HomeMy WebLinkAbout031-260-038031-260-038
HAYES, TODD
1526 12TH ST, OROVILLE
Cont: OWNER
ADD/SF
05-1512
�DOWD, Earl 5007B 'Earl 5007B
H.Vent-3905P 3894P
4881E - 50131
1-26-3
1526 .12.th . st . , Oroville
CONTR: Harmony Bldrs . , P-0- Box 578, 0rovi.1y
new single family) //-- - $--
I
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6
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is In full force and
effect.
License Class : License Number:
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractors State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
J I, as owner of the property, or my employees with wages as their
I sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively. contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
1 not apply to an owner of property who builds or improves thereon,
1 and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 the Bu .Hess and Professions Code
Date: S ` ` Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
EII have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
�] I certify that in the performance of the work for which this permit Is
I\ issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BPO51512
Issued Date: 08/05/2005 APN: 031-260-038-000
Site Address: 1526 12TH ST ORO
Map Index:
Description: addition (494)
Owner: HAYES TODD A & ANGELA
1526 12TH ST
OROVILLE, CA
95965-4205
Applicant: HAYES TODD A & ANGELA
1526 12TH ST
OROVILLE, CA
95965-4205
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 494 S.F.
Valuation: $32,110.00
Census Code:
#- 43y-"r�r1'
CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resoluti s do work in i ted a e for ich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
P MIT EXPIRES ON:
Address:
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the own or,�h a duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa a of any official or qcum of Butte County. I hereby
authorize repfe ntatives o(R utte County to enter pon the above mentioned property for inspection p oses. )
Print Name: `�` Signature:
Date: V 1 J I
❑ Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds 3 54P• 9!�
**PLEASE PRINT CLEARLY** a38• &6
A.—APPLICANT SIGNATURE
ME , PIPE
For office use only:
CONTRACTOR
Name
Name
Address
WORKER'S COMPENSATION
City
[Q-%��—
State
Zip
Phone
Zip
Fax
E-mail
Map Book
Lic. #
Class
A.—APPLICANT SIGNATURE
ME , PIPE
For office use only:
ARCHITECT/ENGINEER
Name
Name
Address
WORKER'S COMPENSATION
City
[Q-%��—
State
Zip
,Phone
Zip
Fax
E-mail
Map Book
State License Number
A.—APPLICANT SIGNATURE
ME , PIPE
For office use only:
API
APPLICANT NAME
Name
Flood Zone
WORKER'S COMPENSATION
Address
[Q-%��—
City
v fx, I
l
State
Zip
Phone
Map Book
Fax
E-mail
Planner
A.—APPLICANT SIGNATURE
ME , PIPE
For office use only:
API
Zoning
Com, j yl
Flood Zone
WORKER'S COMPENSATION
SRA
I Yes
I No
Occ.
Name
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BPO S
BIN #
LOCATION
API
Property Address � f�
AO
Com, j yl
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
441L�
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
Page 1 of 2
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Receiw/e((d��by
Receipt #: 64 q 6
fr1
6( Date: lO �
(/� g y
Amount: O Bldg
SRA
Sheriff
SMTP
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3.or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 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 (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required):
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application, In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance. for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
Applicant:
Ha es, Todd
B4o�1JTrFa
Permit No:
YVONNE CHRISTOPHER, DIRECTOR o 0
N
OSF
0 0
7 County Center Drive o < o
o
oC�U
APN:
Oroville, CA 95965
100%
(530) 538.7601 Telephone N'�y
Plan Check Fees
(530) 538.7785 Facsimile
$
238.66
$ 340.94
$
TO: WILLDAN
WILLDAN Fee
FROM: Scott Rutherford (530) 538-7160
'
srutherfordna buttecounty.net
0
SUBJECT: Plans Transmittal For Review Per Contract
O
M
DATE: 06/14/2005
Applicant:
Ha es, Todd
Permit No:
05-1512
Project Type:
OSF
APN:
031-260-038
100%
70%
Plan Check Fees
$ 340.94
$
238.66
$ 340.94
$
238.66
WILLDAN Fee
$
238.66
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: (. _� ASSESSOR PARCEL NUMBER
Proposed Building Use: , %r/� / ��' `+ Permit Technician: `fc,5 Date:
Items required in order.to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
\ 1VIJ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
�7 f /-J 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
f d%/ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
❑ 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
�7✓�-�--15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑ 19 Erosion Control Plan Required........................................................................
�9 20. ees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 1. City of Chico Plumbing permit........................................................................
0 22. Site plan and business license approval from the City of Biggs ..............................
❑
21 California Department of Forestry plan approval ❑ paid. Sent by:
VContact
Planning approval for (A) Use: �(B)Parking:-(C) Parcel Check:.t.....
❑ Land Development about _ Improvements, _ Drainage ........................
°`) 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
/A/ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
t ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or. MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone `%W 7 and hold for pickup.
I have bee infotmed of the abv items and requirements for obtaining a building permit.
Applicant: KDate:
1. Index permit application 0for the above items nuAbered: Plan Check Letter
2. Additional items req
Contractor, designer owner was advised of the above data by phone, El mail, ❑ counter,
Contractor, designer, er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, 1: Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by:I Date: -f7 In
Structural reviewed by: Date: Structural approved by: r Date:
Note transfer by: Dater
Yellow: Building Division
C IMay'(Ia1.111IM
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
#fyL`�
Website: www.buttecounty.neVdds
OWNER
PROPROSED BUILDING USE ��� 1-16 ' V
BUIL�ll ul
1. DING PERMIT FEES II
--- Balance Due .................... $
--- FEMA Flood elevation review ... $
--- dditional plan checking Fee.... $
2. SCHOOL DISTRICT FEES Ogg 14j V
(paid at School District Office) (form available after PlChec :::j,'
_ 3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $_
Sq.Ftg.
4. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
5. RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling) $
CHICO URBAN AREA (per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
.00 (paid at Building Division)
2)
8. SMIP
9. OTHER
10. OTHER
11. OTHER
A.P.
DATE
RECEIPT # DATE REC.
At time of permit a plication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be Chang during the plecki g rocess. (�
APPLICANJ DATE
Pursuant to Government Code Sect on 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05)
tY c 4 t y♦ ti x
Fr 't. C
•d•i.C`.�'I
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.
�c 1. I personally plan to provide the major labor and material for construction of this proposed
property 'improvement: 'YES [ NO [ ].
2. 1 HAVE [ HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPE
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development ServicesuTr
ADMINISTRATION t BUILDING' GIS t PLANNING o ���o
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
BI -
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
U4��
Mic el C. Vieirl C.B.O.
M2qager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
�0 p
�L1C VYW�R�
Department
J. Michael Crump, Director
Public Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution. Prevention
Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE]
Project Description: FI► �)% /7_)6Y_\)
Project Location and/or Parcel Number: n'5 / ^ Z60
77H
By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
EQ ARW eNT
� Q6VTTF
I°
1°
\0
� cOUN1
o& Department of Public Works
° C o u n t y o f B u t t e
O
° 1. Michael Crump, Director LAND DEVELOPMENT DIVISION
O / Storm Water Management Program
7 County Center Drive
,o, Oroville, CA 95965
"etic vYa¢�5 (530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phrase II
Construction Storm Water Permit and Storm Water Pollution. Prevention
Plan (SWPPP) Acknowledgement rtESS THAN I ACREl
Project Description:
Project Location and/or Parcel Number:
By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
WILL ®A!1 117 Street
Marysville,
ville, California 95901
Serving Public Agencies 530/749.2373 fax 530/749.2199
www.wilidan.com
July 8, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
BUTTE COUNTY PLAN REVIEW REPORT
Status:
Jurisdiction Job No:
Assessor's Parcel No:
Description:
Willdan Project No:
Dear Mr. Rutherford:
Approved
05-1512
031-260-038
Hayes Residence Addition
14353-1724
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
➢ Plans: Two (2) copies of sheets 1 through 4 dated 05/05, by Gary Hawkins, Architect.
➢ Ener2y Calculations: Two (2) copies dated 06/02/05 by Aaron Klemenok.
➢ Truss Calculations: Two (2) copies dated 04/18/05 by Longfellow Lumber.
The plans have been stamped with the Willdan approval stamp ,and dated. According to our previous letters
relating to this project, the superseded plans and documents will be discarded within 10 days unless we
receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
�WILLies
Serving Publ,®A�N
APPLICABLE CODES
Our review was based on requirements of the 2001 California Building Standards Code found in the
California Code of Regulations, Title 24:
• Part 2, known as the California Building Code (CBC)
• Part 6, known as the California Energy Code, and Energy Commission Standards (CECS)
CODE ANALYSIS
Our plan review revealed the following information regarding the occupancy designation, type of
construction, and other pertinent features. This information is consistent with that shown on the plans and
permit application.
Specific Type of Type of Stories 1s'.Floor 2° Floor Total Sq Ft
Use Occu anc Construction S Ft S Ft
u
AN 14 1 Maism
v,. .
Dwelling Addition R-3 V -N 1 494 NA 494
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -tined on the plans.
3. All plan sheets shall be signed by designer or person responsible for the plans as required by
California Health & Safety Code Section 5536.1.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
414—
Isaac Kuster
Plans Examiner
Ce: Alice Mefford, E-mail: amefford@buttecounty.net
Angela Hayes, 1526 12'' Street, Oroville, CA 95965
Page 2 of 2
County of Butte Permit Number 05-1512
Willdan Project Number 14353-1724
el -kA -
School District
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One formper.Building)
— (/ Mrisdiction: F-1 ' City
Property Location/Address; / 5- 0- (:.>
Subdivision
Residential Development Q
No of Living Mobile Home
Units Installation
Building Department No.
County
Lot No.
Sq. Footage
Addition)
*Supplemental to (Group R)
Conversion Permit #
No bundation E
_ _. _ _. ._._..... �( Inspectbn)
—A
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
�_Commercial/Industrial Q Q ' Sq. Footage
New Addition (Including Exterior
w Roofed Areas)
Building Department Representative Date
Dtis
D 'ct Identification No. 060027
YP4 School District certifies that
(Street Address)
has complied with the requirementsof Resolution No.
ir
representing ` ` { square feet.
School DlstriEt Representative
Paid by Check # 0 iq
Remarks:
(' pplicant)
5 3 3--5—fP1F
(Phone Number)
qv� & r.
(S
ta
te) (Zip Code)
V� D by payment of $
2926 $
Mf lGATION $
Date r
t ,
No : You may proted the imposition of the fess identified above by submitting a written protist to the District, In compliance with
Govenonent Cods Section 66020(a), within 90 days from the data has are paid. Falluro to submit a timely willten protest will'proMbk _
you from challenging the Imposition of the hes In any court action.
If, subsequNd to the school DlsMet Reprssentatlw sipMnng this Butts Coady Schools Impact Fee Certhllallon Fonm, the School District Is
notlsad by the applicable Local Planning Ap cy tat this p ufact Is being reviewed under the CNNomis EmFronmsnfah GwWy Act (CEQ4
#ds prolect may be subleet to addMiaid school hes to fully nrnkipate Its innpaet on the school dlstric'a schools.
White (applicant), Yellow (building department),. Pink (school district) feerorm.xis (10/03)dmm