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028-170-186
• - r..—�� - � } _ __• • tin - ..v^~�-•._� a r ' 4 t4 .� 28-17-18.6 f4. 'r.' MANUAL G GAMEZ 181; Gold Mountain, ' Bangor s .". �.NVr��•j/ �'TH CL A r2%t f,. D� TE Q._s•�+ RAW8 028-170-186` •" � 034621 KELLING, GAVIN 181 GOLD MOUNTAIN, BANGOR ? �, NEW ELECTRIC SERV t : P) -1: 319"10 Q 028-170-186 KEL ING, GAVIN? GOLD MOUNTAIN RD, BANGOR NEW SINGLE FAMILY:`' i a r*At% . -' 't..'.i.. '�;'. "-tw-=�:.�..'a .. �r.i". ^.3.- - ••- ..'y4.. _ _ ' "f..�.�,� is^y:s�yaa.�'.r ,i , . _. _.. Y a n. _ r^ c R , ► �'. 028-170-186.xT,.,.A4IJ4, 0346219 ' KELLING, GAVIN� 181 GOLD'MOUNTAIN, BANGOR , NEW ELECTRIC SERVi '1j #` .. � h s'a�F�rXt+ 4 � �l ��`,...M S �. 6 {IF` � •� 1 ' 1L 1 .e R i VA? { r f t COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION M 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /PERlT`N0. (Rev. 12/96) APPLICATION AND PERMIT '. I ASSESSOR PARCEL NUMBER 028-170-186 MR ZONING BUILDING PERMIT OWNER .TIMC, CWTIN nYL #N Pz UVLLZ14 510 TELEPHONE 812-8408 SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2720 SHATIM AVE 4-1031 BMKE EY CONTRA�C.T�ORRS NNAMME p r� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDREE'S Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 ARCHITECT OR ENGINEER': MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 181 GOLD =UNTAIN BANGM Energy Plan Checking Fee $ $ PERMIT FEE S IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Other ❑ Describe Work: NE ELJDC• SERV. FOR RMJRE it DEVELOP MD WELL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 jflAo}iil$,Home I S I G I WT—' @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service 2o0A OR LESS 23.00 3.00 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.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner & 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. L4l I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exemp- under Sec. Business and Professions Code for this reason Main Service 200A TO ,o00A 46.00 NEW CONST. DWELLING OCCUP.SO OR ADDNS. a ACC. BLDS. 3.5QsT; NON.REOSID. MULTI.OUTLET Qa 7,50 OWERAPPARATUS E SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q'.50 Ex. Occup. G PEES,6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPEMON 23.00 PERMIT FEE 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 3 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' compensatiDn laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. // 2 X "'" / Date 4.' > " Signature of App icant -� Owner ❑ Contractor ❑ Agent( An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over .3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HOZ. «.. D. FEES IMP w�rrs«.r FLOOD .��.�...« CDF PARCEL «....« Pp rw HD w.. ISsuF� / This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated,, above for whiyh fees have been paid. ^ �' y ! ) & C� - (, By 1 b fDate PERMIT EXPIRES+ ON (Date) ReceiptNo. :Z188J �65.OU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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.netWds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of bivision 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 such work himself or herself or through his or her.own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or stfe did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves the and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law,). O I am Exempt under Article 3�sin s and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 #: i-1 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: D Applicant r: WARNING: Failure to secure' workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this -permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP052861 Issued Date: 10/17/2005 APN: 028-170-186-000 Site Address: 181 GOLD MOUNTAIN RD BAN Map Index: Description: NSF (840 SQ.FT./LOFT 101 SQ.FT.) Owner: KELLING, DYLAN 1049 MARKET ST #210 SAN FRANCISCO CA 94103 (415) 626-4427 Applicant: KELLING, DYLAN 1049.MARKET ST #210 SAN FRANCISCO CA 94103 (415) 626-4427 Contractor: HILL, CRAIG A.- 2447 FOOTHILL BLVD OROVILLE, CA 95966 530-533-7982 License #: 388317 Architect: Engineer: Total Square Ft: 941 S. F. Valuation: $56,519.00 Census Code: 414 6165r AAVOM This permit i hereby issued under a pplicable provisions of the Butte County Codn art/or Resolution o do work Intllcated bove for which tees have been paid. y: Date: / PERMIT EXPIRES ON: �D l "/ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authoriz agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form r document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposeA __---, Print Name: � H Signature Date: 1 -7 ! ZOe�,'-4 "( Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor Vii• .Woo, t) Cr - 11 A-1 OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �C COUNTY �`FERWT r i' County Center Drive - Oroville, California 95965 - Telephone (53 ) 538-7541 NC -1 APPLICATION AND PERMIT v 12196) SESSOR PARCEL HJYBER ) 2O'"N0 BUILDING PERMIT I � , Main Service E, TELEYMONE D S 1. FT. OCC. BUILDING VALUATION 0n1Vt�E�R )S �D IID E � CONT s-NANE I 3 4 � '— N(AACTORS 11WlJN00 ADDRESS NSTFtucnoN LENDER 0* igz Fireplace ' Total Valuation S �, {ENDERS 1MlUN0 ADDRESS ARM4 ECT OR ENGINEM uCEtGE NO. Filing Fee 20.0.0 S Permit Fee 5V - Plan Checking Fee ARCMTECT 'OR ENGDIEF3iS AWLING ADDRESS au LDING ADDRESS+ / Energy Plan Checking Fee " S a�g PERMIT FEE S LOT No. SUBDNISgN$NAUE PARCEL IMP PLUMBING PERMIT Fling ee 7. :ooj Each Trap— USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF Duplex O Mobilehome O Other Water piping 15.00 G° sPMFY Each gas water heater or vent 15.00 Gas piping eystarn� 1 - 5 outlets 15.00 �O TYPE OF WORK New Addition 0 Remodel D UU,6es O Insiatiation O Other O Building sewer 15.00 L Mobile Home I S G I WT_ @20.00 Describe Work: 1\1 3 / ikA G . sv,r, EX. Occup. OUTLET OR FDrl"YRM PERMIT FEE ! "' 11 ELECTRICAL PERMIT Firing Fee � 20.0.0' Main Service pa ca LESS 23.00 Mise. Wiring 23.00 , Main Service 2ooA To o -o -A 46.00 i NEW CONST: DA ADVHL Dw i -M OCCLIP. s A=- RLOS_ 3.5¢FS7°: EX. Occup. OUTLET OR FDrl"YRM ear_ & ,yp FDCED APPLNS. OA Ex. Occup• oynETs rRESIDJ EA 5.pp Temporary Service 23.00 Moble Home Facilities 20.00 Mise. Wiring 23.00 I PERMIT FEE i S � ` R Fee 1`. 20.00 Hood I 1 Ventilation Ift. E0 N PERMIT FEt S Mobile Home Installation Fee S O Energy Inspection Fee WP -'IC'-' Ahvm4 egeu;' Aef occ CONST. TTS FECk,JA Of i T NAZ. D. FEES / � This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do wc5rk 04kY� V indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /Dela COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOIS�2��I 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PES (Rev. 12/96) ` APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER D n I ® I c� to 4 =�N^ 1 BUILDING PERMIT OWNER JI,_ ,°� �� v I n TE'LEPHr �.84 69 SO. FT. OCC. BUILDING VALUATION WN MAID DRESS I CONI CTO R'S NAME TELEPHONEO ICI Cj O CO RACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ I ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ .4 ti (' 5;0 ARCHITECT OR ENGINEERS MAILING ADDRESS CheckingFee $ 2-100 C4 G BUILDING ADDRESPPlan BUILDINGold Energy Plan Checking Fee $ PERMIT FEE $ SJ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other sPcciFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 s – Each as water heater or vent 15.00 TYPE OF WORK New Addition l❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 1 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ . 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service za.A OR LESS 23.00 23-00 CT 'S DEC RATION LICENSN70Oof I hereby affirm under penalthat I a ice under provisions of Chapter 9 (commencing with Sectionision 3 of t e Business and Professions Code, and my license is in full forc Class NO. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License w 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: rI have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �'� _ 03 _ ae 1 nature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To I000A 46.00 NEW CONST. ( DWELLING DOC P. 3.5Qso.2n OR ADONS. FT. JLL NEW CONST. MULTI -OUTLET NON RE51D. C @7.50 OWiER o AT isa.License Ex. OCCU . OUTLET OR FIXTURES BAL @ I:oOWER Ex. Occup. DUIXTLETSRa�D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ r%5. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 SD Ventilation U .-QD A- j" -D PERMIT FEt $ &I Mobile Home Installation Fee $ Energy Inspection Fee $ 0 . Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP CDF PARC 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. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI;N5 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET V - V t/ OWNER: ASSESSOR PARCEL NUMBER *�q Proposed Building Use: Ai S Counter Technician: Date: / c Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 01. 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. -93. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. „JZ74. Engineered truss details and layouts in duplicate. No faxes! ' ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ..............................:. ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential building5......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan a from the Ag Commissioner Sent by 15. Other i , t -t+.� 4A 11_1 f-`inc, t �re_C'A 'ning items needed to issue the permit. (May require additional plan review upon receipt of the following items_.) 6. ees as shown on the attached Schedule of Fees Due Sheet... � 1.m .�..................... M Statement of Intent for Non---fieated and A/C Buildings.........................................,�• Sanitation and site plan approval from the Environmental Health Departmen in L�'I 1 City of Chico Plumbing permit ................................................. _ 0. California Department of Forestry plan approva Apaid. Sent by: .................. 21. Planning approval for (A) Use: 01<,(B)Parking: (C) Parc Mk: - w- �3 ❑ 22. Contact Land Development about ❑Improvements, ❑Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information..(Number,';Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy,Number............................................. 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 9. Letter of Signature 0. Recorded copy of Agricultural Acknowledgment Statement .................................... g'-1 °I -03 WK ;SK ❑ 31. Manufactured home utility clearance ... :............................................................. ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone 5/0 - o l _ P el D R and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. p licant: - - nD te: dex permit application for the above items numberef Pldn Check Letter 2. Additional items re Contractor, designer, ne as advised of the above data by phone, ❑ mail, ❑ counter, by Date: - eJ4 6A) Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: A Date: Plans approved by: Date: Structural review Datetructural approved by: Date: Note transfer by: Date Yellow: Building Division TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance D3.Z17q E.H. ONLY .s Slot Kan AnacMd Floor Ran Anacha ant 2�4 L7 Owner . Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: �1Public Clearance for dwelling. Other o2'Ea2oarr� �tcJEt- Hold final for: Final clearance O.K. for: _ Environmental Heal 8/96 cialist e5�,5 Private Well ✓ a ev Date COUNTY OF BUTTE S ' Lo DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE Priof �oP1an c1C.- ce{„p,a c� of �ao3y 1. BUILDING PERMIT FEES --- Balance Due ..................... /- Additional Fees Due........... A.P. # j/cry/� _/oz-/ DATE O� RECEIPT # DATE REC. 1 107 G157P --- Revised Plan Checking Fee.... $ I I 2. SCHOOL DISTRICT FEES�[)idl [1// 2_ 0VJ[6 n 01cafa - (paid at School District Office) (form available after Plan Check�i 3. SHERIFF FEES (pard at Building Dtvtsto .� � � /% Residential............ $360 EJB 0 = 5 ' 0 d S�S % 3 Units 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. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7 IRE INSPECTION AND PLAN CHECK FEE $89. aid at Building Division) 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. --{� i/ 10. OTHER t �H' �. (J<!�� - % -z-15 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE 7-21 — V 3 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) Al School District A.P. Number Property Owner .Property Location BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. 9/ Jurisdiction: city ✓County Subdivision Lot No. Residential Development QSq. Footage No of Living Mobile, Home Addition/ *Supplemental to (Group. R) Units Installation Conversion Permit # �Nolbundabon inspection) ................................ ........... Deed Restricted Sq. Footage (Attach,,a signed copy of Deed Restriction and Notice of Limited.Use Facility document), Commercial/Industrial Sq. Footage New Addition, (including Exterior ///Y///// '"If/ f/Im/zz" : — Department Representative I*St *ct Identification NO. .069,084 }School Ghool District certifies that (Stre,el, Address) Roofed Areas) Date U (Applicant) 11.5-bZ4,- 4-4427 (Phone Number) (City) (State) (Zip Code) has complied with the requiremen ts of Resolution No. 70 by payment of $ representing square feet. JJAB 2926 School District Paid by Check # Remarks: VULL mi-nGAT!ON------$-- Date Nonce: You may protest the imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fen In any court action. If, subsequent to the School District Representative signing thli Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency OW this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools. White (school district), Yellow (building department), Pink (appliaint) feeformAs (3M5)dMrn October 17, 2005 Butte County Building Dept. County of Butte Reference AP#063-23.0-021, commercial building in Forest Ranch, CA. (15474 Forest Ranch Way), permit for installation of sign #05-2340. Please add these photos to the file. I have a complaint filed for non-compliance with securing proper permits for the remodeling ofthis building. I continue to wait for news on what is being done by the Building Dept. in regards to this issue. I would appreciate hearing that someone has addressed this situation. Please advise me. Thank you. Sincerely, ?!a�rnesaneCr 530-895-3063 f 875302 )853027 s t I Nova Pfrov o 1 ROLL PER ENVELOPE PLEASE °❑ APS ID # or NAME Digital Order # o Last name pHCwig DATE , initial r _ 10 r! �' �` � '�' � "ISH NUMBER OF CIlU vµ .. �' • � �'�' PICTURES ON CD EXPOSURES EA*.,; . Diglt�J I;iasl:� [ ,'FACE k, GLOSSY ` tF(� IStandardl t �.24-28 ❑`jt *' SA ,1%'�L % i .LUSTRE Q. U tE 530-895-305- o „ 14,.E •, �4 - t j ^_ selected, May require additional U36-4 0 lets rlll be time. Additional charges X09 17,2 M ,1.lostrenntse ❑ r9 !,!�,, lr / / 005 . - + 19:09: � ., r s t ' dre edd't time. aPPIY. See technician kr �. ' > details. i > I K ct-IJ .3 "y ` E R fJJ 0 OTHER SER` ! ' • For Reprint,' ; L�,=��S00® i5 f; '`�,f rm on inside flap 9i REPRINTS / E� ! at"'.' #' Desc IQFiice� IENT CARDS SuL•t " Eacb otal' PRINTS FROI. }4�ss3 , t6 y ' Lust'teSorrlerte b �l`�1.'3', These servi''TAx'�.zs�ie a technician for details. $0.11f DIGITAL PI', 9 "''` ��i.6 " tui } IMg'iFlotNk�+Alt+.07l.�,�� kk© rrYli`� }t PRINTS ► 43 _ , r, h � 1 'i ,1 .. r ksr-. t �h.� li.a , : see technician for details. This servic � - I _ ` SPECIAL INSTR LAB USE ONLY "� f l' �(•�'I.)1 . #i�l.� UI�!_1(?I�_ (�.. ,�' a � 5u ii•'=jral'N ir_�:,,T TIME DUE: i - called on called on called on O Insert (toll Here o ROLL PROCESSING IN 1 HOUR 0 5 X 6 PHOTO GREETING CARDS o PICTURES ON CD o PASSPORT/IMMIGRATION PHOTOS o BLACK & WHITE AND SEPIA PRINTING o PRINTS FROM SLIDES o DIGITAL CAMERA DEVELOPING o WALLET PRINTS CHECK-OUT COSTCO'S ONLINE TRAINING service that now offers Digital Photography Courses in editing, archiving, and manipulating 1lI! digital images. Go to: Costco.com > Services > Online Training > Catalog > Digital Photography for more details. 0*001!0• -1Z NN N N N 1-4 0-' 9Zt,S a 79M (N n P^, a w3°�343T.: k7'a .T 'Nha N to hdIN 02 9Z v9 G G j , �. 0"00T%'0"S1TZ NN N N N N 0, '?'bS 31-M.'D WTf' T,VC-03SO ,?SST T IDD S0. � O"OOT."Olgzlz NN N N N N 3NIJ-0 WIf 'i'A-000SO Zg,::'.TT c._'a'_tr w 12: v 0*00T-/O'!;ZTZ NN N N N N 0,1' 9ZPQ 3NOO WIr S.,VOOOSO Zg,�TT OD:�SOO Q, R G .., NIAFtoil, 3t•aH=i WIi��':��I.c,�G�;�.�:7 ;�"��t i �-a-==�:_� N' y , 70,00Y "O,g'T Zhdhd�Fd; hd hd hd C�•� '� .fi�� 3hdOO- Wtt CU � ; i i %I •4 �� _ `'tom . 3 1 ; � iii. •;-}-b :���s •L �h= 1 A 7• � '> NNN0&-'9Z,.;MITI oDi-soo I � I • T. x i 2, {{ y r I�� 011 , x`1> .: • �_ -. -- = ' Ill. � .'i..�l % • f ,v 1 �i hH � �•{sem �" ��� �'it:'3;fs`�slr'�. ��0� ���e►•s w: �"^°•+s�-- Vis. y —vi.� _ . sir:-�2��.� .:•+J_��_�.. _ --.�..t �. •....see- z �___• . V i yF� -•^i - 11..; • `may,. ;• • .A a f ' � ;-,Y• lits l; F +s I � I • T. x i 2, {{ y r I�� 011 , x`1> .: • �_ -. -- = ' Ill. � .'i..�l % • f ,v 1 �i hH � �•{sem �" ��� �'it:'3;fs`�slr'�. ��0� ���e►•s w: �"^°•+s�-- Vis. y —vi.� _ . sir:-�2��.� .:•+J_��_�.. _ --.�..t �. •....see- z �___• 0'00T-/O'9ZTI2 HN N N N N 01' 97li7g TRO WIf* ESA-003SO ZS2TT COI-SCIO SITE PLAN REVIEW APPLICATION A. Date: /`-/�°�.c. ..� AP# 17a • Permit Number (if 222 cable) �-' rZ1 t—� WAs APPLICANT INFOR1iJATION Parcel Sizer Owners Name: Owners Address: �/,��i�vl•.gc�: ;/s�tl �,Q,� ��. r Telephone No.: 65-10'%;2 O Situs Address: rd&6 1Yov.-u 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) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other X Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if nece§sary): .L DO NOT WRITE BELOW THIS LINE DEVELOPjVENT SERVICES INFORINATION (For Staff Use) Approved ❑ Conditionally Approved, ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date 1A -21-]—!J`>1 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Al Parcel Is In: • ® Snow Load Area: •1 OSC PD-�� ❑ 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: X • Flood Panel No.: ) 8 S O G Index Date: 6-8-9b ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California ReclamatiomBoard) ❑ 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) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Minor Variance El Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pace 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S O C. �-- Side 30 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pace 2 of 5 Applicable Development Fees: .Standard Fees Amount Formula • ❑ Fire ❑ School" ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage - ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) • Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By :. Deeds: :Date of Creation: I o 1 --C) p Legal Access Provided: ❑ No ® Yes Deed of Reference: -3) o —14 Lj 2 [ o 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: _fay: by T•2,a 5-��—aZ Fs-�`i i����i� q6— Ll'` -10 ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ 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 ❑ Nfeet current Environmental Health Department requirements •-------------------------------------------------------------------------------------------------------------------------- Page 3 of 5 ❑ Subdivision 1✓fap/Par2el lV1ap: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: ❑ 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 on slopes steeper than 30%. 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 Pt• Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. • Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. • C &fy DocumentV..Bwlding Permit Site Plan Reviewl.doc Pace 5 of 5 a r) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 -COUNTY CENTER DRIVE OROVILLE, CA 95965 5�• 2003-0044474 Recorded Official Records CoBUU�TT Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:09PM 08 -Jul -2003 REC FEE 10.00 CONFORM 1.00 Travis Page i of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5E ( )(t�- \ le) r' o'�-J �--- Date State of California County of �K//a PROPERTY OWNERS: J+t(A- 44A., f On ;ZAP 5 beforem , �� personally appeafed <Aggegg personally known to me (or proved to me on the basis of satisfactory evidence) to bet a 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. JEAN A. MC CANLESS Comm, 11339870 rn "S NOTARY PUBLIC- CALIFORNIA V/ A. P. # �� Butte My Comm. Csufeb.8,1006 "'� EXHIBIT "ONE" PARCEL I: Order No. 104114 - B The Southeast quarter of the Northeast quarter of Section 11, Township 18 North, Range 5 East, M.O.B. & M. EXCEPTING THEREFROM: The Southwest quarter of the Southeast quarter of the Northeast quarter of Section 11, Township 18 North, Range 5 East, M.D.B. & M. PARCEL I1: A 60 foot easement for road and public utility purposes located in Sections 2 and 11, Township 18 North, Range 5 East, M.O.B.&M., Butte County, California, mora particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline; BEGINNING at a point in the centerline of Swede's Flat Road (County Road) that bears South 3°50'27" East, 688.68 feet from the center of said Section 2; thence from said point, the following courses: South 19°40'49" East, 172.61 feet; South 32°23'53" West, 206.42 feet; South 5041'50" East, 325.51 feet; South 1005'220 East, 1348.46 feet; South 0036'18" West, 1323.87 feet; thence North 89017,59" East, 1109.37 feet to a point hereinafter known as Point "B", and the end of said fine. PARCEL III: An easement for road and public utility purposes 60.00 feet in width, lying 30.00 feet on each side of the following described centerline: BEGINNING at the above mentioned Point "B" and running South 42.92 feet; thence South 65017'47" East, 142.99 feet to a point in the West line of the Southeast quarter of the Northeast quarter of said Section 11, being the point of termination of this line. PARCEL IV: A 60.00 foot easement for road and public utility purposes located in Sections 2 and 11, Township 18, North, Range 6 East, M.D.B.&M., Butte County, California, more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: BEGINNING at a point in the centerline of Swede's Flat Road (County Road) that bears South 3°50'27" East, 688.68 feet from the center of said Section 2; thence from said point the following courses: South 19°40,49" East; 172.61 feet; South 32°23'53" West, 206.42 feet; South 5041'50" East, 325.51 feet; South 1 °05'22" East, 1348.46 feet; South 0°36'18" West, 2647.74 feet; thence North 891)05'42" East, along the Southerly boundary line of said Northeast quarter, 1244.00 feet; thence North 80°36'06" East, 884.04 feet; thence South 47047'34" East, 210.74 feet and North 89060'40" East. 215.73 feet to a point on the Easterly boundary line of said Section 11, and the end of said line. Assessor's Parcel No: 028-170-188 Butte CountyDepartrnent ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile TO: LP2A FROM: Michael Vieira (530) 538-7159 mviei ra(a-buttecou nty. net SUBJECT: Plans Transmittal For Review Per Contract DATE: 9/16/2003 Applicant: Kellin , Gavin Project Type: NSF 100% Plan Check Fees $ 260.98 Energy Calc Fees $ 23.00 $ 283.98 Copies Attached: Qty Permit No: 03-2174 APN: 028-170-186 70% $ 182.69 $ 16.10 $ 198.79 LP2A Fee$ 198.79 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 /f SITE PLAN REVIEW. APPLICATION. Date: /`/i°.c, 2 �z► AP# 4- X Permit Number (if applicable) APPLICANT INFORMATION Parcel Size- Owners Name: r-9,4 LriUi4,EZ, L�=z�.� Owners Address: (/,►,v��;�,gc9 Telephone No.: Cg ie) "?/.a - Situs Address: Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ------------ ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Y Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if nece ary): L DO NOT WRITE BELOW THIS LINE DEVELOPiVENT SERVICES INFORMATION (For Staff IIsi Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date' Page l of 5 all ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area: -1 4�cM -FT ❑ 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: x • Flood Panel No.: ) 8 S D G Index Date: 6-9-9?? ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamatio.%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) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance ❑Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: 17 Setbacks draw -n on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pant.') ^F; Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S O Side �.0 Side Street Rear Height Waterway N/A N/A N/A 17 Setbacks draw -n on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pant.') ^F; r Applicable Development Fees: • Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff .. ❑ Drainage - ❑ NCSP/CSA 87 ❑ - Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: 'Date of Creation: 1 D— i 2—L O Legal Access Provided: ❑ No ® Yes Deed of Reference: 0i o — L4Lj p ie Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: 0 No. ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: -E-or— 1 L y T2xa IJ j 90— liLi 0 E ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ 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 ❑ Nf eet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision MaD/Parcel Niay: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: ❑ 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 on slopes steeper than 30%. 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 Pr Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Nfeasures 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. Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:VvlY DocumenWBuilding Permit Site Plan Reviewl.doc Page 5 of 5 °"' Fidelity National Title Company OF CALIFORNIA 475 Oro Dam Boulevard, Suite A • Oroville, CA 95965 (530) 533-5511 FAX (530) 533-1526 June 4, 2003 Mr. Dylan Kelling 710 Hayes Street San Francisco, CA 94102 Order No.: 104114 We appreciate the opportunity of being of service to you. Fidelity National Title Company of California March 9, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965=3397 Phone: (530) 538-7541 Fax: (530) 538-2140 .A Re: Plan Review: Kelling Residence Address: Gold Mountain Road, Oroville Dear Mr. Vieira: County of Butte- FINAL REVIEW Jurisdiction Appl. No.: 03-2174 LP2A Job No. 203015.067 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following. documents: 1. Plans: Two (2) copies of sheets 1 and 2 dated June 20, 2003 and sheet 1 revision dated October 24, 2003, by The Wilderness Cabin. 2. Structural Calculations: Two (2) copies dated June 2003 and two (2) copies Supplemental Calculations dated October 24, 2003, by Barry H. Welliver. 3. Title 24 Energy Compliance Documentation: Two (2) revised copies dated January 28, 2004, by Max Ramirez, Golden Sun Designs. These documents were reviewed only .for their conformance .to the 2001 .California Building, Plumbing, Mechanical, and Electrical Codes. We have no .further -plan review comments. Therefore, we are recommending approval of the above noted: items with the following conditions: 1. Helen Kelling shall sign the revised Title -24 CF -IR form 2. Redline revisions as noted on plans The above documents now bearing _the "LP2A Plan Review Approval" stamp on all appropriate sheets are'enclosed: Please let us know if you have any questions. Thank .you. Sincerely, LIN ART PETERSER POWERS ASSOCIATES Roge eterson, S.E. Richard N. Essenwanger Structural Engineer I.C.R.O. Plans Examiner JV/RP/RNE:jv enclosures '10 LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 9 FAX(916)725-8242 • Toll Free (877) 235-0653 7-17-03; 8:36AM;Barry H. Welliver BARRY H. WELLIVER July 17, 2003 Development Services Butte County Building Department - 7 County Center Drive Oroville, CA 95965 Attn: Mr. Michael Vieira Re: Kelling Residence Butte County, CA Dear Mr. Vieira ;801 553 0163 # 1/ 1 I understand County- requirements- for issuance of a building permit- for the above referenced project require that the designated loft area be enclosed with walls and made accessible as an attic storage platform. Specifically, -the area. is. to be -relabeled -attic- storage, -the -ladder- reference -is- to_ be. removed -from -the. plans. and -a_ minimum 22"X30" access door is to be provided. In my opinion, these changes will not affect the structural design which we have provided for the residence. Ifyyou ,have any questions. or require additional information,-I_can be_reached.at the.address below. . .1 ivatOFEsgi ` . Sincerely, �p No..2900 Barry H. Welliver 9U.0 ��Q s. Structural Engineer BUTTE COUNTY JUL 17 2003 DEVELOPMENT SERVICES 13065 SOUTH. 132 EAS.T,._ SUITE, 210. • DRAPER., UTAH. • 8.4020 PHONE: (801) 553-0162 • FAX: (801) 553-0163 BARRY H. WELLIVER BUTTE COUNTY JUL 1 12003 DEVELOPMENT SERVICES July 17, 2003 Development Services Butte County Building Department 7 County Center Drive Oroville, CA 95965 Attn: Mr. Michael Vieira Re: Kelling Residence Butte County, CA Dear Mr. Vieira: I understand County requirements for issuance of a building permit for the above referenced project require that the designated loft area be enclosed with walls and made accessible as an attic storage platform. Specifically, the area is to be relabeled attic storage, the ladder reference is to be removed from the plans and a minimum 22"00" access door is to be provided. In my opinion, these changes will not affect the structural design which we have provided for the residence. If you have any questions. or require additional information, I can be reached at the address below. /QROFESS/pNg No. 2400 M Sincerely, It',, 4w-e�� Barry H. Welliver Structural Engineer 13065 SOUTH 132 EAST, SUITE 210 • DRAPER, UTAH • 84020 PHONE: (801) 553-0162 • PAX: (801) 553-0163 PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, corse and legible. it may cause a delay in processing. Owner's Name: — Received By: Date:' A.P. 9: ���'�V rermit: % ��' 2 Time: I l ContactPhoneNumber. ___') l ( J 7 X / 14 — Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering 'Plan Revision ❑ Requested by Building Inspector or CorrectionNotice - Inspector's Name: 0 Requested ByPIan'sExaminer- ExamineesName: ❑ Other If you are revising a plan which has already. .been issued, submit two(2) drawings reflecting the revisions for pla review. If engineering is involved in this revision, the engineer must put his requirements on these drawings an stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly sho When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pickup at the ❑ Chico .Of ice ❑ Oroville Office RevisedPlan Check Fee: 17 S46.00 Receipt #: E3 Additional Fees Not Require' Additional fees may be due based upon -complexity and time involved to process this submittal Additional Fees: Receipt #: O.8. - OER-BUILDER VERIFICATION 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. personally plan to provide the major labor and materials for construction of thero osed P P property ' rovement : YES NO 1 IHAVE NOT 13signed an application for a buildingpermit for the proposed work. 3. hav contracted with the following person (firm) to provide the proposed c truction: PHONE: \ MY: CONTRACTOR'S,MtENSE NO. 4. I plan to provideof this work, supervise, and provide the jor wor NAME: ADDRESS: PHONE: f' / 5. I will5r ' e some of the work but I have the,08Ak indicated: hired the following person to coordinate, R'SPCENSE NO. cued (hired) the following persons to provide ADDRESS PHONE,_ TYPE OF* WORK SIGNED: PROPERTYOWNER• w DATE: / NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OB. -1 OWNER BUDDER 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 '$300 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, ifyou 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 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 rely, G4 ; w9 Mie rely, * - M . ger, Building Inspection NOTE. nis Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Page 1 of 3 AP NO.: 028-170-186 DATES: f . 07/21/03 ovo0/o0 01/00/00 01100/00 OUTTF County ofButte Kellin Gavin Phone, 812-8408' g( ,o®o OWNER: "(510) Phone:' DEPARTMENT OF MAIL, DEVELOPMENT SERVICES °Ourtt� 2721 Shattuck #1031 Phone: r N ADDRESS: Building Division 9 Berkeley CA - sa�o5- Emau:I V Harald Balaz Phone: 534-1190 7 County Center Drive MCONTRACTOR Oroville, CA 96965 `x(530) Phone: 3 Email: (530) 538-7541 Phone: ARCHITECT OR ENGINEER [ Li, No.a PERMIT NUMBER: O 3 2174 CA Emaid SITE 113old Mountain Road Phone: APPLICATION AND PERMIT Bangor CA Emaila ADDRESS: USE SF Dplx MH Other: - m o, o TYPE OF New Addn Rmdl Utlts Instin Other: x R .. ..:' WORK m ❑ O: o x r DESCRIPTION New Single Family -._, . ,._ .. ' : ;.: . _:. . - • ., :„ T! LICENSED CONTRACTOR'S DECLARATION -`• "' I hereby affirm under penalily 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 eff_ec_t. License Class License No. I OWNER-BUILDER DECLARATION` I hereby affirm under penality of perjury that I am exempt from the Contractors State License Law for the following reason: D I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. p I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. I (, Business and Professions Code for this reason: WORKERS': COMPENSATION.DECLARATION I hereby affirm under penaty of perjury one of the following declarations: 0 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. I have and will maintain workers' compensation insurance, as required by y Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: r Carrier:I O Policy Number: This section need not be completed if the permit is for 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 the workers' O compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the pertormance of the work for which this permit is issued. Lenders Name: x Lenders Address: }, I certify that I have read this application and state that the above information,is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives bf this county to enter upon the above-mentioned property for inspection purposes. .w . h •. Signature of Applicant Date -Owner E,°DContractorPAgent An OSHA permit Is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON: Date Page 1 of 3 'It AP NO.: 028-170-186 DATES: 07/21/03 1` r OWNER: Kelling - Phone: (510) 812-8408 CO) SITE ADDRESS: Gold Mountain Road Bangor Zoning MR Acres 30 Name/Date - Flood X Map/Book Page Block Lot Panel 1050C Snow Load Other SRA Yes VALUATION CODE SQ FT` $/SQ.FT ,: VALUATION Residential/ Guest House/Heated Fun Room R 840 $54.00 $ 45,360.00 Garage or Storage Shed U : 101 $18.00 $ 1,818.00 0 0 $ - 0 0 $ Re -Roof `;200 x 300 P 60000 'SQ 600 $ 60.00 Calculatesquares 20 ft x 30ft = 60 sf = 6 squares Fireplace A (Zero Clr): Masonry:... , , $ - TOTAL VALUATION :: $ " 47,178.00 BUILDING'PERMIT FEES QTY FEES FILING FEE 1 $ 20.00 $ 20.00 Permit Fee - Full 1 Permit Fee -1/2 (Mli) a ` ` $ 401.50 Plan Check @ 65% Permit Fee 1 ;•n $ 260.98 Plan Check Minimum/Mobile Home State Approved Plan $ 23.00 $ - Plan Check MASTER PLANS ONLY $ - Revised Plan Check $ 46.00 $ - Energy Inspection Fee 1 $ 46.00 $ 46.00 Energy Plan Check Commericial :..4000+: $ - Residential 1 To' Waster: 1 ;._ a §- :' " ° $ 23.00 Mobile Home Installation Inspection .. $ 100.00 $ - $ TOTAL', BUILDING PERMIT FEES : $ 751.48 PLUMBING PERMIT FILING FEE 1 $ 20.00 $ 20.00 Each Trap 5 $ 7.00 $ 35.00 Solar or heat pump water heater $ 23.00 $ - Water piping 1 $ 15.00 $ 15.00 Each gas water heater or vent == 1 $ 15.00 $ 15.00 Gas piping system 11-5 Outlets 1I 5+'Outlets $15/$3 $ 15.00 Building Sewer "`. 1 $ 15.00 $ 15.00 Mobile Home Utilities Sewer: I Water: _ Gas: $ 20.00 $ - TOTAL PLUMBING PERMIT FEES, $ 115.00 tiAP NO.: 028-170-186 DATES: 07/21/031 1 T" OWNER: Kelling - Phone: (510) 812-8408 MSITE ADDRESS: Gold Mountain Road Bangor Q ELECTRICAL PERMIT FILING FEE 1 $ 20.00 $ 20.00 Main Service 600V or less/200A or less 1 $ 23.00 $ 23.00 200+A to 1000A $ 46.00 $ New Construction or Addns Dwelling Occupied & Accessory Bldgs 941 $ 0.035 $ 32.94 New Construction Non -Residential Multi -Outlet Branch Circuits $ 7.50 $ - Power Apparatus & Single Outlet Cir. $ - Existing Occupied Outlets or Fixtures 1-20 $ 1.00 $ - 20+ $ 0.50 $ - Fixed Appliances or Outlets (Res) ea. $ 5.00 $ - Temporary Service 4" $ 23.00 $ - Mobile Home Facilities '_ .. $ 20.00 $ - Miscellaneous Wiring $ 23.00 $ - Pre -Inspection (existing MH, existing site) ` _ _ $ 23.00 $ - Pool Electric $ 30.00 $ - • TOTAL ELECTRICAL PERMIT FEES $ ` ` -, 75.94 MECHANICAL PERMIT FILING FEE 1 $ 20.00 $ 20.00 Heating Up to and including 100,000 BTU 1 $ 15.00 $ 15.00 Greater than 100,000 BTU-. - $ 20.00 $ - Cooling Up to 3 HP and 100,000 BTU 1 $ 15.00 $ 15.00 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ - Evaporative Cooler 2 $ 15.00 $ - Extend Ducts in Additions $ 15.00 $ - Hoods 1 $ 6.50 $ 6.50 Ventilation 1 $ . 4.50 $ 4.50 Gas Fireplace $ 15.00 $ - $ MECHANICAL PERMIT FEES i $ 61.00 TOTAL OF ALL BUILDING PERMIT FEES _ 1,003.42 Occupancy: Construction: a M ISSUED HAZ FEES IMP FLOOD CDF PRCL PD HD AP NO.: 028-170-186 DATES: 07/21/03 " '' `'' OWNER: Kelling - Phone: (510) 812-8408 s AnnRFRR Gold Mountain Road Bangor 3Notes: = STATE RESPONSIBILITY AREA SRA BALANCE DUE SRA Per Structure - 1': _c. Is 89.00 1$ 89.00 SRA FEES $ 89.00 $ .. .. 89.00 _. ...._:... , ,,,. IMPACT FEES` . • :, ., . , .. .� SHERIFF Sheriff Residential Per SF Livinq Unit . 1 $360.00 $ 360.00 TOTAL SHERIFF FEES $ 360.00 $ -- 360.00 F. DRAINAGE Thermalito Residential Per Livin uog - $ 510.00 $ Commercial Per ordinance 3304 TOTAL DRAINAGE FEES $ STREET IMPROVEMENTS Chico Urban .: Commercial Per Each Multiple Lmiq Ur $ 1.370.00 $ Area Commercial office/Medical 8trctra Pers . Ft. $ 2.22 $ Thermalito Urban Area Residential per Each Single Living Unit S 595.00 $ Commercial Office Per Acre $ 11.9241 $ Industrial Light Per Acre $5.962.40 $ - TOTAL STREET IMPROVEMENT FEES $ - WATER TENDER Water Tender Per Parcel - $ 200.00 1 S TOTAL WATER TENDER FEES $ - NORTH CHICO SPECIFIC PLAN NCSP Residential SR -1.. I Per DU $ 3,315.000 S - IndustriaUCommercial Office_-- _I PerSFI 1$ 2.3z $ - School jSrhool - $ 72,614.000 $ - TOTAL NCSP FEES $ TOTAL IMPACT FEES :.$' - = 360.00, $ 360.00 $ $ $ Collected by Development opmen OTHER FEES: 1 services "< TOTAL'BUILDING PERMIT FEES - '- '1,003.421 -30.34 $ 1,033.75 TOTAL ALL FEES $ 1,452.42 -$30.34 OWES $ 1,482.75 - PAID PAID PAID PAID MINIMUM PAYMENT OF, FEES' _ - �- , ` BUILDING Filing Fees .. $ - - - 80.00 ". Receipt No. Receipt Date Staff Initials Receipt Name Check Number Check Amount Cash TOTAL PAID --•'4: $ I$ 382554 ": ; 07/21/03 •- _ .. TH •, ,- '"' - Gavin Kelrm - - -- . 1,482.75 1,482.75 1 $ 1$ $ Plan Check Fees $ 283.98. SUBTOTAL BLDG $ 363.98 SRA FEES $ 89.00 *``REQUIRED MINIMUM PAYMENT_OF:FEES{" - 452.98& IFROOF,OF P—AYM—ENT REQUIRED OR FEES BELOW _r = Y'r il. RECREATION DISTRICTS - Proof of Pa men[ Onl Ctdrn Area ResiderNal Per Livin Una `1 S t 189.00 $ 1 189.00 - ❑ `'- Durham Residential PerSq. Ft. $ 1.04 S - ❑ - . s ❑ SCHOOL DISTRICTS - Proof of Pa men[ On Oro HigNPelermo Grad. 092.. - �: Residential I -F 8401 2.141$ 1.797.6011- ❑. _. BALANCE OF FEES SHEET DATE: 11 PERMIT #: J / ASSESSOR PARCEL #: OWNER'S NAME: FEES (Amount and Purpose): l BALANCE OF FEES: ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban _ El Medio North Chico Specific_ $ WATER TENDER FEES $ BATTALION # FEMA $ SMIP OTHER RECEIPT NUMBER(S) // 4 6 6y l f-# /` 7,3 _� Sul COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �5 Co I'l/Tii ©cJ L L. ,L ry TtI //v io x� Z"o /4 J=ob �2!�,e ,24 ezDi� s r9A? &yz�- ( T /5 .d A11r6, 6-2-0,e az a R Date — Inspector REV 11/91 COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California ,95965 Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-170-186 MR ZONING BUILDING PERMIT OWNER VIL KITLING CAVIN DYL�1 & u LL d 510 TELEPHONE 812-8408 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS 2720 SHATTUCK AVE -1031 BERKELEY CONTRACTOR'S NAME HAROLD BALAZ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 181 GOLD MOUNTAIN BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Other ❑ Describe Work: NEI -1 ELEC. SERV. FOR FUTURE LOT DEVELOP AND WELL Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 it Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 e0oOR LESS Main Service zo.VA OR LESS 23.00 923.00 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby 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. XI, 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 NuooA 46.00 NEW CONST. DV=NG OCOUP. OR ADONS. ( 8 acC. BLDS. s0 3.5¢FT. CONST.MULTI.OUTLET 97.50 OWER APPARATUS 8 SINGLE OUILEr CIR. Ex. Occup. OUTLET OR FIXTURES 2L@''0° BA L @ .SO FIX Ex. Occup. ountTs Rap°Fsw1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PRE INSPECTION 23.00 PERMIT FEE $ 66.00 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. ❑ I 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 if the permit is for work of a valuation 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 forthwith comply with those provisions. ' // X Date C— 2 -) —y� Signature of Applicant - Owndr ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 ::]2_ES IMP FLOOD _ __ ____ CDF __ PARCEL ____ pp HD _ ISS UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for wh' fees have been paid. By / Date PERMIT EXPIRES ON l9 —5-- Date ReceiptNo. . 381885 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI�/DING DIVISION 7 County Center Drive • Oroville+ California 95965 • Telephone (53 ) 538-7541 APPLICATION AN6 PEAAAIT AS,yESSCR PARL�NJ+®EA �_ V-70 BUILDING PERMIT owrrtrtR SO. FT. OCC. BUILDING VALUATION Owmmr. M.4J AD P oHc UAD r�s+oNt pao AM CDIST L$CT=LENDER ffF,,ee LENDE:s LWUNG ADDRESS Tota! Valuation ARCNRECI OR E+GINEFA LIMEME NO. Firma Fee S 2D.00 Permit Fee to - AACMTEC7 'OR E+amaRs M &AM ADORM Plan Chackina Fee S' euwwcADaREs - 14.611 Energy Plan Checking Fee $ S PERMIT FEE t LOT NO. suaDrvsIOPts NAME PARCEL MAP PLUMBING PERMIT Feng Fee 20.00 Each Trap 7:00— USEOFSTRUCTURE SF ❑ Duplex ❑ Moblehome ❑' Ottler "` Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 1 S.00 TYPE OF WORK New ❑ Addison ❑ Remodel ❑ UpWs q Indalation ❑ Other ❑ Describe Work: 0 Gas piping rystern t - 5 outlets 15.00 Building sewer 15.00 Mobile Home. S G WT - @2D.Do PERMIT FEE t ' ELECTRICAL PERMIT Firing Feel 20.90 Main Service o0 oR LL 23.0D ' •� ��� � � �� S'k X • S,r O 44 -me- 4 / G❑ (/ _ AwsIXAA Uce;t*dG 1V � Main Service god► ro too" 46.00 Neteast ow►a aiCrL 3.5¢ OR ADars. a AMC. aLDs rmw 907457 NONAESRD. MYLI}ORlitETT @7.50 • FowF1R APPAaats s swou oLmEr t ut Ex. OccU . oin ET OR WrURM2D R•OD RQ-FMWD OR Ex. Occu . ounE s Ftmw) U 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Wisc. Wein o 23.00 PERMIT FEE _ - C- MECHANICAL PERMIT Firing Fee 2D.00 Heating Cooling Hood 1 6.50 Ventilation :i� PERMIT FES S Moble Home Insulation Fee S Energy Inspection Fee S Dee CONST• TYPE TOTAL FEE $ W . G NAZ• D. FEFS IMP FLOOD CDF PARCEL PD MD RSA. uE This permit is hereby issued under thetiprovisions ons tt o do work of the Butte County Code anti/or Resolutions indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Delo �'sV��f,mfg,�7�r+x�;xivrr�cs�Fli7�f�►�r�''ire"un.'3i'i""i;�'ai'p��t�ft'"`"q,*7�'rP@'�}""�",zytrrrw��` _ ., COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / 1p n� ��.y(l�l ASSESSOR PARCEL NUMBER ( (W ^ / /C' ^ �Co Proposed Building Use: �P/// x", jDte1Z 3 Ue� Counter Technician: Date: V Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. L. Plot plans, 3 or 4 sets, signed,�y 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. Energy compliance designand supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.). ❑ 14. ❑ 15. ❑ 16. ❑ 17. ❑ 18. ❑ 19. ❑ 20. ❑ ;sl . 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent_ by: ...................... Planning approval for (A) Use: (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway flom the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for b. L�' VDW e7-7 _ required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone ' 3 = and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: _Structural approved by: Yellow.: Ruildine niv.isinn Date:_ Date: I MAY -16-2003 07:27 PM P.02 E-13-2003 1 :00P1i FROM DELT4TEST ING 4164955467 P.4 30P AalZEs,y,'6#kNGoe. CA,' l� ' liar: fl \,. • `�.� ./ ..�' �`.. an � •� � , •� E. 1 1. I I ' 1•;0 � � � r11N�C 't 1 � K. ower e'ilo.rj ; 0 i Rcaao�+L�v�D \ i � 'h '.a� �� c , r�� � � '�•�•� _ J• .�. _ -_mss.. • ... j..w 1 � � r � QwEa Pal$' _1+ • � - IL t� `le GQ i PRE -INSPECTION REPORT . OWNER l DATE: lLa]�2�3 LOCATION: ( A.P. V CONTRACTOR/44rCId RRIAZ ZONING: • • • 'i w- DATE Building Description: CommerciaWsage: Resid=d&Vg of Units: Cwmdy Occupied Abandoned/Vacant Electric: Yes 4 No zz Condition of Electric BUILDING INSPZCrOR'S REPORT Electric currently On Off Gu:Natu.. ral Propane None CurrentliOn Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious ScwageProblems ACTION RECOMMENDED: HOLD FOR 4�—O�D:te I Sketch buildings on reverse and indicate location on pi-oper 0 LINTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 v.12196) APPLICATION ANIJPERMIT PERNAT NO Csess00. PAHC7-1 NRJI18ER v _ / /'� - f zO"RNO BUILDING PERMIT TEU7m*kEG S SO. FT. OCC. BUILDING VALUATION wwERs weal Ao � P oNrRAcro Nw+E r0..FPNgItE a � DNS =n= LIMER [Fireplace EN 09Rs MAn= ADDREss Total Valuation S PZHMCr DR ENMNM LICME NO. Firma Fee S 2 D. D D Permit Fee S - acMTEar bit DgmEEFM mQm ADDREss Plan Checking Fee S LMJMDADD0.ESs Energy Plan Checking Fee S . S PERMIT FEE S DIM suaDMMsNUMa PARCEL w\P ... PLUMBING PERMIT Feng Fee 2D.D0 Each Trap 7:00 .. — USEOFSTRUCTURE ;F E3Duplex ❑ Nbbilehome ❑ Other car Solar or heat pump water heater 23.00 Water piping 15.OD Each gas water heater or vent 15.D0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Lyrws q Installation ❑ Other O Describe Wark: r ' Gasin m 1 - 5 outlets 1 S.DO suild'ing sewer 15.00 Mobile Home S GW @20.00 PERMIT FEE S ' ELECTRICAL PERMIT I Feng Feel 20.90 Main Service DI OR � 23.00 �� t:p` swt•�m Srs • �� �\ 3-03 co Maul Service z -w To loom 46.00 NEW CONST: DwEUJA oCCUP. DA ADDNL 3.5¢ :ACC. et.a5. ►AR,R610, HFW • YUtx►DVitET @7.50 • Pawal AaPARaTis s sam,F ovnFT an Ex. OccU . OVnET OR FIXTUREL m e I.50 9A!- O .SO . M. Ex. Occup. " m.)Ex L S.DD Temporary Service 23.D0 Moble Home Facilities 20.00 MmWiring 23.DD 1 PERMIT FEE _ MECHANICAL PERMIT Ffing Fee 2D.DD Heating Hood- � � 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee S Energy Inspection Fee S cl�c COWT' TYPE TOTAL FEESCo HA -Z. D. FEES IMP FLOOD CDF PAACELPD i This permit is hereby issued under the appficable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date Page 1 of 2 KELLING PROPERTY GENERAL SITE PLAN 1/4 INCH 30 FT 30 -ACRE PARCEL, # 028-170-186 181 Gold Mountain RoadGRAPHIC SCALE Bangor, CA' 95914 Zoning: -AR M -R Mailing address: 2452 Oro -Bangor Highway ' Oroville, CA 95966 Main Contact: Gavin Kelling 510-812-8408 2nd Contact: -Helen Kelling 530-370-1509 3rd Contact: Dylan Kelling . 415-973-4430. ' - .. •' scent Parcel Adjacent acres Adjacent parcel of 19. f 19.08 acres r t ———— — — — — —— — —— ——-----------� ---------"—'------- 1239.75 FT — — 1 1 a' 1 o44 ` 1 1 a 1 1 I • 1 1 dui I / r 1 1 ' ^ � ,t Parcel � - •� • • 1 1 — ' odf'�1a0 a res 1 1 1 'well, ® ;1.0'T ' i 1. N 0 > O > + • 1, • •Power pole a µpuPl7AIN RQAV 1 GOLp 700 FT' --• --— — — — — —— - — - - =— Page 2 of 2 GENERAL SLOPE OF PROPERTY-.' 1 = 30' r GRAPHIC SCALE " KEY: - NORTH - Q Large boulders Oak tree - so Well& • y : _ - �O 01 _ 1pump ❑� — — — ` �,<-C�. y • 1 ..` ---- • -- - ----- SITE 120 FT — ' 1N H8 • Septic tank and / leach lines CL va ' - �•- ;; KELLING PROPERTY Detail of Site Plan --30=ACRE PARCEL, # 028-170-186 . " 181 Gold Mountain Road N v Bangor, CA 95914 4 - Zoning: AR M -R - , • _ , .. ' = � ' : r •• - � . . !Mailing address: , , • �� b •2452 Oro -Bangor Highway • - 10 Oroville, CA 95966 Main Contact:. Gavin Kelling 510-812=8408 2nd;Contact: Helen Kelling 530-370-1509 A ' • - .3rd Contact: Dylan Kelling -415-973-4430 ,, in ;.. r . Page 2 of 2 Power pole Page, 1. of 2 KELLING PROPERTY GENERAL SITE PLAN 1/4 INCH = 30 FT 30 -ACRE PARCEL-, # 028-170-186 - . 181 Gold •Mountain .Road 1 GRAPHIC SCALE Bangor, CA- 95914 - 1. Zoning: AR -M -R ` Mailing address: 2452 Oro -Bangor Highway Oroville, CA 95966 ` Main Contact: Gavin Kelling 510-812-8408 - l 2nd Contact: ' . Helen Kelling 530--370-1509 ` 3rd Contact: Dylan Kelling 415-973-4430 Adjacent Parcel parcel of 19.08 acres Adjacent 1 of 19•p8 acres t • 1 1 — 1239.75 Fr — _ L 1 a 1 044 , i Al 1 1 1 Adjace (tz .. 1 • ' ' ' t parcel 1 1 of 10 res 1 4. 00 �1 aoml. �• 1. c Q Power pole D. o GO990000 Tl. J,��UPl7AIdJ 1. 700. FT � 1, Page 2 of 2 O "� - GENERAL SLOPE ' OF PROPERTY • ' 1"=30' - k -.- GRAPHIC SCALE .1 KEY: NORTH - Q Large boulders Oak tree ; po Well & : C . pump ❑� �„ � � � - _ _." 1Cd r5� vl _ '� _ 110 FT_ �„m--- ----- —____________.._ _____ I 0 ---i,NSITE .� 120 FT — t_.. z R'' ` ,/ • 2 lip o . Septic tank and / ;leach lines ' 11 1too 1 v 8'tys KLUNG PROPERTY;. Detail of Site Plan - . 30 -ACRE PARCEL, #'028-170-186-' on 181 Gold Mountaih Road - Bangor, CA 95914 - Zoning: AR M -IR Mailing address:, o = .2452.Oro Bangor Highway 1. CA.95966 s Main Contact: Gavin. Kelling; 510-812=8408 2nd Contact: ..Helen Kelling - 530=370-1509 3rd Contact: Kelling 115-973-4430,, -Dylan Page 2 of .2 Power pole ! OAD • August 4, 2003 - - Page 1 of 2 KELLING PROPERTY GENERAL SITE PLAN v 1/4 INCH = 30 FT 30 -ACRE PARCEL, # 028-170-186 ' 181 Gold Mountain Road GRAPHIC SCALE ^ Bangor, CA 95914 Zoning: AR M -R - ' PLANNING DIVISION- BUILDING PLAN APPROVAL , Mailing address: - use: O i� Date: 8 - 2452 Oro -Bangor Highway Parking: - Landscaping:__ Oroville, CA 95966 other• : Main Contact: Gavin Kelling 510-812-8408 Signature:mom 2nd Contact: Helen Kelling 530-370-1509 - - 3rd Contact: , Dylan Kelling ' 415-9734430 ' acent Parcel Adj of 19.08 acres Adjacent Parcel i of 19.p8 acres -- -- — ---— — — —— — — ---- 1 — 39.75 FT — 1 1 CL d 4J "o 1 l ' Q O 1 ; 1 S. 1 1 - 1 1----- — —— — —— - — —�-- —•� � Adjace — ---- 5 • . � 1 L1 t Parcel 1 • 1 1 1 ' of 10 res 1 s 1 uelN _ 350 FT — 1 SITE 1 Well 1 1 1 •. � J � c •pw a 1 zt 1 • n (b1 Power pole ,. -n `" m 1 1OUNTAIN ROAD 1 GOLD M 700' FT -1 ------ ------ NORTH GENERAL SLOPE OF PROPERTY Q ♦ G • ♦ ♦ ss ' Septic tank and leach lines 1"=30' GRAPHIC SCALe KEY: ,r Large boulders Oak tree KELLING PROPERTY - Detail of Site Plan 30 -ACRE PARCEL, # 028-170-186 181 Gold Mountain Road Bangor, CA 95914 Zoning: AR M -R Mailing address: 2452 Oro -Bangor Highway Orovilte, CA 95966 Main Contact: Gavin Kelling 510-812-8408 2nd Contact: Helen Kelling 530-370-1509 3rd Contact: Dylan Kelling 415-973-4430 Page 2 of 2 August 4, 2003