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HomeMy WebLinkAbout027-250-039BUTTE 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: 2968 CRAIG AVE Owner: Permit NO: B07-0441 APN: 027-250-039 BOUCHER, JAYME A & SHERE Issued Date: 06/06/2007 By AAM Permit type: MISCELLANEOUS 39 FLYING CLOUD DR Subtype: Ag Exempt OROVILLE, CA 95965 Expiration Date: 06/05/2008 Description: AG EXEMPT BLDG- TRACTOR AN (530) 534-0401 Occupancy: Zoning: Contractor Applicant: Square Footage: BOUCHER, JAYME A & SHEI Building Garage Remdl/Addn 39 FLYING CLOUD DR OROVILLE, CA 95965 Other Porch/Patio Total (530)534-0401 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 Total Charged: $185.68 Fees Paid: $185.68 Balance Due: $0.00 Receipt No: B2084 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 Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 06/06/2007 penalty [$500); Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE Z 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: I HAVE the work himself or herself or through his or her own employees, provided that such improvements 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. My Workers' Compansation insurance carrier and policy number are; The Contractors 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 Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is or one hundred dollars($100) or less. F] IAM EXEMPT under Section B. 8 P.C. for this reason: L17)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 — 06/06/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those OwnigJbigilfature Date provisions. X 06/06/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignatwW Date WARNING: FA LURE 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, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that 1 am the propA�owner m au or to act o the property owners behalf. 06/06/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Napj oyPermittee [SiGm Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR.Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials 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: 2968 CRAIG AVE Permit No: B07-0441 APN: 027-250-039 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: Description: AG EXEMPT BLDG- TRACTOR AND IMPI Required Setbacks: Applicant: BOUCHER, JAYME A & SHEREEN T Front: 20' Side: 20' Rear: 20' 39 FLYING CLOUD DR Type of Construction: OROVILLECA95965 (530) 534-0401 Type of Siding: Metal Owner: BOUCHER, JAYME A & SHEREEN T Est. Const. Cost: $ 16,000.00 39 FLYING CLOUD DR Roof Covering: Steel OROVILLE, CA 95965 (530) 534-0401 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: -<' J6,,u&L-,4 � Date: 03/07/2007 FILE COPY 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. fry 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 ' *pptira ionas n e year a er a e tieatiau� 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://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0441 Date: 03/07/2007 Location: 2968 CRAIG AVE Parcel Number: 027-250-039 Owner Name: BOUCHER, JAYME A & SHEREEN T Phone: (530) 534-0401 Description: AG EXEMPT BLDG- TRACTOR AND IMPLEMENTS Signature of Property Owner: Date: 03/07/2007 FILE Butte County Department of Development Services TTM 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 PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT(WOR NO) 2. I(HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG EXEMPT BLDG- TRACTOR AND IMPLEMENTS Reference Number: B07-0441 Applicant Name: BOUCHER, JAYME A & SHEREEN T Owner's Name: BOUCHER, JYME A & S RE T AP # : 027-250-039^ Signature of Property Owner: Date: 3� %' 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: B07-0441 Date: 03/07/2007 Location: 2968 CRAIG AVE By: KEJ Parcel Number: 027-250-039 Sub Type: Ae Exempt Owner Name: BOUCHER, JAYME A & SHEREEN T Phone: (530) 534-0401 Description: AG EXEMPT BLDG- TRACTOR AND IlVIPLEMENTS 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: mu'l?er FILE Date: 03/07/2007 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name . F st Name City State Mailing Address Phone r� E-mail City ,I State ca Zips Phon Fax S •. 3 o I State License Number E -mai T&WJ e. t;0( 9C 66W -net CONTRACTOR Name r Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE X PROJECT LOCATION AP# - a5*0- ON Property Address city © v, Ile CD qnL(, PERMIT NO. a')• BIN # 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 ,SriC) t3 Address City State Zip Phone Fax E-mail Open Cov State License Number APPLICANT SIGNATURE X PROJECT LOCATION AP# - a5*0- ON Property Address city © v, Ile CD qnL(, PERMIT NO. a')• BIN # 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: APPLICANT INFORMATION Name la ,SriC) t3 a Address Cmta Ave City State Zip Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): UU Sq 6 G Phon Fax yo E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# - a5*0- ON Property Address city © v, Ile CD qnL(, PERMIT NO. a')• BIN # 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: W -A 1, o m ,SriC) t3 a Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): UU For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. COIINTlf vTr Butte Coun De artmentD o Fo ty p o eve opmen ervaces. 14AR 0 7 2007 0 0 Building Division -�NT -- .�..,- o 7 County Center Drive SNCL O = O .. c�UN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION Check those fees which you wish to have considered for refund: Building Permit Fees OSheriff Fees Other (specify): SRA Fees (CDF Fire Planning) Plans for cancelled permits will be disposed of within 10 working days upon s Request for Refund. If you want the plans, you may ick them up prior toZIP at ti Sign t r Date K:/Forms/Refund Application 082203 10 0 0 0 �o 6j4j&,:::C,8-7q,, 8� nil TTEOUNTY Dc_ DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION o AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 536-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION V N Website: www.buttecounty.neUdds "PLEASE PRINT CLEARLY* * APPLICANT NAME OWNER Last Name City i ame ?- r City e Address ` e Cir. City Book St Zi Planner Lic. # Class Phon 40 Fax E-mail APPLICANT NAME CONTRACTOR Name �� f City Address Tip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Tip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Tip Phone Fax E-mail C AFI�LICANT SIGNATURE Fo ffi use only: Zoning 16115 1 Flood Zone Cross Street �/ •— SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN O , LOCATION AN ©d sd SQ O� Property Address /- City r //e Cross Street �/ •— WORKER'S MPENSAT N Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: XF*� OVER FOR SUB ITTAL REQUIREMEN I5 I` K:\FORMS\BUILDING F RMS\BldgApplSubRgmts.doc Page 1 of 2 Date -3I I 5'-'l ' q Bldg L SRA Sheriff SMIP Other - tal 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.) I ❑ 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. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's): If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Applicant: JBoucher, Ja me I Permit No: 05-0642 Project Type: Worksho /Gars e APN: 027-250-039 100% 70% Plan Check Fees $ 351.94 $ 246.36 $ 351.94 $ 246.36 WILLDAN Fee $ 246.36 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 Butte County Department of Development Services UTTF YVONNE CHRISTOPHER, DIRECTOR o �,�� �o o / o 7 County Center Drive o _ o 0° Oroville, CA 95965 COU (530) 538.7601 Telephone N'�y (530) 538.7785 Facsimile O TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 LO srutherford aabuttecountv.net SUBJECT: Plans Transmittal For Review Per Contract ® DATE: 3/14/2005 Applicant: JBoucher, Ja me I Permit No: 05-0642 Project Type: Worksho /Gars e APN: 027-250-039 100% 70% Plan Check Fees $ 351.94 $ 246.36 $ 351.94 $ 246.36 WILLDAN Fee $ 246.36 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 pp� OWNER: )vi ASSESSOR PARCEL NUMBER V�IJ • in /1 Proposed Building Use: (jt G Counter Technician: Date:o (� Items required in order to apply for a per it. I box MUST be Pliecked OR marked NA in orde apply. 1. Site plans, 3 or 4 sets, signed b the prep te,,f the planu 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 ❑ Oroville, as applicabl . 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 ........................................... ❑ 2 Erosion Control Plan Required........................................................................ P/ 2f"Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ M. City of Chico Plumbing permit..............................................7Che5:: of California Department of Forestry plan approval �id. Sent b .. -4. -Z _6� 2 Planning approval (A) Use: (B)Parking: (C) Parce• P Zii �' _C � 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:..................... ........ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... El 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑•M.H: Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit a },� ati' the a o e i ems numbered: Plan Che 2. Additional`ite2 F'eq Contractor, desig er, owner, s advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by- Date: Structural approved by: l Date: Note transfer by: mIC Cit Date: 41 a Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHFI)ITTY, OF RF.CF,IPT OF FF,F,S OWNER PROPROSED BUILDING USE Q 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ 1 --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ A.P. #QC__)n . a5v_ v� DATE -:3 ' U RECEIPT # DATE REC. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ t Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES h 510.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK FEE 9d (paid at Building Division) a 7a, . 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. ; Commercial (sq. ftg.) ......... X = $ Sq. Fig. / Amt. ✓ 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 plawcbecking process. APPLICANT rlK © '- DATE i Pursuant to Gove C 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) U Butte C'®.unty 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. S. cerely, /W Mic el C. Vieiri, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 1: ��lnE aUj`Rk�E rIFCTIO'; 7:.£.—�v:."to-:.?.hf..m.11x^.Xi.' U':iQs�ka!•�.h:��iR.�...:'C.pix:. `.ii.SiC':'.'.•Y"'wl(+�..rr .... .Y'. T:Y. a;..l aX.d';>".k';. 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 [ ] NO[ ]. 2. I HAVE [ X] 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: 1 6tji-7-e 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: eiL�P ,-r! 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 0 DATE: _�? -it) - 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 A "� 5 �ClC Wo�k Department .0 o u n t J. Michael Crump, Director 4 ®f Public o f B u t !®rks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Stora Water Pollution Prevention Plan (SWPPP) Acknowledgement fL ESS THAN 1 ACR,�� Project Description: 6rf i 3m),* .O S%cYJ �ara�kq� • Project Location and/or Parcel Number: /M By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: — /[7 0 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program ' Revised 5/24/04 t.. a AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-00 1 38 1 6 Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 CoBunUty Of CANDACE J. GRIIBBS I Recorder I ROSEMARY DICKSON I Assistant I Myles 01:34PM It -Mar -2005 I Page i of 3 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 3 — %% ' 05- PROPERTY OWNERS: same. Pt- , IXYPCb 01QUC, State of California County of & Ile On 4 //, before me, personally appeared le .7fv.�,� �o�•c��r peesewRJiy ^^w^- +-^- W4" proved to me on the basis of satisfactory evidence) o 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. Signature (ir,�SQ' �/ Seal: JAMES O. WEBSTER 1.10 Commaslon #E 1510966 lqp'My ,Not"Public - CaStomlo A.P. #� % "ASO 039 Butts Candy Comm. Expires Sep 2.2008 3 �a «io4"tlF�+ .Jr nnizcirnsarod> � G ►": �;� t c+s�?Ci�tn� • :x?�iu9'ytc�taM `� �D'�'^' r �J:�ct�+2 zf3 mfro') ypr 0 t X31 33A 1 b9b"roo9R � 14AOVM I abroo9A I6i-3i3i0 vfnuUR8voO i 3V ! 2ESUAO A 33AOVlAO ! M9b"t0�9fl t A+02XOIQ YRAM320H r9IYM E tnstaiarA E 10 1 tgs4 i E9FiS-7sM-11 M4E:19 �a «io4"tlF�+ .Jr nnizcirnsarod> � G ►": �;� t c+s�?Ci�tn� • :x?�iu9'ytc�taM `� �D'�'^' r �J:�ct�+2 zf3 mfro') ypr 0 t Order No. BU -218390-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: LOT 4 OF BLOCK 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION N0: 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 AND THE WESTERLY 30 FEET OF HIGHLAND AVENUE LYING EASTERLY OF SAID LOT. SAID LOTS BEING ABANDONED BY INSTRUMENT RECORDED MARCH 8, 1911, IN ROAD BOOK 1, PAGE 50, BUTTE COUNTY RECORDS. RESERVING THEItEFROMA NON-EXCLUSIVE EASEMENT FOR. A UTILITY LINE ACROSS THE SOUTf MY 10 FEET THEREOF. ALSO RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ACROSS THE NORTHERLY AND EASTERLY 30 FEET THEREOF. APN 027-250-039-000 PARCEL II: 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 SUBDIVISION DESCRIBED IN PARCEL I. B) THE SOUTHERLY 10 FEET OF LOTS 1, 2 AND 3, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. C) THE EASTERLY 30 FEET OF LOT 5, BLOCK 135 "OF THE SUBDIVISION DESCRIBED IN PARCEL L D) THE WESTERLY 30 FEET OF LOTS 3, 5 AND 6, BLOCK 134 OF THE SUBDMSION DESCRIBED IN PARCEL I. E) THE SOUTHERLY 10 FEET OF LOT 5, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. Order No. BU -218390-3 MAM PARCEL II: CONTINUED F) THE EASTERLY 10 FEET OF LOT 5, BLOCK I34 OF THE SUBDIVISION DESCRIBED IN PARCEL I. G) THE WESTERLY 10 FEET AND THE NORTHERLY 10 FEET OF LOT 4, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I. H) THE SOUTHERLY 10 FEET OF LOT 3, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL L 1) THE SOUTHERLY 10 FEET OF A PORTION OF LOT 2, BLOCK 134 OF THE SUBDIVISION DESCRIBED IN PARCEL I, THE NORTHERLY,LINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT A POINT ON THE EASTERLY LINE OF SAIDLOT 2, 10 FEET NORTHERLY OF THE SOUTHEASTERLY CORNER, THENCE WESTERLY AND PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 2 TO A POINT WHICH LIES 10 FEET WESTERLY OF THE NORTHERLY E)C=SION OF THE WESTERLY LINE OF LOT 4, BLOCK 134 OF THE SUBDMSION DESCRIBED IN PARCEL I, WHICH POINT IS THE END OF THIS DESCRIPTION. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ACROSS THE NORTHERLY 30 FEET OF LOTS 1, 2 AND 3, BLOCK 135 OF THE SUBDIVISION DESCRIBED IN PARCEL I. SITE PLAN REVIEW APPLICATION Date: pZ��'`��S' AP# Permit Number (if applicable) l ,35?v APPLICAIVT INFORMATION Parcel Size:f [ a evS Owners Name: 1967t C�0 I Owners Address:/ -P. ovz�c& Telephone No.: —0Z-/ 0 Situs Address: Proposed Use: Residential New Single Family Residential Single Family Addition . ❑ Single Family Remodel Mobile Home Residential Accessory c:�`� O _ 0,0"a ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved 6141 9 - 2 ? �� By, Zdj, jA Date Page 1 of 5 3— 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-Yeir Flood Plain: (See attached) • Flood Zone: , - • Flood Panel No.: �(�,00 7GQ9�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: (9P -LT) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front a o , Q' Side S 301 Side Street Rear tJ I O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: "' r Standard Fees Amount Formula ❑ Fire ' ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By IR Deeds: Date of Creation: ,, �? 7J Legal Access Provided: ❑ No Yes Deed of Reference: /SCP d-!3 Legal Access Required ❑ No Yes Parcel Frontage on Publicly Maintained Road: ❑ No M Yes, Road Name: Complies with CounStandards for Deed Creation:❑ No ❑ Yes Commen d2 250-G08' — �noZ�J 017o 2 . ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel C] 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 Map/Parcel Map: Map Date of Recording: Lot: &ooc 13.- Book: Mage: ❑ Use Pennit/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 roa 01 Page 4of5 1A ❑ W 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 C 1i 117 C Street w / W I LLDAN Marysville, California 95901 w Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com May 21, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax; (530) 538-2140 BUTTE COUNTY PLAN REVIEW REPORT Status: Willdan Project No: Jurisdiction Job No: Assessor's Parcel No: Description: Dear Mr. Rutherford: Approved 14353-1492-M 05-0642 027-250-039 Boucher-Workshop/Garage 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 revisions were in response to a previous plan review and comments listed in our letter dated April 14, 2005. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) revised copies each, Sheets 1, 2, 3, dated 3/6/05 and Site Plan Sheet 8, dated 11-25-04 by Barry Rubanoff, and two (2) copies Sheets S1 and S2 dated 4/25/05 by Eric Ausmus, P.E., Ausmus Engineering. * Truss Calculations: Two (2) copies dated 3/8/05 by Endeavor Homes. * Structural Calculations: Two (2) copies dated 4/23/05 by Eric Ausmus, P.E. * Miscellaneous: Two (2) copies EOR's Truss Review for design conformance letter dated 4/25/05 by Eric Ausmus, P.E. 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. WILLDAN E Serving Public Agencies f APPLICABLE CODES , Unless noted "otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulation`s, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and �1.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 and the permit application. > r Specific Use Type of Type of Occupancy Construction Sprinklers Stories Total Sq Ft Private Garage U-1 V -N No , 1 1920 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. SPECIAL INSPECTION NEEDS Our plan review reveals the no special inspection needs pursuant to CBC 1701 at this time. DEFERRED SUBMITTALS Our plan review reveals the no deferred submittals. Sincerely, t '97 Richard Essenwanger Ricardo Guzman, S.E. Plans Examiner II i Structural Engineer Cc:. Alice Mefford; amefford@buttecounty.net - Jayme Boucher, 39 Flying Cloud Drive, Oroville, CA 95965, e-mail: jbouchentid@sbcglobal.net Eric Ausmus, P.E., e-mail: eda@ausmusengineering.com r ' Page 2 oft Butte County 05-0642 Willdan 1.4353-1492TCH n NOTES r RESIDENTIAL • �OS-0642 PERMIT NO. __027-250-039 BOUCHER 106 REFILE, OROVILLE Cont: OWNER i NEW GARAGE/SHOP z SPECIAL CONDITIONS CHECKED BY • ! SRA ± FLOOD CERTIFICATE REQ. i FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/0 -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. 8. Utility Clearance 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp:-Sketch 11. Cert. of Occupancy Date Card B-1 Date' Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. 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-GF.I 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 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.: Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support Date 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 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: NOTES RESIDENTIAL 'PER , O. X027,250:0 i!)$;, . 04-3580 - ' BOUCHER, JAYNF 19-t1.0� ,�e�plGR�v.�d I CONT: OWNER C)i�r WafeA. C ^► �.. ±. NEW SINGLE FAMILY %Ne ph r� Cn� w �; �. q�/_V `Y/ 0 41 T � OFFICE COPY re§s?_%,6n-CA111q A✓e- S�.' ��r l�{a" [Ad er ByDateECTRICDateer By SPECIAL CONDITIONS CHECKED, BY SRA „, •� FLOOD CERTIFICATE REQ. ` FIRE SPRINKLERS REQ. r` SPECIAL,INSPECTION ITEMS VERIFY-. USE PERMIT CONDITIONS _ `> SUB -STANDARD HOUSING LETTER r{"� ( ►i i l r, 14 00 ,JOB FINALED (Date) `! , Signature J=OK 0 = Not OK . Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 10. 7. Well Clearance & Disconnect Cert. of Occupancy 8. Utility Clearance Gas; MH Test -Demand -Valve 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date Date Card B-1 Date Card B-1 Date 2. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 4. 1. Zoning Requirements -Setbacks -Easements 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Footings; Size -Spacing -Marriage Line Carports; Windows -Doors 3. Blocking 8. 4. Gas; MH Test -Demand -Valve 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; MH Test Roof; Shthg-Roofing 6. Water; MH Test 12. 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 Date 9. Exits Date POOLS (Plans) OK except #'s 10. License Decals Setbacks -Easements 11. Verify #'s with Office 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Date Card B-1 Date Card B-1 Date 6. 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 -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 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDE OOR (Plans) OK except #'s edroom Exiting Ha ers-Post Caps -Anchors -Connectors g -Setbacks- Easements- Flood -S lope Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Qr Fain; Soils-Elec. Grnd.-/j P' Ftg. Depth 0 &OoTtg., Garage; Soils-Steel-Elec. Grnd.-// " Ftg. Depth drm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg, Porches & Decks; Soils -Steel-/ P' Ftg. Depth 53. P erty Line Firewall & Openings t walls, Main; Steel-Blockouts-Wrapped Ext -Doors -One 3' -Check Garage 3rd Story, 2 Exits 6eo§tyjxwaIIs, Garage; Steel- Blockouts-Wra ed 56. jaloTiolcl Downs and Special Anchors Veneer 7. Slab Steel -Wrapped -Si,, a b vd In ulation-Foam-Looked in Attic 8. ers-Fire lace Ft .-Steel Shear Walls; N ing olts Brace Interior/Exterior Wall Panels nnRails n. VBents & Crawl Hole Door Drainage & Wood -Earth .V; Fall -Fitting -Test -2 Way C/0 -Sewer Test Clearance Looked under Floor J8Wes 1 , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 84. Stuc own -Finish 1 . Water Pipe; Test -Anchors -Regulator -Service Test 12. ectric Underground W t ell, Disconnect, Electrical, Plumbing 116. 4ms & Ducts; Clearance -Material -Support -Ins. 90. 1 . rders-Sills-Anchor Bolts-Joists-Vents-Crippies Corrections from Previous Inspections 1 Access & Ventilation 93. 16. Insulation y Compliance Certificate -Other Certificates 95. Address Posted Date - - Card B 1 , Date Card B-1 Date Card Pell Date Card B-1 Date PLU IN (ermit) OK except #'s Card B-1 Date Card B-1 1 W r Htr.; Vent -Access -Combustion Air Baffle Water Pipe; Test & Anchor -Nail Protection D^V.; Test Fittings & Anchor -Nail Protection 20. S wer Pan; Test, First Floor -Tub Access 21EOst Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sorinkler: Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC CAL (Permit) OK except #'s 241*' txt e & Transformer Clearance -Ins. Protection c: Receptacles Spacing -Lights & Switches at Doors We Boxes & No. of Conductors Stapled 2 . Romex Installed Close to Edge of Studs & C. 8 E ip. Ground made up w/Mech Fastene Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size tM Subfeed Wire Siz /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Range Circle/ /ga Wor AI -Oven Circ. / /ga Cu or Al Insul Neutral O Yes p No 32. i - iser Conductors & Ground Main Disconnect i . Clearances Panels-Motors-Mech. Equip. 3*0�C!qttfes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B- Date Card B-1 Date Card Date Card B-1 Date ME IC (Permit) OK except #'s . A. , Insulation & Support 3 Fan Exhaust above insulation ensate Drain & Overflow, Size & Grade Access -Comb. Ait-Return Air Vent 115 Outlet Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card Date Card B-1 Date FR G (Permit) OK except #'s 4 ills Proper Materials Anch / 2 ails `�,tiids-Nailino SDacin4 & Braces -Pates -Sound aring Walls over Girders & Floor Nailing• Dr Stop in Walls (rat proof) 4 F' Stops, Furred Ceilings -Stairs -Chasers -Tubs 46 Headers & Beams -Size & Bearing Date FRA G (Continued) edroom Exiting Ha ers-Post Caps -Anchors -Connectors 48.,Zing. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Qr Fireplace Ties or Type A Flue -Fireplace Throat Clearance 0 Attercess; Size & Romex Protection -Draft Stop -Ins. Baffles fireplace gr -Stove, Clearance -Hearth drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garag re Protection Framing -RC Channel 53. P erty Line Firewall & Openings ec. Outlets & Receptacles at Kit. Count6r Ext -Doors -One 3' -Check Garage 3rd Story, 2 Exits 5 . airs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plypeod o Roof Overhang -Attic Vents -Rafter Outriggers W-�iclinqAailing Veneer 10 4 cco Mesh -Drip Screed -Fd. Vents-Underflr. Access In ulation-Foam-Looked in Attic lazing Area -Gla Pro ction-Skylights-Plastic V. 61. Shear Walls; N ing olts Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Ceil' gs 63. Infiltration -Walls -Win ows Date and B-1 Date Card B-1 Date � Q 5Ca5B-1 Date Card B-1 Date PIansl O except #'s 66!Furnace Vents -clearance -Comb, Air -Connector - I ge; Above Floor-Ducts-Mech. Protection 6 . edroom Exiting 68. G ath Fixtures & Tub Access -Spa Ele Subpanel, Breaker Sizes & Labels 7GOStairs- 7) fireplace gr -Stove, Clearance -Hearth 72. Ele utlets at Wood Panel, Int. & Ext. 7 i . Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Count6r arage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection a.9b.,Elec. W. & Mech. Equip. Listed for Location EI acles in Garage (F.F.I.)-Romex Protection 8 . In ulation-Foam-Looked in Attic & Deck Construction -Post Caps 8 nnRails n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor J8Wes _ 83. Following Instld./Drive ❑ Yes O No/Walks O Yes O No/Planters ❑ Yes O No 84. Stuc own -Finish 8 �C_1Jn )tsnnnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. W t ell, Disconnect, Electrical, Plumbing terior Elec. Trim, G.F.I. Receptacle -Underground entilat' n Throughout House 90. G I Protection Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Wate er Connected -C/O to Grade -HD Approval 9 y Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: INSULATION CERTIFICATE Job ........... ..... ................ . .................................................................. .............. ..... ................................................... . ...... * ..... .......................... Contractor/Owner Name Job Address (street, city, state) ................ ....... ...... ............... 3.9 ........................ County Subdivision Name W Number DESCRIPTION OF INSTALLATION i. ROOF 3. EXTERIOR WALL Frame ............... A. Cavity Insulation Thickness .........(inches):.'31%2.................... B. Exterior Foam Sheathing .............................. Thickness ............................. 4. RAISED FLOOR ......................... .. ............. ............. .............. Thickness (inches): 4 SLAB FLOOR/PERIMETER .... ... ... Thickness (inches): ............................... Perimeter Insulation Depth 6. FOUNDATION WALL Thickness(inches): ........................................................ .... .... ........... . ..... Brand Name::: Thermal Resistance (R-Value):::::::::::..J: 11. .................. .... . ..... ................. Brand Name:::::-::-:-:- ............. Thermal Resistance ........................................... ................... ................... Brand Name::::::::':::-::: Thermal Resistance Brand Name:::::'::*'::'*::"::"::'::"::"::**::"::"::"::*,::"::"::,::::::::::::::::::::::,:::::: ..................................... Thermal Resistance ........ -* ................. .. .................. Brand Name::::: Thermal Resistance ............ .......................................... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. :�Meb:: n§ ................. ............. AeP Item Number's Signature and Date Installing Subcontractor (Co. Name) or Item Number's Signature and Date IMIfIY►110YI1 WI100M1 C01f01 1 M Product Service Call Report (� /mss Dealer Phone Dealer name '•''«- 'n3S3-/9 �g Dealer address a -fess` Dealer fax # S ` Salesman 10 0" O Date of delivery Sales order Line # Problem with Product Homeowners name (?` Phone# 3 z Address Fax # Q �a City &State v �t" Work # Schedule IWNC service call Parts needed by dealer to complete service Schedule parts direct to dealer 000 —Z✓ � �---- Ship parts direct to customer _lr- A — - -A In /dam r A, Material needed to complete IWNC service call - R- - -- J. "36") Date of service call Customer's signature Servicemen, please check off what was done.at job. CHANGED GLASS REPLACED HARDWARE CASEMENT ADJUSTMENTS CRACKED VINYL DENTED BEAD CHANGED BALANCES CHANGED SCREENS 'v Time arrived Time completed FAILED ACRYLIC BLOCK LEAKING WINDOWS LOCK AND LATCHES ADJ OUT OF SQUARE PATIO DOOR ADJ INSTALLATION PROBLEM WINDOW ADJ Dealer, please fax to IWNC Service Dept Q (510) 471-6538 ( please send a copy of the original sales order with each service request) T -CI SES9 TLB -01S • Ulm jeot-4euJaqui eTt'=60 SO GZ U' L. U -r w.: Z)-rP western w000s twP,..1<1 ck 5JUJ4J11e4 P. 1 ENGINEERED WOOD SYSTEMS l.. Certificate -of Conformance .- Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS).were manufactured in accordance with the applicablestandards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that'the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems '(EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. 7 ,,..,..it,,, W Q.00 p,P 0 HgIF �(P 1. r � � x t SEAL. = by c., Thomas G. Williamson Executive Vice President e 00,.�A ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 191h Street - P.O. Box 11700 - Tacoma. WA 96411-0700 Telephone: (257) 565-6600 -.Fax Number: (253) 565-7265 Page 1 of 1 Rutherford, Scott From: Whs yup [whsrps@yahoo.com] Sent: Wednesday, November 23, 2005 10:09 AM To: Rutherford, Scott Subject: split stage request Scott Steele, President Reliance Propane Service Inc. 6436 Skyway Paradise Ca. 95969 Scott Rutherford, Building Inspection Building Division, Department of Development Services 7 County Center Drive Oroville, California 95965 Re: Split Stage Propane regulation system AP Dear Mr. Rutherford Please accept the letter as our request and recommendation for installation of a split stage propane regulation sustem at 2968 Craig Ave. Oroville Ca. 95966 (permit # BP043580). The split stage is needed to supply 2 Furnaces, Waterheater and dryer and possibly other propane appliances (400,000 BTU'S), supplied through a 60 ft underground piping with a first stage distribution pressure of 10 psi to the second stage regulator at the home. We would prefer to use a split stage system for improved pressure consistency, improved supply and flow, economy'of of installation, and reduce potential for regulator freeze-up. Please respond within 7 days to advise us if this is not acceptable, or with any further questions, comments, or requirements. I'll assume your approval if we don't hear from you otherwise. Thank you Scott Steele Reliance Propane Service (Tammie Wilder 530-877-9200 ext 208) Yahoo! FareChase - Search multiple travel sites in one click 11/29/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE At: (630) 538-7541 PERMIT NO. BP04358Q LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penally 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 L cenlse Class : License Number: Dale:_ Contractor: Issued Date: 04/13/2005 APN: 027-250-039-000 -- Site Address:968 CRAIG AVE PAL a"o Jjk Map Index: p NSF (3043) GAR (733) COV (1203) 4�' 'OWNER -BUILDER DECLARATIONDeSCrI m I hereby affirm under penalty of perjury that I aexempt from the ,tion: Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BOUCHER, JAYME AND'SHEREEN 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 39 FLYING CLOUD DR 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 OROVILLE, CA she Is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the 530-534-0401 applicant to a civil penally of not more than rive 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' Stale License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: JAYME AND SHEREEN BOUCHER 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,.lhe building or Improvements are sold within one 39 FLYING CLOUD DR year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or Improve for the purpose of 95965 sale.). 530-534-0401 ❑ 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 property who bullds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy 0: ❑ I certiry that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provlsldns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant: WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal ,penalties and one hundred thousand dollars (#100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: License #: Architect: Engineer: AUSMUS ENGINEERING Total Square Ft: , 4979 S.F. Valuation: $234,635.00 Census Code: This permit Is hereby Issued under the applicable provisions of the Butte County Resolutions to do work Indicated above for gyhich fees have been paid. Dale: and/or PERMIT EXPIRES Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 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 all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby . authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: .Dale: O Owner ❑ Contractor Signature: ❑ Agent for Owner ❑ Agent for Contractor B. C. Buildinn Permit 0 1 -16-04 on 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530).538-7541 PERMIT NO. BP043580 B. C. Building Permit 01-16-04 pp 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/13/2005 APN• 0;7-250-039-000 the Business and Professions Code, and my license is in full force and effect. d cm4 '99 6p License Class : License Number: Site Address: WE PAL Date: Contractor: Map Index: Description: NSF 3043 GAR 733 COV p 12 03) 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city, or county which requires a Owner: BOUCHER, JAYME AND SHEREEN 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 39 FLYING CLOUD DR 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): 530-534-0401 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: JAYME AND SHEREEN BOUCHER such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for 39 FLYING CLOUD DR sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or Improve for the purpose of 95965 sale.). 530-534-0401 ❑ 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 property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the B s and Professions Code Dale: k /3vig Own WORKERS' C MP TION DECLARATION 1 hereby affirm under penalty perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Engineer: AUSMUS ENGINEERING insurance carrier and policy number are: Carrier: Policyff. Total Square Ft: 4979 S. F. I certify that in the performance of the work for which this permit Is Valuation: $234,635.00 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 provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Census Code: C/w Date: ` Applicant. t 11 l WARNINI re to secure workers' compensation coverage Is ` unlawful, a shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. ^ - CONSTRUCTION LENDING AGENCY This permi here_b der e a pllcable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the for this is Issued (Sec 3097 Civ.) Resolult s to do rk In ated a ve fo hick fees have been paid. r� / performance of the work which permit By: Date: Name: / �© ,6 PER 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. Cl 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 1 have read this application, that the above information Is correct, and that I am the owner or the duly aut prized agent of the owner. I agree to comply with ' all county and slate laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any o f or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectionlAget Print Name: JX,,w3N rT L_aAC I ll � Signature Date: Owner ❑ Contractor ❑Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pp 1 OWNER Last Name u r first Nam Address 3 �OT�•F BUTTE COUNTY1J�1,g3LR3 ��1 IT 0 0 0 o DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION /c, � 0 0 AND SUBMITTAL REQUIREMENTS Planner Date Approved: O 0 ==— = =�' 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 01114 ` Website: www.buttecounty.net/dds -- "PLEASE PRINT CLEARLY" <Di _ " OWNER Last Name u r first Nam Address 3 City State Zip Phone3� 53� _ oyD Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name City 0 0 -, Address Zip) City State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name l AddrR6 1 0 6l City 0 0 -, Stete,A Zip) City Pnon��l , -Ce a� Fax E-mail State License Number j W APP ANT SIGNATURE X /�-, -o� For office LWe only: APPLICANT NAME Name Flood Zone Address /J Ou�ir /• City No Stat Zip Phon Fax E-mail Lot # APP ANT SIGNATURE X /�-, -o� For office LWe only: Zoning Property Address Flood Zone Cross Street D(P qat SRA Policy Number No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# ' 7 3 Property Address City Dry.; Il Cross Street D(P qat 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 permifissuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage NS IC CSC43) GdX—% O Structure Built without Permits 0 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. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 ived by' Amount: t `'� _ Bldg kSRA Receipt #:J Sheriff SMIP Date) Other O Total 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 /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the' plans. No graph paper.! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 O 00 Lr)M "ItO J utte County Department of Development Services 3NNE CHRISTOPHER, DIRECTOR , County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: SUBJECT: 1 QDATE: WILLDAN �vTr oFo 0 . t, / 0 0 0 0 0 0 0 COU N.�y Scott Rutherford (530) 538-7160 srutherford(Wbuttecountv.net Plans Transmittal For Review Per Contract 12/22/2004 Applicant: Boucher, Jayne Permit 04-3580 Project Type: NSF/Gar/Cov APN: 027-250-039 100% 70% Plan Check Fees $ 1,427.93 $ 999.55 $ 1,427.93 $ 999.55 WILLDAN Fee $ 999.55 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 -D, VISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-214() W� 5 PERMIT APPLICATION DATA SHEET (9�• �Q5• �F� OWNER: C ASSESSOR PARCEL NUMBER Proposed Building Use: 0:S Counter Technician: Date: / n . �G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde 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 ❑ Oroville, as applicaole. 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 ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ �/ 21 ees as shown on the attached Schedule of Fees Due Sheet .................. .......... 22. City of Chico Plumbing permit .......................................... .... ................ 23 alifornia Department of Forestry plan approval ❑ paid. Sent ............. tanning approval (A) Use:9LL (B)Parking:(C) Parcel 3�1 5. Contact Land Development about _ Improvements, _ Drainage ......................... �. 26. NPDES Form............................................................................................ �� 7. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 9&Recorded Letter of Signature authorization.........................................copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits..............................:........................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. . Applica�ermit -- Date: -O n 1. Indexre abov s numbered: Plan Check etter 2. Additina ems Contractor, design r, owne was advised of the above data by phone, ❑ mail, ❑ counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed : Date: Structural approved by: Date: Note transfer by: Date: cSt �3 0 Yellow: Building Division e.ii�E ONLY P c.t Plan Attached_ ` f ` Rwr Plan Attached :C> � 30:92 to B.D. / . TO: Building Department- FROM: epartment-FROM: Environmental Health_ SUBJECT: Sanitation Clearance D PALA Owner Location AP#, Plan Approved for: Sewage Disposal Water Sup, ly: Public Private Well Clearance for dwelling. Other �J Hold final for: Final clearance O.K. for: NOTE: 8/96 mental Health Specialist 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 1 OWNER I A.P. #/ v -37 PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Q --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... $ , V2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Cha k) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$� mts Commercial (sq. ftg.)..... 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) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN C .${paid at Building Division) a UWT9 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) f Residential Zone X = $ Zone # Units Amt. i ommercial (sq. ftg.) ......... X = $ = . � Sq. Ftg� Amt. +" (� 2 10. OTHER < �l1. SP * dy L L) a' 1 7^O 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 t p plan ng process. APPLICANT - DATE Pursuant to Gov ment a7po�,Oal 6020, 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 off 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) OWNER BUILDER MER1 '""ATIONB 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. propertyim rovement: YES (PC] NO [ ]. 2. I HAVE 7] 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: j a-" -0q L r. 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 OWNERtBVILDER INFORMATION 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. C. Vieir4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 0--® OA, 5 ACbUc WCRC ®epartftiinf .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 [LESS THAN I ACRE Project Description: Project Location and/or Parcel Number:f 9d Q, r � aSU -03�j By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: /.�. Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 EI Plot Plan A "acio.C. Root Ran Anachad Sent to B.D. TO: ..BuIldingDgpartment FROM Environmental Health SUBJECT: 'riftition: Clearance . U 0- Owner Location AP# Plan Approved for: Sewage Disposal:— ?% Water Supply: Public Private Well Clearance for — dwelling. Other Hold final for: Final clearance O.K. for: NOTE: EriVironmental Health Specialist 8/96 Date School District A.P. Number Property Owner Property Location/Address Subdivision Residential Development Commercial/industrial Building Department % Al Z, BUTTE COUNTY SCHOOLrp IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: city OCounty District Identification'No. 0502 �r VC um t School District certifies that Lo R -e AA -e— (Street Address) Prov} 1 (City) has complied with the requirements of Resolution No. .(State)' (Applicant) 34--040\. (Phone Number) (Zip Code) by payment I of $ Ulm. 1' representing .5 D"Cl 3 square feet. JAB 2926 IFULL MMGATION School District RODresentatiVe I Date Paid by Check # Remarks: Notice: You may protest the Imposition of the fen Identified above by submitting a written protest to the District. In compliance with Gowmnwnt Code Section 66020(a), within 90 days from the data fen are paid. Failure to submit a timely written. protest wl ll'prohlbl, you from challenging the Imposition of the fen In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School 10111s.trict Is notified by the spolcable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CECIAL dftproject may be subject to additional school fan to fully mitigate.ft Impact an the school dWbkft schools. White (applicant), Yellow (builifffig department), Pink (school district) feeform.ids (10/03)dm.m Rutherford, Scott From: Whs yup [whsrps@yahoo.com] Sent: Wednesday, November 23, 2005 10:09 AM To: Rutherford, Scott Subject: split stage request Scott Steele, President Reliance Propane Service Inc. 6436 Skyway Paradise Ca. 95969 Scott Rutherford, Building Inspection Building Division, Department of Development Services 7 County Center Drive Oroville, California 95965 Re: Split Stage Propane regulation system AP Dear Mr. Rutherford Page 1 of 1 -�So -a34 Please accept the letter as our request and recommendation for installation of a split stage propane regulation sustem at 2968 Craig Ave. Oroville Ca. 95966 (permit # BP043580). The split stage is needed to supply 2 Furnaces, Waterheater and dryer and possibly other propane appliances (400,000 BTU'S), supplied through a 60 ft underground piping with a first stage distribution pressure of 10 psi to the second stage regulator at the home. We would prefer to use a split stage system for improved pressure consistency, improved supply and flow, economy of of installation, and reduce potential for regulator freeze-up. Please respond within 7 days to advise us if this is not acceptable, or with any further questions, comments, or requirements. I'll assume your approval if we don't hear from you otherwise. Thank you Scott Steele Reliance Propane Service (Tammie Wilder 530-877-9200 ext 208) Yahoo! FareChase - Search multiple travel sites in one click 11/29/2005 a A WILLDAN Serving Public Agencies February 17,.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: 14353-1316 Jurisdiction Job No: 04-3580 Assessor's Parcel No: 027-250-039 Description: Boucher 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 revisions were in response to a previous plan review and comments listed in our letter dated January 20, 2005. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets cover dated 11/25/04, revised sheetsl through 5, dated 01/02/05, by Eric Douglas Ausmus, P.E., sheet 6 dated 9/22/04, sheet 7 dated 11/8/04, and sheet 8 dated 11/25/04, by Barry Rubanoff. # Structural Calculations: Two (2) copies dated 12-08-04, by Eric Douglas Ausmus, P.E., Ausmus Engineering. Two (2) copies addendum calculations for Footings and TJIs dated 1/31/05 by Eric D. Ausmus, P.E. * Energy Calculations: Two (2) copies dated 11-27-04, Barry Rubanoff. * Truss Calculations: Two (2) copies dated 9/17/04, by Endeavor Homes. * Miscellaneous: Two (2) copies EOR's Truss Review Letter dated 1/19/05 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. WILLDAN : ` l Serving Public Agencies ' 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 "CELS". CODE ANALYSIS Type O cu anc Type Construction Sprinklers 1.1 1" Floor Stories S Ft 2 nd Floor S Ft Total Sq Ft F -F 771 R-3 V -N ' No 2 1690 1353 3043 U-1 V -N No 1 1 733 0 733 Cov. Porch V -N No 1 4 1203 0 1203 CONDITIONS OF APPROVAL 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 redlined on the pla s. DEFERRED SUBMITTALS Our plan review reveals n'o'defei-red submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection'needs pursuant to CBC 1701. r Sincerely, t Rick Essenwanger : t. s Plans Examiner H r CC: Alice Mefford, ameffordna buttecounty.net Eric Ausmus, P.E., E-mail: eda@ausmusengmeering.com, Fax (530) 343-5320 Jayne Boucher,` 39 Flying Cloud Drive, Oroville, CA 95965, Phone (530) 534-0401 ' f Nve 2 ofta C,ourity of Butte; 04-3580 Wi:lldan 14353-1316TCH' :1 GRAVEL ROAD j> NOF :Z C)o 0 00 DRAWN BY JAY.4E.tR�EN 8 UCHER -G BARRY RUQANOFF 3 9 4 C-R I JE Po Box 1,123 PERRY CREEK. CA. 959' A.P.#: 027-230-039 LU i -HONE 1530) 589-4102