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027-250-038
BUTTE COUNTY r 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 t WEBSITE: www.buttecounty.net\dds 4 LICENSED -CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 7/6/2007 Contractor's Signature Date WORKERS' COMPENSATION'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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hun re dollars ($100) ❑ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Balance Due: $0.00 Receipt No: B2161 OWNER / BUILDER DECLARATION " 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; PI;one of the following: 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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). , ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Owner's Sdnate 7/6/2007 Date X 7/6/2007 ... I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with ' HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that 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 CONSTRUCTION LENDING AGENCY property, own r or m authorize to act one property owner's behalf. ►r 7/6/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for f e Itte SI Print Date the performance of the work for which this permit is issued. (3097 civ. code) r Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor r , Lender's Address . City State Zip r FILE COPY PROJECT INFORMATION - ' Site Address: 2926 CRAIG AVE Owner: I • Permit No: B07-0492 APN: 027-250-038 LONG, VIRGIL D & LORETTA Issued Date: 7/6/2007 - . By GLB Permit type: MISCELLANEOUS 120 LOMA VISTA DR Subtype: Ag Exempt OROVILLE, CA 95966 Expiration Date: 7/5/2008 Description: **AG BUILDING 30X60 (530) 532-1573 Occupancy: Zoning: Contractor Applicant: Square Footage: LONG, VIRGIL D & LORETT, Building Garage Remdl/Addn 120 LOMA VISTA DR OROVILLE, CA 95966 Other Porch/Patio Total (530)532-1573 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 i , LICENSED -CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 7/6/2007 Contractor's Signature Date WORKERS' COMPENSATION'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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hun re dollars ($100) ❑ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Balance Due: $0.00 Receipt No: B2161 OWNER / BUILDER DECLARATION " 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; PI;one of the following: 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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). , ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Owner's Sdnate 7/6/2007 Date X 7/6/2007 ... I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with ' HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that 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 CONSTRUCTION LENDING AGENCY property, own r or m authorize to act one property owner's behalf. ►r 7/6/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for f e Itte SI Print Date the performance of the work for which this permit is issued. (3097 civ. code) r Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor r , Lender's Address . City State Zip r FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initialsi-e AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 2926 CRAIG AVE Permit No: B07-0492 APN: 027-250-038 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: Description: AG BUILDING 30X60 Required Setbacks: Applicant: LONG, VIRGIL D & LORETTA Front: 20' Side: 20' Rear: 20' 120 LOMA VISTA DR Type of Construction: OROVILLECA95966 (530) 532-1573 Type of Siding: Metal Owner: LONG, VIRGIL D & LORETTA Est. Const. Cost: $ 17,000.00 120 LOMA VISTA DR Roof Covering: Metal OROVILLE, CA 95966 (530) 532-1573 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in' use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: Date: 3/14/2007 FILE COPY %)T BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 'PERMIT APPLICATION BU11-DING C-1 OFFICE 4: ".;4-7511 FAX 9: ( 30) 538-2140 6� A FEE Fill.(,0 A TTT.`i-. -.0FAI"T.UCATION -)vw.but1,eeavy--'y.Pet/dds 13 **PL'.f-',ASE PRINT C_LEARLV** OWIVER INFORMATION Last NameFirst Name�_* n!n� - I _V_ Mailing Address 2q 1 (0 2.16 C I C, ck Ftv C— City orvvlfke_ tale CA "P 9",66 P . hone 53o -s73 . 2-1'673 Fax E-mail CONTRACTOR Name Address. City State Zip Phone Fax E-mail— .Lic. # Class APP.:.ZA y r siGNA X Ir PERMIT NO. p C)Lt BIN H PR0J_r-'CTLQCAT1Q,N API 0 Z-?_ 2. - .f -o - Property Address 2,n36 CV-�,�, e_ City 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: ARCHITECT/ENGINEER Name City Address TZip '95771. City Fax.. State Zip Phone Open Cov Fax E-mail (Note previous use): State License Number APP.:.ZA y r siGNA X Ir PERMIT NO. p C)Lt BIN H PR0J_r-'CTLQCAT1Q,N API 0 Z-?_ 2. - .f -o - Property Address 2,n36 CV-�,�, e_ City 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: ',lame V /Oil kW Address 021 it. cr..!z Allod City State CA TZip '95771. Phone 15 7-3 Fax.. E-mail APP.:.ZA y r siGNA X Ir PERMIT NO. p C)Lt BIN H PR0J_r-'CTLQCAT1Q,N API 0 Z-?_ 2. - .f -o - Property Address 2,n36 CV-�,�, e_ City 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: L Sq FT- Living Garage Open Cov D. Structure Bi;':It wid,otr� F!-:--.--:1 0 Proposed Change of Ora Lpar:,, (Note previous use): For office use Wiiy_: Zoning Flood. �;-Ype C.. Ccc. I BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0492 Job Address: 2926 CRAIG AVE Contractor: Printed: 03/14/2007 12:26 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBOMSCF Ag Exemption Permit 0010-440001-4210500-1010 $109.98 03/14/2007 $109.98 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 03/14/2007 $75.70 Printed By: Gwyn Benedict 185.68 $185.68 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 03/14/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of 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 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-0492 Date: 03/14/2007 Location: 2926 CRAIG AVE By: GLB Parcel Number: 027-250-038 Sub Type: Az Exempt Owner Name: LONG, VIRGIL D & LORETTA Phone: (530) 532-1573 Description: AG BUILDING 30X60 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: �wAt- r� FILE Date: 03/14/2007 Butte County Department of Development Services • �V j TF• TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR • • 7 County Center Drive • • Oroville, CA 75965 (530) 538-7601 Telephone ACO ��• (530) 538-7785 Fax U www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0492 Date: 03/14/2007 Location: 2926 CRAIG AVE By: GLB Parcel Number: 027-250-038 Sub Type: At! Exempt Owner Name: LONG, VIRGIL D & LORETTA Phone: (530) 532-1573 Description: AG BUILDING 30X60 The above permit application has the following Clearances req2edfor to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to yoit application. Yes No DRAINAGE DIS ❑ ❑ Thermalito Irrigation District, 410 Grand Aven/K-(53(0) Wille CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 9592 895-4711 ❑ ❑ Chico Area Recreation District, 5457Vallorosa, Chico CA 95926 - (530) 895-4711 ❑❑Durham Park& Recreation Districtidway, Durham CA95938 - (530) 345-1921 Feather River Recreaction &Park 1200 Myers Street, Oroville CA95966 -(530) 533-2011 ❑Paradise Parks & Recreation, 6626,Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 3.0 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 Di rict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 29 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School Dis ict, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementar School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union gh, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unif d School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded py of Agricultural Acknowledgment Statement- See Attached Instructions City of ggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ,- Other: Signature of Property Owner: LDate: 03/14/2007 FILE 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. fly 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://municiDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0492 Date: 03/14/2007 Location: 2926 CRAIG AVE Parcel Number: 027-250-038 Owner Name: LONG, VIRGIL D & LORETTA Phone: (530) 532-1573 Description: AG BUILDING 30X60 Signature of Property Owner: 4�11t&14X'c Date: 03/14/2007 FILE 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 under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P VTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (Y8)OR NO) 2. I O/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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG BUILDING 30X60 Reference Number: B07-0492 Applicant Name: LONG, VIRGIL D & LORETTA Owner's Name: LONG, VIRGIL D & LORETTA AP # : 027-250-038 Signature of Property Owner: Date: ._. � n.wr _. «. ���-,:^- ... .v- YS,,, ti:a...J_ � .•--�=.w�'arrows..,,a,y`.['-�ai"'�F'Yi'da�F '�pf�?-" * Jt COUNTY OF BUTTE.' _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE v OWNER ERMIT NO. A routine inspection indicatesathat 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 explanatioq please contact the Building. Inspector as indicated below Date 'Inspector / `( (CMV 9 REV 4/05 Phone,#_ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 is I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530)'53877541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated bel&w. �X A07- G C_2�j C -A,,*'- W47 . 09r- I IIVSJ /I r4 Date Inspector- C4kL REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 +� NOTES r RESIDENTIAL ---� 04 629 ERMIT-oh ROVILLEPRAIIAVS O I CONT: UNKNOWN NEW SING FAMILY PT ' ; f t r ' . I r SPECIAL CONDITIONS CHECKED BY SRA t _ FLOODCERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - USE PERMIT CONDITIONS, '..' SUB -STANDARD HOUSING LETTER•- QFFICE`:COPY Address -:`f.?' }CR'°Alco A.J( GAS / 'Meter By Date / ELECTRI 6? Meter By e✓` Date yr� 7 'JOB FINALED (Date) F �t'r Signature r ♦ti X r SPECIAL CONDITIONS CHECKED BY SRA t _ FLOODCERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - USE PERMIT CONDITIONS, '..' SUB -STANDARD HOUSING LETTER•- QFFICE`:COPY Address -:`f.?' }CR'°Alco A.J( GAS / 'Meter By Date / ELECTRI 6? Meter By e✓` Date yr� 7 'JOB FINALED (Date) F �t'r Signature r J=OK 0 = Not OK . = Not Readyable 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) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements' 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 CERTIFICATION OF, .INSULATION WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy I L % ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS '01��� ❑ 1301 MELODY ROAD; MARYSVILLE, CA 95901 LIC#202026 ; ❑ 605,S: AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 ����� ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 DATE INSULATION COMPLETED � I k I ( square feet) ( square feet) ( square feet) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM BATTS FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER ANUFACTURER MANUFACTURER CT OCF KN CT OCF KN CT OCF KN BAGS ��-',O' t R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SOUAREFOOT INSTALLED THICKNESS L3 �3o KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS i CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI ,1 HANDY FOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS, ' SIGNATURE- I MIONTRACTOR e TITLE DATE SIGNATURE - GENERAL CONTRACTOR TITLE 1 DAT REMARKS f • 1 i .t' l 1 I WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy I L % BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP043629 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/07/2005 APN: 027-250-038-000 the Business and Professions Code, and my license is in full force and effect License Class : License Number: Site Address: 2926 CRAIG AVE PAL Date: Contractor: Map Index: Description: NSF(2352), GAR (484), COV (168) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code, Any city or county which requires a Owner: LONG, VIRGIL AND LORETTA permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a 120 LOMA VISTA DR. signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA. the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-532-1573 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LONG, VIRGIL AND LORETTA Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does 120 LOMA VISTA DR. such work himself or herself or through his or her own employees, OROVILLE, CA. provided that such Improvements are not Intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-532-1573 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: MIKE CAREY CONSTRUCTION not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 14 IRON HORSE LANE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE CA 95966 Dale: -? -S Owner: (530) 533-2165 LICENSE # 731140 CLASS B WORKERS' COMPENSATION DECLARATIdW I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. Architect: ❑ 1 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: 3004 S.F. Policy #: Valuation: $167,184.00 certify that in the performance of the work for which this permit Is Klissued, Census Code: 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 pro4islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -1 — Dale: Applicant: WARNING: Failure to secure workers' compensation coverage Is and shall subject an employer to criminal penalties and one / ^ �eee � �IIJ( � O f,�l 1, SS' �• unlawful, hundred thousand dollars ($100,000), In addition to the cost of ,,ten compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. O ttD'/y / C� CONSTRUCTION LENDING AGENCY This permit Is hereby Issued and r the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Relullongdo work Indica d a ve for Which fees have been paid. % /� r7-,,),5 performance of the work for which this permit Is Issued (Sec 3097 Civ.) BDale: �- ! ,,),.� y.. Name: / ► - 7 �j - PERMIT EXPIRES ON: �'7 1—V Address: Dere ❑ 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. CI Notification in accordance with Section 19827.5 of California Health & 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 agent of the owner. I agree to comply with It Is to alter the substance of any official form or document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge unlawful authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ' ,,, LC Signature: l• Dale: 0wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor License Detail California Home Page 1 of 2 . License Detail CALIFORNIA CONTRACTORS STATE LICEN. Contractor License # 731140 DISCLAIMER A license status check provides information taken from the CSLB license data base. BeforE on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 04/07/2005 * * * Business Information * * * MIKE CAREY CONST 14 IRON HORSE LANE. OROVILLE, CA 95966 Rev 8/23/2004 Business Phone Number: (530) 533-2165 Entity: Sole Ownership Issue Date: 01/08/1997 Expire Date: 01/31/2007 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * ClassI Description © GENERAL BUILDING CONTRACTOR * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 6302923 in the arr $10,000 with the bonding company _SURETY COMPANY OF THE PACIFIC. Effective Date: 01/01/2004 Contractor's Bonding History_ w i I 6a P) $ 5115. ) (P 4=022ing &.1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ,0`�a AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER Last NameFirst } c n Name c^.. City � P.— C` "'NoO or-. City .1 \ State Gs _711W9 (06 Fax a Lic. # Class State License Number Phone .L _ I Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name } c n Address c^.. City t_ State Zip Phone Map Book Fax E-mail Fax a Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER a Flood Zone Address c^.. city G ro v i t_ City v 111 Stat :c Map Book Phone 'S r I s G Fax a E-mail E-mail State License Number /nclt APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address Z.G c^.. city G ro v i t_ State. Ti 4L Phone _ Map Book Fax I Planner Date Approved: E-mail G L APPLICANT SIGNATURE X For office use only: Zoning Property Address 114 Cf_�, GU Flood Zone I K SRA rYes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BRO V50 LOCATION AN O Z7 - ZSo - O . g Property Address 114 Cf_�, GU City CJ�v�1 Cross Street i C+ It Ir U C=�V SRA 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: phi ('P_ : G Sq. Footage2W2, , 3 s A Czar Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: / 5-5 7 Bldg SRA Receipt # Sheriff 16 72 SMTP Date' Z b_> c� Other i 22 G� 2t✓' —Total � SUBMITTAL REQUIREMENTS - 3, o S 3 -F�� The following drawings and specifications must be submitted to the Buil ng Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPT . ALL PLANS MUST BE r. LEGIBLE FIND IN INK j sidenti , ew, Remodels, Additions, and Accessory Structures: 1.3 Site Plans, signed by the preparer. NO GRAPHPAPER! , 2.✓3 Complete sets of plans, signed by the preparer. NO GRAPH PAPE �' �` 5`' rJ OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 is of stamped and signed � calculations. 3. `/ 2 Engineered truss details and layouts (if required) (NO FAXES!). 4. Letter from Engineer or Architect for truss design review. G� 5.✓ 2 Energy compliance design and supporting documentation. (Note: Not required for addition: Q mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7 etached Accessory Building Form, filled out by the property owner (if required). �.. 1 8. Sanitation and site lana royal fr th E ❑ 9. p pp om a nvuonmental Health Department. �-- Metal Buildings: (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. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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-si ted by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. &UMW If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION AFORMSWILDING FORMS\BIdgApplSubRgmts.doc Page 2 of 2 REV 6-16-04 utte County Department of Development Services JNNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 �U T TF 0 0 0 0 eOU N �y srutherford@buttecounty.net Plans Transmittal For Review Per Contract 1/12/2005 Applicant: Long, Vir it & Loretta Permit No: 04-3629 Project Type: NSF/Gar/Cov APN: I 027-250-038 100% 70% Plan Check Fees $ 1,246.06 $ 872.24 $ 1,246.06 $ 872.24 WILLDAN Fee $ 872.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 N (530) 538.7601 Telephone (530) 538.7785 Facsimile M TO: ' O FROM: 1 1 SUBJECT: O Go DATE: WILLDAN Scott Rutherford (530) 538-7160 �U T TF 0 0 0 0 eOU N �y srutherford@buttecounty.net Plans Transmittal For Review Per Contract 1/12/2005 Applicant: Long, Vir it & Loretta Permit No: 04-3629 Project Type: NSF/Gar/Cov APN: I 027-250-038 100% 70% Plan Check Fees $ 1,246.06 $ 872.24 $ 1,246.06 $ 872.24 WILLDAN Fee $ 872.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION + 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 / // PERMIT APPLICATION DATA SHEET cp OWNER: Z&7V v �� 6i � �7 ASSESSOR PARCEL NUMBER 0 2 7 2 C� 03 T Proposed Building Use: /!5F- Counter Technician: C6_5 Date: /2 g 6 \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ", , I V 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �1 /A) 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. " ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. s 6 /(j 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. yN 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 B r 15, Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, 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 ❑ 19. Soils Report and/or Engineered Foundation required ................................................... ti ❑ Erosion Control Plan Required........................................................................ ........ �p 2 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ i California Department of Fore plan approval ❑ paid. Sent by: ........... S F t • 4 05 ;24.'>,tanning approval (A) Use: (B)Parking: (C) Parcel Check:r`T��CT❑ Contact Land Development about _ Improvements, _ Drainage ......................... \� I(J 26. NPDES Form............................................................................................. Al 27. Encroachment Permit for driveway from'fhe Public Works Dept ........................... ❑ 28. Pre -Inspection for . required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... \ ofSignature authorization......................................:............................. JILetter Reordedcopy of Agricultural Acknowledgment Statement ................................. Manufactured home utility clearance...................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑. 36. Deed Restriction......................................................................................... i0. 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ `%❑ "-38.Other: 39. Other: When issued TelephoneU/FZ6/L 0rz. Lo2�.4/FZ6/L 0rz Lo2z and hold for pickup. 1 have been informed of the above items and requirements or obtaining alilding permit. Applicant: Date: 1. Index permii application'or the abot s numbered: Plan Check Letter 2. Additional items re OC Contractor, designer 'owner as advised of the ab • ve•data by hone, (p"mail, ❑ counter- E Date: Contractor, designer, o ner, was advised of the above data by ❑ phone, mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: ~ -� % Date Structural reviewed by: Date: I If Structural approved by: Date: Note transfer by: Date: 105 - Yellow: Building Division E.H. USE ONLY 'Biot Plan AttacMd Ficus Plan Attactead� Sent to ®.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance rPCIAV 4 -- 2 � —3 3 s Owner Location AP# Plan Approved for: Sewage Disposat—, Water Supply: Pu lic Private Well Clearance for dwelling. Other '7J ��'1� Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 ecialist Date 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 C7 r lO /L6 f L A.P. # PROPROSED BUILDING USE N DATE � ARE2C-EI1PZ ECEIPT # DATE REC. 1. BUILDING PERMIT FEES % �% 'S�. - iI h� --- Balance Due ..................... $ / �' , --- Additional Fees Due........... $ /�-- Revised Plan Checking Fee.... $ V 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Buil tng Division) VOGv Residential............ X $360.00 =$60 Units Commercialft (sq. g.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ ! # Units Amt. Commercial (Sq. Ftg.).... X = $ ! Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) .I 6. THERMALITO DRAINAGE DISTRICT FEES $51010 (paid at Building Division) , (^i 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) I t4, 6190 8. WATER TENDER FEES BATTALION # , $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ 1 Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. LL n 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. , , APPLICANT DATE Pursuant to Government Code Section 66020, you "re reby 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) QeQPSTMzNT /�UT ° TF ° I°' � oorlNZ� okl Department ®f Public Works _o C o u n t y o f B u t t e ° J. Michael Crump, Director LAND DEVELOPMENT DIVISION ° Storm Water Management Program 7 County Center Drive a 5 Oroville, CA 95965 �C1C WO�� (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE Project Description: r Project Location and/or Parcel Number:. G Z _? ;5_0 —03 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit - from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: OG - n ter' Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 ENCROACHMENT PER.1V.i.I.T County of Bidets Departmcn.t of public Works 7 Count Center Drive Orovilic, CA 95965 Phonc (530) 535-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttccounty.nct/publicworks/fonns.htlnl NOTIFY COUNTY 24 WOURS BEFORE WORK IS TO BE DONE Pcnrtil Number -- District Phone (530) 538-7157 Ext. 2016 APPLICATION I / WE, the undersigned, hereby apply to the Cutinty.of Butte for an encroachment permit to do the following work under or over the County roads and lmi shwa s, all in :tccordance_with Couna_ ordinances fatd general laws. (All inrerrnation cxc i si gnuturt roust het ed or Icrtibl printed.) I. Applicant's Name: 1 u. Company Name: 2. Address: 3. Phonc: 4. Asscexur's Parcel Number: S. Location of Work to be Dune - A (�. Applicant's Siffnature 7. Dule: � Z. --L z�2.p ONTRACTOR'S INFORMATION t!. Contractor's Name — x� 9. Address_ IU. Plwne: I I. Fax: 12. Convector's License Number: 13. Certificate of Insurance: YesNo: C110. Contractor's 5ienature: 14a. Uale Signed; Authorised Agent: TYPE OF WORK TO BE DONE IV*)Jlensc Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Drivcway List Typc: IS. Olhur Work - UQ%erihe: 19. Ilam Attached: ❑ Yes O No _ PERMIT GRANTED In compliance with the above request, and ahiect to all term.%, conditions (including those on page 2 of this permit Conn) and special cormditions written helow, ermission is hereby aramed. 2U. Condiuohs —' A. Underiround Service Alen U.S.A. must he notitied two workiisg days priurlu a eeuvation. $00-227•ZtiUO 21. O All work shall confornl to accompanying: Dctai1 ❑ Plans O Spccial Conditions O 22. Oats Issued 23. 1;><pimlion Date: 24. Surety: . 25. Date Paid: 2(.. Amount Paid: 27 aid 1i y: 2K. Itoccipi No.: Mike Crump, Director of Public Works By: — ❑ Completed - OTC ❑ —Completed— Not OK 29. I:innl Inspection Date: 30. Inspected Hy: I fur Cm ary ❑ Additional Comments Attached u,r r,.rym 31. Comments: i .ic. .. 1.— h — 1uw it, any humm:r uuiues t»u1 3.marryjp, they can pe aciaycd up to Ono s%CCK. Page 1 ur 2 LLDA Serving Public WI Agencies N March 10, 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: 14353-1318 Jurisdiction Job No: 04-3629 Assessor's Parcel No: 027-250-038 Applicant: Virgil Long Description: Long NSFD 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 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: • Plans: Two (2) copies (4 sheets) dated 11/12/04 by Cash Colby • Energy Calculations: Two (2) copies dated 11/22/04 by Energy Calculation Services. • Truss Calculations: Two (2) copies dated 12/22/04 by Longfellow Lumber Co., Inc. • Miscellaneous Documents: Two (2) copies CDF Requirements. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any, deferred submittals. APPLICABLE CODES - Unless noted otherwise, all comments are based on, requirements of the ' 2001 California Building - Standards Code found in the California Code of Regulations, Title 24: ` • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS , Type of Occupancy CONDITIONS OF APPROVAL s s 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. 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, , • Sid:, � �+- � ��' ° . - Michael LeBeau Ricardo Guzman, S.E. Plans Examiner Structural Plan Check Engineer CC: Alice Mefford, amefford@buttecounty.net ' Cash Colby, Civil Engineer P.O. Box 915 Oroville, CA 95965 (530) 533-1510 ' Virgil Long, 120 Loma Vista, Oroville, CA 95966 Page 2 oft C.aiantt' of 1Butte1'ertr.�i.t Number 04-36211 i Wi.I:)dan..Pi. 'iect' ua�iber x4353-1.3181�C.'2.1 .. . Type of Construction Sprinklers t Stories 15' Floor Sq Ft Total Sq Ft R-3 V -N No 1 2352 2352 U-1 V -N No 1 484 484 Cov. Porch V -N No 1 168 168 y- , , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District /'�C A.P. Number V.�_t ' —0,;59 Jurisdkiion: I� City Property Owner 1°. Property Location/Address Subdivision Building Department No. ®County 07361aq .. - Lot No. ............. ................ »»............................:...»....»..........................I Residential Development Q Q Sq. Footage �JJ No of Living Mobile Home Addition! 'Supplemental to (Group R) Units Installation Conversion Permit # ........»............... ... s..........»'!No foundation Insp.Z.) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage (Including Exterior Roofed Areas) Date / D'sirict Identification No. 0502-,69 V�Uh Mt School District certifies that V1, r 4—h r, e'� K'9) . (Applicant) Cbv� .5? 2-- /S"73 (Street Address) (Phone Number) V, - 0�4 has complied with the requirements of Resolution No. Asquare feet. /4 5a School District Representative Paid by Check # y / Remarks: (State)//ll (Zip Code) �.— q V by payment of $ ✓ a �O8 ` / ti 2926 $ FULL MITIGATION $ ' d 07v5" Date Node-: You may protest the Imposition of the has Identified above by submitting a written protest to the District. In compliance with Government code Section 66020(a), within 90 days from the date hes aro paid. Failure to submit a timely written protest wlll'prohlbIt you from chNlenping the Imposition of the hes in any court action. N, subsequent to the School District Representative signing this Brdb County Schools Impact Fee Certification Form, the School Distrtet Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQ4 this project may be subject to additional school fees to fully mltlgats.lte impact on the school distrleft schools.. White (applicant), Yellow (building department), Pink (school district) feeform-As (10103)dmm AND WHEN RECORDED MAIL TO: i BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 1_-06:)�Y of Document Recorded 18 -Har -2005 2005-0015350 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT . FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County„Lpde 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 orAiscomfort from normal, necessary farm operations"* All that real property situate in the County of Butte, State of CalifoMia`,-described as follows: Date 3 __ 17 03 PROPERTY OWNERS: Au� '_X '000000v rec`. Lane State -o€ California -- County of <Ij He-, On �-/ 7 65 before me personally ap eared Vti I Qwa � n o_ �, n./ ,(o -C hl* o n � l 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 persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNES and official I. Signatur Seal:Liam", RENAYS01IZA onrtion 014eeJ29 dolry Puic= Caetotero A. P. # O - �% - Ej eutcourdy comm. boftmawfe, L `i Order No. BU -218376-3 MAM fir i A'. Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: , LOT 3 OF BLOCK 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3. OF PALERMO CITRUS TRACT', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889, ON WALL MAP NUMBER 5. TOGETHER WITH THE SOUTHERLY 30 FEET OF CRAIG AVENUE LYING ADJACENT TO AND NORTHERLY OF SAID LOT, SAID CRAIG AVENUE BEING ABANDONED BY INSTRUMENT RECORDED MARCH 8, 1911 INROAD BOOK 1; PAGE 50, BUTTE COUNTY RECORDS. RESERVING THEREFROMA`NON'-EXCLUSIVE-EASEMENT FOR A UTILITY LINE ACROSS THE SOUTHERLY 10 FEET THEREOF. ALSO RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ACROSS THE NORTHERLY 30 FEET THEREOF. APN 027-250-038-000 A NON-EXCLUSIVE EASEMENT FOR UTILITY PURPOSES ACROSS THE FOLLOWING PARCELS: A) THE NORTHERLY 10 FEET OF LOTS 5 THROUGH 8, BLOCK 135 OF THE SUBDMSION DESCRIBED IN PARCEL I. B) THE SOUTHERLY 10 FEET OF LOTS 1, 2 AND 4, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL L C) THE EASTERLY 30 FEET OF LOTS 4 AND 5, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. D) THE WESTERLY 30 FEET OF LOTS 1, 5 AND 6, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. E) THE SOUTHERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. CONTINUED Order No. BU -218376-3 MAM PARCEL ii- - CONTINUED F) THE EASTERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. 4 G) THE WESTERLY 10 FEET AND THE NORTHERLY 20 FEET -OF -LOT 4, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ACROSS THE NORTHERLY 30 FEET OF LOTS 1 AND 2, BLOCK 135, OF THE SUBDIVISION DESCRIBED IN., PARCEL I. SITE PLAN REVIEW APPLICATION Date: Pytg,* IS., ?:GoA?y AP# OZ 7- ezo - Oy Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: / n • A Situs Address: C� Aa 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 ravel-TrailerMulti-family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel 1 , i .. I ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well jj Agricultural Buffer Form W Applicable ❑ N/A 'S DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved r '' ❑ Resolve Problems Prior to Approval W Site PIA Stamped/4pproved 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: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=---------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_A, ',5- (L1)2) 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 70 i Side 1 Side Street Rear 30 Height Waterway N/A N/A N/A _T ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2of5 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. 4 Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes . Comments: �i��°�G /���t?f✓Gt,F to l�lnl�GGs� ❑ 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 Man: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 0 0 0 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. CALarrys\Building Permit Site Plan Reviewl.doe Page 5 of 5 SITEPLAN ........... ............ ....................... ......... ...... .. 7 7 7 ...... 7 ................... ......................................... .....;......:...........:..:...;.....:.....;......:......:.....:......;.......... ... .. .. ....................... .. ....................... .:.. :. ,. .. .. .. ............. .. �.: .. ... .. ....................... .. .. ...... .. .. .. ... ................. .. _... .. .. ... ._ .................. ......................... ... .. .. ... .. ..�.. .. .. .. ........... ............. .. .. .. .. .. ... .. .. .. . .. ... ........... .. ... .................... :.....;......:......:.....;......:......:... ........ .. .. .. .. .. ... .. .. .. .. . ... q:. .. .. .. .. .. .. ... .. .. .. .. ... .. .. ............. ...... ....... ...... ...... ..... .............. ................... ...... ................... ........ .............. ..... ...... ................. . ............. ... .. .. ... .: .. ... i.... .. ............. .. ............... :..;....:...:. .:....:....:.. .. r' V V c� �Z s. ..... .. ... •4 "......:.: .. .. .. .. .. .. .. .. .. .. .. .......... .. .. 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G �.: Zs .. .. s .. .. ...... .......... .... ... .... .. .. ........ ,. ,..:. ;............................ .... ... ......... .............. ............. .. .. ....................... .. ........................................ .. .. .. ..,-� �q .. ............ .. .. .. ............ .. .. ............ .. .. ��4�' .. .. .. ... .. ... .. .. t :.. ............ :......:. : ...:.. ..... ..: ................................ ... :. .:.. ...:....:.. .. ..:. .:.. ..:.. ..:. �...:..................... .. .. ... .. .. .. .. .. c':_i' Q�..: j. _ ..:^_ . •- .T ....................... .........................._.............:.... .. .. .. .. ... .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. ... ... ..... .......... ..... .. ... .. _ ... ............. Assessors Panel Number Owner Name r- A Z), - Address / Phone No. R-'04 Site Location Contact Name aaa-aoo-aaa Scale: its 100 J Lor e"t-N-0. 1'-0 53 "T -7 I vi (1r v , \ \ L , CA . or Phone X30 53Z -is 13 002161firAmn FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00'' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: