 506 , :... Pool ElecBonding/Light Nitch 502 r', Pool Fencing/Alarms/Barriers 503 . Pre -Plaster 507 } _ Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 "PROJECT FINAL 801 *Project Final is a Certific to of Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION . r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7'County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE CA C -A rAZ S 1201 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional IN Date , Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Loerke Insulation Co., Inc. Z51 VJ ayae C�-Z'� Q0 Number and Street L)rrti County Subdivision Description of Installation ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) Insulation Certificate City Lot Number CEILING Batt or Blanket Type Fiberglass Batts Brand Name Johns Manville Thickness (inches) 13 Thermal Resistance (R -Value) Loose Fill Type Fiberglass Brand Name Johns Manville Contractor's minimum installed weightfR2 Ib Minimum thickness inches Manufacturers installed weight per square foot to achieve Thermal'Resistanee (R -Value) EXTERIOR WALL Material - Fiberglass Batts Brand Name Johns Manville Thickness (inches) 6-S Thermal Resistance (R Value) - tIuq RAISED FLOOR Material_ Fiberglass Batts Brand Name Johns Manville Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR/PERIMETER Material Brand Name - -thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in eonfgrmance with the current Building Energy, Efficiency Standards for new residential buildings contained in Title 24 of the ` California Administrative Code. CL #499150 �992.1 - Item Vs Sig ature, Date Item #'s Signature, Date Item Vs Signature, Date Loerke Insulation Co. Inc Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner • Date: 3/12/07 Job #: 07131 CERTIFICA'T'E OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project Address 251 Wayne Charles Road, Oroville Builder Name Ray Fernandez Builder Contact Telephone Ray Fernandez (530) 370-9200 Plan Number HERS Rater Telephone Mery Martin (530) 894-8466 Sample Group Number Btu/hr Compliance Method (Prescriptive) Climate Zone 11 Certifying Signature Date j1pr 11_� /) 7 Sample House Number Firm - En rgy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT 0 • HERS RATER COMPLIANCE STATEMENT The house was: ✓0 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ 0 The installer has provided a copy of CF -6R (Installation Certificate). ✓ O THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix R/. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Chare for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Btu/hr Date of Verification ✓ 0 Yes ❑ No visual verification that the TXV is installed on the system and 0 ❑ (must be checked monthly) installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Chare for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 T and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 251 WAYNE CHARLES RD Owner: Permit No: B06-2750 APN: 027-230-030 FERNANDES, RAYMOND & SA Issued Date: 01/10/2007 By KCG Permit type: MISCELLANEOUS 251 WAYNE CHARLES RD Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 01/10/2008 Description: ADDITION (816) (530) 370-9200 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: FERNANDES, RAYMOND & S Building Garage Remdl/Addn 251 WAYNE CHARLES RD 816 OROVILLE, CA 95966 Other Porch/Patio Total (530)370-9200 816 FEE INFOPUWATION EH Building Review Fee $70.00 Fire Inspection (SRA) -Fire -Res $95.00 Fire Plan Review (SRA) -Fire -Re $95.00 Ping Appl Fee (SRA) -Bldg $109.98 Room Addition - First Story $643.39 Room Addition - First Story PC $428.92 SMIP -Residential $5.30 Total Charged: $1,447.59 Fees Paid: $1,447.59 Balance Due: $0.00 Receipt No: B1462 LICENSED CONTRACTOR'S DECLARATION 11 OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or once homed dollars ($100) or ess. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT. IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 01/10/2007 " I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coun ty, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 01/10/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; E]Agent for Owner DAgent for Contractor INSPECTOR COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive , CUI NZE'IC'� >'• �. . Oroville, CA 95965 (530) 538-7601 Telephone FEB 2 0 2007 (530) 538-7785 Facsimile www.buttecounty.net. dds DEVELOPMENT 1 SERVICES REQUEST TO USE PEX WATER PIPE Building Division approval required prior to the installation of PEX water pipe Permit Number: n& -a7 , /01 A.P.N. 1�2Q 0 Date: 2,-2-0 -6 7 Property Address: ?fC—Ldxs City �✓ZTV1 Zip S to- PEX Manufacturer: /� Slued Manufacturer's Phone Numbe �ZSLV�i% / 7o� Installer's Name: r ern4V45 Installer's Phone Number: .3 %L) 12-cr� jest approval to use PEX water pipe at the above address. 2-2- o -G7 Date 2- 'Z -U-0-7 -7Ug7y z Date License Number Under Section 301.2 of the California Plumbing Code (Alternative Materials and Methods) the Administrative Authority may allow the use -of PEX tubing for both hot and cold potable water distribution. After careful review of all the information submitted and additional surveys of other jurisdictions allowing the use of PEX. tubing, we have come to the conclusion that PEX tubing is a viable alternative under the following conditions and requirements: 1. All PEX piping must be listed and approved by ICC, IAPMO or other nationally recognized testing and/or listing agency. 2. All PEX piping installations must comply with the manufacturer's listing/s and installation instructions. 3. A copy of the installation instructions must be made available to the field inspection staff on site. 0. All PEX piping shall be kept clear of recess light fixtures, heat conducting flue vents, ducts or other materials that could cause physical damage. 5. All penetrations in or through fire rated assemblies shall be protected with an approved listed system. Submit evidence of such listing prier to the installation of all piping. (Including manifold/s installed in the garage occupancy separation or firewall). Approved by:Date: &,4n,4 *1 -e44, -Zv �07 AaFninistfative Authority Distribution - Building File — Property Owner - Contractor Certificate of Achievement Awarded to Raymond Fernandes For successfully completing the Training Program for the Uponor PEX plumbing systems as set forth by Uponor USA. Uponor Plumbing Systems Roger Davis, National Sales Manager BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 251 WAYNE CHARLES RD Owner: Permit No: B06-2750 APN: 027-230-030 FERNANDES, RAYMOND & SA Issued Date: 01/10/2007 By KCG Permit type: MISCELLANEOUS 251 WAYNE CHARLES RD Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 01/10/2008 Description: ADDITION (816) (530) 370-9200 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: FERNANDES, RAYMOND & S Building Garage Remdl/Addn 251 WAYNE CHARLES RD 816 OROVILLE, CA 95966 Other Porch/Patio Total (530)370-9200 816 FEE INFORMATION EH Building Review Fee $70.00 .Fire Inspection (SRA) -Fire -Res $95.00 Fire Plan Review (SRA) -Fire -Re $95.00 Ping Appl Fee (SRA) -Bldg $109.98 Room Addition - First Story $643.39 Room Addition - First Story PC $428.92 SMIP - Residential $5.30 Total Charged: $1,447.59 Fees Paid: $1,447.59 Balance Due: $0.00 Receipt No: B1462 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; PIa check one of the following: Contractor's Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number: Exp. Date: (This section need not be completed if the permit isorone ndred dollars ($100) es—or sJ ❑ I AM EXEMPT u er Sectio B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ a er on in any manner so as to become subject to the Workers' Compensation laws of Cal' mia, a agree that if I should become subject to the workers' ' X 01/10/2007 compensati n pro f Sectio 3700 of the Labor Code, I shall forthwith comply with those Owner ignature Date provision X 01/10/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature V Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death d property damage used by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of thi a it. I hereby acknowledge that issuance of this permit does not authorize the use o ocoVsidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Cou toementionI hereby certify that I am the p mthorzed to on the property owns s behalf. CONSTRUCTION LENDING AGENCY 01n0/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nallhe bf P rmittee [SIGN] P nt Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. E]Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND' SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name Fer h P irst Name Oh Mailing Address Z , , ` V v C"r 'ed. City / r Zip State GJ Zip 6 b Phone 370 - Z 2V Fax 533 — 5 9 5 0 E-mail Class APPLICANT INFORMATION CONTRACTOR Name SC Address Zip City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City . Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT INFORMATION Name 5elIC Address City State Zip Phone Fax E-mail r Ps. P�� AP / ANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes I No Occ. .Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. (2e. '106 BIN # PROJECT LOCATION AP# OZ?- 230- O3o Property Address .v /bvr 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 DescriAd ption or Scope of Work: Un oardetCp_ r ✓Yl rj ,E isFin Sq FT- Living Garage 3 O Open Cov Z8,0 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. eceive y:- Amount: Bldg SRA Receipt #: Sheriff SMIP Date) v ( %L Other Total Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2750 Date: 12/01/2006 Location: 251 WAYNE CHARLES RD By: KEJ Parcel Number: 027-230-030 Sub Type: Room Addn-First Str Owner Name: FERNANDES, RAYMOND & SAMANTHA Phone: (530) 370-9200 Description: ADDITION (816) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ urham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 roville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 12/01/2006 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-1541 Fax (530) 538-2140 Permit Number: B06-2750 Job Address: 251 WAYNE CHARLES RD Contractor: Printed: 12/01/2006 3:46 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt EH Building Review Fee 0021-540013-4614901-1010 $70.00 12/01/2006 $70.00 Room Addition - First Story 0010-440001-4210500-1010 $643.39 Room Addition - First Story PC 0010-440001-4210500-1010 $428.92 12/01/2006 $428.92 SMIP - Residential 1001-0-280-1011298 $5.30 Printed By: Karen Jones 19147.61 $498.92 Balance Due: $648.69 At the time of permit application, I was ad sed a above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 12/01/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds �� g 6C wo'� National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2750 Location: 251 WAYNE CHARLES RD Parcel Number: 027-230-030 Owner Name: FERNANDES, RAYMOND & SAMANTHA Description: ADDITION (816) Date: 12/01/2006 By: KEJ Sub Type: Room Addn-First Str Phone: (530) 370-9200 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: C"/ e Title: QLA)Mef- FILE Date: 12/01/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2750 Date: 12/01/2006 Location: 251 WAYNE CHARLES RD Parcel Number: 027-230-030 Owner Name: FERNANDES, RAYMOND & SAMANTHA Phone: (530) 370-9200 Description: ADDITION (816) Signature of Property Owner: rV Date: 12/01/2006 FILE BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District 'o n A.P. Number Property Owner Jurisdiction: City Building Department No. County IT� 7'Z Property Location/Add v /.Sr �YD�/' �'e ress a"0 Subdivision Lot No. Residential Development Q QF ....................................................................................... �XlQ i Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group. R) Units Installation Conversion . Permit # .(No foundation inspection) k............................... :***'***"*'**"""**"***"***'*'*""**" ............. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial 0 Sq. Footage New Addition (including Exterior", Roofed Areas) Building Department Represerit-a �e 0 Date/ District Identification No lu 7 0 0 —School District certifies that F,- ,, ,,, (Applicant) z?Q 0� Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing Qj square feet. School District Representative by payment of $ FB LL M1 "26 $ LL MITIGATION $ Date Paid by Check # Remarks: You may protest the Imposition of the few Idendfled above by submitting a written protest. to the District, In compliance with Government Code Section 66020(a). within 90 days from the date fees are paid. Failure to submit a timely writ ton protest will prohibit you from.challenging the Imposition of the fan In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being r@viawed under the C&Wwnia Environmental Qum fty Act (CEQN. this prolect may be subiect to additional school few to fuRy milkiete Its Impact on the school dW&Ws schools. White (school district), Yellow (building department), Pink (applicant). fteformift (3M5Wm y. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P�O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) I (HAV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRES PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ADDITION (816) Reference Number: B06-2750 Applicant Name: FERNANDES Y OND & SAMANTHA Signature of Property Owner: Date: 12-1-06 D 27 - 230'030 Hornia Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Building Permit #0Z-7SS6 Under authority of Public Resources Code Section 4290 and 4291, Butte County Improvement Standards, and the California Building Code, the following items are required by CDFButte County Fire Department for all development located within Wildland-Urban Interface Fire Areas and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which exceed these standards. Public Resources Code 4290 ARTICLE 1. ADMINISTRATION 1272.00 Maintenance of Defensible Space Measures To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. ARTICLE 2. EMERGENCY ACCESS 1273.00. Intent Road and street networks, whether public or private, unless exempted under Section 1270.02(e), shall provide for safe access for emergency wildland fire equipment and civilian evacuation concurrently, and shall provide unobstructed traffic circulation during a wildfire emergency consistent with Sections 1273.00 through 1273.11. 1273.02 Roadway Surface The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades The grade for all driveways shall not exceed 15% without being paved. Grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. Revised 08/24/06 S A F E IIs im Q U I R E M E N T S 1273.05 Roadway Turnarounds Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1273.07 Roadway Structures (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lar_e conditions, shall reflect the capability of each bridge. (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. All bridges must be certified by a. registered Civil Engineer. 1273.09. Dead -End Roads (a) The maximum length of a dead-end road, including all dead-end roads accessed from the dead-end road, shall not exceed the following cumulative lengths, regardless of the numbers of parcels served: parcels zoned for less than one acre 800 feet parcels zoned for 1 acre to 4.99 acres 1,320 feet parcels zoned for 5 acres to 19.99 acres 2,640 feet parcels zoned for 20 acres or larger 5,280 feet All lengths shall be measured from the edge of the roadway surface'at the intersection that begins the road to the end of the road surface at the intersection that begins the road to the end of the road surface at its farthest point. Where a dead-end road crosses areas of differing zoned parcel sizes, requiring different length limits, the shortest allowable length shall apply. (b) Where parcels are zoned 5 acres or larger, turnarounds shall be provided at a maximum of 1320 foot intervals. (c) Each dead -enc road shall have a turnaround constructed at its terminus. 1273.10 Driveways (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of thz driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of tae building. Revised 03/24/06 2 1273.11 Gate Entrance (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. (c) Where a one-way road with a single traffic lane provides access to a gated entrance; a 40 foot turning radius shall be used. ARTICLE 3. SIGNING AND BUILDING NUMBERING 1274.00. Intent To facilitate locating a fire and to avoid delays in response, all newly constructed or approved roads, street, and buildings shall be designated by names or numbers, posted on signs clearly visible and legible from the roadway. This section shall not restrict the size of letters of numbers appearing on street signs for other purposes. 1274.08. Addresses for Buildings All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09. Size of Letters, Numbers and Symbols for Addresses Size of letters, numbers and symbols for addresses shall be a minimum 3 inch letter height, 3/8 inch stroke, reflectorized, contrasting with the background color of the sign. 1274.10. Installation, Location and Visibility of Addresses (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. ARTICLE 4. EMERGENCY WATER STANDARDS 1275.00. Intent Emergency water for wildfire protection shall be available and accessible in quantities and locations specified in the statute and these regulations, in order to attack a wildfire or defend property from a wildfire. Such emergency water may be provided in a fire agency mobile water tender, or naturally occurring or man made containment structure, as long as the specified quantity is immediately available. Butte County Fire Department currently utilizes mobile water tenders to meet the emergency water for wildfire protection requirement. Revised 08/24/06 3 ARTICLE 5. FUEL MODIFICATION STANDARDS 1276.00 Intent To reduce the intensity of a wildfire by reducing the volume and density of flammable vegetation, the strategic siting of fuel modification and greenbelts shall provide: (1) increased saf-,ty for emergency fire equipment and evacuating civilians; (2) a point of attack or defense from a wildfire. 2 6.01 Setback. for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessori buildings from all property lines and/or the center of the road. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. Same Practical Effect Requirements for buildings less then 30 feet from property line: [ ] If the Building Setback is less then 30 feet from all property lines and/or the center of the road, the following shall be required: ✓ Class A roof ✓ Fully enclosed eaves on entire structure (December 5, 2005, per 2001 California Building Code 704A.2.3, fully enclosed eaves are required on all structures in any fire hazard severity zone within State Responsibility Areas, regardless of setback distance from the property line or center of roadway) ✓ Fire rated metal doors on side toward property line with insufficient setback ✓ Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels Disposal, includir_g chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. 1276.03 Greenbelt Subdivision and other developments, which propose greenbelt as a part of the development plan, shall locate said greenb-.1t strategically, as a separation between wildland fuels and structures. The locations shall be approved by the inspector. Public Resources Code 4291 A person that owns, leases, controls, operates, or maintains a building or structure in, upon, or adjoining any mountainous Erea, forest -covered lands, brush -covered lands, grass -covered lands, or any land that is covered with flammable material, shall at all times do all of the following: Revised 08/24/06 4 (a) Maintain around and adjacent to the building or structure a firebreak made by removing and clearing away, for a distance of not less than 30 feet on each side of the building or structure or to the property line, whichever is nearer, all flammable vegetation or other combustible growth. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to any building or structure. (b) Maintain around and adjacent to the building or structure additional fire protection or firebreak made by removing all brush, flammable vegetation, or combustible growth that is located within 100 feet from the building or structure or to the property line or at a greater distance if required by state law, or local ordinance, rule, or regulation. Grass and other vegetation located more than 30 feet from the building or structure and less than 18 inches in height above the ground may be maintained where necessary to stabilize the soil and prevent erosion. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to a dwelling or structure. (c) Remove that portion of any tree that extends within 10 feet of the outlet of a chimney or stovepipe. (d) Maintain any tree adjacent to or overhanging a building free of dead or dying wood. (e) Maintain the roof of a structure free of leaves, needles, or other dead vegetative growth. (f) Prior to constructing a new building or structure or rebuilding a building or structure damaged by a fire in such an area, the construction or rebuilding of which requires a building permit, the owner shall obtain a certification from the local building official that the dwelling or structure, as proposed to be built, complies with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the certification, upon request, to the insurer providing course of construction insurance coverage for the building or structure. Upon completion of the construction or rebuilding, the owner shall obtain from the local building official, a copy of the final inspection report that demonstrates that the dwelling or structure was constructed in compliance with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the report, upon request, to the property insurance carrier that insures the dwelling or structure. Butte County Improvement Standards Installation of Fire Sprinklers If your property was part of a parcel split after September 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 2001 California Building Code, December 5, 2005 704A.1 Roofing 704A.1.1 General Roofs shall comply with the requirements of Chapter 7A and Chapter 15. Roofs shall have a roofing assembly installed in accordance with its listing and the manufacturer's installation instructions. Rcviscd 08/24/06 704A.1.2 Roof coverings t� Where the roof profile allows a space between the roof and roof decking, the spaces shall be constructed to prevent the intrusion of flames and embers, be fire stopped with approved materials or have one layer of No. 72 ASTM cap sheet installed over the combustible decking. 704A.1.3 Roof valleys When provided, valley flashings shall be not less than 0.016 -inch (0.41 mm) (No. 28 galvanized sheet gage) corrosion -resistant metal installed over a minimum 36 inches (914 mm) wide underlayment consisting of one layer of No. 72 ASTM cap sheet running the full length of the valley. 704A.1.4 Roof gutters Roof gutters shall be provided with the means to prevent the accumulation of leaves and debris in the gutter. 704A.2 Attic Ventilation 704A.2.1 General When required by Chapter 15, roof and attic vents shall resist the intrusion of flame and embers into the attic area of the structure, or shall be protected by corrosion resistant, noncombustible wire mesh with '/4 inch (6mm) openings or its equivalent. 704A.2.2 Eave or cornice vents. Vents shall not be installed in eaves and cornices. EXCEPTION: Eave and cornice vents may be used provided they resist the intrusion of lame and burning embers into the attic area of the structure. 704A.2.3 Eave Protection. Fully enclosed Eaves on entire structure. Eaves and soffits shall meet the requirements of SFM 12-7A-3 or shall be protected by ignition -resistant materials or noncombustible construction on the exposed underside. All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.html LIG 1 1 2000 Date Revised 08/24/06 6 Darren Read Fire Protection Planning BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 66— /5// 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. ZONING OWNERe,,,,,,.4 PHONE NO: OWNER'S ACIDRESS z 5z U)at,,,h e U a rle s' A". Ag Onovdle /7 'A 251're4, a LOCATION OE BUILDING - Fasi e of USE OF BUILDING L � �5e SIZE OF STRUCTURE X�'=1_ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN ROOF COVERT G FLOOR YP e irT- ESTIMATED COST OF CONSTRUCTION $ 2 0 OV -0 AG Buildings shall comply with the minimum front, side, and rear ar sgtback follows: requirements of the applicable County Ordinances as iom V►i�jlt� yy,afi FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building ismade, I � ontact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the i irem is in effect at that time and before occupancy. A / Date (o_Z7- `06 Signature of Owner Permit Fee -$109.98 Receipt No. cA,gh The above described AG Buildin White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant NOTES RESIDENTIAL ERMIT N0. 027 -23U -U30 :P %� FERNHNDES; RAYMOND sz �P +9J ✓ �f V4,6 L151 WAYNE CHARLES RD, PALERMO CONT: OWNER r % i NEW SINGLE FAMILY f . �•i h ' #n. y SPECIAL CONDITIONS CHECKED BY + 'SRA i" FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ,41 SPECIAL INSPECTION ITEMS VERIFY r i p USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4� tbCoX OFFICE COPY Address GAS F; f Meter By Date fl}{ ELECTRIC j Meter By Date JOB FINALED (Date) Signature -�l DEC -29-2005 THU 02:55 PM WESTERN INSULATION FAX NO. 9164f94027 &ci a AftN CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATION CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: P. 01 SITE AppRESg 251 WAYNE CHARLE$ WAY PALMERO CA NUMBER CITY STATE BLOW: MANUFACTURER GREEN FIBER THICKNESS N/A RNALUE N/A BATTS: MANUFACTURER KNAUF THICKNESS 1�3� KNAUF 8.25" 3030 HAD IMRIQI&WA": MANUFACTURER KNAUF THICKNESS 6.6" RNAL.UE 18 KNAUF .. fMR INSULATION: MANUFACTURER KNAUF T1 IMSSS WA R NALUE N/A KNAUF YES XXX NO OTHER: GENERAL CONTRACTOR: MERRELL S ASSOCIATES LICENSB S BY: TITLE i. DATE INSULATION O WESTERN INSULATION LP LICENSE 8 784484 BY- TITLE AUTH. AGENT DATE 7/21/2005 t g rsabe l a t .c u�3 Ho ! TAJU?M MT211 rO& 28 : so u.HT 206S -OS -030 .v 3310A.McKPt103 Vii 03JJATaHl W33E ?,t,}? MOITAMPNII TAUT Y .rrsG3 OT ?.I EIH'I' ,2003 VIOITAf3= 'OUCIA AW,,g0tIUA3 ,?AC,ITAJfJD-71 i fZM3PLI1�;=�Sl�lti:,• 347 HT.'W :TA MTA:30i omlaJ1UEI 3F1"TAl .A(V R0:41JA0 V3 3TAT8 ,bT 5JTIT _ ;T7 AJ - - 0A3M;JA"i YAW ?.3JPAf43 4o AW rac,, 83MICI t : TiM ;TJZ - ......... , .. Y.._- '�';i:3 M"'ErA;rFi �E 'r13J1?•� tVi 3U.IAVtq ;e1V{ GiiJ�ii{�II%"M81i V:i3go ;ir1fSJP. RiMUT3A'iU)!,r mSE 023"N14T . .._.� UAWI A3ilt;T�!',itl.1A14. :�7`1rF+� _ ..rQFi ray "ZS.8 '2J. f AARPIS39M- n; RUAVDi FI•�MUT3AIUOAM RL'AM - TA-JQ?,y PPQNr a1Ll 3U Axpji "mi Zs` FMXOJHT H3sivi:it6'fUi'JaR1 UIQ Xfi( w3Y rwnww.. r.r+n+r.�_.rrw .r.. -- ...�...w.-r�•naw_._wr+www._-�.r�r«...r� r...: r1��7 V .-r - - r._._._w• rr......r.+rwrww..,�^�..rwv+r+_.�.._..+�.+r...._rruw ___._.._...._...___..._,.........,.._�.. �'si2Yt3�IJ_��^:•i'AtOC}Cc-t,B.Ll�5i5�1i�+! �� :iiL�T�f+S'tTi�!I:O.iA�:T�:Ir? STMI _. �' `` it 3Zy1 vl.! ... q,l tiOffA iil2l i a'sR3fiE'�i'iY 14 {0T,' .A W0 NOITAJUEMI ... s'f-Q4 nw 3TAM� w�aA.Fi 1ik tFr �, _ .fir, �,YB • i sPd-.4 Ua n. )* y 4 O 0 = "Noi OK NotReadyab1e DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except Ws 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards -Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test. 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits' 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Ws 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- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s Hing -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Gr .- /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5e"Stemwalls, Main; Steel -Blockouts-Wrapped J@/Hgld Downs and Special Anchors 7 -.-Slab, Steel -Wrapped 40. Attic Access & Platform if Furnace in Attic Date ', Card B-1 1J'v Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s 9S11 ills Proper Materials & Anchors 42fValls Studs -Nailing Spacing & Braces -Plates -Sound 43/.Bearing Walls over Girders & Floor Nailing 44/ Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46- Headers & Beams -Size & Bearing 0/D.W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test 44-4 ,W, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 47. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground �A9(Fireplace 13. Plenums & Ducts; Clearance -Material -Support -Ins. 59r. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 51. 15. Access & Ventilation 16. Insulation p Property Line Firewall & Openings ri,t,G Q.yv V Date /, Date Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Card B-1 Date Card B-1 Card B-1 Date Card -B-1 Date PLUMBING (Permit) OK except #'s 50/ Plywood on Roof Overhang-Aftic Vents -Rafter Outriggers 17. er Htr.; Vent -Access -Combustion Air Baffle idi ailing Veneer 1 . Vyd£er Pipe; Test & Anchor -Nail Protection cco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic 1 D.W.V.; Test Fittings & Anchor -Nail Protection Shear Walls; Nailing -Bolts 26 -Shower Pan; Test, First Floor -Tub Access 61. 21. Tds't Tub & Shower, Second Floor -Tub Access 62. Insulation -Walls -Ceilings Gas Pipe; Sixe & Anchors 63. 23. Fire Sprinkler; Test B-1 Date Card B-1 Date Date >h4 Card B-1 Date Card B-1 FINAL ns) 6K except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except #'s urnace Vent earance-Comb, Air -Connector - In ge; bove FI Ducts-Mech. Protection 24' -Fixture & Transformer Clearance -Ins. Protection edr Exi ' 25 ec. Receptacles Spacing -Lights & Switches at Doors I. at es & Accgss-Spa 26 ize Boxes & No. of Conductors Stapled ec. Tri ubpmtT, Breaker Sizes & Labels 27,omex Installed Close to Edge of Studs & C.J. S�a' or Stove, Clearance -Hearth 28- Equip. Ground made up w/Mech Fasteners -Bond Gas & Water vvood Panel,xt. 29 Appliance Circuits in KitcheR & Conductor Size GFI GrQ, a . Subfeed Wire Size/ I /ga. u AI-A.C. Wire Size/ /ga Cu or Al ec. Outlets eceptacles at Kit. Counter 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No Gara a Door; Swi - a -CI 32. Service -Riser Conductors & Ground Main Disconnect .C. PW in Garage -Damper 33. Equip. Clearances Panels-Motors-Mech. Equip. r. Htr.; Vents -Clearance -Comb. Air Connector- . . . in Garage; Above Floor-Mech. Protection es Closet Light -Shower Light -Spa Light Ib_.FJec. & Mech. Equip. Listed for Location 3r5 moke Detector lec�. ptacles in Garage (FF.I.)-Romex Protection 80 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except #'s 82. X.C. Ducts Insulation & Support 37'.' Vent Fan, Exhaust above insulation _ 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date ', Card B-1 1J'v Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s 9S11 ills Proper Materials & Anchors 42fValls Studs -Nailing Spacing & Braces -Plates -Sound 43/.Bearing Walls over Girders & Floor Nailing 44/ Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46- Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 4W Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. �A9(Fireplace Ties or Type A Flue -Fireplace Throat Clearance 59r. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. §firm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel Q.lj p Property Line Firewall & Openings ri,t,G Q.yv V '54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits '35-"$tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 50/ Plywood on Roof Overhang-Aftic Vents -Rafter Outriggers idi ailing Veneer Y. cco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic 'J ( . Shear Walls; Nailing -Bolts 61. Brace Interior/Exterio al)'"Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Wind s Date '-U//41/-Card B-1 Date Card B-1 Date Date >h4 Card B-1 Date Card B-1 FINAL ns) 6K except #'s xt. s -Door & Sidelight Protection -Landings m Detector urnace Vent earance-Comb, Air -Connector - In ge; bove FI Ducts-Mech. Protection 6 edr Exi ' 6 I. at es & Accgss-Spa 6 . ec. Tri ubpmtT, Breaker Sizes & Labels 7 . QP�Fireplace S�a' or Stove, Clearance -Hearth vvood Panel,xt. 73. Kit. Appliance; Ground -Air -Gap oking Clearance 7 ec. Outlets eceptacles at Kit. Counter 75. Gara a Door; Swi - a -CI 7 .C. PW in Garage -Damper 7 r. Htr.; Vents -Clearance -Comb. Air Connector- . . . in Garage; Above Floor-Mech. Protection Ib_.FJec. & Mech. Equip. Listed for Location 7 lec�. ptacles in Garage (FF.I.)-Romex Protection 80 sulation-Foam-Looked in Attic 81. arAj3ails & Deck Construction -Post Caps 82. F6n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under r m.Yes- _ 83. FollpvVing Instld./Drive es 0 No/Walks 0 Yes 6/Planters 0 Yes 07<o tucco Brown -Finish 8 UnirDisconnect, Electrical -Plumbing 8 ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 81�V e11, Disconnect, Electrical, Plumbing iiZ�xterior Elec. Trim, G.F.I. Receptacle -Underground 85�.entilation Throughout House 90. JZ6_66� 91. C rrect ns from Previous Inspections / 9 93. a st-Meters Tagged, Gas -Electric Wate wer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ess Posted Dat f?_Ag_Q 455ard B-1 V,0 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP043588 OFFICE M (530) 538-7541 B. C. Buildinq Permit 01-16-04 pq 1 91 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 03/01/2005 APN: 027-230-030-000 effect. License Class : License Number: Site Address: 251 WAYNE CHARLES RD PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(800)GAR(3040)COV(280) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: FERNANDES, RAYMOND to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 7413 LEONARD AVE. the Contractor's State License Law (Chapter 9 commencing with Section CITRUS HEIGHTS CA 7000) of Division 3 of the Business and Professions Code) or that he or 95610 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) 370-9200 applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: FERNANDES, RAYMOND ' owner of property who builds or Improves thereon, and who does t such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of properly who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I am Exempt under Article 3 he B sin ss nd Pr essions Code Date:3—(5 Owner: License #: WORKERS'COMPEMSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 4120 S.F. Policy tt: Valuation: $129,440.00 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: 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 CiC ✓ 1.4 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. • CONSTRUCTION LENDING AGENCY This permit Is hereby Issued under a applicable provisions of the Butte unty Code and/or I hereby affirm that there is a construction lending agency for the Re lution do work Indicated bo a for vyhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /� cc BY Date:_Z, Name: PERMIT EXPIRES ON: Address: Date ❑ 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 8 Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized a of th 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 ny offic' or or cument Butte County. I hereby lives of Butte C un to enter upon th above mentioned property for inspection purpos authorize repres;r6aUWCgJ Priht Name:/ Signature: Date: wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Buildinq Permit 01-16-04 pq 1 91 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Districty�—ry " `t �V Building Department No. / A.P. Number (07 ' 30—e90jurisdiction: City�CO ty Property Owner Property LocationlAddress AO Subdivision Lot No. ...:...........................................................:........... » ......................... Residential Development 0 Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection) :..............................................._.........»..................................._..., Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. 05112 R O Oro'jx)� u n h I h Schoolbistrict certifies that Ray { r r\C= '\ d'i `L I (Applicant) C2 -S 1 r 3 7 () (Street Address) (Phone Number) t ��v�mu Cid (City) (State) (Zip Code) �1 has complied with the requirements of Resolution No. D S R by payment of $ representing �u square feet. 2926 i FULL MMGAT10N : School DDate Paid by Check # Remarks: Nodes: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), wMdn 90 days from the date hes are paid. Failure to submk a timely written protest wlll'prohibit you from dulkwWrig the imposition of the fees in any court action. K, subsequent to the School Distrh:t Representative signing this Butte County Schools Impact Fee Certiflcetkm Form, the School D1sMc2 is. . -8111sd by the applicable Local Planning Agency that -thio project Is being reviewed undsrthe California Environmental Quality Act (qUQ this projsd may be subject to additional school fess to fully mMtgatss.ks Impact on the school distrldlt schools. White (applicant), Yellow (building department), Pink (school district) feeform.xle 00/03)dhnm + AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 10Kb 1 3 Recorded I Official Records 1 REC FEE 10,00 COPIES County Of j 2.50 BUTTE j CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSDN I Assistant I Myles 03:26PM 01 -Mar -2005 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date Y/0 f 1 -5q1m awAC4 l�-5 State of California ) County of On ��/a S" before me, ''c'1w•t?.�� w��G4G2y personally appeared F�,,;2 jJAf i,../c s A oocl 5 ,-AAA Tt4 A �� q,y` � y personally. known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. n n A A n w KARYJ. BiDV1EU. rE '.•.F Seal: Signature / - �'�' •�^- ` C� =-1097 <\' "i- i-'- '0Commson fi133 i`.otanfputi;iic Cali,or"da U1 IV A.P. # �l -- Description The land referred to herein is situated in the State of California, County of Butte, and is descri follows: bed as PARCEL I: THE SOUTH HALF OF THE. NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. APN 027-230-030-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WESTERLY 60 - FEET, LYING SOUTHERLY OF COX LANE OF THE EAST HALF OF THE SOUTHWEST QUARTER OF SECTION 27, ALL IN TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. 0 00 BUTTE COUNTY e�(,� DEPARTMENT OF DEVELOPMENT SERVICES )17 ` BUILDING PERMIT APPLICATION g•�` AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.neUdds **PLEASE PRINT CLEARLY** OWNER Last Name first Name Address W ��hQ City t -14,s ` Ita164" Zip�5(-10 Phon S30),3?D Fax E-mail— AP A- NJ SIGNATURE X For o I e use only: CONTRACTOR Name 1. Address Address W/3 City No State Zip Phone Z1�5��O Fax E-mail Fax Lic. # Class AP A- NJ SIGNATURE X For o I e use only: ARCHITECT/ENGINEER Name 1. Address Address W/3 C."ty No State Zip Phone Z1�5��O Fax E-mail Fax State License Number AP A- NJ SIGNATURE X For o I e use only: APPLICANT NAME Name 1. Property Address Address W/3 GtQ No Citye(.rUS / /_( State (/n Z1�5��O Phon s 30 Q -� Zpa Fax E-mail Date Approved: If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. AP A- NJ SIGNATURE X For o I e use only: Zoning API 027 Flood Zone Property Address SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. I BIN #„'I � I Description or Scope of Work: " Si -x /c e Sq. Footage Wo LSSA ❑ Structure Built with) ut Permit ' ❑ 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: f f/-/' Bldg SRA Receipt #: Sheriff e� $�Z SMIP Other Date: K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 LOCATION API 027 230 O 30 Property Address Cross Street 0 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: " Si -x /c e Sq. Footage Wo LSSA ❑ Structure Built with) ut Permit ' ❑ 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: f f/-/' Bldg SRA Receipt #: Sheriff e� $�Z SMIP Other Date: K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑. 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 i� Applicant: Fernandes, Raymond Permit 04-3588 Project Type: NSF/Gar/Cov APN: 027-230-030- 100% 70% Plan Check Fees $ 1,1.88.74 $ 832.12 $ 1,188.74. $ 832.12 WILLDAN Fee $ 832.12 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate a Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other I. Butte County Department of Development Services %3 , 0 1 0 YVONNE CHRISTOPHER, DIRECTOR o o M rV 0 0 7 County Center Drive o Vis. - o o oC�U Oroville, CA 95965 (530) 538-7601 Telephone Nay (530) 538.7785 Facsimile c TO: WILLDAN FROM: Scott Rutherford (530) 538-7160 Azt T�' srutherfordoa buttecounty.net - SUBJECT: Plans Transmittal For Review Per Contract O DATE: 12/22/2004 Applicant: Fernandes, Raymond Permit 04-3588 Project Type: NSF/Gar/Cov APN: 027-230-030- 100% 70% Plan Check Fees $ 1,1.88.74 $ 832.12 $ 1,188.74. $ 832.12 WILLDAN Fee $ 832.12 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate a Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other I. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER P4m;1t posed Building Use: �� Counter Technician: Date: s 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. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico E Foville, 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............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by rM (',o1j Cl 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 .............................. _�/ 11-S 22. City of Chico Plumbing permit........................................................................ 23. California Department of Fore try plan approval 4aid. Sent by. - 24. y:24. Planning approval (A) Use: 4' -V --(B) Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. �V 27. Encroachment Permit for driveway from the Public Works Dept ........................... O 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... IP - 31. Owner Builder Verification ( en to owner, _Mailed to owner) ...................:" ❑ 3 Letter of Signature authorization......................................:.............................. f 33. ecorded copy of Agricultural Acknowledgment Statement ............................. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... El 36. Deed Restriction............................................................... t......................... ❑ 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 o and hold for pickup. I have been !nfor ed of •he o e°its and requirements for obtaining a building permit. C� r Applicant: Date: % 2 " 2i d f 1. Index permit a;o ication for thifabove items numbered: Plan Check Letter t, 2. Additional items re Contractor, designe w as advised of the above data by V phone, ❑ mail, ❑ counter, b Date: 165, 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: Date: Note transfer by: Date: - Yellow: Building Division Z.H., U -SE V NL Y Piot Pian Attnchod v. Hoar Pian Attached Sant to ®.D. , TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance OWE 7--P-16o -oS o Owner Location Plan Approved for: Sewage Disposal ✓ Water Su ply: Public _ Clearance for -**dwelling. Other .�iE10 AJ T AP# Private Well Hold final for: Final clearance O.K. for: NOTE: / 5 04 Environmental Healtl�Sbecialis Date . 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER _6_?(lel a / des PROPROSED BUILDING USE�'� 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES Q� (paid at School District Office) (form available after Plan Check) lA 3. SHERIFF FEES (paid at Building Division) Residential............ X 60. Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg A.P. # (XZ )."2J0'�(,,� DATE Xo� " —q 64 RECEIPT # DATE REC. 1(7 s5vb 2 -F0 5- F—R—PP—M y2sSo6 3-1-o5- 4. "-1-oS 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLCHECK FEE -(paid at Building Division)20 /, Cl &*" 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Gune R units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. mt. �f /� 10. OTHER ( ,. q 2S -s -UG At time of permit application, I was a the above fees are required to be paid prior to issuance of the permit. These fees may be changed dur* the pJ#n,.eVC&dngj5rocess. APPLICANT DATE Pursuant to GovemmenT Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) `��k,�� E�RTM `BdU�IrLDE�R�V�E� � I�CATIOL&' 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 N/h 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. 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. It Mic el C. Vieirl, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 10 0e�gTn''En/T oo 0T 6TF I I /// O° 0 < 0 C ,ocOUNV, s CIC WO�� Department .0 o u n t J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA" 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement fLESS THAN 9 ACRE Project Description: _&IZE RPHLAI-( aK 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 fora 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: 1�4 )�2 Title: 0 Lk) N er Date: Y Less than t Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Serving WI LLDA�N Public February 2, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1305 Jurisdiction Job No: 04-3588 Assessor's Parcel No: 027-230-030 Description: Fernandes 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: �k Plans: Two (2) copies sheets 1 through 6 dated 10-24-04, by Raymond Fernandes. One (1) copy sheets S-1 and S-2 by Caiman Engineering Inc. # Structural Calculations: Two (2) copies dated 11-03-04, by Caman Engineering Inc. -Roger Blair P.E. * Energy Calculations: Two (2) copies dated 11-16-04 by Paul K. Linville. # Truss Calculations: Two (2) copies dated 11-11-04, by MiTek Industries, Inc. -James Bourez P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. 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. i WILLDAN , Serving Agencies 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 200.1 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. Type of Type of V Floor 2" Floor Sprinklers p Stories Total Sq Ft Occu anc Construction S Ft Sq Ft R-3 V -N No 1 800 NA 800 U-1 V -N No 1 3040 NA 3040 R-3 (Covered V -N No 1 280 NA 280 Porch 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. A second set of wet stamped and signed sheets S-1 and S-2 from Caiman Engineering will be submitted and attached to the set of plans that is currently lacking those plan sheets. 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. Sincerely, Isaac Kuster Gordon Wright, P.E. Plans Examiner Plan Check Engineer Ce: Alice Mefford, E-mail: amefford@buttecounty.net Raymond Fernandes, 7413 Leonard Ave., Citrus Heights, CA 95610 i Paae 2 of County of Butte Perini.t .N`uuibe:r 04-3588 Willdan P.roiect Number 14353-1305 l t 10 Ip '.:AND rHHEN RECORDED MAIL TO: • BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ia10 Recorded Official Records I REC FEE 10.00 1 COPIES 2.50 County TE Of I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Myles 03:26PM 01 -Mar -2005 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SL A -L4- Ali ee5?,` be.c5 A C_ Date State of California ) County of Dug ) On ��f /�� before me, 1�,A-e0-`( J-. �/' ,007-14-r2.y personally appeared A`I KON d ��t�1��%es /arc/ S;�MArrrP►�1 fq42n)Aa1 ,,k9 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my han9nd official seal. KARYJ. BIDWELL Signature Seal: 6� Commission #1381097 n 0- Notary Public - California Butte County AMY Comm. Exp. NOV. 08, 2006% A.P. # �S R, Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: THE SOUTH HALF OF THE. NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. APN 027-230-030-000 PARCEL IL A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WESTERLY 60 - FEET, LYING SOUTHERLY OF COX LANE OF THE EAST HALF OF THE SOUTHWEST QUARTER OF SECTION 27, ALL IN TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. 'fr SITE PLAN REVIEW APPLICATION Date: 0 Z 7 - Z 50 - .LQ,?d AP# 2S Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: �� 0eqD Owners Address: Telephone No.: Situs Address Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary- Travel- Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site lan Sta fed Approved By Date. Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: )C • Flood Panel No.: °1.j Index Date: - S ' (Ct,g9 ❑ 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 E]Administrative Permit F1Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ' ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: lA Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front t Side v Side Street Rear 10 1 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2of5 'r J Applicable Development Fees: - Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By IN Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for. Deed Creation:❑ No ❑ Yes Comments: It Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust 'emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. u Page 4of5 0 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. 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