HomeMy WebLinkAbout027-320-0200
X7-32-0-020
320-020 ERMLT#9 -- 7_
CHER teve
Parham ille
MH on Pe nd
02-77- 32O
� �tt �� � �.
SITE PIAN REVIEW APPLICATION /I
Date: AP# 62
Permit Number (if applicable) -
Owners Name:
Owners Address:
Telephone No.:
Parcel Size: _'T ')3 ak l._S,
Situs Address: Ll:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
COUNTY
❑ Temporary Travel Trailer
SEP 2 3 9004
c
❑ Multi -family
DEVELOPMENT
SERVICES
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
Septic
Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Q Site Plan Stamped Approved
By ad Date?/,741/0f
I'
ALL ITEMS CIMCKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
® Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: Y
• Flood Panel No.: 61" 0 Index Date: 00
❑ 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
El Administrative Permit
❑ Minor Variance
❑ Variance
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A — 5 -
Applicable
Applicable Building Setbacks:
Zoning Code Streets & Highways Fire Prevention
Front 0 ,
Side 5
Side Street
Rear S
Height
Waterway N/A N/A N/A
Subdivision Map
❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks.
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the buildingpermit.
Parcel Created By
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Subdivision Map/Parcel Map: f 6��t
Map Date of Recording: (p – 7 — ?S
Lot: oZ O
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 14 O Page: ,j � - 35—
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
El
u
0
101
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best
of review. available data at the time
C-MatryslBuilding Permit Site Plan Reviewl.doc
Butte County Department ofDe velopment Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
September 30, 2004
Paul Santoni
P.O. Box 2748
Oroville, CA 95965
Subject: APN — 027-320-020
Dear Mr. Santoni,
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Environmental Health Permit Application for a septic system, and has found your
application in compliance with the established planning criteria. The site plan you submitted
meets the setback requirements for your zone as well as applicable map or use permit conditions.
The Permit Application has now been forwarded to the Environmental Health Division for their
consideration and action.
Attached, please find copies of any use permits, or map notes and conditions for your property.
We are providing this to your for your information and future reference.
Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-6706.
Since ly,
/anadler
Assistant Planner
Q A nI �. S� CCS 1 AJ
, .
Parham Tentative Subdivision Map (Signal Home Loans), 31: p: Y, -e
1
,ast of the southerly .end of. Grier Avenue, Palermo area.
Asessor's Parcel Number: .27-18-16
Engineer: Barnhart -Brown & Associates
Public Works Department conditions are:
p�(
I. Indicate a 50 ft. building setback line from the centerline of
all streets. .
2. Street signs shall be provided by the developer at all street
intersections per County -requirements. (Submit.five alternate
f�Po street names for each street to- the County address coordinator
for approval of street names.) Ala s 4/5�0ro�eoC
3. Construct full street section on interior streets and access road
to maintained public road to RS -7A g.eometric standard.. Minimum
structural section to be 4" AB, SC 250 penetration treatment.
.Sj� 4. Provide monumentation as required by the Department of Public
Works in accordance.with accepted standards.
5. Street grades and other features shall comply with the Butte
County ordinances, design resolution and other accepted standards.
6. Provide permanent solution for drainage.
. All easements of ' record tobe•.shown on the'.fi.nal map. 17y8 olf ZS
8.. Pay off assessments.
9. Meet requirements of the utility companies. (i.e., PG&E, Pacific. Bell,
water, sewer.)
10. Pay: any delinquent taxes.
Planning Department conditions are:
11. Parcels to be at least five acres in order to conform to .the require -
meats of the zone.
12. Utilize standard erosion control measures in construction practices
to minimize erosion and other construction impacts.
1.3.. Contact a local representative, of the Department of Fish and Games
regarding stream bed alterations. Obtain a Section 1603 permit, if
required, from the Department of Fish and .Game..
Health Department conditions are:
14: Show a 50 ft: leachfield setback from the drainage way on parcels 1,
2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 24, 25, 26,
27, 29 and 30.
15. Show a 100 ft. leachfield setback from the highwater line of the creek
on parcels 18, 19, 20, 21, 22, 23, 30 and 31.
16•.. Show the usable two (2). acre sewage disposal area proven to meet
the requirements of the Subdivision Ordinance on parcels 1
30. through
1:7. Place a note on the map" that no water well may b
100 ft. of the usable.sewage disposal area on e located within
and. 31.. parcels 1'9, 202 30
---- 18--Prove-that�t eFi—r-equ:red� — -
:.> to parcels 1 through 30 .by adriling�atdleast�e1water are available
well's on this property. eight(8) acceptable.
-J
dSFECTION FEE I
` I�FLOOD LETTER WRI'T`TEN
I-0992
cording Requested By:
91-009992 I Re Fee
Richard Barnhart' ( C h e c k
ngineer orSurveyor) Recorded �
Official Records
�' -- County of I
Butte
MR RECORD D FILE WIT -4
J. Grubbs 1
KAP LIST::O BELOW Recorder
8:02am 15 -Mar -91 I
o rn " AWYL a WNE Mi RELUR
CERTIFICAT2 OF CORRECTION
)LINTY OF BUTTE
5.00-
5.00
11 1
.AW_ OF CALIFORNIA cS
Richard Barnhart
titling duly sxorn,
NAPE of ENCUELit or SURVEYOR
1posea and says:
iat the following corrections or additions to the map of Parhan Subdivis}on _
filed In Book 100 , rage(s) 31-35 of Maps in the of ice of
ie Recordor are made by me in accordance with Section 664'70 of the.9ubdivision K.xp Act:
Page 33 "Queen's Run should read Evita Way"
"Page 34'"Queen's Run should read Evita Way"
"Nannie Way should read Charles Way"
Page 35 "Nannie Way should read Charles Way"
RP
U'I
DATE MAR 2 1 1991
This Is to certify that if bearing the purplt
this office, this is a true copy of the docurr
with the Butte County Recorder's Office.
Ca acq ubbs
Butte nt lark-Recorde 7
w
ubscribeand sworn to fore me
his �cl_ day of 19q.
Notary lie in and for the County of.Butte
State of California
FRTIFICATE OF COUNTY SURVEYOR
'his is to certify the above certificate of
:orxection has been examined for compliance
•lth Section 664')1 of the Subdivision flap Act.
County Surveyor
nca: No. /4225_
I 19
K. VAN
NOTARY PUBLIC
BUTTE CO
y Comm. Expires.
Signature of Engineer
(RCE No. LS
Listed below are the
of property affected
or addition.
Henry T. Runge Jr.
Rudolph Ortiz
Ell of
filed
or Surveyor
NO. See -e,-_ )
present fee owner:
by.the correction
OF DOCUMENT
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NOTES: /o
\ \ ( I.) THE ROADSWITHIN TH,S
ON
SUBDIVISIW6R6 NOT DE3,6,N D
\ I OR CONSTRUCTED TO COMPLY WITH
T,.,.. FOR AOAD5 TD 8
6
ACCEpTBD BY THE' COUNTY FOR
E) THE
TWO ACR65 OP USEABLC
OEWA66 O/5POS4L AREA /S
\ JHOWN UNHATCHED ON EACH
/ I PARCEL (2AC. U.S.D.A).
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ALTA MV -1-0 sus LANE
2977
SEE 5'I(1EET 4 -
,!
COUNTY dF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: BRENDA KOUNTZ & STEVE CHERMS
ADDRESS: 21 ELVA CT.
CITY & STATE: OROVILLE, CA 95966
DATE OF CLAIM: 7/6/98
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
IMPORTANT.•
SEE INSTRUCTIONS
ON REVERSE SIDE
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
OWNER DECIDED NOT.TO BUILD. (A.P. #027-320-020, B.P. #98-1337,
RECEIPT -#244317, DATED 6/24/98, OWNER: BRENDA KOUNTZ & STEVE CHERMS.
w
TOTAL AMOUNT PAID.. ..$794.25
..............................
RETAIN REFUND PROCESSING .................
RETAIN BUILDING PERMIT FILING FEE........ $20.00
RETAIN PLUMBING PERMIT FILING FEE ........ $20.00
TOTAL AMOUNT TO BE RETAINED—.-.' . ....... $85.00!1
TOTAL AMOUNT TO BE REFUNDED .......................$709.25
TOTAL
$709.
25
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true
and correct as stated. ,1
Dated this � day o� , 19�, at `� � VS Calif.
aiman
I, the undersigned, hereby certify that, to the best of my knowledge, the services or a. le c 'ed a ve have been performed or delivered and
that there is a Budget Appropriation [ ) or Specific Board Approval [ ) (Check one) for he a
Dated this 13TH day of JULY , 1998, at OROVILLE —,Calif.
Department Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 FOR $331.2.9AYABLE FROM CONSTRUCTION PERMITS FUND
Dept. Code �g Exp. Code PAYABLE FROM SHERIFF_ _PEVEL.OPMENT FUND
Dept Code H Exp. Code PAYABLE FROM IRE_L1Vr� PP FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. 'INV. NO. INV. DATE ENCUMB. GROSS AMT.
CLAIMANT'S NAME
MAILING ADDRESS
REFUND CLAIM APPLICATION
`' 1
ASSESSOR PARCEL #:
RECEIPT NUMBER(S) 4L(31
Request a refund of fees paid on the above receipt number(s) for the following reasons:
Please refund any applicable fees in the following categories: (Check those categories -
which you wish to have refunded.)
( Building Permit Fees
(l'V SRA Fees (CDF Fire Planning)
Disposition of Plans:
( ) Plans returned to me at counter
( Sheriff Fees
( ) Urban Area Fees
Please mail plans to me at above address.
Please dispose of plans.
SIGNATURE
DATE —3U
PLEASE DATE AND SIGN THE ATTACHED, COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
FOR BUILDING DIVISION USE.-
Receipt
SE:
Receipt Information:
Number: c
Date:
Issued To:R°l�at0�.)C<.VI�Z
Amount: I 4. 2,�
Fees Retained:
t/Processing Fee: $
Bldg Filing Fee: $
v-Abg Filing Fee: $
v--61ec Filing Fee: $ ��
Mech Filing Fee:
Energy P/C Fee:
Plan Check Fee:
Inspection Fee:
1 SRA Fee:
Total Amount Retained
TOTAL REFUND DUE
$
$ 17 C?q as -
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' -3 -�
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
027-320-020
ZONING
AS
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
141 PARHAM RD GROVILLE, CA 95966
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fllin Fee
$ 20.00
Permit Fee 388.5/2
$ 1
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS PARHAM RD., OROVILLE
Ener Plan Checking
Energy g Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeX6 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others
Describe Work: PERM FND (14' X 60')
Gas piping stem 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$ 65.00
ELECTRICAL PERMIT
Filing Fee 20.00
600V OR
Main Service 200.OR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
I her y affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO ,000A
46.00
G OCCUP.
NEW CONST. DWELLINBLAS
OR ADDNS. ( a Acc. .
SO
3.5¢FT;
NON-RESID. MULTI.OUTLU
97,50
a OUTLET COWELER APPARATUS
IR.
Ex. Occup. OUTLET oRF°cruREs
20Q1.0°
BAL @ .50
FIXED APPLNS. OR
Ex. Occup. oLmFrs REsID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
1 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 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed ff the permit is for work of a valuation
V of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hw' h comply with those provisions.
. C/_ 1� �((/
X ___ Date �/j �((7 /
Sign - ❑ Owner ❑ Contractor ❑ Agent
An OSHA pe mit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 345.25
HAZ.
D. FEES
IMPCDF
SOA°
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 244317
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Vr+s
, Mr- ..
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE„+ALIF_QRNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
L6)
v e ►^ n�S J
OWNER: ASSESSOR PARCEL NUMBER:
Proposed Building Use:_ Building Inspector: Date:44
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
V2. Plot plans, 0/ sets, signed by the preparer of plans. ------------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------- - ---- - �, -
/4. Engineered plans, 3/4 sets, with wet signature on plans. All engirTe � g must sho on plans. --------
❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----
❑� 88. Hazardous Material Form. ------------------------------------------------------------------------------------------
1/9. Manufactured Home data and installation instructions kdudingZie-Bew"ins.------------------
1 0. Fees of $ -------------------------------------------------------------------------------------
V11. Impact fees as shown on the attached schedule. ---------- -------------------------------------------------------
V12. California Department of Forestry plan approval feesll---- --------------------------------------------------
❑ 13. Flood elevation certificate. ----------------- --------------------------------------------------------------------
(14. Sanitation and plot plan approval &iI Health Department. -------------------------------------------
•- rtDl� ❑ 15. Ci tyof Chico plumbing permit -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 11/7. Planning approval for (A) Use: (B) Parking: -
®18. Contact Land Development about 9Improvements, ❑ Drainage, Mlegal Parcel.
f Kl 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---
❑20. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - --------------------------------------
E124.
-------------------------------------
❑24. Letter of signature authorization. ------------------------- -------------------------------------------------------
V25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑ 26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑/28. �Exxi/isting violations and/ or_e jfired penmits.------------------------------.-.-�-------------------------------------
9. X433 A,N'JGrant Deed, �-M.H. Title, heck to H.C.D $ / //, 00 .---------------
❑ 3 0. Other: N -------
(Date)
When you issue the ermit, process as follows ❑ Mail to owner, ❑Mail to ntractor.
?kTelephone
and hold for pickup at OL 1 Q ❑ Deliver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollu on Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.A � f,°��
7SGl'G s'/ S &gAe..A' /r� 4e5
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
________71
SCHEDULE OF FEES DUE
OWNER `� Xt&— S f'0V e (�Pj'1�� A.P. #
PROPOSED BUILDING USE �� % /"P f pn 17elh DATE 1pIJ9
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
V 2. SCHOOL DISTRICT FEES CJhD IC- G1I
(paid at District Office)
j .< 3. SHERIFF FEES (paid at Building Division) ��}}
Residential ........ . % x $360.00 = $ Jlor�• O
Units
Commercial (sq.ft.)... x $0.03 = $
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x : = $
#Units Amt.
Commercial (sq.ft.) .. x =$,
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
__&<. SRA FIRE INSPECTION' AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division) ,;
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
RECEIPT # DATE REC
02Y6�� 0 tol Ayhk
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changed du ' _ the plan checking process.
APPLICANT C DATE 93
Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9,"and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97)
' COUI*TV BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER
PROPOSE
OF RECEIPT OF FEES f
n x
('w J'e i DATE Ma -o 7-,9�,
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
/. -- Revised Plan Checking Fee ....... $ J/
Y 2. SCHOOL DISTRICT FEES
(paid at District Office)
4<3. SHERIFF FEES (paid at Building Division)
Residential ........ _� x $360.00 = $ 7(0(�•�<%
Units
Commercial (sq.ft.)... x $0.03 = $
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
t/ Residential (per unit) . / x = $_ y",
#Units Amt.
Commercial (sq. ft.) .. x =$
Sq. Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
01 7. SRA FIRE INSPECTION AND PLAN CHECK
�r `$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Divisio*,-
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
RECEIPT # DATE REC
AP-LA45-
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changeling the plan checking process.
APPLICANT DATE �+ 9d�^s
Pursuant to Government Code Section 66020, you are hereby notified.that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or'from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 2/97)
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signatiue.
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 materials for construction of the proposed
property improvement : YES tf' NO C3
2. I HAVE HAVE NOT O 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: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work-
NAME:-- NAME:-- r�n� A , v CO ?,-C- -\-n CZ
ADDRESS: CITY:
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 _ AnnRF.44 punNv 'rvfl1M nV 'nld%nv
D rte,
SIGNED:
PROPER
SOCIAL SECURITY NUMBED
DATE:__ 9,q %e
NOTE: ---- -Thu 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.
OVER
I OWNER BUILDER INFORMATION . I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 5300 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 Governments 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 for you if you do not carry out. these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ • For more specific information about your obligations under Federal Law, contract 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 contrac9rs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
1 rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE: This Owner-Builder.Info rmadon is required by Section 19830 of the California Health and Safety Code
OVER
LAND DEVELOPMENT gy—
i 2
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Balang P&m&No.
OWNENAME RS I r l 5 ' �V NUMBER: G ( ) O&Z '
PRINT bt5f NAME FIRST
COUNTY ZONING
DESIGNATION: S FLOOD ZONE: /\ FLOOD MAP: " 1
APPROVED: CONDITIONALLY APPROVED: ✓ RESOLVE PROBL RIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP 7.93 Ac–
DEED
L
DEED INFORMATION:
DATE OF -CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: -YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO'*
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING / 95 LOT e7-0 BOOK PAGE
COMPLIANCE WITH OLD SUBD1V 11ON LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES VV NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NO DIWWON UNLESS OTHERMSENOTED.
1. Maintain a 50 ft. building setback from centerline of road.
Z2. Maintain a 00 ft.building setback from right-of<-way/centerline of
_ 3. Comply with Zoning code for building setback from road. S E� I b U M 33
4. Maintain a 100 ft. leachfield setback from all existing wells.
6. Maintain a 10 ft. leachfield setback from �� (Iv �� 10 O M 3 3
_ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
'47. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
_ 9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ -
_ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
.�r
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-35.5-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of S as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to ba cradle to dw Pl4wmiff DAdskn. -"
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone; 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if. such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte
County Code.
_ 19. 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. _.
20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.. • , • ..._ . .-
21.
22.
23.
24.
25.
26
Ala J NRM013A30 IJNVI
3LIA810 A1N1100
8661 9 Z N n r
C13AI3338
LD 7,96
C:\WP51WORMS. UDGPERM.UR
-37
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. U E ONLY
Plot Plan Attached
Floor Plan A ache
Sent to B.D._/
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other�/�
Hold final for: ca )"1
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
R
SITE PLAN
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Assessor's Parcel
Owner Name
Address / Phor
Site Location
Contact: Name
• ❑ ❑❑ U. ❑ �% — ®�• � Scale: 1 °' _ �O
z r3 -r^ ID t
iA%
Phone
5"3,3-
x"33 - l- I rv, 2% MM
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
L 4.00'
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: