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030-090-032
C'7i.. ALGEA, Garland -3 48-:66 _ 4493P 5659E 1967 Thermalito Ave., Oroville �—�--- GONTR Richard Wood, 913 Long Bar Rd.,OroviI" (new singe family) Gadd covered patio) 1 0 + p'' a.. .i*'^ja;. ::'::rw . .: .-.. ., .1 '1 ..¢ ...� ,b.,. w :,, ,.-. t' �R ..:. :. .• ndj`.y '•y.,. ,q sL:a"w:�,`��,. ka��. �'? .., .. ... .._-�.�t . •.�[� "sa'€�'.,_� .:�`..rm. � -�z!PE ,t�h%>�:i�s:�.�:��'(..1�;irkia s4�+�'��Y.w�w��'+Y3i?+�:�i:�i�3ti.�tt�d.� ...`t'`.w�is.�c' .:Y1•rl�a.�.a�. ,A b�'';� MAE, a I Butte County Department of_Development Services • N O T E S Z County Center Drive, Oroville, CA 95965 (530) 538-7601 www.but(ecounty neydds OOTrf� Haan vo c�UNt+ a �Y RESIDENTIAL APN: _ _ _ ____ Permit No._ _ ' 030-090-032 05-2654 7. Owner: _ CHAPMAN, RANDY __ Site Adlress2� : THERMOLITO AVE, OROVILLE Contractor: NSF(GAR) Type of Permit: { 't OFFICE COPY i Address GAS—�� Meter By •p r Z Z ELECTRIC Meter By Dat r d '20 iN S% SPECIAL CONDITIONS CHECKED BY U SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY USE PERMIT CONDITIONS ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE ' f4F,rWn OUT o I " DATE JOB FINALED: �� O SIGNATURE: ........................ 11 ...... .............. Butte......... ..................... County Subdivision Name DESCRIPTION OF INSTALLATION 1. ROOF ........................... ........................ ............. * ..... ... I .... ..... . ... .......... Thickness ... .... ..... ...... Lot Number Brand Thermal Resistance ....................................................... 3. EXTERIOR WALL - Frame Type: A. Cavity Insulation ..... ............................. .Material:::,:, Thickness inches :aa3a1%2 ........... B. Exterior Foam Sheathing ..................................... Material: a : a ........................................................ ............ Thicknessin h ................. . ................... 4. RAISED FLOOR . ........................................ Thickness (inches): ........................................................ ....................................................... .-Af. ........ . Brand Name:C Thermal Resistance Brand Thermal Resistancealoe .............................. Brand .... ..... ..... Thermal Resistance ....................................................... Brand Thermal Resistance Brand Thermal Resistance ............................... ....................... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. ��. ........................................ .............................. ...................... ........ .. .... 40 .Chico .................... ....... ............. ...................................................... Item Number's Signature and Date Installing Subcontractor (Co. Name) or Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner = OK O = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE I Li PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S'C A R P O R T S'G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-CnnctrsShthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining I 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing. . r v=OK 0 = Not OK -RESIDENTIAL (Single. & DUaLex) UAIt: IUN LOOR Setbacks -Easements -Flood -S lope 0*2 4 Main; Soils-Elec Grnd Ftg Dpth tg yPch:s/Decks; SoilsSteel-Elec Grnd Ftg Dpth. 4 Ftg SoilsSteel Ftg Dpth Ba5 Ste Main; Steel-Blockouts-Wrapped 6 emwalis Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchrs 7 Slab teel Wrapped 8 P' rs-Frplc Ftg-Steel WV; Fall -Fitting -Test -2 -way C/O -Sewer Test rt UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation 4 _ G 5 16, DATE IF M I N G ills Proper Materials & Anchrs 19taV1 Studs -Nailing Spacing & Braces-Plates-Sound ring Walls over Girders & fir Nailing 2 aft Stop in Walls (rat proof) F'te Stops, Furred Ceilings -Stairs -Chasers -Tubs 4aders & Beams-Sz & Bearing tigers -Post Caps-Anchrs-Cnnctns 2 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-Truss-Shthg 25F plc Ties or Type A Flue-Frpic Throat Cirnc tt ��F2Bdrrn s Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles Wndws or Exiting Doors -Sill Ht & Dimensions ge Fire Prtctn Framing -RC Channel ty Line Firewall & Opngs t Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 iirs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 3211P d on Roof Ovrhng-Attic Vnts-Rf r Outrgrs iding-Nailing Veneer 34 S cco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc lazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws I.2 s DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑ AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector _ � .Z0, 06 G. . BI Htrd'Ve " cc-Cmbstn Air Baffle ipe; est & Anchr-Nail Prtctn WV; Test Fittings & Anchr Nail Prtctn '56 Shwr Pan; Test, First fir -Tub Acc 5,7 jest Tub & Shwr, 2nd fir - Tub Acc 180tas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test O'Yard Gas Piping N Q-2,0( UA[ _t: A N I C A L �VC2htd'ensate cts Insultn & Support an, Exhaust abv Insultn Drain & Ovrflw, Sz & Grade nace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet U,Xttic Acc & Pltfrm if Furnace in attic ( + 1-14-0(o '� FI & SideLt Prtctn-Landings "moke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr I arage; abv-flr-Ducts-Mech Prtctn 6 droom Exiting .& Bath Fxtrs & Tub Acc-Spa I Arc Fault Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frpic or Stove, Cirnc-Hearth 75 EI c Outlets at Wood Pni, Int 8 Ext 6 hn, Fxtr & Appinc; Grnd-Air-Gap-Cookirig Cirnc Outlets 8 Rcptcls at Ktchn Counter arage Fire Door; Swing -Landing -Closure J9 ge"Duct in Garage -Damper tr Htr; Vnts-Cirnc Com Air,tr, abv Cn fir Psuit' .. Prtctn, LPG Appince Undr House 3" dramElecMech Eqp Listed for LoctnRcptclsin Garage (GFI) Romex Prtctn Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters E --]Yes []No 87 St co Brown -Finish Unit Dscnnct, Elec-Plmb � 11nts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs "t Well, Dscnnct, Elec, Plmb xt Elec Trim, GFI Rcptcl-Undrgrnd 9, jItn thru House 9 s Prtctn �rrections from previous Inspctns =9§'Gas Test -Meters Tagged, Gas-Elec 9P & Sewer Cnnctd-C/O to grade -HD Apprvl 9"nergy Cmpinc Cert -Other Certs M,Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052654 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/31/2005 APN: 030-090-032-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Nunibe'r: Site Address: 1971 THERMALITO AVE ORO Date: Contractor: Map Index: Description: NSF (1380), GAR (484) OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Owner: CHAPMAN, RANDY AND CHAI to its issuance, also requires the applicant for such permit to file a 27 LESLIE LN. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commehcing with Section OROVILLE, CA. 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom -and the basis for the alleged exemption. Any 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 Applicant: CHAPMAN, RANDY AND CHAI owner of property who builds or improves thereon, and who does 27 LESLIE LN. such work himself or herself or through his or her own employees, OROVILLE, CA. provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to Construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ [am Exempt under Article 3 of the B iness and Professions Code Dale: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 1864 S.F. Policy #: Valuation: $101,316.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. n CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indic ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �p�0(�11 ` „ C Name: By: � .f1Vl� f��^ 0- r m _ Date: I (�J y PERMIT EXPIRES In C Address: ON: 1- (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos s. w ow ���� Print Name: 1�-1�%�� ' Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 _o7 030 Tr BUTTE COUNTY w PERMIT o DEPARTMENT OF DEVELOPMENT SERVICES NO. o BUILDING PERMIT APPLICATION o AND SUBMITTAL REQUIREMENTS -96 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPO5 OFFICE #: (530) 538-7541 \ BIN# A FEE WILL BE REQUIRED AT TIME OF APPLICATION I "PLEASE PRINT CLEARLY** P&ari � o F OWNER ` Last Name C , 1 A(F n � v� I�►�/ First Name V4 l Address aj 1P` � r4 CL CityeO(�v State � Zip Phone —S�(� Fax E-mail CQ Q 4-l►APIM�1 D-) ARCHITECT/ENGINEER CONTRACTOR Name City g� eQ Address ZipC((Cl (b City No State Zip Phone Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER NameA {L(L c/ Address la KV�>AA� - City g� eQ State CA ZipC((Cl (b Phone No E-mail State License Number APPLICANr SIGNATURE Ix For office use only: APPLICANT NAME Name Flood Zone Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICANr SIGNATURE Ix For office use only: Zoning Property Address - iq 111 Ah L 4 Flood Zone Cross Street , SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION AP# '1"N'F-4vkow Ta Rt1fc� Property Address - iq 111 Ah L 4 City Cross Street , WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY., Name kko to Address Description or Scope of Work: I L L Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION . Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiv d bly Amount: Receipt #: I �q OVER FOR SUBMITTAL KE(2UIKtMtN 15 L KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Date: SRA Sheriff SMIP Other Total REV .6-16-04 -.W^ SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New,•.Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. , 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). O 7. Detached Accessory Building Form, filled out by the property owner (if required). ci 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. 0 3. 2 Marriage line information. r 0 4. 2 Floor plans. 0 5. 2- Engineered Tie Downs or Foundation plans. '❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9.. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER, FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 .r^ � ..J .. .• ... -.'• .. ,. -...`.. a .jh+..li%':Vy •►.`1'4.• �•-TY'ti:�jr^•'-.+•'^ic, ...../`.•. .... ...-1.-�-, f li.,. � �-.. ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDING'DIVISIOA,,) f' 7 County Center Drive, Orovil le, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET LOrB " 0 4112 776 F. o OWNER: I4M e-A�" '0q ASSESSOR PARCEL NUMBER S O L Proposed Building Use: N Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. i N1. Site plans, 3 or 4 sets, signed by the preparer of the plans. /J 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 faxesl ""N ❑ 5. Letter from Engineer or Architect for truss design review. 'Cs IJ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildirigs-,. ❑ 12. Hazardous Material Form p / 13. Acknowledgement of building permit application without required clearances. lJr 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 0 19. Erosion Control Plan Required................................................................"....... 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit....................`.......................................... ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan 9pproval ❑ paid. Sent by: ............. �Cy X24. Planning approval for (A) Use: arking: ._.(er arcel Check-.,.., .......... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ............... .::.'....: 26. NPDES Form.............................................................................................. "-p' 27. Encroachment Permit for driveway from the Public Works Dept ........................... ' ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 1 I N 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... / 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction............................................................ :.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone F_*WD( 3 70 - S 57/'/ and hold for pickup. I have been informed b,f the above items and requirements for obtaining a building permit. i �G Applicant: �`-` _ �,� \ 14 ,� G Date: - t ' f/ ( ` 1. Index permit application for the above items numbered: v Plan Check Letter 2. Additional items required_ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co' nter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 1A Z Plans approved by: Date: Structural reviewed by' Date: Structural approved by Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE / _ -(— S DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION LO 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES pD fZ77 &V&V'&F Website: www.buttecounty.net/dds f2 2 OWNER r 2�/J A.P. # a %� PROPROSED BUILDING USE %� S r 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review. --- Additional plan checking Fee.... $ DATE / Z9 —Crs_ REIICEEIPT # DATE REC. 17 039S 2. SCHOOL DISTRICT FEES QW r((68 VA- /0'/ I�_31-05 (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. // 4. RECREATION DISTRICT FEES 02PUG ` V U J `0�`- j (paid at Recreation District Office) (form available after Plan Check) J490�P� 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ L I/A ra4g 8 CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION.# $200.00 (paid at Building Division) 8. 9. 10. SMIP DRAINAGE 11. OTHER $ 555 -C �p lb -SF CS At time of permit applic0on, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed du ft tk1 pkn checking process. APPLICANT DATE 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. 7/05) BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM RfEATHER RIVER RECREATION AND PARK DISTRICT .(FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Numbers Q^d� Building Permit Number�� Property Owner (s) /IC' Project Location /Address Y /��//Ylllll ��10✓l /// qy Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date i sued ) verified by Building Department Comments: ❑ FRRPD 0 CARD ❑ PUD 0 DUD certifies that: 153U-7;>'1(5 _(;Sl'j Applicant Name Phone Number P-� LFA"f�;__ L' � ©avLL -fe% CA -G Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ - Remarks: Paid by Check No: log Paid by Cash: and Park District Representative per unit for a total of $ c.( Z per sq foot for a total of $ Receipt No: BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) (, School DistrictOwit Building Department No. r /— 1 A.P. Number �(_i'� CD �2 Jurisdiction: City lCounty Property Owner / )�%%/'q' (. hwmL%iq Property Location/Address /mQ/ t (/LP. ( (6 / A... Subdivision Lot No. Residential DevelopmentQ Q Q Q `:: Sq. Footage No of Living Mobile Home Addition/ "Supplemental to (Group. R) _. Units Installation Conversion Permit # ;` .............................. '(No foundation inspection) ............................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) , `Building Departmenf Representative - . Date District Identification No. 06 0:10 7 VN -1-0y", � �� School District certifies that .Y yr zit �q�uti C%A (Applicant) (Street Address)^ (Phone Number) lJ� OV (City) (State) (Zip Code) has complied with the requirements of Resolution No. ()J "9 r� by payment of $ 3 I representing I �J square feet. School District Representative Paid by Check # . v Remarks: JFB 2926 $ ULL MITIGATION f . Date Nodce: You may protest the Imposition of the fees Identified above by submkdng 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 fees In any court action. N, subsequent to the School District Representative signing thls Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this protect Is being reviewed under the California Environmental Quality Act (CEQ0% this project may be subject to additional school ties to fully mitigate Its Impel on the school distrlers sehoois. White (school district), Yellow (building department), Pink (applicant) feeform.xis (sros)d&m Date: 09' OGT- o f - SITE PLAN REVIEW APPLICATION AP# O 30- 01?0�_0,39- Permit Number (if applicable) Bin Number A — C% APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: J-7 Lt sY.aE ��w, l�2Ov�/�? G4 9f pGd Telephone No.: Situs Address: �� -rfft e,4z*i_a?o -A.ve - 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 Y Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use ❑ Approved ❑ Conditionally Approved Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date LOY Dom% 41� 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ SRA - (CDF.to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: A P General Plan LQI Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 0 '• r 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 El 'Yes Comments: &Parcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access E] Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger - ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision ME/Parcel Map: Map Date of Recording: Lot: %-co Book: Page: S (� GI r.) 2` 1S rx ✓T& c_, ail Ae% tf cy c7 A 14 1 :tZ-7'6�1et�1 3 WA epa r t rc� e�� o f Public Works C o u n t y o f LAND DEVELOPMENT DIVISION J. Michail Crunp, Director Storm Water Management Program 7 County Center Drive �\� •��� ® C0 U Orov',30)lie,538-7266 p�UO vVOF�S 95 965 ((FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN � ACRE Project Description: N5F. Project Location andlor Parcel Number: L v7T 8 -7-/ oyv (= �30o9v�o32- /TD AI -1L - By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. 0 Signed: Title: Date: RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Randy Chapman and Chai Chapman OROVILLE, CA "1S�j (e( Recorded I REC FEE 10.60 Official Records I TAX 12,E County .of ] Butte I CAt@a J. 6RUBBS' I' County Clerk -Recorder] 1 I JC 02: B'} -*e cam I Pagel of 2 Space Above This Line for Recorder's Use Only A.P.N.: 030-090-032-000 File No.: 0403-2062724 (KB) GRANT DE Z The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $ TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, j X unincorporated area; [ ] City of OROVILLE, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, RUBY J. ALGEA, AS TRUSTEE OF THE RUBY J. ALGEA LIVING TRUST DATED FEBRUARY 26, 1998 hereby GRANTS to Randy Chapman and Chai Chapman, husband and wife as joint tenants the following described property in the UNINCORPORATED AREA of OROVILLE, County of:Butte, State of California: LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF SWEEMS SUBDIVISION",WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 24, 1948, IN BOOK 16 OF .MAPS, AT PAGES) 'T. Dated: '09/08/2005 RUBY J:ALGEA,.AS TRUSTEE OF THE RUBY- .J.: ALGEA LIVING TRUST DATED FEBRUARY 26, 1998 RUBYJ: ALGEA, Vrustee- /, Mail Tax Statements To: SAME AS ABOVE ,*_;,.'•v'oe wJ..:t �;a't :i ... �.' ' }' IN q - i.�.`'•�-C ;•; '.-rtc::'n .�J _..2zYMzr 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 perinit will be issued until this verification is received. �1. I personally plan to provide the major labor and material for construction of this proposed property improvement: 'YES P< NO [ J �i 2. I HAVE T�,() HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE- NOTE: WNER: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. Butte County Department of bieveloplaent Services ADMINISTRATION `BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are rewired by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations,, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Viei4 C.B.O. , Building Inspection NOTE: This Owner -Builder Tnfnrm;etinrn is rPnnirM hir CPrfinn 7ozzn of rhP rnlifnrn;, Wal lfh -Anrr cofofz, r'nrip AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 3 -Oct -2005 2005-0059986 Has not been.compared with original BUTTE COUNTY COUNTY RECORDER 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: LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED SUBDIVISION", "OFFICIAL MAP SWEEMS SUBDSION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE.RECORDER OF THE AT PAGE(S) 7. COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 24, 1948, IN BOOK 16 OF MAPS, q-4 Date loo_-s— PROPERTY N State of California ) County of On 2 13o�i� � before me, % ►t2 Y 7 . :_3, �C1 w e �� ,Vo Ti9 c2 j/ personally appeared /CA^;, CGL 14,-J G.Ckn; �� . ,�,� ersonally known to me (or proved to me on the basis of satisfactory evidence) to be -the person s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hapd and o icial seal Signature t; ` �,! v� Seal: i(ARY-J; B:IDWELL;: - � nn. Fn Commission #1381097 v A.P. �`�V "�l(� -0�,2 �r�¢Tlor1� a. Notary Public-Califorilia cn � v Butte County 1 My Comm. Exp. NOV. O8, 2006 ENCROACHMENT PERMIT County of Buttc Department of Public Works e/ 7 County Center Drive Oroville, CA 95965 Phone: (530) 538.7681 Fax: (530) 538-4356 All information exec t ature must be l cd or I ibl rrnlcJ Ycrsnit it NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED � 1 i 5 Assesi,W% Vivetl *-) PrupenyOwacr'sName: Number Neguired)_�Q�' ystflQ 1 A�S!� Yt►� o- ":C : n propply Address: �� PROPERTY ,�' '3-7 ,`�S1 int iL L IG OWNER M,iling Address (iroifferem): Y-7 �G-- LAM(, aewiu.L CSA 661166 Wank will IroCtotrera s perlivmud by: In Conlr w>< C3Progeny Owner 1 ���/Y�1 Addreu: WORK Cmilfacmr s Lice*wQtifiuue of insunntf mmal ltt Yes ❑ No /�i%, n file W ft jjCVAnMgna PF.RIFORMED BY Number: V _ 4 . y .. ntgrlicutt is: }� Proycsry Owner ❑ PraMty Ownei s Agent ❑ Connocim ❑ Olber.— 1 / W 1 . the undersigned, hereby apply w the County of 13unc for nn encroachmcnt pertytir to do the following work under t)' over the County rod,;�ud�l►it i accordance with County urdina,lccs and Xcricnll laws. Signalure�,�� Date.Signvd: Time amt Duration 'I'0 orlincrtvchauu: �perrn:menllitcroschmeal Q TomtKmuy: From LOCATION "'Type or Encroachment: Driveway Q Kuudway ❑Culvert ❑ fence ❑ pipe/Pipeline ❑ SignAlillboard ❑Oulu Inc I'ra,a j� Yes ❑ No Aaached: r_ PERMIT IS: ❑ GRAMfED ❑ DENIVD Conditions: In complinn" with 1110 nbove request, and subject to all terms, conditiorns (including tlro..o an page 2 of this ptsmil tuna) an ciul conditions written below, permission is hctc, Cra»led. _. 1. O Underground Service Alcn (V.S.A.) man he nutified two working days prior to any cxcnvnlion. 800.227-2600 2. ❑ All work shall conform ut accuinpanying: ❑ Dcluil 0 Plans O Spcetel Conditiuus 3. ,R(Olher C:uuditions:PERMIT ,1r- CONDITIONS __—ALL J'ay'— -Tr- S;_'-�1 •;'nS A��� <!�-i% J�i:1 Z;,uAtTA (To Lt4� (To be filled in by County) _ -- batt Expiration Date AAuwuN�/ I We: ee)�/ pattl:�° 3 c5+ raid: (p~f-� Isy1C,. ^A^-.,. ch«k. 4/7 No: x5' Surety: .� 3— Reeetpl 4/3?-zV Mike rump, Director ot'!'ublic Works By: C 1loA Distno Inspeetul Ity: 1nspKhon U Completed - OK U U+mpldul -Kos OK Readls ❑ Additional CommWfz Aaachcd For County Commeta.: Use Only Nou: If carats a.t: fbxad l0 i4 enc lKt besides 5311) 5311-9:t5b, Otey can lir ddarcd up to ww wetk. " -" - — -___• yam: `rxl a/dil' _. _—�_.. _—�. - _.. — r Pagc l of 2. 1'd 9960 ses OEs s�jjo0 oijgnd oO aoong dBbt10 SO 00 %Do A Public Agency 410 Grand Avenue Oroville, California 95965 (530) 533-0740 FAX (530) 533-9243 DIRECTORS Brad Taggart Division 1 Gary Allen Division 2 Edgar C. Thompson Division 3 Stanley J. Huston Division 4 Ernest L. Reynolds Division 5 Gary Alt Manager/Secretary John Jeffrey Carter Legal Counsel Established 1922 r October 13, 2005 Randy Chapman 27 Leslie Lane Oroville, CA 95966 RE: AP 030-090-032 Mr. Chapman, Thermalito Irrigation District is willing and able to provide water and sewer service for AP 030-090-032 located at the corner of Thermalito Avenue and 206' Street in the Thermalito community, California, on satisfaction of the following conditions: 1. The District shall approve in advance in writing the plans and specifications for the water and sewer installation to the new dwelling unit. All plans will be submitted in accordance with TID Improvement Standards for Water and Sewer Facilities. 2. The lot will gravity to TID's sewer main on the North side of. Thermalito Avenue. You will be responsible for the road crossing. and installation of the sewer lateral to this house. A four inch PVC sewer pipe will be required to make the road crossing. A two way clean out will be installed at the property line. The clean out will be brought up to grade with a Christy G-5 box over the installation. 3. The water and sewer installation shall be completed in a good and workmanlike manner and shall be subject to TID Improvement Standards, inspections and acceptance in writing by TID's inspector. 4. Thermalito Irrigation District has no sewer or water easements on the property. ro a t� R This letter* shall expire one year from and after the date. hereof. ' Connection fees, which for a dwelling unit presently are $4,655.00 for a three-quarter inch water connection, and $3,157.00 for a sewer connection, shall be assessed at the then rate of the District -at the time such connection are requested. Sincerely, '�j'jt",,:1�:�'G7.'rt:�i.:rY�.i'�hT�!iJAi.��'!`i�.iti'k":�#.�$:ri+ycs«�'•�"xio;-.'^c'==:=-:��:�'.Yh,.' �. `.�,v:,rV*�-.n{�„-.�.r%t'vJ/'-�rFL+r'�1:.%;P�` �e.`Y.�i+-vsr��-'^”-'"va sir+.-�- . .. ,—.:.„' • c: ju`- -32 92-194lB ALGEA, Ruby 1967 Thermalito Ave, Oroville reroof/sf �J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS CA;PERMIT N0. 7 County Center Drive - Orovllle, California 95965 - Telephone:r916/538-7541 • APPLICATION AND PERMIT C I ASSESSOR PARCEL NUMBER 30-9-32 ZONING'. A- R p :�r� BUILDING PERMIT OWNER RUBY J. ALM TELEPHONE -t 533-2403 SO,'FT. OCC. BUILDING VALUATION ' iW n c lJt/1'iT. ,G5 a7 1*500 OWNER'S MAILING ADDRESS 1967 ITIERMALIM AVE 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I 05W LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30,W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I 1967 TIE2MA1,11117111 VE i Permit fee $ 45,00 PLUMBING PERMIT Filing Fee 15.00 �. Each Trap 5.00 Solar or heat pump water heater 20.00 .. LOT NO. 7 & 8 SUBDIVISION NAME SMAS SUB PARCEL MAP BK ,,�6 P %' Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE ?i A. T SF 11 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK ' New Addition ❑ E]Remodel❑ Utilities Installat on��. �•.ther ❑ Describe work: _ t t F' vn!•` �4 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 .•-i."r"�~"} Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) CONTRACTORS LICENSE LAW '' I declare under penalty ur ) � p y of perjury f y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license Is In full force ands effect. License No. Classification < 1, as the owner, or my employees with wages as their sole Compen- i sation, will do the work,and the structure is not intended orloffered for sale. (Sec. 7044) i ❑ 1, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professioris Code for this reason _37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.tt. OR AODNS. l ACC, BLDGS. // NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUIT @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. 20 76 EX, OCCUp(OUOR FIXTURES FIXXEDED APPLNS.OR EX. DCCUp. OUTLETS IRESID,) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certjficate of Consent to Self -Insure. I shall not employ any person in.any manner so as'to become subject r to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor . I certify that I have read this •application and"siate that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X r�� t ��-r ' '� Date a _ _ - {� G"` t ; Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEES 45 • 00 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD IV �f�/ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j rt, work indicated above for Which fees bbfve been paid. �% �r �' / ,IDIRECTO'R O. PUBL,I�(v'.'UORKS / By f ,�,e. �a'L/� t ,/ a 1A �t/t Date l ! tl l� ,? PERMIT'EXPIRES Date +' j 9 (; Receipt No. I ��Ia 7� WHITE-D.P.W., YELLOW-ASSE56R, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-9-32 ZOFN ING BUILDING PERMIT OWNER RUBY J. ALGEA 533-2403 SQ. FT. OCC. BUILDING V LUATION '� COMP 25 SQ 1,300 OWNER'S MAILING ADDRESS _ 1967 A ITO AVE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,500 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1967 T14F.RMAT.TTO AVE Permit fee $ 45.00 PLUMBING PERMIT FiIingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 7 & 8 SUBDIVISION NAME SWEEMS SUB PARCEL MAP BK 16 P 7 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[E Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie [JInstallation❑ Other ❑ Describe work:_ROOFIN � (4) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.�\ NEW CONST.OR ADDNS. l / ACC. BLDGS. // _37.50 3.6Qsq.ft. NEW CONSTR MULTI -OUTLET NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. I EX. OCcU OUTLETS OR FIXTURES p 20 76 IXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.J 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation --- - Pennit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said J�County in consequence of the granting of this permit. q X— `""-rte 0 a, Date 61 —� / 2-- ' Signature of Applicant — O�iner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz 1 DFEES I IMP I FLOOD CDF PARCEL I PD HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or work in ' at d abov f r hich fes IRE By PER PIRES Dat�X&� applicable provi- re oIutions to do ve been paid. Receipt No. IFJ69 q� WHITE-D.P.W..YELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,��w�.,:..,F.-^r r �V"r rr...-T'«,w�v ..sn�,.eyi?.�:ge:tt�' ..t+ PY'I�,t�.�f �,�e �: ,tom . ti x sv}� .a'n. q' rn:rv�a�i�-r � �;�} ��t>t7�s�. 1Ky.w'r. �.Tl, ��-:+�'.°°'o bC�d#,6�' �`r`''"dit . S � _ _ r a 7 - .- ... .- � t _. 1 . _ _ ,. \ i ' ..�.. .� -- „�. ._ - y A .. • � }� 1 � 1i • � e. r�� ♦ •Vh h � � � ' a. .. � �.• tr ' � � - 7�. - .• 'N • .. f _ x � � . a 1 .. � �. .,. �� . r + , a" rr, . ' •.t� .. . e. � .. .. r �� .{�'S . � � . F .. . / , �,.. � x� `,} - .� r , ' � � f � � � - � ... . �. l �� . .. .. `y{' � 4_, • ( .. '� . r ��� . . r�r �t _ .:. � � r . � ;' • ,J.1 ,. . ... _,.� `,�.��,' �!'�hf.ti'�;,'�� fig?\ `�}�1., � . Ij (}}(!!��_}}��.` uu__ _'.......� .. � . .+e.. ..a.. �.. .. �-i.... ►+..aw ar. . +r....+�wi..+w.r.�.�...-- - — r.w .. ._ ....�.. «,�� � -.-k€. � . , .. ._, .. '� -140 AM" :,fPrr. tiK�r.et COUNTY OF BUTTE "PARTMENT OF PUBLIC WOF��` BUILDING DIVISION h l �•� .nuc _' t 7 COUNTY CENTER DRIVE - OROVILLEXALIFORNIA 95965 TELEPHONE. -(916) 538-7541, PERMIT APPLICATION DATA SHEET OWNER Proposes /caAG-- uilding Use AA.'P?No.h - Building Inspector Date K9% W At tim of permit application, I was advised the following(ata must be submitted prior to permit processing and/or issuance: • DATE RECEIVED BY 1. All items have been submitted. ` 2. Plot plans, 3/4 sets, signed by preparer of plans . .................. ....... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -Inspection for to Building Ins requ� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ................. "......................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list. ................ 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contrac Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Y Acreage (Applicant Nate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution 'Date ; Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 0 COUNTY OF BUTTE - DEPARTMENT OF PUBIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R 3o- 9-312- ZONING BUILDING PERMIT OWNER r tis �r P `' TELEPHONE X33-21/03 SQ. FT. OCC. BUILDING VALUATION CO r- ZJLQ OWNER'S MAILING ADDRESS . 196 _A c, A (,,,t 4ko 9r s CONTRACTOR'S NAME �� TELEPHONE CONTTrAC-T'O-R'S-M (LING Ar DRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 13 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4G71,c al f tcc. Permit fee $ PLUMBING PERMIT Filing Fee 15.00 _ p 2 O 1/'s 96r Each Trap 5.00 Solar or heat pump water heater 20.00 LOTNO. t SUBDIVISION NAME S C', S S a s - � - PARCEL MAP 'RK 16 Fa i') - Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE -. SF.Dtipl.ex.❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK --11 NewAdditions_; -Remodel[ UtilitiesU Installation[ Other Describe work: �ZOoF��C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 200AA 00OR LESS 2OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. .Jo. Classification 1, as the owner, or my employees with wages as their sole compen- Osation,will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ACDNS, ACC. BLDG$. // 3.64 sq.ft. NEW CONSTR ULTI.O CIRCUITS) NON•RESID. B.RANCH CIRC ITS1 POWER APPARATUSeand SINGLE OUTLET CIR.Ex. #1(@ Occup(OUTLETS OR FIXTURESLicense FIXED APPLNS, OR Ex. Occup. OUTLETS IRESID.I E- 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 . Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I eciare under penalty of perjury (check one): T ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject the W. C. provisions of the Labor Code, you must forthwith comply with such pro or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date of Applicant — Own r ❑ ontractor ❑ Agent ❑ An OSHA ion of structures toover�3g+sttorrriees inehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE ;TOTAL FEE $ L/',5_ HAz DFEES IMP FLOOD I COF PARCEL I PO HO ISSUE This permit is hereby issued under the sions sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1 6v r / WNITC•D. P. W., 'IEL LOW-A53[$SO R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works_ 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -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. 1. I personally plan to provide the major labor and materials for -construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building permit for the. proposed work. . I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License -No. I plan to provide portions'of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons.to provide the work indicated Name..Address Phone Type of -Work Signed: Property Owner Social Security Number NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the.California Health and Safety Code.. This verification must be completed and. returned to our office before we are per- mitted to issue the permit.