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030-110-019
30=11-19 THEODORE ROBERTS-���� L437 14th._ St., The fmalito Permit #M-7.6P(inst. bldg. sewer) S/F 030-110-019 05-2692 6- U�t6�,f2o5, 143714TH ST, OROVILLEA_ � Cont: OWNER � �/lJ« A - I Lf bo 5, 5'016 o dc i -Im p N®TES I: z 7-1 Butte County Department of Development Services. euTre IR - 7 County Center Drive, Oroville, CA 95965 -"moo'• (((((( "' (530) 538-7601 v. rww.buttecounty netidds 4 RESIDENTIAL APN•. —p—it N- 030-110-019 05-2692 . Owner. _i URI -BE, ROBERTO S - 1437 14r11 ST ORO Site Address: COIIt: OWNI ER -- - Contractor. ns 17 1400 t Type of Permit: OFFICE.COPY Address GAS ��� i Meter BY4�5f DatefZ�• �L {I ELECTRIC T�� 0/ Meter By Dat ` 6 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 CHECKED BY t. *- DATE JOS FINALED: 2�• 6e� �t '= SIGNATURE: —� �L . =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE 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 NatEl or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-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 0 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 Zoning -Setbacks -Easements 2 Figs; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-C nnctrs -S hth 9 Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -An chrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis o'` m` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining . 4 Elec Rcptcls/Lting; Distance-GFI 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 Bones-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvi 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide s15 Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUN RFLOOR ing-Setbacks-Ease "its -Flood -Slope jvfig Main; Soils-Ele rnd J2_-- Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 F Porches/Decks; Soils -Steel Ftg Opth ` bo�Stemwalls Main; Stee4-8lockouts -Wrapped 6 Stemwalls Garage; Steel -Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Pi s-Frplc Ftg-Steel .3.0,0& jZ r 1 , Fall -Fitting -Test -2 -way C/0 -Sewer Test 1&W, Gas Pipe; Sz Anchrs-Sz Test tr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Ple'ms & Ducts; Clrnc-MaterialSupport4nsultn 1�G! ersSills-SillsBolts Joists-Vnts-Cripples i Acc & Vntltn 16 Insulation 0& 2 DATE F R I N G Sil Proper Materials & Anchrs 16AYIls Studs -Nailing Spacing & Braces -Plates -Sound B rring Walls over Girders & fir Nailing 20Dra3ft Stop in Walls (rat proof) 21,*irree Stops, Furred Ceilings -Stairs -Chasers -Tubs 22"Yaders & Beams-Sz & Bearing 234igers-Post Caps-Anchrs-Cnnctns 24 -Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 A c Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles rm Wndws or Exiting Doors -Sill Ht & Dimensions 28 G/ age Fire Prtctn Framing -RC Channel 1?9'P,fprty Line Firewall & Opngs Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 S irs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 3 d on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 S' i g -Nailing Veneer 0 cco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Glazing Area -Glass Prtctn-SkyLts-Plastic 36 S ear Walls; Nailing -Bolts 2 t1(� Brace Int/Ext Wall pnis 38 Insulin -Walls -Ceilings 39 Infiltration-Walls-Wndws o' m o'er d DATE JELECTRICAL 4" & Trnsfrmr Cirnc4ns Prtctn t1'�c Rcptcls Spacing-Lts & Switches at Doors gGrndng xes & No Of Cndctrs Stapled i x Installed Close to Edge of Studs & CJ rnd made up w/Mech Fstnrs Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz7T" ga [�CU or ❑AL C Wire Sz gaPCU U or ❑AL 4�ange Circ (0 ' ga U or At. Oven Circ ga Fl Irw0lated Neutral ❑ Yes ❑ No 49 y rvice-Riser Cndctrs & Grnd Main Dscnnct SW p Clrncs pnis-Motors-Mech Eqp y�Plothes Closet Lt-Shwr Lt -Spa Lt 57 Smoke Detector -__?�� ` ° P U M B I N G 'Wtr Htr; Vent-Acc-Cmbstn Air Baffle Pipe; Test & Anchr- WV; Test Fittings Anch ai 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc kp,,das Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 0141 2, 1 UArt HANICAL A ucts Insultn & Support t Fan, Exhaust abv Insultn 63 densate Drain & Ovrflw, Sz & Grade rnace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet ttic Acc & Pltfrm if Furnace in attic 0 y 41 @ C v i DATE F I NAS -Door & SideLt Prtctn-Landings 68'Furnace Vnts-Clrnc-Comb, Air-Cnnctr In ge; abv-flr-Ducts-Mech Prtctn ZT'6 om Exiting GFth Fxtrs & Tub Acc-Spa GFI Arc Fault Plec Trim & Subpnl Breaker S & Labels 73 Stairs, Guard/Handra 74 Frplc or Stove, Clrnc-Hearth 75 Elec at Wood Pnl, Int & Ext 7 t xtr & Appinc; Grnd-Air-Gap-Cooking Clmc lec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure C Duct in Garage -Damper 80 tr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic Guard Rails & Dec Cnstrctn-Post Caps 14X -man Vnts Crawl Hole D oor Drnge & Wood -Earth 86 Clrnc .rnge Plan ers ❑ Yes ❑ No 8 tucco B own -Finish-- - nit Dscnnct, Elec-Plmb 8. nts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb V91 lec Trim, GFI Rcptcl-Undrgrnd Vntltn thru House 93 Gtps'�rtctn 941to ns from previous In 9 est -Meters Tagged, Gas spctns<33f-2-4110(o (Z IT tr & Sewer Cnnctd-CIO to grade -HD Apprvl ergy Cmpinc Cert -Other Certs ress Posted .99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP052692 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under Issued Date: 01/06/2006 APN: 030-110-019-000 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. Site Address: 1437 14TH ST ORO License Class : License Number: Map Index: Date: Contractor: Description: nsf 1400 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 Owner: ROBERTO S URIBE permit to construct, alter, improve, demolish, or repair any structure, prior 2100 ELLIOT DR 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 AMERICAN CANYON, CA the Contractor's State License Law (Chapter 9 commencing with Section 94503 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 707-557-7113 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 Applicant: SEGURA, GERARDO pp. Code: The Contractors' State License Law does not apply to an 260 ELSENDERO ST owner of property who builds or improves thereon, and who does VALLEO CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 94689 sale. If however, the building or improvements are sold within one (707) 644-8827 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 o the Bus'nes nd Professions Code Date: Owner: License #: WORKERS' COMPENSATION DEtLARATION 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 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: Total Square Ft: 1400 S.F. Valuation: $91,000.00 Policy #: Census Code: I certify that in the performance of the work for which this permit is j I 0 issued, I shall not employ any person in any manner so as to \/Ij become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' / -7-) 1 compensation provisions of Section 3700 of the Labor Code, I shallFl forthwith comply with those provisions.�� / !1 - ��� �'I _71- Date. � q_ -..g6 � L Applicant: 4atz L1 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 ovisions of the outic County Code and/or This permit is he issued u�for I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolutions o work incfie have been paid. �— / —� 6 performance of the work for which this permit (Sec By Dale: Name: PERMIT EXPIRES ON: Z- 9-07 Address: (Date) ❑ I 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos s. r ��.Let, _ Print Name: ✓ Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 insulation Certificate BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Brand Name Material Thermal Resistance (R -Value) Thickness (inches) CEILING Brand Name Batt or Blanket Type - —d�— Thermal Resistance (R -Value) Thickness Cinches) Brand Name Loose Fill Type lb Minimum thickness inches Contractor's minimum installed weight/ft Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL ¢ Brand Name Material' l� d l`� Thickness Cinches) Thermal Resistance (R -Value) RAISED FLOOR Brand Name Material A �� Thermal Resistance (R -Value) Thickness (inches) - SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Material Brand Name zrmal Resistance (R -Value) Thickness (inches) Declaration I hereby certify that the above insulation twanda installed for new residential builduildina at ings contained in Title 224 of the - above location in conformance with the current Building Energy Efficiency California Administrative Code. C� 4, se License Number G al contractor (Builder) Signature and Title • Date License Number sub -co ctor (Insulation Installer) 5-2 y attue and Title Date THIS CERTIFICATE MUST .BE PROVIDIDIDTHEWITHINIHE BUILDINGr PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POS JANUARY 1993 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. BP052692 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/06/2006 APN: 030-110-019-000 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. Site Address: 1437 14TH ST ORO License Class : License Number: Map Index: Date: Contractor: Description: nsf 1400 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 Owner: ROBERTO S URIBE permit to construct, alter, improve, demolish, or repair any structure, prior 2100 ELLIOT DR 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 AMERICAN CANYON, CA the Contractor's State License Law (Chapter 9 commencing with Section 94503 7000) of Division 3 of the Business and Professions Code) or that he or. she is exempt therefrom and the basis for the alleged exemption. Any 707-557-7113 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 Applicant: SEGURA, GERARDO Code: The Contractors' State License Law does not apply to an 260 ELSENDERO ST owner of property who builds or improves thereon, and who does VALLEO CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 94689 sale. If however, the building or improvements are sold within one (707) 644-8827 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 o the Bus'nes nd Professions Code Date: -0 Owner: License #: WORKERS' COMPENSATION DEtLARATION 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I 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: Total Square Ft: 1400 S.F. Valuation: $91,000.00 0 Policy #: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply ith those provisions. Date: Applicant:/ -77 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 This permit is he issued un r the plicab ovisions of the butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o work ind' a ove for w 2 h f have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.). ^Q Date: Name: By: PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 official form or document of Butte County. I hereby authorize representatives of Butte Counttyy_ to enter upon the above mentioned property for inspection purposes. �` Print Nam/e: l9�/ 4T �/l G�i/G Signature: 4ao5t < �- 0 6 Date:. Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER (/l `—IA.P.# ROPROSED BUILDING USE ! " � l DATE 7,3RECEIPT # DATE REC. 1. BUILDING PERMIT FEES /5-77- N y 3 3 8 _ 9 -o 6 --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (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. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ 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) PJ 8. SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you 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) 557 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds A.P. # Q zj0 - / / V '(-)V/ OWNER PROPROSED BUILDING USE ! " S T 1. BUILDING PERMIT FEES --- Balance Due ..................... -- FEMA Flood elevation review... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (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 (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ _ DATE RECEIPT R DATE REC. 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. SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you 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) 5-2, 3s- '?,i -i> tlo 3�;-3 55-7 BUTTE COUNTY (DEVELOPMENT FEE CERTIFICATION FORM EATHER 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 Number (s) �a' ��1� / Building Permit Number /j/�l�% / Property Owner (s) A?,/7z / J Project Location /Address / t/37 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 issued ) verified by Building Department Comments: 2`%7`/ /V�-YV %�Qyb'IL� / S %���/N 6 .� C�y � %� l �iz�y✓J L�` Building nt Represe a Date ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number AGO A/ k; -de � Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Remarks: Paid by Check No: Dwelling Units @ $ Square Feet @ $ _ Paid by Cash: ,(,),n ck+_ and Park District Representative per unit for a total of $ per sq foot for a total of $ Receipt No: 1� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) L .� 1 School District 02oU1U� IflL ,1' � 0 Building Department No. ;5 Z6 9 A.P. Number 0— C�l I Jurisdiction:C COu 0 itr =nty Property Owner F�oc 4415 E --/z 7-U Property Location/Address A/37 / 17 771 Subdivision Lot No. t. ....................................................................................... Residential Development 0 Q Sq. Footage 700 No of Living Mobile Home Addition/ "Supplemental to (Group R) Units Installation i Conversion Permit # *(No foundation inspection) Commercial/Industrial Q Q _.-New Addition Building Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) i — G —0'57 - Date District Identification No. 060149 Df'Du;)� IlN l on T Ne" k School District certifies that �) kj er J )0 e - (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) (� has complied with the requirements of Resolution No. I V1I0 by payment of $ V ! A representing I 1AV square feet. L -I School District Paid by Check # Al I A Remarks: Ke n)iA-e 1 B 2926 f ULL MITIGATION $ 1Q Date owto. N'� do;yv�' 0►, ad�•�1�vrA� sf -�-. ��lacsz lrvar�e o� ��4 [�' less Notice: You may protest the Imposition of the foss Identified above by subnMng a written protest to the District, In compliance with Government Cods Section 66020(a), within 90 days from the dab fess are paid. Failure to submit a timely wMen protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Dtstrlet is notified by the applicable Local Planning Agency that this project Is being reviewed under the Callfai n Environmental QuNHy Act (CEQA). this project may be subject to additional school fess to fully mitigate Its Inpaet on the school districts schools. White (school district), Yellow (building department), Pink (applicant) teefam.xh (3M5)ftm A 30200INW93' Main Physical Characteristics Jon 06, 2006 03:33 pre, jj[—Eile Edit Images View ' Qptions aystem Help Asmk 130.110.019.000 S tatus I A Fee Parcel 1030-110-019-000 Land Use Cat IRESIDENTIAL Owner URIBE ROBERTO S #0 Image Viewer "-'* Find. , , & in Structure # 71 1 Exterior Code O General Flooring Code Building Type .1 Code I Y Floor Structure Code Year Built 1940 Frame Code Buil Id g Size `� 924 Patio Code Sq Ft Garage 0 Decks Code Number of Residential Units 1 Heating Type Code GA' I S Conf Use ❑ Heating Source I Code Commercial Properties. Cooling Type I Code NO I N 0 Structural Cooling Source I.Code Roof Cover I Code Wiring Type Code Roof Style I Code Plumbing Condition Code Roof Pitch I Code I Joists I Code Roof Structure I Code Foundation I Code IOTII 0 rr-r �� !♦ "-'* Find. , , & in COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -_ ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date ? < vet Inspector REV 4/05 Phone # r FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 I Roberto Segura Uribe give'permission to Gerardo Segura to get all permits for any of my properties or projects. Robe ro Segura Uribe Gerardo Segura e I Roberto Segura Uribe give'permission to Gerardo Segura to get all permits for any of my properties or projects. Robe ro Segura Uribe Gerardo Segura 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. BPO52692 R r` R.dlriin P.—it n1_1 F_nn m 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date:. APN: 030-110-019-000' 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. Site Address: 1437 14TH ST ORO License Class : License Number: Map Index: Date: Contractor. Description: ADD(478)TRUSS ROOF REPLACEMENT 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 Owner: ROBERTO S URIBE permit to construct, alter, improve, demolish, or repair any structure, prior 2100 ELLIOT DR 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 AMERICAN CANYON, CA the Contractor's State License Law (Chapter 9 commencing with Section 94503 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged .exemption. Any 707-557-7113 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 Applicant: SEGURA, GERARDO Code: The Contractors' State License Law does not.apply to an 260 ELSENDERO ST owner of property who builds or improves thereon, and who does VALLEO CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 94689 sale. If however, the building or improvements are sold within one (707 ) 644-8827 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ Igam Exempt under Article 3 of the Busi ess nd Professions Code Date: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 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: Total Square Ft: 478 S.F. Valuation: $31,070.00 Policy#: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' 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 V compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / 4�/, [ 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 Resolution o ork in icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date. Address: PERMIT EXPIRES (N:_ v (Da e) ❑ 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose . tyG41/f roef4rl Print Name: Ga Ja Signature: Date: .JO _ 21 - 057 ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor R r` R.dlriin P.—it n1_1 F_nn m 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636• CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 - A FEE WILL BE REQUIRED AT TIME OFAPPLICATION t **PLEASE PRINT CLEARLY** OWNER Last Name First arae rarile D Addre4Ck City City Zip State Phoneev5 Fax E-mail ARCHITECT/ENGINEER Name � ys-4ao o� Address O City 10�0306`1�� Phone � , i E-mail CONTRACTOR Name rarile Address I Yes City Occ. State Zip Phone It o Fax E-mail Phon Lic. # Class ARCHITECT/ENGINEER Name � ys-4ao o� Address O City 10�0306`1�� Phone � , i E-mail APPLICANT SIGNATURE X Cnr nffirc n¢e WHIN• Zoning AP# p 0 I - ni Name rarile Address�� I Yes City/ Occ. State Zip $4 Book It o Lot # Planner Phon 7 G Y 4 M7 Fax E-mail APPLICANT SIGNATURE X Cnr nffirc n¢e WHIN• Zoning AP# p 0 I - ni Flood Zone ly J'SRA Cross Street I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. ^�� 0 " 2J BP LOCATION AP# p 0 I - ni Prop y3dIT 14 �h Ci (rilill-'o7l 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 Address Descriptjaq or Scopq of Work: Sq. Footag y S - ❑ Structure Built without Per s ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:—P ' Ymou (-." 5 fiiJ' --/'Y/ Bldg G t� L SRA Receipt #: )j3 1(�D X / Sheriff �� 25 ! SMIP / Other Date Total OVER FOR SUBMITTAL REWUIRtMEN 15 KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order -to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. `Re dential, New, Remodels, Additions, and Accessory Structures: , P 19' 1. t,:.,.3 to a� signed by the preparer. NO GRAPH PAPER! Jomplet__ by NO GRAPH PAPER! i .2. eeS tSo ar,s, signed the preparer. - OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. r 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architectfor-truss=design review. 5. C2 Energy compliance design.and-supporting-docum ta on (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 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 GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. 0 5. 2 Engineered Tie Downs or Foundation plans. [36. 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. 0 3.• 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -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 .ter,. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �U v)L-btl� School District 1, Building Department No. A.P. Number`U Jurisdiction. Q CityCounty District Identification No. 060106 ville, Wolng School District certifies that / (Applicant)(./ 1 l 74-3-707 - 3�g4S_ (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. /V % o by payment of $ /Ul representin 7 square feet. 1�13 2926 $ ULL MITIGATION $ School District Representative Date Paid by Check # /Jtof Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section W020(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. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully midgete Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) teeform.xls (3/05)i1hm Property Owner Property Location/Address 4� y, ` ,• _ Subdivision Lot No. ,................................................................................. � Residential Development Q Q Q Sq. Footage No of Living Mobile Home dditio "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 Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) cS v — Building Department Representatid`e\ Date District Identification No. 060106 ville, Wolng School District certifies that / (Applicant)(./ 1 l 74-3-707 - 3�g4S_ (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. /V % o by payment of $ /Ul representin 7 square feet. 1�13 2926 $ ULL MITIGATION $ School District Representative Date Paid by Check # /Jtof Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section W020(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. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully midgete Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) teeform.xls (3/05)i1hm ,. COUNTY OF-BUTTE-DEPARTMENTOP DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax'(530)538-2140 ` PERMIT APPLICATION DATA SHEET OWNER: / C'� Zf f 0I d O ASSESSOR PARCEL NUMBER Proposed Building Use/�//1 / 1 /%� �GY>1j�� �Fyy1(�ermit Technician: _Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 2 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 10 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. J© 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 buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 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............................................................................................ 0 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑Erosion Control Plan Required........................................................................ /01 20 ees 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 approval ❑ paid. Sent by: ............ Ck24. Planning approval for (A) Use: 4BRafking: ---(C) Parcel Check:.. . 01" T -OT 25 --Contact Land Development about _ Improvements, eOrainage......................... 1© 26 PDES Form ............. ,............................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... Worker's Compensation Carrier and Policy Number .......................................... Owner -Builder Verification (vGiven to owner, _Mailed to owner) ..................... - etter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... OA A❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 36 they: n:E ly-miofTA, n 0 37. Other: �' t J - v J When issued Telephone iJ f%� ���1 �� 5--t*&" nth and hold for pickup. I have been infoyped of the above items and requirements for obtaining a building permit. Applicant: � Date: � v �� ®5�.�-�`�-'� 1. Index permit application for the above it mrRber Plan Check Letter 2. Additional items required^w Q \ Contractor, designe own , was advise of he ov to ne, C3 mail, C3 counter, by ate: jd Contractor, designer, ner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above dataphone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: by Plans approved by: KQ Date: i 7,fa K O . Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division A�Lic W(oF�S (FAX) 538-7171 National, Pollutant Discharge Elimination System (NPDES) Phase li Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement [LESS . HAN 1 ACRE Project Description: Project Location and/or Parcel Number: ? U� o12)0, 0 By sigLing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent fromes total more of than one acre of disturbed soil will require a Construction Storm Water California Regional Water Quality Control Board - I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project.* that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Department of Public \VYV)orks N,A C o u n t y o f B U t t e . a LAND DEVELOPMENT DIVISION 9 ]. Michael Crump, Director Michael Storm Water Management Program 7 County Center Drive > / Oroville, CA 95965 (530) 538-7266 A�Lic W(oF�S (FAX) 538-7171 National, Pollutant Discharge Elimination System (NPDES) Phase li Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement [LESS . HAN 1 ACRE Project Description: Project Location and/or Parcel Number: ? U� o12)0, 0 By sigLing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent fromes total more of than one acre of disturbed soil will require a Construction Storm Water California Regional Water Quality Control Board - I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project.* that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: F�JS- -2ZbqZ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buffecounty.net/dds RECEIPT # DATE REC. n 1. BUILDING PERMIT FEES / / / L� b 1 ) --- Balance Due ..................... $ `` `ar- 1 7 --- FEMA Flood elevation review ... $ / --- Additional plan checking Fee .... $ !� 2. SCHOOL DISTRICT FEES C` I (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ f Units �Q Commercial (sq. ftg.)..... - X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ 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. SMIP, m� 9. OTHER 10. OTHER / 1� 11. OTHER ua�365 J'0 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 duj4g the plan chewing process. APPLICANT 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. 3/05) 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 material for construction of this proposed property improvement: YES [] NO [ ]. 2. I HAVE [�] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: _10- 6 ` t% S NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION `BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile OWNER -BUILDER INFORMATION. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not.required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board 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. Sincerely, 4t 2P/) Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. October 10, 2005 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Gerardo Segura 260 El Sendero Vallejo, Ca. 94589 Assessor Parcel Number: 063-330-012 Building Permit Number: 05-2644 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: 1. Provide Brace Wall Schedule. 2. Clarify foundations details, I —Joist vs. 2x6 floor joist called out on Floor Framing Plan. 3. Show detail of Alt. Brace wall for tie down devise fasten to existing footing. Epoxy anchor bolt with special inspection ( 2001 C.B.C. section 2320.11.4 ).or change length of panels to 4'-0" minimum. 4. Provide Detail of existing footing. 5. Clarify what walls are new and existing. 6. Locate Attic Access with 30" min. unobstructed headroom above access opening. Section 1505.1 C.B.C. If you wish to discuss any of these requirements, please call (530) 538-7541. m Peterson Plans Examiner cc R.S. Hughes (Fax 530-534-5269) 1 of 1 a P_ 5, 40 � k M RECORDING REQUESTED BY Bidwell Title & Escrow Company ANID WHEN RECORDED MAIL THIS DOCUMENT AND TAX STATEMENTS TO Name Roberto S. Uribe stmd 2100 Elliot Drive Addrras cslv,s<- American Canyon, CA 9003 ap order Nu. 00222100-001 2005-0036634 . Regarded I NEC FEE- IL Be Official Records I Count of t@ 11 CRIM L 6Rtm 1 County Cler"eeorderl I BW 89:M 27 -Jun -?1006 l Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE AM03� 0=ir Jam' INTERSPOUSAL TRANSFER DEED (EXCLUDED FROM REAPPRAISAL UNDER CALIFORNIA CONSTITUTION ARTICLE 13 A SEC 1 ET. SEQ.) THIS FORA FURNISHED BY BIDWELL TITLE & ESCROW COMPANY This is an Interspousal Transfer and not a change in ownership under Sec. b of the Revenue and Taxation Code and Grantor(s) has (have) checked the applicable exclusion from appraisal: ❑ A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse of the trustor ❑ A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of marriage or legal separation, R & T 11927 or ✓ A creation, transfer, or termination, solely between spouses, or any co-owners interest R & T 11911. O The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal entity in connection with a property settlement agreement ora decree of dissolution of a marriage or legal separation. ❑ Other _. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,: Rosa Segura, spouse of Grantee Herein hereby GRANT(S) to. {Mlierto S: Uribe,-a Marrtied-Man,,as_HIs,Sole,and.Separate Property the following real property in the Unincorporated Area, County of Butte, State of California: See Exhibit A attached hereto and made a part hereof. The grantor is executing this instrument for the purpose of relinquishing all of the grantor's rights, title and interest, including, but not limited to any community interest in and to the land described herein and placing title in the name of the grantee as his/her separate property. This conveyance establishes separate property of a spouse, R & T 11911. This is clearing document only, Grantor having never held record title. Dated: June 15, 2005 STATE OF CALIFORNIA COUNTY OF SC;iJ!n Q S.S. On SQ— A o — before me, the undersigned a Notary Public in and for said County and State, personally appeared Rosa Smura Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/we subscribed to the within instrument and acknowledged to me that JWsheHltey executed the sonic in his/her/oww authorized capacity(ies) and that byhis/her/brei+-signatures) on the instrument the person(s), or the entity upon behalf of which the person(s), acted, executed the instrument WITNESS my hWd and official seat. Signature A e. - nA El 10 0 C. ARIAS ; 1ARY #i�ue+-CAt�il OM 0 X Coro°mo29,2o06 I& (This area t'or official notorial seal) BTECfIntrspol Exhibit A THE.LAND REFERRED TO.HEREIN IS DESCRIBED AS'FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF' CALIFORNIA, DESCRIBED AS FOLLOWS: ALL THAT PORTION OF LOT 7 OF BLOCK 104, LYING NORTHERLY OF THE RIGHT OF WAY OF THE SACRAMENTO NORTHERN RAILWAY COMPANY, AS THE SAME IS DESIGNATED AND DELINEATED ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY,�CALA.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,.STATE OF CALIFORNIA, JUNE 8, 1887. AP NO. 030-110-019 e IPERMIT NO. 735 C —76P r . P ,t E M �Ir�MH UTIL. t PERMIT NO. e PERMIT EXPIRES 2/18/77 OWNER THEODORE ROBERTS ,CONTR. OWNER ,,LOCATION (A.P. 10-11-19 ) 1437 14TH. ST., THERMALITO Yf e It . Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E. Temp Gas Serv. alled PG&E JOB / FINALED ��� r� (Date) ! (Signature) ' i COUNTY OF BUTTE — DEPARTMENT* OF PUBLIC WORKS` BUILDING INSPECTION RECORD ,f BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall 'Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer. - Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final -Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath + Ventilation Permanent r Door Closer Final Final DATE • �/�, �/�� �Y'-' - , �`� REMARKS OR CORRECTIONS ,��!/ L� /fir '✓i ' .C...-_: �" THERMALITO IRRIGATION DISTRICT �.. 410 GRAND AVENUE ' OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT ��.�% 14-xLT Service Address: Owner's Name: l_.� ��/MPF'/ ��`3F�'TS Date: 71V/16' Address: ��n �y - Acct. No: A.P. 9� Phone: �'�'��� No. Units: Applicant/Agent: Agents Proof: �A r i Address: Fees: Phone: Application $ /'7ZI(iIIA) *41 Arrearage Preliminary Review By.:— -,LQ]f/ Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other �,,A. Total Fees 71.. Collected By: Date: Field Review By: --✓� Date: Remarks: / S MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). r- ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ���iii 7 County Center Drive — Uroville, California 95965 �J �% --76 / / Tel ephpne: .534-4541 / v / (p APPLICATION AND PERMIT auulurIze representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X VY"Xa'te Signature of Permitee or Agent Receipt No.�/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. R TOR OF PUBLIC WORKS (% By Date O e gittwing-permit expires Dat BUILDING Owner SQ. FT. OCG BUILDING VALUATION Mailing Address Tel ephonN�7 G� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address !iK 7 �i� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 ons ec d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILIT ES ❑ OTHER (� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 AMP LESS Main service 100 R 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVERAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTOR ADDNS. ( ACCDWE`BLDGS.LING CCUP. &� 20syft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW -1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL;Z0 Ex. Occu P• FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 111 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ auulurIze representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X VY"Xa'te Signature of Permitee or Agent Receipt No.�/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. R TOR OF PUBLIC WORKS (% By Date O e gittwing-permit expires Dat J Department ofDevelopment Services INTER -DEPARTMENTAL REVIEW COMMITTEE DATE/TIME: Wednesday, February 1, 2006,1:00 p.m. to 3:00 p.m. LOCATION. 7 County Center Drive, Conference Room A, Oroville, California' AGENDA Chico 1. Trenner, Dennis & Lora, COR 06-01, APN 017-300-026, 027, 028, 029 Planner: Mark Michelena Zoning: R -I (Residential) Evaluation Completeness of Application General Plan: LDR (Low Density Residential) Correct map condition that restricts the total amount of cuts and fills relative to the topography on Eagles Nest Drive, northeast of Rocky Bluff Drive. Located two miles east of Chico on Skyway. 2. Connolly, Michael, S., DET 06-14, APN 056-120-085 (it Planner: Steve Troester Zoning, TM -5 (Timber Mountain, 5-acreparcel) Evaluation Completeness of Application General Plan: AR (Agricultural Residential) To determine the legality of this lot. Located on Laughing Fox Lane; a sixteenth of a mile northwest of the Laughing Fox Lane - Cohasset Road intersection Thprmnlitn 3. Uribe, Roberto, TPM 06-11, APN 030-110-019 A Planner: Carl Durlin Zoning: AR (Agricultural, Residential) Evaluation Completeness of General Plan: LDR (Low Density Residential) To divide a 1.75 acre parcel into 4 parcels ranging in size from 6900 square feet to 1.01 acres on the west side of Fourteenth Street/Feather Avenue intersection (1437 14th Street, Oroville) Butte County Department of Development Services ■ 7 County Center Drive ■ Oroville, CA ■ (530) 538-7601 Page 1 of 1 . 10 O SCALE 1 "=40' CONTOUR INTERVAL 20 FEET PROPERTY IS 1 % SLOPE TO WEST APN 030-110-073 VACANT NOTES: 1) Individual water meters to be set at lot frontages. 2) Individual sewer connections to cross street. 3) 50' RIW to serve Parcel 1 to be constructed to County Standard RS -9 -LD -L 4) Frontage improvements along 14th Street required. APN 030-110-018 RES. BARN 495.40' 380.40 11500' 50' RNV ° o PARCEL 4 - EXIST. YELL vi 20' aS.L.' g 1.01 AC. p El Q>a SHEDS #1437,ou -' ou t15A0' F \ lo cp ° 10 G PERIMETER FENCES ti 115.00' 6 zo 112'0 �11- APN 030-110-072 RES. F E A T H E R A V E N U E SITE APN 030-350-068 MULTI - RES. Lj 1;1 PARCEL 3 IW 1 Li ly FEATHER A V ENUE� I� N Im � I I I i H 1 G G S AVENUE -- SITE LOCATION NO SCALE OWNER: ROBERTO URIBE 14375 S.F. 2100 EL OT DRIVE PARCEL 2 7475 S.F. PARCEL 1 6900 S.F. +- AMERICAN CANYON, CA 94503 APN: 030-110-019 ACREAGE: 1.75 AC DEED: 05-36633 ZONING: A -R GENERAL PLAN: M.D.R. EXISTING USE: HOMESITE PROPOSED USE: ADDITIONAL HOMESITES WATER: T.I.D. SEWAGE DISPOSAL- C.SA.#26 (T.I.D.) GAS/ELECTRICITY: PG&E TELEPHONE: SBC CABLE: COMCAST DRAINAGE: THERMALITO RUDDY CREEK BASIN TENTATIVE PARCEL MAP 4. PORTION LOT 7, THERMALITO IN SECTION 11, T 19N, R3E MDM UNINCORPORATED AREA OF BUTTE COUNTY CONTRACTOR EVANS FUN WORKS, 1 NICE PLACE OROVILLE, CA 95966 PREPARED BY: APEX ENGINEERING P.O. BOX 1074 OREGON HOUSE CA 95962 PROJECT ENGINEER: -I AMERICAN CANYON, CA 94503 APN: 030-110-019 ACREAGE: 1.75 AC DEED: 05-36633 ZONING: A -R GENERAL PLAN: M.D.R. EXISTING USE: HOMESITE PROPOSED USE: ADDITIONAL HOMESITES WATER: T.I.D. SEWAGE DISPOSAL- C.SA.#26 (T.I.D.) GAS/ELECTRICITY: PG&E TELEPHONE: SBC CABLE: COMCAST DRAINAGE: THERMALITO RUDDY CREEK BASIN TENTATIVE PARCEL MAP 4. PORTION LOT 7, THERMALITO IN SECTION 11, T 19N, R3E MDM UNINCORPORATED AREA OF BUTTE COUNTY CONTRACTOR EVANS FUN WORKS, 1 NICE PLACE OROVILLE, CA 95966 PREPARED BY: APEX ENGINEERING P.O. BOX 1074 OREGON HOUSE CA 95962 PROJECT ENGINEER: