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030-230-062
Butte County Department of Development Services ADMINISTRATION * BUILDING * PLANNINC 7 County Center Drive Oroville, CA 95965 RETURN SERVICE REQUESTED N I 012H16205578 w s v $ 00.35? 10/25/2005 ce d` a = Mailed From 9/5/9'65 LL e `US POSTAGE _ CUACarol Cauble 5259 West Avenue #L-4 _ NOV 0 4 2005 Quartz Hill, Cl ----- ---- - DESER SNT 913 N1 1 205 a 30 11/0.2/05 RETURN TO SENDER CAUDLE 36i -S HILDALE AVE OROVILLE CA 9.5966-6333 RETURN TO SENDER Sas j A4:.9 1),l,,,l,),1,),,,1),,,1,1,�,If,,,I1,1>1„1,,,11,1„1,1,,,11, 1 h I I Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile October 21, 2004 Carol Cauble Richard Cauble 5259 West Ave L-4 Quartz Hill, CA 93536 RE: HCD 433A (mobile home on a permanent foundation) 2993 & 3009 Grand Avenue, Oroville Ap# 030-230-062 Dear Carol and Richard Cauble; The County of Butte, Department of Development Services, Building Division, is returning your check, payable to .HCD due to incomplete permit process. Due to the incomplete information on your permit we are unable to finalize the 433A (mobile home on a permanent foundation) process. You will need to come in to our office, at the address above, and talk to one of our Permit Application Assistants, who will assist you in determining what you will need to finish the 433A permit process. The recorded 433A, check, and supporting documentation must be mailed to the State of California, Housing and Community Development, Manufactured Housing Department before the mobile home can be removed from state license rolls and the Butte County Assessor treating the mobile as real property. If you have any questions regarding this process, please call (530) 538-7541, and ask for a Plan Application Assistant. Thank you, Gwyn Benedict Office Assistant II \t FEATHER RIVER W y RECREATION & PARK DISTRICT j Scott f awrence General Manager Phone: (530)533-2011 District Office: Fax: (530) 533-2724 1200 Myers St. E-mail: scott®frrpd.com Oroville, CA 95965 Web: frrpd.com � � • ... NAME: AN: - DATE: H.C.D. ATTACH CHECK NANE: AW: DAtE: H.C.D. ATTACH CHECK f CAROL WEISS-ANTHONY CAUBLE 5259 West Avenue L-4 Quartz Hill, California 93536 (661) 943-1477 October 31, 2003 TO WHOM IT MAY CONCERN: I have named Richard Mansford Cauble, 5259 West Avenue L-4, Quartz Hill, California 93536 as my agent on the project for APN Nos. 020-230-062 and 020-230-091 with full authority to make decisions and sign documents on my behalf. This authority, is in full force for five years from this date unless revoked by me in writing to Butte County r" Planning and Environmental Groups. CAROL WEISS-ANTHONY CAUBLE Owner -Contractor National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. ,L further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNTs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. C::Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan 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 im rovement : YES k NO ❑ . 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the fo wingerson (firm) �provide the pro psed construction: NAME: C� + atA�i V L r- Oh(J/. A ` �.�1,`71�A ADDRESS: S q—L/( '. PHONE: ��/��CONTR.ACTOR'S LICENSE NO. I 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the r work: NAME:-I(l ry 11K In t wl i CS' JiC� �a ADDRESS: i%r ��_ may; ✓D� D1l NEJU: PROPERTYOWNER: NOTE: - This Owner Builder Ver fwation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. PHONE: 29-- 740C- P X CONTRACTOR'S LICENSE NO. D 5. I will provide some of the work but I have contracted (hired) the following persons to provide -� the work indicated: NAME ADDRESS PHONE D AA -01 -z - TYPE OF W RK G It D1l NEJU: PROPERTYOWNER: NOTE: - This Owner Builder Ver fwation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work; with the exception of various trades that you plan to subcontract,_ you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is -$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wodcers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific inkmnation about your obligations under Federal Law, contract the Intemal Revenue Service (and, ifyou wish, time U.S. Small Business Administration). For more specific information about your obligations under State Law, contact time Department of Benefit Payments and time Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to pm fonn 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. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Infarmation about licensed conftwtors may be obtained by contacting the Contractors State License Board in your commrmity or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is returned. g C. Vi ira, C.B.O. Building Inspection NOTE: Ykis Owner -Builder fnfomwdon is required by Section 19830 of the Caicfornk Health and Safety Code. OVER RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ,��fitoqL SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CAROL R. CAUBLE REAL PROPERTY OWNERILESSOR 5259 WEST AVENUE #L-4 MAILING ADDRESS QUARTZ HILL LA CA 93536 CITY COUNTY STATE ZIP 3009 GRAND AVENUE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-3414 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 030-230-062 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. NOTES :.5 , ^.;�, RESIDENTIAL 030-230-062 03-3445 PERMIT NO. (_YOE, CAROL _ �9 GRAND AVE, OROVILLE CONT: RICK HYSMITH NEW GARAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Y)- � 1 o � Signature d=OK, 0 = Not OK - = Not Applicable • = Not Ready �. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) Water; MH Test -Regulator -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Tie Downs -Type -Installation Cert. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability F 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 1 11. Light Niche G Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready , RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth 50. 5. Stemwalts, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Stee l-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instid./Drive 0 Yes p No/Walks 7 Yes ❑ No/Planters ❑ Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ... -ate �-_�� - .�w� . -•T. r .. �rw. �-.^_�'Fw i�.I .sY.^r�,'d_.'-�.��1.�n_�a vn..�c-sr� COUNTY OF BUTTE f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. 411 Main Street • Chico, CA • (530) 891-2751 W 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE cia OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. if you have any questions pertaining to this matter, or need additional explanation, piese- ntact. this office immediately. // s _y If a I.- ncv ivroc COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Centerbrive Oroville, California 95965 • Telephone (530) 538-75412 MIT NO. (Rev.12/96) APPLICATION ANDPERMIT 0I�3��i J ASSESSOR PARCEL NUMBER 030-230-062 SNS BUILDING PERMIT OWNER CAROL CAUBLE CELL- 618-0279 661- TELEPHONE 943-1477 SO, FT, OCC. BUILDING VALUATION . OWNERS MAULING ADDRESS 5259 WEST AVE, #L-4, QUARTZ HILL 93536 10 368.00 CONTRACTOR'S NAME RICK HYSMITH TELEPHONE 846-4409 CONTRACTORS MAILING ADDRESS 195 WASHINGTON ST GRIDLEY CA 95948 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 126.00 Plan Checking Fee $ BUILDIN GRAND AVE OR 9 5 4 65 Energy Pian Checking Fee $ $ PERMIT FEE $ 227-90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW GARAGE 24X24 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LE Main Service 2p.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200AA TO 1000A 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( y ACC. BLOS. SO 3.5¢FT: NO q�IDT MULTI -OUTLET H CIRCUITS @7,50 OWER APPARATUS 8 SINGIF OUTLET CIR. Ex. Occup. OUTLET OR FDRURES 00 BAL 9 so Ex. Occup. oilnFrS R=-.OFR.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� a ( Q Date % / - 9 / -0a ��-9/-0a Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is requi ed for excavations over 60" d p and demoliti or construction of structure ver 3 h ght. oil Receipt No. 77 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKPECTOR GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONS T.�Tvf N OTAL FEE $ 227.90 HAZ. D. IMP ✓ FLOOD CDF PARCEL PD HD ISS This permit is hereby Issued under the applicable provisions of the utte Coun Code and/or Resolutions to do work indi to v fo hich fees have been paid. By DateI /� ? J PERMIT EXPIRES ON Dete COUNTY OF BUTTEDEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75 4ev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER zO _s BUILDINGPERMIT ; OWNER J w � yBUILDING VALUATION 1 r CONSTRUCTION LENDSt I LENDER'S MAILING ADDRESS ARCNIrECT OR ENGINEER ARCWMCT OR ENGINEERS MAL= ADDRESS BULLDDIG ADDRESS IDT NO. I SUBONMIONSNAME Total Valual Firing Fee Permit Fee Plan Checkh Energy Plan $ Checking Fee $ $ PERMIT FEE S BING PERMIT USEOFSTRUCTURE Solarir, heat pump water heater SF ❑ Duplex ❑ Mobilehome ❑ Other Water i s'F' Each as wa heater or vent TYPE OF WORK Gas piping s ste 1 - 5 outlets New ❑. Addition ❑ Remodel ❑ U6G6es ❑ Installation ❑ Other ❑ Building sewer :�!, + t. _ Mobile Home I S i G Ml- 'A Peds�tJ-c .P RMIT, FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED t 10 Qo _ PERMIT FEE S ELECTRICAL PERMIT Mhm eoov oR Lass Service mw oR uas Main'Jervice 2-- 1- ) Ex. Facilities 20.00 icing Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 jg Fee 20.00 23.00 46.00 3.5¢R @7.50 0 @ 1.00 L @ .50 5.00 23.00 20.00 I PERMIT FEE 1 $ 0 .MECHANICAL PERMIT I Filing Feel 20.00 yooung Hood 6.50 This permit is he y issued under the applicable provisions i� of the Butte County Code and/or Resolutions to do work DATERECEIVED `l 1 r U-5indicated above for which lees have been paid. By Date RECEIPT # PERMIT EXPIRES ON mare, PERMIT FEL_ S Moble Home Installation Fee $ Energy Inspection Fee $ COQ NAZ D. TOTAL FEE $ IMPS OD CDFpqW?D NISSUE This permit is he y issued under the applicable provisions i� of the Butte County Code and/or Resolutions to do work DATERECEIVED `l 1 r U-5indicated above for which lees have been paid. By Date RECEIPT # PERMIT EXPIRES ON mare, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Ofoville, CA 95965 Phone (530)538-7541 Fax (530)538-2140, .PERMIT APPLICATION DATA SHEET OWNER: Owo L 0oiJ b 1,,a, ASSESSOR PARCEL NUMBER Proposed Building Use: IV ai., GU (40)-e. Counter Technician: ! y ' Date: Items required in order to apply for a�permit. All boxes MUST be checked OR marked NA in order to apply.. 1. -Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... _ 10. Letter of intent for non-residential buildings ........................ ....... ........ ...... _ 1. Detached Accessory Building Form filled out by the owner.... -! eU�.....'....... 3... 0112-. Hazardous Material Form .............................. _ 13. Other IJ PDFIS �1 J ining items needed to issue the permit. (May require additional plan review upon receipt o the /o�llloojwing/,litems.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... VI aStatement of Intent for Non -heated and A/C Buildings......... ....................................Sanitation and plot plan approval from the Environmental Health Department in— ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... _ ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _ ❑ 21. Encroachment Permit for driv we ayj►from the Public Works Dept. (construction approval prior to occupancy). — ❑ 2 . Pre -Inspection for required ................ _ 3. Contractor's license information. (Number, Name Style, Classification) ...................... 2 . orker's Compensation Carrier and Policy Number ..............:.............................. _ wrier -Builder Verification (❑ Given toyowner, ❑ Mailed to owner) ................... 64enLetter)4of Signature authorization... C�)l?^ �?.)^: `.�"J.m �.... —_ Recorded copy of Agricultural Acknowledgment Statement .................................... _ Manufactured home utility clearance............................................................... _ xisting violations and/or expired permits......................................................... _ ❑ Grantpeed, ❑ M�-4. Title/�tatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Other: „Yi n I _ issued Teles Iand hold for pickup. I have been Applicant: 1. Index permit ap 'lica '6n for thea 2. Additional items required t Contractor, designer, owner, was ad Contractor, designer, owners was ad Plans reviewed by: Structural reviewed by: Note transfer by: numbered: Plan Check Letter of the above data by ❑ phone, ❑ mail, ❑ couhter, by Date: of the above data by ❑ phone, ❑ mail, ❑ co u ter y Date: Date: • Z0-03 Plans approved by: Date: [ o Date: Structural approved by: Date: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER 0,1,tjha_j_ PR PROSED BUILDING USE o 1. BUILDING PERMIT FEES --- Balance Due ..................... $ �� (o• --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. A.P. # tj V -/2y DATE 1` —0 3 E # DATE REC, IIpk_ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit applic n, I was dvised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during he plan the king proc APPLICANT DAT Pursuant to Government Code on 6 0, you are h�e/botified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your projec . ou have 90 days from the date of roval the project or mposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Department of Development Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Services C3--3W(r-- DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports.! /� Owner: , / 9-�/_ U-1 �. Phone: ,7 I r �r J Mailing Address ✓ 2 PT WjoA4-12-44-1 Site Address: Uj co-IL4"11). mv (JAh—([1 q^ C12W Assessor's Parcel Number: �j �� (� " �� Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL WORINIATION: 1. Is there a primary dwelling on the property? Yes ❑ No 2. - Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No ff 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: IR 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes,'p" No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ NoA, CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes E) N0 12. Will this building have a water closet/toilet? Yes Col No0 13. Will this building have a sink? Yes ❑ No(M 14.) Will. this building have a water heater? Yes ❑ No 15. What type of floor covering «ill the building have? 16. What type of wall covering will the building have? IL16 A-A� OVER 1 of 2 PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Roorn ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑Home Occupanry 2 C1 Other —Use = 1. Desrnbe type or Worlihop I Mm be approved by the Buae Coumy Plarming Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before /diA explanation. `Oj Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require sclosure of this information if or when the property is offered for sale. 0%vner's Name: Please Print Owner's Signature: At ,t �,L�t�( Date: 2 of 2 Department ®f Development Services Building Divisi®n 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Constructi®n Requirements IMPORTANT . This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These- items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUiREM ENTS • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.) • Provide required room dimensions and ceiling height. (Sec. 310.6, U.B.C.) • Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door. (Sec. 10033.13,U.B.C.) • Provide adequate clearance and type A flue for fireplaee/woodstove. • All stairways to comply with U.B.C, section 1003.3, for rise, run, headroom, width, landings and handrails. •Hallwa s to be minimum 36" wide Y (U.B.C. 10043.3.2).- -. • Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide %2"x 10" anchor bolts @ 6' o.c. max and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt. (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) • Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at the top and bottom (Section 1806.7.2, U.B.C.) • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: (xtth l e - Building Permit Number: 03 - 3 5-- Plans Examiner: Martha Christy 509, U.B.C.) • Veneer per Ch. 14, .U.B.C. • Exterior plaster — weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). 2. Garage firewall separation — required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). 3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1. 4. Special roof covering required, class B minimum. 5. Provide 2 separate exits from the third story (U.B.C. section 1004.2.32 exception #4). :. 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net clear operable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4). COLOR CODE USED ON PLANS F +;, : Blue = Engineering Pink Firewall Green = Braced wall panels Yellow = Important COMPLY WrM ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minim,,,„ of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificcte will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bobs. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). f` 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood elevation. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall beno higher than 1 foot above grade 6. The openings may be screened or covered with other devices that will permit automaticentry and exit of floodwater. 7. All building materials below the 100 -year flood elevation must be of fire-resistant material. ❑ Fire sprinklers are required in this structure. ❑ This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures p.4 equipment including overhangs shall be clear of all easements. A setback of ' from the side andI 'from the rear property lines and 20 feet (25 feet if Fede ral from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Aid Route) ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 Owners Name: Building Permit Number: Plans Examiner: Martha Christy j 11 'w'or'm � re 1 R -•-G ,LOS 8 9,/ s B9•z2'ss'•w C•a)(R) . s3�3,oi'CMI� 5373t1'(X) J-7 [ _� ^- so.dz'ylle°'37'Ol'1U 3t5o,W — — —+� L4fs'.1/ oa• s7TOt t�7l•�n . ,7 NIP'+V'tr R, GLLO4(R�+ �L.'i.,+aq/ `fir_„ 7 t:PPl A -ISA/ xs, MITI / 7E/5i.�(,�/i lo3G.09(r) �► s e-z,'a w ?R 1s' 1 , v~ v �a 4 j S X0.2 f fi•6 (IlexitXR.) ,V, ' 30.00 "(-y'! ,�8s£T E,WAtc of el �tA, /575 O.R. z/L ' VAL ,e' " 1{ r13I00v Sao, szzIS-#,(K,) SCALE: /"-z9o' tyl �at1. TPP ! 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" A , W/LL/AA J G7FEfF X e F 14225 `; COUNTY SUQYEyt9/Z RECORDER"S SrATE/"lEAl T P/LED /A/ TffE OFFACE' OF 7NE CAC4.efBR OF r1le L•4VAITY OF SUTTE SrA-rE OF eAUF29At1A, A77jg OWCGO'OCK �m. am TffE Z97wDAY. OF s y'A,va* a v "/tf,d, /N 45"K /2 0OF MAPS, AT PA44E'S7 AT 771E "Uesr OF 9445eeT 4, AqEe; JQ 4/- 35s/ l eZO-eD A14 A/O, eA-�.4CE' J. G.eU66 S COUA/rY Oee&eDe2 ffAS/S DF BEAR/,UGS Fd • r a THE Ms/s of L3eA rjma /s THE ,Yo er# Se['TAow L111E OF. szer/OA/ / 6, T. ,9A/., W/cs zS13 r,W R. 3 E.) M- M. AS TIVOW. i ON smr-- a►W.R. ,e(avr GF wx Y MAP, PRA WW4q .vo. 060W -04-S6. MS MiFP /S G,2(11JA/D DA'STA40C&S. L EGEiV D - SZerION CORA/ER - DWR STD. *4'v 1,O Mo/% CALCULATED POM -r O POUA10 4f"mm&wr AS malCATeo • S2T WMA N+/GS40/O TA4 of As MAMCM70 o �d�� SfATE+ o w R lYe,vurtcvT w,m .Vur,ea>e - RECORD OF SURVEY 00 J7ATt O.IILR. R16NrOPWAe MAO, ATAiW/N4 //O.M"d-04-s{ SMWAI AS 6 -CID (GQ/D /,OdUd668 �GBAUNA) (R1) /573 O.R. A Amewom *F A/. e. �/4 of SELT/d,�/ 16) T. /9.t/. ) R. 3 E, V-9. w,r�sss' e0zuEA T,1E coM, LZ H- ) e4dNTY OF BUTTE/ eAL/FOA'AU 4, FOR: ROaEET WALL ROQ'BET (*, A4Ee) Je.) P. E, JULY, 1990 /zo/ gaER.46rdAl WAY OTa)//LLE, CA. 951?44 ' L9/6) S33 -S4 15 L T� R N a 4, s ,Pv"R r E WRCL 04rl , /1'92 e1*7li'!S'EI Cf� l4.834Ri FJ t4'TA 6WOT) RePAr" /A 33 ,4C. ` o , r1 y.• ra W115 ZV 17716 H SUR VEYOR 15 5TATE"11,EAf T 9 /O TA/S MRP ed"&CTLY 40MAW054FAMS A SZMje&Y AMP& SY ME 'w UV,pE,t MY DIRECT/OM At CONF4RMAA(4',-- VIM/ THE X4901AEMENTS OF TA'E ,(AW /S SUR VarrYO,e�7 ACT AT T//B,QegUesr 61 - Amex r WALL /A/ ✓Uu4e /9?O. I � � 2G.2,'I'd�/ri/�•lidiQ i2T. rs ' 1 1 � 1 1 , , , � LO' p'6YT OPk1/l y /frlR ' , l�ao S Pus; s•rtz /s2s a,e, iezl(R,) 1 I I , 1 1 I I I 1 I , I�1 IyE I , 1 1 I N I j a I I 1 1 I %� 'h•a�Ir.K ' I I ' I �/7i.Ti � /7i7r � ISf•12 1� 589 -*7'55"W (wIle t ,l I `Fd Yy'ZGBit I s eq•sa'od'� (Qa; I I i 1 w/�seosrric I 1 1Q r/u zsri SAG p•tA �D S, , ;� ttio. 4t3 Q y: ; 1� ka QoBFi2T e�,.44F-�1R. LSO/4 L'O Ulll7y SUR 1/E YOR'S STA TE/yEN T a 7/1/S VAD N,4S $E'EA/ EXA.r//A/ED /N AeesiTAAce w1r4 SEt'mw swi. OF T//E' ,.• LA)A!O Si1RYEYO,¢`S ACT Tif//S jVt DAY GF a -4+t. /9V4 �3 J'N 'Y _� is;i F. •. ¢ : Rs. " A , W/LL/AA J G7FEfF X e F 14225 `; COUNTY SUQYEyt9/Z RECORDER"S SrATE/"lEAl T P/LED /A/ TffE OFFACE' OF 7NE CAC4.efBR OF r1le L•4VAITY OF SUTTE SrA-rE OF eAUF29At1A, A77jg OWCGO'OCK �m. am TffE Z97wDAY. OF s y'A,va* a v "/tf,d, /N 45"K /2 0OF MAPS, AT PA44E'S7 AT 771E "Uesr OF 9445eeT 4, AqEe; JQ 4/- 35s/ l eZO-eD A14 A/O, eA-�.4CE' J. G.eU66 S COUA/rY Oee&eDe2 ffAS/S DF BEAR/,UGS Fd • r a THE Ms/s of L3eA rjma /s THE ,Yo er# Se['TAow L111E OF. szer/OA/ / 6, T. ,9A/., W/cs zS13 r,W R. 3 E.) M- M. AS TIVOW. i ON smr-- a►W.R. ,e(avr GF wx Y MAP, PRA WW4q .vo. 060W -04-S6. MS MiFP /S G,2(11JA/D DA'STA40C&S. L EGEiV D - SZerION CORA/ER - DWR STD. *4'v 1,O Mo/% CALCULATED POM -r O POUA10 4f"mm&wr AS malCATeo • S2T WMA N+/GS40/O TA4 of As MAMCM70 o �d�� SfATE+ o w R lYe,vurtcvT w,m .Vur,ea>e - RECORD OF SURVEY 00 J7ATt O.IILR. R16NrOPWAe MAO, ATAiW/N4 //O.M"d-04-s{ SMWAI AS 6 -CID (GQ/D /,OdUd668 �GBAUNA) (R1) /573 O.R. A Amewom *F A/. e. �/4 of SELT/d,�/ 16) T. /9.t/. ) R. 3 E, V-9. w,r�sss' e0zuEA T,1E coM, LZ H- ) e4dNTY OF BUTTE/ eAL/FOA'AU 4, FOR: ROaEET WALL ROQ'BET (*, A4Ee) Je.) P. E, JULY, 1990 /zo/ gaER.46rdAl WAY OTa)//LLE, CA. 951?44 ' L9/6) S33 -S4 15 o� =o Nm ou N (:) xm 14 if LL ocio =U N 0 M 4' to 241- 11211 4'- al 1/2" x 10" ANCHOR BOLTS G' O.C. W/ 2"X2"X3/ 1 G" SQ. WASHERS, 12" FROM ENDS AND JOINTS OR USE 51MP50N MAS FOUNDATION ANCHORS. FLOOR PLAN SCALE: 1/4"= P-0" * 4" THICK SLAB * 12" X 12" FOOTING *GXGX IOX IOREMESH * 112" REBAR 2 RUNS 'RACED WALL -PANELS TO-_BE18 11211 HARDI BOARD SIDING OVER13/8 OSB I GX8 SECTIONAL DOOR 3 112" X 13 112" X DHF -1 .8E GLB MVF� 4'- �Y-ovi cue c eY Ma IS a A4 ciec,71'%ca-- p;" 0 N 0 — m c x o It 1r IS a A4 ciec,71'%ca-- p;" OVERLAP T.P. @ CORNERS 2X4 TRIMMER TYP 2X4 P.T. _ 51 LL PLATE FIN. GRADE 12 4�j II 4X 12 II 2X8 RIDGE 2XG RAFTER5 @ I. G" O.C. 2X8 WALL TI E5 @ 4"' O.C. II 4X 12 II IDING NAILING: 8d HD GALV. 4" CORNER5, 8" JOINTS, 12 FIELD WALU ROOF NAILING: 8d HD GALV. G"EDGE5, 12" FIELD 2X4 @ I G" O.C. 2X4 P.T. 51LL 112-0 X 10" FDT BOLT @ G" O.C. W/2"X2"X3/ 1 G" 5TL: PLT. WA5HE v �r z 4 FILL #4 REBAR C\1 Fc=2500 psi 2" MIN. FOUNDATION DETAIL SCALE: I "= 1'-0" 20 YEAR COMP. ROOFING 0/ 15# FELT O/ 7/1 G" 05B D13 T.P. TYPICAL 5ECT1 ON FRAMING I� SCALE: 114"= P-0" —2X @IGil O.C. CONCRETE FOUNDATION �oc�. on l is 6� r*",Lr UTTc: COLIN 1'r' &`BUILDING DEPART E2 3 p R o v r 2XG @ I G" O.C. W/2X8 @ 4' O.C. WALL TIES 2X4 OUT -RIGGERS @ 24" O.C. @ BOTH GABLE ENDS ^%JC2 Mir'%/ 1='Q► A QI 51MP50N H I OR EQ. CLIPS AT EACH RAFTER TO TOP PLATE ROOF PLAN 5CALE: 1/4"= I'-0" 4112 PITCH 7/1 G" 05B 5HEETING STAGGERED W/ 15# 3G" FELT 20 YEAR COMP05TION SHINGLES BUTTE C®11n1 i v BUILDING DEPARTME.'y. 4 P P R V I All \/ I Q11 /-AMI C l /GAIT u REAR ELEVATION SCALE: 1/4"= P-0" 7/1 G11 0513 5HEETING 5TAGGER-D LEFT ELEVATION SCALE: 114"= 1'-0" BUTTE COUN DING DEPAPTRA. 4PPROV >: W/2X8( 7/1 G" 05B SHEETING STAGGERED 15# X 30" FELT, 20 COMP05TION 5HINGLE5 ------------ 4030 1 All %I 1 011 /- A O 1 C\ /CA IT FRONT ELEVATION SCALE: 1/4"= 1'-0" 3RADE RIGHT ELEVATION SCALE: 1/4"= I ' -O" DTTL v GILDING DEPARTIIE,�-. p() ",. NOTES RESIDENTIAL 030-230-062 r 03-3413 PERMIT NO.—CAROL � GRAND AVE, OROVILLE i Cont: OWNER NEW MH PERM FND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY q USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i S JOB FINALED (Date) Signature COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. ''All, e? — 3 O" :I (Rev. 12/9'6) , �" APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-230-062 ZONING AR -5 BUILDING PERMIT . + '( OWNE UBL.EP CAROL. 661-9 0WIOX77 SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5259 WEST AVENUE #L-4. OUARIM HILL 93536 K • 00 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS . CONSTRUCTION LENDER FFi,,plc. LENDER'S MAIUNG ADDRESS_ I Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. 'Fling Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 344.25 Plan Checking Fee $ 23.0 * , ' I+ BUILDI J GRAND AVMW,, ORMUE Energy Plan Checking Fee $ $ PERMIT FEE $ 3$7.25 LOT NO. SUBDIVISIONS NAME- PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE P v' ❑ Duplex ❑ Mobilehome ❑ Other ° SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK k ` +. New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ DescribetWork: NEW MH PERM FMMobile Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Home S G W @20.00 PERMIT FEE S 65.00 ELECTRICAL PERMIT Filing Feel 20.00 Main Service zoOA OR LESS 23.00 23.00 /\ ! LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. . License Class Lic. No. OWNER -BUILDER DECLARATION herebyaffirm under penaltyof perjurythat I am exempt from the Contractors License Law for the following reason: O 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( & ACC. BLDS. 3.5¢FT, NEW CONST.MULTI-OUTLu @7,50 POWER APPARATUS d SINGLE OUTLET CIR. OR Ex. OCCu OUTLET OR FIXTURES ens @'; 0 oIXED APRLNSOR EX. Occup.E S PSID. E 5.00I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43 W MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � 1. certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' f 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. X Date �� V Signature of Applicant - S'Owner, ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constru�cti n' of -structures over 3 stories in ei ht. y dA Grfl Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE 1 TOTAL FEE $ 495.25 HAz. •,AZ. � ' D. a IMPS/' : FL000 F cOF PARCEL PD ,Ii ✓ ISSUE° V/ 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. y !f` /� i Date B fi1Y' if !d"/ PERMIT EXPIRES ON`"J /(/Lf�( i Defe rn� 'Receipt No.�� ,P%�%� C'/ v �f WHITE-D.D.S.-B.D. CANARY -ASSESSOR JPINK-INSPECTOR GOLDENROD -APPLICANT J- OK ' . - 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements . Gas; MH Test -Demand -Valve -Connector 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Water; MH Test -Regulator -Connector 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Tie Downs -Type -Installation. Cert. _ 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 11. 7. Well Clearance & Disconnect 12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O•to Grade -HD Approval 8. Gas and Electricity Tagged • 9. Tie Downs -Type -Installation. Cert. _ 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6., Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card. B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI - . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI - . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Fur.,ed Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: la/oZ1/o`'i k, BUTTE COUNTY County of Butte DEC Oroville, California GENERAL CLAIM oEvEwirivi., INT CLAIMANT: Carol Cauble ADDRESS: 3615 Hildale Ave. CITY & STATE: Oroville, CA 95966 nATF nF r`.I Glnn• 11/n7ms SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 030-230-062 Permit No.: 03-3414 PAID RETAINED REFUND Develo ment Services $ 514.00 $ 158.00 $ 356.00 SRA $ - $ - $ - Sheriff $ 335.00 $ - $ 335.00 Other: TUA 28010111816 $ 570.00 $ - $ 570.00 TOTAL $ 1,419.00 $ 158.00 $ 1,261.00 ............................................... ............. ............................................... ............. :.:.. .:.:.:.:.:. :...A:.:.".:." ....................................... ................................................ �Dla::: ............................. ............... ........ ............... ............... .............. .............................. .............. .............................. :ACCOU�TT::::AMOUNT'.: .............. ............... .............. ............... Development Services p 440-001 4210500 $ 356.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ 335.00 TUA Other 280 1011816 $ 570.00 TOTAL $ 1,261.00 $ 1,261.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. y(� //�� n(` ,, 0 Dated this—A day of OLJ, 0� —0 , 2005, at Calif. t—ax"6►�[.�' Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the m Dated this —14— "" day of -!� � , 2005, at Oroville Calif. ' Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND nn NnT WRITE RFI nW THIS I INF . AI InITnR'R [IRF (W Y DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. M CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: REFUND CALCULATION SHEET Carol Cauble 3615 Hildale Ave Oroville, CA 95966 11/07/05 APN: 030-230-062 RECEIPT INFORMATION $ 1,419.00 $ 158.00 $ 356.00 $ - $ 335.00 $ 1,261.00 BLDGSRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $1,261.00 DIFFERENCE: y (Should be blank) APPROVAL Date Reviewed 11/7/2005 Scott Rutherford Building Manager (� NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED 391239 393839 $1,419.00 11/12/2005 11/21/2004 Carol Cauble Carol Cauble 1342 1362 $83.00 $1,336.00 03-3414 03-3414 Yes No Yes No Yes No X X X X REFUND BREAKDOWN DETAIL I PAID I RETAINJ REFUND BLDG 440-001 4210500 SRA 0100 4617240 SHERIFF 280 1011811 TUi4 41011816;1 BLDG ....................................... : ........................ ::::::::::::::::::::::::::::'::::::::::::;::::: .............. ....... . .... ............................ .............. ... ».................... .............. »> :::::::.::::::::::::: .... .......................... ::::.' .................... .......................... »: .......................... »:::: >::::: >:: ... .......................... ........... ........... ......... . »::::::' ........... FILING FEES Building 20.00 20.00 Plumbing 20.00 20.00 Electric 20.00 20.00 Mechanical PLAN CHECK Plan Check 1 23.001 23.00 Ener INSPECTION Energy SRA - BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 313.00 313.00 313.00 45.00 45.00 45.00 23.00 23.00 23.00 OTHER BLDG Sheriff TUA 25.00 25.00 25.00 25.00 REFUND PROCESS FEE 25.00 25.00 25.00 BUILDING TOTAL 514.00 158.00. 356.00 .. , "356.00 SRA - FIRE Fire $43 > SRA - FIRE SHERIFF - $360 Sheriff 335.00 335.00 :::::::::::::::::::::::: SHERIFF 335.00 .....:...::....: $ 1,419.00 $ 158.00 $ 356.00 $ - $ 335.00 $ 1,261.00 BLDGSRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $1,261.00 DIFFERENCE: y (Should be blank) APPROVAL Date Reviewed 11/7/2005 Scott Rutherford Building Manager (� Butte County Department of Development Services www.buttecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * PLANNING 11/7/2005 Carol Cauble 3615 Hildale Ave. Oroville, CA 95966 RE: Permit No. 03-3414 APN#030-230-062 Owner: Sante On 11/12/2003, a deposit was made in the amount of $83.00, and on 11/21/2003, a . deposit was made in the amount of $1,336.00,' of which $158.00 was retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1,261.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior Administrative Division enclosure 03-3414.2.1tr CLAIMANT ADDRESS: Carol Cauble 3615 Hildale Ave. a County of Butte Oroville, California GENERAL CLAIM CITY & STATE: Oroville, CA 95966 DATE OF CLAIM- 11/07/05 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 030-230-062 Permit No.: 03-3414 PAID RETAINED REFUND Development Services $ 514.00 $ 158.00 $ 356.00 ` SRA $ - $ - $ - Sheriff $ 335.00 $ - $ 335.00 Other: TUA 28010111816 $ 570.00 $ - $ 570.00 TOTAL $ 1,419.00 $ 158.00 $ 1,261.00 :.........•... :.:.t...:.::•:•:• :::BREA;<4DiDi?V1�T ::::::'BU.DGET::: .. .......................... ............... :ACCOUNT:::AM0 .............. J N -T::: ............... Development Services p 440-001 4210500 $ 356.00 SRA 0100 4617240 $ - Sheriff 280 1011811 $ 335.00 TUA Other 280 10118161$ 570.00 TOTAL $ 1,261.00 $ 1,261.00 1, the unaer519nea, aeciare unaer penalty or pegury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2005, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. LAIMANT: REFUND CALCULATION SHEET Carol Cauble ADDRESS: 3615 Hildale Ave. CITY & STATE: Oroville, CA 95966 DATE OF CLAIM: 11/07/05 APN: 030-230-062 RECEIPT INFORMATION NUMBER: 391239 393839 REFUND 440-001 4210500 DATE: 11/12/2005 11/21/2004 BLDG ::.:.:.:. :.:.:.:.:.::.: :::::::::::.....::.:......::::::::::....:....::::::.... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ......... »::: ............................ ISSUED TO: CHECK #: AMOUNT: Carol Cauble Carol Cauble Building 20.00 20.00 $1,419.00 1342 1362 PLAN CHECK $83.00 $1,336.00 PERMIT #: PRIOR REFUNDS: FEES VERIFIED 03-3414 03-3414 Yes No Yes No Yes No X P -X X Building Plumbing Electric Mechanical 313.00 313.00 313.00 X 23.00 23.00 23.00...........:: REFUND BREAKDOWN Sheriff TUA 25.00 25.00 BLDG SRA SHERIFF IT �I DETAIL PAID RETAIN REFUND 440-001 4210500 0100 4617240 280 1011811 :280 dI.:10,1:181611 BLDG ::.:.:.:. :.:.:.:.:.::.: :::::::::::.....::.:......::::::::::....:....::::::.... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ......... »::: ............................ .::::.:.:.:.:.::.:.::.::.:.:.:.:.:.:.:.:.:.:: ........... »::::::: > »>: : ........... FILING FEES Building 20.00 20.00 Plumbing 20.00 20.00 Electric 20.00 20.00 Mechanical PLAN CHECK Plan Check 23.001 23.00 Ener INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 313.00 313.00 313.00 45.00 45.00 45.00 23.00 23.00 23.00...........:: OTHER BLDG c :,. Sheriff TUA 25.00 25.00 25.00 25.00 REFUND PROCESS FEE 25.00 -25.00 -25.00 BUILDING TOTAL 514.00 158.00 :356.00 .' 356.00 SRA - FIRE Fire $43 > SRA - FIRE SHERIFF - $360 Sheriff 335.00 335.00 »:*""".::.::.*..:.....; :.:.:...........: < >:: SHERIFF 335.00 :::: ........... :: %: > - OTHER+NOW13MG , TUA a .Jy 5 _ F _.: - 570 00 OTI ERak 570 00 $ 1,419.00 $ 158.00 $ 1,261.00 $ 356.00 $ - $ 335.00 $�r� 570'00,x, BLDG 440-001 4210500 SRA 0100 4617240 SHERIFF 280 1011811-10,111816 �.�,JUA m 1;^•280" APPROVAL Date Reviewed Michael Vieira Building Manager 11/7/2005 CHECK: $1,261.00 DIFFERENCE: (Should be blank) 10/21/2005 Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * Carol Caub.le 5259 West Avenue #.L-4 Quartz .Hill, CA 93536 RE: Permit No. 03-3414 a On 1.1/.12/2003, a deposit deposit was made in the sign, date, and return the form, we will then proce s 0-230-062 Owner: Same W71 made in the amount of $83.00, and on 11/21/2003, a a ount of $1,336.00, of which $158.00 was retained. Please closed claim form to this office. Once we receive the claim your refund in the amount of $1,261.00. Should you have an� questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., A 538-7601. Sincerely, / Diane Lewellen Account Clerk, Senior Administrative Division enclosure , .. �1?U: 03-3414.1tr .. tic �. . r rfi CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM - County of Butte Oroville, California GENERAL CLAIM Carol Cauble 5259 West Avenue #L-4 Quartz Hill, CA 93536. 10/24/05 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT INV NO. Refund Claim - See attached calculation sheet APN: 030-230-062 ENCUMB. GROSS AMT. Permit No.: 03-3414 PAID RETAINED I REFUND Develo ment Services $ 514.00 $ 158.00 $ 356.00 SRA $ - $ - $ - Sheriff $ 335.00 $ - $ 335.00 Other: TUA 28010111816 $ 570.00 $ - $ 570.00 TOTAL $ 1,419.00 $ 158.00 $ 1,261.00 ........ •: : I•rc :::::� BR1A3laW�T::::::::: ................................ BUDGET:: ............... :ACC.QiJNT:::A1VI31T Development Services P 440-001 4210500 S 356.00 SRA 0100 4617240 S - Sheriff 280 1011811 $ 335.00 TUA Other 280 1011816 $ 570.00 TOTAL $ 1,261.00 $ 1,261.00 i, the unaersignea, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. ,Dated this • —day of 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2005, at Oro'✓ille Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND nf) Nf)T WRITE RFI OW T411Q I INF - Al iniTn D'Q I ICC Mill v DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. I. - . `' 1. ^ REFUND- CALCULATION SHEET I CLAIMANT: Carol Cauble ADDRESS: 5259 West Avenue #L-4 CITY & STATE: Quartz Hill, CA 93536 DATE OF CLAIM: 10/24/05 APN: 030-230-062 RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: 391239 393839 $1,419.00 11/12/2005 11/21/2004 Carol Cauble Carol Cauble 1342 1362 $83.00 $1,336.00 PERMIT #: - ' PRIOR REFUNDS: FEES VERIFIED 03-3414 03-3414 _ Yes No Yes No Yes No X X X X REFUND BREAKDOWN DETAIL PAID RETAIN REFUND BLDG 440-001 4210500 SRA 0100 4617240 SHERIFF 280 1011811 TUA 280 1011816 BLDG :.:.:.:::::.:.:.:.:.:: ::::::::::::::: .............. ::: .......... ............................ :::::::::::::::::::::::::: .......................... :::::::::::::::::::::::: ' : ........... FILING FEES Building 20.00 20.00 Plumbing 20.00 20.00 Electric 20.00 20.00 Mechanical PLAN CHECK Plan Check 23.00 23.00 Ener INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 313.00 313.00 313.00::::::::::::: 45.00 45.00 45.00 23.00 23.00 23.00 OTHER BLDG Sheriff TUA 25.00 25.00 25.00 25.00 REFUND PROCESS FEE 25.00 -25.00 -25.00 BUILDING TOTAL 514.00 158.60 356.00 356.00 SRA - FIRE Fire $43 :: SRA - FIRE SHERIFF - $360 Sheriff335.00 335.00 ........... :: ' ' ' ' ' SHERIFF 335.00 OTHER NON -BLDG TUA 0.00 57 _ '_ 570.00::*: '' ' ., ... . ........................ ..... OTHER 570.00 $ 1,419.00 $ 158.00 $ 356.00 $ - $ 335.00 $ 570:00 $ 1,261.00 BLDG SRA SHERIFF TUA 440-001 0100 280 280 - 4210500 4617240 1011811 101.1816_ CHECK: $1,261.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 10/24/2005 Michael Vieira Building Manager 10/21/2005 /a/ay/off Butte County Department of Development Services www.buttecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Carol Cauble 5259 West Avenue #L-4 Quartz Hill, CA 93536 RE: Permit No. 03-3414 APN#030-230-062 Owner: Same On 11/12/2003, a deposit was made in the amount of $83.00, and on 11/21/2003, a deposit was made in the amount of $1,336.00, of which $158.00 was retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1,261.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior Administrative Division enclosure 03-3414.1tr e DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 08/17/2005 Michael aa Mn Building Manager 1 monaay, uCM&'24, ZUUS ' Counter Paula Person DiwP.IApl i-nt .SP.rVICP.S BUILDING DIVISION ver. 1.0 Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant 111/12/2003 03-3414 391239 11342 030-230-062 carol cauble Received From I same Total Received $$3.00 Total Fees To Collect $$3.00 Fund 10 (Bldg Permits) SRA Fees (Fire) SHR Fees (Sheriff) SMIP Copies/Document Sales CUA (Chico Urban Area) TUA (Therm. Urban Area) Water Tender Btln 0 West Chico Fire Station Witness Fees Recorders Fees (N.O.C) Thermalito Drainage Oroville Area Traffic NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks $83.00 $0.00 $0.00 $0.00 $0.00 I 0.00 $0.00 $0.02J. $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 v 4 4 NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Type R Ej Value $431.00 )0.1 $335.00 $0.001 C $0.22J !$0.00 j $570.00 $0.00 $0.001 $0.00 $0.00 =0.00 �- $0.00 $0.00 $0.00 I $0.00 $0.00 I $0.00 $0.00 $0.00 $96,228.00 Development Services Monday, October 24, Zoos M BUILDING DIVISION Ver. 1.0 Counter Paula ' Person - Fund 10 (Bldg Permits) SRA Fees (Fire) Payment Date 11/21/2003 SHR Fees (Sheriff) Permit Number 03-3414 SMIP Receipt Number 393839 Copies/Document Sales Check Number or Cash 1362 CUA (Chico Urban Area) Parcel Number 030-230-062 TUA (Therm. Urban Area) Applicant carol cauble Water Tender Btln #= West Chico Fire Station Received From same Witness Fees Total Received $1,336.00 Recorders Fees (N.O.C) � Thermalito Drainage Total Fees To Collect $1,336.00 Oroville Area Traffic NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Type R Ej Value $431.00 )0.1 $335.00 $0.001 C $0.22J !$0.00 j $570.00 $0.00 $0.001 $0.00 $0.00 =0.00 �- $0.00 $0.00 $0.00 I $0.00 $0.00 I $0.00 $0.00 $0.00 $96,228.00 � M NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Type R Ej Value $431.00 )0.1 $335.00 $0.001 C $0.22J !$0.00 j $570.00 $0.00 $0.001 $0.00 $0.00 =0.00 �- $0.00 $0.00 $0.00 I $0.00 $0.00 I $0.00 $0.00 $0.00 $96,228.00 ' 03-3414 mxAS ' I030-230-062 LAST NAME FIRST NAME W-100= • CONTRACTOR • CITY/CTY STREET NO STREET NAME ' ' CITY • ' • P MHEMT, MZ,, 2NEW MH PER FND(2ND DWELL)] B VALUATION • • U S PAID S 2 S 3 FEES 4 LPEEME MEJIM M FLOOD _ 391239 393839 FINALED PL�ApN CHECK AFCTIVITY in Chk-7: Chkd By -1: ® Return -1: Str Plan Chk-2: _- Chkd By -2: - Return -2: Str Chk-2: Plan 0M Approved:amStr Appr: 1255 char. max 11/4/03 file on hold owner did not sighn check.mjs HOLD FOR CHECK type and index for data sheet items. mc 11/21/03: PD SHERIFF $360, THERM URBAN FEE $595/ REC 393839. F25 char. max, - - 11/4/2003 11/21120031 1. Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: :S v- MAILING ADDRESS: PHONE: ASSESSOR'S PARCEL NO.:.:: ..-.2.3. -HiQ , [Please use one claim form per permit.] BLDG PERMIT NO.:Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.:... .:.s__.�::.:,:...; RECEIPT DATE: _. ... , 25 .zs RECEIPT AMOUNT: • Gv .lhh..l� REASON FOR REFUND REQUEST: ()-6-�►►{�3103-3�1�„� 60 S 11 r Check those fees which you wish to have considered for refund: /Building Permit Fees Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature Date K:/Forms/Refund Application 082203 93s-3� SENIOR CIVIL ENGINEER SEWER & STORM DRAINS (Exempt Service, "At Will" Position) THE SALARY: $5,385/month to $7,561/month (Merit Maximum to $9,073/month) THE POSITION: Under general direction of the Director of Public Works and Assistant Director of Engieering, the Senior Civil Engineer - Sewer and Storm Drains is responsible for the day-to-day supervision and management of the work team within the Sewer and Storm Drain section of the Department of Public Works - Engineering Division. This Section is generally responsible for the preparation and review of municipal civil engineering projects related to sanitary sewers and storm drains. Responsibilities of the section include: conducting master plan studies and formulating plans, including costs for potential improvements of sanitary sewer and storm drain facilities; developing and calculating sewer and storm drain impact fees; determining how parcels connect to sewer and storm drain facilities; processing sewer connection applications and determining connection fees and reviewing sewer and storm drain engineering calculations and designs. The Senior Civil Engineer participates in the preparation of the Section budget, prepares and processes requests for proposals, and processes and monitors performance of consultant agreements for a variety of assigned projects including project design, right of way acquisition, and environmental assessment. The Senior Civil Engineer and Sewer and Storm Drain staff may coordinate projects with other agencies including Butte County and utility companies, and State permitting agencies. The person in this position will be responsible for holding public meetings and providing assistance and information to the public, other City departments,,City Council, boards and commissions regarding ongoing projects. This is an exempt service "at will" management position. Employees hired by the City into the Senior Civil Engineer -Storm and Sewer Drain position are required to submit a Statement of Economic Interest at the time of hire, annually thereafter, and upon termination ofemployment. For a complete description of the Physical Demands of this position, please refer to the Joh Description, located on the City's website. QUALIFICATIONS: Education and Experience: Equivalent to a Bachelor's Degree from an accredited college or university with major course work in civil engineering supplemented by California registration as a professional engineer. Three years of experience performing duties similar to the Associate Civil Engineer with the City of Chico including some supervisory experience required. Knowledge and Abilities: Knowledge o£ Principles and practices of engineering as applied to municipal public works or traffic; methods, materials, and techniques used in the construction of public works projects; techniques for preparing designs, plans, specifications, estimates, and reports relating to public works engineering; principles and practices of personnel motivation, performance evaluation, and discipline. Ability to: Make complex engineering computations and schedule, review, and supervise the preparation of engineering plans and studies; communicate clearly and concisely both orally and in writing; use and care for engineering and drafting instruments and equipment; perform work with a minimum of supervision; supervise, train, and evaluate the performance of subordinate personnel. ADDITIONAL REOUIREMENTS: A VALID CALIFORNIA DRIVER LICENSE IS REQUIRED PRIOR TO EMPLOYMENT. APPLICATION CITY OF CHICO APPLICATION FOR EMPLOYMENT FORM AND RESUME REQUIRED. Applications PROCEDURE: submitted without the resume will be considered incomplete and will not be considered in the pool of qualified candidates. Resumes should outline any experience, training or education related to the position. Submit application and resume by the closing date of August 31, 2005 to the Office of Human Resources, 411 Main Street, P. O. Box 3420, Chico, CA 95927. Applicants are requested to submit the "Supplemental Applicant Information" form along with the application. Job Line: (530) 879-7999. WebSite: www.ci.chico.ca.us Click on Job Opportunities. Postmarks and faxed applications are not accepted. The City of Chico will consider individuals with disabilities based on their qualifications to perform the essential functions of the position for which they are applying. If you require accommodation in the application process, please notify the Office of Human Resources and Risk Management so that appropriate arrangements can be made. OPENING DATE: AUGUST 8, 2005 CLOSING DATE: AUGUST 31, 2005 NOTES RESIDENTIAL l� F03-230-062 03-3414PERMIT NO.. , CAROL- ----- RAND AVE, OROVILLE f Cont: EER I NEW MH PER FND(2ND DWELL) i m SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 4 , RESIDENTIAL l� F03-230-062 03-3414PERMIT NO.. , CAROL- ----- RAND AVE, OROVILLE f Cont: EER I NEW MH PER FND(2ND DWELL) i m SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature - ^.+ •-..�wr.-r �:71i�+7r,^-.-�w�.i-.�+r•r• .�'�w1---+....--r-..,, �. w�y,i�.; n" F '"-'-..+... -r" ,.. ..y,.• �.._ •7„�.` � _. .�. ��" .. .. .,. - - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 65965 • Telephone (530) 538-7541 ERMIT NO. (Rev.12/96.. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-230-062 ZONING AR -5 BUILDING PERMIT OWNER TT ���� CARQL 66 TELEPHONE 14 Fr. Sq. , OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS i 2 ' 96,228.00 52-59 WF -ST AMMIE, #L.-4, QUAMI. RIU,A3 36 CONTRACTOR'S NAME - TELEPHONE 'CONTRACTORS MAILING ADDRESS 'r CONSTRUCTION LENDER I; LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 969228.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 313.00 Plan Checking Fee $ 23.00 BUILDING ADDRESS GRAND AMM, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 15.00 New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: NEW/�`ry Buildingsewer 15.00 15.00 Mobile Home S G W @20.00 1�MlH��ssp�E-niMTtF�'NN^�D PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service _0V OR mss 20.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: t - 5. 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. Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING occuP. OR ADDNS. ( & ACC. BLDS. so 3.50FT. T. IpµpoSID. MULTI-OUTLET c @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES�L "00 x .50 Ex. Occup. oFlxuTe Aa oR� 5.00 Temporary Service, 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ lram exempt under Sec. Business and Professions Code for this PERMIT FEE $ 43.()() WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Heating Cooling Hood 6.50 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Ventilation My workers' compensation insurance carrier and policy number are: Carrier ! PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑s I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Energy Inspection Fee $ occ CONST. TOTAL FEE $ 464.00 ' HAZ. �- F IMP D. ✓ I FOOD CDF ,,,r PARCEL 1 � PO ISSUE 1/ 7 v This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /� ✓j By L� Date If ��` 14S. t PERMIT EXPIRES ON`y /��'C t/�'�'` k (Da t, forthwith comply with those provisions. Lof X ( Date l/'' 2 /� Signature of Applicant - O7Owner �❑ Contractor ❑ Agent ,! An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh !�) rj i f ��} i ` j j r' } `//)) ReceiptNo..3�� /�� �D�� T % r u WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-IMSPECTOR GOLDENROD -APPLICANT J=OK 0 = N6t OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch 6. • 3. Sewer; Location -Test -Fall -C/O -Concrete Zoning Requirements -Setbacks -Easements 4. Water; Location -Test -Easement Needed (Sketch) Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 3. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Card B-1 Date Card B-1 7. Well Clearance 8 Disconnect 8. Utility Clearance 6. Water; MH Test . . 7. Water and Sewer Connected. Date 8. Card B-1 Date Card B-1 Date 9. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s License Decals 1. Zoning Requirements -Setbacks -Easements Verify #'s with Office 2. Footings; Size -Spacing -Marriage Line Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector Light Niche 6. Water; MH Test -Regulator -Connector Enclosure; Fencing -Alarms 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 6. 1. Zoning Requirements -Setbacks -Easements Electric 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking Card B-1 Date Card B-1 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test . . 7. Water and Sewer Connected. 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office r. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s - 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following InstldJDhve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: W BUTTE ° COUNTY DEC 13 2005 County of Butte OLVELOPMENT SERVICES Oroville, California GENERAL CLAIM CLAIMANT: Carol CaUble �I ADDRESS: 3615 Hildale Ave. CITY & STATE: Oroville, CA 95966 �� s nATP nF rl Alnn• 11/n7/OS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 030-230-062 Permit No.:03-3413 .i PAID RETAINED REFUND Development Services $ 545.25 $ 158.00 $ 387.25 SRA $ - $ - $ - Sheriff $ 335.00 $ - $ 335.00 Other: TUA 28010111816 $ 570.00 $ - $ 570.00 TOTAL $ 1,450.25 $ 158.00 $ 1,292.25 ............. :.:: ::::::::: ' ' ......... ..:................................. :.:•:.:•:•:BREAi�iIOWi`T ::::::::: ........... ....:..... BITD'GET:: ............... ............................. :Attbt�iT::::AIVIOI3I .............. . T .............. Development Services 440-001 4210500 $ 387.25 SRA 0100 4617240 $ Sheriff 280 1011811 $ 335.00 TUA Other 2801 1011816 $ 570.00 TOTAL $ 1,292.25 $ 1,292.25 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this daim is true and correct as stated. Dated this 1 day of l�2�05, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for th Dated this day of �G 2005 at Oroville Calif. Departnt Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. REFUND CALCULATION SHEET CLAIMANT: Carol Cauble $ 387.25 $ - - ADDRESS: 3615 Hildale Ave. k$57 CITY & STATE: Oroville, CA 95966 ,292.25 DATE OF CLAIM: 11/07/05 APN: 030-230-062 SHERIFF+sTl RECEIPT INFORMATION NUMBER: 391239 393839 21 DATE: ISSUED TO: 11/12/2003 11/21/2003 CHECK: $1,292.25 Carol Cauble Carol Cauble CHECK #: AMOUNT: PERMIT #: 1342 1362 $1,450.25 $83.00 $1,367.25 03-3413 03-3413 Yes No Yes No Yes No Date Reviewed PRIOR REFUNDS: FEES VERIFIED X X Scott Rutherford X X REFUND BREAKDOWN DETAIL PAID RETAIN REFUND BLDG 42 0500 SRA 4617 240 SHERIFF 10118811 ¢4WTUAt,#" obs ' BLDG ....................................... ............................ ::::::::::: .............. ......................... ... ............................ .............. :::: >: >:::: »:::::: ............................ ::< ::::::::::: ............................ .......................... .. ........::::::.::::::.::.: .......................... >: > ...................... :::«< ::::: >::::::::::::: .......................... ............ ::::: ........ .. ........... >: ........... ........... FILING FEES Building 20.00 20.00 Plumbing 20.00 20.00 Electric 20.00 20.00 Mechanical PLAN CHECK Plan Check 23.001 23.00 Energy INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 344.25 344.25 344.25:::::::::::::: 45.00 45.00 45.00 23.00 23.00 23.00..........I OTHER BLDG Sheriff TUA 25.00 25.00 25.00 25.00 REFUND PROCESS FEE 25.00 -25.00 -25.00 BUILDING TOTAL 545.25 158.00 387.25 387.25 SRA - FIRE Fire $43 > SRA - FIRE SHERIFF - $360 Sheriff 335.00 335.00 :::::::::::< ::::< :::::< :::::: SHERIFF 335.00 :::.:.:.:.:.:.>:;.:: ........... OTHER;NON`BLDGA'";� L JUA,, S �..:..kG4 ;k a. X570.00 76.60 ....:...... _:. .. ... :... . . .... `:...'....'.:....... .. OTHER a .�. 570:00 $ 1,450.25 $ 158.00 $ 387.25 $ - - $ 335.00 k$57 ,292.25 BLDG SRA SHERIFF+sTl 440-001 0100 280 21 4210500 4617240 1011811 X101; CHECK: $1,292.25 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 11/7/2005 Scott Rutherford Building Manager 11/7/015 Butte County Department of Development Services www.buttecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING 11/7/2005 0 Carol Cauble 3615 Hildale Ave. OrovIlle, CA 95966 RE: Permit No. 03-3413 APN#030-230-062 Owner: Same On 11/12/2003, a deposit was made in the amount of $83.00, and on 11/21/2003, a deposit was made in the amount of $1,367.25, of which $158.00 was retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1,292.25. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, 47, Diane Lewellen Account Clerk, Senior Administrative Division enclosure 03-3413.2.1tr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Carol CaUble DESCRIPTION OF CLAIM'(DESCRIBE FULLY TO AVOID DELAY) ADDRESS: 3615 Hildale Ave. Refund Claim - See attached calculation sheet APN: 030-230-062 CITY & STATE: Oroville, CA 95966 DATE OF CLAIM- 11/07/05 i SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM'(DESCRIBE FULLY TO AVOID DELAY) AMOUNT INV NO. Refund Claim - See attached calculation sheet APN: 030-230-062 ENCUMB. GROSS AMT. Permit No.: 03-3413 PAID RETAINED REFUND Development Services $ 545.25 $ 158.00 $ 387.25 SRA $ - $ - $ - Sheriff $ 335.00 $ - $ 335.00 Other: TUA 28010111816 $ 570.00 $ - $ 570.00 TOTAL $ 1,450.25 $ 158.00 $ 1,292.25 ............................................... ............................................................. ............................................................................ ............. ::::::::::::::::::::::::::::::::,::BREAKDOWN ..... {.:...:. . ' ''' ' ' .............................................................................. :::':*:::*:::'BUD ............................. —ET:: .............................. :ACCOUl\iT:::A1VI0I3NT ............... ............... Development Services 440-001 4210500 $ 387.25 SRA 0100 4617240 $ Sheriff 280 1011811 $ 335.00 TUA Other 280 1011816 $ 570.00 TOTAL 1 1 $ 1,292.25 $ 1,292.25 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2005, at Calif. 1 Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2005 at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. REFUND CALCULATION SHEET LAIMANT: Carol Cauble CITY & STATE: DATE OF CLAIM 3615 Hildale Ave. Oroville, CA 95966 11/07/05 NUMBER: 391239 DATE: 11/12/2003 ISSUED TO: Carol Cauble CHECK #: 1342 AMOUNT: $83.00 PERMIT #: 03-3413 Yes RIOR REFUNDS: EES VERIFIED X APN: ( RECEIPT INFORMATION 393839 11/21/2003 Carol Cauble 1362 $1,367.25 03-3413 No Yes No X X X REFUND BREAKDOWN Yes I No $1,450.25 DETAIL PAID RETAIN REFUND BLDG 440-001 4210500 SRA 0100 4617240 SHERIFFTUA"� 280 101.1811 X280 :1011816 , BLDG :::: ::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::: FILING FEES Building20.00 20.00 Plumbing 20.00 20.00 Electric 20.00 20.00 Mechanical PLAN CHECK Plan Check 23.001 23.00 Energy INSPECTION Energy SRA - BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 344.25 344.25 344.25 45.00 45.00 45.00 23.00 23.00 23.00::::::::::::: OTHER BLDG Sheriff TUA 25.00 25.00 25.00 25.00 REFUND PROCESS FEE 25.00 -25.00 -25.00 BUILDING TOTAL 545.25 158.00 387:25 .387.25 SRA - FIRE Fire $43 SRA -FIRE SHERIFF - $360 Sheriff 335.00 335.00::::::::::: ' ::::::::•:: :: %: SHERIFF 335.00 ......... . OTHER;NON=.BLDGL�� rTUA' 5700k6 • m� d, t OTHER -570.00 $ 1,450.25 $ 158.00 @ $ 387.25 $ - $ 335.00 F $' SZ0 00 .p 1,292.2-5 BLDG I SRA SHERIFF TUA; 440-001 .0100 280 ;t 4' 280 ikr' 4210500 4617240 1011811a1011816 CHECK: $1,292.25 DIFFERENCE: ) (Should be blank) APPROVAL Date Reviewed Michael Vieira Building Manager 11/7/2005 10/21/2005 Butte County Department of Development Services www.buftecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Carol Cauble 5259 West Avenue #L-4 Quartz Hill„ CA 93536 RE: • Permit No. -03-3413 APN#030-230-062 Owner: Same On 11/12/2003, a deposit was made in the amount of $83.00, and on 11/21/2003, a deposit was made in the amount of $1,367.25, of which $158.00 was retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1,292.25. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, - Diane Lewellen Account Clerk, Senior Administrative Division enclosure' 03- 3413.1tr Monday, October 24, 2005 Development Services - BUILDING DIVISION Ver. 1.0 Counter Paula Person Fund 10 (Bldg Permits) $83.00 SRA Fees (Fire) $0.00 , Payment Date 11/12/2003 SHR Fees (Sheriff) $0.22J Permit Number 03-3413 SMIP Receipt Number 391239 Copies/Document Sales $0.00 Check Number or Cash 1342 CUA (Chico Urban Area) $0.00 Parcel Number 030-230-062 TUA (Therm. Urban Area) $0.00 Applicant [carol cauble ( Water Tender Btln # 0 $0.00' West Chico Fire Station $0.00 Received From same r Witness Fees $0.00 Total Received- y $83.00 Recorders Fees (N.O.C) $0.00 y Thermalito Drainage $0.00 Total Fees To Collect � $.00 83 "• � Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 - NCSP Storm Drainage- $0.00 -- NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value -$0.00 033413 A6 030-230-062 LAST NAME =FIRST NAME ' ' • CONTRACTOR • CITY/CTY =F" STREET NO • • STREET NAME ' ' CITY • ' • USE TYPE ®_ REMARKS NEW MH PERM FND B PT -0 VALUATION FLOOD _ [25 char_. max, - - 11/4/2003 11/21/20031 FINALED PLAN CHECK ACTIVITY Plan Chk-7: Chkd By -9: ® Return -1: Str Chk-9: i Plan Chk-2: �- Chkd By�2_- Return -2: Str Chk-2: Plan Chk-3: �_ Chkd By -3 _ Approved: � � Str Appr: �- I255rhar. maxi type and index for data sheet items.mc 11/21/03: PD SHERIFF $360, THERM URBAN AREA $595/ REC 393839. REFUND REQUEST= file w/DD. TP s' Counter Paula Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant Received From 111/21/2003 03-3413 393839 1362 030-230-062 carol cauble same Total Received $1,367.25 Total Fees To Collect $1,36 Development Services BUILDING DIVISION Ver. 1.0 ,' ro $462.25 $0.00 $335.00 I $0.22J $0.00 I $0.00 $570.00 $0.00 $0.00 $0.00 $0.00 $o.00 �— $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fund 10 (Bldg Permits) SRA Fees (Fire) I SHR Fees (Sheriff) SMIP Copies/Document Sales I CUA (Chico Urban Area) I TUA (Therm. Urban Area) IWater Tender Btln West Chico Fire Station I Fees Witness I Recorders Fees (N.O.C) --_ Thermalito Drainage Oroville Area Traffic NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System NCSP Roads/ Bridges NCSP. Storm Drainage NCSP Fire Station NCSP Parks ,' ro $462.25 $0.00 $335.00 I $0.22J $0.00 I $0.00 $570.00 $0.00 $0.00 $0.00 $0.00 $o.00 �— $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 PERMI T '< - . Binx A PN • LAST NAME =FIRST NAME ' • CONTRACTOR • iiyT STREET NO • • STREET NAME CITY • ' • USETYPE REMARKS NEW MH PERM FND 75 char mar B VALUATION E AID PLAN CHECK ACTIVITY PM EM M - FLOOD _ RECEIPT; RECEIPT 2'11 RECEIPT 3 RECEIPT 4—� - - 11/4/2003 11/21/2003 IFINALED Plan Chk-9: Chkd By -9: ® Return -7: Str Chk-7: Plan Chk-2:Return-2: Str Chk-2: Plan Chk-3: Chkd By -3: — Approved: Str Appr: Comments: 255_char. max type and index for data sheet items.mc. 11/21/03: PD SHERIFF $360, THERM URBAN AREA $595/ REC 393839. REFUND REQUEST. Sent for signature 10/24/05. Permit w/Di DIFFERENCE: APPROVAL Date Reviewed 08/17/2005 Michael aa Mn Building Manager (Should be blank) DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET BUILDING DIVISION DEPOSIT # BAG # PERMIT# RECEIPT# ACCOUNT# F-10 ACCOUNT# ACCOUNT# (SRA) 0100 (SHR) 1800 ACCOUNT# (CUA) 1800 NCSP NCSP NCSP ACCOUNT# Roads/Bridges Storm Drainage Fire Station (COPIES) 0010 03-3498 390749 $ 35.00 03-3499 390750 $ 43.00 03-3500 390751 $ 74.00 03-3501 1390751 $ 57.00 03-3502 390751 $ 83.00 03-3503 390751 $ 83.00 03-3505 390752 $ 35.00 03-3506 390752 $ 35.00 03-3507 390752 $ 35.00 03-3413 391239 $ 83.00 03-3414 391239 $ 83.00 03-2842 393716 $ 201.24 03-3487 393717 $ 306.53 $ 43.00 03-3488 393718 $ 83.00 03-3489 393719 $ 47.00 03-3490 393720 $ 138.80 03-3491 393721 $ 402.35 $ 20.00 $ 1,505.00 $ 249.00 $ 270.00 $ 105.00 03-3492 393722 $ 591.75 $ 43.00 03-3493 393723 $ 43.00 02-3399 393724 $ 46.00 03-3494 393725 $ 98.00 03-3495 393726 $ 960.50 $ 43.00 03-3497 393727 $ 941.02 $ 43.00 03-3497 393728 $ 21.45 03-3504 393729 $ 66.00 393730 $ 0.37 03-1290 393731 _ $ 1,254.50 $ 335.00 03-0997 393732 $ 1,257.04 $ 335.00 0 GRAND TOTAL TO BE DEPOSITED $ 10,095.55 MONEY COLLECTED: 11/I2/2003 COMPLIED BY: auditor:yeuow APPROVED BY: DIANE LEWELLEN extn 6869 MICHAEL VIEIRA DATE 11/13/2003 DATE 11!13/2003 Wednesday, November 10, 2004 Counter Paula Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant Development Services BUILDING DIVISION Ver. 1.0 Received From I sam Total Received Total Fees To Collect Notes: $83.00 � $83.00 Fund 10 (Bldg Permits) SRA Fees (Fire) SHR Fees (Sheriff) $83.00 SMIP Copies/ Document Sales $0.00 CUA (Chico Urban Area) $0.00 TUA (Therm. Urban Area) $0.00 Water Tender Btln #= $0.00 West Chico Fire Station $0.00 Witness Fees $0.00 Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Value $0.00 $0.00 $0.00 $0.00 $0.221. Type $0.00 $0.00 I IL Wednesday, November 10, 2004 Development Services BUILDING DIVISION Counter Paula Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant 11/12/2003 03-3414 391239 11342 ' 030-230-062 carol cauble Received From I same Total Received $83.00 Total Fees To Collect 83.00 Notes: Ver. 1.0 Fund 10 (Bldg Permits) SRA Fees (Fire) SHR Fees (Sheriff) SMIP $83.00 $0.00 $0.00 Copies/Document Sales $0.00 CUA (Chico Urban Area) $0.00 TUA (Therm. Urban Area) $0.00 Water Tender Btln -61 $0.00 West Chico Fire Station $0.00 Witness Fees $0.00 Recorders Fees (N.O.C) F $0.00 Thermalito Drainage $0.00 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Value $0.00 $0.00 $0.00 $0.00 $0.00 Type $0.00 $0.00 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS ON 14� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/961' APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER ZONING 030-230-062 AR -5 BUILDING PERMIT OWNEAUBLE, CAROL 661- 4Er-T+E77 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5259 WEST AVENUE L-4 QUARTZ HILL 93536 2102 9 508.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ , ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee s 344.25 Plan Checking Fee $ 23.00 BUILDIt�m AYMJE, OROVIIIE Energy Plan Checking Fee $ $ PERMIT FEE $ 387.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM M Gas piping stem 1 - 5 outlets 15.00 15.00 Buildingsewer 15.00 15.00 Mobile Home S G WF__ @20.00 d I PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600V OR LESS zo.OR LEss 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law for the following reason: 14 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR AODNS. ( a Acc. slos. SO 3.5¢FT: =, °�, IpT' MULTI.OUTLET @7.50 POWETL APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1000 B . Ex. OCCU FUCED APPLNS.OR ourLErs REs1o. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws ofiCalifornia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ithmply w' those visions. 11 X Date Signature b1 Applicant- Owner ❑ Contractor ❑ Agent An OSHA permit is requir d for excavatio s over 5'0" deep and dA 1 emo4,io or constru of structures over 3 stories in fight. 1 Receipt No. �® Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TY TOTAL FEE $ 495.25 HAZ. D. Es IMP FLOOD DF PARC PD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By / ate C l o PERMIT EXPIRES D1 2 ate WHITE-D.D.S.-B. D. CANARY -ASSESSOR INK -INS E GOLDENROD. I APPLICANT t / - IS16N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIV t • "'7 County Center Drive - Orovillle, California 95965 • Telephone (530) 538-75,6,11 0. `M N0. 12/96) APPLICATION AND PERMIT 7)1 SESSORPARCELNUMBEA � .-1 7 SUILDiPdGPERMIT �u NFoA /21 n B %F / )?* /W%7 1 S0. FT. 1 OCC. BUILgIN� V�LUfjTl�dF1,/ G CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fire lace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filino Fee $ 20.00 p�, Permit Fee -PD $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ SU6DIIGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ / LOT NO. SUBDNsroNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 �- SPECIFYEach gas water heater Of vent 1 5.00 TYPE OF WORK Gas piping tem 1 - 5 outlets 15.00 5 -- 15.00 s_ New.❑ Addition ❑ Remodel ❑ utilities E3In n ❑ Other Building sewer Mobile Home I S G I W 1 20.00 Describe Work: PERMIT FEE $ r ELECTRICAL PERMIT Fling Feel 20.00 Main Service zo.A OR LESS 23.00 Main Service 2IIA TO iocm NEW CONST. DwELLNG OCCUP. 46.00 so. 3.50FT• OR ADONS. a ACC. BIDS. 3 NNEW OO"ESID. MULTI octlTlEr @7.50 PERMIT, FEE PAID $ vv POWEaAPPARATLIS a swGLE ourLer .I .. EX. OCcu ovn.Er OR FIXTURES 20 O t.00 aAL ® .so OCCU OESID. U�NOER0. 5.00Ex. SRATemporary Service 23.00 Mobile Home Facilities Wisc. Wiring 20.00 23.00 SHERIFF $ PERMIT FEE $ ,MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating,. , Cooling Hood 6.50 $ Ventilation PERMIT FEL S Mobile Home Installation Fee $/17 $ Energy Inspection Fee $ r - AMOUNT RECEIVED $ U DATE RECEIVED 11646 -3 - It RECEIPT # 3 CCC cONsT. TYPE TOT L FEE $ 0. 44 FLOOD I CDF I P4R TP HD 6StA This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ..:v9«taw'ti.t+'..�.K,..,..r.,.�..�.wR„tY•.,_�.--ri"f�.,�...r.•,...-...-.n.i+:y..w».r.....nK,+�f.. .iw `Y r[,r...+t--'4...,-_"�C" J � r...--.•�I a:.'�}�•rr.y-t,•.. c w, a'+?rr:.,-•- A COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION } 1 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ; PERMIT APPLICATION DATA SHEET OWNER: ' - ASSESSOR PARCEL NUMBER Propo ed Building'aUse �,/r✓ L /�% /' Counter Technician: Date: �req�uired i rd6r to apply for a perniit. All boxes MUST be checked OR marked NA in order to apply. 1. Site pla , 3 14 sets, signed by the preparer of the plans. ❑ 2. Complete s, 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. :M ❑ 4. Engineered truss details and layouts in, duplicate. No faxes! ❑ 5. Energy compliance desi n d supporting documentation in li 9 ��I�Ioor �(� ❑ 6. Manufactured home ata sheets and installation inst, arrla a line info, Plan, . le down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Meta dg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans 'M ate. All of these must be stamped and wet -signed by the engineer. � Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ^-� ,.�" '' ►l ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 9. Site plan and business license approval from the City of Biggs...... 0,10. Letter of intent for non-residential buildings ............................... ❑ 11. Detached Accessory Building Form filled out by the owner........ ❑ 12. Hazardous Material Form ...................................................... FireSprinklers.................................................................... 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15: Other _ 0 ❑ 26. ❑ 27. 28. 30. ❑ 31. ❑ 32J❑ 33 Sent by Date Recelved J ling items needed to issue the permit. (May require additional plan review upon receipt of11 I 11 des as shown on the attached Schedule of Fees Due Sheet ........................ ,............... Statement of Intent for Non -heated and AIC Buildings .................................... Sanitation and site plan approval from the Environmental Health Department inlW City 'of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: 6(B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... NPDES Form ........................... ........... Encroachment Permit for driveway from the Public Works Dept.. /�an�,.............. ` // 2 Pre -Inspection forrequired................ Contractor's license information. (Number, Name Style, Classification) Worker's Compensation Carrier and Policy Number ......................... Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... f Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement.......L ,., �................... Manufactured home utility clearance.....................!.........../............................ WExii1rhviolati r expir "�............................................. t De ��rtt-� wets J etter from Legal Owner, Check to H.C.D. $ When issued Tele 1171- —'S / h/ and hold for pickup. / dad �7 �r I have been informed of %Above itemns and requirements for obtaining a building permit. Applicant: - 1. Index permit application for the above items numbered. 2 Plan Check Letter Additional items -re Contractor, design wner was advised of the above d by p ne, mail, ❑ coun r, by VR45 _Date: 1 ! —/ _2!) Contractor, design ner was dvised of the ab ve d a bphone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: ( Plans approved by: C'. Date:• O Structural reviewed by: Date: Structural approved by: Date: Note transfer by: • Date' tYellow: Building Division xw E. H. 4751 CAiiY Flat Ren Attechod Glc9a Man Attached Sent to G.D. j ice,/ ,;TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance P,4 Owner Location AP# Plan Approved for: Sewage Disposal�/� Water Supply:ublic -A Private Well Clearance for dwelling. Other 3 1�� / M)lh 7 ,� 1� m -Lt y- Q"/ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 a& 4f J� -�3 Date "bG�03 3�11� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PRO SED BUILDING USE '��iL(J 61— BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ...... .$ 2. SqHPOL DISTRI%/T F,EERM;0-1 - • S FEES (paid at Building Division) �j�O Residential x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A. P. # DATE C IPT # DATE REC. 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) f ' �, ➢ OAQ& OTHER �Y or m a i nW' Qa1A 6 l 5 0 At time of permit application, I was advised the above fees are required to.be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE I �� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) w School District • Y.— ,A.P.'Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOO . S IMPACT FEE CERTIFICATION FORM (One form per Building) � Building Department No. v , Residential Development i` Q i No of Living Mobile ome { Units Installation 0 Addition Ing Department Representative I County Lot No. ........__.._......................................................................... 0 0 Sq• Addition/ 'Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage \J (Including Exterior Roofed s) Z�/ 16)3 Date 3ntificatiori No. 0.401U 1 v 1 School District certifies that (Street Addres's1'• Qzy ,rituh "% i has complied with the requirements of Resolution No. representing d-; square feet. School District Representative Paid by Check # r w Remarks: (rip licant) (Phone Number) , (State) Q /' (Zip Code) (S tJ J V by payment of $ r2926 i Iltm_cA�so�i Date Notts: You may protest the Imposition of t he Nes ldentlfled above by submitting a written protest to the District. In cm0lance with Dovor m a Cods Section 66020(a), wWdn 90 days from the dab Nes aro OW. Failure to submit a timely written protest wlll'prohlblt you from challenging the Imposition of the less In any court action. N, subsequent to the School District Representaft* signing this Butte County Schools Impact Fee Centilkaflon Form, the School District Is nodfled by it* applicable Local Planning Agency that this project Is being reviewed under the California ErrAronrnnNai Quality Ac (CEQA), this pnojeet may be subject to - I HI' m naI school fess to fully n* pate. Its Impact on the school districts school,*. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION �J 7 Cognty Center Drive Oroville, California 95965 • Telephone (530) 538-7541 IT o. (Rev. 12/96) APPLICATION AND PERMIT -q40 � ASSESSOR PARCEL NUMBER 030-230-062 ZONING AR -5 BUILDING PERMIT OWNER gol 661 TELEPHONE 941-1477 SO. FT. OCC. BUILDING VALUATION 9b�228.00 .OWNERS MAILING DRESS 5259 WEST AVENUE, &n4, QUARTZ HILL, CONTRACTOR'S NAMETELEPHONE OWNER CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 96 228.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 313.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS GRAND AVENUE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 356.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FM 2ND DWELLING Gas piping system 1 - 5 outlets 15.00 19.00 Building sewer 15.00 19 _no Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00VOR UE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLns. S° 3.5QFT; ,mµq°SID. T. MULTI.OUTLET 97,50 6 OUTLET OWER APPARATUS Ex. Occup. OUTLET OR FIXTURES �� 1 FIXED Ex. Occup. ouTl s AaID.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The.above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cqply wit se provisions. XDate`s 0 Signature of Ap lica _ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavat' ns over So..e p and demolition r constructionAF of structures over 3 stories in heig ro D 0Receipt No. 12 02ffw��NqyPERMIT MECHANICAL PERMIT Fling Fee 20.00- Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TY TOTAL FEE $ 464.00 HAZ. D. IMP ° D /— CDF PARCEL PD H 5S E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By f j D to EXPIRES ON /G Dat WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-!PSIPECTOR GOLDEN R -A PLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive wwOrovill'l►e, California � �A95965 * Telephone (530) 538-75410 J " �E IT �1219.6) p��Lli.�6�IY�9Pi1d®PG�1991�ITARCELNUMBEA�2IL�Z/leo ZONI ]��� BUILDING PERMIT bONSTRUCnON LENDER - LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BULLRING ADDRESS /, LOT NO. I SUBDIVISION'S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPI:cIFY TYPE OF WORK New 13 Additio [3 emodel ❑ UtiGSe� r�] In n E3 01her Describe Work: PERMIT, FEE PAID $ v l SRA $ SHERIFF $ OTHER $ $ AMOUNT RECEIVED $ DATE RECEIVED I 1/ 4, D 3 - RECEIPT # Total Valuation Is Fin Fee $ 3 t(/ ./ 20.00 Permit Fee $ mon oa t�F.ss 23.00 Plan Checking Fee $ 46.00 NEW CONST. Energy Plan Checking Fee $ OR ADONS. a ACC. aDS. NEW CONST.eM Mm ULTI-OVTI.ET @7.50unu PERMIT FEE $ PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 115.00 f!e-7.— Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 — Building sewer 15.0011 S� Mobile Home I S G I W I 1 1 @20.001 EX. OCCU . OVTLEr OR FIXTURES PERMIT FEE 3 t(/ ./ ELECTRICAL PERMIT Fling Feel 20.00 Main Service mon oa t�F.ss 23.00 Main Service 20" TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. 3.5Q OR ADONS. a ACC. aDS. NEW CONST.eM Mm ULTI-OVTI.ET @7.50unu EX. OCCU . OVTLEr OR FIXTURES aAL Q .50 Ex. Occu .--6 -117nEr23.00 Temporary Service Mobile Home Facilities Umn Wirinn PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Cooling Hood 50 PERMIT FEE 1S Mobile Home Installation Fee $ Energy Inspection Fee $ crc CONST. TYPE TOT L FEE $ HAZ. WFffEs'hj*PjI FLOOD I CDF d This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �rtf..rr•.v�M.,�:,..g�+.+..,�... r,.--;�,;1..+,�\�'� e^+sv+� s^=�.+4i..r+\'ry^c'r`�^'�r._,,,+^-+7..a3.�*."'"`q`""'"'^' �yp�},a �ii�"'+`2�"F^"'""""^4wN % COUNTY_ OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION "✓ 7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 A ' PERMIT APPLICATION DATA SHEET OWNER: � _. ASSESSOR PARCEL NUMBER Propo d Building Use• T Counter Technician: Date: / L t requireps,3 'der to apply for a permit. AI oxes MUST be checked OR marked NA in or er to apply. 1. Site pla4 sets, signed by the preparer of the plans. ❑ 2. Comple, 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 deta'Is and layouts in duplicate. No faxes! O 5. Energy compliance d d supporting documentation i Ii ate. ❑ 6. Manufactured hom ata sheets and installation in rriage line i fo or PIA W(ie own or fnd plans, all in duplicate. ❑ 7. Metal Bldgs: (A) Met �-Plans, (B) Fnd plans and calcs replicate, (C) Elev tons to triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 44'zardous Material Form...............................................................................ire Sprinklers............................................................................................ Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by NI-. Other fining items needed to issue the permit. (May require additi� iew upon receiptf it 6. Fees as shown on the attached Schedule of Fees Due Sheet.. ..1...� Statement of Intent for Non -heated and AIC Buildings .................................... .... I Sanitation and site plan approval from the Environmental Health Department in I r 19. City of Chico Plumbing permit............................................................:........... 20. California Department of Forestry plan approval ❑ paid. Sent by: 21. Planning approval for (A) Use: O> K (B)Parking: (C) Parcel Check: f�. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... NPDESForm............................................................................. 4. Encroachment Permit for driveway from the Public Works Dept...,...... �'.'J................ . 25. Pre -Inspection for regdfred................ ❑ 26. Contractor's license information. (Number, Name Styl ; Classification) ...................... 7. Worker's Compensation Carrier and Policy Number ............................................ 41. wner-Builder Verification (❑ Given to owner, ailed to owner) ..................... etter of Signature authorization................................................................... ecorded copy of Agricultural Acknowledgment Statement ........................I1. home utility clearance......................................................... a xis,violatl or expired permits ................................................. nt De Iek&ateaa- s, ❑ Letter from Legal Owne heck to H.C.D. Other: When issued Telephone - and hold for pickup. I have been infor d of the l ov'items d requirements for obtaining a building permit. Applicant: D �'- r v% 1. Index permit application for the above items numbered: I n h Ler 2. Additional items re ' Contractor, designe , owne as advised of the above data by ph ne, ❑ mai, 0 counter, by V RZ Date: I 03 Contractor,designer, wnefmw, a� advised of the above d to by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: ' ► Date: • 0'3 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: . Yellow: Building Division E.H. USE ONLY Piot Pian dlitacMd Raw Pian d ad' Sana to ®.D.l / 1.. T0: FROM: Building Department Environmental Health SUBJECT: Sanitation Clearance &Ant— CkAq, ai�fu I Owner Location AP# Plan Approved for: Sewage Disposals Water Supply: Public Private Well � Clearance for dwelling. Other /iN/ll, JQ )JAQ[IL� Hold final for: Final clearance O.K. for: NOTE: L =-Z Environmental Health Specialist Date 8/96 T, 68-'31114 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 BUILDING PERMIT FEES Balance Due ....................... $ , Additional Fees Due .............:... $ Additional Fees Due ................. $ Revised Plan Checking Fee ..... $ 2. S OL DI TRICT W., (pat c ) (Ave c 4XSHE FEES (paid at Building Di Residential ...................... Units OF FEES DUE 24M3 w'�/JV x $360.00=$3 �, Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) AT SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) ;L36&6;� P; i<P. #630 oa CEIPT # DATE REC. u[ 163P-L- 9CSA 87 TRAFFIC FEE P10. $2500.00 (paid at Building Division) W10.` OTHER 1 r Yl A -c (Jr- bM A" -jvh?S- I'll I -1,1 03 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building it. These fees may be changed durin the pl�yf 'cecking process. APPLICANT DATEL Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner * (Rev. 6100) School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) lJ Building Department No. ECounty �Jurisdicdofi) city E::� locl-oO9- 67 3wq Property Location/Address Subdivision Residential Development QF7� No of Living Mobile Home Units Installation . -y- 7 Building Department Representative Lot No. ... ............ . ............................ e ................................ . .... Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # i zAb *(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) O Sq. Footage Addition (Including Exterior Roof Areas) MIJ Date District Identification No. 0102. Deudk I chool District certifies that b9 (city) has complied with the requirements of Resolution No. representiri,o— square feet. School District Representative (Applicant) (Phone Number) qS9 cos (State) (Zip Code) 05-- l 0 by payment of $ JAB 2926 F U LL N Date W Notic : You may protest the imposition of the fen Ideirtl above by submitting a written protest to the District. In compliance with Goveniniard Code Section 66020(a), within 90 days from the daft fen are paid. Failure to submk a timely written protest vAll'prohlbit you from ctWkmqft the Imposhlori of the fen In any court actImL K, subsequent to the School DistrIld Representative signIng this % Butte County Schools Impact Fee Certificatim Form, ths.School. District Is nodfied by the applicable Local Planning Agency Ghat this project Is being rsviswsd undarthe California Environmental Quality Act (CEQA� this project may be subject to additional school Nes to fully m1thiate.fts Impact on the school disaleft schools. White (applicant), Yellow (building department), Pink (school district) feaform.xis (10/03)dmm National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: , NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan it z, 4 LL 1. . & T__ 24 N; ar o el Ye, - ;ORESTn. 3 AS 5 E N • T y T.23 N % Au, N N O I TAA A jl II F 0 E : n ��•� I ::>. �, r :4�'. . _._` I _ -- -- - `' +1r�';1•�LO errime � �,r J.K.- f e. 6m IY r U . ....... T. 21 N. tit ORES I lo.z i> �.r.' rx _ �Im : L' - _ RE 4;i U- 3. C; 'MY E. .41 �`' ( M * I+c un r.... uny. t '2 Il ;fit y,r7f 71— 0. 11 " of (Old F bol, lie 77 i Qi 11 �IER Ir ! All•rerY - . .__ f ASC k1)t y)>S G. i.�' _. .a _ __ . '' _ —_ _._ _ _ _ __ _ _1L AV I fyw! ..a c' •-•t"p.�`s''f 3 +" , a' G a , Jt ] .l. 'y"F e s`', m .u1• ♦ — • rt;! m000c R.8 E. MAP OF CALIFORNIA PALERNSHOWING . ..... -35E. RELATIVE SIZE AND LOCATION OF O BUTTE COUNTY 7,; I, U 14 Is 'o, 0y 3 •<1 44 -117 "N O-ABAA, RANCH Ya C, NC ..CIO 4 _ _. . . . . . . . . .1 . . . : '. . . I :, *1 . .. I 17 �-11 I I -I- to / tw R. 5 E. w.o. a. L A R.6 E. 'Ou HT al R. IL3 L RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: CAROL R. CAUBLE .3 5259 WEST AVENUE /IL-4 QUARTZ HILL, CA 93536 Csaaa] A.P.N.:030-230-062 2�1�3—L�QJ7tPJ5► 1 8 Recorded Official Records County. l Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 89. -MM N -Qct -2083 AX f EE 16.00 93.50 MONUMEN I& M Barbara Page I of 4 Above This Line for Recorder's Use Only Order No.: 215312MAM GRANT DEED Escrow No.: 215312MAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $93.50 [ X ] computed on full value of property conveyed, or �� [[ computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST hereby GRANT(S) to CAROL R. CAUBLE, a Married Woman as her Sole and Separate Property the following described property.in the unincorporated area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST By: HENRY T. RUNGE, JR., TkUSTEE Document Date: September 29, 2003 STATE OF CALIFORNIA )SS COUNTY OF Butte ) On October 2, 2003 before me, Michelle A. Miller, Notary personally appeared Henry T. Runge, Jr., Trustee personally 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/Yer/th7er signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. . Signature t a Mme' LLE A, MUM q� Coni nisslon #1351456 n t� Notwy iicouift -CCallifamfa 609 c My Comm. Ext. APA. A, 2066 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below �? rr�,�, Preliminary Report Description Order No. BU -215312-3 MAM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: A PORTION OF THE NORTHEAST QUARTER OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M. AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE CORNER COMMON TO SECTIONS, 9, 10, 15 AND 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B..& M. SAID CORNER BEING IN THE CENTER LINE OF TRES VIAS ROAD; THENCE SOUTH 00 35' WEST, 1646.9 FEET TO THE NORTHEAST CORNER OF THAT.PARCEL OF LAND DESCRIBED IN DEED FROM WILLIAM M. MALIES, ET UX, TO ELOF R SWANSON, ET UX, DATED FEBRUARY 24, 1956 AND RECORDED MARCH 9, 1956, IN BOOK 819, PAGE 164, OFFICIAL RECORDS; THENCE NORTH 890 54' WEST ALONG THE NORTH LINE OF SAID SWANSON PARCEL, 1056.0 FEET TO THE NORTHWEST CORNER OF SAID SWANSON PARCEL, BEING ALSO A POINT AT THE WEST LINE OF THAT PARCEL, OF LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M. MALIES, ET UX, DATED JANUARY 11, 1955, AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE. NORTH 0° 35' EAST ALONG THE WEST LINE OF SAID MALIES PARCEL, 1639.2 FEET TO THE NORTH LINE OF SAID SECTION 16; THENCE NORTH 890 41' EAST ALONG SAID NORTH LINE, A DISTANCE OF 1056.0 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 16; THENCE SOUTH 890 41' WEST, ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE OF 390.05 FEET TO THE POINT OF BEGINNING; THENCE SOUTHERLY ON A CURVE CONCAVE TO THE NORTHWEST THROUGH A CENTRAL ANGLE OF 29° 10' 33" WITH A: RADIUS OF 1220 FEET, AN ARC DISTANCE OF 621.24 FEET; THENCE NORTH 40o 2414311 WEST, 30 FEET; THENCE SOUTH 490 35' 17" WEST, 390.90 FEET TO A POINT ON THE WEST LINE OF THE LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M. MALIES, ET UX, DATED JANUARY 11, 1955 AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE NORTH 0° 35' EAST ALONG THE WEST LINE OF SAID MALIES PROPERTY, 726.79 FEET TO THE NORTH LINE OF SAID SECTION 16; THENCE NORTH 89.41' EAST, ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE OF 665:95 FEET TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: CONTINUED • ^V Preliminary Report MirYl�lfl�I17 Order No. BU -215312-3 MAM BEGINNING AT THE NORTHEAST CORNER OF SAID SECTION 16, SAID CORNER BEING IN THE CENTERLINE OF TRES VILAS ROAD; THENCE SOUTH 00 35' WEST 821.9 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 00 35' WEST, 825 FEET TO THE NORTHEAST CORNER OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM WILLIAM M. MALIES, ET UX, TO ELOF E. SWANSON, ET UX, DATED FEBRUARY 24, 1956 AND RECORDED MARCH 9, 1956, IN BOOK 819, PAGE 164, OFFICIAL. RECORDS; THENCE -NORTH 890 54' WEST ALONG THE NORTH LINE OF SAID SWANSON PARCEL, 1056.0 FEET TO THE NORTHWEST CORNER OF SAID SWANSON PARCEL, BEING ALSO A POINT AT THE WEST LINE OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M. MAIMS, ET UX, DATED JANUARY 11, 1955 AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE NORTH 00 35' EAST ALONG THE WEST LINE OF SAID MALIES PARCEL, 825 FEET TO A POINT THAT BEARS NORTH 890 54' WEST FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 890 54' EAST, 1056.0 FEET TO THE TRUE POINT OF BEGINNING. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET WIDE DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE SOUTH 890 19'23" WEST, ALONG THE NORTH LINE OF THE NORTHEAST ONE QUARTER OF SAID SECTION 16, 326.11 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED EASEMENT, SAID POINT BEING ON A CURVE CONCAVE TO THE NORTHWEST HAVING A RADIUS OF 1280.00 FEET AND A CENTRAL ANGLE OF 30° 11'20", (TIE BEARING TO THE RADIUS POINT BEING NORTH 70° 36'03" WEST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE 674.43 FEET; THENCE NORTH 400 24' 43" WEST, 30.00 FEET; THENCE SOUTH 490 35' 17" WEST, 442.51 FEET; THENCE NORTH 000 16' 55" EAST, 79.13 FEET; THENCE NORTH 490 35' 17" EAST, 390.91 FEET; THENCE SOUTH 400 24' 43" EAST, 30.00 FEET TO THE BEGINNING OF A CURVE CONCAVE TO THE NORTHWEST HAVING A RADIUS OF 1220.00 FEET -AND A CENTRAL ANGLE OF 290 10' 33", (THE BEARING TO THE RADIUS POINT BEING NORTH 400 24' 43" WEST); THENCE NORTHERLY ALONG THE ARC OF SAID CURVE 621.24 FEET TO A POINT ON SAID NORTH LINE OF SAID NORTHEAST ONE QUARTER OF SAID SECTION 16; THENCE NORTH 890 41'00" EAST ALONG SAID NORTH LINE 63.94 FEET TO THE POINT OF BEGINNING. APN 030-230-062-000 ti- R,- Yy ��w r`.=y �J' r r Preliminary Report CONTINUED DESCRIPTION - CONTINUED Order No. BU -215312-3 MAM A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING WESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHEAST CORNER OF THE ABOVE DESCRIBED PARCEL I; THENCE SOUTH 00 35' EAST ALONG THE EAST LINE OF SAID SECTION 16 A DISTANCE OF 3300 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF STATE HIGHWAY 21-A AND THE END OF SAID LINE. A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE NORTHERLY LINE OF STATE HIGHWAY 21-A WITH THE EASTERLY LINE OF SAID SECTION 16; THENCE NORTH 890 54' WEST ALONG THE NORTHERLY LINE OF SAID HIGHWAY A DISTANCE OF 704 FEET TO THE POINT OF BEGINNING FOR SAID CENTERLINE; THENCE NORTH 00 35' EAST A DISTANCE OF 3300 FEET, MORE OR LESS, TO A POINT ON THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL I AND THE END OF SAID CENTERLINE. Date: OCT 31 2003 This is to certify that, if bearing the Purple seal of this office, this Is a true COPY of the document filed with the Butte County Clerk>Recorder's Office. Candace J. Grubbs By Butte Coun C rk-Recorder - --•-w• Deputy I evit ell airiT €3, 81 Gitit Yy31110 elf" 10 'GOP' ')It"-UC' titivs bail Monvoob efil 10 Ycaln� edduiiD eorbf-rO STATE OF CALIFORNIA ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY ,*War DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS ' REGISTRATION AND TITLING PROGRAM`''" STATEMENT OF FACTS This unit is a: 0 Mobilehome E:1 Commercial Coach ED Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We,-the -undersigned,-hereby-state nd AAL U8 (10 I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on /- 1-03 (Date) Signature(s) Address (City) Printed name(s) 0- l caU6/ City , State wrn 47(.( (RFV 9/91) 0f (State) .71 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: CAROL R. CAUBLE 5259 WEST AVENUE /IL-4 QUARTZ HILL, CA 93536 ORO -C A.P.N.: 030-230-062 Illi!#lii!!flIIIlNiillillllilllll 2Q�GD3—GDGi7105 1 e Recorded I REC FEE 16.00 Official Records I TAX 93.50 CoBU Of I MONUMEN W.00 CANDACE J. GRUBBS I ROSEMARY DICKSON I Assistant i Barbara 09:00AM 08 -Qct -2083 I Page 1 of 4 Above This Line for Recorder's Use Only Order No.: 215312MAM GRANT DEED Escrow No.: 215312MAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $93.50 �� [ X ] computed on full value of property conveyed, or co [[ ll mputed on full value less value of liens or encumbrances remaining at time of sale, 1C ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST hereby GRANT(S) to CAROL R. CAUBLE, a Married Woman as her Sole and Separate Property the following described property in the unincorporated area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST By: � HENRY T. RUNGE, JR., TRUSTEE Document Date: September 29, 2003 STATE OF CALIFORNIA )SS COUNTY OF Butte ) On October 2, 2003 before me, Michelle A. Miller, Notary personally appeared Henry T. Runge, Jr., Trustee personally 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 capaciry(ies) and that by hWYer/th7er signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m nd and official seal. Signature -4 MCiEUE A. MLLER Commission#1351456 0 Notary Public -Csoft alifornia My Consn. Ex . APA.,1%. 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Preliminary Report Description Order .No. BU -215312-3 MAM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: A PORTION OF THE NORTHEAST QUARTER OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M. AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE CORNER COMMON TO SECTIONS, 9, 10, 15 AND 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B..& M. SAID CORNER BEING} IN THE CENTER LINE OF TRES VIAS ROAD; THENCE SOUTH 00 35' WEST, 1646.9 FEET TO THE NORTHEAST CORNER OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM WILLIAM M. MALIES, ET UX, TO ELOF E. SWANSON, ET UX, DATED FEBRUARY 24, 1956 AND RECORDED MARCH 9, 1956, IN BOOK 819, PAGE 164, OFFICIAL RECORDS; THENCE NORTH 890 54' WEST ALONG THE NORTH LINE OF SAID SWANSON PARCEL, 1056.0 FEET TO THE NORTHWEST CORNER OF SAID SWANSON PARCEL, BEING ALSO A POINT AT THE WEST LINE OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M. MALIES, ET UX, DATED JANUARY 11, 1955, AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE. NORTH 00 35' EAST ALONG THE WEST LINE OF SAID MAIMS PARCEL, 1639.2 FEET TO THE NORTH LINE OF SAID SECTION 16; THENCE NORTH 890 41' EAST ALONG SAID NORTH LINE, A DISTANCE OF 1056.0 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 16; THENCE SOUTH 890 41' WEST, ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE OF 390.05 FEET TO THE POINT OF BEGINNING; THENCE SOUTHERLY ON A CURVE CONCAVE TO THE NORTHWEST THROUGH A CENTRAL ANGLE OF 290 10' 33" WITH A RADIUS OF 1220 FEET, AN ARC DISTANCE OF 621.24 FEET; THENCE NORTH 400 24'43" WEST, 30 FEET; THENCE SOUTH 490 35' 17" WEST, 390.90 FEET TO A POINT ON THE WEST LINE OF THE LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M. MALIES, ET UX, DATED JANUARY 11, 1955 AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE NORTH 00 35' EAST ALONG THE WEST LINE OF SAID MALIES PROPERTY, 726.79 FEET TO THE NORTH LINE OF SAID SECTION 16; THENCE NORTH 890 41' EAST, ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE OF 665:95 FEET TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: CONTINUED . $ C, ��o 1 Preliminary Report '_' my m• I 1 Order No. BU -215312-3 MAM BEGINNING AT THE NORTHEAST CORNER OF SAID SECTION 16, SAID CORNER BEING IN THE CENTERLINE OF TRES VILAS ROAD; THENCE SOUTH 00 35' WEST 821.9 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 00 35' WEST, 825 FEET TO THE NORTHEAST CORNER OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM WILLIAM M. MALIES, ET UX, TO ELOF E. SWANSON, ET UX, DATED FEBRUARY 24, 1956 AND RECORDED MARCH 9, 1956, IN BOOK 819, PAGE 164, OFFICIAL RECORDS; THENCE - NORTH 890. 54' WEST ALONG THE NORTH LINE OF SAID SWANSON PARCEL,1056.0 FEET TO THE NORTHWEST CORNER OF SAID SWANSON PARCEL, BEING ALSO A POINT AT THE WEST LINE OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M. MALIES, ET UX, DATED JANUARY 11, 1955 AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE NORTH 00 35' EAST ALONG THE WEST LINE OF SAID MALIES PARCEL, 825 FEET TO A POINT THAT BEARS NORTH 890 54' WEST FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 890 54' EAST,1056.0 FEET TO THE TRUE POINT OF BEGINNING. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET WIDE DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE SOUTH 890 19'23" WEST, ALONG THE NORTH LINE OF THE NORTHEAST ONE QUARTER OF SAID SECTION 16, 326.11 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED EASEMENT, SAID POINT BEING ON A CURVE CONCAVE TO THE NORTHWEST HAVING A RADIUS OF 1280.00 FEET AND A CENTRAL ANGLE OF 30° 11'20", (THE BEARING TO THE RADIUS POINT BEING NORTH 700 3603" WEST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE 674.43 FEET; THENCE NORTH 400 24' 43" WEST, 30.00 FEET; THENCE SOUTH 490 35' 17" WEST, 442.51 FEET; THENCE NORTH 000 16' 55" EAST, 79.13 FEET; THENCE NORTH 490 35' 17" EAST, 390.91 FEET; THENCE SOUTH 400 24' 43" EAST, 30.00 FEET TO THE BEGINNING OF A CURVE CONCAVE TO THE NORTHWEST HAVING A RADIUS OF 1220.00 FEET -AND A CENTRAL ANGLE OF 290 10'33", (THE BEARING TO THE RADIUS POINT BEING NORTH 400 24'43" WEST); THENCE NORTHERLY ALONG THE ARC OF SAID CURVE 621.24 FEET TO A POINT ON SAID NORTH LINE OF SAID NORTHEAST ONE QUARTER OF SAID SECTION 16; THENCE NORTH 890 41'00" EAST ALONG SAID NORTH LINE 63.94 FEET TO THE POINT OF BEGINNING. APN 030-230-062-000 ter', 'r Preliminary Report CONTINUED DESCRIPTION - CONTINUED Order No. BU -215312-3 MAM A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING WESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHEAST CORNER OF THE ABOVE DESCRIBED PARCEL I; THENCE SOUTH 00 35' EAST ALONG THE EAST LINE OF SAID SECTION 16 A DISTANCE OF 3300 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE ON STATE HIGHWAY 21-A AND THE END OF SAID LINE. A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE NORTHERLY LINE OF STATE HIGHWAY 21-A WITH THE EASTERLY LINE OF SAID SECTION 16; THENCE NORTH 890 54' WEST ALONG THE NORTHERLY LINE OF SAID HIGHWAY A DISTANCE OF 704 FEET TO THE POINT OF BEGINNING FOR SAID CENTERLINE; THENCE NORTH 00 35' EAST A DISTANCE OF 3300 FEET, MORE OR LESS, TO A POINT ON THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL I AND THE END OF SAID CENTERLINE. a OCT 31 2003 this is to certify that, if bearing the W08 seat of this office, this is a true COPY of the document fited with the butte County Cfork•Recordersfid, Candace 4, E bbf Outts tau CJo* gcwft 0111.1 jazi 611,0501110 ei"it 10 Isea GlQ wq at firl%a the ruaab #Of to y Awl flobl000n, )o IRWO ► Ot#us RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CAROL R. CAUBLE REAL PROPERTY OWNER/LESSOR 5259 WEST AVENUE #L-4 MAILING ADDRESS QUARTZ HILL LA CA 93536 CITY COUNTY STATE ZIP 2993 GRAND AVENUE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-3413 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AIS # 030-230-062 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. STATE OF CALIFORNIA' BUSINESS, TRANSPORTATION AND HOUSING AGENCY T� DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT r DIVISION OF CODES AND STANDARDS ' REGISTRATION AND TITLING PROGRAM"'"0f'� STATEMENT OF FACTS This unit is a:' 0 Mobilehome D Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name T/Wom f6spavedersigned,-hereby-state:— , - 0-0� w -M-6 I1 6 /, , P4 61AW Serial No.(s) Ir I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on (Date) (City) (State) Signature(s) Address Printed name(s) Ga- v City , State T -TC .n 476.6 (R F.V 9/911 _z NOTES RESIDENTIAL PERMIT NO. f y030-230-062_ E, CAROL GRAND AVE, OROVILLE CONT: RICK HYSMITH NEW GARAGE �•3 I I1 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t � JOB FINALED (Date Signature CHECKED BY ./= OK 0 = Not OK = Not Applicable = Not Really MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Z_gpKg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Roof; Shthg-Roofing 7. Well Clearance 8 Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE A&, CARPORTS GARAGES (Plans) OK except #'s 3. 4. Z_gpKg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh •10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche " Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 01 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Hangers -Post Caps -Anchors -Connectors 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 48. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 11. Water Pipe; Test -Anchors -Regulator -Service Test 51. 12. Electric Underground Property Line Firewall & Openings 13. Plenums & Ducts; Clearance -Material -Support -Ins. 54. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 15. Access & Ventilation 57. 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date 71. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date 81. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral E) Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 93. -to Energy Compliance Certificate -Other Certificates Date 94. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 35. A.C. Ducts Insulation & Support Date 36. Vent Fan, Exhaust above insulation Comments at Final: 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes Q No/Walks ❑ Yes Q No/Planters ❑ Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -20 Grade -HD Approval 93. -to Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev.12/96) I, APPLICATION ANDPERMIT 05-3qA ASSESSOR PARCEL NUMBER 030-230-062 ZONING AR -5 BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5259 WEST AVE #L-4 UARTZ.HILL CA 93536 5 CONTRACTOR'S NAME RICK HYSMITH TELEPHONE 846-4409 CONTRACTORS MAILING ADDRESS 195 WASHINGTON ST GRIDLEY CA 95948 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 126.00 Plan Checking Fee $ 81.90 BUILDINGADDRE GRAND AVE OROLLE5 65 Energy Plan Checking Fee $ $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilides ❑ Installation ❑ Other ❑ Describe Work: NEW GARAGE 24X24 Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00VOR UE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P l rY p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST.DWELLING OCCUP. OR ADONS. ( 8 ACC. BLOB. s0 3.5¢Fr, NOµREOS,iDT. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES 20 BAL 9':50 EX. OCCU FULEDAPPLNs. OR ourLETs RESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 'rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date % 7 - >2 �" 0 3 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep d demolition or instruction of structures over 3 stories in heig MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 227.90 HAZ ^' D IMP A. CDF PARCEL PD H E This permit is hereby issued under of the B e County ode and/or Indic d or w ich fees have y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �� 03 �7 Defe Receipt No.r / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP TOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION P M 7 County Center Drive • OroSille, California 95965 •Telephone (530) 538-7 41 T N0. ,5 yam_ iv.,2/96) APPLICATION AND PERMIT - :2 zo-S BUILDINGPERMIT lSSESSORPAACELNUMBEA „ ' 1HE „ y SQ. FT. OCC. BUILDING VALUATION OWNER ,� < OWNER'S MANN DR 5 / IL J / MHONE, I4nq cONs7RUCTioN LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS PJ:��an rmit Fee Checkil f emy Plan fSF SUBDIM ONT NAME rL.a+mo Ea TrapUSEOFSTRUCTURE Solari heat lex ❑ Mobilehome ❑ Other Water pi Dup SPECIFY Each oas wa TYPE OF WORK Gas in New 13. Addhion ❑ `Remodel E3Utin E3 installation [3 Other ❑ Budding sews Mobile Home Is $ ng Fee $ $ PERMIT FEE S 'ERMIT water heater ter or vent - 5 outlets G PERMIT FEE $ f'�•II1 9 iilng Fee 20.00 .• " 7.00 23.00 15.00 15.00 15.00 15.00 T20.001 I 20.00 W*m R a—= z3.uu 2oa TO I.wA 46.00 OWELING occuP.FT 6 ACC.BIDSMULTFovnET D;A qO @7.50 PERMIT, FEE PAID $ f Gym @ 1 zo '00 ExOccup. OUTLhOR FWURES SAL @ so $ Ex. Occup. oAPP 5.00 Temporary Service 23.00 SRA 20.00 Mobile Home Facilities Msc. Wiring 23.00 SHERIFF $ $ PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heatll� Cooling = Hood 6.50 Ventilation $ PERMIT FEt S Mobile Home Installation Fee $ $ Energy Inspection Fee I $ ccc CONST. TYPE TOTAL FEE $ 9,01 V. D}>Es P FIDOD CDF AR PD � 65UE AMOUNT RECEIVED $ I - Q� This permit is herey issued under the applicable provisions of the Butte County Code and/or Resolutions to do work '� ' �-� indicated above for which fees have been paid. DATE RECEIVED ,/l' �� By Date /1 ---- — • / Opout r FYPIRFS ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ` ASSESSOR PARCEL NUMBER t �� r-. r� ~• / t. it OWNER: o! c(_, t � l c.,IY...' , a • �_ a�` �. ,.,.✓ .� Proposed Building Use: .) Counter Technician: � Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ' ~❑� 1.. Plot plans; 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be. indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................. ❑ 9. Plot plan and business license approval from the City of Biggs .................................... t10. Letter of intent for non-residential buildings......................................................... 1. Detached Accessory Building Form filled out by the owner.....). I:. I g o 2. Hazardous Material Form............................................................................... ✓" 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... I 12003 �, ,n JN�_, . Statement of Intent for Non -heated and A/C Buildings .................................:.. ......... i Sanitation and plot plan approval from the Environmental Health Department in .,I j c ✓ 1 f ❑ 17. City of Chico Plumbing permit... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ 2 . Contractor's license information. (Numbe Name Style, Classification) ...................... 24. Worker's Compensation Carrier and Policy Number ..............:.............................. O Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ................... 6. Letter of Signature authorization... & f.V?'� �" '"� Y�'f� `I'�r ................................................. ❑ 7. Recorded copy of Agricultural Acknowledgment Statement .................................... 028. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1. Other: en issued Telephone�.....j % , i . ' T i i - ' `a hold for pickup. 3, 1 I have been inf med of th above items a d re( f emee r'o aining a building permit. Applicant: e: �! 1. Index permit ahpl'icati�ftqor the above items numbered: Plan Check Letter 2. Additionaljfet''ns reu1ired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, ywas advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: • 20 •O�j Plans approved by:Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER Carr L uhe L A.P. #( �^'n o��3�0y -� .02,PROP S D BUILDING USE 1 Y � e. r CDATE 1 �" " I7_0J EIPT DATE REC. f4uI LDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) _ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) V�— 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit a lication, was advised the above fees are re tired to be aid prior to issuance of the permit. These fees may be changed d ing the pla ecking pro ess ' APPLICANT DATE Pursuant to Govemme Code Sectio 66020, are hereby ified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from th date o 'ppr al of the project or from a imposition of the above mentioned items during which you may protest. The requirements for a protest are specified emm t Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNTs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BNTs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNTs necessary to prevent the discharge of pollutants from this project during construction could result in significant n odes and/or delavrz Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the inforrpationsubmitted is true. accurate_ and comnlere Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan ti Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX LP DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: l//Cvwf�Lr/� Phone: Mailing Address ��'/ %,(� ` `1 Site Address: UlAr— Assessor's Parcel Number: �l3 23 D v C% (0 7� 7.nne- Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LNFORINIATION: 1. Is there a primary dwelling on the property? Yes ❑ No 0-1 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 91 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 0 7. Is any portion of the structure located closer than 20' to your front property line? Yes Noln 3. 9. Do you plan to add a driveway or modify existing access to a county maintained road? Will the Yes No proposed structure encroach within any recorded easement? Yes No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No� 14. Will this building have a water heater? Yes ❑ N�O 15. What type of floor -covering «ill the building have? 16. What type of wall covering will the building have? /0(l OVER 1 of 2 PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed - I will be storing in this building and it will Lo; be used for any other purpose (no bathroom and no heating or cooling). 2. Private Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by exception), in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A earage door is rMuired. 3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be entirely oven. 4. ❑ Residential Occupancy - Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked 94, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office❑ Workshop . p [1 Home Occupancy Z ❑Other -Use = 1. Deun'be type orwork0W :. MW be aproved by the Buse Cowny Ptvmiq Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question numbe efore the'*- O JA) NIUe7_W-7,,U O�7 /l x-) F+ Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearty affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure sof this informati if or when the property is offered for sale. Ou-ner's Name: Please Print ` -'`'� `"I Owner's Signature: A) A A-- Date: 11 -/7-n 3 2 of 2 /oo - I _00 I . Department ®f Development Services o _ o Building Division •- ® 7 County Center Drive Oroville, CA 95965 �e®1r�S. (530) 538-7541 (530) 538-2140 FAX Residential Constructi®n Requirements IMPORTANT . This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) The following items are separated into two categories (general and specific). The "general" items are for your reference and are not specifically called out on the plans by the plans examiner. These- items MUST be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any responsibility for code requirements, general or specific. GENERAL REQUIREMENTS _ • Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5% of the floor area (Sec. 1203, U.B.C.) • Provide required room dimensions and ceiling height (Sec. 310.6, U.B.C.) - • Provide lights, switches, and receptacles for maintenance of mechanical equipment (Sec.306, U.M.C.) • Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.) • Provide minimum one 3'-0" exterior door. (Sec. 10033.13,U.B.C.) • Provide adequate clearance and type A flue for fireplacelwoodstove. • All stairways to comply with U.B.C, section 1003.3, for rise, run, headroom, width, landings and handrails. • y (U.B.C.1004.3.32): .. . . _ _. .. "Hallways to be minimum 36" wide - • Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C. • Attic access and ventilation (UBC section 1505). • Provide approved flashing at all exterior openings. • Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow. • Provide protection of appliances in garage from vehicular damage. • Closet lights per N.E.C. Article 410-8. • Provide certificates of conformance for all glu-lam beams. • Provide approved spark arrester at all chimneys/type "A" flues. • Provide 1/2"x 10" anchor bolts @ 6' o.c. max. and within 12" of alljoints. Provide 2"x 2"x 3/16" steel plate washer @ each bolt (Sec. 1806.6, U.B.C.) • Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number 4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.) m Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at'the top and bottom -(Section 1806.7.2, U.B.C.) f • Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec. 509, UBC) Page 1 of 2 Owners Name: Building Permit Number:(10 Plans Examiner: Martha Christy 509, U.B.C.) • Veneer per Ch. 14, .U.B.C. • Exterior plaster — weep screeds (U.B.C. section 2506.5). • Skylights per Sec. 2409 & 2603.7, U.B.C. • Protect plastic foam insulation per Sec. 2602.4, U.B.C. • Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210). • Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code. • Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (TJ P.C. 408.6). • Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7). • Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C. SPECIFIC REQUIREMENTS 1. Provide safety glazing in all hazardous locations (U.B.C. section 2406). 2. Garage firewall separation —required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception #3). 3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1. 4.. Special roof covering required, class B m;n;mnm 5. Provide 2 separate exits from the third story (UB.C. section 1004.2.3.2 exception #4). 6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear operable area of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a um clear operable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4 net COLOR CODE USED ON PLANS Blue = Engineering Pink =Firewall Green = Braced wall panels Yellow =Important COMPLY WITH ITEMS INDICATED BELOW =: Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. :'•. •. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood elevation. 4. At least 2 openings in exteriorwalls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. ' S.' The bottom of the openings shall be no higher than 1 foot above grade 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 7. All building materials below the 100 -year flood elevation must be of fire-resistant material. ❑ Fire sprinklers are required in this structure. ❑ This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the attached CDF fire safe requirements will be necessary. ® All structures and equipment including overhangs shall be clear of all easements. A setback of _LQ�_' from the side and �_� from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect Page 2 of 2 Owners Name: C&".1e_ Building Permit Number: - 3 Plans Examiner: Martha Christy 13e.w'� 8 4 S 89' 22'SS' W („.)lR3 5373.0A'l a) S973 Z/'(R) '87'0!:! 3t°o,Io• �� t81S'A/Oo•37'OS U(«n _ �j' 7 I 71/ f A -/S -E t TPP f A-1s,v zs, t9CR) / I` bSL,Io( 2Stts' ( 1 v ' r ' j SIO'2P4!•6(Mex Fit . I - scare: /y-roo' t IL ru rI I ; P N , • za,%BR T s` Wi9Le 0+zi { '4 3 34 //, 33 04C. a� Z0,zI(r') !P O'Ib'SS'E, (t� /9.65(R) F: YA"TR (8CAfr) AePAAG60 TPP ! A-4 f L EG EAl D _ YZeT/oAl 4ORA/E9 -AWR STD. ;'4ezo MON. I CALCULATED POIA(T O FOUND H4A1!//•/sA(r AS /A/DICAreo • SET -✓4' Z.O. -145 4010 '7A4 Ot A3 /*KLCATG:(a MIJA1.0 STATE' p.W.R. MAWM`,VT W17M .Villjai (•�) MSASUBQD ' LR) S7ATr 0-k4R. 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DAY OF TA+J- /494 v 3 UfESS/G7 I I � I , , I , V '` OF , O 1 I , X /A/ 7*#,F OFF/CE OF 77/E OF T,NE cov 7-y dF 6UTTE s STATE DF CAlJFoRA//A, AT 8;0,/O'G'LOCAC �.M• dA( r1le Z9TWDAy eF 151 � n 1 1 j V1 I I O 1 , 1 � I FJ fs'R�rAt ' I t f BAS/S DF BEAR1&zWs 1 i15.74 j /7621 759.12 I, q l l i i w/�seosrrlc I '4j ,a A, -A ,20"07— 4.444-041, JR. LS 4p/O t CO U AJTY SURVEYOR'S ST�4 TEMEA/ T T/l/S AI.fP NA3 64 -EA/ BXAH1MED /A( ACMCDA.i/CE W/TX SeMeA/ 874j. OF 7-//_,=ZAND S4A9VE1+4AEY ACT TATS -JV ! DAY OF TA+J- /494 v 3 UfESS/G7 'a /AM CflEfF 4fR.eE /4225 ed(!A(Ty s4jevEW/e EXR 3/3//93 '` OF REL'O/ZD X'S STAT�MEAI 7- X /A/ 7*#,F OFF/CE OF 77/E OF T,NE cov 7-y dF 6UTTE s STATE DF CAlJFoRA//A, AT 8;0,/O'G'LOCAC �.M• dA( r1le Z9TWDAy eF 7AMt/Aav ,HfA, /A/ 544K 1Z0OF MAPS, 4T PAeiE�ZAT 7W--- A�lUE5T OF RD6ERT G. Aged; Je . I 4/- 3551 ZeeMCD/A14 70, eAN ,4CE J. 4.e066S C40A/TY ACee,0ZDER BAS/S DF BEAR1&zWs Al • r 1. THE BAS/S OF ,6E4Rilz4 /S TXE ,!(o erw S4,c;r.oA( Llma OF 3-&xmom / 6� T.19AI. , �//ts zs�T filo R. 3 E.� M.D. M. AS SA/oWA! gw STATis� Al W,R. ,Q/GwT dF Wr4 Y MAP, PRAwAo q NO. 060!0-04 -S6.. TN/S ,4f*F /S G,20DA/D A/STAVC9S. RECORD'- OF SURVEY A PoRT/oN v/= T.YE Al.e. �/4 OF Seer/OA/ /6> T. /9,(/.) R, 3 M,Q M•) e'O(INTY OF BUTTE CAL//'d.eA(/.(. FOR: RdaEAtT WALL RnQeAcT (*. A4Ee, Je.) PE. /,20/ 8,eC9--rd AI WAY ' O>Z6V14Z e, eA. 95946 L9/6� 533 -S4/5 ilmy, 1790 A ��z 2 G P z 1 M7 0£O -b 990e 21a N z I X -V `-`-' � I L - - LL CUNwU dJ U> = ap O clj Q W cm (V/ Q � � � O =0� �'z 00.E C) Q o Z p p O 9� z 0 tD O w z Q x N ��D IIg0X� Q� ►— (V QO O t(n= C)CZa_N w — U�QQ �\UNX� Q,� `Y' z— Qu:i=xu HiQ X x amps QQ�NxN O CD ON WQz ��-U� Qm� - N x N� , s U Q o�Q= m N��: ED (f) 21GN z I Xis OM7 19 r 2X8 RIDGE 2X6 RAFTERS 12 @ 1 6" O•C• 20 YEAR COMP. ROOFING 0/ 4F 2X8 WALL TIES 15# FELT O/ 7/1 G" OSB @ 4"' O.C. OVERLAP T.P. 2X BLOCKING ' @ CORNERS 4X 12 4X 12 DB • T.P. 2X4 TRIMMER TYP TYPICAL 5ECTION FRAM i NG SCALE: 1/4"= P-01" 2X4 P.T. 51 LL PLATE FIN. GRADE MONNAILING: 8d HD GALV. 4" CORNERS, 8" JOINTS, 12 FI LD WALU ROOF NAILING: 8d HD GALV• G"EDGES, 12" FIELD 2X4 5TUD5 92 1/411 @ I G" O.C. 2X4 P.T. 51 LL 112"0 X 10" FDT BOLT @ G" O.C. W/2"X2"X3/ 1 G" STL. PLT. WA5HE d z 4 • FILL #4 REBAP CV Fc=2500 psi • I . X11 • I1. • I SCALE: I "= P-0" 2X @IGil O.C. CONCRETE FOUNDATION On rra-a/-- t3UTTE COUNPi uiLDING DEPARTM y. 4PP til 2XG @ I G" O.C. W/2X8 @ 4' O.C. WALL TIES 2X4 OUT -RIGGERS @ 24" O.C. @ BOTH GABLE END5 wn r')ir*%r+= o► A ( 51MP50N H I OR EQ. CLIPS AT EACH RAFTER TO TOP PLATE KOOF PLAN SCALE: 1/411= I' -O" 4/12 PITCH 7/1 G" 055 SHEETING STAGGERED W/ 15# 3G" FELT 20 YEAR COMP05TION 5HINGLE5 BUTTE CONN 1- .4 V I All v I nu /- AMI C l/GAIT REAR ELEVATION SCALE: 1/4"= 1'-0" 7/1 G" 0513 SHEETING 5TAGGERED 15# X 30 FELT, 20 COMP05TION 5HINGLE5 LEFT ELEVATION SCALE: 1/4"= 1'-0" r JG DEPARTMEN Ion`, MEMO �. �I IIIIN LEFT ELEVATION SCALE: 1/4"= 1'-0" r JG DEPARTMEN Ion`, I ._ 7/16" 058 SHEETING STAGGERED 15# X 36" FELT, 20 GOMP05TIi2N 5111NGLE5 _ 4030 30 DOCK RIGHT ELEVATION SCALE: 114"= 1'-0" t o 11 \/ 1 Cl 11 r` A M I C 1 /GA tT FRONT ELEVATION SCALE: 114"= P-0" RADE BSE DOUN-r-,f UILDING DEPART'IWEE , . 4P'PROVF AND WHEN RECORDED MAIL TO: 77 COUNTVCE;N WDIVISION OROVILLE, CA 95965 COPY of Document Recorded 17 -Nov -2003 2003-0081090 Has not been compared with original BUTTE 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: SEE ATTACHED (TOO LARGE FOR DOCUMENT State of California County of Lo,SA On personally appered known to me (or ro to the within i I. capacity4ies), and the personp) acted, WITNESS my, hand Signature A.P..# ZS ) before me, D me on the basis of satisfactory evidence) to be the person96 whose nam is re subscribed t an cknowledged to me that h sh hey executed the same in hi her heir authorized hi /their signature on the instrument, the person or the entity upon behalf of which � he instrument. offic' I seal. Seal: THERESA Commissio�t3 9U1 bS _ Notary Public -- CalHomia Loa Angeles County UyComm• E-ireS Aug 3Q200s Preliminary Rq)crt Order No. BU -215312-3 MAM Description The IUA rafen^ to herds is situated in the State of Califomia, County of Butte, and is deambed as follows: A PORTION OF THE NORTHEAST QUARTER OF SECTION 16, TOWNSHIP 19 NORTR RANGE 3 EAST, M.D.B. & M. ANDi BEING MORB PARTICULARLY DESCRIBED AS FOLLOWS BEGl, NING AT THE CORNER COMMON TO SECTIONS, 9, 10, 15 AND 16, TOWNSHP 19 NORTH, RANGE 3 EAST, M.D.B..8t M. SAID CORNER Bi3ING IN THE CENTER LINE OF TRES VIAS ROAD, THENCE SOUTH O° 35' WEST, 1646.9 FEETTO THE NORTHEAST CORNER OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM WU'JA4' M. MtALIES, El` UX, TO EWF E. SWANSON, ST UX, DATED F13BRUARY 24, 1956 AND RECORDED MARCH 9, 1956, IN BOOK 819, PAGE 164, OFFICIAL. RECORDS-' THENCE NORTH 890 54' WEST ALONG THE NORTH LINE OF SAID SWANSON PARCEL, 1056.0 yjMT TO THE NORTHWEST CORNER OF SAID SWANSON PARCEL, BEING ALSO A POINT AT THE WEST LINE OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM CHARLES C. KAST, ET UX, TO WILLIAM M' MALIES, ET UX, DATED JANUARY 11, 1955, AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE NORTH O° 35' EAST ALONG THE WEST LINE OF SAID MALIES PARCEL, 1639.2 FEET TO THE NORTH LINE OF SAID SECTION 16; THENCE NORTH 890 41' EAST ALONG SAID NORTH LINE, A DCSTANCB OF 1056.0 FEET TO THE POINT OF BEQINNING. EXCEPT ISO THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT 11M NORTHEAST CORNER OF SAID SECTION 16; THENCE SOUTH 890 41' 'WEST, ALONG THE N(WTH LINE OF SAID SECTION 16, A DISTANCE OF 390.05 FEET TO THE POINT OF BEGINNING;: THENCE SOtTTHBRLY ON A CURVE CONCAVE TO THE NORTHWEST THROUGH A CENTRAL ANGLE OF 29° 10' 33" WITH A RADIUS OF 1220 FEET, AN ARC DISTANCE OF 621.24 FEET, THENCE NORTH 400 24' 43" WEST, 30 FEET; THENCE SOUTH 490 35' 17" WEST, 390.90 FEET TO A POINT ON THE WEST LINE OF THE LAND DESCRIBED IN DEED FROM CHARLES C. KAST, BT UX, TO WILLIAM M. MALIES, ET UX, DATED JANUARY It. 1955 AND RECORDED JANUARY 18, 1955, IN BOOK 752, PAGE 180, OFFICIAL RECORDS; THENCE NORTH 0° 35' BAST AL:)NG THE WEST LINE OF SAIDMALIES PROPERTY, 726.79 FEST TO THE NORTH LINE OF SAID SECTION 16; THENCE NORTH 89° 41' EAST, ALONG THE NORTH LJNTE OF SAID SECTION 16, A DISTANCE OF 665:95 FEET TO THE POINT OF BEGINNING. ALSO ]EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: CONTINUED Prellmenary Report Order No. BU -215312-3 MAM BEGINNING AT THE N43RTHEAST CORNER OF SAID SECTION 16, SAID CORNER BEING} IN THE CBN1" ,RLWE OF T£RFS VILAS ROAD; THENCE SOUTH. 00 35' WF 821.9 DEET TO THE TRUE POINT OF BEGII�I1NINNG FOR THE PARCEL.. OF LAND HEREIN DESCRIBED; TACE SOUTH 0° 35' WEST, 825 FEET TO THE NORTHEAST CC RNER OF THAT PARCEL OF LAND DESCRIBED IN DEED MOM WILLIAM M. MALIES, HT UX, TO ELOF E. SWANSON, ET UX, DATED FEBRUARY 24, 1956 AND RECORDED MARCH 9, 1956, IN BOOK 819, PAGE 164, OFFICIAL REC4)RDS; T=NC E NORTH 89' 54' W13ST ALONG THE NORTH LINE OF SAID SWANSON PARCEL, 1056.0 FEET TO THE NORTHWESTCORNER OF SAID SWANSON PARCEL., BEING ALSO A POINT AT THE WEST LONE OF THAT PARCEL OF LAND DESCRIBED IN DEED FROM CHARLES S C. KAST, ET UX, TO WILL IAM M. MADS, ET UX, DATED JANUARY 11, 1955 AND RECORDED JANU*RY 18, 1955, IN BOOT{ 752, PAGE 180, OFFICLkL RECORDS; THENCE NORTH 06 35' EAST ALONG THE WEST LINE OF SCUD MALIKS PARCE., 825 FEET TO A POINT THAT BEARS NORTIH 896 54' WEST FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 896 54' EAST, 1056.0 PEST TO THE TRUE POW OF BEGINNING. RESERVING 11MUKFRC M A NON-EXCLUSIVE )EASEMENT FOR ROAD AND PUBLIC UfKM PURPOSES OVER A S li W OF LAND 60.00 FEET WIDE DESCRIBED AS FOLLOWS: COM5fP.NC3NG AT THE NORTHEAST CORNER OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M.; 'kMENCE SOUTH 89° 19'23" WEST, ALONG TIME NORTH LINE OF THE NORTMEAST ONE QUARTER OF SAID SUCTION 16, 326.11 FEET TO THE TRUE POINT OF BEGINNING FOR THE HSREIN DESCRIBED BASEMENT, SAID POINT BEING ON A CURVE CONCAVE TO THE NORTHWEST HAVING A RADIUS OF 1280.00 FEET AND A CENTRAL. ANGLE OF 300 11'29', ('SHE BEARING TO THE RADIUS POINT BEING NORTH 700 36 03" WEST); THENCE SOLMEERI.Y ALONG THE ARC OF SAID CURVE 674.43 FEET; THENCE NORTH 400 24' 43" WEST, 30.00 FEET'; 'INCE SOUTH 496 35' 17" WEST, 442. ; 51 FEE THENCE NORTH 000 16' 55" EAST, 79.13 FEET; TIffiNC:E NORTH 49° 35' 17" EAST, 390.91 FEET; THENCE SOUTH 400 24' 43" EAST, 30.00 FEET TO THE BEGDU41NG OF A CURVE CONCAVE TO THE NORTHWEST RAVING A RADIUS OF 1220.00 FEET -AND A C�.N'TRAL ANGLE OF 290 10'33", MM BEARING TO THE RADrUS POINT BEING NORTH 406 24'43" WEST); THENCE NORTL1MLY ALONG THE ARC OF SAID CURVE 621.24 FEET TO A POINT ON SAID NORTH LINE OF SAID NORTHEAST ONE QUARTER OF SAV SECTION 16; THENCE NORTH 896 41'00" EAST ALONG SAID NORTH LINE 63.94 FAST TO THO POINT OF BEGINNING. �,, r � IMe Preliminary Report •i� aflM!a DESCRIPTION - CONTROM Order No. BU -215312-3 MAM A RIGHT OF WAY FOR MAD PURPOSES OVER A STIC? OF LAND 60 FEET IN WIDTH LYING WESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOI9THEAST CORNER OF THE ABOVE DESCRIBED PARCEL. I; THENCE SOUTH 00 35' EAST ALO]RO THE EAST LINE OF SAID SECTION 16 A DISTANCE OF 3300 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF STATE HIGHWAY 21-A AND THE END OF SAID LINE. A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEDI' IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: CON vIENCING AT THE jW17MECnON OF THE NORTHERLY LINE OF STATE HIGHWAY 21-A VIM THE EASTERLY LINE OF SAID SECTION 16; TRICE NORTH 890 54' WEST ALONG THE NORTHERLY LINE OF SAID HIGHWAY A DISTANCE OF 704 FEET TO THE POINT OF BEGINNING FOR SAID ; THENCE NORTH 00 35' EAST A DISTANCE.OF 3300 FEET, MORE OR LESS, TO A POW ON THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL I AND THE END OF SAID CENTMINE. 00 312°43 Date: This is to Certify that. H begk*V the purple seat of this office, this is a Ina copy of the docu+nent filled with the Butte County Cleric -Recorder's oft*. Candi J. Grubbs ®Lytle County lark -Recorder Or. -� Y t �} SITE PLAN REVIEW APPLICATION Date: 7 -` 2 AP# • Permit Number (if applicable) APPLICANT INFORMATION Parcel Size:r7-.UT C Owners Name: r iR Cs9-1- G P-01- A U/3 L \ l S 2S LJ . A V( -- Owners LOwners Address: (J itit�l C. 1"� (� t (� 2- U A�TZ �-ji L,1� CA Telephone No.: S 3` f (�n1 L� (� �, I — t-1 -- 11.1 -7 i Situs Address: G155Q0S� 6�D� GS , G� Proposed Use: ' Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel 9 Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved By Date Page 1 of 5 6Residential Z) R. New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer �, ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel 9 Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: • ❑ Snow Load Area: • - El Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: /1 • Flood Panel No.: O ® C Index Date: 8— 8 - 5 8 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit —�— ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A R — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front aG Side O Side Street Rear 1 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 I t; Applicable Development Fees: Standard Fees . Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ® Thermalito Urban Area ❑ Other • Subdivision Map Special Fees ❑ Water Tender . ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By N Deeds: Date of Creation: �-i 8 -- ( -7 Legal Access Provided: ❑ No Yes Deed of Reference: ill 7 0) - G8 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ® Yes, Road Name: GPAAyb A ✓F Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel El - Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (flaps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: —El Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 II Subdivision Map/Parcel Map: Map Date of Recording Lot: 1-2-c3-97 ❑ Use Permit/Minor Use Permit RIS Book: ZD Page: 5.7 • Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval- ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control PIS must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ in lieu of a pressurized water system or water storage tank,+ payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County -Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 10 Page 4 of 5 • F,C R=.dPy� L ewe S:P J'Liy "r x',rq,) QIULJIATI A) is-FT,x'zo- vv-si'v-{t�1.ia. at`,�I�fa�3: /TieT7, SI i4'tFr�►A` iiSas PP A -TS t. A8 w;Fb3 ire + ^�1 g5f Ao oh 4"t s3:w1 FAZ f':�`E'-, foij i arl Aot r kit -, I4ro M� { .� C� W t ._ f X17 1. ?f3ig Fi. yr �i~dl i r i oK- ��•-;::` tea"' i i F. ,. •hd'. b 1 e 1 � 1 • 1�� I e"� fi t 1 :o'7i"t1ay Soo ��'� t k.l �j"A.sd4Fp 4 `:�P, iCA$�f'rY �p _ • : - - � .� lily' -'Tr - - ?J-2# _ g p— i.+i•19 1�'JTa j Iaar y S�P�,A f t'� y ? 7 �ST`'i,;F �� f 1 1 I I November 14, 2003 Carol Cauble 5259 West Ave. L4 Quartz Hill, Ca 93536 0 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 030-230-062 Building Permit Number: 03-3445 and 03-3446 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's 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. NOWT -STRUCTURAL COMMENTS: Enclosed you will find two "Detached Accessory Building" forms, one for each garage you will be building at this property. Both forms must be filled out, front and rear, and signed by the property owner. These forms must be reviewed as a part of the plancheck process. Plancheck cannot be done until receipt of these completed forms. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner 1 of 1 PROJECT PROCESSING RECORD Applicant: Owner: A.P. #: Q 00 Z Co 2 Permit #: O:- Work Description: Date Description of Step or Status A1 `T d e • ,..�.�... ■ .Q Ism L =]WRENN SNAKE owns �.....l.■■s----°;:'fay .. IMMUNE asommunn F—M-7 - a■Rim M It, a MIMK 9WALCJ .r' . ' , •. a ;w,l,■i��' RA man.. Mown �tGrr - i�� C�.�L� t�i♦1(1' �� [lei �-- �■t rf,;� v :� .�, ,. ._.:.> .rw*r_ -..., ©:ti■I i/'i•{�1����11i�■�.b.> ..nc < s< s ,ri 1 /�f1���:�1�.�� r�11■ ��. •,lii! i.ifitlt■�iiiiiJ k ..�/�''iw�i�l— L 1/■■1�1 ilii i■ ■■ is ■■■I F i■i:i/n■ii�� s�>•ilri■■/iMoslems ____.r Ron 1 �f on ss�ssis_..ri': �'.ss� ANO ■�. .�Ii•�.silh COW tT Citi =•-. R .... _ a e e �— 4' 11211 x 10" ANCHOR BOLTS G' O.C. W/ 2"X2"X3/ 1 G" 5Q. WASHERS, 12" FROM ENDS AND JOINTS OR USE 51MP50N MAS FOUNDATION ANCHORS. FLOOR PLAN SCALE: 114"= P-0" " 4" THICK SLAB " 12" X 12" FOOTING * G X G X I O X I O REMESH " 1/2" REBAR 2 RUNS BRACED WALL PANELS TO BE 8 11211 HARDI BOARD 51DING OVER 3%8" OSB SHEAR. I GX7 SECTIONAL DOOR 3 112" X 13 112" X DHF -1 .8E GLB APPROVED Butte C a d- L.� N O m X o c coo O cV — x v - l ENVIRONMENTAL HEALTH NOY -4 2003 7 COUNTY CENTER DRIVE 011 r 11211 x .10" ANCHOR BOLTS G' O.C. W/ 2"X2"X3/ I G" 5Q.. WASHERS, 12" FROM ENDS AND JOINTS OR USE 51MP50N MAS FOUNDATION ANCHORS. r FLOOR PLAN' SCALE: 1/4"= P-0" * 4" THICK SLAB * 12" X 12" FOOTING *GXGX IOX I0REME5H * 112" REBAK 2 RUNS r BRACED WALL PANELS TO BE 8 11211 HARDI BOARD 51DING OVER 3/8" OSB 5H EAR. I GX8 SECTIONAL DOOR 3 112)'X 13 112" X DHF- I .8E GLB GSI In S N � -r o 011 r 11211 x .10" ANCHOR BOLTS G' O.C. W/ 2"X2"X3/ I G" 5Q.. 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